Shows
EMGuidewire's PodcastSenior Residents' Reflections and PerspectivesJoin the EMGuidewire crew as Dr. Diurba and Dr. Folk reflect upon their residency experience and the initiation of the Intern Nuggets episodes while, of course, discussing some important tips and tricks they learned along the way.2024-04-1619 min
EMGuidewire's PodcastIntern Nuggets '24: A-fib and A-flutterJoin the team from EMGuidewire from CMC Emergency Medicine Residency for another Intern Nuggets! In this episode, Drs. Crow and Lim discuss some tips on how they have approached the first half of their intern years as well as review management of Atrial Fibrillation and Atrial Flutter.2024-03-0513 min
EMGuidewire's PodcastIntern Nuggets '23 #1 - Agitation Management TipsJoin the crew from Carolinas Medical Center Emergency Medicine (@CMCEM) and EMGuidewire (@EMGuidewire) as they introduce a new group of interns as they discuss some of the first lessons they have learned about Agitation Management in the ED.2023-11-0411 min
EMGuidewire's PodcastIntern Nuggets #4 2023: MyositisJoin the EMGuidewire team from Carolinas Medical Center's Emergency Medicine Residency Program as Drs. Calienes Cerpa and Bissell gather together to discuss another great case filled with learning points. In this episode, they review myositis in a pediatric patient.2023-03-3107 min
EMGuidewire's PodcastIntern Nuggets #3 2023: Heart BlocksJoin the EMGuideWire team from Carolinas Medical Center, Emergency Medicine Residency, as Drs. Calienes and Bissell discuss Heart Blocks. 2023-03-1613 min
EMGuidewire's PodcastQuick Cases with Drs. Diurba and Folk - Septic Pulmonary EmboliJoin the crew from Carolinas Medical Center's Emergency Medicine Residency and EMGuidewire as they discuss some interesting cases with Drs. Sofiya Diurba and Destiny Folk. This episode deals with a complex, critically ill adult who has septic pulmonary emboli.2023-02-0810 min
EMGuidewire's PodcastQuick Cases with Drs. Diurba and Folk - Critical Pediatric CaseJoin the crew of EMGuidewire and the Residents and Faculty at Carolinas Medical Center Emergency Medicine Residency as they learn along with Drs. Sofiya Diurba and Destiny Folk. In this episode, Drs. Folk and Diurba will discuss an educational Pediatric Case that involves some critical decisions!2023-02-0811 min
EMGuidewire's PodcastIntern Nuggets 2022 #2 Self Care and Migraine CocktailsJoin the EMGuidewire team from Carolinas Medical Center's Emergency Medicine Residency Program as Drs. Bissell and Calienes Cerpa discuss some more important topics in their Intern Nuggets series. In this episode, they address some important Self Care issues that all interns (and likely everyone) need to consider. They also discuss the possible components in those very popular "migraine cocktails."2022-11-0512 min
EMGuidewire's PodcastResident Wellness Proactive CounselingJoin Drs. Diurba and Folk and the EMGuidewire team from @CMCEM as they begin an important conversation regarding Resident and Physician Wellness. If we exercise our bodies to remain physically healthy, shouldn't we exercise our emotional selves as well? Perhaps some proactive counseling sessions can be good for us all.2022-09-0214 min
EMGuidewire's PodcastIntern Nuggets 2022 Episode 1 PalpitationsJoin the EMGuideWire's team as they celebrate the beginning of the new academic year by introducing us to two new interns who will be taking over the Intern Nuggets! Drs. Calienes and Dr. Bissell take over the task of discussing interesting cases that they have encountered during the start of their careers. This episode finds them wrestling with a challenging case of palpitations and anxious feelings. 2022-08-3011 min
EMGuidewire's PodcastPediatric Pain Management - EMSC Improvement ProjectJoin the EMGuidewire team and Drs. Allen and Fox from Carolinas Medical Center as they discuss tips for Mitigating Anxiety and Pain in the Pediatric patient. This episode is published in concert with EMSC Innovation and Improvement Center. The Emergency Medical Services for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent t...2022-06-3020 min
EMGuidewire's PodcastIntern Nuggets #7: SAEM Learning PointsJoin the EMGuidewire team from Carolinas Emergency Medicine Residency as Drs. Diurba and Folk discuss their favorite learning points from this year's SAEM scientific assembly conference. 2022-06-2711 min
EMGuidewire's PodcastIntern Nuggets 6: Reversal of AnticoagulantsJoin Drs. Diurba and Folk, stellar Carolinas Medical Center Emergency Medicine Interns, and the EMGuidewire team as they discuss various reversal options for the numerous anticoagulants that exist today.2022-06-2411 min
