2 View: Emergency Medicine PAs & NPs

15 - 2021 AHA/ACC Guidelines, Non-Traumatic Shoulder Pain, Mushrooms and Psychedelics, and More


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Welcome to Episode 15 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Show Notes for Episode 15 of “The 2 View” – Guidelines for the evaluation and diagnosis of chest pain, non-traumatic shoulder pain in the ER, thoughts on recertification, and mushrooms & psychedelics.

2021 AHA/ACC/etc. Guideline for the Evaluation and Diagnosis of Chest Pain

Chest Pain Choice. care that fits. Published May 19, 2021. Accessed March 29, 2022. https://carethatfits.org/chest-pain-choice/

Grauer K. ECG Blog #292 — Why Did the Patient Die? Blogspot.com. Published March 21, 2022. Accessed March 29, 2022. https://ecg-interpretation.blogspot.com/2022/03/ecg-blog-292-why-did-patient-die.html

Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. Published October 28, 2021. Accessed March 29, 2022. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029

Non-Traumatic Shoulder Pain in the ER

Appropriate Use Criteria Program. CMS.gov. Last Modified December 1, 2021. Accessed March 29, 2022. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Appropriate-Use-Criteria-Program

Center For Medicare & Medicaid Implement New Rules for Shoulder Pain Diagnosis. Sonosite.com. Published January 22, 2020. Accessed March 29, 2022. https://www.sonosite.com/blog/center-medicare-medicaid-implement-new-rules-shoulder-pain-diagnosis

Elaassar MMN, Emadeldin A, Zidan DZ, Sakr HM, Abdelazim H. Chronic non-traumatic shoulder pain: evaluation with ultrasonography and conventional mr imaging. QJM. Oxford Academic. Published May 19, 2020. Accessed March 29, 2022. https://academic.oup.com/qjmed/article/113/Supplement_1/hcaa068.013/5829209?login=true

Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. National Library of Medicine: National Center for Biotechnology Information. Published November 12, 2005. Accessed March 29, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1283277/

Parker, et al. Musculoskeletal imaging: Medicare use, costs, and potential for cost substitution. Journal of American College of Radiology. 2008: 182:188.

PANRE-LA Option for PA Recertification - What Do We Think about Recertification?

Admin M. Home. Aaenp-natl.org. AAENP. Accessed March 29, 2022. https://www.aaenp-natl.org/

American Association of Nurse Practitioners. AANP. American Association of Nurse Practitioners. Published September 4, 2019. Accessed March 29, 2022. https://www.aanp.org/

American Nurses Credentialing Center. ANA. Accessed March 29, 2022. https://www.nursingworld.org/ancc/

Homepage. PNCB. Accessed March 29, 2022. https://www.pncb.org/

Maintain Certification. NCCPA. Published September 15, 2020. Accessed March 29, 2022. https://www.nccpa.net/maintain-certification/#panre-la-faqs

NCCPA Announces Permanent Alternative to PANRE, PANRE-LA. NCCPA. Published December 1, 2021. Accessed March 29, 2022. https://www.nccpa.net/news/panre-la/

Mushrooms and Psychedelics

Approach to Altered Mental Status. Default. CDEM. Accessed March 29, 2022. https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m4-curriculum/group-m4-approach-to/approach-to-altered-mental-status

Garcia J, Costa VM, Carvalho A, et al. Amanita phalloides poisoning: Mechanisms of toxicity and treatment. Food Chem Toxicol. NIH. Published September 12, 2015. Accessed March 29, 2022. https://pubmed.ncbi.nlm.nih.gov/26375431/

Lowe H, Toyang N, Steele B, et al. The Therapeutic Potential of Psilocybin. Molecules. NIH. Published May 2021. Accessed March 29, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156539/

Something Sweet

COVID-19 Therapeutics Locator. Arcgis.com. ASPR. Accessed March 29, 2022. https://covid-19-therapeutics-locator-dhhs.hub.arcgis.com/

Prevention of SARS-CoV-2 Infection. NIH: COVID-19 Treatment Guidelines. Last Updated March 24, 2022. Accessed March 29, 2022. https://www.covid19treatmentguidelines.nih.gov/overview/prevention-of-sars-cov-2/

Recurring Sources

Center for Medical Education. Ccme.org. http://ccme.org

The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org

The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx

The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com

Trivia Question: Send answers to [email protected]

Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.

Be sure to listen in and see what we have to share!

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