Rank #1: CRACKCast E027 - Abdominal Pain
This episode covers Chapter 27 of Rosen's Emergency Medicine.
- List and explain 8 causes of life-threatening abdominal pain
- List 15 causes of extra-abdominopelvic abdominal pain
- Why is WBC of so little utility in abdominal pain?
- When is an abdominal x-ray useful in investigating abdominal pain?
Rank #2: CRACKCast E053 - Shoulder
Rank #3: CRACKCast E026 - Chest Pain
This episode covers Chapter 26 of Rosen's Emergency Medicine.
- List 6 critical causes of chest pain
- Walk through a systems approach to chest pain including common and uncommon causes of chest pain
- Outline your approach to the person with sudden onset severe chest pain
Rank #4: CRACKCast E199 – Adult Resuscitation
- 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
- Arterial relaxation (diastolic) pressure
- What are your targets during CPR for the following metrics? (See Table 8.3)
- 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 arrest?
Rank #5: CRACKCast E059 - Wound Management Principles
This episode of CRACKCast covers Rosen’s Chapter 59, Wound Management Principles. This episode covers the nitty-gritty details of wound management and what you need to know to get that perfect wound closure!
1) List risk factors for wound infection2) List the 5 stages of wound healing3) List toxic doses of local anesthetics4) 3 types of wound closure?5) List advantages of and contraindications of tissue adhesives6) List indications for tetanus immune prophylaxis7) List 5 specific wound care instructions8) List 7 situations where antibiotic prophylaxis is indicated in wound management
Evidence guided tips for scar healing?
How to decrease pain of anaesthetic injection?
Where can I find a concise guide to Suture material use?
Rank #6: CRACKCast E098 - STIs
This episode of CRACKCast covers Rosen’s Chapter 98, Sexually Transmitted Infections. This chapter covers an overview of the various sexually transmitted infections commonly seen in the ED, as well as their management.
Rank #7: CRACKCast E101 - Stroke
This episode covers chapter 101 of Rosen's Emergency Medicine. Its a gooder... Stroke! All things brain badness, so come have a listen or take a gander at the shownotes.
Rank #8: CRACKCast E200 – Fever in the Adult Patient
- What structure controls body temperature and how does it go about controlling it?
- What are pyrogens and how are they classified?
- What is the difference between fever and hyperthermia?
- What is the role of PGE2 in fever and what medications can you give to combat its effects?
- List four factors that blunt the febrile response.
- What are the benefits and pitfalls of the febrile response?
- List five infectious and five non-infectious causes of fever. (see Box/Table 9.1)
- Describe your approach to the febrile patient. (see Figure 9.1/9.2)
- What is the most accurate temperature measurement site?
- How are heart rate and body temperature related?
- How are respiratory rate and body temperature related?
- How high must a fever be to necessitate rapid cooling interventions?
Rank #9: CRACKCast E109 - CNS Infections
This episode of CRACKCast covers Rosen’s Chapter 109, CNS Infections. This chapter covers a differential diagnosis for CNS infections, including necessary workup and approaches to treatment.
Rank #10: CRACKCast E114 - Factitious Disorders and Malingering
This episode of CRACKCast covers Rosen' 9th edition, Chapter 104, Factitious Disorders and Malingering.
- Two categories of psychiatric illness are covered in this episode
- Factitious Disorder
- Individuals suffering from factitious disorders fabricate symptoms of illness to fulfill the sick role (primary gain)
- Individuals suffering from malingering fabricate symptoms of illness to obtain something (secondary gain)
- Despite the fact that we may suspect either factitious disorder or malingering, we must strive to objectively assess the patient for concrete evidence of disease
- If no objective evidence of disease exists in a patient, do not investigate with needless and/or harmful diagnostic modalities
- Refer back to their primary care physician
- If you are suspecting factitious disorder by proxy, the safety of your patient should always be your first priority
- What is a factitious disorder and what is malingering?
- List the DSM-5 diagnostic criteria for factitious disorder imposed on self (FDIS)
- List the DSM-5 diagnostic criteria for factitious disorder imposed on another (FDIA)
- List four characteristics of malingering
Rank #11: CRACKCast E062 - Venomous Animal Injuries
This episode covers Chapter 62 of Rosen’s Emergency Medicine. Does leaving the comfort of your warm, safe bed scare you? After this chapter, it might...
- List the 4 families of venomous snakes.
- Describe phenotypic characteristics of Pit-Vipers
- Describe phenotypic characteristics of coral snakes?
- List the grades of pit viper envenomation and indicate therapy?
- Describe a black-widow spider and expected management goals?
- Describe a brown recluse spider and expected management goals
- List 3 classes of venomous marine injuries, and describe key principles of management for each?
- What does expert opinion suggest to avoid anaphylaxis in non-recombinant antivenin administration?
- What is the most toxic, per weight, venom?
- What are the general phenotypic features of poisonous snakes in North America?
Rank #12: CRACKCast E006 - Shock
This episode covers Chapter 6 of Rosen's Emergency Medicine.
- List, define and explain the 5 causes of shock
- What is the utility of lactate and base deficit in the management of shock?
- Define: SIRS, Sepsis, Severe Sepsis, and Septic Shock
- List 5 empirical criteria for the diagnosis of circulatory shock
- Describe Early Goal Directed Therapy
- Describe the management goals in cardiogenic shock
- A stepwise approach to cardiogenic shock
Rank #13: CRACKCast E125 – Electrolyte Disorders
- What are the five most common causes of hyperkalemia?
