Medical treatment facility specializing in emergency medicine
This month for the December 2023 episode of the RCEM Learning Podcast we welcome our new co-host Liz Farah. Merry Christmas!. We discuss two New in EM segments looking at overnight boarding of older patients in the ED and mortality and looking at the use of opioids in treating back pain. Rob and Liz discuss two guidelines looking at the management of hypertension in the ED and the investigation and management of cauda equina syndrome. We then end with New Online. If you'd like to email us, please feel free to do so here. (03:10) New in EM - Overnight stays in the ED and mortality in older patients Overnight Stay in the Emergency Department and Mortality in Older Patients by Roussel et al. (2023) (24:47) Guidelines for EM - British Hypertension Society and GIRFT Cauda Equina Syndrome Pathway Management of hypertensive crisis: British and Irish Hypertension Society Position document Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Interactive Pathway) Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Full Guideline) (58:36) New in EM - Opioids for back pain Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial by Jones et al. (2023) (01:22:00) New Online – new articles on RCEMLearning for your CPD RSI in the ED – Charlotte Davies Bifascicular Block – Mohd Farooq Parey, Kate Turnbull, Asim Aijaz TERN Christmas Cases – Raj Chatha, Gov Oliver, Fraser Birse, Rory Anderson, Hridesh Chatha
As a PEM physician, treating pain is a big part of my life and sometimes it is easier said than done. This why I invited Dr. Alan Bielskay, a Pediatric Anesthesiologist (and pain expert) from Denver CO to talk about pain treatment in children. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2023 Pediatric Emergency Medicine Practice article, Management of Pediatric Toxic Ingestions in the Emergency Department.Need help now? Call the Poison Help Line at: 1‑800‑222‑1222EpidemiologyPrehospital CareED History and Physical ExamDiagnostic StudiesLabsEKGImagingUrine Toxicology TestingTreatmentHemodialysisActivated CharcoalWhole Bowel IrrigationGastric LavageIpecacDrug Specific TherapiesAcetaminophenAlcoholsAnticholinergicsBeta BlockersCalcium Channel BlockersCholinergic AgentsDigoxinIronOpioidsSalicylatesSedative HypnoticsSulfonylureasLaundry PodsCheck out the clinical pathways at https://www.ebmedicine.net/pathways
(Nov 29, 2023) The 40 year-old Mohawk land claim in Franklin and St. Lawrence counties has taken another small step towards resolution; Samaritan Medical Center has a new pilot program to bring nurses to the Emergency Department; Adirondack native Sam Balzac writes a music reading of "The Wrong Box" by Robert Louis Stevenson
11/26/23The Healthy Matters PodcastS03_E01 - Real Talk with An Emergency Medicine DoctorThere are seemingly as many careers in medicine as there are lakes in Minnesota (and we're talking well over 10,000 of those...), but many of the most intense jobs in the field are found in the Emergency Department. It takes a certain kind of person to want to become a physician, and on another level to want to practice Emergency Medicine in a Level I Trauma Center! Thankfully, there are doctors like this, and for our first episode of Season 3, we'll be joined by Emergency Medicine Physician and Toxicologist, Dr. John Cole to help us get a glimpse into this highest-of-stakes and stressful environment. What's life like there? What are the biggest challenges healthcare professionals in the ED face? And how does one cope with the stresses of such place? Join us for a conversation addressing these questions, plus a few of Jon's most memorable cases and the debut of an all-new segment for Season 3 - Magic Wand! Tune in!Got a question for the doc? Or an idea for a show? Contact us!Email - firstname.lastname@example.orgCall - 612-873-TALK (8255)Find out more at www.healthymatters.org
In this episode, Stefanie is joined by Luke O'Neill once again, to discuss the latest in science and his new book To Boldly Go Where No Book Has Gone Before. Follow Stefanie on Instagram @StefaniePreissner You can support Stefanie and the show on HeadStuff+ Thanks to Cathal O'Gara for our artwork and our music is from Only Ruin. This episode of Basically is sponsored by "Mater Private Network" and Rockwell Financial. You can receive a free consultation with Rockwell Financial by mentioning Basically when booking in. Mater Private Network Emergency Departments in Dublin and Cork provide fast access to care when it's needed most. Led by emergency medicine consultants, Mater Private Network's Emergency Department is fully integrated with all other hospital services, which means that if patients need tests, scans, additional consultations with other specialists, or to be admitted into the hospital, this can happen without unnecessary delay. Learn more https://bit.ly/3JF3DrG Learn more about your ad choices. Visit megaphone.fm/adchoices
Doctors in Auckland are warning people could get seriously hurt or killed if security isn't improved. In a letter to their bosses, Emergency Department doctors at North Shore and Waitakere Hospital have pleaded for a dedicated security guard. Their union says on a single day earlier this year a doctor was punched, a patient in wheelchair was punched, and police brought in a man in a spit hood. Sarah Dalton is the executive director of the Association of Salaried Medical Specialists. She spoke to Corin Dann.
The mayor of Bonavista says the new Emergency Department in his town is a game-changer for healthcare in the region. (Zach Goudie with John Norman)
Clare County Council will invite the CEO of the HSE for a major discussion aimed at finding urgent solutions to local healthcare deficits. It comes on the back of record overcrowding at University Hospital Limerick last month, coupled with new data, which shows that 24% of all patients attending the Emergency Department are coming from Clare. The Health Service has recently rolled out new pre-hospital pathway ambulance services responding to low acuity calls in parts of this county within a forty-five-minute radius of UHL. However, Loop Head Fianna Fáil Councillor, Cillian Murphy believes extending such initiatives to rural areas could eliminate unnecessary ED presentations.
