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In this month's episode, Assistant Editor and Amy Ho, MD, MPH, FACEP, chats with Richard Kamin, MD, FACEP, FAEMS, and Deborah Korn, PsyD, about Eye Movement Desensitization and Reprocessing (EMDR) therapy both in and out of the emergency department. Also, Dr. Ho discusses Dr. Anton Helman's article Best Practices for Emergency Department Syncope Risk Assessment. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes. Catch up on all of ACEP Now in past issues.
The warrior philosophy addresses doubts and fears EM caregivers experience day-to-day as they work on the front lines. Hosts Eric Angus and Joe Haegert discuss the five concepts of warriorship: observation, acceptance, focus, intention, and commitment. They explore how this philosophy can help you mentally prepare for your shift, focusing on competence, confidence, courtesy, calm, and compassion. They also discuss how to close your shift, focusing on mental wellness (including the After Shift Martini Protocol). They also touch on the profound fears, physical risk, and emotional impact front-line healthcare workers are experiencing in the midst of the COVID-19 pandemic.Additional readingDan Millman - Way of the Peaceful Warrior, 1980Arno Ilgner - The Rock Warrior's Way, 2003Additional listeningEM Cases Ep 134 - Shift Preparation: Pre-gaming, with host Anton Helman and guest Rob OrmanEnd of Shift HostsEric AngusEric Angus is an emergency physician and trauma team leader at Lions Gate Hospital. He is married with 15-year-old twins. His nonmedical interests include origami, meditation, mountain biking, skiing, rock climbing, just generally being outside, and drinking wine. He has a diploma in mountain medicine and volunteers for ski patrol and the North Shore Rescue team. He is an ATLS instructor. He dabbles in stoicism and Buddhist philosophies.Joe HaegertJoe Haegert practices emergency and trauma medicine at the Royal Columbian Hospital in New Westminster, British Columbia. He is a talented teacher, engaging speaker, and devoted clinician. He lives in South Surrey with his wife Sandy and managed to raise three children without much incident. Known for his unflagging enthusiasm, Joe enjoys all aspects of the outdoors and recently has taken to turning wooden burls into all manner of bowls and tables.DisclaimerThe discussion within the End of Shift podcast may be graphic, and some listeners may find the language and content disturbing. The views and opinions expressed in this podcast are those of the participants and do not necessarily reflect the official policy or position of the BC Emergency Medicine Network.
In this organic conversation, Nick and Dr. Helman establish a warm rapport early on as they discuss musical beginnings, life-changing mentors and the origins of Emergency Medicine Cases. Their banter includes Dr. Helman’s views on FOAMed and multimodal learning and treatment hacks learned on the frontlines of COVID-19. Intro Music: Backbay Lounge Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/
Pulseless Electrical Activity ( PEA ) is confusing! The diagnosis and treatment of PEA is bogged down by terminology and misunderstandings. Spurred by a recent interview I did with Anton Helman of EM Cases, I lay down some of my thoughts on PEA here. The last time I discussed these issues was 5 years ago with Zack and Joe on EDECMO 13. PEA Progression to ROSC POCUS Pulse Carotid POCUS PulseBadra et al. on POCUS Pulse Narrow / Wide doesn't Work Rory breaks it down on the CCnerd in a post about QRS size in PEA. What to Do if You Have Compressions/POCUS Pulse but No BP Prosen on Vasopressin for PEA Critical Care and Neurocritical Care Boards Review Book Mayo Clinic Board Review Just fantastic! (Note: i received a reviewers' copy of this book) Updates More on PEA on the EM Cases Blog - I speak with Anton Helman on the topic The Right Heart being Big doesn't mean PE during Arrest (from Ultrasound Podcast) Now on to the Podcast...
"Podcasting allows you to enter in the Global Classroom," says Podcast maestro & @EMcases fame Dr Anton Helman from Toronto. In this podcast, not only he discusses the podcasting process and the equipment but also highlights the importance of space repetitive multimodal learning model. Stay tuned with his upcoming Podcast Camp for Medical Educators at www.podcastcamp.org.
