Cover image of CRACKCast & Physicians as Humans on CanadiEM
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Education
Health & Fitness

CRACKCast & Physicians as Humans on CanadiEM

Updated 3 days ago

Education
Health & Fitness
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CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources.

Read more

CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources.

iTunes Ratings

26 Ratings
Average Ratings
24
1
1
0
0

Resident Life Saver

By Sorceress of the Dark - Jun 24 2019
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As a auditory learner/sleep deprived resident, this is essential for me. Helps me catch up in 15-30 minutes what would have taken me hours. Thanks guys!

Great EM foundations!

By NikMohEMDOC - Apr 11 2018
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Excellent podcast covering one of our main EM texts. I found it important to always review foundational material in EM while supplementing new literature and foundations are truly emphasized well with this podcast. I commute 1 hour for my shifts and it’s the perfect length of time to cover 1-2 episodes and strengthen my EM knowledge. Thanks guys!

iTunes Ratings

26 Ratings
Average Ratings
24
1
1
0
0

Resident Life Saver

By Sorceress of the Dark - Jun 24 2019
Read more
As a auditory learner/sleep deprived resident, this is essential for me. Helps me catch up in 15-30 minutes what would have taken me hours. Thanks guys!

Great EM foundations!

By NikMohEMDOC - Apr 11 2018
Read more
Excellent podcast covering one of our main EM texts. I found it important to always review foundational material in EM while supplementing new literature and foundations are truly emphasized well with this podcast. I commute 1 hour for my shifts and it’s the perfect length of time to cover 1-2 episodes and strengthen my EM knowledge. Thanks guys!
Cover image of CRACKCast & Physicians as Humans on CanadiEM

CRACKCast & Physicians as Humans on CanadiEM

Updated 3 days ago

Read more

CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources.

Rank #1: CRACKCast E027 - Abdominal Pain

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This episode covers Chapter 27 of Rosen's Emergency Medicine.

Episode overview:

  1. List and explain 8 causes of life-threatening abdominal pain
  2. List 15 causes of extra-abdominopelvic abdominal pain

Wisecracks:

  1. Why is WBC of so little utility in abdominal pain?
  2. When is an abdominal x-ray useful in investigating abdominal pain?
Jun 15 2016
20 mins
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Rank #2: CRACKCast E053 - Shoulder

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Dec 12 2016
33 mins
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Rank #3: CRACKCast E026 - Chest Pain

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This episode covers Chapter 26 of Rosen's Emergency Medicine.

Episode overview:

  1. List 6 critical causes of chest pain

Wisecracks:

  1. Walk through a systems approach to chest pain including common and uncommon causes of chest pain
  2. Outline your approach to the person with sudden onset severe chest pain
Jun 06 2016
7 mins
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Rank #4: CRACKCast E199 – Adult Resuscitation

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Core Questions:

  1. Describe your history and physical exam in the patient being actively resuscitated.
  2. Discuss the process of deterioration to cardiac arrest with respiratory failure and cardiac obstruction.
  3. List 6 aspects of optimal CPR.
  4. What medications have been shown to improve outcomes in cardiac arrest?
  5. List 8 differential diagnoses for PEA arrest (See Table 8.4)
  6. What is electromechanical dissociation (EMD) and how does it differ from pseudo electromechanical dissociation (pseudo EMD)?
  7. What is echo-guided life support (EGLS) and how is it used?
    1. Carotid or femoral pulse
    2. CPP
    3. Arterial relaxation (diastolic) pressure
    4. PETCO2
    5. SCVO2
  8. What are your targets during CPR for the following metrics? (See Table 8.3)

Wisecracks:

  1. What is cough CPR and when should it be used?
  2. What is the only antidysrhythmic shown to improve rates of VF conversion to a perfusing rhythm?
  3. What is the minimum coronary perfusion pressure (CPP) is needed to achieve return of spontaneous circulation (ROSC)?
  4. What is the triad of cardiac arrest?
Mar 04 2019
35 mins
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Rank #5: CRACKCast E059 - Wound Management Principles

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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!

Questions:

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

WiseCracks:

Evidence guided tips for scar healing?

How to decrease pain of anaesthetic injection?

Where can I find a concise guide to Suture material use?

Jan 23 2017
26 mins
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Rank #6: CRACKCast E098 - STIs

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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.

Aug 07 2017
20 mins
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Rank #7: CRACKCast E101 - Stroke

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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.

Aug 17 2017
32 mins
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Rank #8: CRACKCast E200 – Fever in the Adult Patient

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Core Questions:

  1. What structure controls body temperature and how does it go about controlling it?
  2. What are pyrogens and how are they classified?
  3. What is the difference between fever and hyperthermia?
  4. What is the role of PGE2 in fever and what medications can you give to combat its effects?
  5. List four factors that blunt the febrile response.
  6. What are the benefits and pitfalls of the febrile response?
  7. List five infectious and five non-infectious causes of fever. (see Box/Table 9.1)
  8. Describe your approach to the febrile patient. (see Figure 9.1/9.2)

Wisecracks:

  1. What is the most accurate temperature measurement site?
  2. How are heart rate and body temperature related?
  3. How are respiratory rate and body temperature related?
  4. How high must a fever be to necessitate rapid cooling interventions?
Apr 01 2019
24 mins
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Rank #9: CRACKCast E109 - CNS Infections

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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.

