Blog - PEM ED Podcast

Now I've got your mind palatable to the fact that young thin kids can get cholecystitis too, lets figure out how to weed those kids out from the hundreds of gastroenteritis that you're still going to see each week.  On this episode we'll explore which labs and rads get you to the place you want to be.... not just a disposition, but the correct disposition.  Dr. Doug Fishman is back to get you on the right track to making the right diagnosis!

Podcast 21 ~ Pediatric Cholecystitis 2

Andrew Sloas

Podcast 21 ~ Pediatric Cholecystitis 2

You may think that Miley Cyrus' on-stage theatrics was the most shocking thing to happen in 2013, but au contraire mon frère.  Hold on tight, because the most outrageous thing you've heard between stanzas of "Auld Lang Syn" is that kid's are getting gallbladder disease.  This is especially frequent in the good ole US of A where we have mid-morning cheese burgers for a snack.  Shocking I know.  In this episode Pediatric Gastroenterologist Dr. Doug Fishman, from the Texas Children's Hospital, is going to go through the In-N-Outs of pediatric cholecystitis.  Not that In-N-Out is in anyway responsible for pediatric gallstones...they make a tasty burger....try the double-meat animal style...it's fantastic....

Thanks to Doug Fishman, MD.  Director, Gastrointestinal Endoscopy

Texas Children's Hospital

Associate Professor of Pediatrics

Please visit his website devoted to education and treatment of Celiac Disease below

Check out the Celiac Universe Here

Podcast 20 - Pediatric Cholecystitis

Andrew Sloas

Podcast 20 - Pediatric Cholecystitis

How many times have you been involved in an adult or pediatric shoulder reduction that you just can't relocate.  Very frustrating, but here's your solution: Dr. Jay Park has invented a method that allows you to reduce a shoulder without sedation (RNs love that) and without any pain to your patient (Press Ganey scores will rise faster than your salary).  Listen up, this defines cool!

Jay Park, MD

Contact Jay For Website Design:  http://jayparkmd.com

Dr. Park is involved in numerous medical missions, if you would like to contact Dr. Park to see how you can get involved or make a donation email him at:  [email protected]

Shoulder Dislocation Video

Hip Dislocation Video

Levitan Airway

Contact CEME.org (1-800-651-2363 ext. 1312) for enrollment.

http://www.airwaycam.com/custom-intubation-training.html

[email protected]  

877-EPIGLOTTIS

fax: 610-341-1866

Podcast 19 ~ Shoulder Reductions

Andrew Sloas

Podcast 19 ~ Shoulder Reductions

Red eyes usually come in pairs and so do podcasts on the subject.  In part two of the red eye disorders we discuss the non-threatening maladies that can turn into eye threatening disorders if missed.  Sit back and relax and let dear ole' dad tell you one more time why it's going to be OK...If you listen to him.  Otherwise you may get spanked.  I'm serious he spanked me a lot for not listening.  Call CPS; there's still a chance for me....

Eye Show Notes

Dr. Shenoi's Emergency Preparedness Book

PEM ED Podcast iTunes Link

Podcast 18 ~ The Non-Threatening Red Eye

Andrew Sloas

Podcast 18 ~ The Non-Threatening Red Eye

Harold Andrew Sloas Jr, DO, CAPT, USN-R is a board certified ophthalmologist (and my dad).  He had a competition with his son Harold Andrew Sloas III, DO, RDMS, FAAEM to see who could get get more letters behind their name. As it turns out none of those letters have any bearing on what we'll be talking about today. 

You're in for a real treat because I got to sit down with dear ole' dad and talk about some red eye disorders.  We explore all the threatening causes of the red eye on this podcast and move into the non-threatening red eye disorders on the next episode.  You need to know something about both so you can distinguish between the two.  Pull out your Kleenex and dry your eyes; you're going to need to see this. 

Eye Show Notes

iTunes Link

Podcast 17 ~ The Threatening Red Eye

Andrew Sloas

Podcast 17 ~ The Threatening Red Eye

I have had the opportunity to work with some truly amazing people in my life and Dr. Matt Bayes, sports medicine physician extraordinaire, is no exception.  Dr. Bayes is the only person I have known to successfully ask about a “code red” and somehow avoid receiving one.  Dr. Bayes now resides in St. Louis, Missouri (Bayes from The Lou) and has been part of the sports medicine team that delivers care to the St Louis Cardinals.   On this episode Dr. Bayes takes me through the intricacies of diagnosing and managing a pediatric concussion from the ER perspective. Hold on to your head because you’re about to get knocked out....Smokey

ARTICLES:

Kupperman N, Holmes JF, Dayan PS, et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009;374:1160-1170.

