Podcasts about aliem

The Emergency Medicine (EM) Match process continues to evolve, with the specialty experiencing significant shifts in recent years. In this 47th installment of the EM Match Advice podcast series, Dr. Sara Krzyzaniak (Stanford EM PD) hosts the annual program director reflection on the Match with Dr. Abra Fant (Northwestern EM PD), who returns for her fourth consecutive year to share insights on the NRMP Match trends and data.  Podcast sound engineer: Dr. Kaitlin Bowers https://www.ALiEM.com/em-match-advice-47-2025-em-match-by-the-numbers/

As interview season wraps up, medical students across the country are preparing their rank lists for the upcoming Match. EM Match Advice podcast host, Dr. Sara Krzyzaniak (Stanford EM Program Director) recently sat down with Dr. Melissa Parsons (University of Florida College of Medicine - Jacksonville EM Program Director), to discuss the match process from both program and applicant perspectives. https://www.ALiEM.com/em-match-advice-46-program-directors-share-match-season-insights/ Podcast sound engineer: Dr. Kaitlin Bowers

Dr. Sara Kryzyzaniak (EMMA Podcast Host and Stanford EM Program Director) gives an early heads-up for senior EM medical students who are applying to the 2025-26 residency match. There have been some key updates in the Electronic Residency Application Service (ERAS) rules for the MyERAS application form.  https://www.ALiEM.com/em-match-advice-45-2024-eras-updates/

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Jessica Bod (Yale EM Clerkship Director) who gives thoughtful and thought-provoking insights into the EM sub-intern clerkship. What if you decide to pivot into EM relatively late in your medical school career? What should I be thinking about after the clerkship?  https://www.ALiEM.com/em-match-advice-44-sub-internship-clerskhip/ 

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Abra Fant (Northwestern PD) to reflect on the 2024 Match, after last year's shockingly high number (554) of unfilled positions in the match. We discuss our updated table of match metrics and help provide some context, especially as we look to the future. https://www.ALiEM.com/em-match-advice-43-program-directors-reflect-2024-match/  

Smells can be nostalgic, but can they be antiemetic?   Check out the ALIEM page   Check out the Paper Mentioned Veldhuis, P., Melse, M. & Mullaart, N. Implementation of isopropyl alcohol (IPA) inhalation as the first-line treatment for nausea in the emergency department: practical advantages and influence on the quality of care. Int J Emerg Med 14, 15 (2021). https://doi.org/10.1186/s12245-021-00334-z    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

Michelle Lin MD is the Founder and CEO of AliEM. She is a Professor and Digital Innovation Lab Director in the Department of Emergency Medicine at the University of California, San Francisco ALiEM started out as an educational blog in 2009 for Dr. Michelle Lin to store Tricks of the Trade notes, has now evolved into an umbrella organization, housing online educational platforms and virtual communities. Our dynamic, globally distributed team continues to grow now with over 100 volunteer members, comprised of physicians, residents, students, pharmacists, nurses, and paramedics. We value dedication and creativity over experience and welcome all like-minded torchbearers in healthcare. Books Michelle suggests: Flash Foresight by Daniel Burrus and John David Mann [Amazon] Radical Candor by Kim Scott [Amazon] Rest by Alex Soojung-Kim Pang [Amazon] Speed of Trust by Stephen M.R. Covey [Amazon] Steal Like an Artist by Austin Kleon [Amazon]The One Thing by Gary Keller and Jay Papasan [Amazon]

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by the Dr. Abra Fant (Northwestern PD) and Dr. Richard Church (University of Massachusetts PD) to debrief each other and you with what went down with the unprecedented results from 2023 EM Match. There were 132 programs with a total of 554 (18.4%) positions that went unfilled. Contrast that to our usual unfilled rates of 0-30 positions in 2015-2021. We review "The Slide" with all the numbers from the National Resident Matching Program (NRMP) from the past few years. We propose reasons why there were so many unfilled positions in 2023. What does this mean for the upcoming 2024 Match? Show notes and tables at: https://www.ALiEM.com/em-match-advice-40-program-directors-reflect-2023-match/ Audio engineer: Kellen Vu

Michelle Lin MD is the Founder and CEO of AliEM. She is a Professor and Digital Innovation Lab Director in the Department of Emergency Medicine at the University of California, San Francisco ALiEM started out as an educational blog in 2009 for Dr. Michelle Lin to store Tricks of the Trade notes, has now evolved into an umbrella organization, housing online educational platforms and virtual communities. Our dynamic, globally distributed team continues to grow now with over 100 volunteer members, comprised of physicians, residents, students, pharmacists, nurses, and paramedics. We value dedication and creativity over experience and welcome all like-minded torchbearers in healthcare. Books Michelle suggests: Flash Foresight by Daniel Burrus and John David Mann [Amazon] Radical Candor by Kim Scott [Amazon] Rest by Alex Soojung-Kim Pang [Amazon] Speed of Trust by Stephen M.R. Covey [Amazon] Steal Like an Artist by Austin Kleon [Amazon]The One Thing by Gary Keller and Jay Papasan [Amazon]

