CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries

CRACKCast E048 - Peripheral Vascular Trauma

CRACKCast E047 - Genitourinary Trauma

This episode covers Chapter 47 of Rosen's Emergency Medicine. 1. List 6 general indicators of genitourinary trauma? Lower urinary tract and external genitalia What are the four parts of the male urethra? What is the mechanism of an anterior urethral injury (at least 5 causes)? What is the mechanism of a posterior urethral injury? List 4 indications for retrograde urethrogram before foley placement? Describe the technique for a retrograde urethrogram? Classify bladder injuries and describe the me...

CRACKCast E046 - Abdominal Trauma

This episode covers chapter 46 of Rosen's Emergency Medicine text book. Episode Overview: 1) What are three mechanisms of injury in blunt trauma? 2) List expected seat-belt injuries 3) What are the most common intra-abdominal injuries in children? 4) Differentiate between the use of CT scan, diagnostic peritoneal lavage (DPL) and ultrasound – advantages & disadvantages. 5) List intra-abdominal injuries that may be missed on CT. 6) Describe the process of local wound exploration. List 5 ways ...

CRACKCast E045 - Thoracic Trauma

This episode covers Chapter Chapter 45 of Rosen's Emergency Medicine text book and is full of pearls for Thoracic Trauma. Sign Post: Differentiate Chest wall injury, rib fracture, and flail chest Describe the clinical presentation and management of a sternal fracture Describe Injuries to lung parenchyma What is Traumatic asphyxia? List 6 indication for tube thoracostomy Indications for OR Thoracotomy What is the management of Diaphragmatic injury? Differentiate between myocardial concussion, con...

CRACKCast E044 - Neck Trauma

This episode of CRACKCast covers Rosen's Chapter 044, Neck Trauma. Continuing in our trauma series, this episode tackles the challenging issue of neck trauma and injuries, and explores the anatomy and relevant considerations in the diagnosis and management of both blunt and penetrating neck injuries. Episode Overview: 1) Describe the landmarks and structures using the Zones of the neck & the Triangles of neck 2) List 6 hard and 6 soft signs of penetrating neck trauma. What are the indication...

CRACKCast E043 - Spinal Injuries

This episode covers Chapter 043 of Rosen's Emergency Medicine, Spinal Injuries. Episode Overview Describe the anatomical contents of the anterior and posterior spinal columns List cervical spinal injuries for the following mechanisms, and indicated whether they are stable or unstable Flexion x 6 Shear / AP forces x 1 Flexion-Rotation x 2 Extension x 3 Vertical Compression x 2 List 8 unstable C-spine injuries Describe an approach to C-Spine X-rays, and define normal: Predental space Soft-tissue s...

CRACKCast E042 - Facial Trauma

This episode covers Chapter 42 of Rosen's Emergency Medicine, Facial Trauma. 1) Describe the anatomy of the bones, glands, and ducts of the face. At what ages do the sinuses appear? 2) List 5 types of facial fractures. 3) Describe the clinical presentation and associated radiographic findings of an orbital blowout fracture. 4) Describe an orbital tripod fracture and its management. 5) List the indications for antibiotics in a patient with facial trauma? 6) What is the importance of perioral elec...

Physicians as Humans Podcast E02: An Illness Close to Home

In the second episode of the Physicians as Humans project, I speak with Dr. Rob Rogers ( @EM_Educator ), a leading educator in emergency medicine and director of The Teaching Course . He shares his experiences of dealing with a devastating illness in his own family and the effect it had on his career as an emergency physician. This is an ongoing project, so if you or anyone you know have a story about managing personal struggles while in medicine, please contact velmurug@ualberta.ca . If you are...

CRACKCast E041 - Traumatic Brain Injury

This episode covers Chapter 41 of Rosen's Emergency Medicine. 1) list 7 causes of altered LOC in the trauma patient 2) List four herniation syndromes. Describe the pathophysiology of uncal herniation and the typical presentation. Describe the presentation of central herniation. 3) Describe how cerebral blood flow in relationship to the following parameters: PO2 , PCO2 , MAP and ICP. What are the indications for ICP monitoring? 4) What is the Canadian CT head rule? What are the inclusion criteria...

CRACKCast E040 - Injury Prevention and Control

This episode of CRACKCast covers Rosen's Chapter 040, Injury Prevention and Control. 1) What are the three key aspects to Injury Control? 2) What makes up the Injury Triangle? 3) List 6 of 10 potential strategies for preventing transfer of energy Wisecracks: 1) What can you actually do, as a health practitioner, to help injury prevention?

