Dr. Jordan Cramer joins Dan McCollum to discuss the management of hyperkalemia. Learn key aspects of the history and physical Discuss the importance of an early ECG. Discover important details about a variety of treatment options.
Join Dr. Mike Wallace and Dan McCollum as they discuss the management of patients with gastrointestinal hemorrhage. What is the initial management of these patients? Who requires blood transfusions? Which patients require admission to the floor or the ICU? Pearls and pitfalls in the management of these challenging patients are discussed. Enjoy!
Join Dr. Alex Koo as he discusses ear and nasal foreign bodies. He'll give you a brief run-down of anatomy, history, and physical, before diving into comprehensive, key concepts of foreign body removal. There will be some great tips and tricks shared! -Where do foreign bodies commonly get stuck in the ear and nose? -What important historical and physical examination features should you focus on for these foreign bodies? What are considered dangerous objects that need immediate removal? -What equ...
Join Jordan Nogle as she discusses how to deliver the very best care for possible victims of Human Trafficking. What are subtle signs that your patient may be a human trafficking victim? What is your initial approach? How can you give your patient multiple options on how to proceed? What resources can you use? Join Jordan as she discusses this and much more!
Join Dr. Alex Koo as he discusses the management of crush injuries. What is crush syndrome? When should you be concerned about compartment syndrome? Why can you not wait for the 6 P's to develop before treating? How should you treat? Join us for this and more!
Join Zac Hodges as he discusses MIS-C with two local experts. Dr. Pushpa Shivaram is a pediatric cardiologist and Dr. Julisa Patel is a pediatric rheumatologist. They discuss What this syndrome is How to make this tough diagnosis Proper management of patients This is a brand new disease that we all need a refresher on.
Join emergency physician Dan Dworkis as he discusses with Dan McCollum how to remain cool under pressure. Dan and Dan discuss The importance of being cool under pressure The fallacy of believing experience equals the ability to handle pressure. Strategies for junior learners to build sangfroid This is a joint podcast between EM Basic and the Emergency Mind Podcast. You can find dozens of other podcasts at https://www.emergencymind.com/ or pick up his excellent new book at https://www.amazon.com/...
Join Dr. Alex Koo, active duty Army emergency physician, as he discusses dental emergencies, a common emergency department complaint, but an uncommon educational topic. We'll discuss an approach to collecting a focused history, physical, as well as formulating a thorough differential and treatments for common ED dental emergencies. Some questions that we'll answer are: What are the red flags we should be aware about for dental complaints? What is the basic anatomy and nomenclature for numbering ...
Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline? How common is hyponatremia in hospitalized patients and why does it matter to your practice? What is SIADH and how does it contribute to hyponatremia in acutely ill children? How can we prevent hyponatremia in our hospitalized patients? What are the dif...
Join EM physicians Mike Samuels and Dan McCollum as they discuss different blood products that can be transfused. Why don't we commonly use whole blood? Who needs to receive packed red blood cells? Are there any dangers to giving platelets? When is fresh frozen plasma needed? Episode 100 discussed potential complications, while this episode will discuss why you should be using these products. Enjoy!
Kawasaki: Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine. What exactly is Kawasaki disease and why is this topic so important? How do you make the diagnosis and what other diagnoses should you consider? How can you diagnosis incomplete Kawasaki when the classic features are not all present? What is the first-line treatment? ...
Transfusion reactions are a dreaded complication in the ED. Join emergency physicians Michael Samuels and Dan McCollum as they discuss the following and more! How do you recognize different types of transfusion reactions? How are different reactions managed? What infections can be seen with blood transfusion? Why is TRALI such a feared complication?
Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine. What exactly is bronchiolitis and why is this topic so important? How do you make the diagnosis and what other diagnoses should you consider? What treatments work, and more importantly, which treatments do not? What patients can go home and who needs to be admitted? All of this and more fr...
Join Dan McCollum and Michael Stephens as they discuss the new vaccines against COVID-19. Are they studied well enough? How effective are they? What side effects occur, and are they serious? What do we NOT know about these vaccines? The approved vaccines are safe, effective, and highly recommended. Listen to this to find out more about the data behind them. A special thanks goes to Michael Stephens for his invaluable help with recording and editing....
Join ED clinical pharmacist Jimmy Pruitt and Dan McCollum as we discuss the reasons that the traditional "B52" cocktail of haloperidol, lorazepam, and diphenhydramine is badly in need of updating. Why this cocktail is slower than you think. Newer medications that are more effective. Smarter approaches to agitated patients. When ketamine should be used. This podcast is being cross published with the "Pharm So Hard" podcast, an excellent podcast discussing many excellent clinical pharmacology topi...
Join Dan McCollum and EM clinical pharmacist RJ LaCoursiere as they discuss the use of buprenorphine for the treatment of Opioid Use Disorder. Who should be considered for treatment with Medication-Assisted Treatment (MAT)? Why should it be avoided if the patient isn't in acute withdrawal? What is a DEA X waiver and why should you look into getting waivered? How can we reduce stigma for these patients? Free training can be found at https://nhsc.hrsa.gov/loan-repayment/receive-medication-assisted...