EMGuidewire's PodcastIntern Nuggets #5 - Altered Mental StatusJoin Drs. Folk and Diurba, Emergency Medicine Interns enjoying their training at Carolinas Medical Center, as they discuss a case of Altered Mental Status with the EMGuidewire Team!2022-05-1009 min
EMGuidewire's PodcastIntern Nuggets #4: Beer Potomania and HyponatremiaJoin Drs. Folk and Diurba, Emergency Medicine Interns enjoying their training at Carolinas Medical Center, as they discuss Beer Potomania and Hyponatremia with the EMGuidewire Team!2022-02-1509 min
EMGuidewire's PodcastIntern Nuggets 3:Approach to Complex Patients and Feedback and Avoiding BurnoutJoin the EMGuidewire team as Drs. Folk and Diurba explore another episode of INTERN NUGGETS! In this episode, they discuss an approach to the medically complex patient as well as giving and receiving feedback. They also explore the extremely important topic of burnout and ways to avoid it.2021-11-1517 min
EMGuidewire's PodcastOcclusive Myocardial Infarction IntroJoin the team from EMGuideWire from Carolinas Medical Center as Dr. Clare Gunn gets to chat with Dr. Pendell Meyers about the challenges of relying on the STEMI paradigm and what other factors to consider when evaluating patients for Occlusive Myocardial Infarctions (OMI).2021-11-0429 min
EMGuidewire's PodcastTension Pneumoperitoneum, More Than Bad Belly Pain: Evaluation and ManagementJoin the @EMGuideWire team from @CMCEM as they learn from former Chief Resident, Dr. Rushnell, how to manage the complex condition of Tension Pneumoperitoneum. 2021-10-0109 min
EMGuidewire's PodcastPediatric DVT and PE: How to Diagnose and ManageJoin the EMGuideWire team from the CMC EM Residency Program as we welcome back Dr. Rushnell, prior CMC EM Chief Resident, to discuss the challenging topic of Pediatric DVT and PE. 2021-09-2408 min
EMGuidewire's PodcastGuillain–Barré Syndrome: Chiefs Corner Reviews This Challenging DiagnosisJoin the EMGuideWire Team from Carolinas Medical Center (@CMCEM) and Dr. Mark Kastner and Dr. Matthew Cravens in the Chief's Corner as they discuss the presentation and diagnosis of the challenging diagnosis of Guillain–Barré Syndrome.2021-09-0314 min
EMGuidewire's PodcastIntern Nuggets #2: Sign-out Tips and Pediatric Dehydration and BRUEJoin the crew from EMGuidewire as they are joined, once again, by Drs. Diurba and Folk for their unique perspectives from an intern's point of view. This month's Intern Nugget will cover sign-out and transition of care tips as well as some learning point on pediatric dehydration management and BRUE.2021-08-1816 min
EMGuidewire's Podcast4 Factor PCC in Trauma: Another Consideration for the Anticoagulated Trauma PatientJoin the EMGuideWire Team as they welcome back Dr. Chelsea Rushnell, prior Chief Resident at CMC Emergency Residency, to discuss the management of the anticoagulated trauma patient. Perhaps just flooding individuals with FFP is not the best strategy. Dr. Rushnell will review the evidence for the use of 4 Factor PCC.2021-08-0611 min
EMGuidewire's PodcastEmergency Medicine Residency Intern Nugget #1; Useful Information from a Fresh PerspectiveJoin the EMGuideWire team from CMC EM residency as they hear a fresh perspective... from newly minted residency Interns, Drs. Destiny Folk and Sofiya Diurba. For this Intern Nugget, they address: 1) Imposter Syndrome and how to overcome it. 2) Complex Regional Pain Syndrome and how to manage it. 3) Analgesia options in the ED2021-08-0312 min
EMGuidewire's PodcastPenetrating Cardiac TraumaJoin the EMGuidewire team at Carolinas Medical Center Emergency Medicine program as they discuss important topics. This week, Drs. Cravens and Kastner discuss Penetrating Cardiac Injury (PCI): -The diagnosis of PCI is made in the trauma bay with repeat cardiac ultrasound exams and chest x-ray. If suspicion remains high despite inconclusive imaging, operative subxiphoid pericardial window is the definitive diagnostic modality. -Large pericardial injury, especially from ballistic injuries, can result in PCI without positive pericardial fluid on FAST, if the blood is draining into the hemithorax. This would result in hemothorax, but not always with...2021-07-2720 min
EMGuidewire's PodcastDiabetic Ketoacidosis Emergent ManagementJoin the EMGuideWire Team from CMC EM group as they explore the initial thoughts and management of a patient who presents with severe Diabetic Ketoacidosis (DKA). For this episode, Drs. Claire Milam and Travis Barlock explore the initial considerations and practical management tips. Definitions of severity of DKA: Mild pH: 7.25-7.3 CO2: 15-18 mEq/L Anion Gap: > 10 mEq/L Mental Status: Alert Blood Glucose: >250 mg/dl Urine and Serum Ketones: Positive Moderate pH: 7.0-7.24 CO2: 10-15 mEq/L Anion Gap: >12 mEq/L Mental Status: Alert to Drowsy Blood Glucose: >250 mg/d...2020-11-2534 min