Is a Katz extractor an easier way to remove a nasal foreign body?  And is it worth it?    Check out this post from the Academic Life in Emergency Medicine.  Beylin M. Trick of the Trade: Nasal foreign body removal using foley catheter.  ALIEM.  Mar 29 2014 https://www.aliem.com/trick-trade-nasal-foreign-body-removal-using-foley-catheter/   Check out this article on the parental kiss from the AFP Handi project team, Australian Family Physician.  Volume 42, Issue 5, May 2013 https://www.racgp.org.au/afp/2013/may/mothers-kiss   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor

Michelle Lin MD is the Founder and CEO of AliEM. She is a Professor and Digital Innovation Lab Director in the Department of Emergency Medicine at the University of California, San Francisco ALiEM started out as an educational blog in 2009 for Dr. Michelle Lin to store Tricks of the Trade notes, has now evolved into an umbrella organization, housing online educational platforms and virtual communities. Our dynamic, globally distributed team continues to grow now with over 100 volunteer members, comprised of physicians, residents, students, pharmacists, nurses, and paramedics. We value dedication and creativity over experience and welcome all like-minded torchbearers in healthcare. Books Michelle suggests: Flash Foresight by Daniel Burrus and John David Mann [Amazon] Radical Candor by Kim Scott [Amazon] Rest by Alex Soojung-Kim Pang [Amazon] Speed of Trust by Stephen M.R. Covey [Amazon] Steal Like an Artist by Austin Kleon [Amazon] The One Thing by Gary Keller and Jay Papasan [Amazon]

In this episode of EM Match Advice, our new host, Dr. Sara Krzyzaniak (Stanford University), already has her finger on the pulse on the 2022-23 EM residency application season. Hot off the presses, the Council of EM Residency Directors just released its Standardized Letter of Evaluation (SLOE). We are honored to have CDEM president, Dr. Sharon Bord (Johns Hopkins University) and Dr. Doug Franzen (University of Washington), walk us through the document and the behind-the-scenes thought processes. Co-host: Dr. Michelle Lin (UCSF); sound Engineer: Kellen Vu https://www.ALiEM.com/em-match-advice-38-our-2-cents-sloe-standardized-letter-of-evaluation

In this episode of EM Match Advice, our panel tackles the hot topic of making your rank list for residency match, which includes the shocking news of so many SOAP positions this year (over 200!) as well as the upcoming preference signaling being employed in the 2022-23 Match season. In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an all-star panel of 3 program directors, Dr. Sara Krzyzaniak (Stanford University), Dr. Abra Fant (Northwestern University), and Dr. Bonnie Kaplan (Denver Health). Sound Engineer: Kellen Vu Go to the EM Match Advice blog posts on ALiEM.

Join us in the sixth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is New Rules of Work: The Muse Playbook for Navigating the Modern Workplace by Alexandra Cavoulacos and Kathryn Minshew. Come sign up! https://www.aliem.com/leaders-library-new-rules-of-work-sign-up-book-club/

Join us in the fifth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is KEEP GOING by Austin Kleon. Come sign up! https://www.aliem.com/leaders-library-keep-going-sign-up-book-club/

ALiEM podcast host, Dr. Dina Wallin, chats with author Dr. Jacqueline Grupp-Phelan about her recent PECARN publication "Prospective Development and Validation of the Computerized Adaptive Screen for Suicidal Youth" In JAMA Psychiatry 2021. Read more: https://ALiEM.com/computerized-adaptive-screen-for-suicidal-youth-cassy-study Edited by Podcast Engineer: Kellen Vu

Dr. Meltzer discusses concussion assessment with Dr. David Levine and Dr. Will Denq. Dr. Levine is a practicing Emergency Medicine Physician and Regional Medical Director who also works directly with many companies across the county, focusing on utilizing technology to aid and improve the daily operations of clinical teams. Dr. Denq is clinical assistant professor of emergency medicine at University of Arizona . Dr. Denq (pronounced Den) specializes in sports medicine. He also is an active blogger and has created an entire video series on EM ortho splinting on ALiEM. He is active in event medicine, including for the U.S. Ski and Snowboard teams. Sponsored by BrainScope: a medical neurotechnology company that is improving brain health by providing objective, diagnostic insights that enable better patient care. The company’s BrainScope® device is the only FDA-cleared, portable, EEG-based platform that empowers physicians to quickly make accurate mild traumatic brain injury assessments. https://www.brainscope.com/

Join us in the fourth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is THE POWER OF MOMENTS by Chip and Dan Heath. Come sign up! https://www.aliem.com/the-leaders-library-power-of-moments/

Here is the JournalFeed Podcast for the week of May 25-29, 2020. We cover severe Kawasaki-like illness in children related to COVID-19, anaphylaxis guidelines for 2020, NT-proBNP + Canadian Syncope Rule, best practices for academic medicine remote work, and the FRESH RCT.

