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The use of tranexamic acid (TXA) has expanded with growing evidence in its use for a variety of clinical situations. However, not all evidence is created equal and not all applications show benefit. In this blog and podcast we discuss the various uses of TXA and the surrounding evidence.
 
For decades, there has been a major name debate regarding the appropriate title for PAs. However, on May 24, 2021 the American Academy of PAs (AAPA) House of Delegates (HOD) came to a vote. Over 100 possible titles were considered, but ultimately the winning vote was for "physician associate" which has led to a significant amount of discussion. Wha…
 
There are countless guides and references that can be used in emergency medicine. However, some books prove to be better resources than others and it is vital to identify them. In this post, we review one of the books you should seriously consider having if you work in emergency medicine.
 
Last year, the American Heart Association (AHA) provided updates to their basic life support (BLS), advanced cardiac life support (ACLS), and pediatric advanced life support (PALS) programs. Mike Sharma is helping again by reviewing some of the key updates and changes to guidelines. We also provide some additional feedback and information to consid…
 
Recently there was commentary in a forum that suggested the Pulmonary Embolism Rule-Out Criteria (PERC Rule) was essentially useless for detecting a pulmonary embolism (PE). It started with an anecdote, which is a logical fallacy (post hoc ergo propter hoc) and went wild from there. This led to the realization that many still do not understand how …
 
Injuries to the spine can occur both in blunt and penetrating trauma. They can also be with or without neurological deficits. For this reason, they should be considered in all patients with multiple injuries. In this podcast, Chip Lange and Mike Sharma review the pearls and pitfalls of this disease process.…
 
We are able to provide a sneak peak at some updated content with Practical POCUS. Over the last few months, Practical POCUS has been working to improve its content with the plan to help further promote point of care ultrasound (POCUS) to a broader audience. One audience in particular is with EMS. This 10 minute video is an excerpt from the updated …
 
A little while back, we asked for help on getting out more content. David Wright and Kate Randolph answered that call and provided a special podcast on osteogenesis imperfecta. We hope you enjoy this unique podcast and encourage you to reach out if you want to contribute, as well.
 
Neonatal sepsis can be subtle, especially early on. It can rapidly progress to multisystem organ failure, meningitis, and death. Given the real dangers of neonatal sepsis, we will focus on 10 key points to remember when evaluating for this lurking terror.
 
Elevated intracranial pressure (ICP) was just discussed in our last podcast on head injuries. However, we briefly mentioned how there is a certain amount of controversy on this subject. This separate podcast is to act as a supplement to the Chapter 6 ATLS podcast on head trauma that was just covered. We find this particularly important given how lo…
 
We received quite a bit of feedback with the last podcast and requests to discuss specifically the variants and their potential impacts on the current COVID-19 vaccines. It is worth noting that at the time of this publication there is still limited data but we discuss the key concepts and takeaways with the current knowledge we have on the topic.…
 
There have already been many podcasts discussing COVID-19 vaccines, so what makes this one different and worth listening to now? This podcast is more about some of the key highlights and frequent questions asked to help listeners get the right resources and information.
 
We are back at it again with our newest ATLS podcast. This time we are focusing on the abdomen and pelvis which can be host to a wide range of severe pathology. Given its many intricacies, we focused most on the highlights from ATLS Chapter 5 including the key "red text" that it emphasizes.
 
Recently, the Centers for Disease Control (CDC) released updated guidelines for treating gonococcal infections. Given the increase in antibiotic resistance, this provides an important change in the recommended management for not only gonorrhea but also chlamydia.
 
We are finally back with another ATLS podcast. Mike Sharma and Chip Lange together discuss the complex but important subject of thoracic trauma. They break it down this time by addressing key aspects that come up during the primary and secondary assessments. This topic also broaches how to manage the traumatic circulatory arrest patient without a p…
 
We have mentioned in previous podcasts that if you have questions or special requests to send them our way. Another one of our listeners did just this after listening to part of our ATLS series. This has been a very popular series and we are so glad you enjoy it so much. The discussions that have been built off of this as a result has led to even m…
 
With the recent release of the Butterfly iQ+, we wanted to provide everyone with comparison images and review some of the changes the new device and the original Butterfly iQ. We will continue to work on comparing images and review cases with the new Butterfly iQ+ with Practical POCUS.
 
For the first time ever, we delayed our normal podcast release to coincide with a very special reveal by Butterfly Network: the new and improved version of their device called the Butterfly iQ+. Practical POCUS was able to get their hands on the brand new device so that you can see what it looks like. There are videos to help compare the two device…
 
Sam Ireland from FOAMfrat invited me on to their podcast to talk more about PAs in EMS. This was a fantastic conversational piece that is well worth listening to in order to learn more about what it means to have PAs in EMS and the potential future of such as role.
 
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.…
 
It is time to dive into some core Advanced Trauma Life Support (ATLS) content. Mike Sharma is back to co-host the podcast and help us cover the first chapter of ATLS which discusses the initial assessment and management of 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").…
 
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