In this episode, Lilly C. Lee, MD, SM, FACEP, FAAEM, discusses the best practices in management of uUTI in the emergency department, including:Patient triageDiagnostic stewardshipInterdisciplinary careStrategies to overcome treatment barriersPresenter:Lilly C. Lee, MD, SM, FACEP, FAAEMChief of Emergency MedicineJackson Memorial HospitalFlorida Poison Information CenterRoxcy Bolton Rape Treatment CenterAffiliated Assistant Professor of SurgeryDeWitt Daughtry Family Department of SurgeryLeonard M. Miller School of MedicineUniversity of MiamiMiami, FloridaFind other program activities here: “Uncomplicated” Doesn't Mean Easy: Recognizing the Burden and Preventing Treatment Failure of Uncomplicated UTIsSlides on “Uncomplicated” Doesn't Mean Easy: Recognizing the Burden and Preventing Treatment Failure of Uncomplicated UTIsPodcast 1: Burden on Uncomplicated Urinary Tract InfectionsPodcast 2: Updates in Antimicrobial Selection for uUTIsClinicalThought: When Care Gets Complicated: Uncomplicated UTI Management in Acute Care Settings
Teenagers who are Black and of lower socioeconomic status have major complications after surgery for the most common type of scoliosis.That's according to a new study published by Nemours Children's Health, which also found the same black and low-income teenage patients are more likely to return to the Emergency Department within 90 days of surgery.Delaware Public Media's Joe Irizarry is joined this week by Dr. Suken Shah – the study's senior author and pediatric orthopedic surgeon at Nemours Children's Health – to learn more about the disparities in scoliosis surgery.
The Emergency Department is perhaps the singular environment in a hospital where the greatest concentration of decisions are made with the least amount of clinical data; and the acuity-level assigned at triage can massively impact the trajectory of care for apatient. Additionally, Emergency Departments in the United States have experiencedunprecedented levels of crowding over the last two decades, with correlation to worsened patient outcomes, preventable errors, and staff burnout.In 2017, the ED at Johns Hopkins deployed a CDS tool that leverages AI to generaterisk-driven triage acuity recommendations, instead of relying on resource-based ESI. The tool has provided more reliable detection of patients with critical illness and reduced the time patients wait for care. They've also seen marked decrease in those assigned to the mid-acuity level 3, and instead more utilization of the low-acuity levels 4 and 5, which lends to better fast-track throughput for those patients who are to be discharged.Jeremiah Hinson, MD PhD, will speak of his experience developing and utilizing the toolwith his team at Johns Hopkins.
Welcome back to She's a DPM! This week's gust is Dr. Shalvi Prasad, DPM PGY-2. In this episode we discuss her starting PodMed Adventures, being a second year resident, tips on choosing resident, and much more! IG: @email@example.comAbout Guest: Dr. Shalvi Prasad founded PodMedAdventures in the hopes of spreading awareness about Podiatric Medicine and Surgery as a career option and to create a one-stop shop for pre-pods, current students, practicing physicians, and industry leaders. Working with underserved communities on an interdisciplinary team is near and dear to her heart and she strives to help patients as a physician and advocate in legislation. Dr. Prasad is interested in politics and legislation because it's important to not only advocate forpatients, but that it's necessary to be proactive about the future of the profession and to ensure that the best bills and laws are being put into action by those who will be impacted most. Shalvi believes that recruitment isimportant because the field needs more representation, visibility, and value. Dr. Prasad stumbled onto the career when she worked as a pre-health student advisor. After being an Emergency Department scribe, managing and volunteering at clinics, and shadowing throughout her undergraduate career and during her gap years, she quickly realized that Podiatric Medicine was the “hidden gem” of medicine. Dr. Prasad wants to build visibility, inclusion, and representation within the Podiatric Medicine field. Dr. Shalvi Prasad founded PodMedAdventures in the hopes ofspreading awareness about Podiatric Medicine and Surgery as a career option and to create a one-stop location for pre-pods, current students, practicing physicians, and industry leaders. Working with underserved communities on an interdisciplinary team is near and dear to her heart and she strives to help patients as a physician and advocate in legislation. Dr. Prasad is interested in politics and legislation because it's important to not only advocate for patients, but that it's necessary to be proactive about the future of the profession and to ensure that the best bills and laws are being put into actionby those who will be impacted most. Shalvi believes that recruitment is important because the field needs more representation, visibility, and value. Dr. Prasad stumbled onto the career when she worked as a pre-health student advisor. After being an Emergency Department scribe, managing and volunteering at clinics, and shadowing throughout her undergraduate career and during her gap years, she quickly realized that Podiatric Medicine was “medicine's best kept secret.” She is a rising 2nd year resident at the DVA New Mexico Veterans Affairs Healthcare System & Kaiser Healthcare Foundation residency program. Dr. Prasad wants to build visibility, inclusion, and representation within the Podiatric Medicine field.***Guests do not have affiliation with sponsor***This episode is sponsored by Kuribl LLC:Learn more by going to: www.kuribl.com Welcome to She's a DPM. A podcast for women to share their experiences, knowledge, and insights on cultivating a life in, and outside, the field of Podiatric Medicine and Surgery.Contact me if there is a topic you'd like to hear more about, or if you know a kick ass Lady DPM who should be interviewed.Email: DrOexeman@gmail.com Instagram: @droexeman
