Happy September everyone!   This month the Ring Down is a 73-year-old female coming in by EMS with abdominal pain. She comes in vomiting. Temp 37.4, HR 62, BP 175/103 RR 20 O2 sat 94%   How do you approach elderly abdominal paint? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Elaine Situ-LaCasse square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Arizona EMCast

September AZEMCast: The Approach to Elderly Abdominal Pain

Happy August everyone!   This month the Ring Down is a 53-year-old male coming in by EMS after an ejected motor vehicle collision. He is unconscious and unresponsive. Temp 36.4, HR 85, BP 195/115 RR 10 O2 sat 95% on 2L nasal cannula.   How do you approach the unconscious trauma patient? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Amber Rice square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

August AZEMCast: The Approach to the Unconscious Trauma

Happy July everyone! This season we are trying something brand new for your listening pleasure. It’s a unique approach to your education that is case-based, evidence-based and most importantly … competitive!   The panelists you know and love will go head to head demonstrating the necessary skills you need to be a top notch emergency physician. Panelists will be awarded points for their quick wit, prioritization of tasks and mastery of evidence based medicine. However they will lose points for weak arguments, purely experience based medicine and use of unhelpful medical jargon like “high index of suspicion” or “gestalt.”   Each episode they will navigate a case just as they would on shift, discussing their approach to the ring down, the work up and the dispo. The panelist with the most points at the end of the episode will have center stage to discuss the art of EM near and dear to their hearts. Follow along with the score and the cited literature as chapter title cards appear on your screen.We hope you enjoy this new take on EM education and can carry it forward to your next shift.    Welcome to this month’s episode on the Approach to Young Chest Pain.   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

July 2020 -The Approach to Young Chest Pain

Happy June everyone!    First, a huge shout out to our graduating seniors who need as much praise and admiration as possible to show our appreciation. It’s a new world and you are all ready for it!    Also a big welcome to our new interns who have traveled from all over to now be a part of the COVID battle in AZ. July 1st is always nerve wracking but I’m certain this year it’s even more so. Know that your program has your back and you can reach out at any time. Hopefully the worst part will be the endless Zoom meetings.   And speaking of Zoom, this month we are talking about the management of headache in the ED. Migraine and headache are multifactorial complaints and there’s no one-size-fits-all treatment. This leads to some uncertainty but also to some creativity for us EM providers. Brian, two Chris’s and I will finish up our headache discussion with our tips to crafting the perfect migraine cocktail for your patient.   Stay safe!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

June 2020 - Headache Treatment

Happy May everyone!    At least I hope so. Things seems to be settling into the new normal and I hope you and yours are well.   ED volumes are coming and with it, the typical ED complaints are coming back. And nothing says the ED is returning back to normal like the headache patient. Once the patient gets to us, how do we approach them? With evidence-based medicine and experience of course! Fortunately, this month’s episode has exactly that this month with Brian, Chris and myself.   Stay safe!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

May 2020 - Headache Evaluation

Hey all you cats and kittens, happy April,   I hope you all are finding some rest and balance during this uncertain time. Please know that what you do is greatly appreciated by those around you.    This month continues with the awesome peer review by Drs. Clay Josephy and Mike McLaughlin. If you didn’t listen to last month’s episode, you need to so you can hear all the many ways they appropriately use sedation. Clay and Mike continue to put us in our place this month as they discuss their favorite sedative, including some stuff we glossed over.    Thank you guys for your expertise and for all you do,   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

April 2020 - Procedural Sedation Peer Review - Part 2

Well, it's March, everyone! Since there is nothing but COVID-19 coverage everywhere you look, we at AZEMCast are going to do the opposite. We are going to finish the marathon procedural sedation coverage we started last year with a TWO-PART Peer Review from Drs. Clay Josephy and Dr. Mike McLaughlin. We are not covering COVID-19 for several reasons. Partially to give you something different. Partially because we already have this recorded. But mostly because we know NOTHING about COVID-19 worth recording.  Keep your heads up! The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

March 2020 - Procedural Sedation Peer Review - Part 1

Happy February everyone! The emergency medicine in-training exam is next week and we want to make sure you get a great score by covering 2% of the test in 30 minutes. Yes, yes, you’re welcome.   Now oncology is not a huge part of the exam but cancer patients are a common occurrence in the ED. Our biggest plea is that you be aware of the specific emergencies that relate to cancer and look for them. You can always phone your friendly neighborhood oncologist for help, but recognition is the first step in management.   Best of luck on the test!   The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

February 2020 - ITE Prep - Oncologic Emergencies

Happy January and 2020 everyone!!!   It’s time. It’s finally time! Ketamine and Propofol baby! The Coke and Pepsi of sedative agents. People love one and hate the other. When I ask ask for Ketamine, the pharmacist asks me, “Is Propofol OK?”    But in reality, there are pros and cons to both ketamine is superior and so we’ll discuss the manifold uses of these awesome sedative agents in the ED. Get your screenshot fingers ready because this episode has more EBM than you can shake a sparkly white glove at. The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

