This episode covers Chapter 76 of Rosen's Emergency Medicine. Have you ever seen pneumonia? Yeah.... we thought so. Now here are all the nitty-gritty details. What are the typical associative pathogens? Describe the typical clinical presentation/RFs/Management for each of the following -S. pneumonia -H. influenzae -Staph aureus -Klebsiella -Mycoplasma pneumoniae & Chlamydia pneumoniae -Legionella -Anaerobes -Pseudomonas -PJP & Other Fungal Pneumsonia -Tuberculosis -Tularemia -Hantavirus ...
May 08, 2017•24 min
This episode covers Chapter 75 of Rosen's Emergency Medicine. 1. List potential causes of pharyngitis. (List 5 viral and 5 bacterial etiology of pharyngitis) 2. What are the indications for steroids in a patient with pharyngitis? 3. List causes of epiglottitis. 4. What are the deep spaces of the neck? List 4 deep space infections of the neck 5. What are the typical bacterial causes of deep space infections? What are the different syndromes called? 6. What are the potential complications of deep ...
May 04, 2017•22 min
This episode covers Chapter 74 of Rosen's Emergency Medicine. As Vanilla is to chocolate, COPD is to Asthma. Look for all things wheez-e-y here. Define acute exacerbation Describe GOLD classification for COPD List factors of decompensation or triggers of an AECOPD Name 4 mimics for AECOPD What are the clinical features used to diagnose AECOPD? Describe the ED management of AECOPD. What does the end tidal tracing look like in COPD? List indications and contraindications to NIPPV in COPD Which pat...
May 01, 2017•18 min
This episode covers Chapter 73 of Rosen's Emergency Medicine. The ancient Greeks knew about Asthma... so should you! We give you all the major points for diagnosis and treatment in the ED. Sign post 10 different causes of a wheeze. List 8 risk factors for death from asthma List 6 objective findings of severe asthma 10 therapies for an acute severe asthma exacerbation Discuss a ventilation strategy for the critically-ill asthmatic patient Discuss disposition and discharge planning for an acute as...
Apr 27, 2017•20 min
This episode covers Chapter 72 of Rosen's Emergency Medicine. All those pearls you need for ears, masses, nose bleeds and weird stones in weird places. Define Otitis Media Acute Chronic Recurrent Describe the diagnosis treatment of Otitis Media What are the complications of OM? Describe the diagnosis and tx of Otitis Externa Differentiate from malignant otitis externa What is Ramsay Hunt Syndrome? How is it Tx? Describe your approach to sudden hearing loss How is it treated? Name 10 causes of ep...
Apr 24, 2017•24 min
This episode covers Chapter 71 of Rosen's Emergency Medicine. For such a small organ, the eye has A LOT of things to cover. Here we finish up in everything you need to know about that juicy ball of potential badness. List 10 causes of ↓ vision post blunt eye trauma What historical features are concerning for intra-ocular foreign body? List 4 options for treatment of corneal abrasions Describe the management of traumatic hyphema What causes the finding of a 'second pupil' post-trauma? Describe th...
Apr 20, 2017•15 min
Apr 17, 2017•37 min
This episode covers Chapter 70 of Rosen's Emergency Medicine. How are teeth traditionally numbered? Describe the classification and management of tooth fractures Describe the method for reducing a jaw dislocation? What is the usual direction of the dislocation? Explain Ludwig's Angina and its management List 3 complications of maxillary (eg canine) tooth infection? Describe management of Dental Caries vs Periapical abscess Describe your approach to Acute Necrotising Ulcerative Gingivitis what is...
Apr 10, 2017•23 min
This episode covers Chapter 69 of Rosen's Emergency Medicine. Sign Post: 1. List six types of elder abuse? 2. List ten risk factors for elder abuse? 3. List ten questions to screen for elder abuse? 4. What are some indicators on the medical history and physical exam that may suggest ongoing elder abuse? 5. Discuss ethical and legal implications of elder abuse. Who needs to be reported?
