Episode 71 – Opioids

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We cover Free Open Access Medical Education on opioids.

The Poison Review podcast reviews papers on the opioid epidemic, including a paper by Rudd et al demonstrating an increase in opioid-related deaths over the past five years as well as the following paper by Shah and colleagues.

Long term opioid use

The Dantastic Mr. Tox and Howard, a new podcast on the scene, also covers multiple topics on opioids, including common misconceptions of tramadol.

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The American College of Medical Toxicology recently released a statement on fentanyl exposure, stating how absolutely unlikely it is that accidental dermal exposure would result in toxicity.  ” If bilateral palmar surfaces were covered with fentanyl patches, it would take approximately 14 minutes to receive 100 mcg of fentanyl…This extreme example illustrates that even a high dose of fentanyl prepared for transdermal administration cannot rapidly deliver a high dose.”

We cover core content on opioid overdose and withdrawal using Rosen’s Emergency Medicine (9th ed) Chapter 156 and Tintinalli’s Emergency Medicine (8th ed), Chapter 186 as a guide.

opioid overdose

opioid withdrawal

#dasSMACC – Airway Ultrasound, Critical Care, and Dunning-Kruger

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We are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference.  Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn’t wait.

Overall trope of the conference….

dasSMACC

for more on the Dunning-Kruger effect check out this post

Drs. Jacob Avila and Ben Smith on Airway Ultrasound

Check out this 7-minute video on ETT placement confirmation using ultrasound

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Dr. James Rippey on Point of Care Ultrasound Incidental Findings

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Dr. Jack Iwashyna on Persistent Critical Care

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#dasSMACC – Pulmonary Embolism, Pulmonary Edema, TEE, and Pediatric Cardiology

ITUNES OR LISTEN HERE

We are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference.  Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn’t wait.

Dr. Leanne Harnett on Pulmonary Embolism with Right Heart Thrombus (PE with RHT)

Drs. Reuben Strayer (@emupdates) and Scott Weingart (@emcrit) on Acute Hypertensive Pulmonary Edema

pulmonary edema

Dr. Michele Domico on Pediatric Cardiology Emergencies

Pediatric Cardiology dasSMACC

Dr. Haney Mallemat (@CriticalCareNow) on Transesophageal Echocardiography (TEE) during Cardiac Arrest

TEE

pulsecheck2

For more on pulse checks, see this blog post.