Rank #1: Abdominal pain
Abdominal pain is one of the most common complaints in the ED. In this podcast we will review how to get a good history, how to do a solid abdominal exam, and a systematic method for figuring out how to effectively use imaging with to make a diagnosis or, at the very least, rule out "the badness".
Rank #2: Seizures
We encounter seizure disorders frequently in the ED. In this episode, we'll review all the important points about seizures including the confusing and difficult topic of pseudosezures. We'll also go in depth on the ED treatment of seizures and status epilepticus.
Rank #3: COPD/Shortness of breath
EM Basic is back with another episode of the EM Basic Project. In today's episode Drs. Tim Peck and Colby Redfield review the chief complaint of shortness of breath with a focus on COPD. Even though we did an episode on shortness of breath a while back, it's always great to get a new perspective on this chief complaint. Today's episode also features a very special guest cameo by the name of Dr. Peter Rosen. He pretty much started EM as a speciality and you may have seen his name on a textbook or two.
Rank #4: Eye Complaints
EM Basic is back and ready for the new year. We see various eye complaints a lot in the ED. This episode will review common eye complaints, their treatments, and a bonus section on how to do a lateral canthotomy.
Rank #5: Sepsis 3.0- March 2017
This episode is a total revamp of the previous episode on sepsis. A lot has changed with sepsis management since I published the sepsis episode in February 2012 so it was time for a complete overhaul. The new sepsis guidelines have been out for about a year and I finally got around to updating the episode. This episode will discuss the recognition of sepsis, how to do a good physical exam and ask the right history questions, order the right tests, and aggressively resuscitate these very sick patients. There is a separate episode that discusses the old sepsis definitions and how you can use that framework to recognize sepsis.
Rank #6: Stroke and Transient Ischemic Attack (TIA)
In this episode, we will discuss the diagnosis and treatment of stroke and transient ischemic attack (TIA). The ED is the front line in stroke care so we need to know how to work up this chief complaint. We'll go over how to recognize the signs and symptoms of a stroke, how to get a rapid and complete history, how to screen patients for contraindications to thrombolytics, and how to catch a few stroke mimics.
Rank #7: Hyperkalemia
Hyperkalemia (high serum potassium) can be one of the most serious electrolyte disorders that we treat in the ED. We'll review how to interpret hyperkalemia in light of the patient's clinical condition, how to rapidly evaluate a patient with hyperkalemia and how to quickly treat patients with severe hyperkalemia.
Rank #8: PE Part 1
This episode has been a long time in the making- presenting Pulmonary Embolism, part 1. PE is a deadly diagnose that we frequently have to consider in the ED. The presentations can be very varied but we need to know how to work up this disease while avoid unnecessary testing and harm to our patients. In part 1, we will discuss risk factors for PE, symptoms that should make you suspicious for PE, and how to order the correct labs and imaging to diagnose this serious condition.
Rank #9: Heme Onc Part 1- Oncology Emergencies
This is the first of a two part series on Heme-Onc Emergencies. In this episode, we'll discuss oncology emergencies to include neutropenic fever, tumor lysis syndrome, malignant spinal cord compression and malignant pericardial effusion. Neutropenic fever is a common chief complaint for patients on chemotherapy so we have to be good at this chief complaint.
Rank #10: The undifferentiated sick infant by Dr. Tim Horeczko
EM Basic is back with a re-broadcast from the awesome podcast Pediatric Emergency Playbook by Dr. Tim Horeczko. Tim is a double boarded in EM and Peds EM and works at Harbor-UCLA hospital. This was the first episode he published at the beginning of September and it is pure gold. Tim goes beyond the febrile neonate and talks about how to consider all possible causes for a sick infant- not just anchoring on sepsis the whole time! Tim presents a rational and systematic approach on how to deal with these young sick patients that get our anxiety and our adrenaline levels through the roof.