Tranexamic acid (TXA) is a synthetic lysine derivative that binds with the lysine site on plasminogen, inhibits fibrinolysis and stabilizes clot. While it has been around since the 1960's, its popularity for major trauma has gained a lot of steam in recent years. This has also resulted in creative emergency providers finding novel uses for it at the bedside. In this podcast, Dr. Tim Fallon discusses some of the more novel bedside uses of TXA including epistaxis, hemoptysis, post tonsillectomy bleeding, and dental trauma. Click Here for the Show Notes on Downeastem.org References Zahad, R. A new and rapid method for espistaxis treatmetn using injectable form of tranexamic acid topically: a randomized controlled trial. AJEM. 31 (2013)1389-1392.[Pubmed] Wand, O. Inhaled Tranexamic Acid for Hemoptysis Treatment. Chest. 2018; 154(6):1379-1384.[Pubmed] Schwarz, W. Nebulized tranexamic Acid Use for Pediatric Secondary Post-Tonsillectomy Hemorrhage. Annals of Emerg Med. in Press. [Pdf] Dietrich, S. Trick of the Trade: Topical Tranexamic Acid Paste for Hemostasis. ALiEM. https://www.aliem.com/category/clinical/tricks-of-the-trade/ Mason, J. Epistaxis TXA Pack. EMRAP HD. May 2018 Rezaie, S. TXA for Everyone: Inhaled TXA for Hemoptysis. RebelEM. Rezaie, S. Topical Tranexamic Acid for Epistaxis or Oral Bleeds. RebelEM

Bem vindos hóspedes, à Estalagem Nerd ! Nesse episódio, trazemos até vocês 1917 ! Falaremos sobre o filme 1917, e também um pouco da Primeira Guerra Mundial! Aliem-se conosco e vamos pras trincheiras! • PADRIM • • Youtube • Instagram • Spotify • Grupo Telegram “Bem vindos Hóspedes” • Grupo WhatsApp • Facebook • Pesquisa da Estalagem • E um agradecimento especial aos nossos Padrinhos e Madrinhas que tornaram esse episódio possível: Rodrigo Muraga, Guilherme Oza, Humberto Brandão, Vinicius Adrian Meira Santos, Amanda Ferreira, Juliana Backes, Christian Meinecke Gross, Jonathas Madeira, Gustavo Apolinário, Lucas Alves Serjento, Reinaldo Elias, Ademir Paré, Rodrigo Perissato, Allan Jefferson, Leonardo Pacheco, Flávio Coneglian, Eduardo Vasconcelos, João Felipe, Matheus Silva Santos, Samuel Ferrer, Fabiano Mattiazzi, Gabrielly Courty, Márcio Depaula, Douglas Brito.

