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    Government & Organizations

    Core EM – Emergency Medicine Podcast

    Core EM Emergency Medicine Podcast

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    Copyright: © Core EM

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    Latest Episodes:
    Episode 57.0 – Phenobarbital in Alcohol Withdrawal Aug 01, 2016
    Show notes

    This week we discuss the role of phenobarbital in the management of severe alcohol withdrawal.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_57_0_Final_Cut.m4a Download One Comment Tags: Alcohol Withdrawal, Phenobarbital, Toxicology

    Show Notes

    CIWA Score

    References

    Riggan MA et al. Regarding “Phenobarbital for acute alcohol withdrawal: a prospective randomized double-blind placebo controlled study.” J Emerg Med 2016; 50 (6): 895-8. PMID: 27221017

    Rosenson J et al. Phenobarbital for acute alcohol withdrawal: a prospective randomized double-blind placebo controlled study. J Emerg Med 2013; 44(3): 592-8. PMID: 2299978


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    Episode 56.0 – Sedation of the Agitated Patient Jul 25, 2016
    Show notes

    This week we discuss pearls from a talk from Reuben Strayer on sedation of the agitated patient focusing on patient and staff safety.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a Download 3 Comments Tags: Agitation, Droperidol, Excited Delirium, Haloperidol, Lorazepam, Midazolam

    Show Notes

    Strayer Sedation Continuum Slide

    Strayer Summary Slide

    EM Updates: The Ketamine Brain Continuum

    LITFL: Behavioral Emergencies

    Core EM: Parenteral Benzodiazepines

    References

    Calver L et al. The safety and effectiveness of droperidol for sedation of acute behavioral disturbance in the Emergency Department. Ann Emerg Med 2015; 66(3): 230-8. PMID: 25890395


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    Episode 55.0 – Platelet Transfusion in Intracerebral Hemorrhage Jul 18, 2016
    Show notes

    This week we dive into the PATCH trial investigating the role of platelet transfusions in patients with spontaneous ICH on antiplatelet meds

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_55_0_Final_Cut.m4a Download Leave a Comment Tags: Intracerebral Hemorrhage, PATCH Trial, Platelets

    Show Notes

    Modified Rankin Scale (mRS)

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    REBEL EM: The PATCH Trial: Hold the Platelets in Spontaneous Intracerebral Hemorrhage?

    St. Emlyn’s: JC – Platelets for Intracranial Haemorrhage

    EM Lit of Note: Put the Platelets Away in ICH

    References

    Baharoglu MI et al. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral hemorrhage associated with anti platelet therapy (PAtCH): a randomized, open-label, phase 3 trial. Lancet 2016. ePub


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    Episode 54.0 – Preoxygenation Jul 11, 2016
    Show notes

    This week we discuss some of the critical issues in preparation, preoxygenation and positioning in RSI.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_54_0_Final_Cut.m4a Download Leave a Comment Tags: 7 Ps, High-flow Nasal Cannula, Intubation, Preoxygenation, RSI

    Show Notes

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    EM Updates: Intubation Checklist

    Core EM: Episode 4.0 – Perimortem C-section, Procedural Sedation and Airway Pearls

    Core EM: Episode 6.0 – Airway Workshops

    Sales JC et al. The Importance of First Pass Success When Performing Orotracheal Intubation in the Emergency Department. Acad Emerg Med 2013; 20(1): 71-8. PMID: 23574475

    LEMON Mnemonic Device

    LEMON Mnemonic Device

    MOANS Mnemonic Device

    MOANS Mnemonic Device


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    Episode 53.0 – Low-dose tPA in Ischemic Stroke Jul 04, 2016
    Show notes

    This week we discuss a recent study published in the NEJM on low-dose tPA vs standard-dose in acute ischemic stroke.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_53_0_Final_Cut.m4a Download Leave a Comment Tags: Alteplast, CVA, Ischemic Stroke, The ENCHANTED Trial, tPA

    Show Notes

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    Anderson CS et al. Low-dose versus standard-dose intravenous alteplase in acute ischemic stroke. NEJM 2016. PMID: 27161018

    EMNerd: The Case of the Non-Inferior Inferiority Continues

    REBEL EM: The ENCHANTED Trial: Is Low-Dose the Right Dose for Intravenous tPA in Acute Ischemic Stroke?

    EMCrit: Podcast 116 – the tPA for Ischemic Stroke Debate

    EMNerd: A Secondary Examination of the Adventure of the Cardboard Box

    SMART EM: Thrombolytics for Acute Stroke


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    Episode 52.0 – Anaphylaxis Jun 27, 2016
    Show notes

    This week we review anaphylaxis, the importance of epinephrine/adrenaline and how to use it properly.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_52_0_Final_Cut.m4a Download One Comment Tags: Allergic Reactions, Allergy, Anaphylaxis, Epinephrine

    Show Notes

    Anaphylaxis Definition

    Anaphylaxis Definition

    Read More

    Tran TP, Muelleman RL: Allergy, Hypersensitivity, Angioedema, and Anaphylaxis, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 119: p 1543-1560.

    YouTube: Epinephrine Auto-Injector Use

    The SGEM: #57: Should I Stay or Should I Go (Biphasic Anaphylactic Response)

    Core EM: Biphasic reactions in emergency department patients with allergic reactions or anaphylaxis

    References

    Grunau BE et al. Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Ann Emerg Med 2014; 63(6): 736-44. PMID: 24239340

    Grunau BE et al. Emergency Department Corticosteroid Use for Allergy or Anaphylaxis is Not Associated with Decreased Relapses. Ann Emerge Med 2015; 66(4): 381-9. PMID: 25820033


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    Episode 51.0 – Analgesia in Renal Colic Jun 20, 2016
    Show notes

    This week we dive into a recent article on pain control in renal colic and how it affects our management.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a Download Leave a Comment Tags: Analgesia, Kidney Stones, Renal Colic, Urology

    Show Notes

    Read More

    Core EM: Optimal First Line Analgesia in Ureteric Colic

    ALiEM: Top 10 reasons NOT to order a CT scan for suspected renal colic

    REBEL EM: Does Use of Tamsulosin in Renal Colic Facilitate Stone Passage

    Core EM: Medical Expulsive Therapy (MET) in Renal Colic

    Wang RC. Managing Urolithiasis. Ann Emerg Med 2015 PMID: 26616536

    References

    Pathan SA et al. Delivering safe and effective analgesia for management of renal colic in the emergency department: a double-blind, multi group, randomized controlled trial. Lancet 2016. PMID: 26993881


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    Episode 50.0 – Gastric Lavage Jun 06, 2016
    Show notes

    This week we look at the rarely used, but potentially life-saving, procedure of gastric lavage.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_50_0_Final_Cut.m4a Download Leave a Comment Tags: Gastric Emptying, Gastric Lavage, Toxicology

    Show Notes

    Gastric Lavage Indications (Goldfrank's Toxicology Ch 7)

    Gastric Lavage Indications (Goldfrank’s Toxicologic Emergencies Ch 7)

    Gastric Lavage Risk Assessment (Goldfrank's Toxicologic Emergencies Ch 7)

    Gastric Lavage Risk Assessment (Goldfrank’s Toxicologic Emergencies Ch 7)

    Gastric Lavage Placement (Goldfrank's Toxicologic Emergencies Ch 7)

    Gastric Lavage Placement (Goldfrank’s Toxicologic Emergencies Ch 7)

    References

    Adams BK et al. Prolonged gastric emptying half-time and gastric hypo motility after drug overdose. Am J Emerg Med 2004; 22: 548-554. PMID: 15666259

    Benson BE et al. Position paper update: gastric lavage for gastrointestinal decontamination. Clin Tox 2013; 51: 140-6. PMID: 23418938

    Gude AB, Hoegberg LCG. Chapter 7. Techniques Used to Prevent Gastrointestinal Absorption. In: Nelson LS, Lewin NA, Howland M, Hoffman RS, Goldfrank LR, Flomenbaum NE. eds. Goldfrank’s Toxicologic Emergencies, 9e . New York, NY: McGraw-Hill; 2011.

    Hoffman RS. Does consensus equal correctness? Clin Tox 2000; 38(7): 689-90. PMID: 11192453

    Kulig K et al. Management of acutely poisoned patients without gastric emptying. Ann Emerg Med 1985; 14(6): 562-9. PMID: 2859819

    Merigian KS et al. Prospective evaluation of gastric emptying in the self-poisoned patient. Am J Emerg Med 1990; 8: 479-83. PMID: 1977400

    Pond SM et al. Gastric emptying in acute overdose: a prospective randomised controlled trial. Med J Aus 1995; 163: 34-9. PMID: 7565257


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    Episode 49.0 – Alcohol Withdrawal May 30, 2016
    Show notes

    This week we take a look at alcohol withdrawal with a focus on recognition and management.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_49_0_Final_Cut.m4a Download Leave a Comment Tags: Alcohol Withdrawal, Ativan, Benzodiazipines, Delirium Tremens, Ethanol, Thaimine, Valium

    Show Notes

    Yip L. Chapter 77. Ethanol. In: Nelson LS, Lewin NA, Howland M, Hoffman RS, Goldfrank LR, Flomenbaum NE. eds. Goldfrank’s Toxicologic Emergencies, 9e. New York, NY: McGraw-Hill; 2011.

    EmCrit Podcast: Delirium Tremens

    Life in the Fast Lane: Alcohol Withdrawal

    The Poison Review: CPC: alcohol withdrawal with delirium tremens and a significant missed diagnosis

    EM Updates: Avoid Alcohol Withdrawal Admissions

    MDCalc: CIWA


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    Episode 48.0 – Anticholinergic Poisoning May 23, 2016
    Show notes

    This week we delve into the anticholinergic toxidrome with a focus on management and the use of physostigmine.

    https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_48_0_Final_Cut.m4a Download Leave a Comment Tags: Anticholinergic, Diphenhydramine, Physostigmine, TCA, Toxicology

    Show Notes

    Howland M. Antidotes in Depth (A12): Physostigmine Salicylate. In: Nelson LS, Lewin NA, Howland M, Hoffman RS, Goldfrank LR, Flomenbaum NE. eds. Goldfrank’s Toxicologic Emergencies, 9e . New York, NY: McGraw-Hill; 2011.

    Velez LI, Feng SY: Anticholinergics, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 150: p 1970-5.

    Anticholinergic Infographic (BrianandKloss.com)

    Anticholinergic Infographic (BrianandKloss.com)

    Drugs Exhibiting Anticholinergic Toxicity (Rosen's)

    Drugs Exhibiting Anticholinergic Toxicity (Rosen’s)


    Read More

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