ercast.org Pulmonary embolism in pregnancy with Jeff Kline
What is the best way to evaluate a pregnant patient in whom you suspect pulmonary embolism? There is no definitive guideline, but there is no shortage of opinions. Jeff Kline and I work through the evidence and lack thereof. DIRECT DOWNLOAD What is the fetal radiation exposure from CT pulmonary angiogram and ventilation perfusion scan [...]
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ercast.org IV Contrast fact and fiction
There are times when the safety of IV contrast can be a confusing quagmire. We know that iodinated contrast for CT scans can hurt the kidneys. But is it harmful for someone who already has renal failure and is on dialysis? What about the breastfeeding mother? Will IV contrast harm her infant? How should we [...]
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ercast.org Bath Salts and Synthetic Marijuana
Bath salts (not the kind you put in the tub) and synthetic marijuana – agitated delirium, kidney failure, and death. The new drugs of abuse come with a high cost. Direct Download Leon Gussow from The Poison Review blog joins ERcast to give the low down on Bath Salts and Synthetic Marijuana. Links The Poison [...]
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ercast.org Medical clearance, Locum Tenens, and Patient Satisfaction: Rant off 2013
The gloves are off and the vitriol is bubbling hot. This is the episode where you get the mic and tell the world what really gets your goat. DIRECT DOWNLOAD Rant off 2013 players Gerry O’Malley is no fan of patient satisfaction surveys Ken Grauer say we shouldn’t throw away the atropine for some cases of [...]
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ercast.org The birth of emergency medicine: Greg Henry and Don Stader
How did emergency medicine evolve into its current incarnation? It wasn’t always a smooth ride and just a few decades ago, there were no full time emergency physicians. In the early 1961, the Alexandria Plan changed everything and the specialty of emergency medicine was born. Greg Henry and Don Stader take us through the early [...]
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ercast.org A Primer on Butt Pus
If the rectum were a simple tube, it would be like a fecal sluice gate every time stool arrived. But itʼs not just a tube. It has an elegant sphincter system that can automatically tell solid -from gas- from liquid. What other muscle in the human body has that sort of intelligence? Understanding anal [...]
ercast.org - Emergency medicine podcasts, reviews and curbside consults
Humerus fractures, shoulder dislocations, broken clavicles, shoulder separations and then some. We cover all the bases of acute shoulder injuries with sports medicine orthopedist Dr. Brett Andres. It’s also ERcast’s third anniversary, so raise a toast and thanks for listening. Direct download podcast Links mentioned in the podcast introduction Splint Like a Pro [...]
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ercast.org Chest Trauma with Kenji Inaba
Kenji Inaba is one of the most published trauma surgeons on the planet. When it comes to trauma, he has more pearls than an oyster bed. We caught up with him at the Essentials of Emergency Medicine conference in Las Vegas. Direct Download this podcast Kenji’s Trauma Pearls If a hemodynamically stable trauma patient [...]
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ercast.org How to put in a chest tube
As part of our job as editors of the video edition of Roberts and Hedges Clinical Procedures in Emergency Medicine, Scotty Dubs and I get to see the best demonstration videos on the planet. We have just finished the chest tube chapter and wanted to give you a sneak preview of what you’ll be seeing [...]
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ercast.org Should we cardiovert acute Atrial Fibrillation in the ED?
Is it safe to cardiovert a hemodynamically stable patient with recent onset atrial fibrillation? The evidence says yes, but not everyone is a believer… I’ve talked quite a bit about atrial fibrillation on ERCast, and the topic that generates the most emails, by a wide margin, is cardioverting the hemodynamically stable patient with recent onset [...]
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ercast.org Jeff Kline talks D-dimer: is the cutoff too low?
There is no perfect way to rule out pulmonary embolism. But what if we could change the game and move the d-dimer cutoff higher in the low risk patient? From 500 ng/ML to 1000ng/mL. You’d think that the specificity of the test would improve – fewer false positives. But what would we sacrifice in sensitivity? [...]
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ercast.org Mysteries of the Urine Tox
How useful is a Utox in clinical management? Not very. But you don’t need an article to tell you that. Sure, there’s always the case where you made a tough diagnosis on a patient with unexplained tachycardia or altered mental status by getting a Utox. But most of the time, it gets ordered pro forma. [...]
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ercast.org Amal Mattu on EKGs: ST elevation, Wide Complex Tachycardia and PE
Emergency cardiology master Dr. Amal Mattu gives the low down on ST elevation, T-wave inversion and bizarre, wide-complex tachycardia. Direct Download Basic Rules of ST elevation 1. No matter how good the rules, nothing is 100% certain 2. 15-20% of STEMI cases sent to the cath lab will have clean coronaries 3. [...]
ercast.org - Emergency medicine podcasts, reviews and curbside consults