The Downeast EM Podcast
The PREVENT Trial: when to use BVM in your intubations

The PREVENT Trial: when to use BVM in your intubations

June 17, 2019

When you're intubating a patient, twiddling your thumbs waiting for your induction and paralytic to work, do you ever ask yourself "hmm, should I be bagging this patient?"

In this podcast we talk about that very question and the new data from the PREVENT trial.

 

Full article [pubmed]

 

Peer Reviewer: Jeff Holmes MD

The Pressure is ON!! Hypertensive Emergencies in the ED

The Pressure is ON!! Hypertensive Emergencies in the ED

June 10, 2019

Hypertensive Emergency is an umbrella term for a wide range of disease processes seen in the ED. They all represent as sick-as-stink patients with critical care up to your eyeballs. In this podcast we review the involved organs in hypertensive emergencies, their presentation, and our targeted treatments.

 

At the end of this podcast learners will be able to:

  1. Articulate an understanding of at-risk organ systems in severe hypertension
  2. Differentiate the presentations of hypertensive emergency by involved organ
  3. Appraise different pharmacotherapies for the treatment hypertensive emergency and their ideal clinical setting

References:

The JNC7 [pubmed]

The JNC8 [pubmed]

The ACC/AHA Clinical Practice Guidelines [pubmed]

The ESC/ESH Clinical Practice Guidelines [pubmed]

for full list of references for this talk, please use the comments section or reach out to us on Twitter @Downeastem

 

Peer Reviewer: Jeff Holmes MD

Acute Otitis Media- do you really know what you’re doing?

Acute Otitis Media- do you really know what you’re doing?

May 11, 2019

In this podcast we sit down with Dr. Daria Thompson, a pediatric hospitalist at Tufts Medical Center and an old friend of mine to talk ear infections- a common disease commonly diagnosed... and possibly commonly done wrong.

We'll talk definitions of disease, common alternative diagnoses, and treatment plans by age. I assure you- you'll learn something new.

To see our blog post on the topic, click here.

 

References from our conversation-

American Academy of Pediatrics Clinical Practice Guidelines:

https://pediatrics.aappublications.org/content/pediatrics/113/5/1451.full.pdf

 

Children's Hospital of Philadelphia (CHOP) AOM diagnosis and therapeutic algorithm:

https://www.chop.edu/clinical-pathway/otitis-media-acute-clinical-pathway

 

American Family Physician: Otitis Media- Diagnosis and Treatment

https://www.aafp.org/afp/2013/1001/p435.html

 

American Family Physician- Should Children with Acute Otitis Media Routinely Be Treated with Antibiotics? No: Most Children Older Than Two Years Do Not Require Antibiotics

https://www.aafp.org/afp/2013/1001/od2.html#afp20131001p1c-b2

 

Peer Reviewer: Jeff Holmes MD

The Subclavian Line: the resuscitation line of champions

The Subclavian Line: the resuscitation line of champions

April 21, 2019

Which central venous catheter (CVC) is best for our patients? Is it the internal jugular (IJ), subclavian, or femoral? We all have our go-to, which I would argue for most, is the ultrasound (US) guided IJ. But is that what is best? Is it recommended by our medical societies? To answer this question we dive into the literature . . . I think you’ll be surprised by what we find. (Hint: it’s the Subclavian!!)

 

See the blog post here

 

Peer Reviewer: Jeff Holmes MD

Watch Now:
Analgesic Use in the ED - What Works, What Doesn’t

Analgesic Use in the ED - What Works, What Doesn’t

February 4, 2019

Prompt, safe, and effective pain management is a core competency of the emergency provider. Unfortunately, traditional strategies for administering analgesics in the emergency department have been shown to have poor success rates. In this podcast episode, Dr. Matthew Delaney shares a few evidence based pain pearls you can use on your next shift.

Access the show notes via the URL below

https://www.downeastem.org/downeastem/2019/1/22/analgesics-in-the-ed-what-works-and-what-doesnt

 

Peer Reviewer: Jason Hine MD

 

Epinephrine in Out of Hospital Cardiac Arrest- The PARAMEDIC-2 Trial

Epinephrine in Out of Hospital Cardiac Arrest- The PARAMEDIC-2 Trial

January 14, 2019

Check out our post on the Down East EM blog for shownotes, references, and more.

The Adrenal Trial: are steroids in septic shock dead?

The Adrenal Trial: are steroids in septic shock dead?

November 15, 2018

To see our shownotes and breakdown in more detail, please visit our blog post.

 

Peer Reviewer: Jeff Holmes MD

Coding in the Community with Salim Rezaie

Coding in the Community with Salim Rezaie

November 2, 2018

Check out our post on the Down East EM blog for shownotes and more.

 

Peer Reviewer: Jeff Holmes MD

Subdissociative Dose Ketamine in the Emergency Department with Sergey Motov

Subdissociative Dose Ketamine in the Emergency Department with Sergey Motov

November 2, 2018

Check out our post on the Down East EM blog for shownotes and more.

Welcome to the Down East EM podcast!

Welcome to the Down East EM podcast!

November 2, 2018

This is our introductory podcast to tell you a bit about who we are and what we do.

 

We are committed to providing high quality education to improve the care of the emergency patient in Maine, northern New England, and beyond.

 

The goal of this podcast is to bring you engaging, entertaining, and informative posts on the varying topics in Emergency Medicine. Content will range from bread and butter to cutting edge and will have something for everyone- from the resident trainee to the seasoned veteran.

 

To learn more about our contributors, visit our Down East EM Blog

 

Peer Reviewer: Jeff Holmes MD