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EMCrit Podcast

Latest episodes

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Nov 23, 2023 • 1h 4min

EMCrit Shadowboxing Case 6 - A Respiratory Case along with Extra Commentary from Mae West

The podcast discusses the evolving responsibilities of emergency physicians in ongoing care, analyzing a chest x-ray for respiratory symptoms, the safety of using vancomycin and piperacillin/tazobactam combination, a case involving a patient with sinus tachycardia and ischemic changes, evaluating pulmonary embolism using CT Pulmonary Angiography, managing a patient with potential deterioration, the Prevent study and antibiotic choice, and surgical consultation and antibiotic therapy for respiratory cases.
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Nov 17, 2023 • 36min

EMCrit 362 - Jonathan Edlow, Lead Author of GRACE-3, on Dizziness

Jonathan Edlow, Lead Author of GRACE-3, discusses strategies for managing dizziness in emergency medicine, emphasizing the importance of physical examination over imaging. The conversation highlights the challenges in differentiating between central and peripheral acute vestibular syndromes, exploring the efficiency of the HINDS exam for stroke patients, and the role of physical therapists in managing vestibular issues. Ongoing studies on dizziness and eye lenses are also highlighted.
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Oct 21, 2023 • 23min

EMCrit 360 - A Taxonomy of Key Performance Errors for Emergency Intubation (Primer)

Exploring key performance errors in emergency intubation, emphasizing the importance of the midline approach for higher success rates. Analysing common errors like device delivery, over-rotated insertion, and premature camera withdrawal, and teasing future episodes featuring guest speakers on airway programs.
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Oct 8, 2023 • 19min

EMCrit 359 - FoundStab Project - Foundational Stabilization Guideline for Post-Intubation Sedation

This podcast explores the concept of guidelines for optimal care in emergency medicine and introduces the Foundational Stabilization Project. It discusses the use of propofol for post-intubation sedation and emphasizes the need for minimal resources in resuscitative care. The podcast also addresses the importance of partial sedation and pain management, as well as the use of soft restraints for intubated patients in the emergency department. It concludes with a discussion on the potential risks of not using soft restraints and introduces the Found Stab Project for resuscitation and acute critical care.
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Oct 3, 2023 • 13min

ODR - Should, Must, Won't

Exploring the impact of 'should' expectations on medical professionals and how it can lead to dissatisfaction. Embracing reality and taking control in medicine by overcoming 'should' and 'must' mentalities. Prioritizing self-care over residency myths and discussing moral boundaries in the healthcare system.
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Sep 24, 2023 • 52min

EMCrit 358 - Dizziness Makes Me Dizzy Still! - GRACE-3 and more with Peter Johns

Explore the challenging task of diagnosing posterist stroke and managing dizzy and vertiginous patients in the emergency department. Discuss the 15 recommendations from Grace-3 for patients with dizziness and vestibular disorders. Learn about episodic vestibular syndromes and the importance of performing a comprehensive neuro exam for all dizzy patients. Understand the correct technique for performing the head impulse test and the significance of skew deviation in stroke. Discover the need for a regimented training program and the importance of assessing gait in dizzy patients.
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Sep 10, 2023 • 36min

EMCrit 357 - AMAX4 Crashing Anaphylaxis Explosion with Ben McKenzie

The podcast discusses the AMAX4 protocol for crashing anaphylaxis and asthma, developed after the personal tragedy of losing Ben McKenzie's son. They delve into administering epinephrine in a crashing patient, managing breathing during anaphylaxis, and the debate over second intubation vs. cricothyrotomy. The effectiveness of infusion and push-dose epinephrine in treating anaphylaxis is also explored.
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Sep 2, 2023 • 1h 9min

EMCrit Shadowboxing Case 5 - NeuroEMCrit Case

In this podcast, the hosts discuss a case of a 30-year-old patient found unresponsive in her basement. They talk about the administration of Narcan and differentiating between spontaneous bleeds and traumatic head bleeds. They also touch on the importance of maintaining blood pressure and osmotic therapy. Monitoring PCO2 levels and appropriate vent settings are discussed, along with the neurosurgical plan for the patient. The podcast concludes with a summary of the patient's neurocritical care hospital course.
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Aug 29, 2023 • 13min

EMCrit 356 - More on Accidental Hypothermia with Ken Zafren

Expert guest discusses accidental hypothermia and the concept of afterdrop. Controversy and myths surrounding rewarming methods are debunked. Proper management of mildly hypothermic patients and avoiding common mistakes are highlighted. Considerations for hypothermia patients and invasive rewarming strategies are discussed.
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5 snips
Aug 10, 2023 • 11min

EMCrit 355 - AMAX4 for Crashing Anaphylaxis and Asthma

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