Podcasts about rosen's emergency medicine

We review the American Urological Association guidelines on penile fracture and priapism. We supplement this with core content from Tintinalli and Rosen's Emergency Medicine.

This episode of CRACKCast covers Chapter 193 in Rosen's Emergency Medicine (9th Ed.) – Weapons of Mass Destruction. Although attacks involving WMD's are relatively uncommon, being thoroughly prepared for these events will prove invaluable for the community affected. Sit tight and listen in to make sure you are ready if the unthinkable should happen. Core Questions: 1) List 6 potential agents that may be used as weapons of mass destruction. 2) List 6 features of weapons of mass destruction threats that make them unique. 3) Describe 6 signs suggesting biologic weapon deployment. 4) What are recommendations for prevention of in-hospital transmission of contagious agents? 5) Describe the 2 typical presentations of Anthrax. What are typical CXR findings? How is each type of anthrax treated? 6) How is the plague transmitted? What are the 2 typical presentations of the plague? How is each treated? Wisecracks: 1) Why are children at higher risk of death from Weapons of Mass Destruction (WMD)? 2) What are components of ED preparedness for chemical weapons of mass destruction? 3) Describe a basis ER protocol for handling radiation exposure / casualties (review). 4) Differentiate between chickenpox and smallpox. 5) How are nerve agents treated (3 drugs)? 6) Describe the clinical effects of mustard gas. How is this treated?

This episode of CRACKCast covers Chapter 193 in Rosen's Emergency Medicine (9th Ed.) – Weapons of Mass Destruction. Although attacks involving WMD's are relatively uncommon, being thoroughly prepared for these events will prove invaluable for the community affected. Sit tight and listen in to make sure you are ready if the unthinkable should happen. Core Questions: 1) List 6 potential agents that may be used as weapons of mass destruction. 2) List 6 features of weapons of mass destruction threats that make them unique. 3) Describe 6 signs suggesting biologic weapon deployment. 4) What are recommendations for prevention of in-hospital transmission of contagious agents? 5) Describe the 2 typical presentations of Anthrax. What are typical CXR findings? How is each type of anthrax treated? 6) How is the plague transmitted? What are the 2 typical presentations of the plague? How is each treated? Wisecracks: 1) Why are children at higher risk of death from Weapons of Mass Destruction (WMD)? 2) What are components of ED preparedness for chemical weapons of mass destruction? 3) Describe a basis ER protocol for handling radiation exposure / casualties (review). 4) Differentiate between chickenpox and smallpox. 5) How are nerve agents treated (3 drugs)? 6) Describe the clinical effects of mustard gas. How is this treated?

This episode of CRACKCast covers Chapter 190 of Rosen's Emergency Medicine(9th Ed.). After listening to this podcast, you will have a more comprehensive understanding of the intricacies of pre-hospital care and be better able to address issues in your community's out-of-hospital healthcare network.

This episode of CRACKCast covers Chapter 190 of Rosen's Emergency Medicine(9th Ed.). After listening to this podcast, you will have a more comprehensive understanding of the intricacies of pre-hospital care and be better able to address issues in your community's out-of-hospital healthcare network.

This episode of CRACKCast covers Chapter 189 in Rosen's Emergency Medicine (9th Ed.) – The Combative and Difficult Patient. Next time a severely agitated patient rolls into the department, you won't even break a sweat!

This episode of CRACKCast covers Chapter 189 in Rosen's Emergency Medicine (9th Ed.) – The Combative and Difficult Patient. Next time a severely agitated patient rolls into the department, you won't even break a sweat!

This episode of CRACKCast covers Chapter 158 in Rosen's Emergency Medicine, 9th Edition. Core Questions: For each of the following, describe the expected toxicity: Jequirity pea, rosary Umbrella tree, Dieffenbachia, Dumb cane Capsicum annum Water Hemlock Jimson Weed, Deadly Nightshade Eucalyptus oil Poinsettia Oleander, Foxglove Tobacco Pokeweed Rhododendron Yew Castor Beans List 5 mushrooms with early onset toxicity and 3 with late onset – and describe the toxicity expected. List 4 mechanism of toxicity resulting from the use of herbal medicine. List 4 plants containing cardiac glycosides. What is Buckthorn?

This episode of CRACKCast covers Chapter 158 in Rosen's Emergency Medicine, 9th Edition. Core Questions: For each of the following, describe the expected toxicity: Jequirity pea, rosary Umbrella tree, Dieffenbachia, Dumb cane Capsicum annum Water Hemlock Jimson Weed, Deadly Nightshade Eucalyptus oil Poinsettia Oleander, Foxglove Tobacco Pokeweed Rhododendron Yew Castor Beans List 5 mushrooms with early onset toxicity and 3 with late onset – and describe the toxicity expected. List 4 mechanism of toxicity resulting from the use of herbal medicine. List 4 plants containing cardiac glycosides. What is Buckthorn?

