IS-EMERCAST
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Episodes (18)
Episode 18 - The Transfer Conversation
Doctors from a small rural ED provide insights into their experiences of transfer conversations and this is juxtaposed with insights from 2 Emergency Physicians on the receiving side of those conversations.
Episode 17 - Under Pressure
Emergency Medicine is a practice that requires good procedural skills and clinical acumen but also good "soft" skills such as communication and team management but equally importantly self management. Dr Karen Coss, Director of Emergency Medicine at Tamworth Regional Referral Hospital in North Western NSW provides us with the insights she has learned through her reading and personal experience.
Episode 16 - Pneumothorax - when less is more
Use of intercostal catheters and the management of pneumothoraces have been undergoing significant change over the last decade. The recent New England article comparing conservative management with interventional takes this the next station along the road.
Episode 15 - The Difficult Consult
- There are many stressful elements to working in the Emergency Department many of them often not related to the patient interaction. One that has to be well up there especially for people who hate confrontation is the “difficult consult”. You ring the inpatient team representative and are faced with obstruction/interrogation/disrespect/anger/sometimes downright bullying……. Dr Tucker is a highly experienced EP including at a departmental management level – so we explore some of his views on this issue and how to manage it.
Episode 14 - Perspective is Key
Working as clinicians in the ED, especially in the one ED over time, it's easy to develop a fixed view on life and where you fit in "the system". This is a road to cynicism, pessimism and burn out for many people. Dr Anne Smith provides perspectives balanced by an international career, experience in multiple Australian EDs and finally but not least from a woman's perspective in the world of Emergency Medicine.
Episode 12 - The Orphan ED
Episode 11 - What is this wellbeing thing?
Episode 10 - To do or Not to Do? - End of Life
Episode 9 - Paediatric Fever - a sensible approach
Episode 8 - A Walk in the pARC - paediatric appendicitis
Kharbanda AB et al Development and Validation of a Novel Pediatric Appendicitis Risk Calculator (pARC). Pediatrics 2018 141:4
https://pediatrics.aappublications.org/content/pediatrics/early/2018/03/09/peds.2017-2699.full.pdf
Cotton D et al Validation of the Pediatric Appendicitis Risk Calculator in a Community Emergency Department Setting Ann Emerg Med Vol 74:4 October 2019
https://www.annemergmed.com/article/S0196-0644(19)30346-4/fulltext
MD Calc - www.mdcalc.com
Episode 7 - Acute Coronary Syndrome - at last some consistency - PACSA
PACSA via ACI
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2019_014.pdf
4th Universal Definition of MI
https://academic.oup.com/eurheartj/article/40/3/237/5079081
Sgarbossa
https://litfl.com/sgarbossa-criteria-ecg-library/
Posterior MI
https://litfl.com/posterior-myocardial-infarction-ecg-library/
De Winter waves
Episode 6 - The Headache of Headache in ED
D W Dodick - Nosological Entities? Thunderclap Headache. J Neurol Neurosurg Psychiatry 2002;72:6–11. https://jnnp.bmj.com/content/72/1/6.info
Long BJ, Koyfman A. - Benign Headache Management in the Emergency Department
The Journal of Emergency Medicine, Vol. 54, No. 4, pp. 458–468, 2018
https://www.jem-journal.com/article/S0736-4679(17)31189-7/fulltext
Edlow JA et al Clinical Policy: Critical Issues in the Evaluation and Management
of Adult Patients Presenting to the Emergency Department With Acute Headache
Ann Emerg Med. 2008;52:407-436.
https://www.annemergmed.com/article/S0196-0644(08)01463-7/fulltext
Episode 5 - COPD - who's driving here?
Wilson F Abdo and Leo MA Heunks - Oxygen-induced hypercapnia in COPD:myths and facts
Critical Care 2012, 16:323 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682248/
Austin M Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ 2010;341:c5462
https://www.bmj.com/content/341/bmj.c5462
Robinson T The Role of Hypoventilation and Ventilation-Perfusion Redistribution in Oxygen-induced Hypercapnia
during Acute Exacerbations of Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med Vol 161. pp 1524–1529, 2000. https://www.atsjournals.org/doi/full/10.1164/ajrccm.161.5.9904119?url_ver=Z39.88-2003𝔯_id=ori%3Arid%3Acrossref.org𝔯_dat=cr_pub%3Dpubmed
Episode 4 - Back Pain - What a pain!
Menniti-Ippolito á M. Maggini á R. Raschetti R. Da Cas á G. Traversa á A. M. Walker, Ketorolac use in outpatients and gastrointestinal hospitalization: a comparison with other non-steroidal anti-inflammatory drugs in Italy, Eur J Clin Pharmacol (1998) 54: 393±397
Episode 3 - The mythical UTI
Schulz L et al Top Ten Myths Regarding the Diagnosis and Treatment of Urinary Tract Infections Journal of Emergency Medicine, Vol. 51, No. 1, pp. 25–30, 2016
Episode 2 - Salty or Balanced?
Semler M et al Balanced Crystalloids versus Saline in Critically Ill Adults N Engl J Med 2018;378:829-39.
https://www.nejm.org/doi/full/10.1056/NEJMoa1711584
Self W et al Balanced Crystalloids versus Saline in Non Critically Ill Adults N Engl J Med 2018;378:819-28.
Episode 1 - Diagnostic Reasoning
Crosskerry P et al Cognitive debiasing 2: impediments to and strategies for change.
BMJ Qual Saf. 2013 Oct; 22(Suppl 2): ii65–ii72.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786644/
Crosskerry P A Universal Model of Diagnostic Reasoning Acad Med. 2009 Aug;84(8):1022-8.