CRACKCast E193 - Mechanical Ventilation and Noninvasive Ventilatory Support
This episode of CRACKCast covers Chapter 2 in Rosen's Emergency Medicine (9th Ed.) – Mechanical Ventilation and Noninvasive Ventilatory Support.
Sep 03, 2018•41 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 E192 – Airway
This Episode of CRACKCast covers Rosen's Chapter 1 - Airway. We are updating the first several episodes with 9th edition content. Enjoy! There's a reason that the first chapter of Rosen's is devoted to airway. These are some of the most critical skills we need to know as emergency clinicians. This episode provides an overview of core airway knowledge and skills.
Aug 06, 2018•47 min•Ep. 192
CRACKCast E191 – Weapons of Mass Destruction
This episode of CRACKCast covers Chapter 193 in Rosen's Emergency Medicine (9th Ed.) – Weapons of Mass Destruction. Although attacks involving WMD's are relatively uncommon, being thoroughly prepared for these events will prove invaluable for the community affected. Sit tight and listen in to make sure you are ready if the unthinkable should happen. Core Questions: 1) List 6 potential agents that may be used as weapons of mass destruction. 2) List 6 features of weapons of mass destruction threat...
Jul 02, 2018•23 min•Ep. 191
CRACKCast E190 – Disaster Preparedness
Core questions Define a disaster Describe PICE nomenclature List 6 potentially paralytic PICE List 6 critical substrates for hospital operations Describe START triage and SAVE List the 5 functional elements of an incident command system Describe the 4 stages comprehensive emergency management Describe the 5 elements of a hospital disaster response plan List the 8 basic components of a hospital comprehensive disaster response planning process Wisecracks: Describe the SALT triage approach Describe...
Jun 28, 2018•23 min•Ep. 190
CRACKCast E189 – Air Medical Transport
Core Questions List 6 criteria for air medical transport. When should/could helicopter EMS transport be beneficial? List advantages and disadvantages of rotor-wing aircraft and fixed-wing aircraft, relating to each other and land-transfer. What are 6 principles of landing zone safety? Wisecracks: What are the most common in-flight emergencies on commercial flights? What are some practical implications of providing in-flight emergency care?...
Jun 25, 2018•14 min•Ep. 189
CRACKCast E188 – Emergency Medical Service: Overview and Ground Transport
This episode of CRACKCast covers Chapter 190 of Rosen's Emergency Medicine(9th Ed.). After listening to this podcast, you will have a more comprehensive understanding of the intricacies of pre-hospital care and be better able to address issues in your community's out-of-hospital healthcare network.
Jun 21, 2018•21 min
CRACKCast E187 – The Combative and Difficult Patient
This episode of CRACKCast covers Chapter 189 in Rosen's Emergency Medicine (9th Ed.) – The Combative and Difficult Patient. Next time a severely agitated patient rolls into the department, you won't even break a sweat!
Jun 18, 2018•23 min
CRACKCast E186 - Substance Abuse
This episode of CRACKCast covers Rosen's Chapter 140 (9th Edition), Substance Abuse. This chapter gives a brief overview regarding the burden of substance abuse from adolescent to elderly patients. An important consideration in the emergency department is self-awareness and advocacy for these patients that often are challenging to interact with and can provoke countertransference.
Jun 14, 2018•17 min
CRACKCast E185 - Alcohol Related Disease
This episode of CRACKCast covers Rosen's Chapter 142 (9th Edition), Alcohol Related Disease. This chapter covers the spectrum of alcohol use, including effects of mild, moderate, and severe use disorders, including prevention, screening, diagnosis and management. We also examine the wide variety of complications associated with acute and chronic alcohol use.
Jun 13, 2018•28 min
CRACKCast E184 - The Solid Organ Transplant Patient
This episode of CRACKCast covers Rosen's chapter 188, The Solid Organ Transplant Donor. Although short in duration, this chapter has straightforward and useful information for emergency physicians in regards to complications possible with transplant donors.
Jun 11, 2018•11 min
CRACKCast E183 - The Immunocompromised Patient
This episode of CRACKCast covers Rosen's Chapter 187, The Immunocompromised Patient. This chapter covers the unique population of immunocompromised patients, including management of febrile neutropenia, as well as common infections seen in these patients and how to treat them.
Jun 04, 2018•23 min
CRACKCast E182–Drug Therapy in the Geriatric Patient
Core Questions List 4 factors altering pharmacokinetics in the elderly (ADME) List 6 factors contributing to adverse events from medications in the elderly Beers List Which 8 meds are most responsible for adverse events in the elderly? List 5 harmful drug interactions in the elderly What are top 10 STOPP criteria?
