Core EM - Emergency Medicine Podcast

Dental emergencies take center stage, covering everything from infections to trauma. Experts emphasize the critical role of nerve blocks in managing pain effectively. Discover the signs of deep space infections and the importance of thorough dental exams after facial injuries. Learn about assessing mandibular fractures with the tongue blade test and proper techniques for re-implanting avulsed teeth. The classification of dental fractures is also explained, providing essential insights for managing these urgent situations in emergency medicine.

This podcast reviews highlights from a grand rounds talk given by Michael Bond on Killer back pain. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_39_0_Final_Cut.m4a Download Leave a Comment Tags: AAA, Back Pain, Epidural Abscess, Vertebral Osteomyelitis Show Notes Edlow JA. Managing Nontraumatic Acute Back Pain. Ann Emerg Med 2015; 66: 148-53. PMID: 25578887 Read More

This week we discuss everyone's favorite infectious diseases: Gonorrhea and Chlamydia https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_38_0_Final_Cut.m4a Download Leave a Comment Tags: Chlamydia, Gonorrhea, PID, STD, STI Show Notes The SGEM: SGEM #104: Let’s Talk About Sex Baby, Let’s Talk About STDs ALiEM: Is the Pelvic Exam in the Emergency Department Useful? HQMedEd: Blind Swab vs Speculum-Assisted Endocervical Swab EM Lyceum: PID Answers Exposed: Why is Gonorrhea Called the Clap? CDC: Expedited Partner Therapy CDC: Sexually Transmitted Diseases Chart Read More

This week we discuss ovarian pathology focusing on ovarian torsion and tubo-ovarian abscess. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_37_0_Final_Cut.m4a Download Leave a Comment Tags: gynecology, Ovarian Torsion, TOA, tubo-ovarian abscess Show Notes Pediatric EM Morsels: Ovarian Torsion EM Lyceum: Ovarian Torsion Beigi, R.H. (2015). Epidemiology, clinical manifestations, and diagnosis of tuboovarian abscess. In S.J. Falk (Ed.), UpToDate. Waltham, MA, 2015. Beigi, R.H. (2015). Management and complications of tuboovarian abscess. In S.J. Falk (Ed.), UpToDate. Waltham, MA, 2015. Hart, D, Lipsky, A. Acute Pelvic Pain in Women. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014. p. 266-272. Lee D, Swaminathan A. Sensitivity of Ultrasound for the Diagnosis of Tubo-Ovarian Abscess: A Case Report and Literature Review. J Emerg Med. 2011 vol 40 (2): 170-5. PMID: 20466506 Tibbles, CD. Selected Gynecologic Disorders. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014. p. 1355-1362. Read More

This week's podcast delves into cervical spine injuries and the findings found on CT imaging of the cervical spine. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_36_0_Final_Cut.m4a Download Leave a Comment Tags: Cervical Spine, Fracture, Trauma Show Notes Core EM: C-Spine Injuries + CT Interpretation Schwartz DT. Section 5. Cervical Spine. In: Schwartz DT: Emergency Radiology: Case Studies. New York, NY: McGraw-Hill, 2008. http://accessemergencymedicine.mhmedical.com/ (via NYU Health Sciences Library) Read More

This week we discuss an article on door to balloon time and focus on the EPs role in patients who present with ST elevations on their EKG. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_35_0_Final_Cut.m4a Download Leave a Comment Tags: Cardiology, Door to Balloon Time, Resuscitation, STEMI Show Notes Fanari Z et al. Aggressive measures to decrease “door to balloon” time and incidence of unnecessary cardiac catheterization: potential risks and role of quality improvement. Mayo Clin Proc 2015. PMID: 26549506 REBEL EM: December 2015: All Cardiology REBELCast Read More

This week, we cover the physiologic changes in pregnancy and how they affect trauma management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_34_0_Final_Cut.m4a Download Leave a Comment Tags: Perimortem C-section, Pregnancy, Trauma Show Notes EMCrit: Peri-Mortem C-Section emDocs.net: Resuscitation of the Pregnant Trauma Patient – Pearls and Pitfalls Core EM: Peri-Mortem C-Secton Core EM: Podcast 4.0 Medications in Pregnancy Read More

Join a riveting discussion on managing postpartum hemorrhage, spotlighting the importance of immediate care and monitoring for mothers and newborns. The hosts share gripping experiences from their residency, emphasizing teamwork during high-pressure deliveries. Explore critical interventions like uterine massage and medications to combat uterine atony, along with insights into serious complications such as uterine inversion. Discover essential steps and structured approaches that can make all the difference in emergency scenarios.

This is part I of a 2 part series on C-spine CT scans. In part 1, we discuss the basic ins and outs of reading the C-spine CT. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_32_0_Final_Cut.m4a Download Leave a Comment Tags: Cervical Spine, CT Scan Show Notes Core EM: The ABCs of Reading C-Spine CTs Read More

This podcast is a recorded lecture from our conference on why Rocuronium should be the go to drug for RSI in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_31_0_Final_Cut.m4a Download 2 Comments Tags: Airway, Rocuronium, RSI, Succinycholine Show Notes Sydney HEMS Sux Contraindications Read More: Strayer RJ. Rocuronium versus succinylcholine: Cochrane synopsis reconsidered. Ann Emerg Med 2011; 58(2): 217-8 Strayer RJ. Rocuronium vs. succinylcholine revisited. Ann Emerge Med 2010; 39(3): 345-6. Mallon WK et al. Response to Rocuronium vs. succinylcholine revisited. Ann Emerge Med 2010; 39(3): 346-7. Strayer RJ. (2010, January 14). Screencast: Rocuronium vs. Succinylcholine in 8 minutes. Retrieved from http://emupdates.com/2010/01/14/rocuronium-vs-succinylcholine/ References Sluga M, Ummenhofer W, Studer W, Siegemund M, Marsch SC. Rocuronium versus succinylcholine for rapid sequence induction of anesthesia and endotracheal intubation: a prospective, randomized trial in emergent cases. Anesth Analg 2005; 101:1356 – 61. McCourt KC, Salmela L, Mirakhur RK, et al. Comparison of rocuronium and suxamethonium for use during rapid sequence induction of anaesthesia. Anaesthesia 1998;53:867–71. Laurin EG, Sakles JC, Panacek EA, Rantapaa AA, Redd J. A comparison of succinylcholine and rocuronium for rapid-sequence intubation of emergency department patients. Acad Emerg Med 2000;7:1362–9. Herbstritt A. BET 3: Is rocuronium as effective as succinylcholine at facilitating laryngoscopy during rapid sequence intubation. Emerg Med J 2012; 29(3): 256-9. Taha SK et al. Effect of suxamethonium vs rocuronium on onset of oxygen desaturation during apnoea following rapid sequence induction. Anaesthesia 2010; 65: 358-61. Tang L et al. Desaturation following rapid sequence induction using succinylcholine vs. rocuronium in overweight patients. Acta Anaesthesiol Scand 2011; 55: 203-8. Read More