Thank you for tuning in for another episode of Life's Best Medicine. Dr. Paul Kolodzik has provided metabolic health and weight loss medical services to patients for nearly 15 years. Believing that the key to metabolic health is appropriately limiting carbohydrate intake to achieve blood glucose reduction/stabilization, fat catabolism (burning fat), weight loss, and disease reversal, Dr. Paul is passionate about helping people make the appropriate lifestyle changes to achieve wellness. He is Board Certified by The American College of Emergency Medicine and the American Board of Preventive Medicine. Dr. Kolodzik is also Board Certified in Addiction Medicine. For the past five years, in addition to helping patients succeed at losing weight and reverse chronic disease, he has treated patients with drug, alcohol, and food addiction conditions. In this episode, Brian and Paul talk about the value of CGMs, what Dr. Paul learned working in the Emergency Department, making the time spent with patients as purposeful and efficient as possible, some serious philosophical problems in Western healthcare generally, the slow shift in the thinking of doctors to embrace the importance of lifestyle intervention for metabolic health, how diet is related to addiction, the current plague of addiction and depression wreaking havoc in the U.S., the value of having a spiritual practice and faith in a higher power, the various ways people meet death when the end of their life comes, and the terrible problem of physician burnout. Thank you for listening. Have a blessed day and stay healthy! Links: Dr. Paul Kolodzik: Instagram The Continuous Glucose Monitor Revolution Twitter TikTok Metabolic MDs YouTube Dr. Brian Lenzkes: Website Low Carb MD Podcast HLTH Code: HLTH Code Promo Code: METHEALTH HLTH Code Website Keto Mojo: Keto Mojo
Contributor: Travis Barlock MD Educational Pearls: Common sedatives used in the Emergency Department and a few pearls for each. Propofol Type: Non-barbiturate sedative hypnotic agonizing GABA receptors. Benefit: Quick on and quick off (duration of action is approximately 2-7 minutes), helpful for suspected neurologic injury so the patient can wake up and be re-evaluated. Also has the benefit of reducing intracranial pressure (ICP). Downsides: Hypotension, bradycardia, respiratory depression. What should you do if a patient is getting hypotensive on propofol? Do not stop the propofol. Start pressors. May have to reduce the propofol dose if delay in pressors. Dexmedetomidine (Precedex) Type: Alpha 2 agonist - causes central sedation Uses: Patients are more alert and responsive and therefore can be on BiPAP instead of being intubated. Does not cause respiratory depression. Downsides: Hypotension and Bradycardia. Caution in using this for head injuries, its side effects can mask the Cushing reflex and make it more difficult to spot acute elevations in ICP and uncal herniation. Ketamine Type: NMDA antagonist and dissociative anesthetic, among other mechanisms. Benefits: Quick Onset (but slower than propofol). Does not cause hypotension, but can even increase HR and BP (Thought to potentially cause hypotension if patient is catecholamine-depleted (ie. sepsis, delayed trauma)). Dosing ketamine can be challenging. Typically low doses (0.1-0.3mg/kg (max ~30mg)) can give good pain relief. Higher doses (for intubation/procedural sedation) are generally thought to have a higher risk of dissociation. Downsides: Emergence reactions which include hallucinations, vivid dreams, and agitation. Increased secretions. Benzos Type: GABA agonists. Benefits: Seizure, alcohol withdrawal, agitation due to toxic overdoses. Push doses are useful because doses can stack. Longer half-life than propofol. Downsides: Respiratory depression. Longer half-life can make neuro assessments difficult to complete. Etomidate MOA: Displaces endogenous GABA inhibitors. Useful as a one-time dose for quick procedures (cardioversion, intubation). Often drug of choice for intubation since it is thought to have no hemodynamic effects. Downsides; If used without paralytic - myoclonus. Though to have some adrenal suppression. Fentanyl Type: Opioid analgesic. Not traditional sedative. Benefits: There are many instances in emergency medicine in which sedation can be avoided by prioritizing proper analgesia. Fentanyl can even be used to maintain intubated patients without needing to keep them constantly sedated. Downsides: Respiratory depression. Patients may have tolerance. References Chawla N, Boateng A, Deshpande R. Procedural sedation in the ICU and emergency department. Curr Opin Anaesthesiol. 2017 Aug;30(4):507-512. doi: 10.1097/ACO.0000000000000487. PMID: 28562388. Keating GM. Dexmedetomidine: A Review of Its Use for Sedation in the Intensive Care Setting. Drugs. 2015 Jul;75(10):1119-30. doi: 10.1007/s40265-015-0419-5. PMID: 26063213. Lundström S, Twycross R, Mihalyo M, Wilcock A. Propofol. J Pain Symptom Manage. 2010 Sep;40(3):466-70. doi: 10.1016/j.jpainsymman.2010.07.001. PMID: 20816571. Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Epub 2021 Dec 14. PMID: 34904190. Mihaljević S, Pavlović M, Reiner K, Ćaćić M. Therapeutic Mechanisms of Ketamine. Psychiatr Danub. 2020 Autumn-Winter;32(3-4):325-333. doi: 10.24869/psyd.2020.325. PMID: 33370729. Nakauchi C, Miyata M, Kamino S, Funato Y, Manabe M, Kojima A, Kawai Y, Uchida H, Fujino M, Boda H. Dexmedetomidine versus fentanyl for sedation in extremely preterm infants. Pediatr Int. 2023 Jan-Dec;65(1):e15581. doi: 10.1111/ped.15581. PMID: 37428855. Summarized by Jeffrey Olson MS2 | Edited by Jorge Chalit, OMSII
