This episode covers Chapter 20 of Rosen's Emergency Medicine. Episode overview: List 7 life threatening causes of headaches List 5 red flags on history for headaches When should you perform a CT before performing a LP? Describe 8 clinical findings indicative of elevated ICP Wisecracks: Describe 5 CT findings suggestive of elevated ICP List 7 non-life threatening causes of headache
This episode covers Chapter 19 of Rosen's Emergency Medicine. Episode overview: Compare characteristics of peripheral and central vertigo What are risk factors for central causes of vertigo? List 4 vestibulotoxic drugs. Describe the Hallpike Maneuver and the Epley Maneuver List 5 causes of Peripheral Vertigo and describe features of illness List 5 causes of Central Vertigo and describe the features of illness Wisecracks: HINTS exam Pathophysiology stumper: Why does dizziness or vertigo lead to n...
This episode covers Chapter 18 of Rosen's Emergency Medicine. Episode Overview: Define status epilepticus List the doses of common medications used for status epilepticus List 10 differential diagnoses for seizures List 10 indications for head CT in new-onset seizure Wisecracks: How long does a driver in British Columbia require their driver's license be suspended after a seizure? What are the most common causes of status epilepticus? What are the "cannot miss" causes of seizure?...
This episode covers Chapter 17 of Rosen's Emergency Medicine. Episode Overview: List the Major Categories for the differential diagnosis of Confusion Differentiate between organic and functional confusion. List the Critical and Emergent causes of Confusion Wise Cracks: Describe a quick assessment tool for screening for confusion
This episode covers Chapter 16 of Rosen's Emergency Medicine. Episode Overview: List a broad differential diagnosis for coma List GCS / Pediatric GCS Describe the oculocephalic and oculovestibular reflex Wise Cracks: List the common age-related causes of altered mental status What is the initial investigation management of an altered LOC patient?
This episode covers Chapter 15 of Rosen's Emergency Medicine. Episode Overview: What are 12 critical causes of syncope? List common medications that can cause syncope Describe the San Francisco Syncope Rule What are red flags that require admission in syncope?
This episode coveers Chapter 14 of Rosen's Emergency Medicine. Episode Overview: What is the differential diagnosis for cyanosis? List the common causes for methemoglobinemia 10 medications 6 toxins Describe the mechanism for methemoglobin formation, treatment, and indications for methylene blue Wisecracks Explain the oxygen-hemoglobin dissociation curve What is the hyperoxia test?...
This episode covers Chapter 13 of Rosen's Emergency Medicine. Episode Overview: Compare upper motor neuron (UMN), lower motor neuron (LMN), and neuromuscular junction (NMJ) causes of weakness List 10 neuromuscular causes of weakness and describe their basic pathophysiologic mechanism What are warning signs of impending respiratory failure in a patient with neuromuscular weakness? Wisecracks List seven non-emergent causes of peripheral neuropathy What are some causes of non-neuromuscular weakness...
This episode covers Chapter 12 of Rosen's Emergency Medicine. Episode Overview: Describe the physiologic mechanism of increasing the body's temperature What is the change in HR and RR with every increase of 1°C core body temperature? What is the emergency medicine specific approach to defining the infectious differential? List 15 causes of non-infectious hyperthermia Wisecracks Description of fever vs. hyperthermia Approach to a patient with an elevated temperature Points on fever in the elderly...
This episode covers Chapter 11 of Rosen's Emergency Medicine. Episode Overview: List the equipment needed for neonatal resuscitation List 5 questions to ask the mother during an imminent delivery Describe the components of the initial assessment of the newborn (APGAR) What is the management of meconium? When should oxygen be used in the neonatal resuscitation period? What is the indication for CPR in a neonate? Describe how to perform CPR on a neonate What are the indications for intubation of a...
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 ...
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! pulseless VT or VF PEA list all the ...
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)...
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 thr...
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...
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?
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 effect...
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 ...
This episode covers Chapter 2 of Rosen's Emergency Medicine. Episode Overview: What are Indications and contraindications to NIPPV? Describe your initial BePAP or CPAP settings? What are good initial vent settings? How do you troubleshoot the crashing patient on the ventilator?
This episode covers Chapter 1 of Rosen's Emergency Medicine. Episode Overview: How do you make the decision to intubate a patient? What are predictors of difficult bag valve mask ventilation? What are the predictors of difficult intubation? What are the predictors of difficult LMA insertion? What are the predictors of a difficult surgical airway? Differentiate non-depolarizing vs. depolarizing paralytic agents? What are the contraindications to succinylcholine?...
In this first and very special episode of CRACKCast we interview the legend himself, Dr. Peter Rosen. A huge thank you Dr. Peter Rosen for making his time available for this. Portions of the interview will be showing up in later episodes. Remember: " study from fear "
