This episode is on hyperthermia- just in time for the warmer weather. However, hyperthermia has many different causes so this episode will review them all. Dr. Andrea Sarchi wrote this script which was recorded by Jacob Schriner, MS-3 at Emory University School of Medicine. This episode will review the necessary history and physical exam findings, ordering the right labs and tests, and how to treat this condition to ensure the best patient outcomes.
Apr 10, 2017
Today's episode is a quick review of Thyroid emergencies by Dr. Patrick Ng, a 3rd year EM resident in San Antonio, recorded by Jacob Schriner MS-3. Thyroid emergencies can be difficult to recognize in the ED because they present in so many different ways. Today's episode will review how to recognize these emergencies, order the right tests, and provide the correct critical treatments.
Mar 20, 2017
This episode is a re-broadcast of the first sepsis episode in February 2012. I am republishing the part of that episode that deals with the definitions of sepsis. I think the new sepsis guidelines rely too much on clinician judgment and gestalt in identifying septic patients so this will be helpful to learners. To be clear- the term severe sepsis is not in use any more- we only have sepsis and septic shock. However, learning this stepwise progression (even if patient's don't follow it) will help...
Mar 06, 2017
This episode is a total revamp of the previous episode on sepsis. A lot has changed with sepsis management since I published the sepsis episode in February 2012 so it was time for a complete overhaul. The new sepsis guidelines have been out for about a year and I finally got around to updating the episode. This episode will discuss the recognition of sepsis, how to do a good physical exam and ask the right history questions, order the right tests, and aggressively resuscitate these very sick pat...
Mar 06, 2017
Today's episode is on Croup- just in time for the middle of the croup season. Your ED may even be filled with kids with a barking cough as we speak. Today's episode was written by Taylor Fischer and Stewart Harsant, two physician assistants who have done an excellent job of summarizing this common pediatric disease process. This episode will review the diagnosis of croup, how to risk stratify kids with croup, and how to treat and disposition them properly. Most of the time, kids with croup do ju...
Feb 13, 2017
This is Ortho Inservice Review Part 3 which covers injuries to the Pelvis, Lower Extremities, and Pediatric Ortho conditions. This screencast originally appeared on the Emergency Board Review Podcast in 2012.
Jan 30, 2017
This is Ortho Inservice Review Part 2 which will cover injuries to the wrist and hand. This screencast originally appeared on the Emergency Board Review Podcast in 2012.
Jan 30, 2017
In Part 1 of this 3 part series for Orthopedics inservice review we'll review orthopedic injuries to the Thorax and Upper Extremities. This is a screencast that was originally broadcasted on the Emergency Board Review website and podcast in 2012.
Jan 30, 2017
Just in time for the midway point of the winter season, this is a podcast on management of hypothermia in the ED. Dr. Andrea Sarchi wrote the script which was recorded by Jacob Schriner, a second year medical student at Emory University School of Medicine. In this episode we'll review the basics of hypothermia diagnosis, history and physical exam pearls, treatment and disposition of these patients. As always we'll start with the "not sick" patient and then work our way up to the critically ill p...
Jan 16, 2017
In part 2, Dr Sheyna Gifford will discuss the how to differentiate opioid overdose from other causes of altered mental status, some special disposition situations (especially with methadone), and how we can quickly screen for opioid abuse and provide patients compassionate care, treatment, and referral.
Jan 09, 2017
It's no secret that we have a major opioid problem in the United States. The number of people addicted to opioids has reached epidemic proportions and we are certainly seeing this everyday in the Emergency Department. In this episode Dr. Sheyna Gifford discusses a few facts about the scope of this epidemic, the basics of recognizing opioid overdose, and initial stabilization and treatment. She'll discuss the many different ways of using naloxone (aka Narcan) that we can utilize to wake up patien...
Jan 02, 2017
EM Basic is back with a re-broadcast from the awesome podcast Pediatric Emergency Playbook by Dr. Tim Horeczko. Tim is a double boarded in EM and Peds EM and works at Harbor-UCLA hospital. This was the first episode he published at the beginning of September and it is pure gold. Tim goes beyond the febrile neonate and talks about how to consider all possible causes for a sick infant- not just anchoring on sepsis the whole time! Tim presents a rational and systematic approach on how to deal with ...
Jan 25, 2016
This is part 2 of the Heme Onc Emergencies series. This episode will talk about common hematology emergencies that we see in the ED. Sickle cell disease will be its own episode but this episode will talk about the approach to anemia in the ED, as well as the approach to hemophilias, ITP and TTP. While you will see lots of anemic patients in the ED, the other diseases are rare but we have to be on the look out for them and know what to do.
Oct 05, 2015
This is the first of a two part series on Heme-Onc Emergencies. In this episode, we'll discuss oncology emergencies to include neutropenic fever, tumor lysis syndrome, malignant spinal cord compression and malignant pericardial effusion. Neutropenic fever is a common chief complaint for patients on chemotherapy so we have to be good at this chief complaint.
Oct 05, 2015
Today's episode is another installment of the EM Basic Project. Dr. Sheyna Gifford and Dr. Chrisanna Mink will talk about measles. This is a disease that we thought we had stamped out long ago with vaccination but the rise of the anti-vaccine movement has caused several small outbreaks so we need to be ready and on the lookout. They will discuss how to recgonize measles, how to order the right testing and treatment, how to properly disposition these patients and the importance of getting your pu...
Aug 03, 2015
Today marks the 4th anniversary of the EM Basic podcast. To celebrate this occasion, we are going to do a screencast on aortic dissection. This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose. We'll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.