In this EM Cases Journal Jam podcast with Anton Helman, Justin Morgenstern, Rory Spiegel, and special guest Jacques Lee we explore the evidence for femoral nerve blocks and fascia iliaca blocks as well as discuss the practical implementation of them in your ED. We answer questions such as: Do regional nerve blocks for hip fractures effectively reduce pain? Do they decrease opioid use? Are they safe compared to standard pain management? Should the block be done prior to x-ray confirmation? and many more... The post JJ 13 Regional Nerve Blocks for Hip Fractures appeared first on Emergency Medicine Cases.
The last decade has seen a torrent of literature and expert opinion on emergency airway management. It is challenging to integrate all this new information into a seamless flow when faced with a challenging airway situation. In this live podcast recorded at North York General's Emergency Medicine Update Conference 2018, Scott Weingart and Anton Helman put together the latest in emergency airway management by outlining 6 common airway pitfalls: Failure to prepare for failure, failure to position the patient properly, failure to optimize oxygenation, failure to optimize hemodynamics, failure to consider an awake intubation and failure to prepare for a cricothyrotomy... The post Ep 110 Airway Pitfalls – Live from EMU 2018 appeared first on Emergency Medicine Cases.
Lauren Westafer joins Justin Morgenstern, Rory Spiegel and Anton Helman in a deep dive discussion on the world's literature on Post Contrast Acute Kidney Injury (PCAKI) in this Journal Jam podcast. Hospitals continue to insist on time consuming, and potentially dangerous protocols for administration of fluids to patients with renal dysfunction prior to CT IV contrast despite the lack of evidence that Contrast Induced Nephropathy (CIN) even exists. Would you choose a different imaging modality if your radiologist suggested that a patient with renal dysfunction who required a CT with IV contrast should forgo the contrast risking a missed diagnosis? The post Journal Jam 11 Post Contrast Acute Kidney Injury – PCAKI appeared first on Emergency Medicine Cases.
Welcome to session #69 of The Podcast Engineering Show! Listen and Subscribe in Apple Podcasts, Google Play, iHeart Radio, Stitcher, TuneIn Radio, Android, RSS. My guests are Rob Rogers and Anton Helman - both emergency room medical doctors!! As well as serious podcasters ;) Rob Rogers is also a medical educator, and his podcast is called Medutopia. Oh, and the amazing event he's organizing next year is called Ikigai Med Ed (I'll be there!). Anton Helman is also a medical educator, and his podcast is called Emergency Medicine Cases. I met these wonderful gentlemen in Lexington earlier this year when they asked me to speak at their podcast training conference. Here's some of what we discussed: Microphones: PR22, Sennheiser Clip Mic Digital, SM7B, AT2020, RE20, PR40, AT2005, H390 Logitech Headset Recorders: MixPre-6, Zoom F8, iPhone 6 Software: Sound Studio, Logic Pro X, Garage Band, Auphonic Other: Room treatment, EQ, compression, Logic Pro library of clips and music, noise reduction, Spreaker Thank you for sharing so much, Rob and Anton! DID YOU KNOW........We exist for the purpose of helping you, so please comment below with any questions or remarks. Thanks for listening! Want to Start a Business or Have a Career as a Podcast Producer/Engineer? Listen and Subscribe in Apple Podcasts, Google Play, iHeart Radio, Stitcher, TuneIn Radio, Android, RSS
In this part 2 of EM Cases Journal Jam podcast on Thrombolysis and Endovascular Therapy for Stroke Justin Morgenstern, Rory Spiegel and Anton Helman do a deep dive into the world's literature on endovascular therapy for stroke. While the evidence for endovascular therapy is stronger than that for IV systemic thrombolysis for stroke outcomes at 90 days, a closer look at the literature reveals that a very small minority of patients are eligible for endovascular therapy and we still don't know which patients benefit most from endovascular therapy... The post Journal Jam 10 Part 2 Endovascular Therapy for Stroke appeared first on Emergency Medicine Cases.