Kitapçı raflarında en sevmediğim bölüm kişisel gelişim kitaplarının olduğu kısımdır. İnsanların yaşadıkları, bilimsel olarak faydası gösterilememiş pozitif ve negatif deneyimlerin başka birine optimal fayda sağlama ihtimalinin düşük olduğunu düşünüyorum çünkü. Bugün bu nedenle uzun zamandan beri yazmaktan kaçındığım, ama çevreden gelen bildirimlerden gördüğüm lüzum üzerine yazmak zorunda hissettiğim bir konudan bahsedeceğim. Bu yazı, ALiEM’deki “How I work smarter?” başlığında geçen yazı dizisinin benzerlerinden birisi aslında, dolayısıyla yazacaklarım fazlasıyla bana özel ve subjektif olacaktır. Bana özel olmayan bir kısım var ki, bunu da zamanında Sigmund Freud hayatta başarıyı ve hayatın tadına varmayı anlatırken söylüyor: Hayatta mutlu olmak için sevmeye ve çalışmaya ihtiyacınız var. Eğer çalışmaya niyetiniz yoksa, çalışmadan da mutlu olunabileceğini düşünüyorsanız burada yazıyı okumayı kesebilirsiniz. Aşağıdaki yazıyı, daha çok belli bir çalışma rutini olan ve akademik merakları olan birisi için yazdım, fakat herkesin karşılaşabileceği sorunları da ele almaya çalıştım. Herkes yaşamında belli işleri, istese de istemese de belli bir iş planıyla gerçekleştiriyor. Tamamen işsiz olan, hatta çalışmaya ihtiyacı olmayan birinin dahi gündelik belli bir iş akışı var. Bu akışa pasif olarak “maruz” kalmanız da mümkün, akışı aktif olarak yönetmeniz de. Eğer kendinizi rüzgarda sürüklenen yaprak gibi hissediyorsanız, önünüze yığılan işler dağ gibi büyüyor, buna karşın sadece oturup dizi izlemek istiyorsanız, İngilizce dilinde “procrastination” olarak ifade edilen erteleme huyuna sahipseniz, bunları okumanızda fayda var diye düşünüyorum. Başlayalım.. Giriş ve Temel Kurallar Öncelikle bir Gmail hesabınız olsun, bu gmail hesabınızın da mümkünse herkes tarafından anlaşılacak ve onaylanacak bir kullanıcı adı bulunsun. Gmail hesabınız olduktan sonra size atanmış olan bir bulut hesabınız da olacaktır. Alışmış olduğunuz başka bir mailiniz veya kurumsal mail aboneliğiniz varsa, bunları da Gmail’e yönlendirebilirsiniz. Bilgisayar ve telefonunuza kurun.Google Takvim uygulamasını kullanın. Başka takvim uygulamalarını da kullanabilirsiniz elbette. Böyle bir durumda telefonunuz ile senkronize olabilecek, güncellenen ve en önemlisi de komplike olmayan bir takvim uygulaması kullanmanız gerekir. Bilgisayar ve telefonunuza kurun.Wunderlist kullanın. Wunderlist, ücretsiz onlarca checklist / to-do-list aplikasyonundan biridir. Onlarcasını denemiş ve tekrar Wunderlist’e dönmüş birisi olarak kesin şekilde bunu kullanmanız gerektiğini söyleyebilirim, ücretsizdir. Bilgisayar ve telefonunuza kurun.Tablet kullanmayın. Eğer herhangi bir tabletiniz varsa, bunu oyun oynamaları için çocuklarınıza verin veya satın. Tablette yapacağınız şeylerin hepsini geniş ekranlı bir telefonla da yapabilirsiniz. Benzer şekilde anlık bildirim özelliğine sahip akıllı saat de kullanmayın. Bilgisayar: Görme kapasitenize uygun ekranlı (12-13 inç) bir dizüstü bilgisayar edinin, mümkünse kolay çökmeyen ve Windows tabanlı olmayan bir bilgisayar olsun. Bilgisayarınızda hiçbir anlık bildirimi açmayın. Uzun süre konuşmanızı gerektiren bir anlık mesajlaşma uygulamasını, sadece konuşma anında aktif hale getirin. Anlık Bildirimler: Telefonunuzdaki e-mail, banka ve normal mesaj dışındaki tüm anlık bildirim kaynaklarını kapatın. Bu konuda benim bildirimleri kapatamadığım tek uygulama Twitter ne yazık ki. Anlık bildirimler ve telefondaki cevaplanmamış bildirimlere cevap verme hastalığı çağımızın kanseri.Telefon kullanımı (Konuşma): Özellikle belli bir saatten sonra gelen telefonları cevaplamayın, bu saat herkese göre değişir. Bunun için IOS’ta “Rahatsız etme” seçeneği mevcut, mutlaka Android’de de buna benzeyen bir uygulama mevcuttur. Sadece çok önemli bir sağlık sorunundan ya da gerçek bir felaketten haberiniz olması için birkaç kişiyi favorilerinize ekleyip, onların sizi aramasına izin verin. Eğer nükleer enerji santrali yöneticisi falansanız yapabilecek bir şey yok; hastaneden ulaşı...

Kitapçı raflarında en sevmediğim bölüm kişisel gelişim kitaplarının olduğu kısımdır. İnsanların yaşadıkları, bilimsel olarak faydası gösterilememiş pozitif ve negatif deneyimlerin başka birine optimal fayda sağlama ihtimalinin düşük olduğunu düşünüyorum çünkü. Bugün bu nedenle uzun zamandan beri yazmaktan kaçındığım, ama çevreden gelen bildirimlerden gördüğüm lüzum üzerine yazmak zorunda hissettiğim bir konudan bahsedeceğim. Bu yazı, ALiEM’deki “How …

Host: Tiffany Proffitt DO, MABS PGY-4 Lakeland Health Guest Panel:  Michael Gisondi, MD, FACEP – Associate Professor and Vice Chair of Education in the Department of Emergency Medicine at Stanford University School of Medicine, Former Program Director at Northwestern.  Tarlan Hedayati, MD, FACEP – Chair of Education, Assistant Professor and Associate Program Director in the Department of Emergency Medicine at Cook County Hospital in Chicago Andy Little, DO: Core Faculty, Research Director, Medical Education Fellowship Director at Doctors Hospital Emergency Medicine Residency, Co-founder and Host of EM Over Easy Podcast Overview:  In this episode, Tiffany talks with a panel of expert interviewers on how to conduct an interview. The panel provides tips and tricks to the resident interviewer when it comes time for interviewing medical student candidates for a spot in their programs. They discuss everything from putting interviewees at ease, to canned speeches to present to the unengaged interviewee, and some unexpected questions to set yourself apart as an interviewer. Our panel also reminds the resident interviewers of the honor it is to be a part of the interview process. Your program chose you as an interviewer because it values your opinion; don’t waste the opportunity. References: 10 Tips to Become a Successful Interviewer: Do’s and Don’ts, ALiEM, Medical Education, Sep 15, 2016, Meg Pusateri, MD and Nicole Battaglioli, MD https://www.aliem.com/2016/09/10-tips-become-successful-interviewer / EM Match Advice: Interviewing Strategies, ALiEM, EM Match Advice, Aug 29, 2014, Dr. Michael Gisondi, MD https://www.aliem.com/2014/08/em-match-advice-interviewing-strategies/ Collings J. Residency Interviews (PDF handout from Dr. Jamie Collings https://www.aliem.com/wp-content/uploads/Collings-Interview-Tips.pdf) . Questions:   Who was your favorite teacher ever – from nursery school to now - and why? What’s the last book that you read? What is the book about, why did you pick that book, what do you like about the book? Ask about a flaw in the application. Ask about recent travel or a favorite trip. For four hours you will be placed on a monitored bed and you get to experience any illegal substance without risk of negative side effects or addiction, which would you try? Favorite movie. What is your biggest failure—can be non-medical. If your candidate struggles, then the interviewer shares one of her or his failures.   Key Points: To the senior residents - your program chose you as an interviewer because it values your opinion; don’t waste the opportunity.  When all else fails, play the tape. To the interviewees – we’re not out to get you, except maybe Dr. Little.

Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of residency program directors reflect on the 2019 Match year based on the NRMP data. Was it more or less competitive? What was new and what is their advice for the 2020 Match? View the data table for 2011-2019 on the ALiEM.com site. Panelists: Dr. Sorabh Khandelwal (The Ohio State University), Dr. Fiona Gallahue (University of Washington), Dr. Brad Bunney (University of Illinois at Chicago)

I meant to spell it that way.... Scott, Jay, and Jacob talk about Area 51 and Aliem games. 

If you're involved in the care of critically unwell patients then you will frequently encounter patients who are shocked. The European Society of Intensive Care Medicine defines shock as; 'Life-threatening, generalized form of acute circulatory failure associated with inadequate oxygen utilization by the cells. It is a state in which the circulation is unable to deliver sufficient oxygen to meet the demands of the tissues, resulting in cellular dysfunction.’ The assessment for shock needs to be part of the routine workup of every potentially unwell patient. Shock carries with it a high mortality rate, a range of meaningful interventions and the potential to make a real difference to our patients' outcomes.  In this podcast we cover Defining shock in adults Significance of shock What shock looks like A recap of cardiac physiology Causes of shock Ultrasound evaluation Fluid therapy Inotropes and vasopressors As always we’d love to hear any thoughts or comments you have on the website and via twitter, we look forward to hearing from you. Enjoy! Simon, Rob & James References Consensuson circulatory shockand hemodynamic monitoring. Task forceof the EuropeanSociety of Intensive Care Medicine. Cecconi M. Intensive Care Med.2014 NICE Intravenous fluid therapy in adults in hospital. Clinical guideline. December 2013 ALIEM; Choosing the right vasopressor agent in hypotension Resus; The Shock Index ALIEM; Shock Index: A Predictor of Morbidity and Mortality? A comparisonof the shockindexand conventionalvital signsto identifyacute, critical illnessin the emergency department. Rady MY. Ann Emerg Med.1994  TheResusRoom; Sepsis RCEM guidance; Noradrenaline Infusion Association between timing of antibiotic administration and mortality from septic shock in patients treated with a quantitative resuscitation protocol. Puskarich MA. Crit Care Med. 2011 Early goal-directed therapy in the treatment of severe sepsis and septic shock.Rivers E. N Engl J Med. 2001 Early lactate clearance is associated with improved outcome in severe sepsis and septic shock.Nguyen HB. Crit Care Med. 2004  Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial.Jones AE. JAMA. 2010 A randomized trial of protocol-based care for early septic shock.ProCESS Investigators. N Engl J Med. 2014 Early goal-directed therapyin the treatmentof severe sepsisand septic shock. Rivers E. N Engl J Med.2001 The significance of non-sustained hypotension in emergency department patients with sepsis.Marchick MR. Intensive Care Med. 2009 Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis.Natthida Owattanapanich. Scand J Trauma Resusc Emerg Med. 2018. TheResusRoom; The Crystalloid Debate

This week we discuss three recent articles looking at esmolol in refractory VF, c-spine clearance and antibiotics after abscess drainage https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a Download Leave a Comment Tags: Cardiac Arrest, Cervical Spine, Esmolol, I+D, Infectious Diseases, Journal Club, MRSA, Refractory VF, Trauma Show Notes Read More REBEL EM: Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses Bryan Hayes at ALiEM: Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? The SGEM: SGEM#164: Cuts Like a Knife Core EM: A...

