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There are many people who are still uncertain how point of care ultrasound (POCUS) can benefit them in their practice. This podcast will give you five examples of how POCUS can significantly change your patient care (in a very positive way) and what you can start doing to to improve your patient care by using POCUS.…
 
On our last blog and podcast, part of the ATLS series, we covered shock. In that last post, it was briefly mentioned how vasopressin could be used in hemorrhagic shock. We want to build on that discussion today with a more detailed review on using vasopressin (and other vasopressors) in such a situation.…
 
Shock, especially in trauma, is an absolute killer. Defined as an abnormality of the circulatory system that results in inadequate organ perfusion and tissue oxygenation, shock must be recognized and treated accordingly. Here to help us with this discussion is Mike Sharma.
 
Scaphoid fractures are often missed but important fractures due to their potential complications including non-union, post-traumatic osteoarthritis, and potential for avascular necrosis (AVN). These complications can even lead to lawsuits which further emphasizes the need to identify and properly treat these fractures whenever possible.…
 
Airway management is a commonly discussed topic in emergency medicine and there are some challenges that are unique with trauma. Mike Sharma co-hosts again with our ATLS podcast series on this topic. Take the time to listen both to better prepare for your ATLS course but also to better manage your future trauma patients.…
 
Surprisingly, we are back already to talk about dexamethasone. Our last podcast, #204, covered the press release from the RECOVERY (Randomised Evaluation of COVid-19 thERapY) trial and their mentioning of results regarding dexamethasone. Now, the study is available in a pre-print form. It is important that this has not yet been peer-reviewed and is…
 
By now you may have heard of a potential breakthrough in COVID-19 treatment: dexamethasone. The steroid is well known and has been widely used. It is inexpensive and readily available making it a great choice if it proves to be successful. However, do we really have the evidence yet to support its use?…
 
We have made it! Another milestone to celebrate. 200 podcasts down and (hopefully) many more to come. The format continues to change, but we hope to provide many great discussions and continue to educate as much as possible. The goal moving forward is to continue to provide high quality content.
 
We celebrate another anniversary with this podcast. This podcast marks the 200th one! With every 50th podcast, we invite back Ken Milne from The SGEM. When trying to decide what to discuss this time, Ken suggested we discuss the Peltzman Effect. If you are not familiar, no problem! Ken breaks it down for us and how it is applied to medicine, includ…
 
We had an excellent opportunity that we had to turn into a video podcast. The roundtable discussion is with Weill Cornell Medicine in New York City staff: a physician (Dr. McCarty), a PA (Matt), and a RN (Christina). They cover their ED's response and how each of them took on new roles to better manage patients in this challenging time. Their tips …
 
Adrian Banning is back as our guest host this week. Once again, she did a stellar job and performed a very interesting interview with David Allen. As demonstrated on his Instagram account, he has become internationally renowned for his work as a tattoo artist. He focuses most of his work on mastectomy scar coverage. He has been published on JAMA an…
 
If you have been to a healthcare facility recently or work in a hospital, chances are you have been screened as soon as you got to that location. Sometimes, you are even screened prior to arrival. The same strategies are being proposed to help us return to our "normal" lives. While this may seem like a beneficial strategy, there is a significant pr…
 
We are in a point of time where information is incredibly easy to access. We also have the convenience to be able to rapidly share information. We are also in a crisis from a pandemic. We as a whole are in a dangerous situation where misinformation, rumors, and bias can play a major part in hurting ourselves, our loved ones, and the world as a whol…
 
We are back to talk more about POCUS with COVID-19. This post covers the clinical course when using lung ultrasound, Q&A from someone who experienced it first hand, and how to disinfect your pocket ultrasound device. We are joined in this discussion by Dr. Yale Tung Chen.
 
We are in the middle of the COVID-19 pandemic, and there are still many unanswered questions. As mentioned in our previous post, we will not discuss in detail specific treatments yet as new data is constantly coming out and it is all very limited. However, one question that comes up frequently is the use of ibuprofen and if it is safe with COVID-19…
 
As we continue our discussion regarding COVID-19, we wanted to cover the point of care ultrasound (POCUS) findings that you should know. Much discussion surrounds this topic including some debates about if and how it should be used. We tackle when, why, and how to use POCUS for COVID-19 as well as what to look for in this video podcast ("vodcast").…
 
Infectious disease can become intertwined with illicit drug use for a variety of reasons. HIV, hepatitis, and endocarditis are some of the common examples where drug use can lead someone to need help from an infectious disease specialist. However, Patrick Bafuma interviewed Dr. Michael Silverman regarding some interesting research he did regarding …
 
With our last podcast discussing some of the key facts of COVID-19, it is worth discussing another important component: resource utilization. One of the scarier projections with a large outbreak is how resources can be used to their maximum capacity very quickly. We break down how COVID-19 is one example that can have disastrous consequences.…
 
