BuffEM Podcast

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Current literature and topic in emergency medicine carefully chosen from both emergency medicine and other specialty literature. The views and opinions expressed in this podcast are mine and do not reflect the opinions of my employers or group.

John McNamara


    • Aug 18, 2022 LATEST EPISODE
    • monthly NEW EPISODES
    • 19m AVG DURATION
    • 48 EPISODES


    Search for episodes from BuffEM Podcast with a specific topic:

    Latest episodes from BuffEM Podcast

    Buffalo Byte - Antibiotics in UTI

    Play Episode Listen Later Aug 18, 2022 3:49


    Quick Summary Antibiotic Prescribing for UTI - AJEM Review of an article looking at prescribing patterns for UTI, pyelo, and ASB in community EDs. 

    Buffalo Byte - Tetracaine for Corneal Abrasions

    Play Episode Listen Later Jul 18, 2022 2:15


    Quick Summary Tetracaine for Corneal Abrasions - Annals of EM Brief overview of Annals of EM article studying use of tetracaine for corneal abrasions.

    Buffalo Byte - Management of Colonic Diverticulitis

    Play Episode Listen Later Jun 18, 2022 11:42


    Quick Summary Management of Diverticulitis - BMJ Overview of Management of Diverticulitis - literature review from the BMJ and a look at various antibiotic strategies as recommended by UpToDate

    Buffalo Byte - Anaphylaxis Updates

    Play Episode Listen Later May 17, 2022 7:19


    Quick Summary Anaphylaxis Update Literature Review of the Resuscitation Council UK Evidence base update for treatment of anaphylaxis and study from Simard et al addressing factors impacting observation times in ED patients with anaphylaxis.

    Buffalo Byte - Procalcitonin and Febrile Neutropenia

    Play Episode Listen Later Mar 23, 2021 3:15


    Quick Summary Prognostic Value of Serum Procalcitonin Levels in Patients with Febrile Neutropenia A review of an article from JEM regarding the use of serum procalcitonin with or without MASCC score in patients with febrile neutropenia.

    Buffalo Byte - Management of Postabortion Complications

    Play Episode Listen Later Mar 16, 2021 7:15


    Quick Summary OB/GYN Review Article (Annals of EM) A brief summary of a review article detailing management of common postabortion complications in the ED.

    Buffalo Byte - Geriatric Ground Level Falls & Antiplatelets/Anticoagulants

    Play Episode Listen Later Mar 9, 2021 3:58


    Quick Summary Ground Level Falls & TBI - AAST Podium Paper A review of a paper from the Journal of Trauma and Acute Care Surgery evaluating impact of antiplatelet and anticoagulant medications on geriatric patients with ground level falls/head injury.

    Buffalo Byte - Endovascular Therapy +/- Alteplase for AIS

    Play Episode Listen Later Mar 2, 2021 4:54


    Quick Summary SKIP & DEVT Trials Overview on two recently published papers evaluating outcomes in patients with acute ischemic stroke undergoing mechanical thrombectomy with or without administration of alteplase.

    Buffalo Byte - ACEP Clinical Policy on CAP

    Play Episode Listen Later Jan 21, 2021 5:11


    Quick Summary ACEP Clinical Policy on CAP A review of the ACEP Clinical Policy on ED patients with CAP.

    Buffalo Byte - FAST & Pelvic Fracture

    Play Episode Listen Later Jan 14, 2021 3:34


    Quick Summary FAST & Pelvic Fracture - Literature A review of an article looking at the accuracy of FAST exam in patients with pelvic fractures.

    Buffalo Byte - Antibiotics for Appendicitis

    Play Episode Listen Later Jan 4, 2021 8:04


    Quick Summary Antibiotics for Appendicitis - Literature A review of the newest trial to evaluate antibiotics for the treatment of appendicitis (CODA collaborative) and comparison to the previous trial (APPAC).

