Core EM - Emergency Medicine Podcast

By Core EM

Core EM Emergency Medicine Podcast... more

4.5

237237 ratings

Download on the App Store

Download on the App Store

Get it on Google Play

FAQs about Core EM - Emergency Medicine Podcast:

How many episodes does Core EM - Emergency Medicine Podcast have?

The podcast currently has 217 episodes available.

Core EM - Emergency Medicine Podcast episodes:

February 05, 2018Episode 131.0 – Spontaneous Bacterial Peritonitis (SBP)
This week we explore the presentation, diagnosis and management of SBP.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_131_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Gastroenterology, Infectious Diseases, SBP

Show Notes

Take Home Points
SBP is a difficult diagnosis to make because presentations are variable. Consider a diagnostic paracentesis in all patients presenting to the ED with ascites from cirrhosis
An ascites PMN count > 250 cells/mm3 is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal pain or fever
Treatment of SBP is with a 3rd generation cephalosporin with the addition of albumin infusion in any patient meeting AASLD criteria (Cr > 1.0 mg/dL, BUN > 30 mg/dL or Total bilirubin > 4 mg/dL)
Read More
Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 90: p 1186-1205.
REBEL EM: Spontaneous Bacterial Peritonitis
EMRAP: C3 Live Paracentesis Video
LITFL: Spontaneous Bacterial Peritonitis
SinaiEM: SBP Pearls
REBEL EM: Should You Give Albumin in Spontaneous Bacterial Peritonitis (SBP)?
Core EM: Episode 123.0 – Paracentesis Journal Update

Read More
...more
9min
January 29, 2018Episode 130.0 – Morning Report Pearls II
Another set of high-yield pearls coming out of our morning report conferences.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_130_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Babesiosis, Carbon Monoxide, Doxycycline, Myasthenia Gravis, Tick-Borne Illnesses

Show Notes

Take Home Points
Non-specific viral syndromes are usually just that, a viral syndrome but, be cautious as a number of more serious ailments can present similarly. This includes tick borne illnesses, acute HIV and carbon monoxide
Doxycycline is safe in kids. The dental staining seen with tetracycline is specific to that drug, not the class. If doxy is the best drug for the disease, use it.
Lots of meds can lead to a myasthenia gravis exacerbation. Carefully review meds before prescribing for interactions
Read More
CDC: Research on Doxycycline and Tooth Staining
Core EM: Episode 96.0 – Carbon Monoxide Poisoning
Sinai EM: Succinycholine in Myasthenia Gravis

Read More
...more
7min
January 22, 2018Episode 129.0 – Toxic Alcohols
We welcome Meghan Spyres back to the podcast to discuss toxic alcohol ingestion diagnosis and management.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_129_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Ethylene Glycol, Fomepizole, Methanol, Toxic Alcohols, Toxicology

Show Notes

Take Home Points
Suspect a toxic alcohol in any patient with a large osmol gap or a large anion gap metabolic acidosis and consider treating these patients empirically.
Fomepizole is the critical antidote for toxic alcohol ingestions but, patients are likely going to require dialysis as well.
Call your local poison control center if you suspect a toxic alcohol ingestion to help guide management.
Read More
LITFL: Toxic Alcohol Ingestion
ER Cast: Mind the Gap: Anion Gap Acidosis
FOAMCast: Episode 43 – Alcohols

Read More
...more
21min
January 15, 2018 Episode 128.0 – Hip Dislocations

This week, we sit down with Billy Goldberg - senior faculty at NYU/Bellevue, to discuss some nuances of hip dislocation management.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_128_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Orthopedics, Trauma

Show Notes

Read More
Core EM: Hip Dislocation
OrthoBullets: Hip Dislocation
EMin5: Hip Dislocation

Read More
...more
18min
January 08, 2018Episode 127.0 – Idiopathic Intracranial Hypertension
This week we talk about the subacute headache and the dangerous, can't miss diagnoses of cerebral venous thrombosis and IIH

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Cerebral Venous Sinus Thrombosis, Headache, Neurology

Show Notes

Take Home Points
Keep IIH and CVST on the differential for patient’s coming in with a subacute headache, particularly if they have visual or neuro symptoms.
Consider an ocular ultrasound! It’s quick, shockingly easy to do, and can help point you toward a diagnosis you may have otherwise overlooked. I have made it my practice now to include a quick look in the physical exam of my patients with a concerning sounding headache or a headache with neurologic symptoms.
Consider IIH particularly in an overweight female of child bearing age with a subacute headache, but remember patients outside that demographic can have IIH as well.
Consider CVST in a patient with a thrombophilic process like cancer, pregnancy or the use of OCPs or androgens or in a patient with a recent facial infection like sinusitis or cellulitis.
Read More
WikEM: Idiopathic Intracranial Hypertension
WikEM: Ocular Ultrasound
Sinai EM Ultrasound – Pseutotumor Cerebri

Read More
...more
15min
December 18, 2017Episode 126.0 – Flexor Tenosynovitis
This week we discuss the uncommon but must make diagnosis of flexor tenosynovitis

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Hand, Kanavel Signs, Orthopedics, Soft Tissue Infections

Show Notes

Take Home Points
Think about flexor tenosynovitis in a patient with atraumatic finger pain. They may have any combination of these signs:
Tenderness along the course of the flexor tendon
Symmetrical swelling of the finger – often called the sausage digit
Pain on passive extension of the finger and
Patient holds the finger in a flex position at rest for increased comfort
Give antibiotics to cover staph, strep and possibly gram negatives.
Get your surgeon to see the patient, while we can get the antibiotics started, these patients need admission and may require surgical intervention.
Infographic
by Dr. Y. Jay Lin
Read More
Mailhot T, Lyn ET: Hand; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 50: p 534-571
OrthoBullets: Pyogenic Flexor Tenosynovitis
Ped EMMorsels: Flexor Tenosynovitis

Read More
...more
9min
December 11, 2017 Episode 125.0 – Morning Report Pearls I

This week we discuss some critical pearls and teaching points from our morning report conference.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_125_0_Final_Cut.m4a

Download

One Comment

Tags: Fluoroquinolones, Pneumonia, Spleen

Show Notes

FOAMCast: Episode 17 – The Spleen!

