Emergency medicine podcasts, reviews and curbside consults
Direct Download Podcast There are many paths to laxation, below is my approach. Patient is on narcotics and you want to prevent constipation Choice 1. Polyethylene glycol (PEG) 17g/1 glass per day. Up to 3 doses daily if needed Choice 2. PEG + fecal inotrope/stimulant. Senna first choice Choice 3. Docusate + Senna Docusate alone [...]
Baker, Susan, et al. Constipation in Infants and Children: Evaluation and Treatment. Journal of Pediatric Gastroenterology and Nutrition: Volume 29(5) November 1999 pp 612-626 Rajindrajith, Shaman , et al. Constipation in Children: Novel Insight Into Epidemiology, Pathophysiology and Management. J Neurogastroenterol Motil. 2011 January; 17(1): 35–47. Rome III Criteria for Constipation Bassotti G, et al. A practical approach to diagnosis and management of [...]
Conventional wisdom suggests that suppositories should be placed apex (pointy end) first. After all, don’t torpedoes go pointy end first? What about arrows? And don’t forget the fencing sabre. It would seem that the rule of pointy end first is all around us. A universal constant. In Cairo, Egypt, 1991, the dogma was challenged. KH Abd-el-Maeboud et [...]
Is NEXUS dead? Are we admitting too many patients with pneumonia? How useful is the PERC rule? It’s all about decision rules on this episode of ERcast. Ryan Radecki from EM LIterature of Note joins us for a review of four papers: 1. Hospital admission decision for patients with community-acquired pneumonia: variability among physicians in an [...]
Neil Cunningham has revolutionized how we manage shoulder dislocations. His technique uses anatomic positioning and focused muscle relaxation to atraumatically reduce the joint, oftentimes without sedation.
A review of current guidelines and controversies in the evaluation of fever in neonates and infants under 90 days age.
After wandering in the wilderness of pixelated paranoia – I have seen the light and decided to collate the accumulated eclectic into one central, pertinent repository of goodness…over at http://blog.ercast.org. The old link http://ercast.org still works and will direct you to the new site, so if that’s the one you have saved, no worries.
I wonder if you are one of those Dumb Asses who do not get the flu shot each year? Yes. Dumb Ass. Big D, big A. You may be allergic to the vaccine, you may have had Guillain Barre, in which case I will cut you some slack. But if you don’t have those conditions and you work in health care and you don’t get a vaccine for one of the following reasons, you are a dumb ass.
The list of potential badness in the pregnant patient with right lower quadrant pain is long and distinguished, but it often comes down to a simple question…”Does this patient have appendicitis?”
What is a hyphema, and how can I manage one? Hyphema is blood in the anterior chamber of the eye. It may appear as a reddish tinge, or it may appear as a small pool of blood at the bottom of the iris or in the cornea.