Rank #11: Dizziness
We're back with a podcast on...dizziness! While weak and dizzy is almost never the most exciting chart in the rack, we see it a lot in the ED. This is a chief complaint where we have to be on the lookout for the serious causes of dizziness among the avalanche of not-so-serious causes of dizziness. First- what does the patient mean by "I feel dizzy"? This seems like a silly question because just about everyone has felt "dizzy" before but if you get it wrong, you'll go down the completely wrong diagnostic path.
One small self-promotion- The new academic year is just about to start so if you like the podcast, please tell your colleagues, classmates, and especially the new medical students and interns.
Rank #12: Hyponatremia
Hyponatremia (low serum sodium) is one of the most common electrolyte disorders encountered in the ED. Most of the time this electrolyte disorder requires us to do less- not more. However, if the patient is critically ill from their hyponatremia then we need to know how to quickly intervene and even be a little creative if we don't have the medications that we want. We'll review how to do the right thing for these patients, track down the cause of hyponatremia, and make the right decisions so we don't cause any harm.
Rank #13: Shortness of breath
Shortness of breath is a chief complaint that we encounter each day in the ED. This chief complaint encompasses a huge differential and this is a long podcast. As always, I'll break this chief complaint down into the diagnoses that we can't miss and how to treat the underlying causes of shortness of breath for both kids and adults.
Rank #14: Non-Pregnant Vaginal Bleeding
Today's episode of EM Basic will review vaginal bleeding in patients who are not pregnant. This is a much different workup from pregnant patients with vaginal bleeding so we have to know how to effectively manage this chief complaint.
This episode was written and recorded by Dr. Adaira Landry, an EM senior resident at NYU/Bellevue and Joe Kennedy, a 4th year medical student at Mayo who matched into EM just after this episode was recorded. They'll review what vital signs to look out for, the important parts of this history and physical, what labs and imaging to order (if any), and the proper disposition of patients with this chief complaint.
Rank #15: Aortic Dissection (Audio only)
Today marks the 4th anniversary of the EM Basic podcast. To celebrate this occasion, we are going to do a screencast on aortic dissection. This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose. We'll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.
Rank #16: Female abdominal pain
A female with abdominal pain can turn into a very complicated patient, thus this chief complaint needs its very own podcast. We'll review the bread and butter basics go over some practical tips on how to avoid all the pitfalls with these patients.
Rank #17: Diabetic Ketoacidosis (DKA)
This is a topic episode on Diabetic Ketoacidosis (DKA). We'll discuss the diagnosis and treatment of this complex disease process and how to avoid pitfalls that can harm the patient. There will also be tons of clinical pearls including treatment of DKA's cousin Hyperglycemic Hyperosmolar State (HHS) and pediatric DKA considerations. Also, you can now follow EM Basic on Twitter- @embasic for news on the latest episodes and anything else interesting that I find related to emergency medicine. This episode is also the debut of a new microphone setup that gives a much higher audio quality for the podcast.
Rank #18: Heme Onc Part 2- Hematology Emergencies
This is part 2 of the Heme Onc Emergencies series. This episode will talk about common hematology emergencies that we see in the ED. Sickle cell disease will be its own episode but this episode will talk about the approach to anemia in the ED, as well as the approach to hemophilias, ITP and TTP. While you will see lots of anemic patients in the ED, the other diseases are rare but we have to be on the look out for them and know what to do.
Rank #19: Altered Mental Status
This podcast will discuss how to approach the patient with altered mental status. These patient present a special challenge because there are a ton of reasons why a patient may be altered. As always, we'll review the major points in the history and exam, the differential diagnosis, and a few points on management.
If you haven't done so already, please fill out the EM Basic survey and check out the results thus far on the website. Also in this episode is a reivew of a new emergency medicine iPhone App (palmEM) and an FYI concerning the last podcast on MI and ACS.
Rank #20: Headache
We see patients with headache all the time in the ED. Most patients with headache don't have a life threatening diagnosis but its our job to pick up that small percentage of patients that do. In this episode we'll go through how to take a good headache history, how to catch the red flags, the workup, and treatment of headache in the ED. There's also an extended bonus section that will review how to do an LP along with a few tricks of the trade.