EMGuidewire's PodcastPosterior Eye Pathology Core ConceptsJoin the Drs. Ray and Barlock from the EMGuideWire team as the discuss the initial assessment and evaluation of some ocular complaints with specific attention to pathology of the Posterior Eye. SHOWNOTES: Key PointsAlways get visual acuity for any eye complaint Swinging flashlight test can help with your diagnosis Dilate the eyes for optimal fundoscopic exam Optic neuritis -> give IV steroids Use U/S to look for papilledema along with optic nerve sheath diameter Find the optic nerve when evaluating retinal detachment vs vitreous hemorrhage CRAO= “st...2020-11-1721 min
EMGuidewire's PodcastSevere Asthma Management in the EDJoin the EMGuidewire team as Drs. Serven and Blackwell discuss the management of the patient presenting with Severe Status Asthmaticus in the Emergency Department. Don't forget to review the basic concepts that were published earlier... this time the focus is on the critically ill patient.2020-11-0233 min
EMGuidewire's PodcastTrauma Assessment: Introduction to Preparing for the Traumatized PatientJoin the EMGuidewire Team as they address how to prepare for the arrival of a trauma patient in your Emergency Department. Drs. Serven and Blackwell from Carolinas Medical Center Emergency Medicine Residency Program will give us some insight and pearls on how to manage the potential chaos. 2020-09-2126 min
EMGuidewire's PodcastApproach to Bradycardia in the Emergency DepartmentJoin Drs. Serven and Blackwell from the EMGuidewire team (from the Carolinas Medical Center Emergency Medicine Residency) as they discuss some of the Basic strategies to the initial evaluation and management of a patient with significant Bradycardia. See website (www.emguidewire.com) for complete show notes... but here is a sneak peak: Quick Differential: DIMES D – drugs (digoxin, CCB, beta blockers, cholinergic drugs, TCAs, Clonidine) I – ischemia (heart and brain)/ infection (sepsis, Lyme disease) M – metabolic (hypothyroid, hypoglycemia, hypothermia) E – electrolytes (hyperkalemia, hypokalemia, hypercalcemia, hypocalcemia, hypermagnesemia) S – sinus dysfunction (SSS, AV block) 2020-09-0900 min
EMGuidewire's PodcastAirway Management Preparation: Simple Strategies to Ensure You are ReadyJoin the EMGuideWire team as Drs. Serven and Shreve are joined by Dr. Trigonis to discuss simple strategies to make sure your room is set up and you are prepared for performing an emergent intubation on your patients in the Emergency Department. Shownotes - Once through start to finish: Set up suction Set up pre-oxygenation (nasal cannula, NRB, BVM as backup) Choose a tube + back up tube Lube the tube, check the tube Choose a stylet Set up video and DL Ask nurse for meds (nicely) Check hemodynamics Acknowledge preoxygenation Positioning Give meds Wait for paralytic medication...2020-09-0337 min
EMGuidewire's PodcastPulmonary Edema and Hypertension - Initial ManagementJoin Drs. Alyssa Thomas and Victoria Serven from Carolinas Medical Center Emergency Medicine Residency Program and the EMGuideWire Team as they discuss how they initially evaluate and manage the patient who present with acute pulmonary edema and hypertension. 2020-08-2319 min
EMGuidewire's PodcastPoint of Care Ultrasound for COVID-19 PatientsJoin the EMGuideWire team as they explore the use of Point-of-Care Ultrasound for the evaluation of patients with possible COVID-19 infection. Dr. Patrick Lam, from the Carolinas Medical Center Department of Emergency Medicine Department Division of Ultrasound, will guide us on the techniques and pro-tips for this application.2020-04-2127 min
EMGuidewire's PodcastHealthcare Disparities and COVID PandemicJoin EMGuideWire team as they listen in to EM Residency Conference at Carolinas Medical Center (in Charlotte, NC) and learn from Emily MacNeill, MD as she discusses "What Happens When a Disease Management System Crashes into a Public Health Crisis."2020-04-1442 min
EMGuidewire's PodcastNeurologic Manifestations and Complications of COVID-19Join the EMGuideWire team as they learn from one of the world's foremost experts in neurologic emergencies, Dr. Andrew Asimos. This episode will address the Neurologic Manifestations and Complications of the COVID-19 Infection.2020-04-1046 min