CRACKCast E039 - Geriatric Trauma

This episode covers Chapter 39 of Rosen's Emergency Medicine textbook. Episode Overview 1) 5 Risk Factors for falls in the elderly? 2) What anatomic and physiologic changes in the elderly patient are important for the management of trauma in the elderly patient. (changes in the CVS, CNS, reap, MSK, skin) Explain why these are important? 3) What are the most common c-spine injury in the geriatric patient?

CRACKCast E038 - Pediatric Trauma

This episode covers Chapter 38 of Rosen's Emergency Medicine. Episode Overview List 5 relevant anatomic/physiologic differences between children and adults in relation to trauma management List 8 airway differences between pediatrics and adults with their relevant implications List potential fluid therapies for hemorrhagic shock and their doses List 3 ideal IO sites in pediatrics and describe the procedure Describe the pediatric GCS List 6 indications for laparotomy List 6 signs of elevated ICP ...

CRACKCast E037 - Trauma in Pregnancy

This episode covers Chapter 37 of Rosen's Emergency Medicine.With trauma in pregnancy we need to think about blunt vs. penetrating trauma. Many women do not know they are pregnant. Episode Overview: What is the threshold for fetal viability and how can this be estimated clinically? List the expected physiologic changes during pregnancy. List 8 unique considerations in the management of the pregnant trauma patient. How is fetal distress detected? Discuss placental abruption including the pathophy...

CRACKCast E036 - Multiple Trauma

This episode covers Chapter 36 of Rosen's Emergency Medicine. Episode Overview: List indications for activation of a trauma team What is the general approach to a multi-trauma patient? List commonly missed trauma injuries ED thoracotomy indications and contraindication for blunt and penetrating trauma Wisecracks: Describe the term permissive hypotension and when you would not use it What are 3 goals for out of hospital care of a trauma patient...

CRACKCast E035 - Back Pain

This episode covers Chapter 35 of Rosen's Emergency Medicine. Episode overview: 1) List 10 historical red flags for back pain 2) List 6 Emergent Diagnosis for back pain Wisecracks: 1) Describe the most common sites of disc protrusion with their associated neurologic findings2) Outline your approach to acute undifferentiated back pain3) Describe your treatment approach for acute musculoskeletal low back pain

CRACKCast E034 - Vaginal Bleeding

This episode covers Chapter 34 of Rosen's Emergency Medicine. Episode Overview: 1) Indicate 12 causes of vaginal bleeding, indicating at which age group each is most common 2) List 6 causes of bleeding in early pregnancy 3) Describe the management of severe third trimester bleeding and postpartum hemorrhage Wisecracks: 1) List options for managing vaginal bleeding in the non-pregnant patient 2) When would you avoid estrogen products in non-pregnant women with vaginal bleeding?...

CRACKCast E033 - Acute Pelvic Pain

This episode covers Chapter 33 of Rosen's Emergency Medicine. Episode overview: 1) List 8 diagnoses of pelvic pain in women that are of reproductive tract origin 2) List 3 causes of pelvic pain in the pregnant patient who is: Fewer than 20 weeks pregnant or Greater than 20 weeks pregnant WiseCracks: 1) List 6 life threatening causes of acute pelvic pain in women2) Outline a systematic approach to acute pelvic pain in women3) List 6 risk factors for ectopic pregnancy...

CRACKCast E032 - Constipation

This episode covers Chapter 32 of Rosen's Emergency Medicine. Chapter 32 – Constipation Episode Overview: 1) List 6 treatment options for the management of constipation Wisecracks: 1) What are 6 broad categories for the causes of constipation?

CRACKCast E030 - GI Bleeding

This episode covers Chapter 30 of Rosen's Emergency Medicine. Episode overview: 1) List 5 causes of UGIB in adults and pediatrics 2) List 5 causes of LGIB in adults and pediatrics 3) Describe your management approach for severe UGIB 4) List 6 low-risk criteria D/C of GIB 5) List components of the Rockall and Glasgow-Blatchford score Wisecracks: 1) Describe the insertion of a Blakemore tube 2) List 6 causes of false positive stool guaic

CRACKCast E031 - Diarrhea

This episode covers Chapter 31 of Rosen's Emergency Medicine. Episode Overview: 1) Define Acute, Persistent, Chronic Diarrhea 2) Describe the 4 mechanisms of diarrhea 3) List 15 historical factors that increase the risk of probability of non-benign diarrhea 4) What are the indications for empiric antibiotic treatment? 5) List 6 organisms that cause bloody diarrhea WiseCracks 1) When is Loperamide indicated? 2) When should you use stool cultures / O&P 3) Best way to give children pedialyte?...

