Rank #1: Episode 28: US in Dyspnea - Part 1
In the first of a two part episode, EM Chief Resident and resident US guru Jacob Avila (@UltrasoundMD) discusses the use of US in undifferentiated dyspnea. The possibilities are endless, but Dr. Avila shows you how to simplify your clinical decision making and make the right call.
Rank #2: Episode 27: Momentum Breakers, Part 2
In Part 2, Joseph Cruz (@CruzaderJC)presents his top 5 on shift momentum breakers for EM residents. Think about them ahead of time, so you can be ready when they show up on shift!
Rank #3: Episode 26: Momentum Breakers, Part 1
Rank #4: Episode 25: Pediatric Appendicitis
In what two age groups is perforated appendicitis most common? If you said the very young and the very old, you would be correct. As we all know, the workup and diagnosis of appendicitis in kids can be extremely difficult. So how do we tease out the right history and get to the correct conclusion? In this episode, we discuss many of the more difficult and important aspects of the workup for a child with possible appendicitis.
Rank #5: Episode 24.5: "EBM is Crap"
While making episode 24, we had a little aside into the pitfalls of evidence based medicine. Dr. Kaminstein makes his feelings known, and we talk about those feelings.
Rank #6: Episode 24: What do I read, and how do I do it?
In Episode 24, EM Res vets Drs. Kaminstein and Kochert return with Dr. Becker to talk about how residents should approach reading medical research articles. Do you need to read everything? What should you read? How do you do it? All this and more in the first of a series on reading original research for residents.
Rank #7: Episode 23: What's the "Best" Residency?
In Episode 23, with the upcoming US EM residency interview season about to descend upon us all, I talk about a recent survey that claims to list the best EM residencies, why you should ignore it, what applicants should look for ina residency, and our duty as educators to find the right fit.
Rank #8: Episode 22: Do an H/P, But Don't Forget US
In Episode 22, I talk about why an article from KevinMD in April 2014 got it wrong regarding POC US, and what we should learn and take away from it.
Rank #9: Episode 21: You're Not Alone
In this mini-episode, I talk a bit about an incredibly interesting and I think important article published recently in the New York Times regarding resident suicide and depression. The bottom line: If you feel like you need help, you're not alone.
Rank #10: Episode 20: COPD Part 2
Episode 20 is Part 2 of Dr. Kochert's lecture on COPD. In Part 2, Dr. Kochert discusses the tough question regarding antibiotics in COPD exacerbations, smoking cessation in the ED, and finishes with a Q/A discussing some of the finer points of the lecture and managing COPD patients.
Rank #11: Episode 19: COPD Part 1
In Episode 19, Dr. Erik Kochert returns to the podcast to give a great talk on COPD. There was so much good stuff, I decided to split this into two podcast episodes. In Part 1, Dr. Kochert talks about GOLD, oxygen titration, inhaled therapies, steroids and NIPPV.
Rank #12: Episode 18: GI Toxicology
In Episode 18, we take a look at the ingestions and insertions - both accidental and not - that make their way into the GI tracts of your patients. This is by no means a comprehensive review of all things toxicology that can affect the GI system. Rather, we focus on ingestions, foreign bodies, and whether or not GI decontamination actually helps.
Rank #13: Episode 17: Important Topics in Emergency Ophthalmology
In this episode, Dan Kaminstein is back to talk emergency ophthalmology. Dan talks with Dr. Emory Patterson, a community ophthalmologist from Athens Georgia. Drs. Kaminstein and Patterson both did their residencies in EM and Ophthalmology at the Medical College of Georgia. Just remember, vision, pupils, and pressure!
Rank #14: New residents, attendings, and dogmalysis
There is a bunch out there in social media and FOAMed lately about "dogmalysis," or the idea that some of the things we do have no evidence base, and should not be done. But new EM residents and new EM attendings may want to take some of this content with a grain of salt.
Rank #15: Episode 16: Are you sure you want that scan?
We have all answered that call from radiology or from our radiology techs. In this episode, we talk about the myths and truths behind the use of oral contrast in the ED, ED imaging in pregnancy, and contrast induced nephropathy.
Rank #16: Episode 15: The 7 Deadly Sins - Common US Mistakes and How to Avoid Them
As a graduate of 12 years of Catholic school, I learned about (and committed most of) the 7 deadly sins. I spend much of my time now teaching residents ultrasound, and reviewing their images. In the 7 major US categories (AAA, Biliary, Cardiac, FAST, OB, Renal, and Vascular Access), I have noticed there are common mistakes most novices make. So what are these 7 Deadly US Sins, and how can we avoid them?
Rank #17: Question: Difference of Opinions
Hypothetical scenario: You think your patient needs something your attending does not, and it is not insignificant (ie, you want them admitted, more agressively resuscitated, etc). How do you handle it? What would you want your residents to do?
Rank #18: Episode 14: Train to Failure
"Amateurs train until they succeed, professionals train until they fail." -Chris Costa
In this episode, I discuss some lessons that I originally heard presented to military and law enforcement personnel in the setting of defense training. All of these lessons can be translated to the Emergency Medicine Physician and Resident.
Rank #19: Episode 13: Issues for Female Physicians in Emergency Medicine
Did you know that female physicians still make less than their male counterparts? Did you know that women comprise an alarmingly small number of EM department chairs? Tintinalli may have written the book, but female physicians in Emergency Medicine (and medicine in general) still face a number of unique issues. I talk with Dr. Kathleen Clem, Dr. Stephanie Abbuhl, and Dr. Esther Choo to discuss these issues, and what female physicians can do about it.
Rank #20: Episode 12: Ultrasound Rants and Ramblings
In this episode, I talk about a few topics that I have wanted to ramble about related to Ultrasound. How much US is too much for the resident? Can you do "too much" ultrasound? Is there a role for the FAST exam in stable trauma patients? Is the US the new stethoscope, and is it just an extension of the physical exam? Hear what I think.