EMGuidewire's PodcastHydroxychloroquine ToxicityJoin the EMGuideWire team as they listen to Dr. Geib discuss how to recognize and manage Hydroxychloroquine toxicity, which may become more prevalent during the current COVID-19 pandemic.2020-04-0324 min
EMGuidewire's PodcastARDS Management during COVID 19Join the EMGuideWire team as they learn from Critical Care fellow, Dr. Russell Trigonis while he addresses the important aspects of managing ARDS in patients with COVID-19 infections.2020-04-0352 min
EMGuidewire's PodcastTrauma and PregnancyOB Trauma Core Concepts Physiologic changes of pregnancy: physiologic anemia, decreased SVR, increased HR, increased RR, and pelvic vessel engorgement Traumatic complications: placental abruption, preterm labor (PTL), uterine rupture, and pelvic fx Abruption triad = abd pain, large for dates uterus, vaginal bleeding Perform cervical check to eval for PTL Obtain Type and Screen and KB test Give Rhogam if mom is Rh neg. 50 mcg if 12 wks Check fetal HR after E-FAST, nml is 120-160 -Travis Barlock2020-02-2515 min
EMGuidewire's PodcastLudwig's AnginaJoin the EMGuideWire Crew from CMC EM Residency Program as they discuss Ludwig's Angina and the management Priorities!!! BACKGROUND Angina = “Strangling” Bilateral infection of submental, submandibular, and sublingual spaces 70-85% of cases arise from odontogenic source Periapical abscesses of mandibular molars Piercings (frenulum) URI more common cause in children Source of infection often polymicrobial Most commonly viridans; also Staphylococcus and Bacteroides species Patients usually 20-60 years-old; more common in males1 Mortality in treated Ludwig’s Angina = 8%7 ***Airway compromise = leading cause of death8 Who Is At Risk? Diabetes mellitus Chronic alcohol abuse IVDA HIV/AIDS Malnutr...2020-01-3012 min
EMGuidewire's PodcastSVC SyndromeJoin the EMGuideWire team as they discuss Superior Vena Cava Syndrome! Shownotes: Definition: Any condition leading to obstruction of blood flow through the SVC Pathophysiology: Pathology in adjacent anatomy (lung, lymph node, thymus, mediastinum) or within the SVC itself obstructs venous return to the right atrium. As the SVC is compressed, venous collaterals form alternative pathways returning blood to the right atrium which can dilate over several weeks. As a result, upper body venous pressure increases, which in extreme cases lead to airway congestion and venous cerebrovascular congestion and edema. Hemomdynamic compromise...2020-01-1509 min
EMGuidewire's PodcastNonFatal Strangulation and Domestic ViolenceOctober was Domestic Violence month and in an effort to help highlight this very important topic, join Drs. Salzman, Dragoo, and Richardson from Carolinas Emergency Medicine Residency while they discuss the very important presentation of Strangulation. This is not a mere gesture of power, it may be our last opportunity to save this patient's life! Pearls Strangulation victims are 750% more likely to become a homicide victim. Strangulation is not choking. Call it what it is. External exam findings are often not present and do not rule out internal injury. History is key. Look for neck pain, d...2019-11-0816 min
EMGuidewire's PodcastRunning a CodeJoin the EMGuideWire crew as they discuss some tips and pearls on how to skillfully run a medical resuscitation. Pearls Preparation is everything. Get your staff, and get your stuff! Call out names, be redundant, and say what you are thinking out loud. Don’t go for the tube! Supraglottic airways are quicker and safer! High quality compressions are life saving. V-tach and V-fib are usually ischemic. PEA is usually non-cardiac. PEA? Is it Wide or Narrow? Narrow - think procedural. Wide - think chemical. Ultrasound is your friend. RV strain, pericardial tamponade, and pneumothorax can all be...2019-10-2513 min
EMGuidewire's PodcastSepsis Management in the ICUThe EMGuideWire Team is visited by a prior crew member, Russell Trigonis, MD! Join them as they discuss how the patient diagnosed with Sepsis in your ED has their care continued in the ICU! Pearls Start pressors with IVF (30-40cc/kg). NE at 7mcg/min peripherally can always be stopped, but better earlier than later. Increase NE until at 20mcg/min, if still hypotensive, then add a 2nd pressor like Vasopressin at 0.03units/min and 100mg Hydrocortisone Q8h. Start antibiotics early and identify source. CXR, US lungs/abd, UA, CT abd should all be...2019-10-1018 min
