Core EM - Emergency Medicine Podcast

Explore the intricate world of pediatric cervical spine injuries and the critical question of imaging necessity for young patients. The hosts tackle the unique anatomical challenges in diagnosing these injuries and the complications that arise. A mnemonic for imaging guidelines is introduced, along with insights into the PCARN algorithm. Practical tips for handling pediatric patients, especially in bulky winter clothing, provide an entertaining twist as they combine serious medical insights with humorous anecdotes.

Explore the critical differences between delirium and dementia, especially in the emergency department. Learn about efficient screening methods and the importance of accurate diagnosis. The discussion delves into ischemic stroke management, emphasizing blood pressure control and thrombolytic treatments. Discover effective communication strategies for discussing tPA treatment, focusing on balancing risks and benefits. This episode is a must-listen for anyone interested in improving patient outcomes in acute settings.

The discussion highlights the urgency of suicide assessments in emergency departments. Statistics reveal alarming suicide attempt trends, emphasizing the need for skilled evaluations. Key elements such as demographic influences and effective questioning techniques are explored. Special attention is given to risk factors like access to means and previous attempts, which are crucial for understanding a patient's state. The podcast also underscores the importance of thorough assessments for patient safety and the necessity of psychiatric support and resources.

Are you ready for endovascular therapy in ischemic CVA? We discuss some of the ins and outs focusing on the MR CLEAN trial. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_27_0_Final_Cut.m4a Download Leave a Comment Tags: CVA, Ischemic Stroke, MR CLEAN Show Notes Montori VM et al. Randomized trials stopped early for benefit: a systematic review. JAMA 2005; 294(17): 2203-9. PMID: 16264162 EMCrit: Podcast 116 – the tPA for Ischemic Stroke Debate EM Nerd: A Truncated Summation of the Adventure of the Cardboard Box (Reviews the major endovascular treatment studies) Read More

This week's podcast is a full length recording of Ashley Shreves' Grand Rounds talk at Bellevue Hospital on dying in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a Download Leave a Comment Tags: Palliative Care Show Notes All NYC EM Podcast: Ashley Shreves – Pathway to a Peaceful Death Read More

Learn the life-saving technique of placing temporary transvenous pacemakers. Discover essential tips and tricks that make the procedure smoother and more efficient. The discussion highlights key indications and equipment needed for success. Get insights into being well-prepared to navigate the challenges during an emergency. This is a must-listen for anyone involved in emergency medicine!

This podcast is a brief discussion on hepatic encephalopathy: How it presents, the utility of ammonia levels and what else to look out for. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_24_0_Final_Cut.m4a Download Leave a Comment Tags: Ammonia, AMS, Hepatic Encephalopathy Read More

This week we review small bowel obstruction presentation, diagnosis and management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_19_0_Final_Cut.m4a Download Leave a Comment Tags: Large Bowel Obstruction, SBO Show Notes 5 Minute Sono: Small Bowel Obstruction EM Lyceum: GI Imaging FOAMCast: Episode 23 – SBO and Mesenteric Ischemia Read More

Explore the surprising world of abdominal pain that doesn't originate in the abdomen. Discover how conditions like diabetic ketoacidosis can confuse diagnoses. Delve into the links between genitourinary issues and abdominal discomfort, highlighting the critical role of thorough examinations. Learn why a systematic approach is essential for assessing both abdominal and extrabdominal causes, ensuring no stone is left unturned in the quest for answers.

This week podcast focuses on esophageal food impaction and pearls + pitfalls in the diagnosis of peds appendicitis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_21_0_Final.m4a Download Leave a Comment Tags: Appendicitis, Food Impaction, Pediatrics Show Notes REBEL Cast: November 2015: All Vascular Access Episode Tibbling L et al. Effect of spasmolytic drugs on esophageal foreign bodies. Dysphagia 1995; 10(2): 126-7. PMID: 7600855 Samuel M. Pediatric appendicitis score. J Pediatr Surg 2002; 37(6): 877-81. PMID: 12037754 Ross MJ et al. Outcomes of children with suspected appendicitis and incompletely visualized appendix on ultrasound. Acad Emerg Med 2015; 21(5): 538-42. PMID: 24842505 Parienti JJ et al. Intravascular complications of central venous catheterization by insertion site. NEJM 2015. PMID: 26398070 Read More