In the first episode of this season I talk about using high dose Nitroglycerine and Bipap for the sympathetic crashing acute pulmonary edema (SCAPE) patients in you ED. Don't take my word for it. Go through the following references and make your own protocol for your department. We have had fantastic results! 1. Paone S, Clarkson L, Sin B, Punnapuzha S. Recognition of Sympathetic Crashing Acute Pulmonary Edema (SCAPE) and use of high-dose nitroglycerin infusion. Am J Emerg Med. 2018 Aug;36(8):15...
Jan 05, 2023•9 min•Season 2Ep. 1
In this season finale episode I am joined with my residents Drs Nainika and Ashutosh talking about central lines and chest tubes from emergency medicine trainees' perspective. We talk about the indications, contraindications and complications and the basic steps of performing the 2 most common procedures performed in the ED. This is not an exhaustive list but an insight into the world of central line and chest tube insertions in the ED.
Dec 17, 2022•35 min•Season 1Ep. 22
In this episode after a month, I talk about an offbeat topic - The what, how and where of issuing a media bulletin. Those who want to know more about it can go check out the following links - 1. Telg, Ricky, and Lisa Lundy. 2021. “News Writing for Television and Radio: WC193/AEC531, Rev. 6/2021”. EDIS 2021 (3). https://doi.org/10.32473/edis-wc193-2021. 2. Telg, Ricky, and Lisa Lundy. 2021. “News Writing for Print: WC191/AEC529, Rev. 6/2021”. EDIS 2021 (3). https://doi.org/10.32473/edis-wc191-202...
Dec 05, 2022•16 min•Season 1Ep. 21
In this episode, I am joined by Dr Sanjay who has been a stalwart of emergency medicine for about 25-30 years in India. We discuss how to make emergency medicine teams and what are the qualities one needs to have to be a good team and how to move onto becoming a great emergency medicine team. Hope you enjoy listening in.
Nov 04, 2022•23 min•Season 1Ep. 20
In this episode I speak a little about my favourite topic. You got that right - Airways. In this short episode I share some airway pearls that I have picked up in my experience and learnt from many different difficult airway courses , workshops and conferences. Remember, first pass success is the international standard for safe airway management. If you want to discuss something you can DM me on my twitter @anksv25
Oct 13, 2022•14 min•Season 1Ep. 19
In this episode, I speak about a little bit about my experience in CODA 22 in Melbourne followed by airway techniques that can be used in the daily practice of an emergency physician. You can go through the following papers - 1. Mosier JM, Joshi R, Hypes C, Pacheco G, Valenzuela T, Sakles JC. The Physiologically Difficult Airway. West J Emerg Med. 2015 Dec;16(7):1109-17. doi: 10.5811/westjem.2015.8.27467. Epub 2015 Dec 8. PMID: 26759664; PMCID: PMC4703154. 2. Perbet S, De Jong A, Delmas J, Futie...
Sep 28, 2022•20 min•Season 1Ep. 18
Short sweet and concise information on strokes for the general public. This episode aims at reducing the knowledge gap and improving the awareness regarding strokes in the community.
Aug 16, 2022•11 min•Season 1Ep. 17
In this episode I have spoken about the young adult epidemic that I have been talking about for months now linking it with metabolic syndromes. To check your metabolic health, you can get the following tests done - "Fasting Hba1C, homocysteine, insulin, sugars, lipid profile, GGTP, SGOT, Uric acid". Please do your own research too. Everything I have spoken about in this episode is based on the research I have done in the past year, my knowledge as a doctor, my experiences and learnings from Dr R...
Jul 30, 2022•20 min•Season 1Ep. 16
What an academic feast organized by the SEMI-WB on the weekend of 16-17th July 2022 for the academic residents of emergency medicine. I start of the episode by talking about the EZECON. Also the 24th Annual Conference of SEMI is happening in Kerala from 23-27th November. Do register for it. In this episode I give an insight towards dealing with acid base disorders using the modified stewart's approach. Following are the references you can go through to understand more and change your practice - ...
Jul 20, 2022•20 min•Season 1Ep. 15
A very Happy Doctors' Day to you all! In this episode I discuss some salient points regarding the physiologically difficult airway. There are many physicians I know who are still not aware regarding this concept that can kill patients as soon as we try and save them. Also - EZECON is being organised in Kolkata from 16-17th July,22 and it is going to be an academic feast for the residents. So do register for it. The references for reading up more on the physiologically difficult airways are as fo...
Jun 30, 2022•9 min•Season 1Ep. 14
So the International Conference on Emergency Medicine 2022 is on in Melbourne. There is quite a bit of representation from India at the biggest EM conference! In today's episode, I talk about how India emergency physicians are contributing to the academic fest in Melbourne. Enjoy!
Jun 15, 2022•9 min•Season 1Ep. 13
In this episode I bid farewell to my passing out residents and discuss some trauma myths like Manual in line stabilization and the use of steroids in acute spinal cord injuries. You all can go through the following articles to learn more - 1. Ellis DY, Harris T, Zideman D. Cricoid pressure in emergency department rapid sequence tracheal intubations: a risk-benefit analysis. Ann Emerg Med. 2007 Dec;50(6):653-65. doi: 10.1016/j.annemergmed.2007.05.006. Epub 2007 Aug 3. PMID: 17681642. 2.Manoach S,...
Jun 01, 2022•11 min•Season 1Ep. 12
In this episode of myths in emergency medicine, I talk about Oxygen in STEMI patients, Epinephrine in digital anaesthesia, C- line for CVP monitoring and MILS in trauma patients. You can go through some of the following papers and decide what you want to do with your EM practice - 1. Stub D, Smith K, Bernard S, Nehme Z, Stephenson M, Bray JE, Cameron P, Barger B, Ellims AH, Taylor AJ, Meredith IT, Kaye DM; AVOID Investigators. Air Versus Oxygen in ST-Segment-Elevation Myocardial Infarction. Circ...
May 15, 2022•7 min•Season 1Ep. 11
In today's episode, I've discussed some myths that are still prevalent in emergency medicine practices across the world. They are still taught even if some clinicians do not practice it. do you own research. Don't take my word for it. Change your practice accordingly. You can go through some of the following references - 1. SELLICK BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet (London, England). 1961; 2(7199):404-6. PMID: 13749923 2. Bi...
Apr 30, 2022•9 min•Season 1Ep. 10
In today's episode, I invite Drs Sanjay and Shivani back to the show to discuss the 6 steps to manage hyponatremia in your ED in a little bit more detail. This will be a learning curve for the young (and the old) emergency physicians. Later on, I would have them back to discuss real life cases that have been managed in our department using the 6 cases. Enjoy! For any questions you can DM us on our twitter handles - @anksv25 (Ankur), @drshivanisarda (Shivani) and @drbobby71sanjay (Sanjay)...
Apr 14, 2022•15 min•Season 1Ep. 9
In this episode, I have discussed a little bit about some advances in trauma resuscitation, some goals and how ATLS should be the basic trauma skill an emergency physician should have. I did not mean to break any hearts, but yes trauma resus goes beyond ATLS. Do not believe what I say blindly, do your research. You can go through the following mind blowing papers and up your trauma game and prepare your own trauma protocols for your emergency departments. The papers you can go through (not in an...
Apr 01, 2022•17 min•Season 1Ep. 8
In today's episode I am joined by Dr Abbas and we discuss the young adult epidemic - emergency conditions that young adults suffer from and lose their lives to. We discuss as to why this may be happening and what can be done. Again - these are our opinions and experiences. We apologise if we hurt some sentiments in this one!
Mar 16, 2022•9 min•Season 1Ep. 7
In this episode, I talk about incorporating checklists in our daily emergency medicine practice. Why is it important? How does it help and how do you use them? I would be discussing these in this episode with some anecdotes sprayed in. You can go through the following resources if you need help in using an airway checklist in your department or can hit me up on twitter (@anksv25) or Instagram @anksv. Hope you enjoy listening. Here are the resources - 1. Pronovost P, Needham D, Berenholtz S, Sino...
Feb 26, 2022•12 min•Season 1Ep. 6
The famous Greek astrologer Aristotle once quoted – “A whole is that which has a beginning, middle and end.” Emergency Medicine is altogether a different type of “whole”. In this Episode, I attempt to give a sneak peek into what is Emergency Medicine.
Feb 13, 2022•9 min•Season 1Ep. 5
Drs Sanjay, Shivani and Anubhooti join us today to discuss Hyponatremia - an easy approach and how to manage it according to the pathophysiology. It's an interesting take as hyponatremia remains as one of the most common presentations to an ED but yet under/over treated. The 6 step approach that Dr Shivani describes is as follows - First - correctly diagnose hyponatremia (Na <130) Second - classification based on time of onset of symptoms, serum osmolality levels and volume status of the pati...
Jan 30, 2022•17 min•Season 1Ep. 4
This episode I have tried to educate the masses regarding when to visit an emergency department, what happens in the emergency department and open their eyes to the verbal and physical assault that takes place in the ED. This is just a basic. There would be more episodes dedicated to the work we do and regarding violence in detail in the future. Some of the references used and the ones that people can read are mentioned below - 1. https://www.hopkinsacg.org/a-plan-of-action-to-reduce-avoidable-e...
Jan 13, 2022•12 min•Season 1Ep. 3
In this episode, we talk about ketamine and how we have been using it in our department. Our experiences, some anecdotes, some evidence. We are not endorsing that you HAVE to use ketamine, but enlightening you that it can be used and the dogmas regarding it being unsafe are exactly those - DOGMAS. Following are the papers that you may read as references. They will guide you more about ketamine. Hope you enjoy the episode!. Have a Happy New Year! Reading material - 1. Domino EF, Chodoff P, Corsse...
Dec 30, 2021•16 min•Season 1Ep. 3
In this episode we discuss how our team of emergency medicine specialists entered into the world of emergency medicine. It is a light hearted episode filled with anecdotes and fun. Hope it (along with future episodes) also inspires future doctors and current doctors to take up emergency medicine as a specialty.
Dec 16, 2021•10 min•Season 1Ep. 1