EMGuidewire's PodcastPediatric Sepsis - Sepsis Awareness Month Episode 5It it the end of Sepsis Awareness Month, but there is a BONUS Monday (Sept. 30th), so why not a BONUS episode! Join the EMGuideWire Team as they explore the challenges the children bring to this clinical condition. Let's review Pediatric Sepsis! Pearls: Screening should be age adjusted. Identify severe sepsis. Treat w/early antibiotics, balanced fluid administration, and EPI if needed. SIRS in children must be age-adjusted. HR & RR > 2 standard deviations of nml; WBC age adjusted. Screen: high risk medical history + vital sign abnormalities (age based SIRS) require check of cap refill, mental status, and gen...2019-09-3012 min
EMGuidewire's PodcastGuided Resuscitation for Sepsis Awareness Month Episode 4Join the EMGuideWire Crew as they continue to explore the High Yield management points for Sepsis! This week's Episode's Pearls: Early fluids save lives. Give 40cc/kg bolus in first 3 hours. But don’t fluid overload the patient! U/S the heart and lungs: A plethoric IVC, immobile mitral valve, and B lines on the lungs should urge you to be more cautious with fluids. Goal in all patients is to establish an adequate MAP ASAP! Fluids + Vasopressors! Vasopressor titration algorithm: First low dose NE (10mcg/min); if still in...2019-09-2315 min
EMGuidewire's PodcastAntibiotics for Sepsis: Sepsis Awareness Month, Episode 3Join the EMGuideWire crew once again for this month's series on Sepsis in honor of Sepsis Awareness month. Episode 3 will cover antibiotic use and selection. Antibiotics for Sepsis Take a history and perform a chart biopsy first! Consider past infections, bug susceptibilities, healthcare acquired vs. community acquired infection, foreign travel, and comorbidities. Always check local antibiogram and prior culture results. Septic shock - Start broad spectrum antibiotics within 1 hour. Stable patient - find the source! UA, CXR, and a good skin exam are fast and can help guide antibiotic choice. Remember some patients need surgical management! An...2019-09-1612 min
EMGuidewire's PodcastFluids in Sepsis: Sepsis Awareness Month Episode 2Sepsis Awareness Month continues! Join the EMGuideWire Team as they dive into the issues of Fluid selection for resuscitation. 1) Fluids are not all created equal. Use balanced fluids for large volume resuscitation. 2) Lactated Ringers is likely the best choice available in the ED. Plasmalyte is also a good option, if you have it. 3) You can start low dose vasopressors peripherally if you need to, rather than continuing to flood patients with fluids for hypotension.2019-09-0913 min
EMGuidewire's PodcastSepsis Awareness Month Episode 1 Sepsis DefinitionsJoin the EMGuideWire Team,from Carolinas Emergency Medicine Residency Program in Charlotte, NC, as they explore the critical core concepts on the important topic of Sepsis. In this first episode, the team will discuss the definitions of Sepsis. Pearls: Sepsis is a dysregulated systemic inflammatory response to infection causing intravascular inflammation, tissue ischemia, cytopathic injury, and dysregulated apoptosis. SIRS terminology is now outdated. Current terminology is “Sepsis” (SIRS, suspected source, end organ damage) and “Septic Shock.” Septic shock: SBP 22, AMS, SBP < >Summarized by Travis Barlock, MD PGY-1 References: Martin GS, Mannino DM, Eaton S, Moss M. T...2019-09-0214 min
EMGuidewire's PodcastSepsis Awareness Month Core Concepts IntroductionJoin the EMGuideWire Team, from Carolinas Emergency Medicine Residency Program in Charlotte, NC, as they explore the critical core concepts on the important topic of Sepsis. Over the course of September, Sepsis Awareness Month, the group will cover a variety of high-yield points to help make us all better at recognizing, evaluating, and managing Sepsis. This is the Intro to the month. Follow us every week for more information... and maybe even get a Bonus 5th episode as a reward!2019-09-0101 min
EMGuidewire's PodcastThyroid Storm and ThyrotoxicosisJoin the EMGuideWire team from Carolinas Medical Center Emergency Medicine Residency Program as they discuss the challenging condition of thyrotoxicosis and thyroid storm! From evaluation to management, this critical state requires our respect and attention!2019-08-0212 min
EMGuidewire's PodcastSkin Soft Tissue InfectionsJoin the EMGuideWire crew as they explore the various skin and soft tissue infections that are commonly encountered and considered in the Emergency Department. While some may be minor, like furuncles, others can be life-threatening, like necrotizing fasciitis. 2019-07-3022 min
EMGuidewire's PodcastPediatric Difficult Airway ReviewJoin the EMGuideWire Team as they explore the Basic Principles that must be considered when managing a pediatric airway. Knowledge of the anatomic and physiologic differences that exist between adults and children is paramount! Assuming that all pediatric airways are going to be "difficult" may help keep us prepared.2019-07-2234 min
