Arizona EMCast

Hi all,   Unbeknownst to me, last month was our 100th episode! And after 100 episodes of mid-quality, EM goodness, we're gonna take a semi-deserved vacation and hiatus from the podcast. We're hoping to regroup and come back with bigger and better content for your eager EM ears.   Happy Holidays all!   AaronThe AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy October everyone!   This month we take a pause from the competitive format to ponder the question: to PanScan or not to PanScan? Recently we had an exceptional conference lecture by Dr. Garrett Pacheco and Dr. Adam Nelson addressing all of the reasons why and why not. Such an excellent talk need sot be spread broadly. No points this time around but the debate style is still in effect. Enjoy!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy September everyone!   This month we explore the Ring Down of a 23 year old male coming in by EMS with abdominal pain and vomiting.   T 37.0   HR 108   BP 136/94   RR 18   O2 sat 97% on room air   The Panel Dr. Rachel Munn Dr. Vivienne Ng Dr. Brian Drummond   Who will win this month's half-baked episode with the best evidence-based approach to the cannabinoid hyperemesis syndrome?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy August everyone!   This month your favorite pharmacists are BACK as we review the Ring Down of a 53 year old male coming in by EMS unconscious/unresponsive after a motorcycle collision.   T 36.4   HR 140   BP 95/65   RR 10   O2 sat 95% on 15L NRB   The Panel Dr. Christopher Edwards Dr. Daniel Jarrell Dr. Kate Morizio   Who will win this month's TXA-infused, citrate-leeched episode with the best evidence-based approach to the trauma resuscitation?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy July everyone!   Welcome to the new interns. You're gonna get quite familiar with all the nuances of the electronic medical record system but none quite as much as sepsis alerts. We dig deep into those questions you want to know about sepsis alerts like:   Q: Are they good or bad for your patient?  A: Yes.   Q: Are we overcalling the disease or finally getting it under control?  A: Sure   Q:Are they annoying or necessary?  A: Definitely!   As a primer, Dr. Brian Drummond, Dr. Chris Williams and I give you some background, evidence, explanation and heavy opinion on why we have these alerts and what they mean for your patients and your ED flow.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy June everyone!   This month it's an all-start, all-pharmacy cast as we review the Ring Down of a 64 year old male coming in by EMS in cardiac arrest.   Code 3, No vitals given   The Panel Dr. Christopher Edwards Dr. Daniel Jarrell Dr. KAte Morizio   Who will win this month's appropriately-dosed episode with the best evidence-based approach to the cardiac arrest?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy May and Happy Memorial Day everyone!   This month it's we’ve got a new crew and the Ring Down of a 64 year old male coming in by EMS in cardiac arrest.   Code 3, No vitals given   The Panel Dr. Allie Min Dr. Rachel Munn Dr. Chris Williams   Who will win this month’s epinephrine-soaked episode with the best evidence-based approach to the cardiac arrest?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy April everyone!   This month it's we’re back with the attendings with the Ring Down of a 24 year old female coming in by EMS with shortness of breath (eerily familiar to last month’s)   T 37.0 HR 128   BP 96/68   RR 28 O2 sat 92% on room air   The Panel Dr. Vivenne Ng Dr. Jenny Plitt Dr. Brian Drummond   Who will win this month’s adrenaline filled episode with the best evidence-based approach to the anaphylaxis?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy March everyone!   This month it's Resident vs Resident with the Ring Down of a 24 year old female coming in by EMS with shortness of breath. T 37.2 HR 119   BP 126/92 RR 30 O2 sat 91% on room air   The Panel Dr. Michael Russo Dr. Patrick Mullett Dr. Jonathon Campbell   Who will win this month’s beta-agonizing episode with the best evidence-based approach to the acute asthmatic?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy February everyone!   This month we are taking break from the competitive format (and not because of hurt feelings or gloating). Brian, Chris and I have simple discussion of vascular limb injuries and the treatment of VIP patients in the great equalizer that is the emergency department. We’ll be back next month with more competition in a special resident vs resident episode!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy January everyone!   This month, the Ring Down is a 59 year old male with difficulty breathing and hypoxia.   T 35.6 HR 116 BP 166/100 RR 40 O2 sat 45% on room air   The Panel Dr. Brian Drummond Dr. Matt Berkman Dr. Jenny Plitt   Who will win this month’s air hungry episode with the best evidence-based approach to Critical Aortic Stenosis?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy December everyone!   This month, the Ring Down is an 8 month male brought in by mom for difficulty breathing and cough.   T 38.2 HR 178 BP 135/93 RR 20 O2 sat 90% on room air   The Panel Dr. Brian Drummond Dr. Vivienne Ng Dr. Jenny Mendelson   Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to bronchiolitis?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy November everyone!   This month, the Ring Down is a 35 year old female coming in by EMS with back pain. T 37.6 HR 118   BP 170/90 RR 22 O2 sat 98% on room air   The Panel Dr. Brian Drummond Dr. Vivienne Ng Dr. Jenny Plitt   Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to renal colic?   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy October everyone! This month, the Ring Down is a 56 year old male coming in by EMS with chest pain and palpitations.T 37.0 HR 147  BP 168/98 RR 18 O2 sat 96% on room air The PanelDr. Brian “Candyman” DrummondDr. Chris “Things that go bump in the nightshift” Williams Dr. “Lord" David Horn  Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to atrial fibrillation with rapid ventricular response? The AZEMCast Team Email: aleetch@aemrc.arizona.eduTwitter: @arizonaemcast https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy September everyone!   This month the Ring Down is a 73-year-old female coming in by EMS with abdominal pain. She comes in vomiting. Temp 37.4, HR 62, BP 175/103 RR 20 O2 sat 94%   How do you approach elderly abdominal paint? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Elaine Situ-LaCasse square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy August everyone!   This month the Ring Down is a 53-year-old male coming in by EMS after an ejected motor vehicle collision. He is unconscious and unresponsive. Temp 36.4, HR 85, BP 195/115 RR 10 O2 sat 95% on 2L nasal cannula.   How do you approach the unconscious trauma patient? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Amber Rice square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy July everyone! This season we are trying something brand new for your listening pleasure. It’s a unique approach to your education that is case-based, evidence-based and most importantly … competitive!   The panelists you know and love will go head to head demonstrating the necessary skills you need to be a top notch emergency physician. Panelists will be awarded points for their quick wit, prioritization of tasks and mastery of evidence based medicine. However they will lose points for weak arguments, purely experience based medicine and use of unhelpful medical jargon like “high index of suspicion” or “gestalt.”   Each episode they will navigate a case just as they would on shift, discussing their approach to the ring down, the work up and the dispo. The panelist with the most points at the end of the episode will have center stage to discuss the art of EM near and dear to their hearts. Follow along with the score and the cited literature as chapter title cards appear on your screen.We hope you enjoy this new take on EM education and can carry it forward to your next shift.    Welcome to this month’s episode on the Approach to Young Chest Pain.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy June everyone!    First, a huge shout out to our graduating seniors who need as much praise and admiration as possible to show our appreciation. It’s a new world and you are all ready for it!    Also a big welcome to our new interns who have traveled from all over to now be a part of the COVID battle in AZ. July 1st is always nerve wracking but I’m certain this year it’s even more so. Know that your program has your back and you can reach out at any time. Hopefully the worst part will be the endless Zoom meetings.   And speaking of Zoom, this month we are talking about the management of headache in the ED. Migraine and headache are multifactorial complaints and there’s no one-size-fits-all treatment. This leads to some uncertainty but also to some creativity for us EM providers. Brian, two Chris’s and I will finish up our headache discussion with our tips to crafting the perfect migraine cocktail for your patient.   Stay safe!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy May everyone!    At least I hope so. Things seems to be settling into the new normal and I hope you and yours are well.   ED volumes are coming and with it, the typical ED complaints are coming back. And nothing says the ED is returning back to normal like the headache patient. Once the patient gets to us, how do we approach them? With evidence-based medicine and experience of course! Fortunately, this month’s episode has exactly that this month with Brian, Chris and myself.   Stay safe!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Hey all you cats and kittens, happy April,   I hope you all are finding some rest and balance during this uncertain time. Please know that what you do is greatly appreciated by those around you.    This month continues with the awesome peer review by Drs. Clay Josephy and Mike McLaughlin. If you didn’t listen to last month’s episode, you need to so you can hear all the many ways they appropriately use sedation. Clay and Mike continue to put us in our place this month as they discuss their favorite sedative, including some stuff we glossed over.    Thank you guys for your expertise and for all you do,   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Well, it's March, everyone! Since there is nothing but COVID-19 coverage everywhere you look, we at AZEMCast are going to do the opposite. We are going to finish the marathon procedural sedation coverage we started last year with a TWO-PART Peer Review from Drs. Clay Josephy and Dr. Mike McLaughlin. We are not covering COVID-19 for several reasons. Partially to give you something different. Partially because we already have this recorded. But mostly because we know NOTHING about COVID-19 worth recording.  Keep your heads up! The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy February everyone! The emergency medicine in-training exam is next week and we want to make sure you get a great score by covering 2% of the test in 30 minutes. Yes, yes, you’re welcome.   Now oncology is not a huge part of the exam but cancer patients are a common occurrence in the ED. Our biggest plea is that you be aware of the specific emergencies that relate to cancer and look for them. You can always phone your friendly neighborhood oncologist for help, but recognition is the first step in management.   Best of luck on the test!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy January and 2020 everyone!!!   It’s time. It’s finally time! Ketamine and Propofol baby! The Coke and Pepsi of sedative agents. People love one and hate the other. When I ask ask for Ketamine, the pharmacist asks me, “Is Propofol OK?”    But in reality, there are pros and cons to both ketamine is superior and so we’ll discuss the manifold uses of these awesome sedative agents in the ED. Get your screenshot fingers ready because this episode has more EBM than you can shake a sparkly white glove at. The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy December, Happy 2019 and Happy 2010s!!! I'm sure the first thing you'll do to start the new decade is to listen to our podcast, but I'd encourage you to rest, count your blessing and set some goals for your year. THEN listen. We’ve been slowly making our way through procedural sedation in the ED this year and we’re finally to everyone’s favorite part: the drugs! With so many options and so many combinations, finding the right agent for your patient is like crafting the perfect New Year’s Eve cocktail. Everyone has their own preference: Some mix, some chase, some like it straight up. But however you like your cocktail, you need to know your elements. And you need to know how to use them responsibly. So as we close out this decade (how weird is that to say?!?!) let’s foray into the fundamentals of sedative drugs.  Have fun tonight, please drink responsibly, don’t drink and drive and have a happy New Year! The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy November everyone! We hope your Thanksgiving was wonderful, that your time off was long and your shifts were short.   This month we celebrate Dr. Peter Rosen who passed away earlier this month. Dr. Rosen was a great friend to our little podcast. Many organizations and institutions around the country will be memorializing him over the next several months and we would like to contribute our thanks as well. Please enjoy some excerpts from previous interviews with Dr. Rosen on this month’s episode. I hope his wisdom and love for EM will continue to inspire others for years to come. Of all the quotable lines from Peter, my favorite and the one that best encompasses his passion for EM and the people he mentored is how he signed every email. “Love, Peter.”  The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy October everyone! You know the EM stereotype about adrenaline junkies who love taking risks and shooting from the hip? Apparently, that kind of behavior can get you in trouble. Who knew? And when it comes to procedural sedation, it can get your patient in trouble. Safety is a huge concern with ED procedural sedation because it's easy to put a patient to sleep. The hard part is making sure they wake up. Several years ago ACEP came out with a clinical policy on procedural sedation to ensure that we not only keep our privilege to do sedation but that we show we can do it right. So this month, we comb through that policy and tell you everything you need to be certain you are prepped and ready to sedate. The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy September everyone! As the days get shorter and pumpkin spice infiltrates every part of our lives, we decided to talk about the closest thing we get to do in the ED to be master bakers and chefs: procedural sedation. A cup of propofol, a dollop of ketamine and a pinch of fentanyl all added to a heavy base of pre-procedure safety checklists is the perfect receipt for a happy, sleepy patient who will never remember the awful things we discussed regarding abscesses over the summer. Sedations are fun if done well. Done poorly, they're like pumpkin-spiced Spam (real product, can't make this stuff up). So we're starting from the beginning with the why, the who and the how on procedural sedation in the ED. The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy August everyone! We left off last month’s saga of purulence with an epic cliff hangar. Why do we try so many methods to get the pus out when cold, hard steel works best? PAIN! These things hurt! It’s the pain inflicted that makes use go from watching Dr. Pimple Popper in our spare time to picking up as many abdominal pains as possible to avoid the abscess I&D. So this month we end our series on abscesses with a discussion of how to get the pain controlled. I don’t have the best answer to this, but fortunately, we have several smarted and more experienced people who can give you their best advice on how to get the pus out and still feel like a decent human being afterwards. Plus our peer review on the entire series by UA alumnus Dr. Grant Roper so you can see how much we are consistent with the community and how much we are blowing smoke. The AZEMCast Team Peer Review by Dr. Grant Roper   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy July everyone! First off, welcome to the new interns here and around the country. This podcast is intended to be a supplement to your education and by NO MEANS is it enough to train you how to be a good doctor. Instead we hope to teach you the ways of evidence-based emergency medicine in a way that is practical and applicable to your next shift. Fortunately interns, you missed missed a rousing discussion on pilonidal and bartholin gland abscesses! But have no fear for there is still plenty of pus to discuss. This month we tackle the ins and outs of cutaneous abscesses or as they’re better known in the ED, “spider bites.” Not sure what poor spiders did to be confused with these awful boils. At any rate, these things are painful and full of purulent badness and it’s our job to get it out. This month we’ll discuss the good, the bad and the ugly methods of getting the pus out leading to a cliffhanger ending of what works best! To be continued . . . The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy June everyone! June is the end of an era for us in academics. We say goodbye to our seniors and welcome another crop of interns to the fold. To our seniors, thank you for your exceptional work over the years. We are proud to have worked with you and are excited to see what you accomplish in your careers. To our interns, welcome to the family. We are eager to work with you and see you transform into amazing emergency physicians. Ok, enough of the sappy melodrama, on to the pus. And not just any pus, this month we focus on the pus that dare not speak its name. The pus down below. Butt pus. From pilonidal cysts to perianal abscesses to bartholin gland abscesses, we cover the down and dirty of how to care for some serious infection in sensitive areas. We even sometimes manage to do it with a straight face and a professional demeanor! So strap on your face shields and breathe through your mouth for this month's episode of AZEMCast. The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy May everyone!   We conclude our saga of 90’s EBM nostalgia with a look at the recent PECARN article that proposes a new method for the evaluation of the febrile neonate. Dr. Chan Lowe and I continue the discussion with a deep dive into the study and a deep discussion of what it means for clinical practice. They always say you never want to be the first or the last to adopt new evidence into your practice. But this is a truly unique situation where a decades old paradigm of EM and pediatric practice is really made anew. Now that it’s out there, what are you going to do about it?   This and more on this month's AZEMCast.   The AZEMCast Team   Peer Review by Dr. Anna McFarlin   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy April everyone!   We interrupt our series of Skin and Soft Tissue Infections (right before the pus starts!) to bring you a timely review of neonatal fever. There is some great, exciting new research coming on our evaluation of febrile neonates to help us do the most for these kids with less. This is field that has had multiple breakthroughs in treatment but few changes in the evaluation for almost 25 years!    But before we bring out the new, we need a brief history lesson on why febrile neonates are traditionally so scary. Dr. Chan Lowe, Pediatrics hospitalist extraordinaire, joins us for a discussion of why we do the blood-urine-csf-antibiotics-admit dance for all these febrile neonates when most of them are viruses.    So, grab your hyper-color T-shirt and your Gameboy as we travel back to the 90’s to learn why you should take proceed with caution with febrile neonates.   