CRACKCast & Physicians as Humans on CanadiEM

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**CRACKCast & Physicians as Humans on CanadiEM**

CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. The CanadiEM Podcast brings you cutting edge clinical topics on the National Rounds Series and delves into the struggles that doctors face on the Physicians as Humans Series.

Latest Episodes:

CRACKCast E010 - Pediatric Resuscitation Feb 29, 2016

Show notes

This episode covers Chapter 10 of Rosen's Emergency Medicine.

Episode Overview:

Describe the CPR technique for an infant
Describe the PALS cardiac arrest, bradycardia and tachycardia algorithms
Describe the PALS septic shock algorithm
List the dose and primary indication for core pediatric resuscitation medications
What are 8 risk factors for Sudden Infant Death Syndrome (SIDS)?
List 8 strategies for preventing SIDS
Describe the management of a SIDS death
Define Apparent Life Threatening Events (ALTE) and list 10 causes

Wisecracks

Epidemiology and pathophysiology of pediatric cardiac arrest
What does Rosen's say about atropine and succinylcholine use in pediatric resuscitation?
What are the pertinent anatomic features of children as it relates to laryngoscopy and intubation?

CRACKCast E009 - Adult Resuscitation Feb 24, 2016

Show notes

This episode covers Chapter 9 of Rosen's Emergency Medicine

Episode Overview:

List 10 etiologies of non-traumatic cardiac arrest
List the two most important determinants of good outcomes in cardiac arrest
List the components of good quality CPR
List 6 ways to monitor CPR
What are 3 hard indicators of adequate perfusion during CPR?
What are your post-cardiac arrest goals?

Wisecracks:

List 4 contraindications to CPR
ACLS algorithms talk through – you must know!
1. pulseless VT or VF
2. PEA
  - list all the 5H's and 5T's
    1. asystole
    2. respiratory arrest
    3. brain arrest / cognitive arrest
Sleuthing out why the patient arrested? (our approach to the hx and physical)

CRACKCast E008 - Brain Resuscitation Feb 22, 2016

Show notes

This episode covers Chapter 8 of Rosen's Emergency Medicine.

Episode Overview:

Describe 6 therapeutic interventions for the post-arrest brain
List 5 techniques for initiating therapeutic hypothermia
List 4 mechanisms of therapeutic hypothermia in improving neurological outcome

Wisecracks:

What components make up cerebral blood flow and CPP?
(shownotes only) Essential Evidence: Target Temperature Management at 33 C vs 36 C after Cardiac Arrest (Nielsen et al., 2013)

CRACKCast E007 - Blood Products Feb 17, 2016

Show notes

This episode covers Chapter 7 of Rosen's Emergency Medicine.

Episode Overview:

Describe the 3 categories of blood antigens
Who is the universal donor and why?
Define massive transfusion
List 5 physiologic complications of massive transfusion
What are the indications for the administration of: pRBCs / FFP / Platelets** / Cryoprecipitate
List 6 complications of blood transfusions and their management

Wisecracks:

What are the components of octaplex? When is it indicated?
What is FEIBA?
List the three types of plasma that are available from the blood bank?
What are the absolute and off-label uses for recombinant factor VII?
Which products are most likely to result in sepsis?
What is a hyperhemolytic crisis?

CRACKCast E006 - Shock Feb 08, 2016

Show notes

This episode covers Chapter 6 of Rosen's Emergency Medicine.

Episode Overview:

List, define and explain the 5 causes of shock
What is the utility of lactate and base deficit in the management of shock?
Define: SIRS, Sepsis, Severe Sepsis, and Septic Shock
List 5 empirical criteria for the diagnosis of circulatory shock
Describe Early Goal Directed Therapy
Describe the management goals in cardiogenic shock

Wisecracks:

A stepwise approach to cardiogenic shock

CRACKCast E005 - Patient Monitoring Feb 04, 2016

Show notes

This episode covers Chapter 5 of Rosen's Emergency Medicine.

Episode Overview

List 6 situations when pulse oximetry is not useful?
List 10 situations when capnography is useful?
Describe the ETCO2 curve?
List four indications for invasive blood pressure monitoring?

CRACKCast E004 - Procedural Sedation and Analgesia Feb 04, 2016

Show notes

This episode covers Chapter 4 of Rosen's Emergency Medicine.

Episode Overview:

What are the depths of procedural sedation (PSA)?
Describe the continuum of procedural sedation?
Describe the recommended personnel and monitoring during PSA?
What are contraindications for PSA in the ED?
What agents can be used for procedural sedation and analgesia?
Describe ASA classification system?
Describe appropriate discharge instructions for patients post-procedural sedation?
List 8 complications / side effects of ketamine and how some can be treated?
List 4 situations when ketamine may be contraindicated?
List 4 side effects of propofol in procedural sedation?

CRACKCast E003 - Pain Jan 21, 2016

Show notes

This episode covers Chapter 3 of Rosen's Emergency Medicine.

Episode Overview:

Describe the steps in the afferent pain pathway?
Differentiate between acute and chronic pain?
List options for pain management at various steps in pain perception?
Describe the different methods of assessing pain for all ages
List 4 side effects of NSAIDS, what factors increase risk of GI bleeding?
What is the mechanism of action of local anesthetics? What are the two classes?
What is the toxic dose of lidocaine and bupivacaine? What are expected toxicities? How are they treated?
List 6 techniques for reducing pain of injection of local anesthetic.
List one topical anesthetic for intact skin, mucous membranes, and open skin
What is the dose of sucrose in a neonate for anesthesia?