Arizona EMCast

 Happy December Everyone!   This month we decided to do a little cross promotion AND give ourselves a holiday break. So we decided to feature an episode of another podcast several of us are involved in called Paradigm Shifts for the National Foundation of Emergency Medicine. Dr. Peter Rosen and I interview up-and-coming academic emergency physicians to help highlight their research. Each episode focuses on three paradigm shifts that researchers hope you as providers will consider as their research starts to redirect their field of study. Very cool to hear the hope for the future of EM and you can listen to episodes at www.NFOEM.com/podcasts. Happy New Year from the AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy November everyone! If you're like me, you love Thanksgiving and you start drooling at the sight of turkey, stuffing, and pumpkin pie. However, if that drooling is associated with vomiting, miosis and altered mental status, then someone may have spiked your mashed potatoes. But have no fear because toxicologist extraordinaire, Dr. Frank Walter and his Advanced Hazmat Life Support wisdom is here to save the day from your cholinergic crisis. With tips, tricks and an abundance of compliments, Dr. Walter walks us through a real case of organophosphate toxicity complete with a literature review of the management. So have a second helping of atropine and enjoy this month's episode of AZEMCast. The AZEMCast Team   Peer Review by Dr. Brian Drummond   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy October Everyone!   With the dangers of pharyngitis covered last month, Brian and I have left the scariest sore throat of them all to now. It’s a disease that strikes without warning, leaves a wake of decimated organs behind it . . . but is pretty easily defeated by penicillin. The fearsome, the horrific . . . Strep Throat!    Ok, it’s not that exciting, but it is common. SUPER common. And everyone will ask you about it for the rest of your career. So are you gonna test? Are you gonna treat? Are you gonna take the time to talk to patients about what will actually make them feel better? That and more on this month’s episode of AZEMCast.   The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

 Happy September Everyone!   This month we are going back to simpler times and simpler complaints. Something I guarantee you  will be seen on every single shift for the rest of your life. The dreaded . . . SORE THROAT!!! And as boring as that topic may seem, it’s common and it’s fraught with pitfalls, perils and unsatisfied customers. For this month, to ease you into it, we start with the dangerous etiologies as we coast into the mundane in October.    All hot potato voices and stridor are impersonated . . . badly, The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy August Everyone!   We are taking a break (man, we take a lot of breaks!) from the pure medicine we love to scrutinize and turn this month to process that keeps us ticking as board certified EM docs. Several years ago, shortly after graduating from residency and passing my boards, I spoke with Dr. Sam Keim about how to keep up this newly acquired certification because I had NO IDEA what I was doing. This month we asked him to come back talk about updates that will directly affect you (no, not you, just the docs this time, sorry to scare you) and hopefully make it easier and more worth your while.   So put down your #2 pencil and let’s talks Maintenance of Certification, The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy July Everyone! Welcome new 'terns and new listeners to our podcast. Immediate apologies for what you're about to read and listen to. This month we're on the hunt for the illusive and deadly subarachnoid hemorrhage. It's fearsome headache is enough to fell a full grown man in a matter of seconds! Many diseases try to mimic the beast but few can match the sheer killing force of this suprisingly tiny aneurysmal bleed. We'll do our best to catch one but these little guys are crafty. Armed with only a set of decision rules and a CT scanner, I plan to sneak up on it and poke it with this here spinal needle!  Crikey! The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy June everyone!   It’s vacation time so as good academic doctors, we’re letting the residents do all the work. This month’s episode is an ode to our senior class, and oh what a crazy trip it has been. We have the reins over to Dr. Carl Youngs and his amazing grand rounds on his anthropologic trip to Burning Man and the up-and-coming drugs of abuse. A something old, something new, something something, something methylated and something that’ll make you see the color blue. Thanks to the bearded-wonder and his . . . first hand experience (?) with this emerging topic.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast

Happy May everyone! We are back this month with the culmination of our podcast on cervical spine injury. Joined by the Allie Min, Chris Williams and a killer 80s soundtrack, we contrast and compare the criteria you know and love from the US, Canada and the middle of nowhere. From kids to adults and from border to border, we have everything you need to clinically clear those fender benders and send them on their merry way.  Don't move a muscle (especially your neck) until you've heard this month's episode. The AZEMCast team Peer Review by Dr. Grant Roper   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy April everyone! This month we are getting back to the nitty gritty science of emergency medicine. Something everyone loves to talk about, worry about and argue about: the cervical spine. That’s right, a topic so important that it’s not even part of the ABC’s of trauma management because it is assumed you already took care of it! We will cover everything from assessment to management, imaging to NOT imaging, cervical collars to towel rolls and most everything in between. We have SOO much stuff to cover that we had to break the podcast in two . . . sorry, FRACTURE the podcast in two with our peer review by another great UofA community alumnus.  So give yourself a hug and squeeze your butt cheeks as we log roll you into this month’s episode of AZEMCast on cervical spine injury.     The AZEMCast team Peer Review coming next month   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy March Everyone! Have you found your mojo in the ED yet? Things seems to be clicking along, you can anticipate your labs, get your patients dispo-ed and still have time to go to the bathroom! Enjoy the luxury of the spring while you can because the times they are a-changing. Come July, the well-oiled machine you have developed will have a monkey wrench thrown into it as everyones moves on to the next phase of training and life. So as you progress to junior, senior or attending (or the incredible nurses and medics that have to deal with our crazy transitions), we want you to be the best you can for your patients and your sanity.  This month we take a break from the science of medicine and get practical in our discussion of managing ED flow. Take the tips you can and beware of flying turkeys!   The AZEMCast team Peer Review by Dr. Amol Desai   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast

Happy February everyone! Flu season is in full effect . . . and has been for quite a while. Long enough for us to put together a lengthy discussion on the diagnosis and management of your favorite wintertime ailment. But this is more than just a review of the literature. Brian Drummond takes deep dive into the Mariana Trench of oseltamivir and where the recommendations for this drug have come from.   Summer come quickly . . .    The AZEMCast team Peer Review by Dr. Kathy Hiller

  Happy 2018 everyone! Some of you are very disappointed NOT to see an episode on influenza but don't worry it's coming. Before we do that we need to pack our residents' brains with as much information as possible before their exam next month. So we have th next best thing: Brian and I talking about kidneys and genitalia! In preparation for the EM resident in-training exam, we give you a survey of all things renal, genital and urinaty that you may encounter in the ED, but even more concerning, on your test! Happy studying! The AZEMCast Team

Happy December Everyone (Even though it'll be 2018 by the time anyone listens to this)!   I recently had a great discussion with on international emergency care with Dr. Joseph Kalanzi and Dr. Brad Dreifuss on Dr. Kalanzi's personal experiences in creating an Emergency System in Uganda. Fortunately, the microphone in my office is always on (spooky, I know). It was a very interesting discussion on the evolution of emergency care in developing countries and our role as Western healthcare providers when we volunteer our time. So using Uganda as an example we hope to convey how individual countries will define their own needs and how we as US emergency providers can support them in that endeavor.  Happy New Year, The AZEMCast Peer Review by Dr. Chris Williams   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/

Happy November Everyone!   Now that the tryptophan has worn off from Thanksgiving, it’s time to have some PECARN pie (not a typo, just a bad pun) and discuss Pediatric Head Trauma. Head bonks are to children what  . . . youth is to children. It happens all day, every day and it’s your job to distinguish between the worried well and the walking time bombs. The good news is most all medical providers know about the landmark PECARN head injury decision rule to help you risk stratify these patients. The bad news is that our patients’ parents are usually not medical providers and have centuries of folklore and medical mythology telling them their child will die without a CT scan.    So how do you use PECARN correctly? What do you do with the intermediate risk patients? And how do you reassure the parents that what you are saying is true?   Excellent questions that we intend to answer on this month’s episode of AZEMCast!    The AZEMCast Team   Peer Review by Dr. Ilene Claudius

Happy October everyone! Health care policy strikes back for part 2 of our discussion . . . now with actual experience and knowledge of the subject matter!!! We knew we had stepped out of our comfort zone a bit last month but felt it was important to cover this topic, in spite of our limited experience or knowledge. We are very fortunate to have Dr. Seth Trueger from University of Chicago and Dr. Arthur Smolensky from the University of Tennessee who have both of those. And they don’t mind disagreeing with us or outright correcting us on points that truly matter. The peer review is an important part of what we do, which is why we dedicated this entire episode to polishing out the rough edges from the episode.    Thanks Arthur and Seth! The AZEMCast Team Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast