Rural Emergency Medicine Podcast

In this episode we discuss using thrombolytics for treatment of STEMI when prompt cardiac catheterization is not available. We discuss the risk, benefits, indications, and contraindications of this therapy.

In this episode we have guest speaker, Dr. Alycia Valente. She discusses how to apply the basic principles of ethics to situations commonly encountered in the Emergency Department.

In this episode we discuss how to improve compliance with the sepsis core measures (SEP-1).

This is a discussion with Shad Saunders about orbital compartment syndrome and the need to perform lateral canthotomy in the Emergency Department.

We discuss how to recognize psychosis in the Emergency Department. Psychosis is not just a single symptom, but a mix of potential symptoms each of varying intensities. This can be subtle and difficult to miss. We also discuss how important the collateral history from family and friends is during the evaluation period. We discuss that it is beneficial to call the mental health provider for further information as well.

In this episode we review our experience with Ketamine for depression and which patient population we have seen a benefit.

This is a discussion of complete heart block and the management in the Emergency Department. We discuss external pacing, temporary transvenous pacing, medications, and transfer considerations.

Guest lecturer, Tricia Swan, is a pediatric emergency physician. She discusses the treatment and diagnosis of bronchiolitis.

This is a discussion on how to approach discharge instructions for patients

This is a rapid fire discussion of multiple tips to help the emergency provider better patient care more efficiently.

This is a discussion with a toxicologist about a case of serotonin syndrome.

This is a discussion with Dr. Kenneth Bernard, an emergency physician working on a Native American reservation in Arizona. We discuss the First Annual Native America and Rural Emergency Medicine Conference. We also discuss a case of necrotizing fasciitis and a minimally invasive procedure that can aid in the diagnosis of this condition.

This is a discussion on the CT head decision rule for pediatric head trauma.

This is a discussion on current treatment recommendations for alcohol withdrawal syndromes.

In this episode, we have a psychiatrist, Dr. Heacock, discuss using ketamine to help reduce suicidality.

We interview Scott Phillips, a board certified toxicologist. He discusses how to approach the toxicology patient and discusses an overdose case. 

This episode we have two segments. The first is a discussion of using an IO drill for skull trephination for epidural hematoma. The second segment is a discussion with a clinical psychiatrist on the topic of suicidal patients in the Emergency Department.

This is a discussion with Tadd Ferguson, a physician at a tertiary care center who receives multiple patient transfers from smaller hospitals. We his point of view on transfers as well as his ideas on how to improve patient transfers to other hospitals.

This is a discussion about ideas we have had and how we have managed multiple critical patients with limited resources.

We discuss cases and difficulties faced while transporting patients to another hospital.

This is a case discussion of a lodged esophageal button battery in a pediatric patient. This was complicated by inability to transport to the nearest pediatric endoscopist. We discuss typical management of a lodged esophageal button battery and how this case was managed.

This is a case presentation of a precipitous delivery complicated by shoulder dystocia. This discusses multiple options to manage shoulder dystocia. This podcast is geared toward the emergency provider, specifically those in a rural emergency department.