    Buffalo Byte - Cerebral Venous Thrombosis

    Play Episode Listen Later Nov 23, 2020 7:58


    Quick Summary Cerebral Venous Thrombosis - Article A brief summary of a clinical review on Cerebral Venous Thrombosis

    Buffalo Byte - Low Dose Ketamine for Acute Pain

    Play Episode Listen Later Nov 16, 2020 2:45


    Quick Summary Low Dose Ketamine for Acute Pain in the ED - Article A look at an article in Academic Emergency Medicine comparing low dose ketamine and morphine for the treatment of acute pain in the ED (SRMA).

    Buffalo Byte - Ondansetron for Pediatric Gastroenteritis

    Play Episode Listen Later Nov 9, 2020 3:15


    Quick Summary Ondansetron for Peds Gastro - Article Review of article in Annals of EM regarding treatment of pediatric gastroenteritis with ondansetron with outpatient prescription

    Buffalo Byte - GI Cocktail

    Play Episode Listen Later Nov 2, 2020 2:09


    GI Cocktail Article GI Cocktail Quick Summary A look at an article in AEM regarding the use of lidocaine in a GI cocktail.

    Buffalo Byte - ED Thoracotomy

    Play Episode Listen Later Oct 26, 2020 3:01


    ED Thoracotomy Article ED Thoracotomy Quick Summary A look at an article on ED thoracotomy and factors associated with survival after ED thoracotomy.

    Buffalo Byte - ACEP Clinical Policy - Opioids in the ED

    Play Episode Listen Later Oct 19, 2020 5:09


    ACEP Clinical Policy Opioids in the ED Quick Summary Review of the ACEP Clinical Policy of Opioids in the Emergency Department.

    Buffalo Byte - IV Contrast and Kidney Disease

    Play Episode Listen Later Sep 29, 2020 4:40


    Contrast and Kidney Disease Article Contrast and Kidney Disease Quick Summary A look at the consensus statements from ACR and NKF regarding the use of IV contrast in patients with kidney disease.

    Buffalo Byte - Chemical versus Electrical Cardioversion

    Play Episode Listen Later Sep 22, 2020 2:48


    Cardioversion Literature Cardioversion Quick Summary A look at the RAFF2 trial comparing procainimide versus placebo followed by cardioversion for new onset afib.

    Buffalo Byte - Antibiotics for Nonpurulent Cellulitis

    Play Episode Listen Later Sep 15, 2020 3:34


    Antibiotics for Nonpurulent SSTI Literature Antibiotics for Nonpurulent SSTI Quick Summary Looking at education targeting standardized antibiotic therapy for nonpurulent skin and soft tissue infections

    Buffalo Byte - Cannabinoid Hyperemesis and Capsaicin Cream

    Play Episode Listen Later Sep 8, 2020 2:44


    Capsaicin Cream Literature CHS/Capsaicin Quick Summary An overview of CHS (Cannabinoid Hyperemesis Syndrome) and article on the use of capsaicin cream for relief of symptoms  

    Buffalo Byte - Pneumothorax Treatment

    Play Episode Listen Later Sep 1, 2020 3:56


    Pneumothorax Literature Pneumothorax Quick Summary A look at conservative (observation) vs chest tube placement for spontaneous pneumothorax.

    Buffalo Byte - Biomarkers and Respiratory Disease

    Play Episode Listen Later Aug 25, 2020 4:23


    Biomarkers Literature Biomarkers Quick Summary A look at the use of biomarkers in the diagnosis/treatment of CAP and AECOPD.

    Buffalo Byte - Current ICH Literature

    Play Episode Listen Later Aug 18, 2020 5:32


    ICH Literature ICH Quick Summary A look at three studies examining topics in traumatic ICH.

    Current Literature in Cardiac Arrest Resuscitation

    Play Episode Listen Later Mar 9, 2020 14:01


    Cardiac Arrest Literature Cardiac Arrest Quick Summary Overview of recent literature in both medical and traumatic cardiac arrest resuscitation.