Apr 03, 2017•21 min
Mar 27, 2017•18 min
This episode covers Chapter 67 of Rosen's Emergency Medicine. Its a heavy topic, but important to get right. What precautions should be taken prior to engaging in potential sexual abuse cases? What information can be useful in determining the location and likelihood of injury in sexual assault? What is the prevalence of mental illness in sexual assault patients? Which populations are found to have a higher proportion of mental illness? What effect does mental illness have on the severity of the ...
Mar 20, 2017•20 min
Mar 13, 2017•16 min
This episode covers Chapter 65 of Rosen's Emergency Medicine. Its a big intro into the next few chapters covering forensic medicine in the emergency department. Tighten up those boot straps, this stuff is heavy! What are some pearls and pitfalls for ER physicians when dealing with Forensic Emergency Medicine? What are proper terms used to describe wound injury patterns? What's the anatomy of a cartridge (bullet)? What are the types and important aspects of wound ballistics? What signs would you ...
Mar 06, 2017•25 min
This episode covers Chapter 64 of Rosen's Emergency Medicine. Worried about what to do with those patient's coming in with their skin melting off from a chemical exposure? We've got you covered. 1) Describe the difference between Alkali and Acid injuries 2) Describe a HAZMAT response on scene 3) Describe the decontamination of an individual 4) List PPE for first responders or caregivers Wisecracks -Name two acids that cause damage through liquefactive necrosis -List Chemical Agents used in Warfa...
Feb 27, 2017•22 min
This episode of CRACKCast covers Rosen's Chapter 63, Thermal Burns. These patients are often the sickest in the department and many are on their way to the ICU. There are life-saving interventions that are begun in the emergency department with significant impacts on morbidity and mortality, and many are discussed in this episode. Signposts: List zones of burns List 6 indications for intubation in the burn patient List and describe 2 formulas for fluid resuscitation Describe depth classification...
Feb 20, 2017•31 min
This episode covers Chapter 62 of Rosen's Emergency Medicine. Does leaving the comfort of your warm, safe bed scare you? After this chapter, it might... Sign Post: List the 4 families of venomous snakes. Describe phenotypic characteristics of Pit-Vipers Describe phenotypic characteristics of coral snakes? List the grades of pit viper envenomation and indicate therapy? Describe a black-widow spider and expected management goals? Describe a brown recluse spider and expected management goals List 3...
Feb 13, 2017•27 min
This episode covers Chapter 61 of Rosen's Emergency Medicine. Know anything about mammalian bites...? Yeah, neither did we until we read this chapter. Lots of juicy clinical pearls. List 5 pathogens responsible for infection from Dog bite List 4 risk factors for overwhelming sepsis from dog bite What first line antibiotic is a good choice for cat and dog bites? What species are known to cause infection with Pasteurella multocida? What are the risk factors for infection with animal bites? Describ...
Feb 06, 2017•20 min
This episode of CRACKCast covers Rosen's Chapter 60, Foreign Bodies. This episode covers an approach to foreign bodies, including location specific tips, complications and safe removal in the ED. Describe your approach to Ocular FB What is Seidel Sign? List indirect signs of FB on Xray List complications of ear FB Describe the process of anesthesia of the ear and preparation for FB removal Describe 5 techniques for removal of FB from ear Describe the management of TM perforation secondary to FB ...
Jan 30, 2017•32 min
In the third episode of the Physicians as Humans project, I corresponded with a Canadian emergency physician who sent me her personal account of depression. The result is this beautiful, thoughtful story that she has graciously allowed me to read for the podcast. 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 . Music for Episode 02 (All songs have been modified for the project) ambient...
Jan 27, 2017•13 min
This episode of CRACKCast covers Rosen's Chapter 59, Wound Management Principles. This episode covers the nitty-gritty details of wound management and what you need to know to get that perfect wound closure! Questions: 1) List risk factors for wound infection2) List the 5 stages of wound healing3) List toxic doses of local anesthetics4) 3 types of wound closure?5) List advantages of and contraindications of tissue adhesives6) List indications for tetanus immune prophylaxis7) List 5 specific woun...