January 2019 - Sedative Agent - Part 2

Happy December, Happy 2019 and Happy 2010s!!! I'm sure the first thing you'll do to start the new decade is to listen to our podcast, but I'd encourage you to rest, count your blessing and set some goals for your year. THEN listen. We’ve been slowly making our way through procedural sedation in the ED this year and we’re finally to everyone’s favorite part: the drugs! With so many options and so many combinations, finding the right agent for your patient is like crafting the perfect New Year’s Eve cocktail. Everyone has their own preference: Some mix, some chase, some like it straight up. But however you like your cocktail, you need to know your elements. And you need to know how to use them responsibly. So as we close out this decade (how weird is that to say?!?!) let’s foray into the fundamentals of sedative drugs.  Have fun tonight, please drink responsibly, don’t drink and drive and have a happy New Year! The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

December 2019 - Sedative Agents - Part 1

Happy November everyone! We hope your Thanksgiving was wonderful, that your time off was long and your shifts were short.   This month we celebrate Dr. Peter Rosen who passed away earlier this month. Dr. Rosen was a great friend to our little podcast. Many organizations and institutions around the country will be memorializing him over the next several months and we would like to contribute our thanks as well. Please enjoy some excerpts from previous interviews with Dr. Rosen on this month’s episode. I hope his wisdom and love for EM will continue to inspire others for years to come. Of all the quotable lines from Peter, my favorite and the one that best encompasses his passion for EM and the people he mentored is how he signed every email. “Love, Peter.”  The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

November 2019 - Celebrating Dr. Peter Rosen

Happy October everyone! You know the EM stereotype about adrenaline junkies who love taking risks and shooting from the hip? Apparently, that kind of behavior can get you in trouble. Who knew? And when it comes to procedural sedation, it can get your patient in trouble. Safety is a huge concern with ED procedural sedation because it's easy to put a patient to sleep. The hard part is making sure they wake up. Several years ago ACEP came out with a clinical policy on procedural sedation to ensure that we not only keep our privilege to do sedation but that we show we can do it right. So this month, we comb through that policy and tell you everything you need to be certain you are prepped and ready to sedate. The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

October 2019 - Safety and Procedural Sedation

Happy September everyone! As the days get shorter and pumpkin spice infiltrates every part of our lives, we decided to talk about the closest thing we get to do in the ED to be master bakers and chefs: procedural sedation. A cup of propofol, a dollop of ketamine and a pinch of fentanyl all added to a heavy base of pre-procedure safety checklists is the perfect receipt for a happy, sleepy patient who will never remember the awful things we discussed regarding abscesses over the summer. Sedations are fun if done well. Done poorly, they're like pumpkin-spiced Spam (real product, can't make this stuff up). So we're starting from the beginning with the why, the who and the how on procedural sedation in the ED. The AZEMCast Team  Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/   

September 2019 - Intro to Procedural Sedation

Happy August everyone! We left off last month’s saga of purulence with an epic cliff hangar. Why do we try so many methods to get the pus out when cold, hard steel works best? PAIN! These things hurt! It’s the pain inflicted that makes use go from watching Dr. Pimple Popper in our spare time to picking up as many abdominal pains as possible to avoid the abscess I&D. So this month we end our series on abscesses with a discussion of how to get the pain controlled. I don’t have the best answer to this, but fortunately, we have several smarted and more experienced people who can give you their best advice on how to get the pus out and still feel like a decent human being afterwards. Plus our peer review on the entire series by UA alumnus Dr. Grant Roper so you can see how much we are consistent with the community and how much we are blowing smoke. 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=2 https://azemcast.podbean.com/feed/ 

August 2019 - Cutaneous Abscesses - Part 2

Happy July everyone! First off, welcome to the new interns here and around the country. This podcast is intended to be a supplement to your education and by NO MEANS is it enough to train you how to be a good doctor. Instead we hope to teach you the ways of evidence-based emergency medicine in a way that is practical and applicable to your next shift. Fortunately interns, you missed missed a rousing discussion on pilonidal and bartholin gland abscesses! But have no fear for there is still plenty of pus to discuss. This month we tackle the ins and outs of cutaneous abscesses or as they’re better known in the ED, “spider bites.” Not sure what poor spiders did to be confused with these awful boils. At any rate, these things are painful and full of purulent badness and it’s our job to get it out. This month we’ll discuss the good, the bad and the ugly methods of getting the pus out leading to a cliffhanger ending of what works best! To be continued . . . The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/ 

July 2019 - Cutaneous Abscesses - Part 1

AZEMCast is a Peer-Reviewed, Evidence-Based Emergency Medicine podcast heavily seasoned with expert opinion for the up-and-coming EM provider. Posts ≠ medical advice http://uanow.org/participate

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Arizona EMCast

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