William R. Mower, MD.  What Rules Should Guide Imaging Decisions in Injured Children?  Medscape.  Posted: 02/23/2010. http://www.medscape.com/viewarticle/717110

Evaluating Minor Head Injury - Sports Medicine Update

Pediatrics - Sports Related Concussions and Management

Pediatrics - Emergency Department Visits for Concussion in Young Athletes

Misconceptions Common With Pediatric Concussions

José Álvarez-Sabín, MD; Antoni Turon; Manuel Lozano-Sánchez; José Vázquez, MD; Agustí Codina, MD Delayed Posttraumatic Hemorrhage "Spät-Apoplexie"Stroke. 1995;26:1531-1535doi: 10.1161/01.STR.26.9.1531

SCAT 2 iPhone App

Dr Matt Bayes Contact Info:  

12855 North Forty Drive

Suite 380

St Louis, MO 63141

Ph: 314-434-7784

Fax: 314-434-4775

www.bluetailmedicalgroup.com

iTunes Link

Podcast 16 ~ Pediatric Concussion

Andrew Sloas

Podcast 16 ~ Pediatric Concussion

One of the most sphincter tightening overdoses to deal with in adults and pediatrics is the CCB overdose.  In this podcast I cover all the treatments that work, don't work, and you would think should work to give you a recipe for success.  Hold on to your insulin; it's not just for diabetics and critically ill patients anymore.  Intralipids???  How the heck does that help???  Well you need to tune in to find out......

CCB/BB/Undifferentiated Show Notes

CCB/BB PDA Companion

Hypotension Slide

Dr. Levitan's Airway Course

Dr. Levitan's AirwayCam Website

iTunes Link

Podcast 15 - CCB/BB/Undifferentiated Hypotension

Andrew Sloas

Podcast 15 - CCB/BB/Undifferentiated Hypotension

Our resident cardiologist Dr. Buck Kyle completes the second part of his lecture series on pediatric ECG reading.  This time we get into the most common cardiac disease processes that occur in the pediatric population.  What’s black and white and read all over??? OK, yes the newspaper, but ECGs are too....don’t steal my punch lines.....

ECG 1

ECG 2

ECG 3

ECG 4

iTunes Link

Podcast 14 - Pediatric ECG Reading Part 2

Andrew Sloas

Podcast 14 - Pediatric ECG Reading Part 2

The Squiggly Line Rule: The more squiggly lines in the outline/border lines of a state, the cooler/more fun it is to live in that state. In, for example, the state of California, the squiggly lines are found on the coastline adjacent to the pacific ocean ~ Urban Dictionary

It also happens to be true that if you are an electrocardiogramophile than the more abundant the squigglies, the more stimulating and salacious the ECG is to read (and you probably have eroticism issues).  While it is also true that if you do not find electrocardiogram interruption to be lascivious than you probably find it to be frustrating (and you may have ECG performance issues).  Either way, have I got a tonic for you.  It cures all of the above (except the obvious sexual innuendo problems, you need to see a therapist for that soon). 

In this episode, we start a two part series on the basics of pediatric ECG interruption with Dr. Buck Kyle, pediatric cardiologist and electrocardiogram aficionado.  Sit back and relax as Dr. Kyle makes everything clear and really...see the therapist soon......

ECG 1

ECG 2

ECG 3

ECG 4

iTunes Link

Podcast 13 - Peds ECG Reading Part One

Andrew Sloas

Podcast 13 - Peds ECG Reading Part One

 The finale in the Urology trilogy.  In this episode Dr. Sean Stroup, CDR, USN, MC and I wrap-it-up with a series of "down-there" complaints (down-there does not imply that this episode is about Australians with grievances) with the most sensitive of subjects to any male patient, penile complaints, worries about the willie, persevering about the pee pee, jargon about the junk, etc.  Hold on to your hats....

The Disclaimer hasn't changed: if you think jokes about "shrinkage" are funny than please listen to the podcast, but if you find those offensive then skip this episode and I wish you all the best in your attempt to make it through your career without encountering another penis...again....ever.

iTunes Link

Podcast 12 - Penis Talk ~ With Your Hosts Sloas and Stroup

Andrew Sloas

Podcast 12 - Penis Talk ~ With Your Hosts Sloas and Stroup