POPULARITY
Show Notes for Episode 28 of “The 2 View” – Live from Vegas, Fungal Meningitis Outbreak, NPs Sue for "Doctor" Title, Guest Chip Lange. When Medical Tourism Goes Wrong CDC. Fungal Meningitis Outbreak Social Media Toolkit. Centers for Disease Control and Prevention. Published July 18, 2023. Accessed July 25, 2023. https://www.cdc.gov/fungal/infections/HAI-fungal-meningitis-toolkit.html Evaluating and Treating Patients for Fungal Meningitis. For both symptomatic and asymptomatic patients: perform lumbar puncture (LP) to evaluate CSF for fungal meningitis* Abnormal LP results Normal initial LP results Counsel patient to monitor for symptoms for 30 days following initial LP Consider scheduling repeat LP two weeks after initial LP Normal repeat LP results. Funguseducationhub.org. Accessed July 25, 2023. https://funguseducationhub.org/wp-content/uploads/2023/06/FM-algorithm_edited.pdf Fungal Meningitis Outbreak Associated with Procedures Performed under Epidural Anesthesia in Matamoros, Mexico. Cdc.gov. Published August 11, 2023. Accessed July 25, 2023. https://www.cdc.gov/hai/outbreaks/meningitis-epidural-anesthesia.html PA Title Change / Nurse Practitioners Sue California to use the Title “Doctor.” Taylor M. Nurse practitioners sue California over restricted use of “doctor.” Beckershospitalreview.com. Published July 18, 2023. Accessed July 25, 2023. https://www.beckershospitalreview.com/hospital-physician-relationships/nurse-practitioners-sue-california-over-restricted-use-of-doctor.html Title Change Rationale. Aapa.org. Accessed July 25, 2023. https://www.aapa.org/title-change/general-faqs/ Malaria Contracted in the US Bendix A, Alexander B. New malaria case in Florida brings national total to 8, the first U.S. acquired cases in 20 years. NBC News. Published July 18, 2023. Accessed July 25, 2023. https://www.nbcnews.com/health/health-news/new-malaria-case-florida-brings-national-total-8-first-us-cases-20-yea-rcna94899 Locally Acquired Malaria Cases Identified in the United States. Health Alert Network (HAN) - 00494. Cdc.gov. Published June 26, 2023. Accessed July 25, 2023. https://emergency.cdc.gov/han/2023/han00494.asp Meat allergy. ACAAI Public Website. Published October 30, 2020. Accessed July 25, 2023. https://acaai.org/allergies/allergic-conditions/food/meat/ Reliability of Fingerstick Glucometers Media H. Picking cherries leads to a case of pseudohyperglycemia. Clinical Advisor. Published December 12, 2016. Accessed July 25, 2023. https://www.clinicaladvisor.com/home/case-files/picking-cherries-leads-to-a-case-of-pseudohyperglycemia/ Olansky L, Kennedy L. Finger-stick Glucose Monitoring. Diabetes Care. Published April 2010. Accessed July 25, 2023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845057/ Special Guest Chip Lange, PA-C, and His Story of Going into Myasthenia Crisis About us. PRACTICAL POCUS. Accessed July 25, 2023. https://www.practicalpocus.com/aboutus.html Cautionary Drugs. Drugs to avoid or use with caution in MG. Myasthenia.org. Accessed July 25, 2023. https://myasthenia.org/Portals/0/Cautionary%20Drugs.pdf Colton, K. Myasthenia Gravis. EM:RAP CorePendium. EM:RAP CorePendium. Updated December 2, 2022. Accessed July 25, 2023. https://www.emrap.org/corependium/chapter/recrDWsB2k1uYPL9U Libsyn, iTunes. Medical professionals. TOTAL EM. Accessed July 25, 2023. https://www.totalem.org/emergency-professionals Something Sweet Woodall AJ, McCrohan CR. Excitatory actions of propofol and ketamine in the snail Lymnaea stagnalis. Comp Biochem Physiol C. ScienceDirect. Comparative Biochemistry and Physiology Part C: Pharmacology, Toxicology and Endocrinology. Volume 127, Issue 3. Pages 297-305. Published December 2000. Accessed July 25, 2023. https://www.sciencedirect.com/science/article/abs/pii/S0742841300001559?via%3Dihub Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine
Injuries to the spine can occur both in blunt and penetrating trauma. They can also be with or without neurological deficits. For this reason, they should be considered in all patients with multiple injuries. In this podcast, Chip Lange and Mike Sharma review the pearls and pitfalls of this disease process.
