What were your practice changers in 2016? For me, it was Reuben Strayer’s simple phrase for when to give epinephrine in allergic reaction patients: For A, B, or C, give E. If there is involvement of airway, breathing, or circulation, give epi. It seems simple when it’s spelled out this way, but there can be […]
Deep venous thrombosis of the calf causes an undue amount of consternation. What’s the best way to manage these?Anticoagulate, serial ultrasound, do nothing? We break down the evidence to help you decide. http://traffic.libsyn.com/ercast/Calf_Clots_ercast.output.mp3 Direct Download What are we worried about with calf DVT? Will it become a PE? Will the clot propagate proximally? Does treatment […]
Use of CT scans for the evaluation of renal colic increased 10 fold between 1996 to 2007. Is this good for patients? Have they benefitted from the detailed information that CT scanning? The answer is no. Several studies have revealed that we are not only irradiatiting patients at an increasingly alarming rate, their outcomes are […]
The way we learn to manage pulseless electrical activity (PEA) from the Advanced Cardiac Life Support course is a mockery wrapped up in a sham. The mnemonic is cumbersome and the treatment (such as CPR for all, empiric epinephrine) is not always appropriate for a patient with normal electrical activity and a pulse. Fear not, […]
What is the best way to evaluate a pregnant patient in whom you suspect pulmonary embolism? There is no definitive guideline, but there is no shortage of opinions. Jeff Kline and I work through the evidence and lack thereof. http://traffic.libsyn.com/ercast/PE_Preg_podcast.output.mp3 DIRECT DOWNLOAD What is the fetal radiation exposure from CT pulmonary angiogram and ventilation perfusion […]
The gloves are off and the vitriol is bubbling hot. This is the episode where you get the mic and tell the world what really gets your goat.
How much hemothorax deserves a chest tube? Does even a small amount of pericardial blood in penetrating trauma need to go to the OR?
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?”
Welcome to ERCAST 002 ERCAST question: How do you workup a child with limp? During this episode we will discuss a plethora of paediatric pearls including: Decisions rules for distinguishing between toxic synovitis and the septic hip A curbside consult with pediatric orthopedic surgeon Adam Barmada MD Listener email and…SO much more References ERCAST 002: […]