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.  

EM Basic

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

Join Zac Hodges and Dan McCollum as they have a conversation about neonatal fevers with Dr. Kathryn McLeod, an experienced pediatrician at the Children's Hospital of Georgia.  We discuss the general approach to taking the history and physical exam of a patient with a fever under the age of 90 days.  Where did prior guidelines on the initial workup come from?  How did immunizations change the risk of serious bacterial infection?  What are some recent new approaches to the febrile neonate?  Join us as we discuss this and more!

89 Neonatal fever

Join physicians Eric Ring, Zac Hodges, and Dan McCollum as they discuss how to properly care for the pediatric patient with sickle cell disease.  Dr. Eric Ring is a pediatric specialist in Hematology and Oncology at the Children's Hospital of Georgia in Augusta, GA.  What are the critical elements of a history of present illness?  What red flags should you look for on physical exam?  What are the dreaded complications of sickle cell disease that you should be wary of?  Join us for these questions and more!

88 Pediatric Sickle Cell

Join Zac Hodges, Chris Watson, and Dan McCollum as they discuss the management of pediatric diabetic ketoacidosis, or DKA.  What are key findings on the history and physical exam that point to DKA?  What is the initial management of these patients?  How is the management similar and different than the management of DKA in adults?  Join us for the answer to this and more.

87 Pediatric DKA

Today's episode of the podcast is a myth busting on all the media reports about first responders overdosing by being exposed to fentanyl in the field by incidental contact. This is physically impossible and the misinformation out there has scared a lot of people, cost us lots of money in the form of hazmat responses and shutting down hospitals, and prevented overdose patients from getting the timely care they need in an emergency. This episode will systematically go through every argument why fentanyl is NOT harmful via incidental exposure and debunk these myths to give first responders one less thing to worry about while they do their frequently dangerous yet vital work.

PSA: Incidental Exposure to Fentanyl is NOT a thing!

 EM Basic is finally back with a new episode. Today's episode will discuss neonatal resuscitation with Dr. Azif Safarulla, a neonatologist at Augusta University. Dr. Dan McCollum and Dr. Jessica Gancar interview Dr. Safarulla on the nuts and bolts of running a successful neonatal resuscitation in the ED. These can be one of the scariest populations we have in the ED so it's important to have a rational and logical approach to quickly assess and intervene on our smallest and youngest patient population. 

Neonatal Resuscitation with Drs. Azif Safarulla, Dan McCollum, and Jessica Gancar

Just a few days after the new EM interns start, today's episode will talk about my advice to new EM interns.  Think of this as the "big picture advice" or a 30,000 foot view of how to approach EM residency.  I'll talk about 4 major big picture points to keep in mind as you start your residency.  This will go way beyond arrive early, stay late, and always keep learning and expand on some big picture ideas of how to function well as a new intern.

Big Picture Advice to New EM Interns

Today’s episode is on the evaluation and management of sickle cell anemia in the Emergency Department. Dr Jared Walker, a third year EM resident at the University of Florida Jacksonville, has written and recorded this excellent review of sickle cell disease. This episode will discuss how to properly assess patients with sickle cell, how to order the right labs and imaging, what red flags to look out for, how to control sickle cell pain, how to catch the various complications of sickle cell, and proper patient disposition.

Sickle Cell Anemia by Dr. Jared Walker

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

hubhopper

EM Basic

hubhopper