Emergency Medicine Journal Club Cast

Happy Hazardous Holidays! This is our *belated* holiday special - filled with surprise new hosts, toxic ingestions, slips and falls (off the roof), and Christmas-tree-light filled ex laps. We hope you enjoy.

Vitals & Useful Links: Learn about one important etiology of epigastric pain (see spoilers below if you want to know which one - hint: We've covered a type of it before!) PulmCrit has a great post about it here (spoilers) In this episode, Jordan (PGY1.5) takes Kyle (PGY0) and Arman (PGY0) through a case of epigastric abdominal pain. We quickly get to the diagnosis, but the etiology and management are fascinating! As per usual, Nurse Barb and Jordan lay down some wisdom on the way the real world of medicine works. How would you approach this case? As always, we learn a couple of very important points about the epigastric abdominal pain. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about important management strategies for burn patients (see spoilers below if you want to know more) Podcast - EMCrit Episode on Burns (spoilers) emDOCs - Burns (spoilers) Brynne is back! According to one of our two iTunes reviews, she has been voted the best host of the podcast yet, so let's hope she lives up to her high standard. On this episode, Brynne (MS4), leads Arman (MS4), and Kyle (MS4) through a case of a burn patient who sounds eerily similar to our old eye pain patient from a few weeks ago....hmmmm suspicious. As always, we learn some important management strategies for burn patients from our favorite future surgical intern. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here's Brynne's article on Smoke Inhalation Injuries Toon, M. H., Maybauer, M. O., Greenwood, J. E., Maybauer, D. M., & Fraser, J. F. (2010). Management of acute smoke inhalation injury. Critical care and resuscitation, 12(1), 53. And here's her article on advances in burn care Ipaktchi, K., & Arbabi, S. (2006). Advances in burn critical care. Critical Care Medicine, 34(9), S239-S244. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one important etiology of fever & abdominal pain (see spoilers below if you want to know which one) EM Clerkship Podcast - Pediatric Abdominal Pain In this episode, Arman (MS4) takes Kyle (MS4) and Neil (MS3) through a case of worsening fever and abdominal pain that had already been previously been evaluated. Nothing is ever too simple in the world of pediatric emergency medicine! As always, Nurse Barb is moonlighting in the pediatric emergency room to guide our hosts to the appropriate management. How would you approach this case? As always, we learn a couple of very important points about the GU side of abdominal pain. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here is the article from Ultrasound Quarterly presented today: Cavorsi, K., Prabhakar, P., & Kirby, C. (2010). Acute pyelonephritis. Ultrasound Quarterly, 26(2), 103–105. https://doi.org/10.1097/RUQ.0b013e3181dc7d0b An article on pyelonephritis from the great site emDocs: http://www.emdocs.net/pyelonephritis-its-not-always-so-straightforward/ And of course - a great UpToDate article on complicated UTIs: https://www.uptodate.com/contents/acute-complicated-urinary-tract-infection-including-pyelonephritis-in-adults DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one important etiology of eye pain (see spoilers below if you want to know which one) EM Clerkship Podcast - Evaluating Eye Complaints EM Cases - Nontraumatic Eye Emergencies Welcome back from our extended break! Sometimes life just gets in the way and your one week break turns into a one month break, but the EMJC crew is back with a new guest and a very special case. This week, Kyle (MS4) leads Adam (MS3) and new guest Nikita (MS3) through a case of a young male with an eye complaint, all with the help of Arman (MS4) aka Nurse Barb. How would you approach this case? As always, we learn a couple of very important points about eye complaints. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here are the UpToDate articles we presented today: Uveitis etiology and Uveitis treatment  Here is an article on A Systematic Approach to Emergencies in Uveitis Al-Dhibi, H. A., Al-Mahmood, A. M., & Arevalo, J. F. (2014). A systematic approach to emergencies in uveitis. Middle East African journal of ophthalmology, 21(3), 251–258. https://doi.org/10.4103/0974-9233.134687 Here is an article on diagnosis and management of anterior uveitis Agrawal, R. V., Murthy, S., Sangwan, V., & Biswas, J. (2010). Current approach in diagnosis and management of anterior uveitis. Indian journal of ophthalmology, 58(1), 11–19. https://doi.org/10.4103/0301-4738.58468 DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about management and etiologies of a case of weakness and fatigue in an middle aged female EMCrit - Internet Book of Critical Care chapter on management of this patient's bradycardia Jordan is back! EMJCCast's favorite PGY1 (almost 2!) is here to lay down some knowledge with Kyle (MS4) and Arman (MS4) in this case of weakness and fatigue in a middle aged female. How would you approach this case? As always, we learn some important management strategies for a specific etiology of weakness & fatigue. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here is the ACLS Algorithm for management of bradycardia Liu, L. A., RN. (2019, December 19). ACLS bradycardia Algorithm. Retrieved March 15, 2021, from https://www.acls.net/acls-bradycardia-algorithm.htm Here is the AHA's article on management of symptomatic bradycardia American Heart Association. (2005). Part 7.3: Management of symptomatic bradycardia and tachycardia. Circulation, 112(24 suppl). EMCrit has a great brief chapter about bradycardia on the Internet Book of Critical Care here; Josh Farkas also covers why we should use epinephrine over atropine for initial management here Here's an article on non-occlusive MI & vasospastic angina Beijk, M. A., Vlastra, W. V., Delewi, R., van de Hoef, T. P., Boekholdt, S. M., Sjauw, K. D., & Piek, J. J. (2019). Myocardial infarction with non-obstructive coronary arteries: a focus on vasospastic angina. Netherlands Heart Journal, 27(5), 237-245. And a great approach to bradycardia in the ED from our favorite EM Clerkship DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about management and etiologies of a headache in pregnancy (see spoilers below if you want to find out which one) EM Clerkship Podcast - Headache EMJC is live in 3D! This week, before an intern boot camp class, Kyle (MS4) leads Charlie (MS4) and Arman (MS4) live and in-person* through a case of a woman presenting with a headache. Did we mention she was pregnant? How would you approach this case? As always, we learn some important management strategies for a specific etiology of headache. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *All participants have been vaccinated and were distanced during the show *****EPISODE SPOILERS BELOW***** Here's Kyle's Review Article on Migraines in Pregnancy Negro, A., Delaruelle, Z., Ivanova, T. A., Khan, S., Ornello, R., Raffaelli, B., ... & Mitsikostas, D. D. (2017). Headache and pregnancy: a systematic review. The journal of headache and pain, 18(1), 1-20. And a great approach to headache in the ED from EM Clerkship DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about management of a first time seizure (see spoilers below if you want to find out how) EM Clerkship Podcast - Seizure (spoilers) EM Clerkship Podcast - Status Epilepticus ACEP Clinical Policies - Seizure EMJC is back to our regularly scheduled episodes! This week Arman (MS4) leads Kyle (MS4) and Frankie (MS4) through a case of a woman presenting after a first time seizure. How would you approach this case? As always, we learn some important management strategies for seizures. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here's Arman's Article on Management of Status Epilepticus Glauser, T., Shinnar, S., Gloss, D., Alldredge, B., Arya, R., Bainbridge, J., Bare, M., Bleck, T., Dodson, W. E., Garrity, L., Jagoda, A., Lowenstein, D., Pellock, J., Riviello, J., Sloan, E., & Treiman, D. M. (2016). Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society. Epilepsy currents, 16(1), 48–61. https://doi.org/10.5698/1535-7597-16.1.48 Arman's Article on the ESETT Trial Cock, H. R., & ESETT Group. (2011). Established status epilepticus treatment trial (ESETT). Epilepsia, 52, 50-52. EM Cases - Management of Status Epilepticus DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Grab some roses and a heart shaped box of chocolates - it's the Valentine's Day Special! As is tradition we have a 3-part Valentine's Day Special episode featuring many of our previous guests! In this one Danny, Nate, and Taylor talk about glass, roses, and balconies. Join us to learn about some interesting and non-romantic Valentine's Day-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Danny, Abby, Nate, and Chris come together to talk all things love/romance/oral microbiome/foreign body related for this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from hickies to broken hearts. We also talk chocolate facts! We hope you enjoy this one, and stay tuned for future holiday episodes! If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Danny's Article: Ploner M, Gardetto A, Ploner F, Scharl M, Shoap S, Bäcker HC. Foreign rectal body - Systematic review and meta-analysis. Acta Gastroenterol Belg. 2020;83(1):61-65. Nathan's Articles: Mangat, P., & Jawad, A. S. (2007). A case of rose thorn tenosynovitis. Grand Rounds, 7, 16-17 Taylor's Articles: Davis D, Seaman TJ, Newton EJ. Calcaneus Fractures. [Updated 2020 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430861/ and this Radiopaedia article on calcaneal fractures DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Grab some roses and a heart shaped box of chocolates - it's the Valentine's Day Special! As is tradition we have a 3-part Valentine's Day Special episode featuring many of our previous guests! In this one Adam, Abby, and Chris talk about kisses, octopi/octopuses?, and cyanopia. Join us to learn about some interesting and non-romantic Valentine's Day-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Danny, Abby, Nate, and Chris come together to talk all things love/romance/oral microbiome/foreign body related for this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from hickies to broken hearts. We also talk chocolate facts! We hope you enjoy this one, and stay tuned for future holiday episodes! If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Adam's Article: Kort R, Caspers M, van de Graaf A, van Egmond W, Keijser B, Roeselers G. Shaping the oral microbiota through intimate kissing. Microbiome. 2014;2:41. Published 2014 Nov 17. doi:10.1186/2049-2618-2-41 Abby's Article: Bybee KA, Kara T, Prasad A, et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004;141(11):858-865. doi:10.7326/0003-4819-141-11-200412070-00010 Chris's Article: Yafi FA, Sharlip ID, Becher EF. Update on the Safety of Phosphodiesterase Type 5 Inhibitors for the Treatment of Erectile Dysfunction. Sex Med Rev. 2018;6(2):242-252. doi:10.1016/j.sxmr.2017.08.001 DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Grab some roses and a heart shaped box of chocolates - it's the Valentine's Day Special! As is tradition we have a 3-part Valentine's Day Special episode featuring many of our previous guests! In this one - Arman and Pranav talk about Cupid and high school! Join us to learn about some interesting and non-romantic Valentine's Day-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Danny, Abby, Nate, and Chris come together to talk all things love/romance/oral microbiome/foreign body related for this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from hickies to broken hearts. We also talk chocolate facts! We hope you enjoy this one, and stay tuned for future holiday episodes! If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Arman's Article: Benedetto U, Caputo M, Kosti A, et al. Cupid's arrow retained in the heart. J Thorac Dis. 2019;11(1):E1-E3. doi:10.21037/jtd.2018.12.12 Pranav's Article: Wu TY, Hsiao J, Wong EH. Love bites--an unusual cause of blunt internal carotid artery injury. N Z Med J. 2010;123(1326):112-115. Published 2010 Nov 26. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

