CRACKCast & Physicians as Humans on CanadiEM

This episode covers Chapter 39 of Rosen's Emergency Medicine textbook.

Episode Overview

1) 5 Risk Factors for falls in the elderly?

2) What anatomic and physiologic changes in the elderly patient are important for the management of trauma in the elderly patient. (changes in the CVS, CNS, reap, MSK, skin) Explain why these are important?

3) What are the most common c-spine injury in the geriatric patient?

This episode covers Chapter 38 of Rosen's Emergency Medicine.

Episode Overview

1. List 5 relevant anatomic/physiologic differences between children and adults in relation to trauma management
2. List 8 airway differences between pediatrics and adults with their relevant implications
3. List potential fluid therapies for hemorrhagic shock and their doses
4. List 3 ideal IO sites in pediatrics and describe the procedure
5. Describe the pediatric GCS
6. List 6 indications for laparotomy
7. List 6 signs of elevated ICP in infants and children
8. What is an impact seizure?
9. List the 5 layers of the scalp and describe 3 types of extra cranial bleeding in pediatrics
10. What is the difference between a linear and a diastatic skull fracture
11. Describe the typical presentation and etiologic cause of an epidural hematoma and a subdural hematoma
12. Describe the management of elevated ICP
13. List 10 anatomical differences between the pediatric and adult cervical spine
14. How can you discern between true subluxation and pseudosubluxation at C2/C3
15. List 2 ways to choose the size of chest tube in pediatrics
16. What are indications for ER resuscitative thoracotomy in chest trauma?
17. 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 36 of Rosen's Emergency Medicine.

• 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

• 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 34 of Rosen's Emergency Medicine.

Episode Overview:

1) Indicate 12 causes of vaginal bleeding, indicating at which age group each is most common 2) List 6 causes of bleeding in early pregnancy 3) Describe the management of severe third trimester bleeding and postpartum hemorrhage

Wisecracks: 1) List options for managing vaginal bleeding in the non-pregnant patient 2) When would you avoid estrogen products in non-pregnant women with vaginal bleeding?

This episode covers Chapter 33 of Rosen's Emergency Medicine.

Episode overview:

1) List 8 diagnoses of pelvic pain in women that are of reproductive tract origin 2) List 3 causes of pelvic pain in the pregnant patient who is: Fewer than 20 weeks pregnant or Greater than 20 weeks pregnant

WiseCracks:

1) List 6 life threatening causes of acute pelvic pain in women2) Outline a systematic approach to acute pelvic pain in women3) List 6 risk factors for ectopic pregnancy

This episode covers Chapter 32 of Rosen's Emergency Medicine.

Chapter 32 – Constipation

Episode Overview:

1) List 6 treatment options for the management of constipation

Wisecracks:

1) What are 6 broad categories for the causes of constipation?

This episode covers Chapter 30 of Rosen's Emergency Medicine.

Episode overview:

1) List 5 causes of UGIB in adults and pediatrics 2) List 5 causes of LGIB in adults and pediatrics 3) Describe your management approach for severe UGIB 4) List 6 low-risk criteria D/C of GIB 5) List components of the Rockall and Glasgow-Blatchford score

Wisecracks:

1) Describe the insertion of a Blakemore tube 2) List 6 causes of false positive stool guaic

This episode covers Chapter 31 of Rosen's Emergency Medicine.

Episode Overview:

1) Define Acute, Persistent, Chronic Diarrhea 2) Describe the 4 mechanisms of diarrhea 3) List 15 historical factors that increase the risk of probability of non-benign diarrhea 4) What are the indications for empiric antibiotic treatment? 5) List 6 organisms that cause bloody diarrhea

WiseCracks

1) When is Loperamide indicated? 2) When should you use stool cultures / O&P 3) Best way to give children pedialyte?