Coronavirus Disease 2019 (COVID-19) has been a very popular topic over the last few months. However, there has been a great deal of misinformation and new information that has changed what we previously thought about this disease. While we discuss this topic, it is worth noting that this may continue to change further and that this post was last up…
 
Blunt trauma in the pediatric patient is fairly common. Blunt trauma to the abdomen though is less common and provides some unique challenges. The patient's developmental stage, limitations in verbal and language skills, lack of prehospital information, and the potential for an unreliable exam creates a situation that can create additional stress f…
 
One of the most commonly feared diagnoses to miss in medicine is the ruptured aortic aneurysm or aortic dissection. Despite classic teachings, the presentation of most patients is not textbook. While there are many studies trying to find ways to help with the evaluation, they have been limited in success. However, what if you add ultrasound? We dis…
 
Patrick Bafuma is back for the second part of his EM ID interview with Dr. Valerie Vaughn. She is internal medicine trained and a hospitalist with a special interest in infectious disease. Go back to Podcast #182 to hear her discussion with nudges as it comes back to play in this post.
 
Point of care ultrasound (POCUS) can range in complexity from very basic exams to those that are expert level in nature. While some basic wall motion abnormalities are taught in many introductory classes, the concept of regional wall motion abnormalities (RWMA) for myocardial infarctions (MIs) can be a little more complicated and as a result is oft…
 
Patrick Bafuma is back to provide another EM ID special, this time with Dr. Valerie Vaughn. She is internal medicine trained and a hospitalist with a special interest in infectious disease. The concept of asymptomatic bacteriuria has been discussed before with with Podcast #158, but this time Dr. Vaughn introduces the idea of nudges and how it can …
 
Both rashes and fevers are very common complaints in the emergency department. However, the challenge becomes very real distinguishing the serious to the more benign. Fortunately, EB Medicine has once again come to help make this challenging topic a little easier to understand. We review some of the highlights from their article in this post.…
 
We love EB Medicine specials and we hope you do, too! This time we are talking about a subject that many forget about: pediatric stroke. While it is far less common than what we see in the adult population, it carries a high morbidity and mortality rate. In November, EB Medicine went into detail about this particular topic and we think it was a fan…
 
Examining the gallbladder on ultrasound is not a particularly difficult skill. However, the rest of the biliary exam on point of care ultrasound (POCUS) can be both challenging and time consuming. Sometimes, the common bile duct (CBD) is not able to be positively identified. This has led to questioning the importance of this particular component of…
 
EM ID is back again with Patrick Bafuma interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center. He specializes in orthopedic infectious diseases. Patrick interview Nico for two discussions, with the first being clindamycin. Join back for the next discussion on septic arthritis.…
 
It is time for another EB Medicine special. The febrile young infant can be one of the scarier patients for a variety of reasons. They are so young they are unable to communicate, they have very real and serious pathogens that can have deadly consequences, and the family as well as other individuals taking care of the patient can be nervous or scar…
 
If you have not figured it out yet, point of care ultrasound (POCUS) is not going away anytime soon. It is a powerful tool in the hands of clinicians across the world. With its growing utilization, there are still many that are hesitant to implement it into their daily practice. In this podcast, we talk about how to encourage others to start using …
 
Katherine (Katie) Thompson from IPV Educators is discussing more pediatric abuse pearls. Our focus this time is on the very sensitive subject regarding examination in pediatric sexual abuse. Katie walks us through how we can interview and perform a preliminary exam before a complete exam by a forensic examiner.…
 
Katherine (Katie) Thompson from IPV Educators is back to discuss some more pearls in regards to abuse and neglect. This time, we talk about dogma regarding the history and physical exam components specifically for pediatric abuse and neglect. We pay particular attention to the incorrect dogma that can impact our management.…
 
Anaphylaxis is a life-threatening condition that requires early recognition and appropriate treatment for the best outcomes. In pediatric cases, this can be more challenging for a variety of reasons including the barriers to obtaining a history and physical, knowing the appropriate dosing of medications, and the general stress of managing sick pedi…
 
Patrick Bafuma handed over the reigns for this month's EM ID series to Dr. Gita Pensa with Brown University. She interviewed Dr. Colleen Kelly who is a gastroenterologist and also teaches at Brown. In this podcast they talk about two very common GI complaints where antibiotics play a role: upper GI bleeding and C. diff infections.…
 
We talk about point of care ultrasound (POCUS) frequently, but a common favorite topic is the use of ocular ultrasound. This application can provide a vast amount of information quickly and easily. As an added bonus, our main paper discussed in this post used PAs. The week this is being originally posted is National PA Week.…
 
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