EM Basic

EM Basic

Denmark

Your boot camp guide to Emergency Medicine. Made for medical students and emergency medicine interns- each podcast goes through the workup, treatment, and disposition of common emergency medicine complaints

Episodes

The undifferentiated sick infant by Dr. Tim Horeczko  

EM Basic is back with a re-broadcast from the awesome podcast Pediatric Emergency Playbook by Dr. Tim Horeczko.  Tim is a double boarded in EM and Peds EM and works at Harbor-UCLA hospital.  This was the first episode he published at the beginning of September and it is pure gold.  Tim goes beyond the febrile neonate and talks about how to consider all possible causes for a sick infant- not just anchoring on sepsis the whole time!  Tim presents a rational and systematic approach on how to deal with these young sick patients that get our anxiety and our adrenaline levels through the roof.

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Heme Onc Part 2- Hematology Emergencies  

This is part 2 of the Heme Onc Emergencies series.  This episode will talk about common hematology emergencies that we see in the ED.  Sickle cell disease will be its own episode but this episode will talk about the approach to anemia in the ED, as well as the approach to hemophilias, ITP and TTP.  While you will see lots of anemic patients in the ED, the other diseases are rare but we have to be on the look out for them and know what to do.

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Heme Onc Part 1- Oncology Emergencies  

This is the first of a two part series on Heme-Onc Emergencies.  In this episode, we'll discuss oncology emergencies to include neutropenic fever, tumor lysis syndrome, malignant spinal cord compression and malignant pericardial effusion.  Neutropenic fever is a common chief complaint for patients on chemotherapy so we have to be good at this chief complaint.

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Measles  

Today's episode is another installment of the EM Basic Project.  Dr. Sheyna Gifford and Dr. Chrisanna Mink will talk about measles.  This is a disease that we thought we had stamped out long ago with vaccination but the rise of the anti-vaccine movement has caused several small outbreaks so we need to be ready and on the lookout.  They will discuss how to recgonize measles, how to order the right testing and treatment, how to properly disposition these patients and the importance of getting your public health colleagues involved.

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Aortic Dissection (Audio only)  

Today marks the 4th anniversary of the EM Basic podcast.  To celebrate this occasion, we are going to do a screencast on aortic dissection.  This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose.  We'll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.

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Aortic Dissection Screencast  

Today marks the 4th anniversary of the EM Basic podcast.  To celebrate this occasion, we are going to do a screencast on aortic dissection.  This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose.  We'll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.

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Non-Pregnant Vaginal Bleeding  

Today's episode of EM Basic will review vaginal bleeding in patients who are not pregnant.  This is a much different workup from pregnant patients with vaginal bleeding so we have to know how to effectively manage this chief complaint.

This episode was written and recorded by Dr. Adaira Landry, an EM senior resident at NYU/Bellevue and Joe Kennedy, a 4th year medical student at Mayo who matched into EM just after this episode was recorded.  They'll review what vital signs to look out for, the important parts of this history and physical, what labs and imaging to order (if any), and the proper disposition of patients with this chief complaint.

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Tactical Combat Casualty Care (TCCC)  

Today's episode will cover Tactical Combat Casualty Care (TCCC), aka Care Under Fire, aka Care in the Immediately Unsafe Environment.  Dr. Andy Bohn, a residency colleague, recorded today's episode to talk about the basics of taking care of any patient in an unsafe environment.  While the military connotations of this may make you uncomfortable, the techniques and protocols he discusses can be directly translated into any civilian mass casualty scenario such as the Boston Marathon bombing or the fertilizer plant explosion in West, Texas.  Andy will discuss how to stay safe in these hostile environments, how to perform the right interventions that will save lives while elimintating the useless interventions that won't (I'm looking at you- c-collars...), and how to get the casualty to the next level of care safely.

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Epistaxis  

EM Basic is back with a brand new episode.  Today's episode was done by Dylan Norton and David Murphy, both 4th year medical students at the University of Colorado Medical School.  We see epistaxis a lot in the ED and while most of it is mild and self limiting, there are frequently cases that take a lot of skill to manage.  They'll talk about the basics of the history and physical with epistaxis, how to order the necessary lab tests, how to manage any case of epistaxis in a step-wise manner, and some newer areas of research.

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EM Basic is now partnering with EB Medicine  

This is a quick announcement to let you know that EM Basic is now partnering with EB Medicine as our bandwidth sponsor.  EB Medicine publishes many resources in Emergency Medicine to include EM Practice, Pediatric EM Practice, as well as LLSA reviews.  These reviews are made by EM physicians for EM providers and provide the latest evidence based medicine reviews of common EM chief complaints.  Recent issues include management of seizures in the ED, hand injuries, and angioedema.  These are quick and to the point reviews that review everything you need to know and nothing that you don't.

For residents and students, you can get free electronic access to all of EB Medicine's issues for free- no obligation and no strings attached.  EB Medicine is so confident in the quality of their resources that they know you will want to subscribe once you are done training.  I started reading EB Medicine as a resident and it is one of the few resources that I read cover to cover each month.

For attendings and those needing CME- if you visit EB Medicine you will get a great discount and help support the EM Basic podcast with each subscription that is purchased.

In exchange for this, I'll be promoting EB Medicine's products at the end of each podcast.  These will be brief and they won't be intrusive.  In accordance with the previous disclaimer on EM Basic, it has been updated to reflect EB Medicine as our official bandwidth sponsor.  However, EM Basic has an always will be free from any outside influence on the content in the podcast.  EB Medicine or any other company will never have any influence on the educational content of the podcast.

 

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Febrile Seizures  

In this episode we are going to talk about febrile seizures.  We see this chief complaint a lot in the ED so it's important that we know this topic really well.  Today's script was written by Dr. Andrea Sarchi and will review how to do a good history and physical, how to rule out serious pathology without overtesting, and how to talk with parents.  While simple febrile seizures don't cause any harm to the child, they are very scary for parents so it's important that we know the facts so we can re-assure them and prevent future worry.

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Ebola Update  

Ebola has been in the news for the past few months and it has taken on more urgency in the US as cases have arrived from outside the country  Within the past week, transmission to two healthcare workers outside of Africa has been reported.  Dr. Prabu Selvam, an intern at the Wright-Pratt Emergency Medicine Residency, provided the resources for today's episode on Ebola.  In this short episode we will discuss appropriate screening for Ebola, it's signs and symptoms, lab abnormalities, how to confirm infection with laboratory testing, treatment of Ebola, and how to properly isolate patients with this disease.  While now is not the time to panic and think that every fever and sniffle is Ebola, we should certainly be aware of how to properly screen, diagnose, and treat this deadly disease.

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Psychiatric Emergencies Part 2  

Today's episode is the second and final part of Dr. Sheyna Gifford's interview with Dr. Les Zun on psychiatric emergencies.  This episode will talk more about treating depressed patients, what you can do for patients who board in your ED for hours to days to even a week, and medications used for treatment of acute agitation in the ED.

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Psychiatric Emergencies Part 1  

Today's episode is another installment in the EM Basic Project.  Dr. Sheyna Gifford took on the task of interviewing Dr. Les Zun, a nationally known speaker on the topic of psychiatric emergencies.  While we did an episode on psychiatric medical screening before, this episode will focus on some of the tougher situations we encounter in the ED.  For example- What do we do about the patient who is depressed but not suicidal?  How do we calm down agitated patients without reaching for medications?  These are tough questions but Dr. Zun goes througha methodical way of thinking about these issues and offers some real world practical advice that you can use on your next shift. 

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Hepatic Emergencies from FOAMcast  

Today I am handing over the podcast to FOAMcast by Drs. Lauren Westafer and Jeremy Faust.  A little more than a month ago, Dr. Nick Genes challenged twitter to create core content FOAM for hepatic emergencies.  Lauren and Jeremy did an excellent episode on this topic on FOAMcast so here it is- re-broadcasted on EM Basic.  They'll review common hepatic emergencies and their managementi in the ED and point you in the right direction to learn even more on this topic.  I haven't edited their episode at all- it's all Lauren and Jeremy's episode.  If you like what you hear, go to foamcast.org or look for FOAMcast on iTunes.

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Airway Update Screencast  

Today is the third anniversary of the EM Basic podcast.  To celebrate this milestone, this is a screencast titled "Airway Update".  I first prepared this lecture about two years ago for a conference but the topics are still relevant today.  This will be most useful for medical students and EM interns who may not have been exposed to these airway topics.  This screencast will help catch you up on what we have been talking about over the last two years on social media and FOAMed.  We'll review apenic oxygenation, delayed sequence intubation, how to effectively use ketamine in your practice, awake cricothyrotomy, and more.

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Salicylate Overdose  

Today's episode is another installment for the EM Basic Project by Dr. Andrea Sarchi.  Salicylate overdose is a toxidrome that we have to be on the lookout for in the ED.  While some cases are obvious because the patient or EMS can tell us what they took, some cases are subtle and require vigilance to make the diagnosis.  In this episode we'll review the important history and physical points, how to order the right tests, manage the toxicity, and properly disposition the patient.

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Acetaminophen overdose  

Today's episode talks about the diagnosis and management of Acetaminophen overdose.  This is another addition to the EM Basic Project written by Andrea Sarchi.

We encounter acetaminophen overdose frequently in the ED and we need to be on the look out for this because patients can be completely asymptomatic.  If we don't catch it, acetaminophen overdose can result in liver failure requiring transplant or even death unless we interevene early.  This episode will review how to properly workup a patient with a known or suspected acetaminophen overdose, what tests to order, and how to decide who needs antidote therapy.

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Documentation  

In today's episode we are going to talk about documentation in the ED.  It is very important that we are complete but concise in our documentation in order to provide an accurate record for the patient's ED patient to protect them and ourselves from problems down the road.  Good documentation is good patient care so we need to know how to do this efficiently.  We will review each part of the chart starting with the triage note and ending how to give good discharge instructions.  We'll also review some tips and tricks of the trade regarding abbreviations that will make your charting faster, how to document interactions with our consultants, and even what to do when you have to document a difficult situation with a consultant.

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Asymptomatic Hypertension  

The patient's blood pressure is 190/80 but they feel fine...how do we treat these patients in the ED?  Labs?  EKG? BP meds?  Admission???...but they are here for an ankle sprain!  Asymptomatic hypertension is a challenging complaint to deal with in the ED because of so many conflicting opinions and worries but it doesn't have to be difficult.  In this episode, we'll discuss a systematic and rational way to evaluate patients with asymptomatic HTN, do limited and targeting testing, and get them the right followup while calming the patient's fears and avoiding harm.

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