Core EM - Emergency Medicine Podcast

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

On this podcast we review some background on AVNRT and focus on Emergency Department management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a Download 2 Comments Tags: AVNRT, PSVT, REVERT Trial, Tachydysrhythmias Show Notes AVNRT with Aberrancy vs. VT REBEL EM: SVT with Aberrancy Versus VT Amal Mattu’s ECG Case of the Week: August 26th, 2013 Valsalva Maneuver ALiEM: Tricks of the Trade: Valsalva Maneuver By Using a 10cc Syringe St. Emlyn’s: JC The REVERT Trial Adenosine in AVNRT Larry Mellick: Treating SVT with Adensoine ALiEM: Trick of the Trade: Combining Adenosine with the Flush Verapamil in AVNRT RAGE Podcast: Rage Session Two ERCast Podcast: How to run a code Appleboam A et al. Postural mdodification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised trial. Lancet 2015. PMID: 26314489 Read More

Bonus Podcast - Grand Rounds from 9/23/15 featuring Brian Freeze MD on Numeracy. Lecture is part of the Chief Resident Incubator Program https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_1_Numeracy_Final.m4a Download Leave a Comment Tags: Chief Resident Incubator, Numeracy, Statistics Read More

Pearls and take home messages from our weekly conference. This week, we review talks on influenza and pediatric foreign body aspiration. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a Download Leave a Comment Tags: Aspiration, Foreign Body, Influenza, Oseltamivir, Tamfiflu Show Notes Influenza Populations at High Risk for Severe Influenza – IDSA ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note: Remember, Tamflu is Still Junk. EM Lit of Note: Which Review of Tamflu Data do You Believe? Jefferson T et al. Oseltamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments. BMJ 2014. PMID: 24811411 Dobson J et al. Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controlled trials. Lancet 2015; 385(9979): 1729-37. PMID: 25640810 Foreign Body Aspiration Brown JC et al. The utility of adding expiratory of decubitus chest radiographs to the radiographic evaluation of suspected pediatric airway foreign bodies. Ann Emerg Med 2013; 61: 19-26. PMID: 22841172 Foltran F et al. Foreign bodies in the airways: a meta-analysis of published papers. Int J Pediatric Otorhinolaryngol 2012; 76 Suppl 1: S12-9. PMID: 22333317 Read More

This bonus podcast is from our Grand Rounds series. Here, Jeremy Faust gives a great talk on the role of Music in Medicine. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_1-Music_in_Medicine_feat_Jeremy_Faust_.m4a Download Leave a Comment Tags: Grand Rounds, Music Show Notes References Platz, F. and Kopiez, R., “When the first impression counts: Music performers, audience, and the evaluation of stage entrance behavior”, Musicae Scientiae 17, No. 2 (2013), pp. 167-197 Acad Emerg Med. 2012 Oct;19(10):1166-72. Epub 2012 Oct 4. Predictors of parent satisfaction in pediatric laceration repair. Lowe DA, Monuteaux MC, Ziniel S, Stack AM. Proc Natl Acad Sci U S A. 2013 Sep 3;110(36):14580-5. Epub 2013 Aug 19. Sight over sound in the judgment of music performance. Tsay CJ. Med Educ. 2013 Aug;47(8):842-50.  Music lessons: revealing medicine’s learning culture through a comparison with that of music. Watling C, Driessen E, van der Vleuten CP, Vanstone M, Lingard L. The New Yorker. October 3, 2011. Personal Best. Top athletes and singers have coaches. Should you? Atul Gawande. ANZ J Surg. 2013 Jun;83(6):477-80. Epub 2013 Apr 26. Improving the impact of didactic resident training with online spaced education. Gyorki DE, Shaw T, Nicholson J, Baker C, Pitcher M, Skandarajah A, Segelov E, Mann GB. Psychol Sci Public Interest. 2013 Jan;14(1):4-58. Improving Students’ Learning With Effective Learning Techniques: Promising Directions From Cognitive and Educational Psychology. Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT. Resuscitation. 2010 May;81(5):631. Epub 2010 Feb 26. The use of popular audio in CPR (TUPAC)–Does music improve compliance with recommended chest compression rates? Naushaduddin M, Holdgate A, Ung S. Science. 1965 Nov 19;150(3699):971-9. Pain mechanisms: a new theory. Melzack R, Wall PD. http://www.dailymail.co.uk/news/article-2715109/Despite-pain-half-mothers-enjoy-childbirth-admit-differently-time.html Pediatr Emerg Care. 2008 Dec;24(12):836-8. Emergency department waiting room stress: can music or aromatherapy improve anxiety scores? Holm L, Fitzmaurice L. Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. (Hole Lancet 2015).  72 randomized trials. Lancet. 2015 Aug 12. Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. Hole J, Hirsch M, Ball E, Meads C. . Ann Emerg Med. 1991 Apr;20(4):348-50. A randomized, controlled trial of the use of music during laceration repair. Menegazzi JJ, Paris PM, Kersteen CH, Flynn B, Trautman DE. Anaesthesia. 1992 May;47(5):438-9. The effect of music on ketamine induced emergence phenomena. Kumar A, Bajaj A, Sarkar P, Grover VK. Cochrane Database Syst Rev. 2013 Oct 25;10:CD004843. Music for pain relief. Cepeda MS, Carr DB, Lau J, Alvarez H. Cochrane Database Syst Rev. 2014;12:CD006902. doi: 10.1002/14651858.CD006902.pub3. Epub 2014 Dec 9. Music interventions for mechanically ventilated patients. Bradt J, Dileo C. Read More

This week we discuss some information on influenza testing in the ED and management of epistaxis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a Download Leave a Comment Tags: Epistaxis, Influenza Show Notes Show Notes EMCrit: Dominating the Vent I http://emcrit.org/lectures/vent-part-1/ EMCrit: Dominating the Vent II http://emcrit.org/podcasts/vent-part-2/ ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note: Remember, Tamflu is Still Junk. EM Lit of Note: Which Review of Tamflu Data do You Believe? Zahed R et al. A new and rapid method for epistaxis treatment using injectable form of tranexamic acid topically: a randomized controlled trial. Am J Emerg Med 2013; 31: 1389-92. PMID: 23911102 Derkay CS et al. Posterior nasal packing. Are Intravenous antibiotics really necessary? Arch Otolaryngol 1989; 115: 439-41. PMID: 2923686 Pepper C et al. Prospective study of the risk of not using prophylactic antibiotics in nasal packing for epistaxis. J Laryng Otology 2012: 257-9. PMID: 22214602 Biggs TC et al. Should prophylactic antibiotics be used routinely in epistaxis patients with nasal packs? Ann R Coll Surg Engl 2013; 95: 40-2. PMID: 23317726 Read More

Pearls from our weekly conference discussing severe asthma and COPD exacerbations. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a Download 4 Comments Tags: Asthma, BPAP, COPD, NIPPV, Respiratory Show Notes Shownotes EMCrit: Delayed Sequence Intubation REBEL EM: The Crashing Asthmatic EM:RAP: The Rule of 2s Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Critical Care 16(5):323. PMID: 23106947 Read More