This week we welcome back Andy Little from Doctors Hospital in Columbus, Ohio to chat about ear foreign body removal. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_139_0_Final_Cut.m4a Download Leave a Comment Tags: ENT, Foreign Body Show Notes Read More DiMuzio J, Deschler, DG. Emergency department management of foreign bodies of the external ear canal in children. Otol Neurotol. 2002; 23(4):473-5. PMID: 12170148 Leffler S et al. Chemical immobilization and killing of intra-aural roaches: an in-vitro comparative study. Ann Emerg Med. 1993; 22(12):1795-8. PMID: 8239097 ALiEM: Trick of the Trade: Ear Foreign Body Removal with Modified Suction Setup Read More

This week we sit down with toxicologist Meghan Spyres to talk about Wernicke's Encephalopathy. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_115_0_Final_Cut.m4a Download Leave a Comment Tags: Alcohol Abuse, Thiamine, Toxicology, Wernicke's Encephalopathy Show Notes Take Home Points Consider the diagnosis in all patients with nutritional deficiencies, not just alcoholics. Look for ophthalmoplegia, ataxia and confusion in patients that have risk factors for thiamine deficiency. Don't think that it can't be Wernicke's because the triad isn't complete; any two of the components (dietary deficiency, oculomotor abnormalities, cerebellar dysfunction or altered mental status) makes the diagnosis. Treat Wernicke's with an initial dose of 500 mg of thiamine IV and admit for continued parenteral therapy. Read More LITFL: Thiamine Deficiency EMRAP: Remember to Take Your Vitamins ALiEM: Mythbusting the Banana Bag Read More

This week we discuss the presentation and management of native US snake bites with Dr. Meghan Spyres https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_111_0_Final_Cut.m4a Download Leave a Comment Tags: Rattlesnakes, Snake Bites, Snake Envenomation, Toxicology, Vipers Show Notes Read More ALiEM: Envenomations: Initial Management of Common US Snakebites Read More

This week we discuss an age-old debate: Calcium Channel Blockers or Beta Blockers for rate control in atrial fibrillation. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_64_0_Final_Cut.m4a Download Leave a Comment Tags: Atrial Fibrillation, Beta Blocker, Calcium Channel Blocker, Cardiology, Rate Control Show Notes CoreEM: Recent Onset Atrial Fibrillation ALiEM: Atrial Fibrillation Rate Control in the ED: Calcium Channel Blockers or Beta Blockers? ALiEM: Beta Blockers vs Calcium Channel Blockers for Atrial Fibrillation Rate Control: Thinking Beyond the ED Fromm C, et al. Diltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency Department. J Emerg Med. 2015 Apr 22. PMID 25913166

This week we discuss an age-old debate: Calcium Channel Blockers or Beta Blockers for rate control in atrial fibrillation. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_64_0_Final_Cut.m4a Download Leave a Comment Tags: Atrial Fibrillation, Beta Blocker, Calcium Channel Blocker, Cardiology, Rate Control Show Notes CoreEM: Recent Onset Atrial Fibrillation ALiEM: Atrial Fibrillation Rate Control in the ED: Calcium Channel Blockers or Beta Blockers? ALiEM: Beta Blockers vs Calcium Channel Blockers for Atrial Fibrillation Rate Control: Thinking Beyond the ED Fromm C, et al. Diltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency Department. J Emerg Med. 2015 Apr 22. PMID 25913166

This week we dive into a recent article on pain control in renal colic and how it affects our management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a Download Leave a Comment Tags: Analgesia, Kidney Stones, Renal Colic, Urology Show Notes Read More Core EM: Optimal First Line Analgesia in Ureteric Colic ALiEM: Top 10 reasons NOT to order a CT scan for suspected renal colic REBEL EM: Does Use of Tamsulosin in Renal Colic Facilitate Stone Passage Core EM: Medical Expulsive Therapy (MET) in Renal Colic Wang RC. Managing Urolithiasis. Ann Emerg Med 2015 PMID: 26616536 References Pathan SA et al. Delivering safe and effective analgesia for management of renal colic in the emerg...

This week we dive into a recent article on pain control in renal colic and how it affects our management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a Download Leave a Comment Tags: Analgesia, Kidney Stones, Renal Colic, Urology Show Notes Read More Core EM: Optimal First Line Analgesia in Ureteric Colic ALiEM: Top 10 reasons NOT to order a CT scan for suspected renal colic REBEL EM: Does Use of Tamsulosin in Renal Colic Facilitate Stone Passage Core EM: Medical Expulsive Therapy (MET) in Renal Colic Wang RC. Managing Urolithiasis. Ann Emerg Med 2015 PMID: 26616536 References Pathan SA et al.

This week we review mandible dislocations and reduction approahces focusing on the new "syringe" technique. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_47_0_Final_Cut.m4a Download Leave a Comment Tags: Mandible Dislocation, Oral Surgery, Syringe Technique Show Notes Read More ALiEM: Tick of the Trade: Extra-oral reduction technique of anterior mandible dislocation Gorchynski J et al.  The “syringe” technique: a hands-free approach for the reduction of acute nontraumatic temporomandibulardislocations in the emergency department.  J Emerg Med. 2014; 47(6):676-81. PMID 25278137  

This week we review mandible dislocations and reduction approahces focusing on the new "syringe" technique. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_47_0_Final_Cut.m4a Download Leave a Comment Tags: Mandible Dislocation, Oral Surgery, Syringe Technique Show Notes Read More ALiEM: Tick of the Trade: Extra-oral reduction technique of anterior mandible dislocation Gorchynski J et al.  The “syringe” technique: a hands-free approach for the reduction of acute nontraumatic temporomandibulardislocations in the emergency department.  J Emerg Med. 2014; 47(6):676-81. PMID 25278137  

