TamingtheSRU

By UC Department of Emergency Medicine

What's TamingtheSRU about?

www.tamingthesru.com - Free. Open-Access. Focused on Emergency Medicine, critical care and prehospital medicine, as well as practice algorithms and decreasing knowledge translation in Med Ed.

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TamingtheSRU episodes:

04.17.2024
Is the Cuff Enough?
In this journal club breakdown, we analyze an article examining the relationship between invasive arterial line blood pressure measurements and non-invasive cuff measurements.
03.27.2024
STEROCHA Trial: 'Roids to the Rescue?
Can the addition of high-dose methylprednisolone to the treatment of out-of-hospital cardiac arrest make a meaningful difference? In this post-hoc analysis of a placebo-controlled randomized control trial comparing high-dose methylprednisolone versus placebo in out-of-hospital cardiac arrest (OHCA), the authors aimed...
03.12.2024
SQUID Protocol
In this podcast, Dr Charlie Brower PGY-3 at the University of Cincinnati leads a discussion of a recent journal club article looking at the impact of a subcutaneous insulin treatment pathway for mild and moderate DKA. We explore the...
11.03.2023
Serratus Anterior Plane Blocks
Pain from rib fractures can be severely limiting in the acute setting. In this recap from our most recent Journal Club, Dr Olivia Gobble leads us through a paper looking at the effectiveness of Serratus Anterior Plane Blocks for...
10.27.2023
US For Shoulder Dislocation
Ultrasound is an increasingly ubiquitous tool to augment the physical exam in the Emergency Department. Dr Jazmyn Shaw walks us through a paper that looks at whether or not US is a useful adjunct to physical exam for the...
10.20.2023
Lever Test
Dr Casey Glenn walks through a study analyzing the 'lever test' for the diagnosis of ACL tears in the acute setting. Given significant swelling and pain the acute diagnosis of ligamentous injury can be both challenging and painful to...
09.22.2023
Induction Reduction and Had Video Finally Killed the DL?
In this journal club podcast we break down 2 articles. Do we need to reduce doses of ketamine or etomidate in RSI to avoid post-intubation hypotension? Should video laryngoscopy fully and finally replace direct laryngoscopy in the ED?
09.01.2023
Qi/KT - Acute Liver Failure
Drs. Wilson and Arnold discuss the latest research that went into their development of a protocol for managing Acute Liver Failure
07.03.2023
Hunting for Invasive Bacterial Illness in Infants with a Positive UA
Dr Marlena Wosiski-Kuhn recaps a recent journal club covering the paper by Mahajan and colleagues: Serious Bacterial Infections in Young Febrile Infants with Positive Urinalysis Results.
06.11.2023
Sick or Not Sick through a Sniff - EtCO2 at Triage
Boarding of admitted patients in the ED and subsequent overcrowding of ED’s continues to plague hospitals in the United States and Internationally. The Covid-19 pandemic exacerbated an already growing problem regarding capacity management and patient flow. In this current...
05.05.2023
Clovers
Dr Gillespie breaks down the recently published CLOVERS trial that looked into the early administration of vasopressors in sepsis
04.22.2023
IV Metoprolol vs Diltiazem for A fib with Concomitant Heart Failure
The management of atrial fibrillation with rapid ventricular response is often complicated by the presence of heart failure with reduced ejection fraction. The presence of HFrEF limits pharmacologic options for rate control. This podcast will cover a retrospective...
03.30.2023
Diastolic Shock Index
Early recognition and resuscitation of patients in septic shock are critical skills for an emergency medicine physician. Many clinical decision-making tools have been developed and validated in their use to identify and define those who are in sepsis or septic...
02.02.2023
CTs in SAH - Does Time Even Matter
In this podcast, Dr. Justin Milligan covers a recently published retrospective review that could inform our future practice. We all rely on a negative CT within 6 hours for diagnosing SAH, but what if we could through the time...
11.18.2022
What Drip After the Drop - Post Cardiac Arrest Hypotension
During a cardiac arrest resuscitation, finally palpating a pulsatile flow beneath your gloved fingertips brings a sense of satisfaction like no other. But just as you go to finally breathe a sigh of relief and wipe the beading sweat off...
11.11.2022
Family Presence During Cardiac Arrest Resuscitations
Cardiac arrests are an inevitable reality for emergency medicine providers. There is often a debate on whether family members presence during CPR will lead to more emotional burdens on the family members who witnessed these resuscitations. Dr Melanie Yates summarizes...
11.04.2022
Doppler US For Pulse Checks
Palpating a pulse during a resuscitation can be more challenging than it seems. Digital palpation of femoral pulses may lack sensitivity and specificity needed to accurately detect the presence of a pulse. In this Journal Club recap, Dr Martina...
08.31.2022
A Life Saving Bolus? Fluids at the Time of Intubation
In this podcast, Dr. Courtney Kein breaks down a recently published article examining the effects of a bolus of IVF at the time of intubation. Does a push of fluid prevent peri-intubation hemodynamic collapse?
08.24.2022
Bougie so Bougie
In this Journal Club paper breakdown, Dr Bailee Stark recaps the findings of a recently published study by Driver et al looking at the effect of bougie aided intubation vs standard stylet intubation.
08.17.2022
Tube Thoracostomy - Tiny Tubes for Bloody Effusions
In this Journal Club podcast, PGY-3 Tony Fabiano breaks down a paper from the Journal of Trauma comparing the effectiveness and patient perception of pigtail catheters versus standard chest tubes for hemothorax in the setting of trauma. Is a...
05.26.2021
ECG to Activation
Time is myocardium, and minimizing door-to-activation time improves outcomes in patients with acute coronary occlusion. There are a number of existing quality metrics used to help drive improvements in the time-based care of STEMI patients. Could a new quality metric...
05.19.2021
The Danger of the OMI
The paradigm of STEMI vs NSTEMI is one of the most well known in Emergency Medicine. Could a change in thinking shift this paradigm to OMI vs NOMI and result in a more complete identification of patients with significant...
05.12.2021
How Good is a Post-ROSC EKG?
One of the first tests ordered for a patient with ROSC following cardiac arrest is an EKG. Many of these EKGs are profoundly abnormal. Current practice is to evaluate for STEMI and to activate the cardiac cath lab if one...
04.19.2021
Droperidol for Agitation - Part 3
This is part 3 of 3 recapping our most recent journal club where we looked at the evidence for the safety and efficacy of droperidol for treating acute agitation in the ED. In this final episode, Dr. Christa Pulvino...
04.12.2021
Droperidol for Agitation in the ED - Part 2
This is our second in a 3 part series looking at the evidence for the safety and efficacy of droperidol for acute agitation in the ED. In this episode, Dr. Shawn Hassani leads us in a discussion of an...
04.06.2021
Droperidol for Agitation - Part 1
This is part 1 of our 3 part series recapping our most recent journal club. In this podcast, Dr Jeff Hill leads a discussion of a paper by Calver et al which was a multicenter prospective trial looking at...
02.10.2021
Hold the Bicarb?
This is the final of 3 podcasts recapping our most recent journal club. In this podcast Dr. Olivia Urbanowicz walks us through a meta-analysis by Wu et al published in the Journal of Emergency Medicine in 2020. We...
02.03.2021
Clear! A Change in Paradigm for Defibrillation?
In this, our second podcast recapping our most recent journal club, Dr. Colleen Laurence summarizes a recent pilot study by Cheskes et al looking at standard defibrillation vs vector change defibrillation vs dual sequence defibrillation. Could we be on...
01.27.2021
Beta Blockers for Refractory V Fib/Tac
This is our first of 3 podcasts recapping our most recent journal club. In this podcast, Dr. Sarah Wolochatiuk summarizes the meta-analysis by Gottlieb et al entitled "Beta-blockade for the treatment of cardiac arrest due to ventricular fibrillation or...
$Beta Blockers for Refractory V Fib/Tac$
10.26.2020
Trio of Trauma - Journal Club Recap
We cover a trio of papers related to the care of the trauma patient - should we be adding some vasopressin in patients needing >6 units of blood? Is VL really superior to DL in trauma patients? Should we stop...
09.09.2020
A Trio of Ketamine
A dive into 3 articles looking at the use of ketamine in the Emergency Department. 01:23 - Slow vs rapid infusion of ketamine for pain control in the ED 13:42 - Hemodynamic effects of ketamine vs etomidate for RSI 21:59 - Effect of...
05.06.2020
Updates in Pediatric Cardiac Arrest
We recap 3 recently published articles that look at various aspects of caring for pediatric cardiac arrest patients. Is Epi helpful? Therapeutic hypothermia or normothermia - which is better? Is old school lidocaine better than amiodarone?
02.28.2020
What to Do about the Flu?
In this podcast, we recap our most recent journal club which look at 3 papers on the topic on influenza. One recently published in the BMJ looking at usual care vs oseltamivir for community treatment of influenza-like illness, one...
02.04.2020
Intrathecal Baclofen Withdrawal - Research Corner
In this latest episode of our Research Corner series, Dr. Hill sits down with PGY-3 Adam Gottula, MD and Amanda Peck, PharmD to discuss their recently published case report describing the use of dexmedetomidine for the management of acute intrathecal...
11.05.2019
Prehosptial Stroke Triage Research Corner
Over the past 5 years, there has been a dramatic expansion of the treatment strategies used to treat patients with acute ischemic stoke. As some of these treatments involve specific resources only available at certain institutions, appropriate triage of...
10.21.2019
No Lung, No Problem! - VV ECMO
Transporting a VV ECMO and sweating? Hearing beeps in your sleep and fearing the flow alarm? Bolster your VV ECMO knowledge with Dr. Liz Powell and Paige Barger interviewed by Dr. Adam Gottula.
10.04.2019
Sepsis Roundup - Journal Club Recap
We recap a trio of recent articles looking into various aspects of the care and management of patients with sepsis. Are balanced fluids truly better than plain old normal saline? Are steroids a friend or foe in patients with...
08.27.2019
Heat Emergencies - 2019 Updates with Dr. Mel Otten
Dr. Mel Otten, tox and wilderness guru and past president of the Wilderness Medical Society, takes us through his new 2019 WMS Guidelines on the prevention and treatment of heat illness.
08.07.2019
Controversies in Kidney Stones
Flank pain and pain due to ureterolithiasis are common ED presentations. There exist, however, a number of controversies when you dive into the literature addressing the diagnosis and treatment of nephrology/ureterolithiasis. Is IV lidocaine effective at treating pain in...
06.30.2019
ROSC with No STEMI
Should patient who have a V fib or V tac cardiac arrest take a trip to the cardiac Cath lab even if their post-ROSC EKG shows no evidence of ST-elevation? Drs Ham, Habib, and Klaszky breakdown several articles that address...
06.19.2019
Air Care Series: Intro to LVADs
Dr. Adam Gottula interviews Paige Barger and Liz Powell, MD on the basics of LVADs and how to troubleshoot them prehospital and in the ED
06.14.2019
Temporal Arteritis
Temporal Arteritis by UC Department of Emergency Medicine
06.14.2019
A Really Swollen Leg
A Really Swollen Leg by UC Department of Emergency Medicine
06.14.2019
The A Fib Chicken and Egg and An Unusual Cause of Sepsis
The A Fib Chicken and Egg and An Unusual Cause of Sepsis by UC Department of Emergency Medicine
06.14.2019
Telling Tall Tales: Dogma in Emergency Medicine
Telling Tall Tales: Dogma in Emergency Medicine by UC Department of Emergency Medicine
06.14.2019
Pneumonia Alphabet Soup
Pneumonia Alphabet Soup by UC Department of Emergency Medicine
06.14.2019
A Weakness in the Heart?
A Weakness in the Heart? by UC Department of Emergency Medicine
06.14.2019
Air Care Series: Cardiogenic Shock
Air Care Series: Cardiogenic Shock by UC Department of Emergency Medicine
06.14.2019
Bug Juice Potpourri
Bug Juice Potpourri by UC Department of Emergency Medicine
06.14.2019
An Evidence Based Approach to Cardiac Arrest
An Evidence Based Approach to Cardiac Arrest by UC Department of Emergency Medicine

What's TamingtheSRU about?

Download our free app to listen on your phone

TamingtheSRU episodes:

Is the Cuff Enough?

STEROCHA Trial: 'Roids to the Rescue?

SQUID Protocol

Serratus Anterior Plane Blocks

US For Shoulder Dislocation

Lever Test

Induction Reduction and Had Video Finally Killed the DL?

Qi/KT - Acute Liver Failure

Hunting for Invasive Bacterial Illness in Infants with a Positive UA

Sick or Not Sick through a Sniff - EtCO2 at Triage

Clovers

IV Metoprolol vs Diltiazem for A fib with Concomitant Heart Failure

Diastolic Shock Index

CTs in SAH - Does Time Even Matter

What Drip After the Drop - Post Cardiac Arrest Hypotension

Family Presence During Cardiac Arrest Resuscitations

Doppler US For Pulse Checks

A Life Saving Bolus? Fluids at the Time of Intubation

Bougie so Bougie

Tube Thoracostomy - Tiny Tubes for Bloody Effusions

ECG to Activation

The Danger of the OMI

How Good is a Post-ROSC EKG?

Droperidol for Agitation - Part 3

Droperidol for Agitation in the ED - Part 2

Droperidol for Agitation - Part 1

Hold the Bicarb?

Clear! A Change in Paradigm for Defibrillation?

Beta Blockers for Refractory V Fib/Tac

Trio of Trauma - Journal Club Recap

A Trio of Ketamine

Updates in Pediatric Cardiac Arrest

What to Do about the Flu?

Intrathecal Baclofen Withdrawal - Research Corner

Prehosptial Stroke Triage Research Corner

No Lung, No Problem! - VV ECMO

Sepsis Roundup - Journal Club Recap

Heat Emergencies - 2019 Updates with Dr. Mel Otten

Controversies in Kidney Stones

ROSC with No STEMI

Air Care Series: Intro to LVADs

Temporal Arteritis

A Really Swollen Leg

The A Fib Chicken and Egg and An Unusual Cause of Sepsis

Telling Tall Tales: Dogma in Emergency Medicine

Pneumonia Alphabet Soup

A Weakness in the Heart?

Air Care Series: Cardiogenic Shock

Bug Juice Potpourri

An Evidence Based Approach to Cardiac Arrest

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