On this episode of EMWIT, we talk about Match Week. We run through the Match Week schedule, SOAP, and the Match algorithm. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the different SLOEs. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com. Important Links Match Week Schedule Match Week Site How SOAP Works How the Match Algorithm Works Check out our website at www.emjccast.com Music: "Grainy Rock" by Lonely Coyote Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful! DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Continuing our EMJC spinoff series, EMWIT, we talk about a huge part of your EM residency application, the SLOE. We go over the E-SLOE, S-SLOE, and O-SLOE to give you all an idea of what you're being evaluated on as an EM applicant. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the different SLOEs. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com. Important Links CORDEM's 'SLOE 101' PowerPoint (we're sorry we don't have a direct link to the E-SLOE PDF) S-SLOE O-SLOE Check out our website at www.emjccast.com Music: "Grainy Rock" by Lonely Coyote Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful! DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one important etiology of abdominal pain (see spoilers below if you want to know which one) Podcasts: Abdominal Pain Basics (EM Clerkship), This Episode's Topic (EM Clerkship) *SPOILERS* EM Basic Show Notes: Female Abdominal Pain Recommendations for Management of This Episode's Topic *SPOILERS* In a big twist this week, we welcome our friend and future surgeon Brynne (MS4) to lead Arman (MS4) and Kyle (MS4) through a surgical emergency case. As always, we learn a couple very important points about one etiology of abdominal pain including some non-surgical interventions we can perform in the Emergency Room. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here's Brynne's article on Adhesive Disease in Abdominal Surgery Ten Broek, R. P., Issa, Y., van Santbrink, E. J., Bouvy, N. D., Kruitwagen, R. F., Jeekel, J., ... & van Goor, H. (2013). Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. Bmj, 347. Her Article on Small Bowel Obstruction Mullan, C. P., Siewert, B., & Eisenberg, R. L. (2012). Small bowel obstruction. American Journal of Roentgenology, 198(2), W105-W117. Another Article on Adhesive Disease Menzies, D., & Ellis, H. (1990). Intestinal obstruction from adhesions--how big is the problem?. Annals of the Royal College of Surgeons of England, 72(1), 60. Grading of Adhesive Disease Long-Term Prognosis After Operation for Adhesive Disease Risk of Adhesion Recurrence DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about how to manage pediatric head and neck trauma (see spoilers below if you want to know how) Pediatric Emergency Playbook Podcast - Blunt Head Trauma PEM ED Podcast - Clearing the Pediatric C-Spine EMJC's in-house gymnast graces us with his presence as Kyle (MS4) leads Arman (MS4) and Nathan (MS4) through a case of a child brought to the ED after a trampoline accident. How would you approach this case? As always, we learn a couple of very important points about pediatric trauma and injuries. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *****EPISODE SPOILERS BELOW***** Here's the article on PECARN Head Injury Algorithm Kuppermann, N., Holmes, J. F., Dayan, P. S., Hoyle, J. D., Atabaki, S. M., Holubkov, R., … & Pediatric Emergency Care Applied Research Network. (2009). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The Lancet, 374(9696), 1160-1170. Here's the PECARN C-Spine Paper Leonard, J. C., Kuppermann, N., Olsen, C., Babcock-Cimpello, L., Brown, K., Mahajan, P., … & Pediatric Emergency Care Applied Research Network. (2011). Factors associated with cervical spine injury in children after blunt trauma. Annals of emergency medicine, 58(2), 145-155. PECARN Algorithm - MD Calc Comparison of PECARN, CATCH, and CHALICE Ped EM Morsels Links: PECARN, Trampoline Injuries, and C-Spine Injuries Nexus Criteria - MD Calc DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one important etiology of anxiety and flu-like symptoms (see spoilers below if you want to know which one) emDOCs article on the etiology of this case (spoiler) Great inphographic on this case (spoiler) EMCRIT Internet Book of Critical Care Chapter on this case (spoiler) Clinical decision making tool (spoiler) Adam finally leads the guys through a case! The original EMJC crew is back together as Adam (MS3) leads Arman (MS4) and Kyle (MS4) through a case of a young male with anxiety, diarrhea, and "feeling warm". How would you approach this case? As always, we learn a couple of very important points about this constellation of symptoms and the treatment for this case. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *****EPISODE SPOILERS BELOW***** Here's Adam's review article on Serotonin Syndrome Volpi-Abadie J, Kaye AM, Kaye AD. Serotonin syndrome. Ochsner J. 2013;13(4):533-540. Case Report of Paroxetine Induced Serotonin Syndrome Hudd TR, Blake CS, Rimola-Dejesus Y, Nguyen T-T, Zaiken K. A Case Report of Serotonin Syndrome in a Patient on Selective Serotonin Reuptake Inhibitor (SSRI) Monotherapy. Journal of Pharmacy Practice. 2020;33(2):206-212. doi:10.1177/0897190019841742 Article on Demystifying Serotonin Toxicity Demystifying serotonin syndrome (or serotonin toxicity) Ai-Leng Foong, Kelly A. Grindrod, Tejal Patel, Jamie Kellar Canadian Family Physician Oct 2018, 64 (10) 720-727; DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one important etiology of chest pain and important workup details (see spoilers below if you want to know which one) Podcast: Approach to Chest Pain - EM Clerkship Podcast We're back! The EMJC crew is back together for Season 2 in 2021, bringing you more cases with better audio quality AND our recently launched website: emjccast.com. In our first episode back, Arman (MS4) leads Kyle (MS4), Pranav (MS4), and Pranav's clicky pen through a case of a female presenting with chest pain. How would you approach this case? As always, we learn a couple very important points about chest pain and some relevant diagnostics. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *****EPISODE SPOILERS BELOW***** Here's Arman's article on AKI after CT Aycock, R. D., Westafer, L. M., Boxen, J. L., Majlesi, N., Schoenfeld, E. M., & Bannuru, R. R. (2018). Acute kidney injury after computed tomography: a meta-analysis. Annals of emergency medicine, 71(1), 44-53. NS, LR, and sodium bicarb for preventing contrast-induced nephropathy Sodium Bicarb and Acetylcysteine to prevent AKI American College of Radiology and National Kidney Foundation consensus statement on IV contrast media use in CKD Prophylactic hydration to prevent contrast-induced nephropathy Vitamin D insufficiency in radiologists DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: “Walk Through the Park” by Track Tribe

