Happy Hazardous Holidays! This is our *belated* holiday special - filled with surprise new hosts, toxic ingestions, slips and falls (off the roof), and Christmas-tree-light filled ex laps. We hope you enjoy.
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In this episode, Jordan (PGY1.5) takes Kyle (PGY0) and Arman (PGY0) through a case of epigastric abdominal pain. We quickly get to the diagnosis, but the etiology and management are fascinating! As per usual, Nurse Barb and Jordan lay down some wisdom on the way the real world of medicine works. How would you approach this case? As always, we learn a couple of very important points about the epigastric abdominal pain. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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Brynne is back! According to one of our two iTunes reviews, she has been voted the best host of the podcast yet, so let's hope she lives up to her high standard. On this episode, Brynne (MS4), leads Arman (MS4), and Kyle (MS4) through a case of a burn patient who sounds eerily similar to our old eye pain patient from a few weeks ago....hmmmm suspicious. As always, we learn some important management strategies for burn patients from our favorite future surgical intern. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Here's Brynne's article on Smoke Inhalation Injuries
Toon, M. H., Maybauer, M. O., Greenwood, J. E., Maybauer, D. M., & Fraser, J. F. (2010). Management of acute smoke inhalation injury. Critical care and resuscitation, 12(1), 53.
And here's her article on advances in burn care
Ipaktchi, K., & Arbabi, S. (2006). Advances in burn critical care. Critical Care Medicine, 34(9), S239-S244.
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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In this episode, Arman (MS4) takes Kyle (MS4) and Neil (MS3) through a case of worsening fever and abdominal pain that had already been previously been evaluated. Nothing is ever too simple in the world of pediatric emergency medicine! As always, Nurse Barb is moonlighting in the pediatric emergency room to guide our hosts to the appropriate management. How would you approach this case? As always, we learn a couple of very important points about the GU side of abdominal pain. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Here is the article from Ultrasound Quarterly presented today: Cavorsi, K., Prabhakar, P., & Kirby, C. (2010). Acute pyelonephritis. Ultrasound Quarterly, 26(2), 103–105. https://doi.org/10.1097/RUQ.0b013e3181dc7d0b
An article on pyelonephritis from the great site emDocs: http://www.emdocs.net/pyelonephritis-its-not-always-so-straightforward/
And of course - a great UpToDate article on complicated UTIs: https://www.uptodate.com/contents/acute-complicated-urinary-tract-infection-including-pyelonephritis-in-adults
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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Jordan is back! EMJCCast's favorite PGY1 (almost 2!) is here to lay down some knowledge with Kyle (MS4) and Arman (MS4) in this case of weakness and fatigue in a middle aged female. How would you approach this case? As always, we learn some important management strategies for a specific etiology of weakness & fatigue. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Here is the ACLS Algorithm for management of bradycardia
Liu, L. A., RN. (2019, December 19). ACLS bradycardia Algorithm. Retrieved March 15, 2021, from https://www.acls.net/acls-bradycardia-algorithm.htm
Here is the AHA's article on management of symptomatic bradycardia
American Heart Association. (2005). Part 7.3: Management of symptomatic bradycardia and tachycardia. Circulation, 112(24 suppl).
EMCrit has a great brief chapter about bradycardia on the Internet Book of Critical Care here; Josh Farkas also covers why we should use epinephrine over atropine for initial management here
Here's an article on non-occlusive MI & vasospastic angina
Beijk, M. A., Vlastra, W. V., Delewi, R., van de Hoef, T. P., Boekholdt, S. M., Sjauw, K. D., & Piek, J. J. (2019). Myocardial infarction with non-obstructive coronary arteries: a focus on vasospastic angina. Netherlands Heart Journal, 27(5), 237-245.
And a great approach to bradycardia in the ED from our favorite EM Clerkship
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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EMJC is live in 3D! This week, before an intern boot camp class, Kyle (MS4) leads Charlie (MS4) and Arman (MS4) live and in-person* through a case of a woman presenting with a headache. Did we mention she was pregnant? How would you approach this case? As always, we learn some important management strategies for a specific etiology of headache. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
*All participants have been vaccinated and were distanced during the show
Here's Kyle's Review Article on Migraines in Pregnancy
Negro, A., Delaruelle, Z., Ivanova, T. A., Khan, S., Ornello, R., Raffaelli, B., ... & Mitsikostas, D. D. (2017). Headache and pregnancy: a systematic review. The journal of headache and pain, 18(1), 1-20.
And a great approach to headache in the ED from EM Clerkship
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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EMJC is back to our regularly scheduled episodes! This week Arman (MS4) leads Kyle (MS4) and Frankie (MS4) through a case of a woman presenting after a first time seizure. How would you approach this case? As always, we learn some important management strategies for seizures. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Here's Arman's Article on Management of Status Epilepticus
Glauser, T., Shinnar, S., Gloss, D., Alldredge, B., Arya, R., Bainbridge, J., Bare, M., Bleck, T., Dodson, W. E., Garrity, L., Jagoda, A., Lowenstein, D., Pellock, J., Riviello, J., Sloan, E., & Treiman, D. M. (2016). Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society. Epilepsy currents, 16(1), 48–61. https://doi.org/10.5698/1535-7597-16.1.48
Arman's Article on the ESETT Trial
Cock, H. R., & ESETT Group. (2011). Established status epilepticus treatment trial (ESETT). Epilepsia, 52, 50-52.
EM Cases - Management of Status Epilepticus
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
Grab some roses and a heart shaped box of chocolates - it's the Valentine's Day Special! As is tradition we have a 3-part Valentine's Day Special episode featuring many of our previous guests! In this one Danny, Nate, and Taylor talk about glass, roses, and balconies.
Join us to learn about some interesting and non-romantic Valentine's Day-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Danny, Abby, Nate, and Chris come together to talk all things love/romance/oral microbiome/foreign body related for this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from hickies to broken hearts. We also talk chocolate facts! We hope you enjoy this one, and stay tuned for future holiday episodes! If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Nathan's Articles: Mangat, P., & Jawad, A. S. (2007). A case of rose thorn tenosynovitis. Grand Rounds, 7, 16-17
Taylor's Articles: Davis D, Seaman TJ, Newton EJ. Calcaneus Fractures. [Updated 2020 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430861/ and this Radiopaedia article on calcaneal fractures
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
Grab some roses and a heart shaped box of chocolates - it's the Valentine's Day Special! As is tradition we have a 3-part Valentine's Day Special episode featuring many of our previous guests! In this one Adam, Abby, and Chris talk about kisses, octopi/octopuses?, and cyanopia.
Join us to learn about some interesting and non-romantic Valentine's Day-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Danny, Abby, Nate, and Chris come together to talk all things love/romance/oral microbiome/foreign body related for this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from hickies to broken hearts. We also talk chocolate facts! We hope you enjoy this one, and stay tuned for future holiday episodes! If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
Grab some roses and a heart shaped box of chocolates - it's the Valentine's Day Special! As is tradition we have a 3-part Valentine's Day Special episode featuring many of our previous guests! In this one - Arman and Pranav talk about Cupid and high school!
Join us to learn about some interesting and non-romantic Valentine's Day-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Danny, Abby, Nate, and Chris come together to talk all things love/romance/oral microbiome/foreign body related for this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from hickies to broken hearts. We also talk chocolate facts! We hope you enjoy this one, and stay tuned for future holiday episodes! If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Arman's Article: Benedetto U, Caputo M, Kosti A, et al. Cupid's arrow retained in the heart. J Thorac Dis. 2019;11(1):E1-E3. doi:10.21037/jtd.2018.12.12
Pranav's Article: Wu TY, Hsiao J, Wong EH. Love bites--an unusual cause of blunt internal carotid artery injury. N Z Med J. 2010;123(1326):112-115. Published 2010 Nov 26.
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
On this episode of EMWIT, we talk about Match Week. We run through the Match Week schedule, SOAP, and the Match algorithm. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the different SLOEs. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com.
Important Links
Check out our website at www.emjccast.com
Music: "Grainy Rock" by Lonely Coyote Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful!
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
Continuing our EMJC spinoff series, EMWIT, we talk about a huge part of your EM residency application, the SLOE. We go over the E-SLOE, S-SLOE, and O-SLOE to give you all an idea of what you're being evaluated on as an EM applicant. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the different SLOEs. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com.
Important Links
Check out our website at www.emjccast.com
Music: "Grainy Rock" by Lonely Coyote Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful!
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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In a big twist this week, we welcome our friend and future surgeon Brynne (MS4) to lead Arman (MS4) and Kyle (MS4) through a surgical emergency case. As always, we learn a couple very important points about one etiology of abdominal pain including some non-surgical interventions we can perform in the Emergency Room. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Here's Brynne's article on Adhesive Disease in Abdominal Surgery
Ten Broek, R. P., Issa, Y., van Santbrink, E. J., Bouvy, N. D., Kruitwagen, R. F., Jeekel, J., ... & van Goor, H. (2013). Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. Bmj, 347.
Her Article on Small Bowel Obstruction
Mullan, C. P., Siewert, B., & Eisenberg, R. L. (2012). Small bowel obstruction. American Journal of Roentgenology, 198(2), W105-W117.
Another Article on Adhesive Disease
Menzies, D., & Ellis, H. (1990). Intestinal obstruction from adhesions--how big is the problem?. Annals of the Royal College of Surgeons of England, 72(1), 60.
Long-Term Prognosis After Operation for Adhesive Disease
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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EMJC's in-house gymnast graces us with his presence as Kyle (MS4) leads Arman (MS4) and Nathan (MS4) through a case of a child brought to the ED after a trampoline accident. How would you approach this case? As always, we learn a couple of very important points about pediatric trauma and injuries. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.
Here's the article on PECARN Head Injury Algorithm
Kuppermann, N., Holmes, J. F., Dayan, P. S., Hoyle, J. D., Atabaki, S. M., Holubkov, R., … & Pediatric Emergency Care Applied Research Network. (2009). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The Lancet, 374(9696), 1160-1170.
Here's the PECARN C-Spine Paper
Leonard, J. C., Kuppermann, N., Olsen, C., Babcock-Cimpello, L., Brown, K., Mahajan, P., … & Pediatric Emergency Care Applied Research Network. (2011). Factors associated with cervical spine injury in children after blunt trauma. Annals of emergency medicine, 58(2), 145-155.
PECARN Algorithm - MD Calc
Comparison of PECARN, CATCH, and CHALICE
Ped EM Morsels Links: PECARN, Trampoline Injuries, and C-Spine Injuries
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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Adam finally leads the guys through a case! The original EMJC crew is back together as Adam (MS3) leads Arman (MS4) and Kyle (MS4) through a case of a young male with anxiety, diarrhea, and "feeling warm". How would you approach this case? As always, we learn a couple of very important points about this constellation of symptoms and the treatment for this case. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.
Here's Adam's review article on Serotonin Syndrome
Volpi-Abadie J, Kaye AM, Kaye AD. Serotonin syndrome. Ochsner J. 2013;13(4):533-540.
Case Report of Paroxetine Induced Serotonin Syndrome
Hudd TR, Blake CS, Rimola-Dejesus Y, Nguyen T-T, Zaiken K. A Case Report of Serotonin Syndrome in a Patient on Selective Serotonin Reuptake Inhibitor (SSRI) Monotherapy. Journal of Pharmacy Practice. 2020;33(2):206-212. doi:10.1177/0897190019841742
Article on Demystifying Serotonin Toxicity
Demystifying serotonin syndrome (or serotonin toxicity) Ai-Leng Foong, Kelly A. Grindrod, Tejal Patel, Jamie Kellar Canadian Family Physician Oct 2018, 64 (10) 720-727;
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
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We're back! The EMJC crew is back together for Season 2 in 2021, bringing you more cases with better audio quality AND our recently launched website: emjccast.com. In our first episode back, Arman (MS4) leads Kyle (MS4), Pranav (MS4), and Pranav's clicky pen through a case of a female presenting with chest pain. How would you approach this case? As always, we learn a couple very important points about chest pain and some relevant diagnostics. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.
Here's Arman's article on AKI after CT
Aycock, R. D., Westafer, L. M., Boxen, J. L., Majlesi, N., Schoenfeld, E. M., & Bannuru, R. R. (2018). Acute kidney injury after computed tomography: a meta-analysis. Annals of emergency medicine, 71(1), 44-53.
NS, LR, and sodium bicarb for preventing contrast-induced nephropathy
Sodium Bicarb and Acetylcysteine to prevent AKI
Prophylactic hydration to prevent contrast-induced nephropathy
Vitamin D insufficiency in radiologists
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
Intro Music: “Walk Through the Park” by Track Tribe
Welcome to EM WIT - Emergency Medicine: What is That?
In this EMJC spinoff series, we'll be addressing important topics that you should probably know about, but might not, and might be too afraid to ask. These episodes will all be 5-10 minute quick-hits on high yield topics such as this episode's topic - how to become an EM doctor. These won't be cased-based like the classic EMJC episodes you've come to know and love, but we think they will be just as helpful.
In this episode we talk about the path to becoming an Emergency Physician, emphasizing the residency application process. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the ERAS residency application timeline and how to become and EM doctor. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com.
Important Links
Check out our new website at www.emjccast.com !!!!!!
DISCLAIMER:
The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
Music: "Grainy Rock" by Lonely Coyote
Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful!
Vitals & Useful Links:
As 2020 comes to a close, we bring you our final episode of the year, officially ending our first season of EMJC Cast. Kyle (MS4) leads his college friends Ari, Conor, and Curtis, none of whom are medical students, through a case of a male presenting after a syncopal episode. Arman (MS4) helps out as Nurse Barb. We wanted to have some fun at the end of the year and see how some non-medical people can handle a medical simulation case, so this episode will be a lot less educational than others, but hopefully a bit more fun. A big thanks to Ari, Conor, and Curtis for joining us this week, and a bigger thanks to Nurse Barb (Arman) for putting up with them. How would you approach this case? As always, we learn a couple very important points about evaluating and treating syncope. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
Kyle's Article on Early IV iron transfusions in the ED
Beverina, I., Razionale, G., Ranzini, M., Aloni, A., Finazzi, S., & Brando, B. (2020). Early intravenous iron administration in the Emergency Department reduces red blood cell unit transfusion, hospitalisation, re-transfusion, length of stay and costs. Blood transfusion = Trasfusione del sangue, 18(2), 106–116. Article on Type and Screen vs Type and Cross
DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.
Intro Music: "Walk Through the Park" by Track Tribe
Thanks for listening to us in 2020 - Arman (MS4) and Kyle (MS4) talk about what's coming in 2021: