Broomedocs POdcast

This podcast covers a range of topics from life-threatening issues to non-dangerous matters. They discuss acute Mental Health evidence, nail bed injuries in children, transfusion strategies post-MI, psychiatric imaging, and more. The hosts engage in nerdy scientific discussions, embrace weather differences, and explore the consequences of unidentified deceased patients in health systems.

Hosts dive into the urgent need for improved emergency care for older patients, revealing alarming mortality rates. They explore the evolving role of pharmacists in medication management and the risks associated with metronidazole. Neurological symptoms related to nephropheone use are examined, along with a trial comparing nausea treatments. The importance of accurate blood pressure measurements in emergency settings is discussed, alongside intriguing insights into coffee consumption's health impacts and the myths surrounding antibiotic use.

Dr. Justin Morgenstern, an expert in emergency medicine, discusses innovative strategies for managing massive hemorrhage in trauma care. He emphasizes the importance of clinical judgment in implementing massive transfusion protocols, arguing against rigid rules. The podcast delves into the roles of Fresh Frozen Plasma and whole blood therapies, critiquing traditional practices and advocating for more personalized treatment approaches. Discussion includes the significance of viscoelastic testing and laboratory-driven interventions to improve outcomes during critical situations.

Dr. Justin Morgenstern, a medical expert in emergency medicine, dives into the world of Clinical Decision Rules and their impact on patient care. He discusses how these tools can sometimes fail to improve outcomes, emphasizing the complexity of decision-making in urgent situations. The conversation touches on the potential pitfalls of relying too heavily on decision rules during medical training and the challenges of diagnostic testing in emergency settings. Morgenstern advocates for a balanced approach that prioritizes clinical judgment over rigid guidelines.

In a lively discussion, the hosts dive into clinical curiosity, sparked by a crocodile story. They highlight mentorship in emergency care and the role of tranexamic acid in trauma. A Canadian study reveals how cash transfers can decrease homelessness without increasing substance use. They also compare video laryngoscopy and direct laryngoscopy for intubation efficiency. Family presence during resuscitation shows emotional benefits, while a whimsical study on mobile CT scanners at Oktoberfest raises questions about technology investment in trauma care.

Justin Morgenstern, an expert in evidence-based medicine, dives into intriguing topics ranging from alternative treatments for sepsis to the complexities of diagnosing long COVID. They evaluate a trial on herbal injections and discuss the importance of rigorous scientific scrutiny. The conversation also covers studies on TXA for cesarean hemorrhage, patient empowerment in obstetric care, and the controversial use of haloperidol in emergencies. With an engaging mix of humor and critical analysis, Morgenstern sheds light on the evolving landscape of emergency medicine.

This month on the Journal Club we tackle a lot of PAeds - croup, HFNC, sepsis and buckle injury.  There is some old stuff about CT Head rules and some fascinating oddball papers.

This month we try to answer some of the big questions in ED practice... we do not necessarily succeed... How much electricity should we use in refractory VF? Should we suck clots out of legs? Should you put Tegaderm on eyeballs? Is the HEART score valid? Are any clinical decision tools really what we think? What happens if you discharge patients with low troponin rise? Should you evert the edges of the wounds? Can we send kids home with abnormal vital signs? Does kissing minor toddler boo-boos help? Do men with smaller penises drive fast cars?

This month we discuss "breaking good news"; less is more in temperature management, IV fluids, gloves... basically everything! Up your EBM game with some hands on data dissection! #FOAMed

On this months epic journal club we cover small PEs, small Dimers, CT-contrast, genomics, injecting spider juice and a whole bunch of stuff in between...