Sep 14 2017
38 mins
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Rank #10: CRACKCast E114 - Factitious Disorders and Malingering

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This episode of CRACKCast covers Rosen' 9th edition, Chapter 104, Factitious Disorders and Malingering.

Episode Overview

  • Two categories of psychiatric illness are covered in this episode
    • Factitious Disorder
    • Malingering
  • 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 

Core Questions

  • 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
Oct 02 2017
11 mins
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Rank #11: CRACKCast E062 - Venomous Animal Injuries

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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...

Sign Post:

  1. List the 4 families of venomous snakes.
  2. Describe phenotypic characteristics of Pit-Vipers
  3. Describe phenotypic characteristics of coral snakes?
  4. List the grades of pit viper envenomation and indicate therapy?
  5. Describe a black-widow spider and expected management goals?
  6. Describe a brown recluse spider and expected management goals
  7. List 3 classes of venomous marine injuries, and describe key principles of management for each?

WiseCrack:

  • 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?
Feb 13 2017
27 mins
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Rank #12: CRACKCast E006 - Shock

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This episode covers Chapter 6 of Rosen's Emergency Medicine.

Episode Overview:

  1. List, define and explain the 5 causes of shock
  2. What is the utility of lactate and base deficit in the management of shock?
  3. Define: SIRS, Sepsis, Severe Sepsis, and Septic Shock
  4. List 5 empirical criteria for the diagnosis of circulatory shock
  5. Describe Early Goal Directed Therapy
  6. Describe the management goals in cardiogenic shock

Wisecracks:

  1. A stepwise approach to cardiogenic shock
Feb 08 2016
26 mins
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Rank #13: CRACKCast E125 – Electrolyte Disorders

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Core questions

  1. What are the five most common causes of hyperkalemia?
  2. Describe the ECG features seen with hyperkalemia. List at least 5.

  3. How is hyperkalemia managed? How does each intervention work, and how long do the effects typically last?

  4. What are the five most common causes of hypokalemia?

  5. Describe the ECG features seen with hypokalemia. List at least 4.

  6. How is hypokalemia managed?

  7. What are the three main types of hypernatremia? Give 3 examples of each.

  8. List four central and four nephrogenic causes of diabetes insipidus.

  9. What are the four broad categories of hyponatremia?

  10. Give an example of two clinical conditions for each: hypovolemic, euvolemic and hypervolemic hyponatremia.

  11. What are the three most common causes of SIADH?

  12. Describe the management of hyponatremia in the following patients:

    1. Actively seizing

    2. Euvolemic with acute hyponatremia

    3. Hypovolemic with chronic hyponatremia

    4. Hypovolemic with acute hyponatremia

  13. What are the five most common causes of hypercalcemia?

  14. What are the five most common symptomatic causes of hypocalcemia seen in the emergency department?

  15. What ECG features are seen in hypercalcemia vs. hypocalcemia? How is each managed?

  16. What are the five most common causes of hypermagnesemia?

  17. List five clinical manifestations of hypermagnesemia.

  18. List five common causes of hypomagnesemia.

  19. What are the five most common causes of hyperphosphatemia?

  20. What are the five most common causes of hypophosphatemia in the ED? How do they manifest clinically?

Wisecracks.

  1. What electrolytes abnormalities are often with hypomagnesemia?
  2. How do you estimate the total body water?
Nov 09 2017
33 mins
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Rank #14: CRACKCast E050 - Hand

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Nov 21 2016
47 mins
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Rank #15: CRACKCast E002 - Mechanical Ventilation

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This episode covers Chapter 2 of Rosen's Emergency Medicine.

Episode Overview:

  1. What are Indications and contraindications to NIPPV?
  2. Describe your initial BePAP or CPAP settings?
  3. What are good initial vent settings?
  4. How  do you troubleshoot the crashing patient on the ventilator?
Jan 15 2016
9 mins
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Rank #16: CRACKCast E025 - Dyspnea

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This episode covers Chapter 25 of Rosen's Emergency Medicine.

Episode overview:

  1. List 10 critical causes of dyspnea

Wisecracks:

  1. Outline your approach to the acutely dyspneic patient
  2. Name 6 uncommon causes of dyspnea
Jun 01 2016
11 mins
Play

Rank #17: CRACKCast E173 – Infectious Diarrheal Disease and Dehydration

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Core Questions:

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:

  • Rotavirus
  • Norovirus
  • Salmonella
  • Shigella
  • Yersinia
  • 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
  • Shigella
  • 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:

  • Mild
  • Moderate
  • Severe
  • Associated with Hypo/Hypernatremia

Wisecracks:

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?

Apr 30 2018
30 mins
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Rank #18: CRACKCast E124 - Acid Base Disorderw

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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.

Nov 06 2017
29 mins
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Rank #19: CRACKCast E036 - Multiple Trauma

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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
Wisecracks:
  • 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
Aug 15 2016
28 mins
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Rank #20: CRACKCast E046 - Abdominal Trauma

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This episode covers chapter 46 of Rosen's Emergency Medicine text book.

Episode Overview:

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.

  1. 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

  1. Pelvic fracture
  2. Head injury (closed head injury)
  3. Wide mediastinum (aortic injury)

9) Provide an approach to anterior abdominal trauma with:

  1. Evidence of peritoneal violation (penetrating injuries)
  2. Evidence of intra-abdominal injury with blunt abdominal trauma

10) Provide an approach to flank injuries

11) Provide an approach to back injuries

Wisecracks:

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?

Oct 24 2016
38 mins
Play

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