This episode of CRACKCast covers Chapter 134 of Rosen's Emergency Medicine (9th Ed.): Electrical and Lightning Injuries.  Core questions:   What is the relationship between current, voltage and resistance?  How does this relate to potential for injury from electrical and lightning injuries? What are the types of electrical injury? (based on type of current) Differentiate between AC and DC current injuries. List 4 types of electrical burns and 5 mechanisms of lightning injury List 5 expected injury patterns for high-voltage and lightning injuries List clinical findings (early and late) associated with electrical injuries. List clinical findings associated with lightning exposure. Describe the skin injuries associated with lightning and electricity. Describe the modifications in field triage of multiple victims following a lightning strike. Describe the prehospital management of electrical injuries List 6 admission criteria for electrical/lightning injuries List 6 complications of high-voltage injuries Tips to avoid getting hit by lightning     Wisecracks:   List six mechanisms of lightning injury. ECG features of lightning strike.  What is keraunoparalysis? Describe the management of a pregnant patient (1st trimester and 2nd /3rd trimester) in the setting of electrical injury. How are perioral electrical burns managed? List three early and three late complications.    

This episode of CRACKCast covers Chapter 134 of Rosen's Emergency Medicine (9th Ed.): Electrical and Lightning Injuries.  Core questions:   What is the relationship between current, voltage and resistance?  How does this relate to potential for injury from electrical and lightning injuries? What are the types of electrical injury? (based on type of current) Differentiate between AC and DC current injuries. List 4 types of electrical burns and 5 mechanisms of lightning injury List 5 expected injury patterns for high-voltage and lightning injuries List clinical findings (early and late) associated with electrical injuries. List clinical findings associated with lightning exposure. Describe the skin injuries associated with lightning and electricity. Describe the modifications in field triage of multiple victims following a lightning strike. Describe the prehospital management of electrical injuries List 6 admission criteria for electrical/lightning injuries List 6 complications of high-voltage injuries Tips to avoid getting hit by lightning     Wisecracks:   List six mechanisms of lightning injury. ECG features of lightning strike.  What is keraunoparalysis? Describe the management of a pregnant patient (1st trimester and 2nd /3rd trimester) in the setting of electrical injury. How are perioral electrical burns managed? List three early and three late complications.    

Episode 119 of CRACKCast covers chapter 109 of Rosen's Emergency Medicine 9th edition. Its hard to go a couple hours in the ED without seeing allergy or that life-threatening anaphylaxis, so you need to be tres familiar with this entity!!!

Episode 119 of CRACKCast covers chapter 109 of Rosen's Emergency Medicine 9th edition. Its hard to go a couple hours in the ED without seeing allergy or that life-threatening anaphylaxis, so you need to be tres familiar with this entity!!!

This episode covers chapter 106 of Rosen's Emergency Medicine. Check out chapter 96 in the pretty new 9th edition. If you don't have it yet... you should. Ever wondered about how to get the spinal syndrome's straight? We've got that covered, and more of course!    

This episode covers chapter 106 of Rosen's Emergency Medicine. Check out chapter 96 in the pretty new 9th edition. If you don't have it yet... you should. Ever wondered about how to get the spinal syndrome's straight? We've got that covered, and more of course!    

This episode covers Chapter 104 (or 94 in the 9th Edition) of Rosen's Emergency Medicine. If you can't get delirium versus dementia straight in your head, then this is the podcast for you! Core questions: List the four key diagnostic criteria for delirium List six strong predisposing or precipitating factors for delirium List 15 causes of delirium Describe how to use a screening tool for delirium: MMSE List 3 potential medications used for chemical restraint List 2 potential side effects of Haldol administration Compare delirium with dementia List important diagnostic studies for the workup of delirium List four diagnostic criteria for dementia List 10 specific causes of reversible dementia List 10 causes of non-reversible dementia Wisecracks: Explain how you differentiate between psychosis, delirium and dementia. How does Aricept work? Describe the pathophysiology of Alzheimer’s dz and list RFs for its development What is the triad of normal pressure hydrocephalus?

This episode covers Chapter 104 (or 94 in the 9th Edition) of Rosen's Emergency Medicine. If you can't get delirium versus dementia straight in your head, then this is the podcast for you! Core questions: List the four key diagnostic criteria for delirium List six strong predisposing or precipitating factors for delirium List 15 causes of delirium Describe how to use a screening tool for delirium: MMSE List 3 potential medications used for chemical restraint List 2 potential side effects of Haldol administration Compare delirium with dementia List important diagnostic studies for the workup of delirium List four diagnostic criteria for dementia List 10 specific causes of reversible dementia List 10 causes of non-reversible dementia Wisecracks: Explain how you differentiate between psychosis, delirium and dementia. How does Aricept work? Describe the pathophysiology of Alzheimer’s dz and list RFs for its development What is the triad of normal pressure hydrocephalus?

This episode covers chapter 101 of Rosen's Emergency Medicine. Its a gooder... Stroke! All things brain badness, so come have a listen or take a gander at the shownotes.

This episode covers chapter 101 of Rosen's Emergency Medicine. Its a gooder... Stroke! All things brain badness, so come have a listen or take a gander at the shownotes.

