Podcast 63 – A Pain in the Neck – Part I

You Need to Read Your Footnotes

In this episode, I discuss the diagnosis of c-spine injuries. I argue that we should not send patients to imaging unless we have used the NEXUS rule and then added the Canadian C-spine Rule to the sequence. If we are imaging, it should be with a 3-view reconstructed CT scan. And even after that is done, you still need a clearance exam before removing the collar.

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EMCrit Podcast – Hard Six – My Picks from 2011

hardsix

My favorite discoveries in the medical blogosphere and podcast land

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Replay of the Emergency Ultrasound Podcast – Wall Motion Abnormality Lecture

eup

Replay of the incredible Wall Motion Abnormality Talk from the Emergency Ultrasound Podcast

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Podcast 62 – Needle vs. Knife II: Needle Thoracostomy?

needle-decomp-small

In this podcast, I explain why I don’t think needle compression is such a clever idea. Main points are: most people can’t find anterior target, most angiocaths won’t reach, and if used diagnostically you may not be in the pleura leading to an unidentified pneumo or hemothorax. Also, when used diagnostically, if the chest was negative you just caused a pneumothorax.

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Podcast 061 – Debate: Paralytics for ICU Intubations?

mayo-my

I recently spoke at a symposium at the Greater NY Hospital Assoc’s with the title: Controversies in Critical Care. I debated Paul Mayo, MD on the topic of whether paralytics should be used for ICU emergent intubations. Of course, I took the pro side of the debate. Dr. Mayo based his con side on an amazing study that came out of his ICU at LIJ hospital in NY.

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Two OR Intubation Videos

Jim DuCanto

Jim is an anesthesiologist at the Medical College of Wisconsin. He has recorded 100’s of intubations in the OR. The above video shows two of them.

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Podcast 060 – On Human Bondage and the Art of the Chemical Takedown

leathers-my

In this episode, I discuss the takedown and restraint of the violent, agitated delirium patient. This is a team sport and requires a coordinated approach for the safety of the patient and staff.

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Essentials of EM 2011

ZdoggMD, Me, Rob Orman, and Mike Cadogan

I just got back from Essentials of Emergency Medicine 2011. In my opinion, this is the premiere Emergency Medicine Conference in the world! Mel Herbert continues to be a visionary in EM education.

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How to generate constant CPAP with a BVM for Preoxygenation and Reoxygenation

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How to make your crappy BVM into a powerful preoxygenation device–on the cheap.

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Podcast 059 – Bath Salts with Leon Gussow

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Today I am joined by toxicology master, Leon Gussow to discuss a new quasi-legal class of drugs: Bath Salts. I saw my first OD of this a month ago; despite the drug’s name, this patient was neither clean nor pleasantly refreshed. He was violent, agitated, and overheated.

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