May 31, 2018•11 min•Ep. 182
CRACKCast E181 - Approach to the Geriatric Patient
This episode of CRACKCast covers Rosen's chapter 183, approach to the geriatric patient. Our geriatric patients can often mask serious diagnoses with vague presentations and multiple co-morbidities.
May 29, 2018•14 min
CRACKCast E180 - Labor & Delivery
This episode of CRACKCast covers Rosen's Chapter 181, Labor and Delivery. This chapter covers the high risk realm of ED deliveries, including potential complications such as PROM, malpresentation and umbilical cord emergencies.
May 24, 2018•38 min
CRACKCast E179 - Drug Therapy in Pregnancy
This episode of CRACKCast covers Rosen's Chapter 179, Drug Therapy in Pregnancy. There is a lot of fear and anxiety often present within pharmacologic therapy in pregnancy, but having informed, shared decision making with patients can lead to safer outcomes and adherence when treating.
May 21, 2018•10 min
CRACKCast E178 - Co-Morbird Medical Emergencies During Pregnancy
This episode of CRACKCast covers Rosen's Chapter 178, Co-Morbid Medical Emergencies during Pregnancy. This chapter covers many complicated issues that arise during the care of pregnant patients already suffering from concomitant medical illness, and how to manage these conditions balancing risks to both mother and fetus.
May 17, 2018•16 min
CRACKCast E177 - Acute Complications of Pregnancy
This episode of CRACKCast covers Rosen's Chapter 177, Acute Complications of Pregnancy. This chapter covers many acute issues that arise during the unique physiologic state that is pregnancy, from first trimester bleeding to diagnostic challenges and management of other conditions during pregnancy.
May 14, 2018•37 min
CRACKCast E176 – Musculoskeletal Disorders
Core questions What are the indications for orthopedic surgery for clavicle fracture? List 5 Xray features of supracondylar fracture Describe the Gartland Classification for Extension-type supracondylar fractures List specific complications of a supracondylar fracture. Describe the sequence of ossification around the elbow. What is Baumann's Angle? (shownotes) Monteggia fracture-dislocation Toddler's fracture Nursemaid's elbow. Describe the radiographic findings and management of: Describe the O...
May 10, 2018•38 min•Ep. 176
CRACKCast E175 – Neurologic Disorders
This episode of CRACKCast covers Chapter 174 in Rosen's 9th Edition. Today, we will go over common topics in paediatric neurology and emergency medicine that will help you on your next shift! Knowledge of neurologic disorders is essential for any practitioner of emergency medicine, so strap in for a high-yield post. Core Questions List ten causes of provoked (acutely symptomatic) seizures. List four episodic disorders that may mimic seizures in neonates and four in non-neonates. How does it diff...
May 07, 2018•41 min•Ep. 175
CRACKCast E174 – Genitourinary and Renal Tract Disorders
This episode of CRACKCast covers Rosen's Chapter 173, Genitourinary and Renal Tract Disorders. Torsion, phimosis, UTIs, stones, and priapism are some of the high-yield topics covered here. Core questions: 1. List a DDx for priapism and describe treatment. 2. Describe the management of a paraphimosis. 3. Describe the management of a phimosis. 4. What is the pathophysiology of balanoposthitis? What is the most common bug in balanoposthitis? 5. How is balanoposthitis managed? 6. Describe the diagno...
May 03, 2018•35 min•Ep. 174
CRACKCast E173 – Infectious Diarrheal Disease and Dehydration
Core Questions: 1) What are three pathophysiologic types of diarrhea? Give an example of a cause for each. 2) List 6 common causes of childhood infectious diarrhea in developed countries. 3) List 5 important differential diagnoses of diarrhea in children. 4) List 5 important differential diagnoses of vomiting in children. 5) When should you initiate a medical evaluation of children with acute diarrhea? 6) Describe the typical presentation of: Rotavirus Norovirus Salmonella Shigella Yersinia E. C...
Apr 30, 2018•30 min•Ep. 173
CRACKCast E172 – Gastrointestinal Disorders
Core questions: List 8 causes of neonatal jaundice and indicate whether they are conjugated or unconjugated List indications for work-up of a jaundiced infant What are RFs for hyperbilirubinemia? (8) What is the differential diagnosis for vomiting in a child? Describe the typical presentation of each of the following: Hypertrophic pyloric stenosis Malrotation with midgut volvulus NEC GERD Intussusception Hirschsprung's Disease Meckel's Diverticulum HSP List Xray findings for each of the followin...