Jul 27, 2015
Today marks the 4th anniversary of the EM Basic podcast. To celebrate this occasion, we are going to do a screencast on aortic dissection. This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose. We'll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.
Jul 27, 2015
Today's episode of EM Basic will review vaginal bleeding in patients who are not pregnant. This is a much different workup from pregnant patients with vaginal bleeding so we have to know how to effectively manage this chief complaint. This episode was written and recorded by Dr. Adaira Landry, an EM senior resident at NYU/Bellevue and Joe Kennedy, a 4th year medical student at Mayo who matched into EM just after this episode was recorded. They'll review what vital signs to look out for, the impo...
Apr 24, 2015
Today's episode will cover Tactical Combat Casualty Care (TCCC), aka Care Under Fire, aka Care in the Immediately Unsafe Environment. Dr. Andy Bohn, a residency colleague, recorded today's episode to talk about the basics of taking care of any patient in an unsafe environment. While the military connotations of this may make you uncomfortable, the techniques and protocols he discusses can be directly translated into any civilian mass casualty scenario such as the Boston Marathon bombing or the f...
Mar 16, 2015
EM Basic is back with a brand new episode. Today's episode was done by Dylan Norton and David Murphy, both 4th year medical students at the University of Colorado Medical School. We see epistaxis a lot in the ED and while most of it is mild and self limiting, there are frequently cases that take a lot of skill to manage. They'll talk about the basics of the history and physical with epistaxis, how to order the necessary lab tests, how to manage any case of epistaxis in a step-wise manner, and so...
Mar 02, 2015
This is a quick announcement to let you know that EM Basic is now partnering with EB Medicine as our bandwidth sponsor. EB Medicine publishes many resources in Emergency Medicine to include EM Practice, Pediatric EM Practice, as well as LLSA reviews. These reviews are made by EM physicians for EM providers and provide the latest evidence based medicine reviews of common EM chief complaints. Recent issues include management of seizures in the ED, hand injuries, and angioedema. These are quick and...
Mar 02, 2015
In this episode we are going to talk about febrile seizures. We see this chief complaint a lot in the ED so it's important that we know this topic really well. Today's script was written by Dr. Andrea Sarchi and will review how to do a good history and physical, how to rule out serious pathology without overtesting, and how to talk with parents. While simple febrile seizures don't cause any harm to the child, they are very scary for parents so it's important that we know the facts so we can re-a...
Dec 01, 2014
Ebola has been in the news for the past few months and it has taken on more urgency in the US as cases have arrived from outside the country Within the past week, transmission to two healthcare workers outside of Africa has been reported. Dr. Prabu Selvam, an intern at the Wright-Pratt Emergency Medicine Residency, provided the resources for today's episode on Ebola. In this short episode we will discuss appropriate screening for Ebola, it's signs and symptoms, lab abnormalities, how to confirm ...
Oct 17, 2014
Today's episode is the second and final part of Dr. Sheyna Gifford's interview with Dr. Les Zun on psychiatric emergencies. This episode will talk more about treating depressed patients, what you can do for patients who board in your ED for hours to days to even a week, and medications used for treatment of acute agitation in the ED.
Sep 17, 2014
Today's episode is another installment in the EM Basic Project. Dr. Sheyna Gifford took on the task of interviewing Dr. Les Zun, a nationally known speaker on the topic of psychiatric emergencies. While we did an episode on psychiatric medical screening before, this episode will focus on some of the tougher situations we encounter in the ED. For example- What do we do about the patient who is depressed but not suicidal? How do we calm down agitated patients without reaching for medications? Thes...
Sep 10, 2014
Today I am handing over the podcast to FOAMcast by Drs. Lauren Westafer and Jeremy Faust. A little more than a month ago, Dr. Nick Genes challenged twitter to create core content FOAM for hepatic emergencies. Lauren and Jeremy did an excellent episode on this topic on FOAMcast so here it is- re-broadcasted on EM Basic. They'll review common hepatic emergencies and their managementi in the ED and point you in the right direction to learn even more on this topic. I haven't edited their episode at ...
Aug 07, 2014
Today is the third anniversary of the EM Basic podcast. To celebrate this milestone, this is a screencast titled "Airway Update". I first prepared this lecture about two years ago for a conference but the topics are still relevant today. This will be most useful for medical students and EM interns who may not have been exposed to these airway topics. This screencast will help catch you up on what we have been talking about over the last two years on social media and FOAMed. We'll review apenic o...
Jul 27, 2014•41 min
Today's episode is another installment for the EM Basic Project by Dr. Andrea Sarchi. Salicylate overdose is a toxidrome that we have to be on the lookout for in the ED. While some cases are obvious because the patient or EMS can tell us what they took, some cases are subtle and require vigilance to make the diagnosis. In this episode we'll review the important history and physical points, how to order the right tests, manage the toxicity, and properly disposition the patient.
Jul 23, 2014
Today's episode talks about the diagnosis and management of Acetaminophen overdose. This is another addition to the EM Basic Project written by Andrea Sarchi. We encounter acetaminophen overdose frequently in the ED and we need to be on the look out for this because patients can be completely asymptomatic. If we don't catch it, acetaminophen overdose can result in liver failure requiring transplant or even death unless we interevene early. This episode will review how to properly workup a patien...
Jun 24, 2014
In today's episode we are going to talk about documentation in the ED. It is very important that we are complete but concise in our documentation in order to provide an accurate record for the patient's ED patient to protect them and ourselves from problems down the road. Good documentation is good patient care so we need to know how to do this efficiently. We will review each part of the chart starting with the triage note and ending how to give good discharge instructions. We'll also review so...
May 01, 2014
