Shows
2 View: Emergency Medicine PAs & NPs28 - Live from Las Vegas, Fungal Meningitis Outbreak, NPs Sue for "Doctor" Title, Guest Chip LangeShow Notes for Episode 28 of “The 2 View” – Live from Vegas, Fungal Meningitis Outbreak, NPs Sue for "Doctor" Title, Guest Chip Lange.
When Medical Tourism Goes Wrong
CDC. Fungal Meningitis Outbreak Social Media Toolkit. Centers for Disease Control and Prevention. Published July 18, 2023. Accessed July 25, 2023. https://www.cdc.gov/fungal/infections/HAI-fungal-meningitis-toolkit.html
Evaluating and Treating Patients for Fungal Meningitis. For both symptomatic and asymptomatic patients: perform lumbar puncture (LP) to evaluate CSF for fungal meningitis* Abnormal LP results Normal initial LP results Counsel patient to monitor for symptoms for 30 days following initial LP Consider schedu...2023-08-2457 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #235 - ATLS Episode 7: Spine and Spinal Cord Trauma (Chapter 7)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.2021-03-1656 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #230 - ATLS Episode 6: Head Trauma (Chapter 6)The newest Advanced Trauma Life Support (ATLS) blog and podcast is here! This time we talk about head trauma. Get the key pearls and pitfalls as provided by Chip Lange and Mike Sharma.2021-02-091h 05
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #223 - ATLS Episode 4: Thoracic Trauma (Chapter 4)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 pulse.2020-10-2758 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #213 - ATLS Episode 2: Airway and Ventilatory Management (Chapter 2)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.2020-08-1844 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #212 - Why Tramadol is TramadontTo some, this may feel like spaced repetition. However, the discussion with tramadol today is a common and recurring issue. We will highlight the problems with tramadol and why it may be better to think of it as "tramadont" moving forward.2020-08-1107 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #211 - Rapid Review of Blast InjuriesWith the blast that occurred in Beirut earlier, this is a good time to do a rapid review on blast injuries. This can be a rather complex topic but we will focus on conventional explosives.2020-08-0408 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #210 - Jellyfish Stings: To Pee or Not to Pee?Summer is often a time that people visit the beach for vacation. While this may be different with the current COVID-19 pandemic, it is still worth learning how to manage one common injury at the beach: jellyfish stings.2020-07-2806 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #209 - ATLS Episode 1: Initial Assessment and Management (Chapter 1)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.2020-07-2142 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #208 - Updates on Missouri EMS Legislation for PAsThis is probably one of the most niche blog and podcast that has been done for a while, but it is a special one given the work that has been put into this particular topic. This has been a long term goal that has finally made some real progress recently.2020-07-1410 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #207 - Myths on Masks for COVID-19Since the early stages of the COVID-19 pandemic, the use of masks has been discussed. As this pandemic continues, there has been a great deal of debate on this issue. This post is meant to help address some of the more common myths surrounding masks for COVID-19.2020-07-0736 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #206 - ATLS Episode 0: The Beginning of an AdventureThis is a project that has been in the works for a long time. We have finally been able to coordinate and introduce a new podcast series covering ATLS. This is only the beginning.2020-06-3042 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #205 - Return of Dexamethasone: Appraisal of the Pre-Print COVID-19 ArticleSurprisingly, 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 still preliminary, but we now have some real information that we can review!2020-06-2317 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #204 - Dexamethasone for COVID-19 and the Need to Remain SkepticalBy 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?2020-06-1610 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #203 - Treatment for Exposure to Tear Gas and Pepper SprayLaw enforcement has used tear gas and pepper spray to help with crowd control. Many of those exposed will require some form of treatment. This post is meant to help provide some guidance in regards to the treatment of such injuries.2020-06-0907 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #202 - The Dangers of Positional Asphyxia from RestraintsGiven recent events and a longstanding concern for certain restraint positions causing positional asphyxia, we took the time to dive into this subject more by discussing how and why this occurs along with the surrounding evidence.2020-06-0213 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #201 - Looking Back and Moving ForwardWe 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.2020-05-2607 min
FOAMfrat PodcastPodcast 98 - "Are those really B lines?" w/ Chip LangeChip Lange and I sat down and discussed everything B lines! If you are interested in the basics of lung sliding, detecting pulmonary edema, and differing effusion from consolidation - check out podcast 98!2020-05-1924 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #200 - Unintended Consequences: The Peltzman EffectWe 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, including the current COVID-19 pandemic.2020-05-1952 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #199 - Roundtable Discussion on Tips and Tricks with COVID-19 ManagementWe 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 and tricks are worth listening to, especially if you have not yet seen a surge of patients.2020-05-1255 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #198 - Little Bites: Mitigating Compassion Fatigue and BurnoutAdrian 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 and has been a speaker for medical conferences. The unique skills and experiences have contributed to the discussion of this podcast.2020-05-0536 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #197 - IPV Educators: COVID-19's Impact on Domestic ViolenceAdrian Banning is acting as the host this week (and did a fantastic job!). She interviewed Katherine (Katie) Thompson from IPV Educators regarding domestic violence surrounding the changes with COVID-19 and how we can still help these patients. 2020-04-2821 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #196 - The Problem with Screening Protocols for COVID-19If 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 problem with these screening protocols.2020-04-2122 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #195 - Checking Sources and Understanding BiasWe 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 whole.2020-04-1413 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #194 - Disinfecting Your Probe and Q&A on COVID-19 with Dr. ChenWe 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.2020-04-0739 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #193 - Ibuprofen and the Danger of COVID-19 RumorsWe 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-19.2020-03-3115 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #192 - Lung POCUS for COVID-19As 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"). In this vodcast we are joined by SPOCUS President, Fritz Fuller2020-03-2451 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #191 - EM ID: How ID Meets IVInfectious 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 how certain drugs were increasing the risk of serious infections.2020-03-1739 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #190 - Social Distancing and Limited Resources: Why to Flatten the CurveWith 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.2020-03-1016 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #189 - Must Know Information on Coronavirus Disease 2019 (COVID-19)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 updated on 3/3/2020.2020-03-0316 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #188 - EB Medicine: Pediatric Blunt Abdominal TraumaBlunt 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 for both the family and those taking care of the patient. We will break down a recent EB Medicine article and cover some of the key aspects that will help you provide better care to these patients.2020-02-2517 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #187 - Who with a Headache Needs Imaging?Patients present with headaches frequently, but they do not all need imaging. However, the question becomes who does need the imaging? The American College of Radiology updated their guidelines from the ones previously made in 2014 and we provide a rapid review in this post.2020-02-1807 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #186 - Does Cardiac Ultrasound Help Rule Out Acute Aortic Syndromes?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 discuss some new evidence in this post.2020-02-1114 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #185 - EM ID: Prolonged Antibiotic UsePatrick 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.2020-02-0415 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #184 - Tibial Plateau FracturesTibial plateau fractures can be easily missed, especially to the untrained eye. Missing these important fractures can have devastating outcomes. In this post we will talk about how to identify and manage these fractures.2020-01-2809 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #183 - Regional Wall Motion Abnormalities in Myocardial InfarctionsPoint 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 often not taught to novice learners of POCUS. Some have questioned the validity of the results, as well. In this post, we will cover some highlights including recent evidence that may further support the potential role of RWMA in MIs.2020-01-2110 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #182 - EM ID: Asymptomatic Bacteriuria and NudgesPatrick 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 help use reduce our antibiotic use.2020-01-1428 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #181 - EB Medicine: Pediatric Rash and FeverBoth 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.2020-01-0712 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #180 - End of Year Review for 2019Another year is in the books. We appreciate you reading the blog and listening to the podcast. This post is devoted to wrapping up the year.2019-12-3108 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #179 - KindnessHappy Holidays and if you are listening to this when it is published, Merry Christmas. Last year for Podcast #127, on Christmas Day we reviewed the importance of family, friends, and colleagues. This year we wanted to discuss the importance of kindness.2019-12-2411 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #178 - EB Medicine: Pediatric StrokeWe 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 fantastic review. Let's get started!2019-12-1714 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #177 - Is the Common Bile Duct Important to Visualize on POCUS?