This week we delve into dental emergencies from infections to trauma as well as discussing dental anesthesia. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_40_0_Final_Cut.m4a Download Leave a Comment Tags: Dental Caries, Dental Emergencies, Dental Trauma, Dentoalveolar Abscess Show Notes Taming the SRU: Regional Anesthesia of the Face & Mouth ALiEM: Paucis Verbis: Dental trauma ALiEM Paucis Verbis: Dental infections ALiEM Tricks of the Trade: Dental Avulsion and Subluxation EB Medicine: Fixing Faces Pain Painlessly: Facial Anesthesia in Emergency Medicine Core EM: Tongue Blade Test The Dental Box Instructional Videos Read More

This week we delve into dental emergencies from infections to trauma as well as discussing dental anesthesia. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_40_0_Final_Cut.m4a Download Leave a Comment Tags: Dental Caries, Dental Emergencies, Dental Trauma, Dentoalveolar Abscess Show Notes Taming the SRU: Regional Anesthesia of the Face & Mouth ALiEM: Paucis Verbis: Dental trauma ALiEM Paucis Verbis: Dental infections ALiEM Tricks of the Trade: Dental Avulsion and Subluxation EB Medicine: Fixing Faces Pain Painlessly: Facial Anesthesia in Emergency Medicine Core EM: Tongue Blade Test The Dental Box Instructional Videos Read More

This week we discuss everyone's favorite infectious diseases: Gonorrhea and Chlamydia https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_38_0_Final_Cut.m4a Download Leave a Comment Tags: Chlamydia, Gonorrhea, PID, STD, STI Show Notes The SGEM: SGEM #104: Let's Talk About Sex Baby, Let's Talk About STDs ALiEM: Is the Pelvic Exam in the Emergency Department Useful? HQMedEd: Blind Swab vs Speculum-Assisted Endocervical Swab EM Lyceum: PID Answers Exposed: Why is Gonorrhea Called the Clap? CDC: Expedited Partner Therapy CDC: Sexually Transmitted Diseases...

This week we discuss everyone's favorite infectious diseases: Gonorrhea and Chlamydia https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_38_0_Final_Cut.m4a Download Leave a Comment Tags: Chlamydia, Gonorrhea, PID, STD, STI Show Notes The SGEM: SGEM #104: Let's Talk About Sex Baby, Let's Talk About STDs ALiEM: Is the Pelvic Exam in the Emergency Department Useful? HQMedEd: Blind Swab vs Speculum-Assisted Endocervical Swab EM Lyceum: PID Answers Exposed: Why is Gonorrhea Called the Clap? CDC: Expedited Partner Therapy CDC: Sexually Transmitted Diseases Chart...

On this podcast we review some background on AVNRT and focus on Emergency Department management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a Download 2 Comments Tags: AVNRT, PSVT, REVERT Trial, Tachydysrhythmias Show Notes AVNRT with Aberrancy vs. VT REBEL EM: SVT with Aberrancy Versus VT Amal Mattu's ECG Case of the Week: August 26th, 2013 Valsalva Maneuver ALiEM: Tricks of the Trade: Valsalva Maneuver By Using a 10cc Syringe St. Emlyn's: JC The REVERT Trial Adenosine in AVNRT Larry Mellick: Treating SVT with Adensoine ALiEM: Trick of the Trade: Combining Adenosine with the Flush Verapamil in AVNRT RAGE Podcast:

On this podcast we review some background on AVNRT and focus on Emergency Department management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a Download 2 Comments Tags: AVNRT, PSVT, REVERT Trial, Tachydysrhythmias Show Notes AVNRT with Aberrancy vs. VT REBEL EM: SVT with Aberrancy Versus VT Amal Mattu's ECG Case of the Week: August 26th, 2013 Valsalva Maneuver ALiEM: Tricks of the Trade: Valsalva Maneuver By Using a 10cc Syringe St. Emlyn's: JC The REVERT Trial Adenosine in AVNRT Larry Mellick: Treating SVT with Adensoine ALiEM: Trick of the Trade: Combining Adenosine with the Flush Verapamil in AVNRT RAGE Podcast:

Pearls and take home messages from our weekly conference. This week, we review talks on influenza and pediatric foreign body aspiration. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a Download Leave a Comment Tags: Aspiration, Foreign Body, Influenza, Oseltamivir, Tamfiflu Show Notes Influenza Populations at High Risk for Severe Influenza – IDSA ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note:

Pearls and take home messages from our weekly conference. This week, we review talks on influenza and pediatric foreign body aspiration. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a Download Leave a Comment Tags: Aspiration, Foreign Body, Influenza, Oseltamivir, Tamfiflu Show Notes Influenza Populations at High Risk for Severe Influenza – IDSA ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note:

This week we discuss some information on influenza testing in the ED and management of epistaxis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a Download Leave a Comment Tags: Epistaxis, Influenza Show Notes Show Notes EMCrit: Dominating the Vent I http://emcrit.org/lectures/vent-part-1/ EMCrit: Dominating the Vent II http://emcrit.org/podcasts/vent-part-2/ ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note: Remember, Tamflu is Still Junk. EM Lit of Note: Which Review of Tamflu Data do You Believe? Zahed R et al. A new and rapid method for epistaxis treatment using injectable form of tranexamic acid topically: a randomized controlled trial. Am J Emerg Med 2013; 31: 1389-92. PMID: 23911102 Derkay CS et al. Posterior nasal packing.