Read More
...more
6min
December 04, 2017Episode 124.0 – Metformin-Associated Lactic Acidosis
This week we discuss a quick case leading into the management of MALA.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_124_0_Final_Cut.m4a

Download

2 Comments

Tags: Metformin, Toxicology

Show Notes

Take Home Points
In patients with shortness of breath and clear lungs, consider metabolic acidosis with respiratory alkalis as a potential cause
Suspect MALA in any patient on metformin who presents with abdominal pain, nausea and vomiting and/or AMS
Patients with MALA will have a low pH, a high-anion gap metabolic acidosis and high lactate levels
Call your tox consultant to assist with management which will focus on fluid resuscitation with isotonic bicarbonate and dialysis
Read More
Bosse GM. Antidiabetics and Hypoglycemics. In: Hoffman RS, Howland M, Lewin NA, Nelson LS, Goldfrank LR. eds. Goldfrank’s Toxicologic Emergencies, 10e New York, NY: McGraw-Hill; 2015. Link Accessed October 31, 2017
LITFL: Metformin-Associated Lactic Acidosis
LITFL: Metformin
The Poison Review: 6 Pearls About Metformin and Lactic Acidosis

Read More
...more
6min
November 27, 2017Episode 123.0 – Paracentesis Journal Update
This week we dive into a recent journal article questioning whether we should tap all ascites.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_123_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Albumin, Cirrhosis, Paracentesis, SBP, Spontaneous Bacterial Peritonitis

Show Notes

Take Home Points
SBP is a difficult diagnosis to make clinically. While patients may have the triad of fever, abdominal pain and increasing ascites, they are far more likely to only have 1 or 2 of these symptoms
In patients admitted to the hospital with ascites, consider performing a diagnostic paracentesis on all patients as limited literature shows an association with decreased mortality and, the procedure is simple and low risk
Once you get the fluid, focus on the cell count: WBC > 500 or PMN > 250 should prompt treatment with a 3rd generation cephalosporin and albumin infusion
Gaetano et al. The benefit of paracentesis on hospitalized adults with cirrhosis and ascites. Journal of Gastroenterology and Hepatology 2016. PMID: 26642977
Read More
EMRAP: C3 Live Paracentesis Video
LITFL: Spontaneous Bacterial Peritonitis
SinaiEM: SBP Pearls
REBEL EM: Should You Give Albumin in Spontaneous Bacterial Peritonitis (SBP)?
Approach to the Diagnosis and Treatment of SBP (University of Washington)

Read More
...more
7min
November 20, 2017Episode 122.0 – True Knee Dislocations
This week we discuss the tibio-femoral knee dislocation focusing on identification of the dangerous complications.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_122_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Knee Dislocation, Orthopedics, Popliteal Artery

Show Notes

Take Home Points
Up to 50% of true knee dislocations will spontaneously reduce prior to arrival. Be suspicious of a dislocation in any patient who describes the joint moving out of place or if they have significant swelling, joint effusion or ecchymosis despite normal X-rays
In all patients with suspected dislocation, perform a neurovascular exam immediately as popliteal artery injury is common. If they’ve got an absent DP or PT pulse, reduce immediately and get a CT angiogram as quickly as possible to assess for popliteal injuries
If distal pulses are intact, you can either do ABIs and if normal, observe and repeat them or get a CTA. If the ABI is abnormal or the patient had an absent or decreased pulse at any point, get the CTA
Read More
OrthoBullets: Knee Dislocation
Radiopaedia: Knee Dislocation
EM: RAP: Obese Patient and Knee Dislocations
Core EM: True Knee and Patellar Dislocations

Read More
...more
8min

FAQs about Core EM - Emergency Medicine Podcast:

How many episodes does Core EM - Emergency Medicine Podcast have?

The podcast currently has 217 episodes available.

More shows like Core EM - Emergency Medicine Podcast

EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

EMCrit FOAM Feed

1,864 Listeners

Emergency Medicine Cases by Dr. Anton Helman

Emergency Medicine Cases

538 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

496 Listeners

The Resus Room by Simon Laing, Rob Fenwick & James Yates

The Resus Room

104 Listeners

EM Clerkship by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

EM Clerkship

808 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,336 Listeners

Emergency Medical Minute by Emergency Medical Minute

Emergency Medical Minute

257 Listeners

Core IM | Internal Medicine Podcast by Core IM Team

Core IM | Internal Medicine Podcast

1,095 Listeners

The Internet Book of Critical Care Podcast by Adam Thomas & Josh Farkas

The Internet Book of Critical Care Podcast

694 Listeners

The Clinical Problem Solvers by The Clinical Problem Solvers

The Clinical Problem Solvers

519 Listeners

Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

Harrison's PodClass: Internal Medicine Cases and Board Prep

349 Listeners

Run the List by Walker Redd, Emily Gutowski, Navin Kumar, Joyce Zhou, Blake Smith

Run the List

248 Listeners

Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Critical Care Scenarios

249 Listeners

The Curious Clinicians by The Curious Clinicians

The Curious Clinicians

366 Listeners

Critical Care Time by Critical Care Time Podcast

Critical Care Time

236 Listeners