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 the exam. We will review some of the recent evidence in this post.2019-12-1013 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #176 - EM ID: Septic ArthritisWe have Patrick Bafuma back interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center. He specializes in orthopedic infectious diseases. Nico and Patrick are covering septic arthritis in this conversation.2019-12-0321 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #175 - EM ID: When and How to Use ClindamycinEM 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.2019-11-2612 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #174 - EB Medicine: The Febrile Young InfantIt 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 scared creating increased stress. In this post, we cover EB Medicine's recent article on this topic to better improve your practice.2019-11-1919 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #173 - Promoting POCUS Utilization and Celebrating WinsIf 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 POCUS.2019-11-1216 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #172 - IPV Educators: Essentials of the Pediatric Sexual Abuse ExaminationKatherine (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.2019-11-0531 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #171 - IPV Educators: Dogmalysis of the History and Physical in Pediatric Abuse/NeglectKatherine (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.2019-10-2931 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #170 - EB Medicine: Pediatric AnaphylaxisAnaphylaxis 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 pediatric patients. We discuss how to manage such patients in this EB Medicine special.2019-10-2220 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #169 - EM ID: Upper GI Bleeding, Antibiotics, and Fecal Transplants for C. diffPatrick 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.2019-10-1517 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #168 - POCUS as a Window to the Eyes and Happy PA WeekWe 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.2019-10-0820 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #167 - 10 Things to Remember with C. difficile InfectionsBack by popular demand we have enough podcast to cover 10 important pearls about a particular topic and this one comes from a recently published BMJ article covering Clostridioides difficile (formerly known as Clostridium difficile).2019-10-0111 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #166 - EM ID: PICC Line Complications with Dr. SolbergPatrick Bafuma continues his series of EM ID interviews this time with Dr. Solberg from Bismark, North Dakota and has her own website. Peripherally inserted central catheter (PICC) lines are commonly used for both inpatient and outpatient care. These patients can come to us for a variety of potential complications. We will discuss some of the key ones in this post.2019-09-2414 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #165 - EB Medicine: Pediatric AppendicitisWe return with our second podcast featuring EB Medicine content. Our partnership with them allows us to access their content and share it with you through the power of #FOAMed and this time we are tackling an all too common emergency: appendicitis. Specifically, we discuss the pediatric population given their most recent evidence-based review article on the same.2019-09-1724 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #164 - Why Tofu Rocks for POCUS TrainingTofu can be used as a food product, but it has uses in medicine. In particular for the discussion today is its role in point of care ultrasound (POCUS) training. We discuss ways to use this inexpensive product to better improve your education.2019-09-1012 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #163 - IPV Educators: Being the Light - Human Trafficking Part 2We are completing the second installment of a new series with the help of Katherine Thompson from IPV Educators. The discussion continues on human trafficking but this time we talk about how we can help.2019-09-0324 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #162 - IPV Educators: Shadow Figures - Human Trafficking Part 1We are starting a new series with the help of Katherine Thompson from IPV Educators. It was born out of a passion for advocating for survivors of interpersonal violence. We are glad to learn from Katherine and the first discussion is regarding human trafficking.2019-08-2728 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #161 - POCUS for AppendicitisAs point of care ultrasound (POCUS) continues to expand in roles, the diagnosis