    Buffalo Byte - Missed Serious Neurologic Conditions

    Play Episode Listen Later Mar 2, 2020 5:03


    Quick Summary Literature - Missed Serious Neurologic Conditions Summary of Annals of Emergency Medicine article on rate of missed serious neurologic conditions in patients presenting with headache or low back pain.

    Buffalo Byte - IDSA/ATS CAP Guidelines

    Play Episode Listen Later Feb 24, 2020 9:12


    Buffalo Byte - CAP Guideline Summary New format (trial period) - Buffalo Bytes with single paper reviews in a shorter podcast. This is a quick review of the IDSA/ATS CAP guidelines published in October.   

    October 2019 Podcast Summary

    Play Episode Listen Later Oct 31, 2019 8:53


    October Quick Summary   This is an MP3 of the rapid summary of the articles that was previously at the end of the main podcast, now separated for easier listening. 

    October 2019 Podcast

    Play Episode Listen Later Oct 31, 2019 56:20


    October Podcast Literature   OHCA - non shockable to shockable, Futile resuscitation rule, low risk pediatric trauma, delayed head trauma in kids, ibuprofen in fractures, WBC and nondiagnostic MRI/Ultrasound, Buddy taping vs casting for boxer fractures, Hospitalization for syncope, outpatient PE and DVT treatment, Expired narcan, Multiple intubations and mortality, ACEP Clinical Policy on Headache, Helicopters for trauma patients, Imaging in renal colic, Hospital revisits, Postdischarge care, Crowding and impact on mortality

    June 2019 Podcast

    Play Episode Listen Later Jul 17, 2019 34:53


    June 2019 Podcast Literature June 2019 Podcast Quick Summary Blunt Thoracic trauma and Low Dose CT, Delayed Naloxone for Opiate Overdose, Thunderclap Headache Management, VAD Devices, SECURE Trial, Vasopressors in Cardiac Arrest, Missed Scaphoid fractures, Closed Compressions for Hemorrhagic Cardiac Arrest, Time Sensitive Prehospital Trauma Patients

    May Podcast

    Play Episode Listen Later May 28, 2019 33:41


    May Quick Summary May Podcast Articles EM pharmacists and antibiotics, Sux and hyperkalemia, TXA vs Packing for Epistaxis, TXA for epistaxis (meta-analysis), Glucagon and Food Impaction, Extraglottic Device Management, EXTEND Trial, Early vs Delayed Cardioversion for Afib, Coronary Angiography after Cardiac Arrest, POCUS and Kidney Stones, Rescue sedation in the ED, Esophageal Foreign Bodies - A Clinical Review

    April Podcast

    Play Episode Listen Later May 14, 2019 42:45


    April Quick Summary April Podcast Articles IDSA for UTI, EcLiPSE/ConSEPT, Propofol Sedation in the ED, Muscle Relaxants and Back Pain, HTS/Mannitol via PIV, Acute Compartment Syndrome, C-Collars and ICP, Antivirals for Bell's, Andexanet Alfa, TXA for Head Trauma,  Stress Testing after the ED

    February and March Podcast

    Play Episode Listen Later Apr 2, 2019 29:39


    February and March Quick Summary February and March Podcast Articles   Ondansetron in pediatric n/v/d, Chest CT for elderly rib fractures, Management of Infectious Diarrhea, Antibiotics for elderly UTI, BVM during intubation, Blunt Thoracolumbar trauma evaluation, Gender and NSTEMI treatment, Predictors of Antibiotic Failure in Nonpurulent SSTI, Safety of PERC + YEARS in Patients with Low Probability of PE, POCUS for RD in the ED, Oral vs IV Antibiotics for Bone & Joint Infection, Impact of Scribes in the ED, EtO2 Monitoring to Assess Preox in ED RSI, Burnout in EM Residents, Predicting SBI in Febrile Infants < 60 days old.

    January Podcast

    Play Episode Listen Later Feb 1, 2019 39:12


    January Quick Summary January Podcast Articles Pediatric ApOx, Metoprolol vs Dilt for Afib in HF patients, Premedication for Adults with Ketamine sedation, Early IV fluids by EMS and sepsis mortality, Prehospital Sepsis Alerts, C-spine clearance with distracting injuries, Pediatric FAST for solid organ injury, Financial conflicts with stroke guidelines, and the HOUR rule for opioid overdoses.

    December Podcast

    Play Episode Listen Later Jan 8, 2019 35:22


    December Quick Summary   December Podcast Articles   Overview of infectious disease response and measles, honey for cough in kids, ultrasound for ETI confirmation, Imaging for PE in pregnancy, Prehospital identification of stroke, ILCOR - Antiarrhythmics for cardiac arrest, Dimer in Adolescent PE, Hyperkalemia treatment in the ED, Evaluation and Management of SBO in the ED

    November Podcast

    Play Episode Listen Later Nov 20, 2018 30:39


    November Quick Summary   November Podcast Articles   Guidelines for pancreatitis management, C-Spine Trauma and Distracting Injuries, Pediatric FAST exams, Vertebroplasty...or not, Prophylactic Antibiotics for COPD, CHF Management, Bleeding - antiplatelets vs anticoags, Non-STE-ACS, POCUS before Transabdominal Pelvic Ultrasound in Pediatric Females, Hyperpronation (FTW) in Nursemaids elbow

    October Podcast

    Play Episode Listen Later Oct 22, 2018 43:23


    October Quick Summary October Articles CCR by triage nurses, IM sedation in the ED, Orthostatic VS ???, Intranasal vasoconstrictors effect on BP, Antibiotics for Appendicitis ?, Single dose vs 7 day dose metronidazole for Trichomoniasis, Vanc/Zosyn and AKI, "Occult" PTX and HTX and management, Nebulized TXA for Secondary Post-Tonsillectomy Hemorrhage, IV Lidocaine for Renal Colic, Rural Level III Centers in a trauma system, Ground vs Flight RSI (EMS), Procedural Sedation - Consensus Practice Guideline

    September Podcast

    Play Episode Listen Later Sep 21, 2018 44:41


    September Quick Summary September Podcast Articles   Abscess I&D with POCUS, Dilaudid vs IV Tylenol for pain, Coronary CTA for Chest Pain, 2018 Surviving Sepsis Guidelines, Low Acuity Visits, AIRWAYS-2, Effect of Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults with OHCA, Infectious Endocarditis, ARRIVE trial, MRI for Appendicitis in kids/pregnant patients, UTI in Renal Colic, PE in AECOPD, Macrolide Resistance in CAP in the ED, Dripped lidocaine for Mucosal Lacerations, and ED Patients with Advanced Directives in the ICU

    August Podcast

    Play Episode Listen Later Aug 21, 2018 35:02


    August Quick Summary August Podcast Articles   ED patients with low acuity patients in ambulances, Epi in OHCA, Patients presenting with elevated BP, Biphasic anaphylaxis, The word 'quiet' ?, Probiotics and C. diff, Spinal Motion Restriction in the trauma patient, Bup vs clonidine, Outpatient PE management, NIPPV for COPD, POCT in the ED, and Management of Hyperkalemia

    July 2018 Podcast

    Play Episode Listen Later Jul 23, 2018 59:32


    Pelvic exams and STIs, Non-operative vs operative management of hip fractures, Tamsulosin for kidney stones, NG tube decompression for SBO, Procedural sedation with one vs two physicians, CXR in everyone with chest pain ? , Fluids and Pediatric DKA, NIPPV + NC, PRISMS trial - alteplase vs aspirin, ESBL UTI, Bicarb in the ICU, Backboards and imaging, SVT and troponin leak, Pediatric pneumonia, Lactate after HD, Tetracaine for corneal abrasions, fixed dose vs weight based PCC, ED Urgent Care transfers, Diplopia in the ED   Quick Summary   July 2018 Articles