We cover Free Open Access Medical Education on opioids. The Poison Review podcast reviews papers on the opioid epidemic, including a paper by Rudd et al demonstrating an increase in opioid-related deaths over the past five years as well as the following paper by Shah and colleagues. The Dantastic Mr. Tox and Howard, a new podcast on the scene, also covers multiple topics on opioids, including common misconceptions of tramadol. Then we cover core content on opioid overdose and withdrawal using Rosen's Emergency Medicine (9th ed) Chapter 156 and Tintinalli's Emergency Medicine (8th ed), Chapter 186 as a guide.   Thanks for listening! Jeremy Faust and Lauren Westafer

This episode covers Chapter 80 of Rosen's Emergency Medicine 9th edition. (Yes the new edition). Building on previous episodes (see fever, Jaundice and abdo pain), today we take a look at all things right upper quadrant badness.   1) List 8 ddx for hepatitis   2) Complete the following table for Hepatitis A, B & C: Transmission, Risk Factors, Carrier State, Acute Infection, Previous Infection, Chronic Infection, Prev Vaccine, Transmission Risk, Vaccine.   (show notes: What is hepatitis E? Where is it commonly found (geographically)? What is the significance of hepatitis D?)   3) Describe the post-exposure prophylaxis for exposure to HepA, HepB, HepC   4) Compare the expected lab work in acute viral hepatitis vs EtOH hepatitis   5) What liver diseases are associated with alcohol abuse? What non-hepatic conditions are associated with alcohol abuse? Describe the management of EtOH hepatitis   6) List 6 stigmata of chronic liver dz and list 3 complications   7) How is are chronic cirrhosis and ascites managed in the ER?   8) Describe a grading scale for hepatic encephalopathy and list 5 management considerations   9) Describe the ER diagnosis and management of SBP.   10) List 3 types of drug-induced liver disease.   11) What are two types of hepatic abscesses? How are they diagnosed and treated?   12) What is budd-chiari syndrome? How is it managed?   13) What is primary sclerosing cholangitis (PSC)? What is primary biliary cirrhosis? What is PSC associated with?   14) List 6 RFs for Cholelithiasis   15) Describe the clinical presentation of cholecystitis. List Lab, Xray (3) and US (4) findings   16) List 4 patients that get acalculous cholecystitis   17) List 4 considerations in the management of acute cholecystitis. When is surgery performed early?   18) What is the classic presentation of ascending cholangitis? What two clinical eponyms are described? How is ascending cholangitis managed? Wisecracks:   1.. Which conditions are associated with transaminases in the 10000s? How do you approach a patient with a needlestick injury? What is the risk of transmission following a needlestick? What are underlying causes of hepatic encephalopathy in patients with known liver disease? What are the typical investigations performed on ascites fluid? What is the SAAG and how is it interpreted?  What is the significance of a calcified gallbladder?

This episode covers Chapter 80 of Rosen's Emergency Medicine 9th edition. (Yes the new edition). Building on previous episodes (see fever, Jaundice and abdo pain), today we take a look at all things right upper quadrant badness.   1) List 8 ddx for hepatitis   2) Complete the following table for Hepatitis A, B & C: Transmission, Risk Factors, Carrier State, Acute Infection, Previous Infection, Chronic Infection, Prev Vaccine, Transmission Risk, Vaccine.   (show notes: What is hepatitis E? Where is it commonly found (geographically)? What is the significance of hepatitis D?)   3) Describe the post-exposure prophylaxis for exposure to HepA, HepB, HepC   4) Compare the expected lab work in acute viral hepatitis vs EtOH hepatitis   5) What liver diseases are associated with alcohol abuse? What non-hepatic conditions are associated with alcohol abuse? Describe the management of EtOH hepatitis   6) List 6 stigmata of chronic liver dz and list 3 complications   7) How is are chronic cirrhosis and ascites managed in the ER?   8) Describe a grading scale for hepatic encephalopathy and list 5 management considerations   9) Describe the ER diagnosis and management of SBP.   10) List 3 types of drug-induced liver disease.   11) What are two types of hepatic abscesses? How are they diagnosed and treated?   12) What is budd-chiari syndrome? How is it managed?   13) What is primary sclerosing cholangitis (PSC)? What is primary biliary cirrhosis? What is PSC associated with?   14) List 6 RFs for Cholelithiasis   15) Describe the clinical presentation of cholecystitis. List Lab, Xray (3) and US (4) findings   16) List 4 patients that get acalculous cholecystitis   17) List 4 considerations in the management of acute cholecystitis. When is surgery performed early?   18) What is the classic presentation of ascending cholangitis? What two clinical eponyms are described? How is ascending cholangitis managed? Wisecracks:   1.. Which conditions are associated with transaminases in the 10000s? How do you approach a patient with a needlestick injury? What is the risk of transmission following a needlestick? What are underlying causes of hepatic encephalopathy in patients with known liver disease? What are the typical investigations performed on ascites fluid? What is the SAAG and how is it interpreted?  What is the significance of a calcified gallbladder?