EMGuidewire's PodcastTransition of Care - Sign-out in the EDJoin the EMGuideWire Team as they discuss some of the tips for having a successful and safe Sign-Out in the ED. Hear from recent graduates from the Carolinas Medical Center Emergency Medicine Program as they discuss their perspectives on Transition of Care in the ED.2019-07-1418 min
EMGuidewire's PodcastPediatric Non-Accidental Trauma (NAT)Join the EMGuideWire Team as they are joined by two Pediatric EM experts (Drs. Simone Lawson and Pat Morgan) to discuss the very important and challenging topic of Pediatric Non-Accidental Trauma (NAT). Let's discover ways to remain help pick up on the subtle and sentinel cases to help protect our most vulnerable patients.2019-05-1925 min
EMGuidewire's PodcastSudden Cardiac Death in AthletesJoin Dr. Driscoll from the EMGuideWire crew as he enters the Sports Medicine Corner once again. Today, he covers some of the issues with athlete cardiac screening and sudden cardiac death in athletes.2019-05-0313 min
EMGuidewire's PodcastMyasthenic Gravis and Myasthenic CrisisJoin the EMGuideWire Team as they discuss the evaluation and management of Myasthenia Gravis and a Myasthenic Crisis! Learn about the means to assess a patient's ability to maintain her/his own airway.2019-03-2213 min
EMGuidewire's PodcastHyperkalemia EKG ChangesJoin the EMGuidewire team from CMC EM program as they discuss a potentially critical condition, HyperKalemia. Review the important HyperKalemia EKG Changes and be ready to take action!2019-02-2215 min
EMGuidewire's PodcastPediatric Urinary Tract InfectionsJoin the Ped EM Fellows from Carolinas Medical Center and the EMGuideWire as they discuss the seemingly simple issue of Pediatric Urinary Tract Infections. Who needs to be test and how do we do so? Let's review this less than simple topic.2019-02-1509 min
EMGuidewire's PodcastVasopressors in the EDJoin Drs. Trigonis and Murray from the EMGuideWire team as they discuss use and selection of Vasopressors in the ED. 2019-02-0830 min
EMGuidewire's PodcastAspirin (ASA) ToxicityJoin the EMGuideWire Team, from the CMC EM program, as they enter the TOXIDome once again to wrestle with Aspirin (ASA) Toxicity! 2019-02-0710 min
EMGuidewire's PodcastTOXIDome's Approach to the Agitated PatientThe patient is agitated and combative and a danger to everyone in the ED. What do you give? Haloperidol and lorazepam? Maybe there are better choices. Join the EMGuideWire crew as they enter the TOXIDome to discuss a better approach to the management of the Agitated Patient.2019-02-0314 min
EMGuidewire's PodcastToxicology 101 Part 2: ToxidromesJoin the EMGuideWire team as they enter the TOXIDome once again and review Toxidromes with Dr. Kopec!2019-02-0312 min
EMGuidewire's PodcastTylenol ToxicityJoin the EMGuideWire team as they introduce a new Toxicology Series. Enter the TOXIDome with them as they wrestle with Tylenol Toxicity and discuss when and why to use NAC!2019-01-1210 min
EMGuidewire's PodcastLVADs in Your EDJoin the EMGuideWire Team as they discuss a simple approach to the very complex and complicated patients with a Left Ventricular Assist Device (LVAD). "LVAD" is for "Look & Listen, Ventricle, Anticoagulation, and Driveline."2019-01-0409 min
EMGuidewire's PodcastCore Concepts of Imaging for Ischemic CVA (Stroke)Join the EMGuideWire Team as they discuss the current core concepts of imaging and management of patients with findings concerning for Ischemic CVA (stroke). The EMGuideWire crew is joined by world renowned Emergency Neurology expert, Dr. Andrew Asimos!2018-12-1321 min
EMGuidewire's PodcastPediatric EM Morsels REBAKED: Pediatric InfluenzaJoin Drs. Richardson and Potter as they ReBake a Morsel of Pediatric Emergency Medicine. It is Flu Season in the Northern Hemisphere. Let's review some Morsels on Pediatric Flu!2018-12-0610 min
EMGuidewire's PodcastPed EM Morsels Rebaked - Pediatric Chest PainJoin Drs. Nicholena Richardson and Jennifer Potter from the EMGuidewire Team as they review and REBAKE previous Ped EM Morsels (www.pedemmorsels.com). In this episode, they discuss three important potential causes of chest pain in the pediatric patient.2018-12-0113 min
EMGuidewire's PodcastExertion Related Heat IllnessJoin Dr. Driscoll from the EMGuideWire team as he discusses the very important topic of exertion related heat illness. The Sports Medicine Corner can be helpful for everyone who cares for our patients who may overexert themselves. Know how to stay cool when they get too hot!2018-11-1915 min
EMGuidewire's PodcastPericarditisJoin the EMGuideWire crew as they review Pericarditis evaluation and management in the ED. Are those ST segments more concerning for ischemia? Are steroids helpful? These questions and more will be answered!2018-11-1511 min
EMGuidewire's PodcastVentilator Set UpJoin the EMGuideWire Team as they discuss some basic concepts to help you make decisions about initial ventilator settings after intubation.2018-11-0221 min
EMGuidewire's PodcastLisFranc Fracture: Sports Medicine CornerJoin Dr. Jeremy Driscoll and his Sports Medicine Corner as the EMGuideWire addresses LisFranc Fracture. Know how to evaluate and manage this important foot injury!2018-10-2707 min
EMGuidewire's PodcastPatellar Dislocation: Sports Medicine CornerJoin Dr. Jeremy Driscoll of the EMGuideWire Team for this episode of his Sports Medicine Corner. In this episode, Dr. Driscoll covers Patellar Dislocation!2018-10-2605 min
EMGuidewire's PodcastProcedural SedationJoin the EMGuideWire team as they discuss the basics of successful procedural sedation. Explore the various medication options that can keep our patients comfortable.2018-10-1914 min
EMGuidewire's PodcastToxicology 101: Basic Approach to the Evaluation of the Toxicologic Patient by Dr. KopecJoin the Dr. Kathryn Kopec as she joins the EMGuideWire team to discuss how the Toxicologist approaches the patient who has a potential exposure to an intoxicant. Review your basic evaluation and treatment options and learn how to recognize those all important toxidromes! 2018-10-1231 min
EMGuidewire's PodcastPeritonsillar Abscess (PTA) Evaluation and ManagementJoin the EMGuideWire Team as they discuss the evaluation and management of Peritonsillar Abscess (PTA) in adults and children. 2018-10-0513 min
EMGuidewire's PodcastLupus in the EDJoin the EMGuideWire team as they discuss some of the subtle and severe presentations of Lupus, a condition that can affect every organ system, in your ED. 2018-09-2611 min
EMGuidewire's PodcastKnee DislocationsJoin the EMGuideWire Team and Dr. Jeremy Driscoll as he covers the evaluation and management of Knee Dislocations. 2018-09-2206 min
EMGuidewire's PodcastClavicle FractureJoin Dr. Driscoll and the EMGuidewire Team in this episode of Sports Medicine Corner. This episode will discuss evaluation and management of Clavicle Fracture.2018-09-1504 min
EMGuidewire's PodcastBiceps Tendon RuptureJoin Dr. Driscoll and the EMGuidewire Team in this episode of Sports Medicine Corner. This episode will discuss evaluation and management of Biceps Tendon Rupture.2018-09-1504 min
EMGuidewire's PodcastAchilles Tendon InjuryJoin the Dr. Jeremy Driscoll as he discusses Achilles Tendon Injury in this episode of the EMGuideWire's Sports Medicine Corner.2018-09-0704 min
EMGuidewire's PodcastMallet Finger InjuryJoin the EMGuidewire Team as they introduce a new series, the Sports Medicine Corner. This episode will cover a common finger injury, the Mallet Finger.2018-09-0705 min
EMGuidewire's PodcastNastotracheal IntubationJoin the EMGuideWire team as they discuss the core concepts of this critical procedure that can be extremely challenging. Learn the basic steps and some expert tips to help make your next Nasotracheal Intubation go as smoothly as possible.2018-09-0316 min
EMGuidewire's PodcastTrauma Talks Lower ExtremitiesJoin the EMGuideWire Team as they discuss some of the common and some of the easily missed traumatic injuries that can involve the lower extremities. Know how to be aware of them and learn how to initially manage them.2018-08-2418 min
EMGuidewire's PodcastPAIN Management in Our EDsJoin the EMGuideWire Team as we discuss Pain Management issues and options in our Emergency Departments. EM physicians Sergey Motov and Chris Griggs discuss concepts that may help alleviate not only the patients' pain, but also the challenges physicians face in today's environment.2018-08-1643 min
EMGuidewire's PodcastWhat's in Your Code CartJoin the EMGuideWire Team as they review some of the important medications in your typical "Code Cart." Know the important details about these medications that will enable you to use them most effectively!2018-08-0922 min
EMGuidewire's PodcastPediatric Nasal Foreign BodyJoin the EMGuideWire team as they discuss the common, and sometimes frustrating, complaint of Pediatric Nasal Foreign Body. What are some of the approaches to help alleviate the problem?2018-08-0311 min
