Crackcast & Physicians As Humans On Canadiem

Core Questions:   Describe your history and physical exam in the patient being actively resuscitated. Discuss the process of deterioration to cardiac arrest with respiratory failure and cardiac obstruction. List 6 aspects of optimal CPR. What medications have been shown to improve outcomes in cardiac arrest? List 8 differential diagnoses for PEA arrest (See Table 8.4) What is electromechanical dissociation (EMD) and how does it differ from pseudo electromechanical dissociation (pseudo EMD)? What is echo-guided life support (EGLS) and how is it used? Carotid or femoral pulse CPP Arterial relaxation (diastolic) pressure PETCO2 SCVO2 What are your targets during CPR for the following metrics? (See Table 8.3)   Wisecracks:   What is cough CPR and when should it be used? What is the only antidysrhythmic shown to improve rates of VF conversion to a perfusing rhythm? What is the minimum coronary perfusion pressure (CPP) is needed to achieve return of spontaneous circulation (ROSC)? What is the triad of cardiac

Core Questions: What is cerebral autoregulation? Describe your parameters for post-arrest care of a brain injured patient. List 7 interventions for management of a patient with elevated ICP. What are the equations for cerebral blood flow and cerebral perfusion pressure? Describe a protocol for induced hypothermia after cardiac arrest. In the patient with a traumatic brain injury, what is the optimal drug for and duration of seizure prophylaxis?   Wisecracks: What are Lundberg A waves? What is the relationship between PaCO2 and CBF? What is the Monro-Kellie hypothesis?    How do these values change in patients with severe coma? What is the probability that a survivor of cardiac arrest has a full neurologic recovery?

This episode covers Chapter 6 in Rosen's 9th edition, shock. 

Are you a Family Medicine resident about to graduate and embark on an extra year of training in Emergency Medicine (EM)? Are you worried you don’t know what it is really like to be an Emergency Medicine resident and you want to find a guide to help maximize your learning in a short and extremely fast year? As a recent CCFP-EM graduate, I can strongly relate to your fears. The one year of extra training is an important one, and you will learn a plethora of information that will be pertinent to your success as a future Emergency physician. Thus, it is paramount that you maximize and optimize this year. In this blog post, I hope to act as a guide and provide insight into how to get the most out of your training. For those individuals who do not know what the CCFP-EM program is, it is an Emergency Medicine residency fellowship (or added competency program) stemming from the tree of Family Medicine in Canada. Residents completing this program will have the ability to complete the Emergency Medicine Licensing Exam

This updated episode of CRACKCast covers Rosen’s Chapter 005, Monitoring the Emergency Patient (9th Ed.). Core Questions: List modalities for measurement of BP and note which modalities are likely to over and underestimate blood pressure. What is pulse pressure and how does it relate to stroke volume? List 4 indications for an arterial line. What is the Beer-Lambert Law and how does it allow us to measure pulse oximetry? How do dyshemoglobinemias affect your measured SpO2? What are the 4 phases of the ETCO2 waveform? List 5 uses for ETCO2. Wisecracks: List the pitfalls of pulse oximetry. Purple Yellow Tan   Describe colorimetric ETCO2 monitoring and cite the ranges at which you would expect to see the following colours: How are ETCO2 values related to PaCO2? What are causes of elevated ETCO2? What does MOVIE stand for (aka - how to rock your oral exam resus questions)?

This updated episode of CRACKCast cover’s Rosen’s Chapter 004, Procedural Sedation and Analgesia (9th Ed.).

This episode of CRACKCast covers Chapter 3 in Rosen’s Emergency Medicine (9th Ed.) – Pain Management. This podcast will give you a solid approach to the basics pain management to use on your next shift! Core Questions: 1. Define the following terms (Box 3.1): Allodynia Amnesia/amnestic Local anesthesia Analgesia Hypnotic Narcotic Nociceptor Noxious stimulus Opiate Opioid Pain Procedural Sedation Sedative 2. Describe a practical approach to stepwise management of pain in the ED. 3. Describe the adult parenteral and oral doses for: Morphine Hydromorphone Fentanyl  4. Differentiate between opioid side effects and opioid toxicity. 5. How do you manage opioid toxicity? 6. Describe relative safety profiles for the NSAIDS. 7. List the classes of local anesthetics. How do they work? 8. List the toxic doses for each local anesthetic: Lidocaine Lidocaine with Epi Bupivicaine 9. List 5 techniques to reduce pain of injection of local anesthetic. 10. List agents that can be used for topical anesthesia of: Intact sk

The first episode of the Thrombophonia podcast addresses three objectives: 1. Summarize an approach to the acute management of patients with intracerebral hemorrhage while on anticoagulation for a mechanical heart valve 2. Describe the benefits and risks of anticoagulant reversal, including the risk of thromboembolism 3. Describe the principles of effective communication and collaboration of bleeding & clotting cases with consultants

This episode of CRACKCast covers Chapter 2 in Rosen’s Emergency Medicine (9th Ed.) – Mechanical Ventilation and Noninvasive Ventilatory Support. 

