TamingtheSRU

On this podcast we cover 3 articles that seek to address frequent challenges we encounter with patients who have blunt trauma and negative cervical spine imaging. Must we wait until all patients are clinically sober to clinically clear them? How aggressively should we pursue the ligamentous injuries and if we do what should our diagnostic strategy be?

On this podcast we cover a broad swath of flu related topics. From the devastating pandemic H1N1 influenza of 1918 to the diagnosis and treatment of influenza in 2018.

On this podcast we cover 2 topics that have emerged in the airway literature that may be impacting our airway management practices going forward - flush rate oxygen for pre oxygenation and intubation with head of bed elevation

Dr. IC Cordes himself, Dr. Steven Carleton is on to discuss the management of tracheostomy complications in the Emergency Department. During the discussion, we cover the management of the bleeding stoma site, the displaced tracheostomy tube, the stenosed tracheostomy site.

We take a look at the literature surrounding the use of CCTA in patients with chest pain. Should we be using this diagnostic test on low risk chest pain? intermediate risk chest pain? at all?

We take a look at the emerging literature surrounding the treatment of submassive, also known as intermediate risk, pulmonary emboli. What can we do about these clots causing significant hemodynamic changes? Are the emerging treatments ready for prime time?

We delve into the evidence surrounding the phenomenon of contrast induced nephropathy. Is it real or a figment of our imagination? Should we just flood these patients with saline to avoid the possibility of CIN? Drs Ludmer, Polsinelli, and Miller lead us in a discussion of 3 articles on the topic.

We summarize 3 articles focusing on the use of vasopressin in septic shock and vasoplegic shock. Should vasopressin continue its role as a 2nd line pressor or can we (should we) reach for it first?

We summarize 3 articles dealing with two of the more common respiratory complaints we see in the ED: asthma and COPD. Should COPD patients get 5 or 14 days of steroids? Can we just use a single dose of dexamethasone for asthma exacerbations in adults? Do all patients with COPD need antibiotics?

Dr. McKean sits down with EMS Faculty and EM Physician Liz Powell and finished up their discussion on the ED-based approach to patients who have been involved in motor vehicle crashes