CRACKCast E134 - Tick-borne illness
This 134th episode of CRACKCast covers Rosen's 9th edition, Chapter 126, tick-borne illnesses. Can't get all those crazy rare diseases straight in your head? We've got you covered.
Dec 12, 2017•22 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries
CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. Our podcasts are found on this channel and include:
CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content.
ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations.
First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations.
Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.
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Episodes
CRACKCast E133 - Parasitic Infections
This episode of CRACKCast covers Rosen's Chapter 125, Parasitic Infections. This episode will give you the tools to adequately investigate the peculiar parasitic infections that present in patients coming to the ED. In an age where physicians are increasingly exposed to international travelers and immigrant/refugee populations, knowing this content is absolutely essential.
Dec 07, 2017•25 min
CRACKCast E132 – HIV Infection and AIDS
Core Questions: Define AIDS List 5 risk factors for AIDS List 10 AIDS-defining conditions Describe 3 serum tests for HIV List 6 Ddx for respiratory infections in HIV Describe the presentation and treatment of PCP pneumonia Describe an approach to diagnosis and management of CNS infections in AIDS List 5 causes of odynophagia in HIV List 6 causes of diarrhea in the HIV patient Describe HAART therapy Describe prophylaxis of opportunistic infections in HIV WiseCracks: Risk stratify exposure to HIV ...
Dec 04, 2017•25 min•Ep. 132
CRACKCast E131 – Rabies
Core questions: What are the top 5 rabies-virus carrying animals in Canada? In the world? Describe the pathogenesis of the rabies virus disease (see fig. 123.6) List 5 stages of rabies. What are the clinical presentations of rabies? How is rabies diagnosed? What factors are involved in a rabies risk assessment. Which types of animal contact require PEP? Non-immunized Immunized Describe important aspects of rabies post-exposure immunoprophylaxis for the following exposures: Wisecracks: List 4 res...
Nov 30, 2017•12 min•Ep. 131
CRACKCast E130 - Viruses
This 130th episode of CRACKCast covers Rosen's 9th edition, Chapter 122, Viruses. Viruses account for most infections and are typically self-limited illnesses. Recognition of specific viral illness patterns is important in the ED, where our intervention or withholding an ineffective treatment such as antibiotics can affect the health at a population level.
Nov 27, 2017•34 min
CRACKCast E129 - Bacteria
This 129th episode of CRACKCast covers Rosen's 9th edition, Chapter 121, Bacteria. Bacterial infections represent a large proportion of presentations to the emergency department. Here we examine some of the most infrequently seen but extremely dangerous bacterial infections that you must be able to recognize. For more frequent infections, please see their individual chapters in Rosen's.
Nov 24, 2017•41 min
CRACKCast E128 - Thyroid and Adrenal Disorders
This episode of CRACKCast covers Rosen's Chapter 120, Thyroid and Adrenal disorders. This episode is going to have a nice breakdown of how each of these major endocrine glands can go haywire and what to do when the storm approaches. The shownotes also have some additional material worth checking out!
Nov 20, 2017•34 min
CRACKCast E127 - Rhabdomyolysis
This 127th episode of CRACKCast covers Rosen's 9th edition, Chapter 119, Rhabdomyolysis. Although usually benign, rhabdomyolysis can have deadly complications. Acute kidney injury and hyperkalemia are accompanied by high mortality. At-risk patients (see the "MUSCLE Breakdown" mnemonic) may present with muscle pain or altered mentation.
Nov 16, 2017•17 min
CRACKCast E126 - Diabetes Mellitus and Disorders of Glucose Homeostasis
Core questions: Define DKA. List 6 potential triggers of DKA. Describe the pathophysiology of DKA. (Fig 118.1) How is DKA managed in children? In adults? What are the epidemiologic risk factors for cerebral edema in DKA? What are signs and symptoms of cerebral edema? How do you manage a pt with DKA and suspected cerebral edema? List 5 complications of DKA management List five common serious infections in diabetics and how they are managed. How does hypoglycemia classically present? List 10 cause...
Nov 13, 2017•35 min•Ep. 126
CRACKCast E125 – Electrolyte Disorders
Core questions What are the five most common causes of hyperkalemia? Describe the ECG features seen with hyperkalemia. List at least 5. How is hyperkalemia managed? How does each intervention work, and how long do the effects typically last? What are the five most common causes of hypokalemia? Describe the ECG features seen with hypokalemia. List at least 4. How is hypokalemia managed? What are the three main types of hypernatremia? Give 3 examples of each. List four central and four nephrogenic...
