This episode of CRACKCast covers Chapter 158 in Rosen's Emergency Medicine, 9th Edition. Core Questions: For each of the following, describe the expected toxicity: Jequirity pea, rosary Umbrella tree, Dieffenbachia, Dumb cane Capsicum annum Water Hemlock Jimson Weed, Deadly Nightshade Eucalyptus oil Poinsettia Oleander, Foxglove Tobacco Pokeweed Rhododendron Yew Castor Beans List 5 mushrooms with early onset toxicity and 3 with late onset – and describe the toxicity expected. List 4 mechanism of...
Mar 26, 2018•13 min•Ep. 164
This episode of CRACKCast covers Rosen's 9th Edition Chapter 155, Antipsychotics. Continuing along the spectrum of toxicologic exposures, these agents account for a large number of presentations to emergency departments every year. Being equipped with the knowledge of how to deal with the side effects of these medications and their associated toxidromes is imperative and may help you save lives in the future.
Mar 22, 2018•12 min
This episode of CRACKCast covers Rosen's Chapter 154, Lithium. You will have a solid approach to lithium overdose after listening to this episode!
Mar 19, 2018•15 min
Core questions: Describe the cholinergic toxidrome from organophosphates Describe the clinical presentation of organophosphate toxicity. How is organophosphate toxicity managed? What are the complications of organophosphate toxicity? What is the difference between organophosphates and carbamates? What are the unique features of chlorinated hydrocarbon toxicity? What is an example of a chlorinated hydrocarbon? How are they managed? How do Substituted Phenols (Dinitrophenol) cause toxicity? How ar...
Mar 15, 2018•26 min•Ep. 163
This episode of CRACKCast covers Rosen's 9th Ed Chapter 151, Iron and Heavy Metals. While often not recognized in the acute care setting, chronic toxicity from heavy metals is common and has high morbidity, especially in pediatric populations and requires careful attention to risk factors and symptomatology.
Mar 12, 2018•23 min
Core questions: List 6 commonly abused opioids (Table 156:1) Describe the opioid toxidrome (list opioid effects on Neuro, Resp, Ophtho, CV, GI, Derm) List opioid preparations associated with the following presentations: Long QTc → Prolonged QRS → Seizures → Hallucinations →) Sensorineural hearing loss → Serotonin syndrome → i) What is the dose of narcan? ii) What is the duration of action? iii) How do you administer a narcan infusion? What opioid overdoses/ingestions need longer than 6 hours of ...
Mar 08, 2018•30 min•Ep. 162
This episode of CRACKCast covers Rosen's Chapter 141, Toxic Alcohols. This chapter covers exposure to your stereotypical toxic alcohols (i.e., ethylene glycol and methanol) as well as the consequences of ingesting ethanol and isopropyl alcohol.
Mar 05, 2018•31 min•Ep. 155
This episode of CRACKCast covers Rosen's Chapter 153, Inhaled Toxins. This chapter covers exposure to various inhalation toxins including CO, hydrogen sulfide, etc. and includes their treatment and management for acute exposures.
Mar 01, 2018•23 min
This episode of CRACKCast covers Rosen's 9th Ed Chapter 147, Cardiovascular Drugs. With increasingly common use of these medications for heart disease and an ever aging population, it is imperative to understand the prompt recognition and therapy for toxic exposures. Recognition of the more lethal agents and how to disposition these patients in the ED are the cornerstones of this chapter.
Feb 26, 2018•33 min
This episode of CRACKCast covers Rosen's 9th Edition Chapter 154, Cocaine and Other Sympathomimetics. Continuing along the spectrum of toxicologic exposures, these agents account for a large number of presentations to emergency departments every year. Having an in-dept understanding of their mechanism of action and a solid approach to the assessment and treatment of these patients is critical.
Feb 22, 2018•18 min
This episode of CRACKCast covers Rosen's 9th Ed Chapter 152, Hydrocarbons. Continuing the spectrum of toxicologic exposures, these agents account for relatively few presentations. Recognition of the more lethal agents and how to disposition these patients in the ED are the cornerstones of this chapter.
Feb 19, 2018•13 min
This episode of CRACKCast covers Rosen's 9th Ed Chapter 150, Hallucinogens. This chapter covers exposure to several families of hallucinogenic toxins, their presentations, complications, and treatment.
Feb 15, 2018•16 min
This episode of CRACKCast covers Rosen's Chapter 153, Caustics. This chapter covers oral exposure to caustic agents, including the ED management, complications and potential treatment.
Feb 12, 2018•14 min
This episode of CRACKCast covers Rosen's 9th Edition Chapter 146, Antidepressants. Continuing the section on toxicology, antidepressants make up one of the most commonly prescribed medications in the general population. The use and misuse of antidepressants can have serious consequences and having a high suspicion of overdose in suicidal patients can lead to timely antidote therapy.
Feb 08, 2018•40 min
This episode of CRACKCast Covers Rosen's Chapter 145, Anticholinergics. You will learn everything you need to know for the next hot and bothered patient that rolls in to the ED!
Feb 05, 2018•11 min
This episode of CRACKCast covers Rosen's Chapter 149, Aspirin and Nonsteroidal agents. You will become well-versed in the presentation of Salicylism and how to manage it. The episode also touches on NSAID overdose, with rare severe complications.
Feb 01, 2018•36 min
This 148th episode of CRACKCast covers Rosen's 9th edition, Chapter 143, acetaminophen. Also known as paracetamol and Tylenol, you need to know this overdose cold!
Jan 29, 2018•32 min
This episode of CRACKCast covers Rosen's Chapter 147, A General Approach to the Poisoned Patient. This is probably one of the most cornerstone podcasts we have done, and you'll enjoy the pearls dropped by staff ED-Toxicologist, Dr Jesse Godwin.
Jan 25, 2018•49 min
In this 146th episode of CRACKCast, we cover Radiation injury. A very rare, but important topic to know cold. From alpha particles to triage systems, we've got you covered.
Jan 22, 2018•19 min
This episode of CRACKCast covers Rosen's Chapter 144, High Altitude Medicine. The problems encountered can be mostly be prevented through slow ascent and generally treated with oxygen and descent. This summary of respiratory physiology will explain why people can find themselves quickly quite unwell at high altitudes.
Jan 18, 2018•25 min
This episode of CRACKCast covers Rosen's Chapter 145, Drowning. Not only an important topic to know about in the resuscitation bay, but also out in the world!
Jan 15, 2018•18 min
This episode of CRACKCast covers Rosen's Chapter 143, Diving Injuries and Dysbarism. While infrequently encountered except for those centers frequented by SCUBA enthusiasts, we must know the hard facts on the potentially life-threatening diving related injuries that may occur suddenly and need urgent attention.
Jan 11, 2018•34 min
This episode of CRACKCast covers Chapter 134 of Rosen's Emergency Medicine (9th Ed.): Electrical and Lightning Injuries. Core questions: What is the relationship between current, voltage and resistance? How does this relate to potential for injury from electrical and lightning injuries? What are the types of electrical injury? (based on type of current) Differentiate between AC and DC current injuries. List 4 types of electrical burns and 5 mechanisms of lightning injury List 5 expected injury p...
Jan 08, 2018•33 min•Ep. 142
This 141st episode of CRACKCast covers Rosen's 9th edition, Chapter 133, heat illness. Want to mentally escape from the throes of our gripping winter? Let's go straight into heat illnesses.
Jan 05, 2018•23 min
Core Questions List 5 mechanisms of heat loss and 5 physiological responses to cold Describe 3 CV manifestations of hypothermia What are the risk factors for hypothermia? List 6. Define mild, moderate and severe hypothermia. Describe the CNS, CVS, hematologic and GU presentations associated with hypothermia for each stage (mild, moderate, severe) What are the changes made to BLS and ACLS in the setting of hypothermia? What are the indications for CPR, defibrillation, and antidysrhythmics in the ...
Jan 02, 2018•37 min•Ep. 140
This episode of CRACKCast covers Rosen's Chapter 131, Frostbite. You will be a pro at managing the spectrum of cold injury that can present to the ED!
Dec 28, 2017•17 min
This episode of CRACKCast covers Rosen's Chapter 138, Sepsis Syndromes. Sepsis is a topic that has undergone a lot of change in the last 15 years since the Rivers paper was published. This episode covers the original definitions of SIRS and sepsis, while also covering more recent evidence & the newest evidence-based treatment protocols.
Dec 25, 2017•25 min
This episode of CRACKCast covers Rosen's Chapter 129, Skin Infections. These are common and rarely life threatening, but careful consideration should be given for those who may benefit from admission over outpatient treatment. This is a big episode covering the bugs, presentations, and useful tips when treating these infections in the ED.
Dec 21, 2017•34 min
Episode Overview: List 6 risk factors for bone and joint infections Describe the classification of osteomyelitis (based on pathophysiology) List the 3 most common bacteria causing osteomyelitis/septic arthritis for each age group: neonate, child, adult; and the following circumstances: Sexually active adolescent Infected prosthesis Sickle cell disease IVDU Human bite Plantar puncture wound Diabetic foot Describe a diagnostic approach to osteomyelitis. What is the utility of bloodwork? List 4 ear...
Dec 18, 2017•31 min•Ep. 136
Episode 135 of CRACKCast covers Rosen's 9th edition, Chapter 127, tuberculosis. TB, or not TB, that is the question. This episode will elucidate the early recognition, risk factors, therapy and precautions regarding this worldwide killer.
Dec 14, 2017•33 min
