CRACKCast & Physicians as Humans on CanadiEM

This episode covers Chapter 10 of Rosen's Emergency Medicine.

Episode Overview:

1. Describe the CPR technique for an infant
2. Describe the PALS cardiac arrest, bradycardia and tachycardia algorithms
3. Describe the PALS septic shock algorithm
4. List the dose and primary indication for core pediatric resuscitation medications
5. What are 8 risk factors for Sudden Infant Death Syndrome (SIDS)?
6. List 8 strategies for preventing SIDS
7. Describe the management of a SIDS death
8. Define Apparent Life Threatening Events (ALTE) and list 10 causes

Wisecracks

1. Epidemiology and pathophysiology of pediatric cardiac arrest
2. What does Rosen's say about atropine and succinylcholine use in pediatric resuscitation?
3. What are the pertinent anatomic features of children as it relates to laryngoscopy and intubation?

This episode covers Chapter 9 of Rosen's Emergency Medicine

Episode Overview:

1. List 10 etiologies of non-traumatic cardiac arrest
2. List the two most important determinants of good outcomes in cardiac arrest
3. List the components of good quality CPR
4. List 6 ways to monitor CPR
5. What are 3 hard indicators of adequate perfusion during CPR?
6. What are your post-cardiac arrest goals?

Wisecracks:

1. List 4 contraindications to CPR
2. ACLS algorithms talk through – you must know!
   1. pulseless VT or VF
   2. PEA
      • list all the 5H's and 5T's
        1. asystole
        2. respiratory arrest
        3. brain arrest / cognitive arrest
3. Sleuthing out why the patient arrested? (our approach to the hx and physical)

This episode covers Chapter 8 of Rosen's Emergency Medicine.

Episode Overview:

1. Describe 6 therapeutic interventions for the post-arrest brain
2. List 5 techniques for initiating therapeutic hypothermia
3. List 4 mechanisms of therapeutic hypothermia in improving neurological outcome

Wisecracks:

1. What components make up cerebral blood flow and CPP?
2. (shownotes only) Essential Evidence: Target Temperature Management at 33 C vs 36 C after Cardiac Arrest (Nielsen et al., 2013)

This episode covers Chapter 7 of Rosen's Emergency Medicine.

Episode Overview:

1. Describe the 3 categories of blood antigens
2. Who is the universal donor and why?
3. Define massive transfusion
4. List 5 physiologic complications of massive transfusion
5. What are the indications for the administration of: pRBCs / FFP / Platelets** / Cryoprecipitate
6. List 6 complications of blood transfusions and their management

Wisecracks:

1. What are the components of octaplex? When is it indicated?
2. What is FEIBA?
3. List the three types of plasma that are available from the blood bank?
4. What are the absolute and off-label uses for recombinant factor VII?
5. Which products are most likely to result in sepsis?
6. What is a hyperhemolytic crisis?

This episode covers Chapter 6 of Rosen's Emergency Medicine.

Episode Overview:

1. List, define and explain the 5 causes of shock
2. What is the utility of lactate and base deficit in the management of shock?
3. Define: SIRS, Sepsis, Severe Sepsis, and Septic Shock
4. List 5 empirical criteria for the diagnosis of circulatory shock
5. Describe Early Goal Directed Therapy
6. Describe the management goals in cardiogenic shock

Wisecracks:

1. A stepwise approach to cardiogenic shock

This episode covers Chapter 5 of Rosen's Emergency Medicine.

Episode Overview

1. List 6 situations when pulse oximetry is not useful?
2. List 10 situations when capnography is useful?
3. Describe the ETCO2 curve?
4. List four indications for invasive blood pressure monitoring?

This episode covers Chapter 4 of Rosen's Emergency Medicine.

Episode Overview:

1. What are the depths of procedural sedation (PSA)?
2. Describe the continuum of procedural sedation?
3. Describe the recommended personnel and monitoring during PSA?
4. What are contraindications for PSA in the ED?
5. What agents can be used for procedural sedation and analgesia?
6. Describe ASA classification system?
7. Describe appropriate discharge instructions for patients post-procedural sedation?
8. List 8 complications / side effects of ketamine and how some can be treated?
9. List 4 situations when ketamine may be contraindicated?
10. List 4 side effects of propofol in procedural sedation?

This episode covers Chapter 3 of Rosen's Emergency Medicine.

Episode Overview:

1. Describe the steps in the afferent pain pathway?
2. Differentiate between acute and chronic pain?
3. List options for pain management at various steps in pain perception?
4. Describe the different methods of assessing pain for all ages
5. List 4 side effects of NSAIDS, what factors increase risk of GI bleeding?
6. What is the mechanism of action of local anesthetics? What are the two classes?
7. What is the toxic dose of lidocaine and bupivacaine? What are expected toxicities? How are they treated?
8. List 6 techniques for reducing pain of injection of local anesthetic.
9. List one topical anesthetic for intact skin, mucous membranes, and open skin
10. What is the dose of sucrose in a neonate for anesthesia?

This episode covers Chapter 2 of Rosen's Emergency Medicine.

Episode Overview:

1. What are Indications and contraindications to NIPPV?
2. Describe your initial BePAP or CPAP settings?
3. What are good initial vent settings?
4. How do you troubleshoot the crashing patient on the ventilator?

This episode covers Chapter 1 of Rosen's Emergency Medicine.

Episode Overview:

1. How do you make the decision to intubate a patient?
2. What are predictors of difficult bag valve mask ventilation?
3. What are the predictors of difficult intubation?
4. What are the predictors of difficult LMA insertion?
5. What are the predictors of a difficult surgical airway?
6. Differentiate non-depolarizing vs. depolarizing paralytic agents?
7. What are the contraindications to succinylcholine?