Respiratory Failure August 10, 2020 Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure. What is the structure of the initial evaluation of a critically-ill child? What is exactly is respiratory failure? What is the role of non-invasive respiratory support in pediatric patients? What are the indications for emergency intubation? What are the general concepts that learners need to un...
Join doctors Smitha Mathew, Kaitlin Verdone, Zac Hodges, and Dan McCollum as they navigate the difficult waters of pediatric sepsis. What exactly is sepsis? Are there any differences in the treatment of pediatric sepsis compared to adult sepsis? What should I do if I see a septic child at a small community Emergency Department? We discuss this and more in this episode!
Dr. Tony Zitek drops some knowledge on you about the deceptively complex topic of sore throats. What diagnoses are important other than strep and viral pharyngitis? Why should assess neck mobility during your physical examination? How should you treat common causes of sore throat? Join us for this and more on this episode!
Join Christopher Watson, Zac Hodges, and Dan McCollum as they discuss the management of pediatric traumatic brain injury. What should you look for on exam? When is intubation appropriate? How can you treat increased intracranial pressure? Where should you send your patient if you are at a community emergency department? We go beyond the basics here, discussing a very challenging topic.
Join emergency physician Tony Zitek as he guides you through the diagnosis and management of urinary tract infections. Which elements of the history and physical exam are key? What are the pearls and pitfalls in the diagnosis of UTI? When is a culture needed? How do I obtain a disposition? Join us for this and more as Dr. Zitek guides us through the surprisingly tricky management of this common disease.
Join Dan McCollum as he discusses COVID-19, the disease caused by the novel coronavirus. What are the symptoms of this disease? How is it spread? What personal protective equipment is needed? What are key elements of the history and physical exam? Are there any treatments that help? This is a rapidly evolving topic, so please use multiple sources, stay informed, and follow your local hospital's guidance as this disease develops....
Join Zac Hodges and Dan McCollum as they have a conversation about neonatal fevers with Dr. Kathryn McLeod, an experienced pediatrician at the Children's Hospital of Georgia. We discuss the general approach to taking the history and physical exam of a patient with a fever under the age of 90 days. Where did prior guidelines on the initial workup come from? How did immunizations change the risk of serious bacterial infection? What are some recent new approaches to the febrile neonate? Join us as ...
Join physicians Eric Ring, Zac Hodges, and Dan McCollum as they discuss how to properly care for the pediatric patient with sickle cell disease. Dr. Eric Ring is a pediatric specialist in Hematology and Oncology at the Children's Hospital of Georgia in Augusta, GA. What are the critical elements of a history of present illness? What red flags should you look for on physical exam? What are the dreaded complications of sickle cell disease that you should be wary of? Join us for these questions and...
Join Zac Hodges, Chris Watson, and Dan McCollum as they discuss the management of pediatric diabetic ketoacidosis, or DKA. What are key findings on the history and physical exam that point to DKA? What is the initial management of these patients? How is the management similar and different than the management of DKA in adults? Join us for the answer to this and more.
Today's episode of the podcast is a myth busting on all the media reports about first responders overdosing by being exposed to fentanyl in the field by incidental contact. This is physically impossible and the misinformation out there has scared a lot of people, cost us lots of money in the form of hazmat responses and shutting down hospitals, and prevented overdose patients from getting the timely care they need in an emergency. This episode will systematically go through every argument why fe...
EM Basic is finally back with a new episode. Today's episode will discuss neonatal resuscitation with Dr. Azif Safarulla, a neonatologist at Augusta University. Dr. Dan McCollum and Dr. Jessica Gancar interview Dr. Safarulla on the nuts and bolts of running a successful neonatal resuscitation in the ED. These can be one of the scariest populations we have in the ED so it's important to have a rational and logical approach to quickly assess and intervene on our smallest and youngest patient popul...
Just a few days after the new EM interns start, today's episode will talk about my advice to new EM interns. Think of this as the "big picture advice" or a 30,000 foot view of how to approach EM residency. I'll talk about 4 major big picture points to keep in mind as you start your residency. This will go way beyond arrive early, stay late, and always keep learning and expand on some big picture ideas of how to function well as a new intern.
Today's episode is on the evaluation and management of sickle cell anemia in the Emergency Department. Dr Jared Walker, a third year EM resident at the University of Florida Jacksonville, has written and recorded this excellent review of sickle cell disease. This episode will discuss how to properly assess patients with sickle cell, how to order the right labs and imaging, what red flags to look out for, how to control sickle cell pain, how to catch the various complications of sickle cell, and ...
Today's episode will discuss North American poisonous reptile bites with a focus on snake bites. This episode was written and recorded by Dr. David Hansen, an active duty physician with the US Army. It will review common presentations of snake bites, the relevant history and exam findings, the labs to order, how to decide when to use anti-venom and properly administer it. There is also a bonus section on how to avoid snake bites in the wilderness and what to do if you are bitten by a poisonous s...