Nov 09, 2017•34 min•Ep. 125
CRACKCast E124 - Acid Base Disorderw
This episode of CRACKCast covers Rosen's Chapter 124, Acid Base Disorders. This chapter covers a simple approach to acid base disorders and ABG interpretation, including the differential diagnosis for the identified disorders & treatment options.
Nov 06, 2017•29 min
CRACKCAST E123 - Selected Oncologic Emergencies
This 123rd episode of CRACKCast covers Rosen's 9th edition, Chapter 115, Selected Oncologic Emergencies. With an ever aging population, cancer incidence continues to rise. Therapies continue to prolong life often with high risks of side effects, and emergency physicians need to be equipped to treat complications of this treatment and importantly cancer morbidity itself.
Nov 02, 2017•40 min
CRACKCast E122 – Disorders of Hemostasis
Episode Overview: List 10 causes of Thrombocytopenia List 6 causes of Thrombocytosis Describe the presentation and treatment of HIT, ITP and TTP Describe what causes an abnormal PT? What causes an abnormal PTT? Describe the deficiency and management of Hemophilia A, Hemophilia B, and vWD Describe the management of a major and minor bleed in hemophilia A List 4 items in cryoprecipitate List adjunctive therapies in DIC Wisecracks: How do you differentiate coagulation disorders from platelet disord...
Oct 30, 2017•24 min•Ep. 122
CRACKCast E121 - Anemia, Polycythemia and WBC disorders
This 121st episode of CRACKCast covers Rosen's 9th edition, Chapter 112 and 113, Anemia, Polycythemia, and White Blood Cell Disorders. These blood disorders are numerous and this episode attempts to break their classification and approach down in a systematic manner.
Oct 26, 2017•34 min
CRACKCast E120 – Dermatologic Presentations
This episode covers Chapter 110 of Rosen's Emergency Medicine (9th Ed.), Dermatologic Presentations. Episode Overview List five broad categories of rashes Describe the primary skin lesion types a. Bonus: What are the secondary skin lesions (show notes only) List systemic diseases that present with cutaneous signs for each of the following locations: Generalized rash Head and neck Hands Legs Palms and Soles Describe the various presentations of tinea and their treatment List 8 RFs for candida inf...
Oct 23, 2017•47 min•Ep. 120
CRACKCast E119 - Allergy & Anaphylaxis
Episode 119 of CRACKCast covers chapter 109 of Rosen's Emergency Medicine 9th edition. Its hard to go a couple hours in the ED without seeing allergy or that life-threatening anaphylaxis, so you need to be tres familiar with this entity!!!
Oct 19, 2017•27 min
CRACKCast E118 – Vasculitis
This episode covers Ch 108 of Rosens (9th Ed.), SLE and the Vasculitides. These conditions can lead to some pretty varied ED presentations, so we need to know when to suspect lupus or vasculitis, and how to manage it. Episode Overview: What the pathophysiology of lupus List diagnostic criteria for SLE List drugs that induce lupus Describe the clinical manifestations w/ Classic triad & Symptoms and signs by system in lupus List 3 drug regimens to treat SLE How does neonatal lupus present? Wha...
Oct 16, 2017•25 min•Ep. 118
CRACKCast E117 - Tendinopathy and Bursitis
This episode covers Chapter 107 of Rosen's Emergency Medicine (9th Ed.), Tendinopathy and Bursitis. Episode Overview: Mechanical overload and repetitive micro-trauma are the key underlying mechanisms of tendinopathy Most patients present with progressively worsening pain after work or sports-related activities that are repetitive in nature Tendinopathy can also be associated with non-mechanical causes such as: Systemic manifestations of disease Use of fluoroquinolones Infectious etiologies Most ...
Oct 12, 2017•10 min•Ep. 117
CRACKCast E116 - Arthritis
This episode of CRACKCast covers Rosen's Ch 106, Arthritis. When a patient rolls in with an active joint, we need to know how to rule out those can't-miss diagnoses.
