TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine

There was a lot of coverage for the original Vortex Approach and the revised version has also caught some attention. Others like Minh Le Cong have covered it and the British Journal of Anesthesia has the paper available for free (at this time). It is definitely worth going to the Vortex Approach website as well for details, especially regarding training.

The Vortex Approach is another game changer in airway management. This podcast features Dr. Nicholas Chrimes reviewing this technique to manage the airway. He also ties in some Star Trek in there (listen to the podcast to know who his favorite character is).

If you have worked in emergency medicine for any length of time, you have seen an abscess. No, it's not a spider bite, it's almost always an abscess. With abscess management, there are a number of approaches. We are going to review a relatively evidence based approach to treating these pus filled pockets of joy. Grab your eye protection and masks as this can get messy.

This is not your usual podcast. To be fair, what has been the usual podcast with us? We have gone over certain papers and a few interviews, but this is a young podcast. It was important to give everyone an update on what is currently going on, and that is exactly what this podcast is all about.

We are back for the second half of our conversation with Jeff Jarvis. If you missed the first half, go back and listen to Podcast #10 as it will make more sense. We discussed his EMS system that only uses video laryngoscopy (VL) with intubation. This is huge and unique with this group. However, it was a process to find what was best for him and where he acts as a medical director. In this part of the conversation, we talk about the benefits of VL and how he chose the King Vision. He also reviews some of the protocols in place for their management of intubations in some unique settings including getting the tall device into the mouth during certain situations such as during cardiac arrest and patients with a soiled airway.

You read that right! Dr. Jeff Jarvis is a medical director who only uses video laryngoscopy (VL) for the EMS agencies he acts as a medical director. Not only that, but in his own practice in emergency medicine, he uses a VL system. What is so great with VL that they ditched traditional direct laryngoscopy? Well for that, you will need to listen to the show. However, there are some key points discussed that we wanted to include in our show notes for our readers.

Have you heard of Jim DuCanto? If not, then you missed our last podcast. You can listen to either of them in any order, but since you are here, go ahead and listen to this one first. However, we highly recommend that you go to Podcast #8 after that to see what our guest has been up to recently. If you manage airways take a listen as it has some interesting findings. In this podcast, Jim DuCanto tells us more about himself and answers questions from Twitter. Go to totalem.org to read some of the highlights and to listen to the podcast. Remember, we are now also on iTunes Podcasts for your listening pleasure.

You may not have heard of Jim DuCanto specifically, but you have probably heard about his SALAD (Suction Assisted Laryngoscopy Airway Decontamination technique. Click on the links that we have here if you have not heard of him or his technique including this one from Life in the Fast Lane. Don't worry, we will wait right here... Are you back now? Does it make sense? We will talk about it more soon. However, we had a very unique conversation about something you most likely have not heard of yet. On August 28, 2016 he completed an experiment regarding supraglottic airways. The next day we interviewed him with this podcast being all about the experiment. Go to totalem.org for some of the key points from our talk.

After our talk with Minh Le Cong from the PHARM podcast, we decided it was appropriate to discuss the POKER Trial. No, it is not about cards, but rather about if propofol mixed with ketamine is better than propofol alone. In addition to this podcast, there have been a few other blogs such as St. Emlyn's and REBEL EM that reviewed this study. At this time, we believe that this is the only podcast to create an audio discussion in detail on the subject (we may have missed someone and we apologize). For that reason, we wanted to make sure there was a way you could listen to a detailed analysis of this study soon as it is still a relatively recent publication.