This Episode covers Chapter 88 (or 78 in 9th edition) of Rosen's Emergency Medicine. PE and DVT. Jeff Kline wrote this chapter, so you knows its a gooder!    List 8 DDx for DVT Describe management of superficial thrombophlebitis + isolated calf thrombosis How is the d-dimer test used in the diagnosis of DVT? List 8 causes of an elevated D-dimer What are the Wells criteria for DVT? Describe how to use this score. Describe diagnostic approach of suspected DVT How is a proximal lower limb DVT managed? What are the common causes of upper limb DVT? How are upper limb DVTs managed? List 10 classic risk factors for PE What are the classifications of PE? List 4 ECG + 2 CXR findings consistent with PE What are the Wells criteria for PE? Describe how to use this score. What is the PERC rule? How is it used? Which imaging tests can be used to diagnose PE? List advantages and disadvantages of each. List indications for thrombolysis in PE, what is the risk of ICH? What are the absolute and relative contraindications for thrombolysis List markers of poor prognosis in patients with PE.   Wisecracks:   What is phlegmasia cerulea dolens? How is it managed?       Which patients should have an IVC filter?       What about PE/DVT in pregnancy?       What is the cause of hypoxia in patients with PE? What causes chest pain? What causes hypotension?       What is Paget-Schroetter Syndrome?      

This Episode covers Chapter 88 (or 78 in 9th edition) of Rosen's Emergency Medicine. PE and DVT. Jeff Kline wrote this chapter, so you knows its a gooder!    List 8 DDx for DVT Describe management of superficial thrombophlebitis + isolated calf thrombosis How is the d-dimer test used in the diagnosis of DVT? List 8 causes of an elevated D-dimer What are the Wells criteria for DVT? Describe how to use this score. Describe diagnostic approach of suspected DVT How is a proximal lower limb DVT managed? What are the common causes of upper limb DVT? How are upper limb DVTs managed? List 10 classic risk factors for PE What are the classifications of PE? List 4 ECG + 2 CXR findings consistent with PE What are the Wells criteria for PE? Describe how to use this score. What is the PERC rule? How is it used? Which imaging tests can be used to diagnose PE? List advantages and disadvantages of each. List indications for thrombolysis in PE, what is the risk of ICH? What are the absolute and relative contraindications for thrombolysis List markers of poor prognosis in patients with PE.   Wisecracks:   What is phlegmasia cerulea dolens? How is it managed?       Which patients should have an IVC filter?       What about PE/DVT in pregnancy?       What is the cause of hypoxia in patients with PE? What causes chest pain? What causes hypotension?       What is Paget-Schroetter Syndrome?      

This episode covers chapter 84 of Rosen's Emergency Medicine. All the little nuggets of medical goodness you wanted to know about hypertension related emergencies. Define the three classes of hypertension relevant to emergency medicine practice List 10 possible etiologies for hypertension. What is the pathophysiology of target-organ damage? How does hypertensive encephalopathy occur? List 6 hypertensive emergencies; their management goals; the optimal agents for BP control and any relevant caveats List five intravenous antihypertensive medications and their mechanism of action. Describe the ER management of poorly controlled HTN Wisecracks: What are the management targets / indications for treatment in the following pts: 57 yo male with ICH and no signs of ↑ ICP. 39 yo female with SAH in the ED. 22 yo female with eclampsia. 66 yo female with ACS. 57 yo male with aortic dissection. 62 yo female with ICH, ↓ GCS, shift on CT scan.  

This episode covers chapter 84 of Rosen's Emergency Medicine. All the little nuggets of medical goodness you wanted to know about hypertension related emergencies. Define the three classes of hypertension relevant to emergency medicine practice List 10 possible etiologies for hypertension. What is the pathophysiology of target-organ damage? How does hypertensive encephalopathy occur? List 6 hypertensive emergencies; their management goals; the optimal agents for BP control and any relevant caveats List five intravenous antihypertensive medications and their mechanism of action. Describe the ER management of poorly controlled HTN Wisecracks: What are the management targets / indications for treatment in the following pts: 57 yo male with ICH and no signs of ↑ ICP. 39 yo female with SAH in the ED. 22 yo female with eclampsia. 66 yo female with ACS. 57 yo male with aortic dissection. 62 yo female with ICH, ↓ GCS, shift on CT scan.  

