Surgical Specialty

Shoulder Injuries

Humerus fractures, shoulder dislocations, broken clavicles, shoulder separations and then some. We cover all the bases of acute shoulder injuries with sports medicine orthopedist Dr. Brett Andres. It’s also ERcast’s third anniversary, so raise a toast and thanks for listening. http://traffic.libsyn.com/ercast/Ercast_shoulder_injuries.output.mp3 Direct download podcast  Links mentioned in the podcast introduction Splint Like a Pro Cunningham …

The Constipation Manifesto

TO HEAR THE PODCAST, CLICK THE PLAYER BELOW [audio http://traffic.libsyn.com/ercast/Constipation_Manifesto_Podcast_.mp3] Direct Download Podcast Scenario 1 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 …

The Suppository Conundrum

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 …

Spinal tap following a negative CT in suspected SAH

It’s deeply rooted medical dogma that spinal tap needs to follow a negative CT when evaluating patients for subarachnoid hemorrhage. New literature has come out to challenge that idea. We talk with Scott Weingart of emcrit.org and Ryan Radecki of Emergency Medicine Literature of Note about a 2011 BMJ paper that looks at the sensitivity of computed tomography when performed within 6 hours of headache onset.