The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy March everyone!   Did you listen to the last episode and say to yourself, “Wow, thanks for the great education on identifying SSTIs but you never told me what to do with them! So now I have an ED full of boarded SSTIs because it’s taken you a month to publish the part two on treatment and management!!!”   Ok, probably not, but it’s still worth a listen to this month’s episode on the treatment of SSTIs. In it, we highlight a great example of when guidelines clash with evidence and we decide to do whatever we want anyway. Are you a cephalexin fan or maybe you’re more a clindamycin aficionado. We pit the therapies against the evidence to help provide you the options you need to care for your patients.   So, empower yourselves with some knowledge and send your patients home with the right antibiotics and, more importantly, the right discharge instructions and return precautions.    The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy February everyone!   First, congrats to the residents who just finished their in-training exam!     Second, the four words every healthcare provider fears: Does this look infected? Is it oozing? Are you gonna send me a picture? Skin and soft tissue infections are a common complaint from patients and co-workers alike (ahem, Ryan) but it never looks like it does in the book. That’s why we have thrown out the book (doesn’t translate well on an audio podcast anyway) and gathered a panel of experts to discuss the diagnosis of the ITIS. With our typical AZEMCast taste and decorum, we discuss the fun part of staring at a stranger’s red skin and making a gues . . . I mean, diagnosis.   The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/  

Happy 2019 everyone! If the thought of taking the EM in training exam next month makes you want to vomit blood or gives you stress colitis . . .you really need to chill out. It’s just a test. But this month’s episode of GI bleed board prep may be pretty useful to you either way. Allie, Brian and I give you an alimentary tour from one end to the other discussing all the things that can make you bleed on your exam. Happy studying! The AZEMCast Team

 Happy December Everyone!   This month we decided to do a little cross promotion AND give ourselves a holiday break. So we decided to feature an episode of another podcast several of us are involved in called Paradigm Shifts for the National Foundation of Emergency Medicine. Dr. Peter Rosen and I interview up-and-coming academic emergency physicians to help highlight their research. Each episode focuses on three paradigm shifts that researchers hope you as providers will consider as their research starts to redirect their field of study. Very cool to hear the hope for the future of EM and you can listen to episodes at www.NFOEM.com/podcasts. Happy New Year from the AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy November everyone! If you're like me, you love Thanksgiving and you start drooling at the sight of turkey, stuffing, and pumpkin pie. However, if that drooling is associated with vomiting, miosis and altered mental status, then someone may have spiked your mashed potatoes. But have no fear because toxicologist extraordinaire, Dr. Frank Walter and his Advanced Hazmat Life Support wisdom is here to save the day from your cholinergic crisis. With tips, tricks and an abundance of compliments, Dr. Walter walks us through a real case of organophosphate toxicity complete with a literature review of the management. So have a second helping of atropine and enjoy this month's episode of AZEMCast. The AZEMCast Team   Peer Review by Dr. Brian Drummond   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy October Everyone!   With the dangers of pharyngitis covered last month, Brian and I have left the scariest sore throat of them all to now. It’s a disease that strikes without warning, leaves a wake of decimated organs behind it . . . but is pretty easily defeated by penicillin. The fearsome, the horrific . . . Strep Throat!    Ok, it’s not that exciting, but it is common. SUPER common. And everyone will ask you about it for the rest of your career. So are you gonna test? Are you gonna treat? Are you gonna take the time to talk to patients about what will actually make them feel better? That and more on this month’s episode of AZEMCast.   The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

 Happy September Everyone!   This month we are going back to simpler times and simpler complaints. Something I guarantee you  will be seen on every single shift for the rest of your life. The dreaded . . . SORE THROAT!!! And as boring as that topic may seem, it’s common and it’s fraught with pitfalls, perils and unsatisfied customers. For this month, to ease you into it, we start with the dangerous etiologies as we coast into the mundane in October.    All hot potato voices and stridor are impersonated . . . badly, The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/