In this two part EM Cases Journal Jam podcast Justin Morgenstern, Rory Spiegel and Anton Helman do a deep dive into the world's literature on systemic thrombolysis for ischemic stroke followed by an analysis of endovascular therapy for stroke. We elucidate the important issues related to p-values, ordinal analysis, fragility index, heterogeneity of studies, stopping trials early and conflicts of interest related to this body of evidence. While "calling a code stroke" is now considered standard for most stroke patients and tPA for stroke is considered a class 1A drug, a close look at the literature tells us that the evidence is not as strong as our stroke protocols suggest... The post Journal Jam 10 Thrombolysis & Endovascular Therapy for Stroke Part 1 appeared first on Emergency Medicine Cases.
Anton Helman discusses why he podcasts...
Jess Mason and Anton Helman walk us through a podcasting checklist. Great episode!!
Anton Helman & Jess Mason take us through the educational principles of podcasting. This is the 1st of several "pre-course" podcasts to get you ready for The Podcasting Course in April. Don't miss the 1st EVER podcasting course for medical educators! In Lexington, Kentucky, April 21 and 22 at The 21C Museum Hotel. Hope to see you there! Check us out at flippingmeded.com
The EM Cases Team is very excited to bring you not only a new format for the Journal Jam podcast but a new member of the team, Dr. Rory Spiegel, aka @EM_Nerd an Emergency Medicine physician from The University Maryland Medical Center in Baltimore, the founder of the EM Nerd blog and the co-host of the Annals of EM podcast. The new format sees Justin Morgenstern, Teresa Chan, Rory Spiegel and Anton Helman doing deep dives into the world's literature on specific practical questions while highlighting some important evidence-based medicine concepts. The question we ask in this Journal Jam podcast: Is there a role for D-dimer testing in the workup of aortic dissection in the ED? The post Journal Jam 9 – D-dimer to Rule Out Aortic Dissection appeared first on Emergency Medicine Cases.
That's right, Chris Curran is speaking at The Podcasting Course in Lexington, Kentucky! April 21 and 22nd. Check out thepodcastingcourse.com to register. We also have Scott Weingart, Jess Mason, Swami, Anton Helman, and others coming to teach. This is a can't miss event in medical education.
Journal Jam 7 - Amiodarone vs Lidocaine vs Placebo in Cardiac Arrest: The ALPS Trial. In our most popular EM Cases episode to date - ACLS Guidelines Cardiac Arrest Controversies, we boldly stated, that there has never been an antiarrhythmic medication that has shown any long term survival benefit in cardiac arrest. The use of medications in cardiac arrest has been one of those things that we all do, but that we know the evidence isn't great for. Yet Amiodarone is still in the newest AHA adult cardiac arrest algorithm for ventricular fibrillation or pulseless ventricular tachycarida – 300mg IV after the 3rd shock with the option to give it again at 150mg after that. Anti-arrhythmics have been shown in previous RCTs to increase the rate of return of spontaneous circulation and even increased survival to hospital admission, however none of them have been able to show a decrease in mortality or a favourable neurological outcome at hospital discharge. In other words, there has never been shown a long term survival or functional benefit - which is a bit disconcerting. But now, we have a recent large randomized, controlled trial that shines some new light on the role of anti-arrythmics in cardiac arrest - The ALPS trial: Amiodarone vs Lidocaine vs placebo in out of hospital cardiac arrest. In this Journal Jam podcast, Justin Morgenstern and Anton Helman interview two authors of the ALPS trial, Dr. Laurie Morrison a world-renowned researcher in cardiac arrest and Dr. Paul Dorian, a cardiac electrophysiologist and one of Canada's leading authorities on arrhythmias about what we should take away from the ALPS trial. It turns out, it's not so simple. We also discuss the value of dual shock therapy for shock resistant ventricular fibrillation and the future of cardiac arrest care. The post Journal Jam 7 – Amiodarone vs Lidocaine vs Placebo in Cardiac Arrest: The ALPS Trial appeared first on Emergency Medicine Cases.