Interview with Yonathan Freund, MD, PhD, author of Overnight Stay in the Emergency Department and Mortality in Older Patients, and Timothy S. Anderson, MD, MAS, author of The Risks of Being in Limbo in the Emergency Department. Hosted by Louise Aronson, MD, MFA. Related Content: Overnight Stay in the Emergency Department and Mortality in Older Patients The Risks of Being in Limbo in the Emergency Department
Interview with Yonathan Freund, MD, PhD, author of Overnight Stay in the Emergency Department and Mortality in Older Patients, and Timothy S. Anderson, MD, MAS, author of The Risks of Being in Limbo in the Emergency Department. Hosted by Louise Aronson, MD, MFA. Related Content: Overnight Stay in the Emergency Department and Mortality in Older Patients The Risks of Being in Limbo in the Emergency Department
As a PEM Physician, child abuse, sexual abuse and child neglect cases are those cases I never want to miss or overlook. That is often easier said than done. This is a discussion I had with Dr. Stephen Boos, a child abuse doctor in Western MA.
Israel bombs hospitals - attacking an already crumbling health service. They're places protected by international law, where hundreds of thousands of Palestinians have sought shelter. What is the state of Gaza's healthcare system ravaged by siege and war? Join Host James Bays Guests: Dr Ahmed El Mokhallalati - Head of the Plastic Surgery Department, Al Shifa Hospital. Nebal Farsakh - Spokeswoman, Palestine Red Crescent Society. Dr Mads Gilbert - Head of Emergency Department, University Hospital of North Norway.
In this episode we speak with Araceli, a Substance Use Navigator in California, about her work taking care of substance use patients in her Emergency Department. We talk about how to connect with patients with substance use - both in terms of building trust and how to work with patients who do not speak English as their first language.
Patients with (LEP) have been shown to experience disparities in (ED) care. The objectives of this study were to examine the LEP and irregular ED departures and return ED visits. We interview senior author Dr. Derick Jones about this new AEM paper.
Pain from rib fractures can be severely limiting in the acute setting. In this recap from our most recent Journal Club, Dr Olivia Gobble leads us through a paper looking at the effectiveness of Serratus Anterior Plane Blocks for treating pain from rib fractures in the Emergency Department.
Joe Sutter, an 82 year old widower, cancer survivor, and avid bird watcher, collapses at home. His daughter and son-in-law find him on the floor, mumbling, with changes to his vision. Using lab results and patient presentation, can you figure out what is wrong with Joe before the doctor does? A word of warning... it may not be as simple as you think.This Medical Mystery Case is accredited for one hour of FREE continuing education credit for physicians, nurses, respiratory therapists, and laboratory professionals. To recieve credit for this program, please visit the link below, review the additional material, and then click CME/CE to fill out an evaluation and get your certificate.https://www.onmedicalgrounds.com/PremiumContent/ABirdsEyeViewThis continuing medical education program is supported by Siemens Healthineers. Content was developed by Medavera, Inc. for distribution on the On Medical Grounds podcast.Voice actorsNarrator: Carrie VauseJoe Sutter: Mark GideonSue Franklin: Annie CrumbaughMike Franklin: Hyda-James HillDr. Chen, ED physician: Keong SimMia, ED Nurse: Beth DomannVisit us at OnMedicalGrounds.com for more podcasts! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.LinkTreeTwitterLinkedInInstagram
Career changes are never easy, but they can often be rewarding once you've taken the leap. That's what our guest in episode 108, Stacia Root, found as she transitioned from an acute care nurse to a fitness professional; defying the traditional norms and challenges of her previous profession. Stacia's compelling narrative, sprinkled with tales of her unique experiences, is a testament to her unwavering commitment to her passion, even in the face of uncertainty.In this engrossing conversation, Stacia sheds light on the intricacies of the relationship between the fitness and medical worlds. She offers her perspective on the operations of the healthcare system, emphasizing the critical role fitness professionals can play in healthcare. Listen as we delve into the trust gap between fitness professionals and the medical community, and learn about the steps Stacia believes we should take to bridge this divide.For those of you seeking a personalized approach to fitness and health, Stacia's wisdom is invaluable. She lets us in on her method of working with clients, aimed at developing sustainable, healthy habits, debunking common myths about health and fitness. Don't miss out on gaining insights into her gradual approach to habit formation. Join us in this enlightening episode filled with inspiration, ready to be motivated by Stacia's unique journey and her refreshing approach to fitness and health.Show Notes Page: https://wellnessparadoxpod.com/episode108Our Guest: Stacia Root Health and Wellness has always been extremely important to Stacia. Her main focus with clients is helping them develop sustainable lifelong healthy habits. Previously working as a Registered Nurse, Stacia saw a vast lack in educating patients on personal health and wellness which often resulted in patients not getting to the root of their health problem. Instead of really getting in depth with patients in regards to daily habits that could lead to a healthier life she often found that the time allotted per patient and education given wasn't enough. Stacia has experience working in the Emergency Department, a Kidney/Cardiac Progressive Unit and Telehealth Triage. She holds that experience