Join Dr. Alex Koo, active duty Army emergency physician, as he discusses dental emergencies, a common emergency department complaint, but an uncommon educational topic.  We'll discuss an approach to collecting a focused history, physical, as well as formulating a thorough differential and treatments for common ED dental emergencies.  Some questions that we'll answer are:  What are the red flags we should be aware about for dental complaints?   What is the basic anatomy and nomenclature for numbering teeth?   What differential should be considered for traumatic and atraumatic dental complaints?  How should we treat dental pain?  How do I splint a tooth in the emergency department?  We answer these questions and more in this episode!

EM Basic

104 Dental Emergencies

Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline?  How common is hyponatremia in hospitalized patients and why does it matter to your practice?  What is SIADH and how does it contribute to hyponatremia in acutely ill children?  How can we prevent hyponatremia in our hospitalized patients?  What are the differences between hypotonic and isotonic fluids?  What are balanced solutions and why might they be preferred as compared to saline in some clinical settings?  All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu  Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below. Feld LG,Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083  Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584  CuzzoB, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/  Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72  Peti-Peterdi J, Harris RC. Maculadensa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759  Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820  

103 Pediatric IV Fluids

Join EM physicians Mike Samuels and Dan McCollum as they discuss different blood products that can be transfused.  Why don't we commonly use whole blood? Who needs to receive packed red blood cells? Are there any dangers to giving platelets? When is fresh frozen plasma needed?  Episode 100 discussed potential complications, while this episode will discuss why you should be using these products.  Enjoy!

102 Transfusions of Blood Products

Kawasaki: Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine. What exactly is Kawasaki disease and why is this topic so important? How do you make the diagnosis and what other diagnoses should you consider? How can you diagnosis incomplete Kawasaki when the classic features are not all present? What is the first-line treatment? When should you get an echocardiogram? When should you get your referral center involved? All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Reda Bassali, Dr. Leizl Domingo and Dr. Julisa Patel for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu  Further Reading? Check out the clinical practice guideline from the American Heart Association with citation below. McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association [published correction appears in Circulation. 2019 Jul 30;140(5):e181-e184]. Circulation. 2017;135(17):e927-e999. doi:10.1161/CIR.0000000000000484   

101 Kawasaki Disease

Transfusion reactions are a dreaded complication in the ED.  Join emergency physicians Michael Samuels and Dan McCollum as they discuss the following and more! How do you recognize different types of transfusion reactions? How are different reactions managed? What infections can be seen with blood transfusion? Why is TRALI such a feared complication? 

100 Transfusion Reactions

Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine. What exactly is bronchiolitis and why is this topic so important? How do you make the diagnosis and what other diagnoses should you consider? What treatments work, and more importantly, which treatments do not? What patients can go home and who needs to be admitted? All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Kathryn McLeod for providing peer review for this episode. Citation: Hodges, Z. (Host). Bassali, R. (Host).  Mendel, G. (Host). McLeod, K. (Contributor). (2020, Nov 15). Bronchiolitis. (S1:18) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu  Links:  NoseFrida-- https://www.nosefrida.com 

99 Bronchiolitis

Join Dan McCollum and Michael Stephens as they discuss the new vaccines against COVID-19.   Are they studied well enough? How effective are they? What side effects occur, and are they serious? What do we NOT know about these vaccines? The approved vaccines are safe, effective, and highly recommended.  Listen to this to find out more about the data behind them. A special thanks goes to Michael Stephens for his invaluable help with recording and editing.

98 COVID 19 Vaccine

Join ED clinical pharmacist Jimmy Pruitt and Dan McCollum as we discuss the reasons that the traditional "B52" cocktail of haloperidol, lorazepam, and diphenhydramine is badly in need of updating. Why this cocktail is slower than you think. Newer medications that are more effective. Smarter approaches to agitated patients. When ketamine should be used. This podcast is being cross published with the "Pharm So Hard" podcast, an excellent podcast discussing many excellent clinical pharmacology topics.  

97 The B52 is Trash

Join Dan McCollum and EM clinical pharmacist RJ LaCoursiere as they discuss the use of buprenorphine for the treatment of Opioid Use Disorder. Who should be considered for treatment with Medication-Assisted Treatment (MAT)? Why should it be avoided if the patient isn't in acute withdrawal? What is a DEA X waiver and why should you look into getting waivered? How can we reduce stigma for these patients? Free training can be found at https://nhsc.hrsa.gov/loan-repayment/receive-medication-assisted-treatment-training .  This podcast will be cross published with the Pharm So Hard podcast, so check them out for additional pharmacology pearls. A special thanks to student doctor Michael Stephens for editing this podcast.

96 Treatment of Opioid Withdrawal with Buprenorphine

Respiratory Failure August 10, 2020 Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure. What is the structure of the initial evaluation of a critically-ill child?  What is exactly is respiratory failure?  What is the role of non-invasive respiratory support in pediatric patients?  What are the indications for emergency intubation?  What are the general concepts that learners need to understand about invasive mechanical ventilation?  All of this and more from the Department of Pediatrics from the Medical College of Georgia. Thanks to Dr. Smitha Mathew and Dr. Kathryn McLeod who also contributed to this discussion. Please subscribe, rate and review. Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Want further reading on this topic? Check out this Pediatrics in Review article on respiratory failure https://pedsinreview.aappublications.org/content/35/11/476  

95 Pediatric Respiratory Failure

Join doctors Smitha Mathew, Kaitlin Verdone, Zac Hodges, and Dan McCollum as they navigate the difficult waters of pediatric sepsis.  What exactly is sepsis?  Are there any differences in the treatment of pediatric sepsis compared to adult sepsis?  What should I do if I see a septic child at a small community Emergency Department?  We discuss this and more in this episode!

94 Pediatric Sepsis

Dr. Tony Zitek drops some knowledge on you about the deceptively complex topic of sore throats.  What diagnoses are important other than strep and viral pharyngitis?  Why should assess neck mobility during your physical examination?  How should you treat common causes of sore throat?  Join us for this and more on this episode! 

93 Sore throat

Join Christopher Watson, Zac Hodges, and Dan McCollum as they discuss the management of pediatric traumatic brain injury.  What should you look for on exam? When is intubation appropriate? How can you treat increased intracranial pressure? Where should you send your patient if you are at a community emergency department? We go beyond the basics here, discussing a very challenging topic.  

92 Pediatric Traumatic Brain Injury (TBI)

Join emergency physician Tony Zitek as he guides you through the diagnosis and management of urinary tract infections.  Which elements of the history and physical exam are key?  What are the pearls and pitfalls in the diagnosis of UTI?  When is a culture needed?  How do I obtain a disposition?  Join us for this and more as Dr. Zitek guides us through the surprisingly tricky management of this common disease.

91 Urinary Tract Infections

Join Dan McCollum as he discusses COVID-19, the disease caused by the novel coronavirus. What are the symptoms of this disease? How is it spread? What personal protective equipment is needed? What are key elements of the history and physical exam? Are there any treatments that help? This is a rapidly evolving topic, so please use multiple sources, stay informed, and follow your local hospital's guidance as this disease develops.

90 COVID-19 and the novel coronavirus

EM Basic- your boot camp guide to emergency medicine. Made for medical students and emergency medicine interns to review common chief complaints in emergency medicine from the ground up