Apr 26, 2018•32 min•Ep. 172
CRACKCast E171 – Pediatric Cardiac Disorders - PART B
This episode of CRACKCast reviews Rosen's Chapter 170, Pediatric Cardiac Disorders. This podcast covers the common infectious complications leading to pediatric cardiac issues. Additionally, we will review Kawasaki's Disease, Acute Rheumatic Fever, HOCM, and much more. Episode Overview: 1. Describe procedures and conditions for which prophylaxis for bacterial endocarditis is recommended. 2. Describe 2 potential prophylaxis regimens. 3. What is the differential diagnosis of myocarditis? What is t...
Apr 23, 2018•33 min•Ep. 171
CRACKCast E171 – Pediatric Cardiac Disorders - PART A
This episode of CRACKCast covers Rosen's Chapter 170, Pediatric Cardiac Disorders. This podcast covers cyanotic and acyanotic cardiac defects, the presentation and management of congestive heart failure in pediatric populations, and the management of common arrhythmias in children. A second podcast will release next week detailing other issues in pediatric cardiology. Episode Overview: 1. What is the most common form of congenital heart disease? 2. List 6 Acyanotic and 8 Cyanotic types of CHD. 3...
Apr 19, 2018•29 min•Ep. 171
CRACKCast E170 – Pediatric Respiratory Emergencies: Disease of the Lungs
Core questions: Name 8 non-infectious causes that may present as pneumonia Describe the workup for a child with suspected pneumonia? What are the typical causes of bacterial pneumonia and viral pneumonia in the following age groups: 1 month – 3 months 3 months – 5 years ≥ 5 years What is the empiric treatment of bacterial pneumonia in these age groups for outpatients? For inpatients? List 8 complications of pneumonia List 6 criteria for admission with pneumonia What are three clinical complicati...
Apr 16, 2018•23 min•Ep. 170
CRACKCast E169 – Pediatric Respiratory Emergencies: Lower Airway Obstruction
Core questions: Excluding asthma, list 8 causes of wheeze Outline the pathophysiology of asthma. What are the features of mild, moderate and severe asthma? Describe the PRAM score List 8 medications for asthma treatment with doses What is the typical ED management for a pts with an asthma exacerbation? Describe adjunctive therapies that might be used in a patient with refractory symptoms. How are PO corticosteroids used in the management of asthma? When should children be started on inhaled cort...
Apr 12, 2018•32 min•Ep. 169
CRACKCast E168 – Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections
Core questions: What is the pathophysiology of inspiratory and expiratory stridor? Provide a differential diagnosis for stridor in children (based on location: supraglottic, glottic, subglottic) list at least three in each category. What is the typical presentation of a retropharyngeal abscess? Describe the management of a RPA. What are the typical pathogens? What the typical pathogens in epiglottis? How are these patients managed? Differentiate between croup and other conditions mimicking croup...
Apr 09, 2018•34 min•Ep. 168
CRACKCast E167 – Pediatric Fever
Core questions: List 10 non-infectious causes of fever in children List 3 bacterial pathogens responsible for infections in the following age groups 0-28 days 1-3 months 3-36 months > 3 yr List 5 tests to perform on CSF Describe the empiric management of fever in the neonate (0-28 days) Why is ceftriaxone not recommended for the neonate? Describe one of The Rochester criteria The Philadelphia criteria Define simple and complex febrile seizure. What are indications for LP? What is the likeliho...
Apr 05, 2018•35 min•Ep. 167
CRACKCast E166 – General Approach to the Pediatric Patient
Core questions: 1) List age specific vital signs (RR, HR): "1 odd yr - 60 count down aid" 2) What is the lower fifth percentile of systolic BP for the neonate, infant, and 1-10 yr old child? 2) Describe the 3 components of the Pediatric Assessment Triangle. 3) Describe the Canadian Pediatric Triage and Acuity Scale 4) List 5 historical indicators of child abuse 5) List 5 features suggestive of child abuse on physical examination and/or radiology? Wisecracks: What are developmental milestones (gr...
Apr 02, 2018•24 min•Ep. 166
CRACKCast E165 – Sedative Hypnotics
This episode of CRACKCast covers Rosen's 9th Edition, Ch. 159. In the podcast, we will look at the sedative hypnotic toxidrome and the various agents that bring patients to your ED. Core questions: Describe the components of the GABA receptor complex and their physiologic effect Describe the sedative-hypnotic toxidrome, and list 8 drugs in the DDx How do barbiturates work? What are the clinical symptoms of barbiturate overdose? How are they managed? How do benzodiazepines work? List risk factors...
Mar 29, 2018•25 min•Ep. 165
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