Welcome to EM WIT - Emergency Medicine: What is That? In this EMJC spinoff series, we'll be addressing important topics that you should probably know about, but might not, and might be too afraid to ask. These episodes will all be 5-10 minute quick-hits on high yield topics such as this episode's topic - how to become an EM doctor. These won't be cased-based like the classic EMJC episodes you've come to know and love, but we think they will be just as helpful. In this episode we talk about the path to becoming an Emergency Physician, emphasizing the residency application process. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the ERAS residency application timeline and how to become and EM doctor. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com. Important Links ERAS Timeline (*this is slightly different for the 2020-2021 cycle*) How to Become and EM Physician Inside the Match Podcast Check out our new website at www.emjccast.com !!!!!! DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Music: "Grainy Rock" by Lonely Coyote Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful!

Vitals & Useful Links: Learn about an important etiology of syncope. See spoilers below if you want to know which one Podcast: Approach to Syncope - EM Clerkship Podcast Warning: this is not an educational episode (but it should be fun SURPRISE!) As 2020 comes to a close, we bring you our final episode of the year, officially ending our first season of EMJC Cast. Kyle (MS4) leads his college friends Ari, Conor, and Curtis, none of whom are medical students, through a case of a male presenting after a syncopal episode. Arman (MS4) helps out as Nurse Barb. We wanted to have some fun at the end of the year and see how some non-medical people can handle a medical simulation case, so this episode will be a lot less educational than others, but hopefully a bit more fun. A big thanks to Ari, Conor, and Curtis for joining us this week, and a bigger thanks to Nurse Barb (Arman) for putting up with them. How would you approach this case? As always, we learn a couple very important points about evaluating and treating syncope. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Kyle's Article on Early IV iron transfusions in the ED Beverina, I., Razionale, G., Ranzini, M., Aloni, A., Finazzi, S., & Brando, B. (2020). Early intravenous iron administration in the Emergency Department reduces red blood cell unit transfusion, hospitalisation, re-transfusion, length of stay and costs. Blood transfusion = Trasfusione del sangue, 18(2), 106–116. Article on Type and Screen vs Type and Cross DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: "Walk Through the Park" by Track Tribe

Thanks for listening to us in 2020 - Arman (MS4) and Kyle (MS4) talk about what's coming in 2021: New episodes of EMJC Cast A new minipodcast "EMWIT" A more variable release schedule as we move into residency

Vitals & Useful Links: Learn about an important etiology of seizures. See spoilers below if you want to know which one. Podcast: Approach to Seizures - EM Clerkship Podcast Clinical Reference: ACEP Clinical Guidelines on Seizures As 2020 comes to a close, we bring you our final episode of the year, officially ending our first season of EMJC Cast. We want to say a HUGE thank you to every single listener who has tuned in, especially our fan in Papua New Guinea, as well as to all of our cohosts who have joined us so far. In this episode full of twists and turns, Kyle (MS4) leads Arman (MS4), Abby (MS4), and Nathan (MS4) through a case of a male presenting with a chief complaint of "seizure". How would you approach this case? As always, we learn a couple very important points about evaluating and treating seizures. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *EPISODE SPOILERS BELOW* CIWA Assessment for Alcohol Withdrawal MD Calc is a great tool to use for the CIWA-Ar for Alcohol Withdrawal. Kyle's Article on Phenobarbital vs CIWA-Ar Protocol for Treatment of Alcohol Withdrawal Tidwell, W. P., Thomas, T. L., Pouliot, J. D., Canonico, A. E., & Webber, A. J. (2018). Treatment of alcohol withdrawal syndrome: phenobarbital vs CIWA-Ar protocol. American Journal of Critical Care, 27(6), 454-460. Kyle's Article on Single Dose Phenobarbital in the ED Rosenson, J., Clements, C., Simon, B., Vieaux, J., Graffman, S., Vahidnia, F., ... & Alter, H. (2013). Phenobarbital for acute alcohol withdrawal: a prospective randomized double-blind placebo-controlled study. The Journal of emergency medicine, 44(3), 592-598. EM Cases Podcast on Alcohol Withdrawal A great discussion of the diagnosis and management of alcohol withdrawal, including some talk about tongue tremors/fasciculations. Toronto Star Article on Tremor Evaluation App DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: "Walk Through the Park" by Track Tribe