Jan 23, 2017•27 min
This episode covers Chapter 58 of Rosen's Emergency Medicine: Orthopaedic Ankle and Foot injuries. Its a gooder for sure. Describe the bones of the foot and important joints/ligaments List Ankle stress tests Describe an approach to ankle x rays (including the Ottawa ankle rules) Describe the Weber classification List indications for ortho referral in the ER Describe the management of Achilles and Tibialis posterior tendon ruptures Describe the Hawkin's classification of talar neck fractures Desc...
Jan 16, 2017•30 min
This episode covers Chapter 57 of Rosen's Emergency Medicine. 1) List contents of popliteal fossa 2) Describe Ottawa knee Rule 3) Describe Schatzker classification for tibial plateaus fractures 4) Describe the Insall-Salvati ratio 5) Describe the management of a knee dislocation 6) Describe the management and classification of patellar fracture and dislocation 7) List 6 overuse syndromes 8) Describe the sensory and motor function of nerves of the lower extremity 9) Describe the 4 compartments of...
Jan 09, 2017•33 min
This episode covers Chapter 56 of Rosen's Emergency Medicine. 1) List 3 compartments of leg and contents 2) List 8 causes of AVN (traumatic and atraumatic) 3) List 5 most common primary cancers metastatic to bone 4) List 15 causes of hip pain without an obvious hip fracture 5) List 3 techniques for reduction of the hip 6) Describe 4 types of hip dislocation. Wisecracks Pediatric hip/femur pathology? Hip dislocations Classification of femur fractures 6 causes of a child with a limp...
Jan 02, 2017•22 min
This episode covers Chapter 55 of Rosen's Emergency Medicine. 1) Describe common pelvic fractures and their classification A)Young-Burgess classification B)Tile classification C)Denis classification 2) List 3 categories of complications of pelvic fractures 3) Describe the approach and management of hemodynamically unstable pelvic fracture. 4) List 5 radiographic cues to posterior arch fractures 5) What is the management of penetrating pelvic trauma Wisecracks: 1) How are open pelvic fractures di...
Dec 26, 2016•25 min
This episode covers Chapter 54 of Rosen's Emergency Medicine. 1) Describe the myotomes and dermatomes L3-S1 2) List 4 Red Flag Diagnoses with associated RFs, Hx, PEX findings 3) Describe SLR, crossed-SLR, flip-test, reverse SLR and their implications 4) List 5 indications for Xray in low back pain 5) Discuss the discrimination of functional from organic back pain 6) Describe the management of: a. Fracture b. Cauda Equina Syndrome c. Spinal Infection d. Vertebral Malignancy e. Simple Radiculopath...
Dec 19, 2016•29 min
Dec 12, 2016•34 min
This episode covers Chapter 52 of Rosen's Emergency Medicine. Describe an approach to the pediatric elbow Classify supracondylar fractures in children List 3 complications of supracondylar fractures Describe the management of supracondylar fractures Describe the management of humeral shaft fractures – displaced and non-displaced Describe 3 injuries common in Little-leaguer's elbow Describe the management and classification of radial head fractures Describe the expected neurovascular injuries and...
Dec 05, 2016•27 min
This episode covers Chapter 51 of Rosen's Emergency Medicine. 1) Describe normal radiographic relationships: Radial length measurement Radial inclination Volar Tilt Scapholunate angle Capitolunate angle Wrist arcs 2) Describe xray findings and management of Scaphoid fracture Lunate fracture Triquetral fracture 3) Describe Mayfield's stages of carpal instability 4) Describe DISI and VISI 5) Describe xray findings and management of Colles' Smith's Barton's Hutchinson's / Chauffer's DRUJ Disruption...
Nov 28, 2016•29 min
Nov 21, 2016•47 min
Nov 14, 2016•33 min