and education near to her and has used that to help understand her clients better and provide them with a proper plan. She is a ISSA Certified Personal Trainer and has been working as a trainer since 2021. She strongly believes that fitness isn't a “one size fits all” industry and finds a lot of joy in helping her clients find an enjoyable routine that's tailored specifically to them. Stacia loves to work with clients who want to take a deeper dive into their health. As someone who enjoys lifting heavy weights she really loves familiarizing and getting new clients comfortable and confident in the weight room. She has experience working with a wide variety of clients. Ranging from teens, clients looking for holistic health measures, geriatric clients, and athletes. Outside of one on one training she enjoys the handful of group fitness classes she teaches.Follow us on social at the links below: https://www.facebook.com/wellnessparadox https://www.instagram.com/wellnessparadox/ https://www.linkedin.com/company/wellness-paradox-podcast https://twitter.com/WellnessParadox
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.EpidemiologyDifferential diagnosisPrehospital careED history and physical examDiagnostic studiesPoint of care testing Labs ImagingTreatmentIV fluids, the 2-bag system Mild DKA Moderate to severe DKA Potassium and phosphate supplementation Magnesium and calcium Sodium bicarbonate Hypoglycemia HHS MonitoringComplicationsCerebral edema IntubationInsulin pumpsDispositionSummaryHighlightsEBUC - Management of Acute Asthma Exacerbations in Urgent CareEMP - Evidence-Based Emergency Department Management of Methamphetamine ToxicityPEMP - Trauma Extra - Blunt Thoracic Injuries (coming Nov. 15th)Check out the clinical pathways at https://www.ebmedicine.net/pathways
The general election might be behind us, but voters in East Hamilton face a by-election as local councillor Ryan Hamilton leaves to become an MP. There's a St John's ambulance staff member onsite at Waikato Hospital's Emergency Department every weekday to try to reduce the wait time of arriving patients. And action is underway to keep several low-lying Firth of Thames settlements above water for the next 100 years.
This week Stefanie is joined by Social media influencer Nia Gallagher to talk all things TikTok. Follow Stefanie on Instagram @StefaniePreissner You can support Stefanie and the show on HeadStuff+ Thanks to Cathal O'Gara for our artwork and our music is from Only Ruin. This episode of Basically is sponsored by "Mater Private Network" and Rockwell Financial. You can receive a free consultation with Rockwell Financial by mentioning Basically when booking in. Mater Private Network Emergency Departments in Dublin and Cork provide fast access to care when it's needed most. Led by emergency medicine consultants, Mater Private Network's Emergency Department is fully integrated with all other hospital services, which means that if patients need tests, scans, additional consultations with other specialists, or to be admitted into the hospital, this can happen without unnecessary delay. Learn more https://bit.ly/3JF3DrG Learn more about your ad choices. Visit megaphone.fm/adchoices
While the hospital is a place of science and medicine, this does not keep our human tendency to be superstitious at bay. In today's episode we will be exploring a few of the most common hospital superstitions, their origins, and if there is any scientific evidence to support them. If you are enjoying Don't Look Under the Med, please help us out and leave a five-star review! And make sure you follow the podcast on your favorite platform so you never miss an episode. Articles: ABC: Friday the 13th and Emergency Departments, by Oliva Willis for Sum of All Parts Fusion Medical Staffing: Top 5 ER Superstitions, by Megan Bebout Healthline: How Does a Full Moon Affect Our Physical and Mental Well-Being?, by Rebecca Joy Stanborough, MFA The Washington Post: Friday the 13th: Things You Should Know, by Valerie Strauss CNN: Why is Friday the 13th Unlucky? The Cultural Origins of An Enduring Superstition, by Christobel Hastings Academic Articles: Wu YW, Lai WS, Chen YC. [Superstitious Beliefs Among Healthcare Providers: A Concept Analysis]. Hu Li Za Zhi. 2023 Jun;70(3):85-93. Chinese. doi: 10.6224/JN.202306_70(3).11. PMID: 37259654. Johnson G. The Q**** Study – basic randomised evaluation of attendance at a children's emergency department. Emergency Medicine Journal 2010;27:A11. Zargar M, Khaji A, Kaviani A, Karbakhsh M, Yunesian M, Abdollahi M. The full moon and admission to emergency rooms. Indian J Med Sci. 2004 May;58(5):191-5. PMID: 15166467. Lo BM, Visintainer CM, Best HA, Beydoun HA. Answering the myth: use of emergency services on Friday the 13th. Am J Emerg Med. 2012 Jul;30(6):886-9. doi: 10.1016/j.ajem.2011.06.008. Epub 2011 Aug 19. PMID: 21855260.Podcast Art By: Irit Mogilevsky --- Support this podcast: https://podcasters.spotify.com/pod/show/dontlookunderthemed/support
Community Health MPact is a course in which students examine causes of and potential solutions to health inequities impacting urban communities in Minnesota. Urbanization can bring social and economic benefits, but structural inequities in these areas are the key contributors to health inequities which most often harm Black and brown communities.Dr. Priya Sury, a HealthPartners emergency medicine physician at Hudson Hospital in Hudson, Wisconsin, and assistant professor and course director for urban community health at the University of Minnesota Medical School, shares how she was inspired to create the course she wanted when she was a medical student.Hosts: Kari Haley, MD, and Steven Jackson, MDGuest: Priya Sury, MDHealthPartners website: Off the Charts podcast
