Happy July everyone!   Welcome to the new interns. You’re gonna get quite familiar with all the nuances of the electronic medical record system but none quite as much as sepsis alerts. We dig deep into those questions you want to know about sepsis alerts like:   Q: Are they good or bad for your patient?  A: Yes.   Q: Are we overcalling the disease or finally getting it under control?  A: Sure   Q:Are they annoying or necessary?  A: Definitely!   As a primer, Dr. Brian Drummond, Dr. Chris Williams and I give you some background, evidence, explanation and heavy opinion on why we have these alerts and what they mean for your patients and your ED flow.   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

July AZEMCast - The Approach to Sepsis Alerts

Happy June everyone!   This month it's an all-start, all-pharmacy cast as we review the Ring Down of a 64 year old male coming in by EMS in cardiac arrest.   Code 3, No vitals given   The Panel Dr. Christopher Edwards Dr. Daniel Jarrell Dr. KAte Morizio   Who will win this month’s appropriately-dosed episode with the best evidence-based approach to the cardiac arrest?   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 AZEMCast -The Pharmaceutical Approach to Cardiac Arrest

Happy May and Happy Memorial Day everyone!   This month it's we’ve got a new crew and the Ring Down of a 64 year old male coming in by EMS in cardiac arrest.   Code 3, No vitals given   The Panel Dr. Allie Min Dr. Rachel Munn Dr. Chris Williams   Who will win this month’s epinephrine-soaked episode with the best evidence-based approach to the cardiac arrest?   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 AZEMCast - The Initial Approach to Cardiac Arrest

Happy April everyone!   This month it's we’re back with the attendings with the Ring Down of a 24 year old female coming in by EMS with shortness of breath (eerily familiar to last month’s)   T 37.0 HR 128   BP 96/68   RR 28 O2 sat 92% on room air   The Panel Dr. Vivenne Ng Dr. Jenny Plitt Dr. Brian Drummond   Who will win this month’s adrenaline filled episode with the best evidence-based approach to the anaphylaxis?   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 AZEMCast - The Approach to Anaphylaxis

Happy March everyone!   This month it's Resident vs Resident with the Ring Down of a 24 year old female coming in by EMS with shortness of breath. T 37.2 HR 119   BP 126/92 RR 30 O2 sat 91% on room air   The Panel Dr. Michael Russo Dr. Patrick Mullett Dr. Jonathon Campbell   Who will win this month’s beta-agonizing episode with the best evidence-based approach to the acute asthmatic?   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 AZEMCast - The Approach to the Acute Asthmatic

Happy February everyone!   This month we are taking break from the competitive format (and not because of hurt feelings or gloating). Brian, Chris and I have simple discussion of vascular limb injuries and the treatment of VIP patients in the great equalizer that is the emergency department. We’ll be back next month with more competition in a special resident vs resident episode!   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 AZEMCast - Limb Ischemia and VIP Patients

Happy January everyone!   This month, the Ring Down is a 59 year old male with difficulty breathing and hypoxia.   T 35.6 HR 116 BP 166/100 RR 40 O2 sat 45% on room air   The Panel Dr. Brian Drummond Dr. Matt Berkman Dr. Jenny Plitt   Who will win this month’s air hungry episode with the best evidence-based approach to Critical Aortic Stenosis?   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 AZEMCast - The Approach to Critical Aortic Stenosis

Happy December everyone!   This month, the Ring Down is an 8 month male brought in by mom for difficulty breathing and cough.   T 38.2 HR 178 BP 135/93 RR 20 O2 sat 90% on room air   The Panel Dr. Brian Drummond Dr. Vivienne Ng Dr. Jenny Mendelson   Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to bronchiolitis?   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 AZEMCast - The Approach to Bronchiolitis

Happy November everyone!   This month, the Ring Down is a 35 year old female coming in by EMS with back pain. T 37.6 HR 118   BP 170/90 RR 22 O2 sat 98% on room air   The Panel Dr. Brian Drummond Dr. Vivienne Ng Dr. Jenny Plitt   Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to renal colic?   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 2020 AZEMCast - The Approach to Renal Colic

Happy October everyone!   This month, the Ring Down is a 56 year old male coming in by EMS with chest pain and palpitations. T 37.0 HR 147  BP 168/98 RR 18 O2 sat 96% on room air   The Panel Dr. Brian “Candyman” Drummond Dr. Chris “Things that go bump in the nightshift” Williams  Dr. “Lord" David Horn    Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to atrial fibrillation with rapid ventricular response?   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 AZEMCast: The Approach to AFib with RVR

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/  

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

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