This episode covers Chapter 83 of Rosen's Emergency Medicine.   List 6 RFs for bacterial endocarditis List 5 common bacteria responsible for infective endocarditis Give three examples of immunologic sequelae of IE. Give three examples of vascular sequelae of IE. What are the diagnostic criteria for endocarditis, and how are they used? List 5 lab or investigative findings in bacterial endocarditis Describe the treatment of infective endocarditis List four complications of IE. List the indications for infectious endocarditis prophylaxis. What are the empiric antibiotics used for pts with suspected infectious endocarditis? Describe the Jones Criteria for Acute Rheumatic Fever What is the treatment of rheumatic fever Name three causes of acute mitral regurgitation. How is acute MR managed? What is the pathophysiology of mitral valve prolapse?  How does it present? List four causes of mitral stenosis. List four causes of aortic valve insufficiency. List 3 physical exam findings associated with AS What is critical aortic stenosis?Outline the ED management for a pt with critical aortic stenosis with CHF and hypotension. List 5 complications of prosthetic valves.  WiseCracks: Describe Janeway lesions Osler nodes Splinter hemorrhages Roth Spots What are the HACEK organisms, and what is their significance in pts with IE? Brief run down of all valvular disease - in one or two lines.

This episode covers Chapter 83 of Rosen's Emergency Medicine.   List 6 RFs for bacterial endocarditis List 5 common bacteria responsible for infective endocarditis Give three examples of immunologic sequelae of IE. Give three examples of vascular sequelae of IE. What are the diagnostic criteria for endocarditis, and how are they used? List 5 lab or investigative findings in bacterial endocarditis Describe the treatment of infective endocarditis List four complications of IE. List the indications for infectious endocarditis prophylaxis. What are the empiric antibiotics used for pts with suspected infectious endocarditis? Describe the Jones Criteria for Acute Rheumatic Fever What is the treatment of rheumatic fever Name three causes of acute mitral regurgitation. How is acute MR managed? What is the pathophysiology of mitral valve prolapse?  How does it present? List four causes of mitral stenosis. List four causes of aortic valve insufficiency. List 3 physical exam findings associated with AS What is critical aortic stenosis?Outline the ED management for a pt with critical aortic stenosis with CHF and hypotension. List 5 complications of prosthetic valves.  WiseCracks: Describe Janeway lesions Osler nodes Splinter hemorrhages Roth Spots What are the HACEK organisms, and what is their significance in pts with IE? Brief run down of all valvular disease - in one or two lines.

This episode covers chapter 82 of Rosen's Emergency Medicine. Take a listen for all those juicy pericardial-pump-pearls!   List eight causes of pericarditis. Describe typical pain of pericarditis, expected lab work abnormalities, What is the typical sequence of ECG changes in pts with pericarditis? (the stages) Describe the treatment of pericarditis associated with: Uremia, Neoplasm, and SLE Outline the management of Dressler's syndrome. What is the pathophysiology of cardiac tamponade? Describe the mechanism of hypotension in pericardial tamponade and list 4 expected findings on physical examination. Describe the procedural steps in pericardiocentesis List 4 causes of pneumopericardium and one specific PEX finding List five causes of constrictive pericarditis. What is the pathophysiology of purulent pericarditis?  List 5 organisms responsible for infectious pericarditis? How is it managed? Describe the pathophysiology of hypertrophic cardiomyopathy Describe the clinical exam and ECG findings associated with HCM List 5 RFs for sudden death in HCM A pt with known hypertrophic cardiomyopathy presents to the ED with acute cardiogenic pulmonary edema causing mild hypoxia.  What is the general approach to management in the ED?  Explain your choices. List four causes of dilated cardiomyopathy. Describe ECG findings of dilated cardiomyopathy List 5 RFs for developing a dilated cardiomyopathy In what time frame would one expect peripartum DCM? List 5 causes of restrictive cardiomyopathy List 8 common pathogens responsible for myocarditis, and 3 non-infectious causes of myocarditis Describe the stages of viral myocarditis and the management at each stage     Wisecracks:   What are some functions of the pericardium? What are Chagas Disease and Trichinosis, list bizz-buzz features for each? What are the expected cardiac findings in Lyme disease and how is it treated? How does sarcoid affect the heart? Amyloidosis?  

This episode covers chapter 82 of Rosen's Emergency Medicine. Take a listen for all those juicy pericardial-pump-pearls!   List eight causes of pericarditis. Describe typical pain of pericarditis, expected lab work abnormalities, What is the typical sequence of ECG changes in pts with pericarditis? (the stages) Describe the treatment of pericarditis associated with: Uremia, Neoplasm, and SLE Outline the management of Dressler's syndrome. What is the pathophysiology of cardiac tamponade? Describe the mechanism of hypotension in pericardial tamponade and list 4 expected findings on physical examination. Describe the procedural steps in pericardiocentesis List 4 causes of pneumopericardium and one specific PEX finding List five causes of constrictive pericarditis. What is the pathophysiology of purulent pericarditis?  List 5 organisms responsible for infectious pericarditis? How is it managed? Describe the pathophysiology of hypertrophic cardiomyopathy Describe the clinical exam and ECG findings associated with HCM List 5 RFs for sudden death in HCM A pt with known hypertrophic cardiomyopathy presents to the ED with acute cardiogenic pulmonary edema causing mild hypoxia.  What is the general approach to management in the ED?  Explain your choices. List four causes of dilated cardiomyopathy. Describe ECG findings of dilated cardiomyopathy List 5 RFs for developing a dilated cardiomyopathy In what time frame would one expect peripartum DCM? List 5 causes of restrictive cardiomyopathy List 8 common pathogens responsible for myocarditis, and 3 non-infectious causes of myocarditis Describe the stages of viral myocarditis and the management at each stage     Wisecracks:   What are some functions of the pericardium? What are Chagas Disease and Trichinosis, list bizz-buzz features for each? What are the expected cardiac findings in Lyme disease and how is it treated? How does sarcoid affect the heart? Amyloidosis?  