Describe the ECG features seen with hyperkalemia. List at least 5.
How is hyperkalemia managed? How does each intervention work, and how long do the effects typically last?
What are the five most common causes of hypokalemia?
Describe the ECG features seen with hypokalemia. List at least 4.
How is hypokalemia managed?
What are the three main types of hypernatremia? Give 3 examples of each.
List four central and four nephrogenic causes of diabetes insipidus.
What are the four broad categories of hyponatremia?
Give an example of two clinical conditions for each: hypovolemic, euvolemic and hypervolemic hyponatremia.
What are the three most common causes of SIADH?
Describe the management of hyponatremia in the following patients:
Euvolemic with acute hyponatremia
Hypovolemic with chronic hyponatremia
Hypovolemic with acute hyponatremia
What are the five most common causes of hypercalcemia?
What are the five most common symptomatic causes of hypocalcemia seen in the emergency department?
What ECG features are seen in hypercalcemia vs. hypocalcemia? How is each managed?
What are the five most common causes of hypermagnesemia?
List five clinical manifestations of hypermagnesemia.
List five common causes of hypomagnesemia.
What are the five most common causes of hyperphosphatemia?
What are the five most common causes of hypophosphatemia in the ED? How do they manifest clinically?
- What electrolytes abnormalities are often with hypomagnesemia?
- How do you estimate the total body water?
Rank #14: CRACKCast E050 - Hand
Rank #15: CRACKCast E002 - Mechanical Ventilation
This episode covers Chapter 2 of Rosen's Emergency Medicine.
- What are Indications and contraindications to NIPPV?
- Describe your initial BePAP or CPAP settings?
- What are good initial vent settings?
- How do you troubleshoot the crashing patient on the ventilator?
Rank #16: CRACKCast E025 - Dyspnea
This episode covers Chapter 25 of Rosen's Emergency Medicine.
- List 10 critical causes of dyspnea
- Outline your approach to the acutely dyspneic patient
- Name 6 uncommon causes of dyspnea
Rank #17: CRACKCast E173 – Infectious Diarrheal Disease and Dehydration
1) What are three pathophysiologic types of diarrhea? Give an example of a cause for each.
2) List 6 common causes of childhood infectious diarrhea in developed countries.
3) List 5 important differential diagnoses of diarrhea in children.
4) List 5 important differential diagnoses of vomiting in children.
5) When should you initiate a medical evaluation of children with acute diarrhea?
6) Describe the typical presentation of:
- E. Coli
- C. Difficile
7) List routine and high risk treatment recommendations for common bacteria causing acute infectious diarrhea in children:
- Salmonella non-typhi
- Salmonella typhi
- Campylobacter jejuni
- Yersinia enterocolitica
- C. Difficile
- Vibrio cholerae
- Vibrio parahaemolyticus
- E. Coli
8) List the presenting features and treatments for three common protozoa causing infectious diarrhea in children.
9) Define and describe your diagnosis and management approach to dehydration that is:
- Associated with Hypo/Hypernatremia
1) Name 5 causes of bloody diarrhea.
2) Other than vomiting and diarrhea from infectious gastroenteritis, list 6 causes of volume depletion.
3) Name the components of the Gorelick scale.
4) What’s the 4-2-1 rule?
Rank #18: CRACKCast E124 - Acid Base Disorderw
This episode of CRACKCast covers Rosen’s Chapter 124, Acid Base Disorders. This chapter covers a simple approach to acid base disorders and ABG interpretation, including the differential diagnosis for the identified disorders & treatment options.
Rank #19: CRACKCast E036 - Multiple Trauma
This episode covers Chapter 36 of Rosen's Emergency Medicine.Episode Overview:
- List indications for activation of a trauma team
- What is the general approach to a multi-trauma patient?
- List commonly missed trauma injuries
- ED thoracotomy indications and contraindication for blunt and penetrating trauma
- Describe the term permissive hypotension and when you would not use it
- What are 3 goals for out of hospital care of a trauma patient
Rank #20: CRACKCast E046 - Abdominal Trauma
This episode covers chapter 46 of Rosen's Emergency Medicine text book.
1) What are three mechanisms of injury in blunt trauma?
2) List expected seat-belt injuries
3) What are the most common intra-abdominal injuries in children?
4) Differentiate between the use of CT scan, diagnostic peritoneal lavage (DPL) and ultrasound – advantages & disadvantages.
5) List intra-abdominal injuries that may be missed on CT.
6) Describe the process of local wound exploration.
- List 5 ways to determine if peritoneum has been violated
7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma
8) Describe the management of unstable blunt abdominal trauma
- Pelvic fracture
- Head injury (closed head injury)
- Wide mediastinum (aortic injury)
9) Provide an approach to anterior abdominal trauma with:
- Evidence of peritoneal violation (penetrating injuries)
- Evidence of intra-abdominal injury with blunt abdominal trauma
10) Provide an approach to flank injuries
11) Provide an approach to back injuries
1) Describe indications and technique of diagnostic peritoneal lavage (DPL). What is a positive DPL?
2) List 1 absolute contraindication and 4 relative contraindications to DPL
3) What is Waddel’s triad?
4) What are Gray-Turner and Cullen’s signs?
5) How much blood is detectable by bedside US?