Vitals & Useful Links: Learn about an important etiology of Altered Mental Status. See spoilers below if you want to know which one. Podcast: Approach to Altered Mental Status - EM Clerkship Podcast Clinical Reference: CDEM M4 Curriculum - Altered Mental Status This week Jordan is still with us to teach us some critical care medicine. Jordan is an EM intern who joins us to lead Kyle (MS4) and Arman (MS4) through a case of a woman who is brought to the hospital for altered mental status. How would you approach this case? As always, we learn a couple very important points about evaluating and treating AMS. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *EPISODE SPOILERS BELOW* Jordan's Article on Rapid BP Lowering in Acute ICH Anderson CS, Heeley E, Huang Y, Wang J, Stapf C, Delcourt C, Lindley R, Robinson T, Lavados P, Neal B, Hata J, Arima H, Parsons M, Li Y, Wang J, Heritier S, Li Q, Woodward M, Simes RJ, Davis SM, Chalmers J; INTERACT2 Investigators. Rapid blood-pressure lowering in patients with acute intracerebral hemorrhage. N Engl J Med. 2013 Jun 20;368(25):2355-65. doi: 10.1056/NEJMoa1214609. Epub 2013 May 29. PMID: 23713578. Intensive BP Lowering in Acute Cerebral Hemorrhage Qureshi AI, Palesch YY, Barsan WG, Hanley DF, Hsu CY, Martin RL, Moy CS, Silbergleit R, Steiner T, Suarez JI, Toyoda K, Wang Y, Yamamoto H, Yoon BW; ATACH-2 Trial Investigators and the Neurological Emergency Treatment Trials Network. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med. 2016 Sep 15;375(11):1033-43. doi: 10.1056/NEJMoa1603460. Epub 2016 Jun 8. PMID: 27276234; PMCID: PMC5345109. Frequency of Inverted T-Waves in Acute Strokes (Cerebral T-Waves) Stone, J., Mor-Avi, V., Ardelt, A., & Lang, R. M. (2018). Frequency of inverted electrocardiographic T waves (cerebral T waves) in patients with acute strokes and their relation to left ventricular wall motion abnormalities. The American Journal of Cardiology, 121(1), 120-124. EMDocs: ICH ECG Pointers Check out this site for a great case that walks through some of the pathophysiology of ICH as well as a discussion on Cerebral T-Waves DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: "Walk Through the Park" by Track Tribe

Vitals & Useful Links: Learn about an important etiology of abdominal pain. See spoilers below if you want to know which one. Podcast: Approach to Abdominal Pain - EM Clerkship Podcast and Nausea and Vomiting - EM Clerkship Podcast Clinical Reference: ACEP Clinical Guidelines on This Episode's Topic (*SPOILER ALERT*) This week we welcome a new host, Jordan, who has the honor of being EMJC's first MD on the podcast and brings us back to some EM basics. Jordan is an EM intern who joins us to lead Kyle (MS4) and Arman (MS4) through a case of a young woman with nausea, vomiting, and abdominal pain. How would you approach this case? As always, we learn a couple very important points about evaluating and treating abdominal pain, nausea, and vomiting. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *EPISODE SPOILERS BELOW* Jordan's Article on Antibiotic Therapy for Acute Appendicitis Salminen, P., Tuominen, R., Paajanen, H., Rautio, T., Nordström, P., Aarnio, M., ... & Virtanen, J. (2018). Five-year follow-up of antibiotic therapy for uncomplicated acute appendicitis in the APPAC randomized clinical trial. Jama, 320(12), 1259-1265. Surviving Sepsis Campaign Rhodes, A., Evans, L. E., Alhazzani, W., Levy, M. M., Antonelli, M., Ferrer, R., ... & Rochwerg, B. (2017). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive care medicine, 43(3), 304-377. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: "Walk Through the Park" by Track Tribe

Vitals & Useful Links: Learn about one etiology of lower GI bleeding. See spoilers below if you want to know which one. Podcast: Approach to GI Bleed - EM Clerkship Podcast Clinical Reference: Approach to Acute Lower GI Bleed This week the gang is back together to pay homage to Episode 1. Kyle (MS4) leads Arman (MS4) and Adam (MS3) through a case of an elderly male with bright red blood per rectum (bloody poops part 2). How would you approach this case? As always, we learn a couple very important points about evaluating GI bleeds. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *EPISODE SPOILERS BELOW* UpToDate Page on Radiation Proctitis Friedman, L., & Hong, T. (2019). Clinical manifestations, diagnosis, and treatment of radiation proctitis. In C. G. Willett (Ed.), UpToDate. Retrieved November 16, 2020. Here's the article on prophylactic sucralfate Hovdenak, N., Sørbye, H., & Dahl, O. (2005). Sucralfate does not ameliorate acute radiation proctitis: randomised study and meta-analysis. Clinical Oncology, 17(6), 485-491. And here's the article on sucralfate paste enemas McElvanna, K., Wilson, A., & Irwin, T. (2014). Sucralfate paste enema: a new method of topical treatment for haemorrhagic radiation proctitis. Colorectal Disease, 16(4), 281-284. Lastly, here's the article on hyperbaric oxygen therapy Clarke, R. E., Tenorio, L. C., Hussey, J. R., Toklu, A. S., Cone, D. L., Hinojosa, J. G., ... & Walker, M. B. (2008). Hyperbaric oxygen treatment of chronic refractory radiation proctitis: a randomized and controlled double-blind crossover trial with long-term follow-up. International Journal of Radiation Oncology* Biology* Physics, 72(1), 134-143. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: "Walk Through the Park" by Track Tribe