    June 2018 Podcast

    Play Episode Listen Later Jun 14, 2018 68:51


    Quick Summary attached (click PDF link for access)   Literature for Download    Bougie for First-Attempt Intubation success, Sux vs Roc for RSI, NBMA and effects on tracheal intubation success/outcomes, Risk of CVA and TIA with resolved afib, TNkase vs Alteplase before thrombectomy for stroke, MRI-Guided Thrombolysis for stroke with unknown onset, TXA for ICH, Vertebroplasty vs Sham procedure for compression fractures, Prehospital Spinal Immobilization for Penetrating trauma, Analysis of ED to ED transfers for traumatic injury, Allergic-like contrast reactions in the ED, Strep pharyngitis clinical mimics, IO vs IV Access in cardiac arrest and effect on mortality, Managing peripheral facial palsy, Approach to the Agitated ED patient, UDS and ED Psychiatric patients, Protocolized Lab screening for medical clearance of psych patients

    May 2018 Podcast

    Play Episode Listen Later May 18, 2018 37:50


    Drunk or something worse, BEST AF - optimal joules for cardioversion, ondansetron prophylaxis with opioid therapy, high risk features for aortic dissection, Lactate for prognostication in overdose, ACEP Clinical Policy for suspected VTE, ABI & physical exam for penetrating extremity trauma, Needle aspiration vs chest tube for spontaneous ptx, steroids vs NSAIDs for gout, EKG predictors for badness in older adults with syncope, coronary angio for patients with OHCA without STEMI, HEMS vs GEMS - who benefits, Optimal duration of steroids in COPD exacerbations, and value of the pupillary light reflex after OHCA

    April 2018 Podcast

    Play Episode Listen Later Mar 24, 2018 51:01


    Opiates vs nonopiates for chronic arthritic pain, TXA for epistaxis in patients taking antiplatelet drugs, clinical bundles to reduce hypoxia in prehospital intubation, peripheral catheters in the ED (really needed?), flecainide for chemical cardioversion of AF, HEMS for head trauma patients, treatment of Cannabinoid hyperemesis syndrome, ACEI induced visceral angioedema, Prehospital EtCO2 and mortality, detecting critical illness in drunk patients, Opioid prescribing in the ED, Naproxen with or without muscle relaxants for acute low back pain, reviews of TIA and sudden onset headache evaluation and management in the ED.

    March 2018 Podcast

    Play Episode Listen Later Mar 10, 2018 67:32


    March 2018 - NS vs balanced crystalloids for resuscitation, inhaled isopropyl alcohol vs zofran for nausea, ED central line CLABSI, CT for abdominal injury, PROPER trial, Bactrim for UTI, Suboxone vs Naltrexone for opioid relapse, clearing the c-spine in an intoxicated patient, trauma teams and undertriage, steroids for septic shock, DEFUSE 3 - thrombectomy in stroke, MI after influenza, Abdominal injuries in kids, Palliative care symptom management, Treating hyperglycemia in the ED, Interruptions in the ED, Ectopic pregnancy - myths and tips, Bactrim for skin abscesses after I&D, MRI for c-spine clearance, Steroids for urticaria, Stroke alerts in the ED

    Deeper Dive - Prehospital Medicine

    Play Episode Listen Later Mar 10, 2018 12:59


    Headaches - Deeper Dive

    Play Episode Listen Later Mar 10, 2018 11:38


    Review of current literature in headache management

    April 2017 Podcast

    Play Episode Listen Later Mar 10, 2018 24:43


    April 2017 Podcast

    February 2017

    Play Episode Listen Later Mar 10, 2018 22:33


    February 2017 Podcast

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