This Episode of CRACKCast covers Rosen's Chapter 1 - Airway. We are updating the first several episodes with 9th edition content. Enjoy! There's a reason that the first chapter of Rosen's is devoted to airway. These are some of the most critical skills we need to know as emergency clinicians. This episode provides an overview of core airway knowledge and skills.

This episode of CRACKCast covers Chapter 193 in Rosen's Emergency Medicine (9th Ed.) – Weapons of Mass Destruction. Although attacks involving WMD's are relatively uncommon, being thoroughly prepared for these events will prove invaluable for the community affected. Sit tight and listen in to make sure you are ready if the unthinkable should happen. Core Questions: 1) List 6 potential agents that may be used as weapons of mass destruction. 2) List 6 features of weapons of mass destruction threats that make them unique. 3) Describe 6 signs suggesting biologic weapon deployment. 4) What are recommendations for prevention of in-hospital transmission of contagious agents? 5) Describe the 2 typical presentations of Anthrax. What are typical CXR findings? How is each type of anthrax treated? 6) How is the plague transmitted? What are the 2 typical presentations of the plague? How is each treated? Wisecracks: 1) Why are children at higher risk of death from Weapons of Mass Destruction (WMD)? 2) What are components o

Core questions     Define a disaster Describe PICE nomenclature List 6  potentially paralytic PICE List 6 critical substrates for hospital operations Describe START triage and SAVE List the 5 functional elements of an incident command system Describe the 4 stages comprehensive emergency management Describe the 5 elements of a hospital disaster response plan List the 8 basic components of a hospital comprehensive disaster response planning process     Wisecracks:   Describe the SALT triage approach Describe TTDAD SAD approach (see EM Cases Episode 100 on disaster medicine) What is “surge capacity”?    

Core Questions     List 6 criteria for air medical transport.  When should/could helicopter EMS transport be beneficial?     List advantages and disadvantages of rotor-wing aircraft and fixed-wing aircraft,  relating to each other and land-transfer.     What are 6 principles of landing zone safety?     Wisecracks:   What are the most common in-flight emergencies on commercial flights? What are some practical implications of providing in-flight emergency care?    

This episode of CRACKCast covers Chapter 190 of Rosen's Emergency Medicine(9th Ed.). After listening to this podcast, you will have a more comprehensive understanding of the intricacies of pre-hospital care and be better able to address issues in your community's out-of-hospital healthcare network.

This episode of CRACKCast covers Chapter 189 in Rosen's Emergency Medicine (9th Ed.) – The Combative and Difficult Patient. Next time a severely agitated patient rolls into the department, you won't even break a sweat!

This episode of CRACKCast covers Rosen’s Chapter 140 (9th Edition), Substance Abuse. This chapter gives a brief overview regarding the burden of substance abuse from adolescent to elderly patients. An important consideration in the emergency department is self-awareness and advocacy for these patients that often are challenging to interact with and can provoke countertransference.

This episode of CRACKCast covers Rosen’s Chapter 142 (9th Edition), Alcohol Related Disease. This chapter covers the spectrum of alcohol use, including effects of mild, moderate, and severe use disorders, including prevention, screening, diagnosis and management. We also examine the wide variety of complications associated with acute and chronic alcohol use.

This episode of CRACKCast covers Rosen's chapter 188, The Solid Organ Transplant Donor. Although short in duration, this chapter has straightforward and useful information for emergency physicians in regards to complications possible with transplant donors.

This episode of CRACKCast covers Rosen’s Chapter 187, The Immunocompromised Patient. This chapter covers the unique population of immunocompromised patients, including management of febrile neutropenia, as well as common infections seen in these patients and how to treat them.

Core Questions List 4 factors altering pharmacokinetics in the elderly (ADME) List 6 factors contributing to adverse events from medications in the elderly Beers List Which 8 meds are most responsible for adverse events in the elderly? List 5 harmful drug interactions in the elderly What are top 10 STOPP criteria?