Vitals & Useful Links: Learn about one etiology of shortness of breath. See spoilers below if you want to know which one. Podcast: Approach to Shortness of Breath - EM Clerkship Podcast Clinical Reference: Community Acquired Pneumonia emDocs site This week Arman (MS4) leads Kyle (MS4) and Taylor (MS4) through a case of an adolescent male presenting with shortness of breath. How would you approach this case? As always, we learn a couple very important points about evaluating respiratory complaints. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *EPISODE SPOILERS BELOW* Here's Arman's article from today Layden, J. E., Ghinai, I., Pray, I., Kimball, A., Layer, M., Tenforde, M. W., ... & Haupt, T. (2020). Pulmonary illness related to e-cigarette use in Illinois and Wisconsin. New England Journal of Medicine, 382(10), 903-916. And here's an article on initial ventilator settings for critically ill patients Kilickaya, O., & Gajic, O. (2013). Initial ventilator settings for critically ill patients. Critical Care, 17(2), 123. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: "Walk Through the Park" by Track Tribe

Vitals & Useful Links: Learn about one etiology of tremors (and headaches). See spoilers below if you want to know which one. Podcast: Approach to Headache - EM Clerkship Podcast Clinical Reference: Approach to Tremors This week Nathan (MS4) leads Arman (MS4) and Kyle (MS4) through a case of a woman presenting with tremors. How would you approach this case? As always, we learn a couple very important points about evaluating tremors and other associated symptoms. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. *EPISODE SPOILERS BELOW* Here's Nathan's article from today Ibitoye, R. T., Wilkins, A., & Scolding, N. J. (2017). Neurosarcoidosis: a clinical approach to diagnosis and management. Journal of neurology, 264(5), 1023-1028. And here's the article our producer Bella mentioned Bihan, H., Christozova, V., Dumas, J. L., Jomaa, R., Valeyre, D., Tazi, A., ... & Cohen, R. (2007). Sarcoidosis: clinical, hormonal, and magnetic resonance imaging (MRI) manifestations of hypothalamic-pituitary disease in 9 patients and review of the literature. Medicine, 86(5), 259-268. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com. Intro Music: "Walk Through the Park" by Track Tribe

It's SPOOPY season!!! And to celebrate we have a 3-part Halloween Special featuring many of our previous guests and a few new ones! Join us to learn about some interesting and spooky Halloween-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Frankie, Danny, Abby, Charlie, Nathan, and (sort of) Chris come together to talk all things spoopy in honor of Halloween this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from pumpkin carving safety to demonic possession. We also talk pumpkin facts because who doesn't want to know more about pumpkins? Part 3 features Charlie, Nathan, and Chris presenting their topics, and Kyle sharing even more important pumpkin facts. We had a lot of fun making this 3-part series, and we hope you enjoy the final part of our Halloween episode. *EPISODE SPOILERS BELOW* Charlie's Articles: Ergot Toxicity and The Story of Ergot Garcia, G. D., Goff Jr, J. M., Hadro, N. C., O'Donnell, S. D., & Greatorex, P. S. (2000). Chronic ergot toxicity: A rare cause of lower extremity ischemia. Journal of vascular surgery, 31(6), 1245-1247. Bennett, J.W., & Bentley, R. (1999). Pride and Prejudice: The Story of Ergot. Perspectives in Biology and Medicine 42(3), 333-355. doi:10.1353/pbm.1999.0026. Nathan's Articles: Halloween Candy X-Rays and Razor Blade Ingestion Cappelle, C. A., Eberly, S., & Paul, R. I. (1993). Routine screening of Halloween candy: helpful or hazardous?. Annals of emergency medicine, 22(10), 1541–1544. https://doi.org/10.1016/s0196-0644(05)81255-7 Carius, B. M., Dodge, P. M., & Long, B. (2020). Sharp Object in the Belly: A Case of Pediatric Intentional Razor Blade Ingestion in the Emergency Department. Cureus, 12(4), e7699. https://doi.org/10.7759/cureus.7699 Chris's Article: Jack O'Lantern Mushroom Poisoning Vanden Hoek, T. L., Erickson, T., Hryhorczuk, D., & Narasimhan, K. (1991). Jack o'lantern mushroom poisoning. Annals of emergency medicine, 20(5), 559–561. https://doi.org/10.1016/s0196-0644(05)81617-8 Kyle's Articles: Pumpkin Seed Oil for Prostate Congestion and Pumpkin Seed Oil for BPH Mohammad, K. A. (2018). Oil extract for pumpkin seeds and its effectiveness on prostate congestion disease. Journal of Pharmaceutical Sciences and Research, 10(7), 1771-1773. Hong, H., Kim, C. S., & Maeng, S. (2009). Effects of pumpkin seed oil and saw palmetto oil in Korean men with symptomatic benign prostatic hyperplasia. Nutrition Research and Practice, 3(4), 323-327. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