Ultrasound is an increasingly ubiquitous tool to augment the physical exam in the Emergency Department. Dr Jazmyn Shaw walks us through a paper that looks at whether or not US is a useful adjunct to physical exam for the diagnosis of shoulder dislocation in the Emergency Department
On this episode of The Power of Love Show we welcome special guest, Jessica Correnti, MS, CCLS. Jessica Correnti is a Certified Child Life Specialist with more than 15 years' experience. She spent the first 14 years of her career in the hospital setting in Pediatric ICUs, the Emergency Department, Inpatient Units, and Surgical Centers. Jessica has a Bachelor of Arts degree in Education of Young Children, a minor in Psychology and a Master of Science degree in Healthcare Administration and Community Health. She is the founder and owner of ‘Kids Grief Support', a private practice that provides virtual and in-person sessions to grieving children and families across the globe through therapeutic activities and support. Jessica is also the author of ‘Forever Connected', a children's book for bereaved siblings and ‘The ABCs of Grief', which will be released this fall. Jessica is passionate about supporting grieving children, families, and the professionals that companion the bereaved. Learn More About Jessica: Website: KidsGriefSupport.com Instagram: @KidsGriefSupport LinkedIn: Jessica Correnti Email: Contact@KidsGriefSupport.com
The head of the HSE has disputed figures suggesting record-breaking levels of overcrowding at the region's main hospital this week. The Irish Nurses and Midwives Organisation reported on Monday that 130 admitted patients were without a bed at University Hospital Limerick during morning rounds. However, the HSE's Chief Executive Officer claims the actual number was closer to 60, with 40 of these on trolleys in the Emergency Department. Responding to a question from Ennistymon Fine Gael Senator Martin Conway at the Oireachtas Health Committee, Bernard Gloster says regardless of the true figure, additional assistance is required by UHL management.
The Midwest Hospital Campaign Group believes management at the region's main hospital must be held accountable for the facility's ongoing overcrowding crisis. It comes one day after the INMO recorded the highest ever level of admitted patients on trolleys at an Irish hospital at University Hospital Limerick. Record-breaking trolley numbers were recorded by the Irish Nurses and Midwives Organisation at the region's main hospital yesterday, where 130 admitted patients were waiting for beds; the highest number ever recorded on a single day at any Irish hosptial. That number has falled to 108 today, though the Emergency Department remains extremely busy. The UL Hospitals Group has acknowledged this level is "far in excess" of where they want it to be and have highlighted measures being undertaken to curb overcrowding. This includes opening surge capacity, transferring patients on trolleys to inpatient wards and working to identify patients suitable for transfer to Ennis, Nenagh and St. John's Hospitals. Hospital management are also advising people to "avoid the ED except in cases of severe or life-threatening illness or injury" and are pointing out that "anyone attending ED who doesn't have a life-threatening or severe illness or injury will face a significant wait". Midwest Hospital Campaign Group member Marie McMahon, whose husband passed away at UHL in 2018, says it's vital blame isn't levelled at staff. Meanwhile, at the Oireachtas Committee on Health which is in session today, HSE CEO Bernard Gloster has once again described the health service's €22.5 billion budget allocation as wholly "inadequate". Clare Regional Health Forum Member Councillor Cillian Murphy says at the very least, the situation at the region's main hospital represents an obvious fire and health and safety hazard.
Quick summaries of Episodes 21-30. 21. SOAT for OUD: Short-Acting Opioid Agonists for Opioid Use Disorder: Safety and preliminary outcomes of short-acting opioid agonist treatment (sOAT) for hospitalized patients with opioid use disorder 22. Contingency Management for Coronary Artery Disease: High-risk Coronary Plaque Regression in Cash-based Contingency Management Intervention Among Cocaine Users With HIV-associated Subclinical Coronary Atherosclerosis 23. Eat-Sleep-Console: ACT NOW Collaborative. Eat, Sleep, Console Approach or Usual Care for Neonatal Opioid Withdrawal 24. Smoking Cessation and Mortality: Association Between Smoking, Smoking Cessation, and Mortality by Race, Ethnicity, and Sex Among US Adults 25. High-dose Buprenorphine Induction: High-Dose Buprenorphine Induction in the Emergency Department for Treatment of Opioid Use Disorder 26. Addiction Survivors: Does a Survivorship Model of Opioid Use Disorder Improve Public Stigma or Policy Support? A General Population Randomized Experiment 27. The First Opioid Prescription: Risk factors for the development of opioid use disorder after first opioid prescription: A Swedish national study 28. Pain and Recovery: Persistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery 29. Vaping Cessation: Varenicline and counseling for vaping cessation: a double-blind, randomized, parallel-group, placebo-controlled trial 30. Race and MOUD: Racial Inequality in Receipt of Medications for Opioid Use Disorder ---------- Episode Credits: Original theme music: composed and performed by Benjamin Kennedy Audio production: Erin McCue Executive Producer: Dr. Patrick Beeman A podcast from Ars Longa Media ---------- The best part of any journal club is the conversation. Send us your comments on Twitter, Facebook, YouTube, Spotify, email, or join our Facebook group. Email: firstname.lastname@example.org Twitter: @AddictionMedJC Facebook: @AddictionMedJC Facebook Group: Addiction Medicine Journal Club YouTube: addictionmedicinejournalclub Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities.
Dr. Vallejo is going to talk to us about the collaboration that occurs between OB hospitalists and the emergency department and how the collaboration improves maternal care.
Show NotesNACE is excited to provide you with this podcast episode from our educational collaborator, The Association of Pulmonary Advanced Practice Providers (APAPP). APAPP is the first association of Advanced Practice Providers (APPs), both Nurse Practitioners and Physician Assistants, who work in the field of pulmonary medicine. APAPP's mission is to work together for the advancement of the profession and for the well-being of patients with pulmonary diseases. To learn more about APAPP and to get involved, please visit https://www.pulmapp.com.GuestSusan Wilxon, MD Dr. Susan Wilcox, M.D., attended medical school at Washington University School of Medicine and trained in Emergency Medicine in the Harvard Affiliated Emergency Medicine Residency, graduating in 2008. After residency, she completed an Anesthesia Critical Care fellowship at Massachusetts General Hospital. Since finishing her training in 2009, she divided her time between the Emergency Department and critical care, working in Surgical ICUs, Medical ICUs, and long-term vent units. In July 2017, she assumed the role of the Chief of the newly formed Division of Critical Care within the Department of Emergency Medicine MGH. In addition to attending in the Emergency Department, she also attends in the Heart Center ICU and serves as the Associate Chief Medical Officer of Boston MedFlight.HostCorinne R. Young, MSN, FNP-C, FCCPDirector of APP and Clinical Services, Colorado Springs Pulmonary ConsultantsPresident, APAPP, Colorado Springs, COCorinne Young is a Nurse Practitioner began working in the area of pulmonary disease in California in 2005. Since 2011, she has worked in a private pulmonary practice in Colorado Springs, Colorado. Involvement and the representation of advanced practice providers in the pulmonary world has been an important priority for Corinne. To that end, Corinne is the Founder and President of the Association of Pulmonary Advanced Practice Providers.In addition to her work with APAPP, Corinne is currently one of ten NPs nationwide to become a Fellow of the American College of Chest Physicians. She works closely with the American College of Chest Physicians CHEST programs, and serves on the Interprofessional Team Network, Clinical Research Network, and on the Executive Programing Committee. Additionally, Corinne serves on the American Board of Internal Medicine Pulmonary Disease Board.This Podcast episode does not offer CME/CE Credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.
One of the most important challenges facing Fatty Liver stakeholders involves improving early diagnosis for patients with clinically relevant or advanced fibrosis (F2/3). Today, a significant percentage of patients learn they are living with cirrhosis in the Emergency Department during a decompensating event. Four in ten of these patients in the UK do not leave the hospital. This episode From the Vault reviewed a model that Ian Rowe and Richard Parker developed to determine the most cost-effective strategy for F2/3 diagnosis.In this conversation, Ian Rowe describes the factors that motivated him and Richard Parker to build a decision model focusing on early NASH diagnosis. He identifies three data points demonstrating how severely NASH stakeholders need a better early diagnosis paradigm and then describes the five diagnostic strategies his model will test. :the high percentage of people whose liver disease is picked up for the first time when they present in the ED with decompensating disease or hepatic encephalopathythe fact that roughly four in ten of these patients will die during treatment for this initial round of liver diseasethe inefficiencies around diagnostic current methods, whereby practitioners flag abnormal liver enzyme tests and refer to specialists, where it may take months to get a specialist appointment.He then describes the five early diagnostic strategies that will be tested and contrasted in this decision curve model.
Howie and Harlan are joined by Marc Auerbach, a professor of pediatric emergency medicine at Yale, to discuss his work using standards and simulation to improve the treatment of children in emergency departments throughout the United States. Harlan reflects on the importance of simple, well-designed clinical trials to make rapid improvements to care; Howie reports on a congressional study asking whether the Centers for Medicare and Medicaid Innovation Center has succeeded in lowering costs and increasing quality. Links: Timely Clinical Trials “Dexamethasone in Hospitalized Patients with Covid-19” “Now is the time to fix the evidence generation system” “The Clinical Trials Enterprise in the United States: A Call for Disruptive Innovation” The Yale Paxlovid for Long COVID (PAX LC) Trial Pediatric Emergency Medicine CDC: Emergency Department Visits Among Children Aged 0–17 by Selected Characteristics: United States, 2019–2020 “Emergency Department Pediatric Readiness and Short-term and Long-term Mortality Among Children Receiving Emergency Care” “The Emergency Medical Treatment and Active Labor Act (EMTALA): what it is and what it means for physician” Connecticut Emergency Medical Services for Children: Innovation and Improvement Center Centers for Medicare and Medicaid Innovation Center CMS: About the CMS Innovation Center “Accelerating Care Delivery Transformation—The CMS Innovation Center's Role in the Next Decade” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.
At the 2023 PCCS conference in Edinburgh we chatted to Marie Spiers, Emergency Department consultant in Glasgow, about paediatric traumatic cardiac arrest. How does traumatic cardiac arrest differ to medical cardiac arrest? Is the treatment different? What should we be focusing on? What is the point in chest compressions, and […]
Ramona Thomas, General Counsel, Planned Parenthood of Orange and San Bernardino Counties, Inc., Louise M. Joy, Partner, Joy & Young LLP, and Dr. Sangeeta Sakaria, Medical Director, Emergency Department, UC Irvine, discuss some of the recent changes and updates they have seen in the reproductive health care space, particularly at the state level, and how practitioners of emergency medical care are responding. They cover the Zurawski case in Texas, legal battles over mifepristone and travel, and the impact on access to care. Ramona, Louise, and Sangeeta spoke about this topic at AHLA's 2023 Annual Meeting in San Francisco, CA.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
In the June episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pericarditis presentations in the emergency department and esophageal emergencies. As always, you'll hear about the hot topics covered in CDEM's regular features, including lead reversals in The Critical ECG, Meckel diverticulum in Clinical Pediatrics, trans-scaphoid perilunate and complete radiocarpal dislocations in Critical Cases in Orthopedics and Trauma, drainage of an acute paronychial abscess in The Critical Procedure, recurrent, low-risk chest pain in the LLSA Literature Review, an elbow injury in a child in The Critical Image, off-label tizanidine use in the Drug Box, and pyrethroid toxicity in the Tox Box.
In the May episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss thyroid storm and pediatric headaches. As always, you'll hear about the hot topics covered in CDEM's regular features, including pediatric stroke in Clinical Pediatrics, traumatic hemipelvectomy in Critical Cases in Orthopedics and Trauma, cold gastric lavage in The Critical Procedure, the importance of lactate in the LLSA Literature Review, foreign body ingestions in The Critical Image, zavegepant in the Drug Box, and buspirone in the Tox Box.
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the October 2023 Pediatric Emergency Medicine Practice article, Substance Use in Adolescents: Recognition and Management in the Emergency Department and the October 2023 Emergency Medicine Practice article, Evidence-Based Emergency Department Management of Migraine and Other Primary HeadachesSubstance Use In Adolescents EpidemiologyRisk FactorsDifferential DiagnosisPrehospital CareED History and Physical ExamUrine Drug ScreenTreatmentMarijuana Alcohol Methaphetamines MDMA Cocaine OpioidsDispositionMigraine and Other Primary HeadachesEpidemiologyCluster HeadachesMedication Overuse HeadacheNerve BlocksGreater Occipital Sphenopalatine GanglionPregnant PatientsDispositionCheck out the clinical pathway at https://clinicalpathways.ebmedicine.net
Welcome back! This month we kick off looking at an RCT which looks at whether we should convey patients with a ROSC from a likely cardiac cause (without a STEMI in their ECG) to a cardiac arrest centre, or whether they would be as well served at their local Emergency Department. This paper has huge potential implications for service design for cardiac arrest patients. Next up we look at another RCT evaluating if patients with a suspected uncomplicated appendicitis who have urgent surgical intervention benefit in terms of a reduced perforation rate, when compared with those who have surgery within 24 hours. Lastly we take a look at the use of bicarbonate, calcium and magnesium in cardiac arrest and see if there use is supported in a huge cardiac arrest registry. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob
Learn from experts in the field as they discuss opportunities and key strategies for developing and conducting a medication use evaluation for the treatment of skin and soft tissue infections (SSTIs) in the emergency department/urgent care setting. They will share how new evidence, new drug approvals, changing resistance patterns, and patient-specific considerations can be integrated into the MUE. You will gain insights into optimizing the patient experience and outcomes by applying MUE findings as part of their outpatient antibiotic stewardship strategy. This podcast is part of a project supported by a grant from Paratek. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
In this week's episode of Hypnotic Healers, Nicole & Anthony welcome Kathie Hardy to the show. Kathie had a 38-year long career as a nurse working in the ICU and Emergency Department so she has a wealth of valuable experience, skills and knowledge that she brings to her practice. Her story of how she got into hypnosis and made the career change is nothing short of beautiful. Kathie has written two books: Migraine Relief with Hypnosis, Quit Smoking For Good, Without Gaining Weight which can both be found on Amazon. www.SalishSeaHypnosis.com You can access her recordings via this link - listen with headphones / earbuds to get the best experience. Join the conversation! Welcome to Hypnotic Healers, the podcast where both practitioners of change work and people who have an interest in knowing more about this awesome profession, can get insider knowledge and find tips, tricks, advice and support. Nicole Mazzucato & Anthony Gitch have joined forces from across the globe to bring you insights from ourselves and other change workers worldwide. www.nicolemazzucato.com www.excelhypnosis.com Don't miss out!
Arrhythmias in the Emergency Department Special Guests: Kyle DeWitt, PharmD, BCPS Lance Ray, PharmD, BCPS, BCEMP 05:30 – Intro/background 10:10 – Atrial arrhythmias 56:40 – EKGs/Ventricular arrhythmias 72:35 – Bradyarrhythmias/take-home points Reference List: https://pharmacytodose.files.wordpress.com/2023/09/arrhythmias-in-the-ed-references.pdf PharmacyToDose.Com @PharmacyToDose PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices