The Hippo Education Podcast

OUD Decoded - What is Xylazine (aka "tranq")? Dec 20, 2024

Join Dr. Kelly Heidepriem and pharmacist Dr. Kyle Dvoracek as they dive into the growing concern around xylazine, also known as "Tranq," a potent substance increasingly being found in illicit drugs. In this discussion, they’ll unpack the latest developments surrounding this dangerous drug, its effects on the body, and what clinicians need to know to recognize and respond to cases of xylazine exposure. From its rising prevalence to its impact on treatment protocols, this discussion offers essential insights for healthcare professionals navigating the complexities of this emerging threat. Explore Our Podcasts: hippoed.com/podcasts

OUD Decoded - Understanding the Opioid Epidemic Dec 20, 2024

The opioid epidemic is an ongoing crisis that devastates individuals and communities across the U.S. But did you know opioid use disorder dates back to the early 1800s? In this conversation, we’ll explore the history of this public health issue and then shift focus to how clinicians and lawmakers can collaborate on harm reduction and effective treatment strategies for OUD. Explore Our Podcasts: hippoed.com/podcasts

OUD Decoded - The Rise of Fentanyl: Eli's Story Dec 20, 2024

Three months after Dr. Beth Weinstock’s 20-year-old son, Eli, tragically died in 2021, the coroner revealed that his body contained both kratom, a legal herbal supplement, and fentanyl—something Eli never intended to ingest. His death highlights the deadly rise of fentanyl, which contributed to over 107,000 drug overdose deaths in the U.S. in 2022, with synthetic opioids like fentanyl involved in 67% of those cases. In this conversation, Dr. Sol Behar and Neda Frayha speak with Dr. Weinstock, a Family Medicine physician and founder of BirdieLight, to discuss Eli’s story, the fentanyl crisis, and practical harm reduction strategies clinicians can use to prevent further loss. Explore Our Podcasts: hippoed.com/podcasts

ERcast - Lit Matters #1: Artificial Intelligence and Human Values Dec 20, 2024

Artificial Intelligence (AI) in emergency medicine is here, particularly in the last several months and all of us will have our careers impacted by AI soon. There is a lot of computer science and jargon to understand, and Drew and Cam will help break down some of this nomenclature. Computers/AI are good at generating probabilities. But, making a diagnosis about a patient in front of you is more than understanding/predicting probabilities and is based on an understanding of human values and cause/effect. Explore Our Podcasts: hippoed.com/podcasts

ERcast - Intro: Making Sense of the Nonsense Dec 20, 2024

What do you do with the patient who arrives in the ED with an unreasonable request? DeLaney, Drew, and Andy discuss how to best handle this all-too-common occurrence. Explore Our Podcasts: hippoed.com/podcasts

ERcast - Is Medicine a Vocation or a Profession? Dec 20, 2024

The terms vocation and profession are both commonly used to describe the practice of medicine. While these terms may seem interchangeable, there are subtle differences in their definitions that can make a big difference. DeLaney covers how we describe our lives in the emergency department and how what we say may make a difference. Explore Our Podcasts: hippoed.com/podcasts

UC RAP - Legal Lessons: Testicular Torsion Dec 20, 2024

Drs. Matt Delaney and Kelly Heidepriem review a real-life urgent care case on testicular torsion and discuss the known malpractice data on torsion, ways to reduce our legal risk, and how this can be an easy miss by anyone. Explore Our Podcasts: hippoed.com/podcasts

UC RAP - Eustachian Tube Dysfunction Dec 20, 2024

We so frequently see patients in the Urgent Care with complaints about their ears - everything from pain, to fullness, to hearing loss to “I’m all plugged up!”. Today Brett talks with Dr. Matthew DeLaney to cover strategies we can use to get these patients some relief. Explore Our Podcasts: hippoed.com/podcasts

UC RAP - Ketorolac Comparisons: What's the Right Dose? Dec 20, 2024

Ketorolac is our go-to UC workhorse for MSK pain, kidney stones, and so much more. But are you giving the right dose? We’ll dive into the literature. Explore Our Podcasts: hippoed.com/podcasts

Peds RAP - Neuroendocrine Causes of Obesity Dec 19, 2024

Parul and Sol review neuroendocrine causes of obesity, including some syndromes associated with obesity. Explore Our Podcasts: hippoed.com/podcasts

Peds RAP - Down Syndrome Part 1 Dec 19, 2024

Down Syndrome or Trisomy 21, is one of the most commonly encountered syndromes seen in the primary care office. Guidelines for the care of the patient with Down Syndrome has changed several times in the past couple of decades, and in keeping with this tradition, the AAP came out with yet another set of guidelines in May of 2022. This Clinical Report for the Health Supervision of Patients with Down Syndrome is packed with awesome updates and tips of how to successfully navigate the well child encounter, and is a must read for every primary care provider. Here to help us unpack this great bundle of information is Dr. Eyal Ben-Isaac, general pediatrician from CHLA. Explore Our Podcasts: hippoed.com/podcasts