EMGuidewire's PodcastHyperemesis GravidarumJoin the EMGuideWire team as they review the Core Concepts that will help you manage the challenging cases of Hyperemesis Gravidarum. From initial evaluation to medications, what can we do to help our pregnant patients with this condition feel better? Let's find out.2018-07-2710 min
EMGuidewire's PodcastPediatric Diabetic Ketoacidosis (DKA) and Fluid ManagementJoin the Pediatric Emergency Medicine Fellows and the EMGuideWire crew as they discuss the challenges of fluid resuscitation in pediatric patients with diabetic ketoacidosis (DKA). What does the most recent literature say we should do?2018-07-1811 min
EMGuidewire's PodcastUpper GI BleedJoin the EMGuideWire team as they tackle the tough core concepts of how to manage the patients with simple and critical Upper Gastrointestinal Bleeds. Know what medicines are imperative to start and what ones may be discussed with your consultants.2018-07-1416 min
EMGuidewire's PodcastHepatorenal SyndromeJoin the EMGuideWire Team as they explore the basic issues with managing patients with the dreaded Hepatorenal Syndrome. Do you use Albumin? Do you use Pressors? Do you use Both? A little understanding of the pathophysiology will help us answer those questions.2018-07-0319 min
EMGuidewire's PodcastA Better PEA Algorithm by Dr. LittmannJoin the crew from EMGuideWire as they review a clinically useful approach to and management of PEA. Dr. Laszlo Littmann will, once again, be our guide on this Cardiology Core Concepts tour.2018-05-2715 min
EMGuidewire's PodcastWide Complex Tachycardia: The Unstable and Critically Ill PatientJoin the EM GuideWire team as they complete the journey through management of Wide Complex Tachycardia with Dr. Laszlo Littmann with the 3rd installment. This time, you'll treat the unstable and critically ill patient.2018-05-1904 min
EMGuidewire's PodcastAcute Urinary RetentionJoin the EMGuideWire team as they explore the painful, and personal, aspects of Acute Urinary Retention. Learn what issues must be considered and some strategies to help you manage the patient with acute urinary retention in your Emergency Department.2018-05-0617 min
EMGuidewire's PodcastWide Complex Tachycardia in Rhythm StripsJoin the EMGuideWire crew as they learn from the master, Dr. Laszlo Littmann, how to interpret patients' rhythm strips to discern whether there is VTach, SVT, or even artifacts. 2018-04-2734 min
EMGuidewire's PodcastApproach to Wide Complex Tachycardia Part 2/3 - Irregular Wide Complex TachycardiaJoin the EMGuideWire crew at CMC in Charlotte, NC as they take on the complex and scary topic of Irregular Wide Complex Tachycardia in Part 2 of the 3 part series on the approach to Wide Complex Tachycardia. Dr. Laszlo Littmann's expert advice, once again, saves the day!2018-04-1906 min
EMGuidewire's PodcastThe Dying Asthma PatientJoin the EMGuideWire crew as they discuss how to manage the dying asthma patient. Dr. David Pearson will help guide the team through the management of these severely ill patients while helping to anticipate the pitfalls and, hopefully, avoiding them.2018-04-1216 min
EMGuidewire's PodcastIncreased Intracranial Pressure (ICP)Join the EM GuideWire team as they discuss some simple strategies to manage increased intracranial pressure (ICP). From intubation to administration of hypertonic saline, the group will discuss the basic steps to help your most critical patients.2018-03-2514 min
EMGuidewire's PodcastWide Complex Tachycardia Cardiology Core Concepts Part 1Wide Complex Tachycardia will grab everyone's attention. Let's join the crew from EMGuideWire and Dr. Littmann to review a simplified approach to evaluation and management of Wide Complex Tachycardia!2018-03-1710 min
EMGuidewire's PodcastMethylene Blue Core ConceptsAside from making your fingers blue, Methylene Blue is a very useful dye that know how and when to use in the Emergency Department! Join the EM GuideWire Team as they explore this potentially life saving medication!2018-03-0809 min
EMGuidewire's PodcastAfib Management in the EDA Fib is the most common arrhythmia that is encountered in the ED. Knowing how to manage it when it is causing problems is important! Join the EM GuideWire Team as they discuss a-fib with RVR management with esteemed Cardiologist (and friend of us in the ED), Dr. Laszlo Littmann.2018-03-0724 min
EMGuidewire's PodcastAsymptomatic HypertensionHypertension may be a medical emergency, but many time EM physicians are faced with the patient with asymptomatic hypertension. Join the EM GuideWire Team as it address with issue and helps us all know how to appropriately evaluate and manage these situations.2018-02-2807 min