Journal Jam 7 - Amiodarone vs Lidocaine vs Placebo in Cardiac Arrest: The ALPS Trial. In our most popular EM Cases episode to date - ACLS Guidelines Cardiac Arrest Controversies, we boldly stated, that there has never been an antiarrhythmic medication that has shown any long term survival benefit in cardiac arrest. The use of medications in cardiac arrest has been one of those things that we all do, but that we know the evidence isn’t great for. Yet Amiodarone is still in the newest AHA adult cardiac arrest algorithm for ventricular fibrillation or pulseless ventricular tachycarida – 300mg IV after the 3rd shock with the option to give it again at 150mg after that. Anti-arrhythmics have been shown in previous RCTs to increase the rate of return of spontaneous circulation and even increased survival to hospital admission, however none of them have been able to show a decrease in mortality or a favourable neurological outcome at hospital discharge. In other words, there has never been shown a long term survival or functional benefit - which is a bit disconcerting. But now, we have a recent large randomized, controlled trial that shines some new light on the role of anti-arrythmics in cardiac arrest - The ALPS trial: Amiodarone vs Lidocaine vs placebo in out of hospital cardiac arrest. In this Journal Jam podcast, Justin Morgenstern and Anton Helman interview two authors of the ALPS trial, Dr. Laurie Morrison a world-renowned researcher in cardiac arrest and Dr. Paul Dorian, a cardiac electrophysiologist and one of Canada's leading authorities on arrhythmias about what we should take away from the ALPS trial. It turns out, it's not so simple. We also discuss the value of dual shock therapy for shock resistant ventricular fibrillation and the future of cardiac arrest care. The post Journal Jam 7 – Amiodarone vs Lidocaine vs Placebo in Cardiac Arrest: The ALPS Trial appeared first on Emergency Medicine Cases.
We review this post from Dr. Anton Helman of Emergency Medicine Cases on Pediatric DKA. Then, we delve into core content pearls on hyperglycemia including Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State. We do this using Tintinalli and Rosen's as guides. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer
It makes sense that the treatment of primary spnontaneous pneumothorax would lend itself well to outpatient management, since patients are usually young and otherwise healthy, and the mortality and morbidity from these air leaks are really very low. Most patients would rather be managed as an outpatient rather than admitted to hospital and sending these patients home would probably end up saving the system resources and money. In this month's Journal Jam Podcast on small bore chest tube and outpatient management of pneumothorax, the highlighted article that Anton Helman and Teresa Chan discuss is Voison et al. on the “Ambulatory Management of Large Spontaneous Pneumothorax With Pigtail Catheters.” We hear from Michelle Lin, Seth Trueger, Heather Murray and the lead author himself, Stephan Jouneau. Questions posed include: In what ways is the use of small bore catheters with Heimlich valves for spontaneous pneumothorax better than needle aspiration? Is it necessary to repeat a CXR after placement of the catheter? Who should follow up these patients after they are discharged from the hospital? How can we minimize kinking and dislodgement of the catheter? and many more..... [wpfilebase tag=file id=523 tpl=emc-play /] [wpfilebase tag=file id=524 tpl=emc-mp3 /] The post Journal Jam 2: Small Bore Chest Tube and Outpatient Management of Pneumothorax appeared first on Emergency Medicine Cases.
It makes sense that the treatment of primary spnontaneous pneumothorax would lend itself well to outpatient management, since patients are usually young and otherwise healthy, and the mortality and morbidity from these air leaks are really very low. Most patients would rather be managed as an outpatient rather than admitted to hospital and sending these patients home would probably end up saving the system resources and money. In this month's Journal Jam Podcast on small bore chest tube and outpatient management of pneumothorax, the highlighted article that Anton Helman and Teresa Chan discuss is Voison et al. on the “Ambulatory Management of Large Spontaneous Pneumothorax With Pigtail Catheters.” We hear from Michelle Lin, Seth Trueger, Heather Murray and the lead author himself, Stephan Jouneau. Questions posed include: In what ways is the use of small bore catheters with Heimlich valves for spontaneous pneumothorax better than needle aspiration? Is it necessary to repeat a CXR after placement of the catheter? Who should follow up these patients after they are discharged from the hospital? How can we minimize kinking and dislodgement of the catheter? and many more..... [wpfilebase tag=file id=523 tpl=emc-play /] [wpfilebase tag=file id=524 tpl=emc-mp3 /] The post Journal Jam 2: Small Bore Chest Tube and Outpatient Management of Pneumothorax appeared first on Emergency Medicine Cases.