Total Em - Tools Of The Trade And Academic Learning In Emergency Medicine

Examining the gallbladder on ultrasound is not a particularly difficult skill.  However, the rest of the biliary exam on point of care ultrasound (POCUS) can be both challenging and time consuming.  Sometimes, the common bile duct (CBD) is not able to be positively identified.  This has led to questioning the importance of this particular component of the exam.  We will review some of the recent evidence in this post.

We have Patrick Bafuma back interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center.  He specializes in orthopedic infectious diseases.  Nico and Patrick are covering septic arthritis in this conversation.

EM ID is back again with Patrick Bafuma interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center.  He specializes in orthopedic infectious diseases.  Patrick interview Nico for two discussions, with the first being clindamycin.  Join back for the next discussion on septic arthritis.

It is time for another EB Medicine special.  The febrile young infant can be one of the scarier patients for a variety of reasons.  They are so young they are unable to communicate, they have very real and serious pathogens that can have deadly consequences, and the family as well as other individuals taking care of the patient can be nervous or scared creating increased stress.  In this post, we cover EB Medicine's recent article on this topic to better improve your practice.

If you have not figured it out yet, point of care ultrasound (POCUS) is not going away anytime soon.  It is a powerful tool in the hands of clinicians across the world.  With its growing utilization, there are still many that are hesitant to implement it into their daily practice.  In this podcast, we talk about how to encourage others to start using POCUS.

Katherine (Katie) Thompson from IPV Educators is discussing more pediatric abuse pearls.  Our focus this time is on the very sensitive subject regarding examination in pediatric sexual abuse.  Katie walks us through how we can interview and perform a preliminary exam before a complete exam by a forensic examiner.

Katherine (Katie) Thompson from IPV Educators is back to discuss some more pearls in regards to abuse and neglect.  This time, we talk about dogma regarding the history and physical exam components specifically for pediatric abuse and neglect.  We pay particular attention to the incorrect dogma that can impact our management.

Anaphylaxis is a life-threatening condition that requires early recognition and appropriate treatment for the best outcomes.    In pediatric cases, this can be more challenging for a variety of reasons including the barriers to obtaining a history and physical, knowing the appropriate dosing of medications, and the general stress of managing sick pediatric patients.  We discuss how to manage such patients in this EB Medicine special.

Patrick Bafuma handed over the reigns for this month's EM ID series to Dr. Gita Pensa with Brown University.  She  interviewed Dr. Colleen Kelly who is a gastroenterologist and also teaches at Brown.  In this podcast they talk about two very common GI complaints where antibiotics play a role: upper GI bleeding and C. diff infections.

We talk about point of care ultrasound (POCUS) frequently, but a common favorite topic is the use of ocular ultrasound.  This application can provide a vast amount of information quickly and easily.  As an added bonus, our main paper discussed in this post used PAs.  The week this is being originally posted is National PA Week.

Back by popular demand we have enough podcast to cover 10 important pearls about a particular topic and this one comes from a recently published BMJ article covering Clostridioides difficile (formerly known as Clostridium difficile).

Patrick Bafuma continues his series of EM ID interviews this time with Dr. Solberg from Bismark, North Dakota and has her own website.  Peripherally inserted central catheter (PICC) lines are commonly used for both inpatient and outpatient care.  These patients can come to us for a variety of potential complications.  We will discuss some of the key ones in this post.

We return with our second podcast featuring EB Medicine content.  Our  partnership with them allows us to access their content and share it with you through the power of #FOAMed and this time we are tackling an all too common emergency: appendicitis.  Specifically, we discuss the pediatric population given their most recent evidence-based review article on the same.

Tofu can be used as a food product, but it has uses in medicine.  In particular for the discussion today is its role in point of care ultrasound (POCUS) training.  We discuss ways to use this inexpensive product to better improve your education.

We are completing the second installment of a new series with the help of Katherine Thompson from IPV Educators.  The discussion continues on human trafficking but this time we talk about how we can help.

We are starting a new series with the help of Katherine Thompson from IPV Educators.  It was born out of a passion for advocating for survivors of interpersonal violence.  We are glad to learn from Katherine  and the first discussion is regarding human trafficking.

As point of care ultrasound (POCUS) continues to expand in roles, the diagnosis of appendicitis using POCUS is one application with growing evidence.  This is especially true for the pediatric population.  In this blog and podcast learn how to diagnose appendicitis by POCUS and some of the most recent evidence.

In emergency medicine, we are generally very good about evaluating chest pain.  We also are familiar with procedures including coronary artery bypass grafts (CABG).  However, in patients with recent CABG, there are some key reminders we need with this patient population.

Both Patrick Bafuma and Dr. Sandra Gompf who specializes in infectious disease (Gompf's ID Pearls) are back this time to discuss some unique cases regarding antibiotic stewardship in the emergency department.

For this round of EM ID, Patrick Bafuma interviews Dr. Sandra Gompf who specializes in infectious disease and has Gompf's ID Pearls.  They focus primarily on delirium, indwelling Foley catheters, and callbacks.