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine
The newest Advanced Trauma Life Support (ATLS) blog and podcast is here! This time we talk about head trauma. Get the key pearls and pitfalls as provided by Chip Lange and Mike Sharma.
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine
We are finally back with another ATLS podcast. Mike Sharma and Chip Lange together discuss the complex but important subject of thoracic trauma. They break it down this time by addressing key aspects that come up during the primary and secondary assessments. This topic also broaches how to manage the traumatic circulatory arrest patient without a pulse.
Chip Lange and I sat down and discussed everything B lines! If you are interested in the basics of lung sliding, detecting pulmonary edema, and differing effusion from consolidation - check out podcast 98!
Last year at WEMSA2019 we had an amazing session that included speakers like Michael Perlmutter, Leon Eidelman, Michael Lauria, and Chip Lange. Each speaker had 20 minutes and the talks were all recorded. My goal was to put these out A LOT sooner, but the stupid Catalina Mac update prevented me from opening Adobe Audition files. Utilizing an extensive Google search and Russian hacking skills - I was able to access these talks. This is a 20ish minute talk by friend of the show, flight medic, and current medical student, Michael Perlmutter (@DitchDoc14). Michael is speaking on the application and use of Ketamine "from analgesia to RSI (yes and DSI)."
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine
Recently, our own Chip Lange was on The Skeptic's Guide to Emergency Medicine (The SGEM) for Podcast #249 covering ultrasound to confirm endotracheal tube placement. This had previously been discussed in detail on our own Podcast #118 along with the technique. However, after some discussions on social media it was decided to expand on this discussion further regarding the ways to confirm beyond ultrasound.
Awhile back Aidan Baron (@Aidan_Baron) tweeted, "If you can't explain the pre-test probability, then you don't get to pick up the ultrasound.. no stats-no scan." This got me thinking about the way we approach testing in the pre-hospital setting. Are we performing EKG's, POC Labs, Ultrasound scans, and screens on patients just because we need to check off a box on our PCR, or do we truly believe the pre-test probably is high enough to justify the test? My thought process had always been that this is a way of triaging your mental bandwidth, and that it was only applicable when seeing more than just one patient. A physician, PA, or NP could not physically perform every test on every person without complications and decreased attention to top tier priorities. In this podcast Chip Lange from TOTAL EM, and I discuss if pre-test probability and risk stratification is applicable to EMS. www.foamfrat.com
I did a podcast with Chip Lange from TOTAL EM on post intubation acronym's on trouble shooting uncomfortable and restless intubated patients. I got some emails asking how I “Make it easier for the patient to get a breath." Check out the podcast and blog at www.FOAMfrat.com
"You can't teach an old dog new tricks" is clearly repeated by an elderly man who's family got concerned he was having a stroke when they noticed some gait ataxia. EMS does a quick Cincinnati Stroke Scale and doesn't detect any deficits, 12 lead looks normal, and blood glucose is within normal limits. Should he be evaluated in the emergency room? Should EMS be concerned about a central lesion? Does a negative Cincinnati mean the patient is not having a CVA? Check out the show notes! https://www.foamfrat.com/single-post/2017/10/15/Beef-Up-Your-Neuro-Exam-with-Chip-Lange
Just some end of the week topics to get out! Update on the Proposed Ventilator Strategy (Podcast 23) Interview with Chip Lange from TOTALEM http://www.totalem.org/emergency-professionals/podcast-51-a-proposed-hybrid-ventilation-strategy-with-tyler-Christifulli Lifestar Podcast has an official home on the web! Check out my collaboration project with my good friend Sam Ireland. Congrats to Adam LaChappelle for winning the EMSPOCUS book. Have a great weekend!