Academic Life in Emergency Medicine

Latest Episodes:

ACEP E-QUAL 29: Occipital Nerve Blocks and Low Paraspinous Injections for Headaches Sep 12, 2019

Show notes

In this episode from the ACEP-EQUAL series, Dr. Katherine Vlasica reviews the technique, indications, contraindications, and benefits of the use of occipital nerve blocks and low paraspinous injections in the treatment of headache in the ED.

Guest: Katherine Vlasica DO (Director of EM Pain Management, St Joseph’s Health in Paterson NJ; Clinical Assistant Professor of Medicine, New York Medical Center)

Host: Dr. Jason Woods

www.acep.org/equal

Link for video of nerve blocks:

The Leader's Library 2: Radical Candor Sep 03, 2019

Show notes

Join us in the second installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Hosted by Dr. Dina Wallin, the featured book is Kim Scott's RADICAL CANDOR.

https://www.aliem.com/leaders-library-radical-candor/

ACEP E-QUAL 28: Renal Colic Imaging Aug 30, 2019

Show notes

In this episode from the ACEP-EQUAL series, Dr. Jay Schuur, Dr. Chris Moore, and Dr. Courtney Moreno discuss the development of and recommendations from the new publication from the ACEP EQUAL group, "Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus."

Article: https://www.ncbi.nlm.nih.gov/pubmed/31402153

DOSE project (Dose Optimization for Stone Evaluation): https://medicine.yale.edu/emergencymed/dose/

Radiology Safety Information: https://www.radiologyinfo.org/en/info.cfm?pg=safety-xray

Host: Dr. Jason Woods

www.acep.org/equal

ACEP E-QUAL 27: Thoracic Aortic Dissection Aug 26, 2019

Show notes

In this episode from the ACEP-EQUAL series, Dr. Jay Schuur, Dr. Deb Diercks, and Dr. Kaushal Shah discuss the development and primary recommendation from the ACEP Clinical Policy for Thoracic Aortic Dissection.

Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu

www.acep.org/equal

EM Match Advice 25: Program Directors Reflect on the 2019 Match Aug 17, 2019

Show notes

Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of residency program directors reflect on the 2019 Match year based on the NRMP data. Was it more or less competitive? What was new and what is their advice for the 2020 Match? View the data table for 2011-2019 on the ALiEM.com site. PD panelists: Dr. Sorabh Khandelwal (The Ohio State University), Dr. Fiona Gallahue (University of Washington), Dr. Brad Bunney (University of Illinois at Chicago)

https://www.aliem.com/em-match-advice-program-directors-2019-residency-match/

ACEP E-QUAL 26: Suspected Acute Venous Thromboembolic Disease Aug 08, 2019

Show notes

In this episode from the ACEP-EQUAL series, Dr. Stephen Wolf (Professor and Vice Chair at the Department of EM, Denver Health Medical Center; Chair of the ACEP clinical policies committee, subcommittee chair for this policy) talks about the development and primary recommendation from the ACEP Clinical Policy: Suspected Acute Venous Thromboembolic Disease

Host: Dr. Jason Woods

www.acep.org/equal

ACEP E-QUAL 25: Avoidable Imaging Success Story Jul 23, 2019

Show notes

In this episode, Dr. Craig Hostein and Dr. Thomas Vaughan discuss their success in reducing avoidable imaging for low back pain in the ED.

Host: Dr. Jason Woods

www.acep.org/equal

ACEP E-QUAL 24: Appropriate Use Guidelines for Cardiovascular Imaging Jul 22, 2019

Show notes

Dr. Frank Peacock and Dr. Michael Kontos review the 2015 guidelines, published in the Journal of the American College of Cardiology regarding appropriate use of cardiovascular imaging.

Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu

www.acep.org/equal

PDF of slide deck: https://www.acep.org/globalassets/sites/acep/media/equal-documents/webinar_chestpainw3_policy_cvimaging.pdf

References

Rybicki FJ, Udelson JE, Peacock F et al. 2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/ SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain. JACC. Feb 2016. 67;7. DOI: 10.1016/j.jacc.2015.09.011
Singer AJ, Than MP, Smith S et al. “Missed myocardial infarctions in ED patients prospectively categorized as low risk by established risk scores”. Am J Emerg Med. 2017 May;35(5):704-709. DOI: 10.1016/j.ajem.2017.01.003.
Poldevaart JM, Reitsma JB, Backus BE. “Effect of Using the HEART Score in Patients with Chest PAin in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial.” Ann Intern Med. 2017 May 16;166(10):689-697. doi: 10.7326/M16-1600
Than MP, Aldous SJ, Troughton RW et al. “Detectable High-Sensitivity Cardiac Troponin within the Population Reference Interval Conveys High 5-Year Cardiovascular Risk: An Observational Study.” Clin Chem. 2018 Jul;64(7):1044-1053. DOI: 10.1373/clinchem.2017.285700

ACEP E-QUAL 23: Implementing High Sensitivity Troponin Jul 16, 2019

Show notes

Dr. Simon Mahler, Dr. Deborah Diercks, and Dr. Christopher Baugh discuss how to implement the use of high sensitivity troponin in your clinical setting on this featured ACEP E-QUAL podcast.

Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu

www.acep.org/equal

ACEP E-QUAL 22: Making Sense of High Sensitivity Troponin (Drs. Peacock and Christensen) Jun 11, 2019

Show notes

Dr. Peacock and Dr. Christensen discuss the nuances of the high sensitivity troponin lab test on this featured ACEP E-QUAL podcast.

Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu

www.acep.org/equal