CRACKCast E029 - Nausea and Vomiting

This episode covers Chapter 29 of Rosen's Emergency Medicine. Episode Overview: Describe the mechanism of development of a Hypochloremic Metabolic Alkalosis in vomiting List commonly used anti-emetics including their dose and their receptor site of action. List causes of vomiting specific to age groups: infant, newborn, child, and teen. Wisecracks: What are the three main areas providing afferent inputs to the vomiting centre? Name 6 critical causes and 6 complications of vomiting...

CRACKCast E028 - Jaundice

This episode covers Chapter 28 of Rosen's Emergency Medicine. Episode overview: 1) Describe heme metabolism 2) List common pre-hepatic/hepatic/post-hepatic causes of jaundice Wisecracks: 1) What are clinical signs of liver disease? 2) What laboratory tests can be useful in a jaundiced patient? 3) List the triad of acute hepatic failure 4) List and describe 6 critical causes of jaundice 5) What are 3 causes of jaundice in pregnancy?

CRACKCast E027 - Abdominal Pain

This episode covers Chapter 27 of Rosen's Emergency Medicine. Episode overview: List and explain 8 causes of life-threatening abdominal pain List 15 causes of extra-abdominopelvic abdominal pain Wisecracks: Why is WBC of so little utility in abdominal pain? When is an abdominal x-ray useful in investigating abdominal pain?

CRACKCast E026 - Chest Pain

This episode covers Chapter 26 of Rosen's Emergency Medicine. Episode overview: List 6 critical causes of chest pain Wisecracks: Walk through a systems approach to chest pain including common and uncommon causes of chest pain Outline your approach to the person with sudden onset severe chest pain

Physicians as Humans E01 - An Addiction that Almost Killed Me

On behalf of the Physicians as Humans project, I'm thrilled to present the first episode of the series: "Addiction in a medical student." If you are unfamiliar with the project, please read this post to learn about the podcast series' origins. In this first episode I speak with a Canadian medical student about his personal battle with drug addiction during medical school. He candidly describes his experience and the powerful impact it has had on his future as a physician. This is an ongoing proj...

CRACKCast E025 - Dyspnea

This episode covers Chapter 25 of Rosen's Emergency Medicine. Episode overview: List 10 critical causes of dyspnea Wisecracks: Outline your approach to the acutely dyspneic patient Name 6 uncommon causes of dyspnea

CRACKCast E024 - Hemoptysis

This episode covers Chapter 24 of Rosen's Emergency Medicine. Episode overview: Describe the management of massive hemoptysis List the 12 causes of hemoptysis Wisecracks: How do you tease out other hemoptysis mimics?

CRACKCast E023 - Sore Throat

This episode covers Chapter 23 of Rosen's Emergency Medicine. Episode overview: List 8 Emergent Diagnoses for the chief complaint of sore throat List the most common viral, bacterial, and non-infectious causes of sore throat List at least 8 Describe the modified Centor Criteria and their use Wisecracks: Describe the pros and cons of antibiotics for suspected or confirmed acute GAS pharyngitis (see Rosen's page 202) Other than Group B Strep, name 6 agents causing exudative pharyngitis...

CRACKCast E022 - Red and Painful Eye

This episode covers Chapter 22 of Rosen's Emergency Medicine. Episode overview: Describe the Relative Afferent Pupillary Defect, how it is diagnosed, and list a differential diagnoses for this finding List 6 treatment options for Acute Angle Closure Glaucoma Describe 5 history or physical exam findings that distinguish between periorbital cellulitis and orbital cellulitis Wisecracks: What are the causes of exophthalmos? How can you differentiate between viral and bacterial conjunctivitis? Causes...

CRACKCast E021 - Diplopia

This episode covers Chapter 21 of Rosen's Emergency Medicine. Episode overview: List the differential diagnosis (critical emergent, urgent) for Diplopia Including at least 7 causes of binocular diplopia Describe the mechanisms of normal extraocular movements Describe the specific cranial nerve palsies causing diplopia Wisecracks: What are the 5 most important questions to ask yourself about diplopia? Describe your approach to diplopia in the sick patient...