Core EM - Emergency Medicine Podcast

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

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!