This week we discuss some information on influenza testing in the ED and management of epistaxis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a Download Leave a Comment Tags: Epistaxis, Influenza Show Notes Show Notes EMCrit: Dominating the Vent I http://emcrit.org/lectures/vent-part-1/ EMCrit: Dominating the Vent II http://emcrit.org/podcasts/vent-part-2/ ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note: Remember, Tamflu is Still Junk. EM Lit of Note: Which Review of Tamflu Data do You Believe? Zahed R et al. A new and rapid method for epistaxis treatment using injectable form of tranexamic acid topically: a randomized controlled trial. Am J Emerg Med 2013; 31: 1389-92. PMID: 23911102 Derkay CS et al. Posterior nasal packing. Are Intravenous antibiotics really necessary?

Episode 3.0 covers a variety of topics from our ID workshops and Disaster Management Grand Rounds https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_3_0-ID_Workshops_Disaster-Final.mp3 Download Leave a Comment Tags: Blast Injuries, Disaster Management, Infectious Diseases, Pneumonia, Skin and Soft Tissue Infections Show Notes General ID Workshop Take Home Points Know your local antibiogram. This is the best way to tailor your management to your patient. Search for recent old cultures from your patients and order antibiotics based on this information. Skin + Soft Tissue Take Home Points Antibiotics aren't required for most simple abscesses. I+D and if no overlying cellulitis, no antibiotics needed. Not all abscesses need packing. If they're small and on the extremeties, it's reasonable to leave them unpacked. Not all patients need MRSA coverage for cellulitis. Most cellulitis without abscess is strep. Necrotizing Fasciitis can be tough to pick up. The LRINEC scoring system is one method to help. Most patients will be toxic but look for pain that's out of proportion to the examination. Relevant Links AliEM – The Not-So-Sick Health-Care Associated Pneumonia Patient: New Treatment Strategy

Episode 3.0 covers a variety of topics from our ID workshops and Disaster Management Grand Rounds https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_3_0-ID_Workshops_Disaster-Final.mp3 Download Leave a Comment Tags: Blast Injuries, Disaster Management, Infectious Diseases, Pneumonia, Skin and Soft Tissue Infections Show Notes General ID Workshop Take Home Points Know your local antibiogram. This is the best way to tailor your management to your patient. Search for recent old cultures from your patients and order antibiotics based on this information. Skin + Soft Tissue Take Home Points Antibiotics aren't required for most simple abscesses. I+D and if no overlying cellulitis, no antibiotics needed. Not all abscesses need packing. If they're small and on the extremeties, it's reasonable to leave them unpacked. Not all patients need MRSA coverage for cellulitis. Most cellulitis without abscess is strep. Necrotizing Fasciitis can be tough to pick up. The LRINEC scoring system is one method to help. Most patients will be toxic but look for pain that's out of proportion to the examination. Relevant Links AliEM – The Not-So-Sick Health-Care Associated Pneumonia Patient: New Treatment Strategy

In this first ever episode of the Journal Jam podcast, a collaboration between EM Cases, Academic Life in EM and The Annals of Emergency Medicine's Global Emergency Medicine Journal Club, Teresa Chan and I, along with Jeff Kline, Jonathan Kirschner, Anand Swaminathan, Salim Rezaie and Sam Shaikh from ALiEM, discuss the potential for Age Adjusted D-dimer to rule out pulmonary embolism in low risk patients over the age of 50. We discuss 4 key questions about the ADJUST-PE Study from JAMA in March 2014 including: Would you order a CTPA on a 60 year old woman with an age adjusted D-dimer of 590 ng/L? The problem until now has been that the older the patient, the more likely the D-dimer is to be positive whether they have a PE or not, so many of us have thrown the D-dimer out the window in older patients and go straight to CTPA, even in low risk patients. If you are a risk averse doc, this strategy will lead to over-utilization of resources, huge costs, length of stay, radiation effects etc; and if you're not so risk averse, then you might decide not to work up the low risk older patient at all and miss clinically important PEs. expert peer reviewFor all the questions discussed on this podcast, the original Google Hangout interview from which this podcast was based, and the crowd sourced opinions from around world, visit the ALiEM website. Many thanks to all the talented people who made this podcast possible. Together, we're smarter! The post Journal Jam 1: Age Adjusted D-dimer with Jeff Kline and Jonathan Kirschner appeared first on Emergency Medicine Cases.