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

A while back, Podcast #70, we talked about how to perform a neurological exam.  We also spoke on FOAMfrat.  Since that time, at WEMSA we built on the subject and discussed the exam as well as its caveats.  At that time, there was not a name.  Now, we have the Brief Repeatable Assessment In Neurology (BRAIN) exam.

Sam Ireland is back to talk again about ventilatory failure.  Last time, he talked about the less severe impending ventilatory failure but this time he runs us through acute ventilatory failure.  If you have not already checked it out, look at our last post for details on impending ventilatory failure.

We have a two part special with Sam Ireland from FOAMfrat.  He is a critical care paramedic in Wisconsin and a brilliant mind including with ventilation.  Sam agreed to come on to talk both about impending and acute ventilatory failure.  Stay tuned next week for the second part of his talk.

This podcast is to discuss two important subjects with ultrasound.  The first is a quick review of the Butterfly iQ (more detailed review to come) and the second discusses some of the key benefits of POCUS in EMS and other settings where having a larger machine is not feasible.

This one is sure to generate some controversy, especially by my fellow #FOAMed colleagues but it is a conversation we need to have in all earnest.  We must seriously consider if double sequential defibrillation (DSD) is as good a plan as we may have originally thought.

Radial head subluxation, commonly referred to as nursemaid's elbow, is a common condition.  In this post we talk about how to diagnose and manage this condition in a timely and effective manner.

We are wrapping up our interview with guests Janelle Bludorn and Laura Blesse-Hampton as part of a collaborative series with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS with this portion discussing the logistics of integrating ultrasound into a program.

It is time for the second part of our collaborative series with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS.  We are again joined by our guests Janelle Bludorn and Laura Blesse-Hampton.  This time we discuss how to integrate ultrasound into an educational program. 

In collaboration with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS, we are striving to help those who are wanting to improve their training programs.  We bring faculty that have experience of introducing ultrasound to the classroom.  These pearls are beneficial to all levels of education and not just for PA programs.

Under the Gregorian calendar, today is the first day of 2019.  Many are making resolutions and there are ways to add this can implemented into your role in medicine.  This is a New Year so take on something new and grow.

The original post is on Christmas Day 2018 but the principle remains true no matter the time of year.  In medicine, burnout is a commonly faced problem.  The Holidays and time away from family makes this even more difficult.

Sometimes in medicine we find things we were not necessarily looking for when we perform a test.  We call these incidental findings.  While many of these are benign they can potentially be problematic as they can change the workup of a patient including their disposition and management.

The department is busy and you want to keep the flow running smoothly.  It is easy to cut corners when it comes to imaging.  After all, a radiologist will be reviewing those images.  If you are lucky, those images will be read within minutes of them being taken.  Why then, should you review those images that you ordered?

This post is in direct response to a question that was asked recently.  There is a surprising amount of dogma around the subject of strep testing, but one major piece is that children under three years of age should not be tested for strep because of its reported rarity.  However, there have been multiple studies that disagree with this claim, and we took a mini deep-dive on the subject.

Acute bronchiolitis is another condition that will start showing more this time of year.  In some parts of the country, it is already being diagnosed.  It is important to know the current recommendations for this common and potentially dangerous condition.

Lawrence Berdan is a paramedic who has personally experienced the importance of recognizing and acutely managing pediatric neurological emergencies.  This post discusses some of the emergencies we may see in this uniquely challenging population.

It is that time of year.  It is cold and croup is in the air.  There is a spectrum of patients that present ranging from the mild to the life threatening.  We discuss how to manage these patients.

Now that our month of point of care ultrasound (POCUS) is over, it is time to talk about other clinically relevant topics.  Michelle Perkins is back again this time to help us cover tickborne illnesses in the United States.

We wrap up our month of discussing point of care ultrasound (POCUS) papers by having our guest Michelle Perkins.  Over the last couple of years a flurry of evidence has come out regarding abscess management.  Now, POCUS is taking center stage in a recent paper.  Here to help us discuss it is one of our favorite guests, Michelle Perkins.

There are many ways to confirm successful intubation.  Some are better than others, but they all have limitations.  One newer approach is the use of point of care ultrasound (POCUS) to provide real-time confirmation of tube placement.  We will talk about how to do this exam and its evidence in this blog and podcast.