The St.Emlyn’s Podcast Ep 270 - Insights on Cannabis Edibles, Pre-Hospital Thoracotomy, and more
Jun 4, 2025
The discussion kicks off with cannabis edibles and their implications in emergency medicine, revealing the need for awareness among healthcare professionals. Next, the critical role of pre-hospital resuscitative thoracotomy for traumatic cardiac arrest is examined, emphasizing rapid intervention's importance. The podcast also highlights a groundbreaking study on low-dose ketamine for pain management in opioid-dependent patients. Finally, reflections on resilience and workplace culture in emergency medicine wrap up the conversation, inspiring thoughts on life and loss.
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Cannabis Edibles Impact Insight
- Cannabis edibles cause mostly mild symptoms like anxiety and nausea, rarely needing major interventions.
- Their effects are harder to dose than smoking, but overall they aren't a major concern in emergency care.
Ask Drug Use Without Bias
- Always ask all patients about recreational drug use without embarrassment or assumptions.
- Normalize this question as part of routine history to understand patient context better.
Time-Critical Thoracotomy Outcomes
- Time to resuscitative thoracotomy is critical; survival chances drop every minute after cardiac arrest.
- Tamponade patients have better outcomes than those who arrest from exsanguination after early thoracotomy.