This episode covers chapter 80 of Rosen's Emergency Medicine. All those juicy pearls about those funny little [black] boxes in your patients chest.   Chapter 80 – Implantable Cardiac Devices   List 5 Indications for permanent pacing What are common Pacemaker types? Pacemaker nomenclature - what do the 5 letters mean List the causes of pacemaker malfunction (main categories with 2 examples each) List the complications of a pacemaker insertion What is pacemaker pseudo-malfunction? What is pacemaker syndrome, which type of pacer is most commonly involved, and what is the tx? What does magnet application do to a pacemaker? to an ICD? Indications for ICD Causes of shock delivery in patient with ICD Causes of syncope/presyncope in patient with ICD Fxns of an ICD   Wise Cracks   What do you see on ECG when pacer battery dies (2)? What is twiddler’s syndrome? Describe your Approach to LVAD complications Approach to Pacemakers

This episode covers chapter 80 of Rosen's Emergency Medicine. All those juicy pearls about those funny little [black] boxes in your patients chest.   Chapter 80 – Implantable Cardiac Devices   List 5 Indications for permanent pacing What are common Pacemaker types? Pacemaker nomenclature - what do the 5 letters mean List the causes of pacemaker malfunction (main categories with 2 examples each) List the complications of a pacemaker insertion What is pacemaker pseudo-malfunction? What is pacemaker syndrome, which type of pacer is most commonly involved, and what is the tx? What does magnet application do to a pacemaker? to an ICD? Indications for ICD Causes of shock delivery in patient with ICD Causes of syncope/presyncope in patient with ICD Fxns of an ICD   Wise Cracks   What do you see on ECG when pacer battery dies (2)? What is twiddler’s syndrome? Describe your Approach to LVAD complications Approach to Pacemakers

This episode covers Chapter 78 of Rosen's Emergency Medicine. Acute Coronary Syndromes... its a gooder. Acute Coronary Syndromes Part A (Monday) Define Stable Angina, UA, AMI Describe the pathophysiology of AMI What are the components of prehospital management of AMI List population RFs for CAD. Do they matter in the evaluation of a specific patient? List RFs for atypical presentation of ACS. What are the risks of atypical presentations? List 8 early complications of AMI and briefly describe the management of each one. Describe the progression of ECG changes in STEMI List expected ECG changes (ST↑ and reciprocal ST↓) and culprit vessel for the following: Anterior wall MI Lateral wall MI Inferior wall MI RV wall MI Posterior wall MI Describe the ECG characteristics of Left Main Occlusion What is Wellens’ sign and what is it’s significance List 10 DDx for ST-elevation Describe the ECG features of Benign early repolarization Pericarditis LBBB RBBB Ventricular-paced rhythm LVH / Strain-pattern LV aneurysm Wise Cracks: What are the STEMI equivalents? Know these patterns!!!

This episode covers Chapter 78 of Rosen's Emergency Medicine. Acute Coronary Syndromes... its a gooder. Acute Coronary Syndromes Part A (Monday) Define Stable Angina, UA, AMI Describe the pathophysiology of AMI What are the components of prehospital management of AMI List population RFs for CAD. Do they matter in the evaluation of a specific patient? List RFs for atypical presentation of ACS. What are the risks of atypical presentations? List 8 early complications of AMI and briefly describe the management of each one. Describe the progression of ECG changes in STEMI List expected ECG changes (ST↑ and reciprocal ST↓) and culprit vessel for the following: Anterior wall MI Lateral wall MI Inferior wall MI RV wall MI Posterior wall MI Describe the ECG characteristics of Left Main Occlusion What is Wellens’ sign and what is it’s significance List 10 DDx for ST-elevation Describe the ECG features of Benign early repolarization Pericarditis LBBB RBBB Ventricular-paced rhythm LVH / Strain-pattern LV aneurysm Wise Cracks: What are the STEMI equivalents? Know these patterns!!!

We cover a post from the fantastic St. Emlyn's team which breaks down a recently published article in Annals of Emergency Medicine comparing diazepam with placebo in patients with acute low back pain.  We recommend you read the full text of the article by Friedman et al. We delve into core content on red flags in back pain and spinal epidural abscess using Rosen's Emergency Medicine and Tintinalli's Emergency Medicine Chapter 279 as a guide. visit FOAMcast.org for show notes and more information. Thanks for listening! Lauren Westafer and Jeremy Faust

We cover FOAM on transvenous pacing from Ultrasound Podcast, Dr. Jason Nomura, and Dr. Al Sachetti     Then, we delve into basics on bradycardias using Rosen's Emergency Medicine and Tintinalli's as a guide. Thanks for listening! Jeremy Faust and Lauren Westafer

This episode covers Chapter 52 of Rosen's Emergency Medicine.  Describe an approach to the pediatric elbow Classify supracondylar fractures in children List 3 complications of supracondylar fractures Describe the management of supracondylar fractures Describe the management of humeral shaft fractures – displaced and non-displaced Describe 3 injuries common in Little-leaguer's elbow Describe the management and classification of radial head fractures Describe the expected neurovascular injuries and management of posterior elbow dislocations List the indications for x-ray in radial head subluxation Describe the management of olecranon bursitis  

This episode covers Chapter 52 of Rosen's Emergency Medicine.  Describe an approach to the pediatric elbow Classify supracondylar fractures in children List 3 complications of supracondylar fractures Describe the management of supracondylar fractures Describe the management of humeral shaft fractures – displaced and non-displaced Describe 3 injuries common in Little-leaguer's elbow Describe the management and classification of radial head fractures Describe the expected neurovascular injuries and management of posterior elbow dislocations List the indications for x-ray in radial head subluxation Describe the management of olecranon bursitis  

This episode covers chapter 46 of Rosen's Emergency Medicine text book.   Episode Overview: 1) What are three mechanisms of injury in blunt trauma? 2) List expected seat-belt injuries 3) What are the most common intra-abdominal injuries in children? 4) Differentiate between the use of CT scan, diagnostic peritoneal lavage (DPL) and ultrasound – advantages & disadvantages. 5) List intra-abdominal injuries that may be missed on CT. 6) Describe the process of local wound exploration. List 5 ways to determine if peritoneum has been violated 7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma 8) Describe the management of unstable blunt abdominal trauma Pelvic fracture Head injury (closed head injury) Wide mediastinum (aortic injury) 9) Provide an approach to anterior abdominal trauma with: Evidence of peritoneal violation (penetrating injuries) Evidence of intra-abdominal injury with blunt abdominal trauma 10) Provide an approach to flank injuries 11) Provide an approach to back injuries   Wisecracks:   1) Describe indications and technique of diagnostic peritoneal lavage (DPL). What is a positive DPL? 2) List 1 absolute contraindication and 4 relative contraindications to DPL 3) What is Waddel’s triad? 4) What are Gray-Turner and Cullen’s signs? 5) How much blood is detectable by bedside US?

This episode covers chapter 46 of Rosen's Emergency Medicine text book.   Episode Overview: 1) What are three mechanisms of injury in blunt trauma? 2) List expected seat-belt injuries 3) What are the most common intra-abdominal injuries in children? 4) Differentiate between the use of CT scan, diagnostic peritoneal lavage (DPL) and ultrasound – advantages & disadvantages. 5) List intra-abdominal injuries that may be missed on CT. 6) Describe the process of local wound exploration. List 5 ways to determine if peritoneum has been violated 7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma 8) Describe the management of unstable blunt abdominal trauma Pelvic fracture Head injury (closed head injury) Wide mediastinum (aortic injury) 9) Provide an approach to anterior abdominal trauma with: Evidence of peritoneal violation (penetrating injuries) Evidence of intra-abdominal injury with blunt abdominal trauma 10) Provide an approach to flank injuries 11) Provide an approach to back injuries   Wisecracks:   1) Describe indications and technique of diagnostic peritoneal lavage (DPL). What is a positive DPL? 2) List 1 absolute contraindication and 4 relative contraindications to DPL 3) What is Waddel’s triad? 4) What are Gray-Turner and Cullen’s signs? 5) How much blood is detectable by bedside US?

The Free Open Access Medical Education (FOAM)  We cover a post from Dr. Josh Farkas on PULMcrit on lithium toxicity. The key message from the post is: a single serum lithium level doesn't necessitate dialysis, despite a recommendation from the EXTRIP working group  to initiate dialysis in patients with a lithium level > 5 mEq/L [1].  Dr. Farkas advocates for aggressive management in asymptomatic patients with chronic lithium toxicity and patients without impaired renal function. Core Content We review rhabdomyolysis using Rosen's Emergency Medicine (8e)  Chapter 160 and Tintinalli's Emergency Medicine (8e), Chapter 181.   Show notes at FOAMcast.org Thanks for listening! Jeremy Faust & Lauren Westafer

We review a FOAM post by Dr. Matthew MacPartlin on Rollcage Medic on flying after a pneumothorax. Then we delve into a core content review of altitude sickness, high altitude pulmonary edema, high altitude cerebral edema, and altitude related problems using Tintinalli and Rosen's Emergency Medicine as a guide. Thanks for listening! -Jeremy Faust & Lauren Westafer

  This episode covers Chapter 38 of Rosen's Emergency Medicine. Episode Overview List 5 relevant anatomic/physiologic differences between children and adults in relation to trauma management List 8 airway differences between pediatrics and adults with their relevant implications List potential fluid therapies for hemorrhagic shock and their doses List 3 ideal IO sites in pediatrics and describe the procedure Describe the pediatric GCS List 6 indications for laparotomy List 6 signs of elevated ICP in infants and children What is an impact seizure? List the 5 layers of the scalp and describe 3 types of extra cranial bleeding in pediatrics What is the difference between a linear and a diastatic skull fracture Describe the typical presentation and etiologic cause of an epidural hematoma and a subdural hematoma Describe the management of elevated ICP List 10 anatomical differences between the pediatric and adult cervical spine How can you discern between true subluxation and pseudosubluxation at C2/C3 List 2 ways to choose the size of chest tube in pediatrics What are indications for ER resuscitative thoracotomy in chest trauma? List pediatric specific cardiovascular and abdominal injury patterns

  This episode covers Chapter 38 of Rosen's Emergency Medicine. Episode Overview List 5 relevant anatomic/physiologic differences between children and adults in relation to trauma management List 8 airway differences between pediatrics and adults with their relevant implications List potential fluid therapies for hemorrhagic shock and their doses List 3 ideal IO sites in pediatrics and describe the procedure Describe the pediatric GCS List 6 indications for laparotomy List 6 signs of elevated ICP in infants and children What is an impact seizure? List the 5 layers of the scalp and describe 3 types of extra cranial bleeding in pediatrics What is the difference between a linear and a diastatic skull fracture Describe the typical presentation and etiologic cause of an epidural hematoma and a subdural hematoma Describe the management of elevated ICP List 10 anatomical differences between the pediatric and adult cervical spine How can you discern between true subluxation and pseudosubluxation at C2/C3 List 2 ways to choose the size of chest tube in pediatrics What are indications for ER resuscitative thoracotomy in chest trauma? List pediatric specific cardiovascular and abdominal injury patterns

This episode covers Chapter 37 of Rosen's Emergency Medicine.With trauma in pregnancy we need to think about blunt vs. penetrating trauma. Many women do not know they are pregnant. Episode Overview: What is the threshold for fetal viability and how can this be estimated clinically? List the expected physiologic changes during pregnancy. List 8 unique considerations in the management of the pregnant trauma patient. How is fetal distress detected? Discuss placental abruption including the pathophysiology, clinical findings, diagnostic modalities, management, and complications. List 2 potential uterine injuries What is a safe radiation dose in pregnancy? What diagnostic tests have the potential to exceed this dose? Describe early, variable, and late decelerations. What is the implication of each? What is one other indicator of fetal distress related to the FHR? Wisecracks: How is feto-maternal hemorrhage diagnosed and managed? Describe specific management in the following conditions: What are indications for peri-mortem c-sections. Describe the procedure.

This episode covers Chapter 37 of Rosen's Emergency Medicine.With trauma in pregnancy we need to think about blunt vs. penetrating trauma. Many women do not know they are pregnant. Episode Overview: What is the threshold for fetal viability and how can this be estimated clinically? List the expected physiologic changes during pregnancy. List 8 unique considerations in the management of the pregnant trauma patient. How is fetal distress detected? Discuss placental abruption including the pathophysiology, clinical findings, diagnostic modalities, management, and complications. List 2 potential uterine injuries What is a safe radiation dose in pregnancy? What diagnostic tests have the potential to exceed this dose? Describe early, variable, and late decelerations. What is the implication of each? What is one other indicator of fetal distress related to the FHR? Wisecracks: How is feto-maternal hemorrhage diagnosed and managed? Describe specific management in the following conditions: What are indications for peri-mortem c-sections. Describe the procedure.

This episode covers Chapter 36 of Rosen's Emergency Medicine. Episode Overview: List indications for activation of a trauma team What is the general approach to a multi-trauma patient? List commonly missed trauma injuries ED thoracotomy indications and contraindication for blunt and penetrating trauma Wisecracks: Describe the term permissive hypotension and when you would not use it What are 3 goals for out of hospital care of a trauma patient  

This episode covers Chapter 36 of Rosen's Emergency Medicine. Episode Overview: List indications for activation of a trauma team What is the general approach to a multi-trauma patient? List commonly missed trauma injuries ED thoracotomy indications and contraindication for blunt and penetrating trauma Wisecracks: Describe the term permissive hypotension and when you would not use it What are 3 goals for out of hospital care of a trauma patient  

This episode covers Chapter 35 of Rosen's Emergency Medicine. Episode overview: 1)  List 10 historical red flags for back pain 2)  List 6 Emergent Diagnosis for back pain Wisecracks: 1)  Describe the most common sites of disc protrusion with their associated neurologic findings2)  Outline your approach to acute undifferentiated back pain3)  Describe your treatment approach for acute musculoskeletal low back pain

This episode covers Chapter 35 of Rosen's Emergency Medicine. Episode overview: 1)  List 10 historical red flags for back pain 2)  List 6 Emergent Diagnosis for back pain Wisecracks: 1)  Describe the most common sites of disc protrusion with their associated neurologic findings2)  Outline your approach to acute undifferentiated back pain3)  Describe your treatment approach for acute musculoskeletal low back pain