It's SPOOPY season!!! And to celebrate we have a 3-part Halloween Special featuring many of our previous guests and a few new ones! Join us to learn about some interesting and spooky Halloween-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Frankie, Danny, Abby, Charlie, Nate, and (sort of) Chris come together to talk all things spoopy in honor of Halloween this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from pumpkin carving safety to demonic possession. We also talk pumpkin facts because who doesn't want to know more about pumpkins? Part 2 features Taylor, Frankie (and Noa), Danny, and Abby presenting their topics, and Kyle sharing some more important pumpkin facts. We hope you enjoy this, and stay tuned for Part 3! *EPISODE SPOILERS BELOW* Taylor's Articles: Demonic Possession and Nesrin Shaheen Article Radecki, R. P. Demonic Possession or Autoantibody-Mediated Encephalitis?. Shaheen, N. (2016, August 24). From Demonic Possession to Anti-NMDA Receptor Encephalitis. Retrieved October 25, 2020, from https://www.madinamerica.com/2016/08/not-so-rare-but-rarely-diagnosed-from-demonic-possession-to-anti-nmda-receptor-encephalitis/ Frankie's Article: A Real Life Werewolf? Hizli Sayar, G., Kağan, G., & Özten, E. (2014). Man transforming into wolf: A rare case of clinical lycanthropy. Danny's Article: "Here's Egg in Your Eye" Stewart, R. M. K., Durnian, J. M., & Briggs, M. C. (2006). “Here's egg in your eye”: a prospective study of blunt ocular trauma resulting from thrown eggs. Emergency medicine journal, 23(10), 756-758. Abby's Article: Zombie Outbreak Adams, A. J., Banister, S. D., Irizarry, L., Trecki, J., Schwartz, M., & Gerona, R. (2017). “Zombie” outbreak caused by the synthetic cannabinoid AMB-FUBINACA in New York. New England journal of medicine, 376(3), 235-242. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

It's SPOOPY season!!! And to celebrate we have a 3-part Halloween Special featuring many of our previous guests and a few new ones! Join us to learn about some interesting and spooky Halloween-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Frankie, Danny, Abby, Charlie, Nate, and (sort of) Chris come together to talk all things spoopy in honor of Halloween this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from pumpkin carving safety to demonic possession. We also talk pumpkin facts because who doesn't want to know more about pumpkins? Part 1 features Arman, Adam, and Pranav presenting their topics, and Kyle sharing some important pumpkin facts. We hope you enjoy this, and stay tuned for Parts 2 and 3! *EPISODE SPOILERS BELOW* Arman's Articles: Full Moon ED Volumes, Full Moon Motorcycle Mortality, and Full Moon Aneurysm Ruptures Thompson, D. A., & Adams, S. L. (1996). The full moon and ED patient volumes: unearthing a myth. The American journal of emergency medicine, 14(2), 161-164. Redelmeier, D. A., & Shafir, E. (2017). The full moon and motorcycle related mortality: population based double control study. bmj, 359. Banfield, J. C., Abdolell, M., & Shankar, J. S. (2017). Secular pattern of aneurismal rupture with the lunar cycle and season. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 23(1), 60–63. https://doi.org/10.1177/1591019916675632 Adam's Article: Pumpkin Carving Safety Marcus, A. M., Green, J. K., & Werner, F. W. (2004). The safety of pumpkin carving tools. Preventive medicine, 38(6), 799-803. Pranav's Articles: Superhero Costume Injuries, Comics vs Nursery Rhymes, and Halloween Pedestrian Traffic Fatalities Davies, P., Surridge, J., Hole, L., & Munro-Davies, L. (2007). Superhero-related injuries in paediatrics: a case series. Archives of disease in childhood, 92(3), 242–243. https://doi.org/10.1136/adc.2006.109793 Staples, J. A., Yip, C., & Redelmeier, D. A. (2019). Pedestrian Fatalities Associated With Halloween in the United States. JAMA pediatrics, 173(1), 101–103. https://doi.org/10.1001/jamapediatrics.2018.4052 Hammon, C. P. (1992). Dangerous comics--only a fantasy?. Praxis der Kinderpsychologie und Kinderpsychiatrie, 41(5), 184-188. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

The EMJC Cast Crew are on a quick break to prepare and submit their residency applications. Wish us luck, and we'll be back in no time!

