Core EM - Emergency Medicine Podcast

Pearls from our conference discussing apparent life-threatening events (ALTE). https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_16_Final.m4a Download Leave a Comment Tags: ALTE, Pediatrics Show Notes Shownotes Mittal MK et al. A clinical decision rule to identify infants with apparent life-threatening event who can be safely discharged from the emergency department. Pediatr Emerg Care 2012; 28(7): 599-605. PMID: 22743742 Kaji AH et al. Apparent life-threatening event: multi center prospective cohort study to develop a clinical decision rule for admission to the hospital. Ann Emerg Med 2013; 61(4): 379-87. PMID: 23026786 Read More

This discussion highlights the urgency of addressing adrenal emergencies, particularly congenital adrenal hyperplasia and adrenal insufficiency from steroids. Key guidelines for administering treatment in the emergency department are shared. The conversation also investigates the utility of D-dimer in diagnosing aortic dissection, showcasing its important sensitivity and specificity. Lastly, it teases further analysis on complex acid-base cases, challenging listeners with clinical scenarios.

This is a full length recording of Mike Stone's Grand Rounds at Bellevue Hospital on Ultrasound Guided Nerve Blocks for Regional Anesthesia https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_14_0_Grand_Rounds_Stone_Nerve_Blocks_Final.m4a Download Leave a Comment Tags: Nerve Blocks, Ultrasound Show Notes Regional Anesthesia Resources The Ultrasound Podcast: Nerve Blocks Archive ASAHQ: Standards for Basic Anesthetic Monitoring Cook County Regional: Chapter on Local Anesthetics Anesthesiology News: Nerve Injury After Peripheral Nerve Block Template for Peripheral Nerve Blocks Femur Fracture Analgesia Checklist Read More

Lily Abrukin (Chief Resident) and Swami discuss the care of a critically ill patient with DKA. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_13_0_Final.m4a Download 5 Comments Tags: DKA, Hyperkalemia Show Notes Diabetic Ketoacidosis LITFL: EBM Diabetic Ketoacidosis emDocs: Myths in DKA Management REBEL EM: Is There Any Benefit to an Initial Insulin Bolus in Diabetic Ketoacidosis? Hyperkalemia LITFL: Hyperkalaemia Core EM: Hyperkalemia Core EM: Podcast 7.0 Intubation in Severe Metabolic Acidosis EMCrit: Podcast 3 – Laryngoscope as a Murder Weapon Series – Ventilatory Kills – Intubating the Patient with Severe Metabolic Acidosis Core EM: Podcast 4.0 Read More

This week we discuss some of the dangers of blood transfusions and pearls from our procedure workshops. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_12_Final.m4a Download Leave a Comment Tags: Blood Transfusions, Cricothyroidotomy, Lateral Canthotomy, Tube Thoracostomy Show Notes Cricothyrotomy Resources EMCrit: EMCrit Wee – Mind Blowing Cricothyrotomy Video ACEP Now: Tips and Tricks for Performing Cricothyrotomy Tube Thoracostomy University of Maryland EM: Tube Thoracostomy Lateral Canthotomy Resources Rowh AD et al. Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. J Emerg Med 2015. 48(3):325-330. PMID: 25524455 Larry Mellick: Emergency Lateral Canthotomy and Cantholysis Read More

Andy Sloas, an assistant professor at Vanderbilt and known for the PEM-ED podcast, dives into crucial topics on infant emergencies. He emphasizes the importance of understanding underlying physiology and offers practical mnemonics for managing pediatric cases. Sloas discusses the prevalence of acute lymphoblastic leukemia and the complexities of pediatric emergencies. He highlights key differentiations in seizures, shares insights on diagnosing intussusception, and underscores the necessity of accurate assessments in toxic exposures and infections.

Pearls from our weekly resident conference - discussion of PE risk stratification and TEE in cardiac arrest https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_11_0_Final.m4a Download Leave a Comment Tags: Cardiac Arrest, Pulmonary Embolism, TEE Show Notes Ultrasound in Cardiac Arrest Blaivas M. Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation 2008; 78: 135-40. PMID: 18486300 Ultrasound Podcast: Ultrasound guided CPR Part 1. How we’re doing it wrong. Ultrasound Podcast: Ultrasound guided CPR Part 2. TEE & US = New pulse check Read More

Dive into the fascinating world of aortic dissection and syncope in emergency medicine. Learn how critical patient history and atypical symptoms can change diagnoses. Discover high-risk indicators for syncope and essential EKG findings that can guide treatment. Plus, get insights from recent updates on ATLS protocols that aim to modernize approaches in trauma care. This discussion is packed with pearls of wisdom for both seasoned professionals and aspiring clinicians!

Emergency physician Sergey Motov, an expert in pain management, delves into the evolution of pain relief from ancient remedies to modern techniques like ketamine. He discusses the shift away from opioids and introduces innovative strategies, including ultrasound-guided regional blocks and sodium channel blockers. Motov emphasizes the importance of understanding neurobiology for better pain management, advocating for effective, non-opioid alternatives that can enhance patient care in emergency settings.

Pearls, pitfalls and take home points from the NYU/Bellevue EM Residency weekly conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_9_0_Final.m4a Download Leave a Comment Tags: Pediatric Cardiology, Pericardial Tamponade Show Notes Vaillancourt S. et al. Repeated Emergency Department Visits Among ChildrenAdmitted With Meningitis or Septicemia: A Population-Based Study. Ann Emerg Med 2015; 65(6): 625-631. PMID: 25458981 EMCrit: Rapid Ultrasound for Shock and Hypotension – the RUSH Exam. Verma V et al. The utility of routine admission chest X-ray films on patient care. Eur J Intern Med 2011; 22(3): 286-8. PMID: 21570649 EMCrit: Opiate-Free ED with Sergey Motov Read More