Are You Ready...For Little Patients?
Feb 09, 2014
Show notes
Dr. Facilier begged the question..."Are you ready for Transformation Central?" Transformation? My ER runs just fine. What could I need to be ready for or transform my ER into??? Well, there's this little thing standing between you and poop in your underwear; most of us call them pediatric patients. What should scare you is that 30% of the hospitals in the US are not ready and by not ready I mean that they do not have the proper equipment or training necessary to take care of critically ill patients. So I say again, ask yourself, what is the most stressful patient whom you to take care? Is it the little old urosepsis patient that needs an art line, central line and intubation or the neonate that needs the same procedures. OK, the procedures are stressful, but what if you don't have the equipment to to do them. Do you know if your ER stocks a size 1 LMA? Now's the time to figure it out, not once the patient is staring you in the face (probably wide eyed). This month we are fortunate enough to be joined by the esteemed Dr. Marianne Gausche-Hill who is the creator and lead investigator on the Pediatric Readiness Project. We now know from a decade of research that 30% of hospitals in the US are missing the equipment needed to take care of these patients do you work at one of those????
Dr. Gauche Hill would like to thank: Dr. Kate Remick, The Federal EMS for Children Program Director Elizabeth Edgerton, National EMS for Children Data Analysis and Resource Center, American College of Emergency Physicians, American Academy of Pediatrics, the Emergency Nurses Association, State of California EMS Authority, and all the EMS for Children’s Coordinators in the US and its territories.
Thin Kids, Gallbladders Too
Jan 16, 2014
Show notes
Now I've got your mind palatable to the fact that young thin kids can get cholecystitis too, lets figure out how to weed those kids out from the hundreds of gastroenteritis that you're still going to see each week. On this episode we'll explore which labs and rads get you to the place you want to be.... not just a disposition, but the correct disposition. Dr. Doug Fishman is back to get you on the right track to making the right diagnosis!
Andrew Sloas
Podcast 21 ~ Pediatric Cholecystitis 2
Great Pedi Gallbladders of Fire
Nov 24, 2013
Show notes
You may think that Miley Cyrus' on-stage theatrics was the most shocking thing to happen in 2013, but au contraire mon frère. Hold on tight, because the most outrageous thing you've heard between stanzas of "Auld Lang Syn" is that kid's are getting gallbladder disease. This is especially frequent in the good ole US of A where we have mid-morning cheese burgers for a snack. Shocking I know. In this episode Pediatric Gastroenterologist Dr. Doug Fishman, from the Texas Children's Hospital, is going to go through the In-N-Outs of pediatric cholecystitis. Not that In-N-Out is in anyway responsible for pediatric gallstones...they make a tasty burger....try the double-meat animal style...it's fantastic....
Thanks to Doug Fishman, MD. Director, Gastrointestinal Endoscopy
Texas Children's Hospital
Associate Professor of Pediatrics
Please visit his website devoted to education and treatment of Celiac Disease below
Park that Shoulder in Place - Shoulder Reductions & One Hip
Sep 28, 2013
Show notes
How many times have you been involved in an adult or pediatric shoulder reduction that you just can't relocate. Very frustrating, but here's your solution: Dr. Jay Park has invented a method that allows you to reduce a shoulder without sedation (RNs love that) and without any pain to your patient (Press Ganey scores will rise faster than your salary). Listen up, this defines cool!
Jay Park, MD
Contact Jay For Website Design: http://jayparkmd.com
Dr. Park is involved in numerous medical missions, if you would like to contact Dr. Park to see how you can get involved or make a donation email him at: jayparkmd@yahoo.com
Red eyes usually come in pairs and so do podcasts on the subject. In part two of the red eye disorders we discuss the non-threatening maladies that can turn into eye threatening disorders if missed. Sit back and relax and let dear ole' dad tell you one more time why it's going to be OK...If you listen to him. Otherwise you may get spanked. I'm serious he spanked me a lot for not listening. Call CPS; there's still a chance for me....
Andrew Sloas
Podcast 18 ~ The Non-Threatening Red Eye
The Eyes Have It..... Or At Least The Red Eyes Do
Jul 08, 2013
Show notes
Harold Andrew Sloas Jr, DO, CAPT, USN-R is a board certified ophthalmologist (and my dad). He had a competition with his son Harold Andrew Sloas III, DO, RDMS, FAAEM to see who could get get more letters behind their name. As it turns out none of those letters have any bearing on what we'll be talking about today.
You're in for a real treat because I got to sit down with dear ole' dad and talk about some red eye disorders. We explore all the threatening causes of the red eye on this podcast and move into the non-threatening red eye disorders on the next episode. You need to know something about both so you can distinguish between the two. Pull out your Kleenex and dry your eyes; you're going to need to see this.
I have had the opportunity to work with some truly amazing people in my life and Dr. Matt Bayes, sports medicine physician extraordinaire, is no exception. Dr. Bayes is the only person I have known to successfully ask about a “code red” and somehow avoid receiving one. Dr. Bayes now resides in St. Louis, Missouri (Bayes from The Lou) and has been part of the sports medicine team that delivers care to the St Louis Cardinals. On this episode Dr. Bayes takes me through the intricacies of diagnosing and managing a pediatric concussion from the ER perspective. Hold on to your head because you’re about to get knocked out....Smokey
José Álvarez-Sabín, MD; Antoni Turon; Manuel Lozano-Sánchez; José Vázquez, MD; Agustí Codina, MD Delayed Posttraumatic Hemorrhage "Spät-Apoplexie"Stroke. 1995;26:1531-1535doi: 10.1161/01.STR.26.9.1531
Calcium Channel Blockers, Beta Blockers and Undifferentiated Hypotension....OH MY!
Apr 15, 2013
Show notes
One of the most sphincter tightening overdoses to deal with in adults and pediatrics is the CCB overdose. In this podcast I cover all the treatments that work, don't work, and you would think should work to give you a recipe for success. Hold on to your insulin; it's not just for diabetics and critically ill patients anymore. Intralipids??? How the heck does that help??? Well you need to tune in to find out......
Andrew Sloas
Podcast 15 - CCB/BB/Undifferentiated Hypotension
Pediatric ECG Basics ~ Part 2
Mar 04, 2013
Show notes
Our resident cardiologist Dr. Buck Kyle completes the second part of his lecture series on pediatric ECG reading. This time we get into the most common cardiac disease processes that occur in the pediatric population. What’s black and white and read all over??? OK, yes the newspaper, but ECGs are too....don’t steal my punch lines.....
Andrew Sloas
Podcast 14 - Pediatric ECG Reading Part 2
Pediatric (and some adult) ECG Basics
Jan 08, 2013
Show notes
The Squiggly Line Rule: The more squiggly lines in the outline/border lines of a state, the cooler/more fun it is to live in that state. In, for example, the state of California, the squiggly lines are found on the coastline adjacent to the pacific ocean ~ Urban Dictionary
It also happens to be true that if you are an electrocardiogramophile than the more abundant the squigglies, the more stimulating and salacious the ECG is to read (and you probably have eroticism issues). While it is also true that if you do not find electrocardiogram interruption to be lascivious than you probably find it to be frustrating (and you may have ECG performance issues). Either way, have I got a tonic for you. It cures all of the above (except the obvious sexual innuendo problems, you need to see a therapist for that soon).
In this episode, we start a two part series on the basics of pediatric ECG interruption with Dr. Buck Kyle, pediatric cardiologist and electrocardiogram aficionado. Sit back and relax as Dr. Kyle makes everything clear and really...see the therapist soon......
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