Vitals & Useful Links: Learn about one important way to evaluate ankle injuries (see spoilers below if you want to know more) MD Calc: Ottawa Ankle Rules Clinical Reference: The Ottawa Ankle Rules, ft a great demonstration by Dr. Ian Stiell Podcast: EM Cases - Commonly Missed Ankle Injuries Fun Facts about Ottawa EMJC's October twist is MS2s! Let's learn about how to approach ankle injuries and a few fun facts about Canada along the way. This week Charlie (MS4) leads Arman (MS4), Kyle (MS4), and special guests Chris (MS2) and Vera (MS2) through a case of a stuntman-level ankle injury (and some poutine). How would you approach this case? As always, we learn a couple very important points about evaluating ankle injuries. You can check out a simple description of the Ottawa Ankle Rules at MD Calc, and here's a great reference with a video of Dr. Stiell performing the Ottawa Ankle Rule maneuvers. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *EPISODE SPOILERS BELOW* Here's one article we presented today Shell, I. G., Greenberg, G. H., McKnight, R. D., Nair, R. C., McDowell, I., Reardon, M., ... & Maloney, J. (1993). Decision rules for the use of radiography in acute ankle injuries: refinement and prospective validation. Jama, 269(9), 1127-1132. Here's a paper on the accuracy of the Ottawa Ankle Rules Bachmann, L. M., Kolb, E., Koller, M. T., Steurer, J., & ter Riet, G. (2003). Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. Bmj, 326(7386), 417. And don't forget about the effects of Lasix on shark rectal glands Kinne, R., & Kinne-Saffran, E. (1979). Effect of ‘loop diuretics' on the salt secretion in shark rectal gland. Mar. Ecol, 1, 129-132. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one important cause of lower extremity edema (see spoilers below if you want to know which one) Podcast: BNP for Diagnosis of Acute CHF - EM Cases Podcast, a great discussion of BNP in the diagnosis of CHF Clinical Reference: ACC Guidelines for Management of Heart Failure Time to learn about some puffy legs! This week Kyle (MS4) leads Arman (MS4) and Abby (MS4) through a case he had of a 56-year old male with a swollen legs. How would approach this case? As always, we learn a couple very important points about one etiology of lower extremity edema. You can check out a great discussion about the use of BNP in diagnosing CHF on the EM Cases Podcast, and here's a great reference for headaches from ACC's guidelines on CHF management. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *EPISODE SPOILERS BELOW* Here's the article we presented today Daniels, L. B., Clopton, P., Bhalla, V., Krishnaswamy, P., Nowak, R. M., McCord, J., ... & Abraham, W. T. (2006). How obesity affects the cut-points for B-type natriuretic peptide in the diagnosis of acute heart failure: results from the Breathing Not Properly Multinational Study. American heart journal, 151(5), 999-1005. Here's the ACC's Guideline on CHF Management Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Colvin, M. M., ... & Hollenberg, S. M. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Journal of the American College of Cardiology, 70(6), 776-803. How Salt Affects BNP Levels Morten Damgaard, Jens Peter Goetze, Peter Norsk, Niels Gadsbøll, Altered sodium intake affects plasma concentrations of BNP but not proBNP in healthy individuals and patients with compensated heart failure, European Heart Journal, Volume 28, Issue 22, November 2007, Pages 2726–2731. We briefly mentioned Lasix dosing in CKD, here's an article describing various dosage considerations Oh, S. W., & Han, S. Y. (2015). Loop Diuretics in Clinical Practice. Electrolyte & blood pressure : E & BP, 13(1), 17–21. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one important etiology of headaches (see spoilers below if you want to know which one) Podcast: Approach to Headaches – EM Clerkship Podcast Clinical Reference: ACEP Clinical Policies on Adult Headaches 2020 is the perfect year to learn about headaches! This week we have four hosts for our fourth episode, and two of our guests make first-time appearances. Kyle (MS4) leads Arman (MS4) , Nathan (MS4), and Danny (MS4) through a case he had of a 45-year old female with a headache presenting for a second time to the Emergency Room. How would approach this case? As always, we learn a couple of very important points about one etiology of headaches, and you can check out a great approach to headaches on the EM Clerkship podcast, and here's a great reference for headaches from ACEP's clinical policies. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here's one article we presented today Nesher, G., & Breuer, G. S. (2016). Giant Cell Arteritis and Polymyalgia Rheumatica: 2016 Update. Rambam Maimonides medical journal, 7(4), e0035 . And here's the other article presented Salehi-Abari, I. (2016). 2016 ACR revised criteria for early diagnosis of giant cell (temporal) arteritis. Autoimmune Dis Ther Approaches, 3, 1. Here's another great article on Temporal Arteritis Smetana, G. W., & Shmerling, R. H. (2002). Does this patient have temporal arteritis?. JAMA, 287(1), 92–101. A super interesting article on retinal migraines, which our lovely producer Bella found for us Al Khalili Y, Jain S, King KC. Retinal Migraine Headache. [Updated 2020 Jun 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan. DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong – if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: What do you do when your patient has very high blood pressure but no symptoms? Learn about some guidelines published by ACEP concerning just this presentation (see spoilers below) Blog: Elevated Asymptomatic Hypertension - Rebel EM ACEP 2013 Guidelines for Asymptomatic Hypertension Podcast: EM Cases - Asymptomatic Hypertension Arman (MS4) finally leads the cohosts, Kyle (MS4) and Adam (MS3), through a case he had of a woman with severely elevated blood pressure. How would approach this case? As always, we learn a bit about how to treat someone with hypertension in the Emergency setting, and what to watch out for. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here's the article we presented today Asymptomatic Elevated Blood Pressure. (2013, February). Retrieved September 14, 2020, from https://www.acep.org/patient-care/clinical-policies/asymptomatic-elevated-blood-pressure/ DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one etiology of upper abdominal pain (see spoilers below if you want to know which one) Podcast: Approach to Abdominal Pain - EM Clerkship Podcast Clinical Reference: Abdominal Pain - Summary from Rosen's (From EMDocs) We're back! Abby (MS4) leads Arman (MS4) and Kyle (MS4) through a case she had of a 64 year old man with abdominal pain starting that morning. How would approach this case? As always, we learn a couple very important points about one etiology of abdominal pain, and you can check out a great approach to abdominal pain on the EM Clerkship podcast, and here's a great reference for working up abdominal pain in the ED from EMDocs (it's a summary of Rosens - one of the great textbooks of EM). If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here's the article we presented today Greenberg JA, Hsu J, Bawazeer M, et al. Clinical practice guideline: management of acute pancreatitis. Can J Surg. 2016;59(2):128-140. doi:10.1503/cjs.015015 DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links: Learn about one etiology of peds bloody diaper/stool (see spoilers below if you want to know which one) Podcast: Approach to blood in the diaper - EM Clerkship Podcast Clinical Reference: Peds Bloody Stool - Peds EM Morsels What a way to start! Kyle (MS4) leads Arman (MS4) and Adam (MS3) through a case he had of a four month old girl with bloody diarrhea coming to the pediatric emergency room. How would approach this case? As always, we learn a couple very important points (like whether to send them home or not) about one etiology of peds bloody diarrhea, and you can check out a great approach to blood in a diaper on the EM Clerkship podcast, and here's a great reference for peds bloody stool in the ED from Peds EM Morsels. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com *****EPISODE SPOILERS BELOW***** Here's the article we presented today Wen, S. C., Best, E., & Nourse, C. (2017). Non-typhoidal Salmonella infections in children: Review of literature and recommendations for management. Journal of Paediatrics and Child Health, 53(10), 936-941. doi:10.1111/jpc.13585 DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

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