Oct 09, 2017•38 min
CRACKCast E115 - Suicide
This episode covers Chapter 105 of Rosen's Emergency Medicine (9th Ed.), Suicide. Episode Overview: Suicide is a common but preventable cause of death Suicide is usually triggered by treatable or reversible short-term crises Most attempted suicide survivors are grateful to be alive Suicide risk changes over time; estimations of imminent risk are NOT evidence-based Routine screening labs provide little value to most ED patients with self-harm behaviours Evaluations should be targeted to signs or ...
Oct 05, 2017•14 min•Ep. 115
Physicians as Humans Podcast E04: A break for parenthood
In the fourth episode of the Physicians as Humans project, I speak with Dr. Kevin Dueck, a family medicine resident at McMaster, about his decision to take parental leave during residency. Also check out his blog https://abootmedicine.wordpress.com/ ! 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 unfamiliar with the project, please read this post for more information on t...
Oct 04, 2017•14 min
CRACKCast E114 - Factitious Disorders and Malingering
This episode of CRACKCast covers Rosen' 9th edition, Chapter 104, Factitious Disorders and Malingering. Episode Overview Two categories of psychiatric illness are covered in this episode Factitious Disorder Malingering Individuals suffering from factitious disorders fabricate symptoms of illness to fulfill the sick role (primary gain) Individuals suffering from malingering fabricate symptoms of illness to obtain something (secondary gain) Despite the fact that we may suspect either factitious di...
Oct 02, 2017•12 min•Ep. 114
EP 113 - Somatoform Disorders
This 113th episode of CRACKCast covers Rosen's 9th edition, Chapter 103, Somatoform Disorders. The diagnosis of SSD is made when there are persistent and clinically significant physical complaints that are accompanied by excessive and disproportionate health-related thoughts, feelings, and behaviours regarding these symptoms. Recent publications refer to "medically unexplained physical or somatic symptoms," rather than somatization.
Sep 28, 2017•6 min
CRACKCast E112 – Anxiety Disorders
This episode covers Chapter 102 of Rosen's Emergency Medicine (9th Ed.), Anxiety Disorders. Episode Overview Patients who present with predominant symptoms of anxiety may be suffering from medical disorders (think cardiac, resp, endocrine, neurologic), medication effects, or substance abuse or withdrawal. Anxiety may accompany the onset of serious medical disease, cause significant metabolic demands, and stress a marginally compensated organ system. Anxiety caused by physical illness is usually ...
Sep 25, 2017•7 min•Ep. 112
CRACKCast E111 – Mood Disorders
This episode of CRACKCast covers Rosen's Chapter 101 (9th Ed.), mood disorders. The podcast will focus on the diagnosis and management of common mood disturbances. Episode Overview Patients with apparent mood disorders should be evaluated for medical disorders, medication effects, substance abuse or withdrawal because these conditions can mimic both depression and mania. Mood disorders should be suspected in patients with multiple, vague, nonspecific complaints and in patients who are frequent, ...
Sep 21, 2017•9 min•Ep. 111
CRACKCast E110 - Thought Disorders
This episode covers chapter 110 of Rosen's emergency medicine (100 in the 9th edition). Confused about thought disorders? We can set you thinking straight!
Sep 18, 2017•21 min
CRACKCast E109 - CNS Infections
This episode of CRACKCast covers Rosen's Chapter 109, CNS Infections. This chapter covers a differential diagnosis for CNS infections, including necessary workup and approaches to treatment.
Sep 14, 2017•38 min
CRACKCast E108 - Neuromuscular Disroders
Are you confused by the NMJ? Good.... because we were too. This episode of CRACKCast covers Rosen's Chapter 108, Neuromuscular Disorders. These disorders have a wide range of presentations and etiologies.
Sep 14, 2017•25 min
CRACKCast E107 - Peripheral Nerve Disorders
This episode of CRACKCast covers Rosen's Chapter 107, Peripheral Nerve Disorders. These disorders have a wide range of presentations and etiologies. This chapter includes a comprehensive classification system to help in the ED in recognizing the various disorders.
Sep 07, 2017•28 min
CRACKCast E106 - Spinal Cord Disorders
This episode covers chapter 106 of Rosen's Emergency Medicine. Check out chapter 96 in the pretty new 9th edition. If you don't have it yet... you should. Ever wondered about how to get the spinal syndrome's straight? We've got that covered, and more of course!
Sep 04, 2017•24 min
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