of appendicitis using POCUS is one application with growing evidence. This is especially true for the pediatric population. In this blog and podcast learn how to diagnose appendicitis by POCUS and some of the most recent evidence.2019-08-2015 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #160 - Five Key Reminders When Evaluating Chest Pain after CABGIn emergency medicine, we are generally very good about evaluating chest pain. We also are familiar with procedures including coronary artery bypass grafts (CABG). However, in patients with recent CABG, there are some key reminders we need with this patient population.2019-08-1310 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #159 - EM ID: Antibiotic Stewardship in Unique Cases with Dr. GompfBoth Patrick Bafuma and Dr. Sandra Gompf who specializes in infectious disease (Gompf's ID Pearls) are back this time to discuss some unique cases regarding antibiotic stewardship in the emergency department.2019-08-0623 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #158 - EM ID: Asymptomatic Bacteriuria versus UTI with Dr. GompfFor this round of EM ID, Patrick Bafuma interviews Dr. Sandra Gompf who specializes in infectious disease and has Gompf's ID Pearls. They focus primarily on delirium, indwelling Foley catheters, and callbacks.2019-07-3019 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #157 - EB Medicine: POCUS Pearls in Pediatric TraumaWe have started partnering with EB Medicine to provide you with some great content. For our first post, we will cover the use of point of care ultrasound (POCUS) for the pediatric trauma patient.2019-07-2320 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #156 - Top 10 Pearls for Being a Podcast Guest or Recording Your OwnThis is not a podcast covering clinical content. Instead, the focus will be about being a podcast guest and recording your own podcasts. For that reason, it may not apply for you right now but if you are ever thinking about doing either, come back here. Speaking of, we are always looking for guests and if you are interested please contact us.2019-07-1613 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #155 - Gases, Fentanyl, and the Nocebo Effect with David FiferThis is a special sort of "bonus" podcast where we discuss with David Fifer a topic that was brought up entirely for fun: the nocebo effect. Take a listen as we provide some real life examples of this phenomenon in action.2019-07-0913 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #154 - Dogmalysis of Heat Exhaustion and Heat Stroke with David FiferTo celebrate the Fourth of July, David Fifer joined us to talk about heat exhaustion, heat stroke, and the dogma around these conditions. This topic is one that is frequently misunderstood and David helps us understand the key pearls and pitfalls with heat stress emergencies.2019-07-0251 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #153 - Invention and Irrigation with Patrick O'MalleyPatrick O'Malley is an emergency medicine physician that invented the IRIG-8 device. He decided to create a device that he feels is better than what was previously on the market in regards to wound irrigation. Learn how he developed the device and how he has incorporated it into his practice.2019-06-2530 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #152 - POCUS for Flexor TenosynovitisPoint of care ultrasound (POCUS) is becoming more widely used in a variety of musculoskeletal applications and this includes infectious pathology such as flexor tenosynovitis. In this blog and podcast, we talk about a recent paper regarding the diagnostic utility of this condition.2019-06-1809 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #151 - EM ID: Antibiotic Stewardship in Pediatric PatientsJoining Patrick Bafuma again is Dr. John Perkins from Carilion Clinic in Virginia this time to discuss antibiotic stewardship in pediatric patients.2019-06-1117 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #150 - Statistical Significance with Ken MilneKen Milne is back to discuss statistical significance to celebrate our 150th podcast. With the different pearls and pitfalls regarding statistical significance, Ken came back on to try and help us navigate through the process and allow us to better understand what this term actually means.2019-06-0420 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #149 - EM ID: Infections A Cardiovascular Risk Factor?Patrick Bafuma is back with another interview this time with Dr. John Perkins from Carilion Clinic in Virginia to talk about the post-infectious period as a cardiovascular risk factor.2019-05-2816 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #148 - Recovery from AAPA 2019 and Why to Register for Critical Access 2019We just finished helping at AAPA 2019 in Denver, Colorado. It was a fun time with over 500 learners being taught by excellent faculty. In this post we talk about the benefits of workshop style courses as well as full courses such as the upcoming Critical Access 2019.2019-05-2114 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #147 - 10 Things to Remember About MeaslesWith the recent surge of measles cases, it is important to understand the facts with measles. In this post we cover a recent paper that reminds us some of the key details.2019-05-1413 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #146 - Top 10 Podcasts for 2019Quite often, people ask what other podcasts we would recommend. These are the top 10 podcasts that always have us coming back for more.2019-05-0716 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #145 - ACEP Guidelines on NSTEMIIn the later half of 2018, the American College of Emergency Physicians (ACEP) published their guidelines with non-ST-elevation myocardial infarction (NSTEMI) patients. These guidelines were beneficial to support some current practices based on current evidence. In this post, we review the guidelines and some of the supporting evidence.2019-04-3009 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #144 - Should Your RUSH to the Ultrasound in Hypotension?A relatively recent article, the SHoC-ED trial, can sound like the need for ultrasonography in hypotension is not necessarily beneficial. In this podcast the trial, along with its strengths and limitations, will be reviewed.2019-04-2320 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #143 - EM ID: Testing for Gonorrhea and Chlamydia with Janelle BludornPatrick Bafuma is back to interview Janelle Bludorn for this installment of the EM ID podcast series. This time they talk about testing for two of the most common sexually transmitted infections (STIs), Gonorrhea and Chlamydia (GC/C). 2019-04-1622 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #142 - Whole Blood, Tricks with Blood Products, and Stop the BleedAndrew Fisher is not your typical medical student. In addition to his EMS background, he was a PA in the military. Now, he is in his third year of medical school and has a passion for education. This is especially true when it comes to blood products.2019-04-0930 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #141 - Furosemide (Frusemide) MythbustingFurosemide (frusemide) is a commonly used loop diuretic. Also known by the commercial name, Lasix, it is well established drug but is prone to some common myths. To help kill the dogma, we review a recently published paper discussing 10 myths regarding this frequently used medication.2019-04-0210 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #140 - Six Common Reasons Patients Come to the EDSometimes, especially during a long shift, we want to ask our patients why they thought they needed to come see us suddenly for a complaint that does not seem emergent. It can be challenging to remember that our patients seek our help for a variety of reasons.2019-03-2613 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #139 - Methods to Confirm Airway PlacementRecently, our own Chip Lange was on The Skeptic's Guide to Emergency Medicine (The SGEM) for Podcast #249 covering ultrasound to confirm endotracheal tube placement. This had previously been discussed in detail on our own Podcast #118 along with the technique. However, after some discussions on social media it was decided to expand on this discussion further regarding the ways to confirm beyond ultrasound.2019-03-1915 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast # 138 - EM ID: Diagnosing Spinal Epidural Abscess (SEA) with Lauren WestaferThanks to the talents of Patrick Bafuma (who also has the EM in Focus blog), we have a new series on the podcast called Emergency Medicine Infectious Disease (EM ID). The first podcast is with Lauren Westafer who also is part of the FOAMcast podcast and a FemInEM Speaker. These two brilliant minds got together to record a podcast on spinal epidural abscess (SEA).2019-03-1229 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #137 - The BRAIN ExamA while back, Podcast #70, we talked about how to perform a neurological exam. We also spoke on FOAMfrat. Since that time, at WEMSA we built on the subject and discussed the exam as well as its caveats. At that time, there was not a name. Now, we have the Brief Repeatable Assessment In Neurology (BRAIN) exam.2019-03-0513 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #136 - Acute Ventilatory FailureSam Ireland is back to talk again about ventilatory failure. Last time, he talked about the less severe impending ventilatory failure but this time he runs us through acute ventilatory failure. If you have not already checked it out, look at our last post for details on impending ventilatory failure.2019-02-2623 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #135 - Impending Ventilatory FailureWe have a two part special with Sam Ireland from FOAMfrat. He is a critical care paramedic in Wisconsin and a brilliant mind including with ventilation. Sam agreed to come on to talk both about impending and acute ventilatory failure. Stay tuned next week for the second part of his talk.2019-02-1920 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #134 - Quick Butterfly iQ Review and the Benefits of POCUS in EMSThis podcast is to discuss two important subjects with ultrasound. The first is a quick review of the Butterfly iQ (more detailed review to come) and the second discusses some of the key benefits of POCUS in EMS and other settings where having a larger machine is not feasible.2019-02-1224 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #133 - Is Double Sequential Defibrillation a Good Thing?This one is sure to generate some controversy, especially by my fellow #FOAMed colleagues but it is a conversation we need to have in all earnest. We must seriously consider if double sequential defibrillation (DSD) is as good a plan as we may have originally thought.2019-02-0517 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #132 - Nursemaid's ElbowRadial head subluxation, commonly referred to as nursemaid's elbow, is a common condition. In this post we talk about how to diagnose and manage this condition in a timely and effective manner.2019-01-2915 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #131 - SPOCUS Series: Logistics to Integrating Ultrasound into a ProgramWe are wrapping up our interview with guests Janelle Bludorn and Laura Blesse-Hampton as part of a collaborative series with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS with this portion discussing the logistics of integrating ultrasound into a program.2019-01-2219 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #130 - SPOCUS Series: How to Integrate Ultrasound into a ProgramIt is time for the second part of our collaborative series with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS. We are again joined by our guests Janelle Bludorn and Laura Blesse-Hampton. This time we discuss how to integrate ultrasound into an educational program. 2019-01-1513 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #129 - SPOCUS Series: Why to Integrate Ultrasound into a ProgramIn collaboration with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS, we are striving to help those who are wanting to improve their training programs. We bring faculty that have experience of introducing ultrasound to the classroom. These pearls are beneficial to all levels of education and not just for PA programs.2019-01-0812 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #128 - New Year and a New StartUnder the Gregorian calendar, today is the first day of 2019. Many are making resolutions and there are ways to add this can implemented into your role in medicine. This is a New Year so take on something new and grow.2019-01-0109 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #127 - The Importance of Family, Friends, and ColleaguesThe original post is on Christmas Day 2018 but the principle remains true no matter the time of year. In medicine, burnout is a commonly faced problem. The Holidays and time away from family makes this even more difficult.2018-12-2514 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #126 - Incidental FindingsSometimes in medicine we find things we were not necessarily looking for when we perform a test. We call these incidental findings. While many of these are benign they can potentially be problematic as they can change the workup of a patient including their disposition and management.2018-12-1810 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #125 - Check All ImagesThe department is busy and you want to keep the flow running smoothly. It is easy to cut corners when it comes to imaging. After all, a radiologist will be reviewing those images. If you are lucky, those images will be read within minutes of them being taken. Why then, should you review those images that you ordered?2018-12-1112 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #124 - How are we Supposed to Test Strep in Young Patients?This post is in direct response to a question that was asked recently. There is a surprising amount of dogma around the subject of strep testing, but one major piece is that children under three years of age should not be tested for strep because of its reported rarity. However, there have been multiple studies that disagree with this claim, and we took a mini deep-dive on the subject.2018-12-0413 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #123 - The ABCs of BronchiolitisAcute bronchiolitis is another condition that will start showing more this time of year. In some parts of the country, it is already being diagnosed. It is important to know the current recommendations for this common and potentially dangerous condition.2018-11-2710 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #122 - Pediatric Neurological Emergencies with Lawrence BerdanLawrence Berdan is a paramedic who has personally experienced the importance of recognizing and acutely managing pediatric neurological emergencies. This post discusses some of the emergencies we may see in this uniquely challenging population.2018-11-2034 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #121 - Acute Management of CroupIt is that time of year. It is cold and croup is in the air. There is a spectrum of patients that present ranging from the mild to the life threatening. We discuss how to manage these patients.2018-11-1318 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #120 - Tickborne Illnesses with Michelle PerkinsNow that our month of point of care ultrasound (POCUS) is over, it is time to talk about other clinically relevant topics. Michelle Perkins is back again this time to help us cover tickborne illnesses in the United States.2018-11-0642 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #119 - POCUS Improves Abscess ManagementWe wrap up our month of discussing point of care ultrasound (POCUS) papers by having our guest Michelle Perkins. Over the last couple of years a flurry of evidence has come out regarding abscess management. Now, POCUS is taking center stage in a recent paper. Here to help us discuss it is one of our favorite guests, Michelle Perkins.2018-10-3017 min