Peds RAP - Nirsevimab: The Latest Tool to Prevent RSV Dec 19, 2024

Nirsevimab - the new RSV monoclonal antibody has been FDA approved for use in infants. Parul and Sol review what it is, how effective it is in preventing severe RSV bronchiolitis, and who should receive it. Explore Our Podcasts: hippoed.com/podcasts

Primary Care RAP - Lipidology 201: Advanced Testing Dec 19, 2024

Patients sometimes ask us about further testing for lipids beyond the standard lipid profile. Neda Frayha sits down with cardiologist, Dr. Stanley Liu, to dive into advanced testing for lipids and how to evaluate and treat the results of that testing. Explore Our Podcasts: hippoed.com/podcasts

Primary Care RAP - IU-Doing this Right? Pain and Anxiety Management for IUD Placement Dec 19, 2024

It's well-documented that the insertion of an IUD can be painful, sometimes excruciatingly so. But somehow it has taken a public outcry about this extreme discomfort to bring the issue to the forefront of the medical community. Neda sits down with Matt to explore new recommendations from the CDC, evidence-based options for pain and anxiety management, and a toolkit of strategies we can use when inserting IUDs to make our patients as comfortable as possible. Explore Our Podcasts: hippoed.com/podcasts

Primary Care RAP - Thyroid Q&A Lightning Round: Treatment Conundrums Dec 19, 2024

Thyroid disorders can be confusing. In this episode, Neda Frayha, MD sits down with endocrinologist Rana Malek, MD for a thyroid Q&A lightning round. Listen as Dr. Malek answers our burning questions about T3, subclinical hypothyroidism, thyroid antibodies, levothyroxine formulations, and more. Explore Our Podcasts: hippoed.com/podcasts

Primary Care RAP - Antibiotic Stewardship with an Expert Nov 07, 2024

Antibiotic Stewardship with an Expert Guillermo Sanchez, PA-C, MPH, MSHS and Tiffany Proffitt, DO Antibiotic stewardship is a complex issue, influenced by factors beyond just medical necessity. Late-night shifts, public misconceptions, and patient expectations can all drive inappropriate prescribing. In this discussion, Guillermo (Memo) Sanchez, PA-C, MPH, MSHS from the CDC’s Office of Antibiotic Stewardship, joins Dr. Tiffany Proffitt to explore the impact of overprescribing, common culprits, and strategies to effectively educate patients on when antibiotics are not needed. Learn More at https://home.hippoed.com

Primary Care RAP - Hypogonadism Apr 21, 2016

Primary Care RAP presents a segment on Hypogonadism Featuring Margaret Wierman, MD and Andrew Buelt, DO

Urgent Care RAP - Smoking Cessation Update Apr 21, 2016

Mike and Rob dive back in to give you some new finds on Smoking Cessation from the March 2016 Edition of Urgent Care RAP.

Peds RAP - Hoverboards Apr 21, 2016

Dr. Ilene Claudius discusses the safety, risks and laws relating to hoverboards.

Peds RAP - Nice Dermatitides (Common Peds Skin Conditions) Mar 31, 2016

Solomon Behar, MD and Danelle Fisher, MD discuss the most common skin conditions in children and basic approaches to management.

Pearls:

First line management of atopic dermatitis includes good skin hygiene and topical moisturizers; topical corticosteroids are often needed to control flares as well as help with relapses.
Topical calcineurin inhibitors are used as second line treatment in children older than 2 years of age.
Topical corticosteroids come in varying potencies and formulations and should be tailored to the specific clinical situation.

Atopic Dermatitis (AD). AD is one of the most common skin findings in the pediatric population. AD can present in early infancy and with varying clinical presentation.

Urgent Care RAP - WDIDN? Killing a Fly With a Cannonball! Mar 31, 2016

Mike Weinstock, MD and Mizuho Spangler, DO discuss fingernail pathologies, management of paronychia and risks for aggressive antibiotic usage in outpatient settings.

PEARLS:

Fingertip lesions can be isolated injuries or evidence of more serious, systemic processes.
Radiographs of fingertips are useful if there is a concern for a retained foreign body, underlying fracture or deep-space infection like osteomyelitis.
It is important to remember that nothing we do in medicine, including writing prescriptions and admitting patients to the hospital, is without risk, and we need to consider these risks in determining the right course of action for our patients.

More information on this topic can be found on the Hippo Education blog here.

Primary Care RAP - Condolence Letters Mar 31, 2016

A patient you’re caring for, but don’t know very well, dies in the hospital. You feel awkward about writing a condolence letter since there isn’t much of a relationship with the family. Should you write one? Will it bring up unpleasant memories for the family? Eric Lamotte and Susan Merel explore these questions and more (as well as brief how to guide) in this Primary Care RAP short.

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