Paperchase 2- Downstream Effects of ED Opioid PrescriptionsFrom June 2017, Don’t Fear The Stink!
Patients exposed to a high-intensity opioid prescriber in the ED were 30% more likely to engage in long-term opioid use compared to similar patients who were treated by lower intensity opioid prescribers.7min 13Sanjay Arora, MD, Mike Menchine, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Patient ExperienceFrom June 2017, Don’t Fear The Stink!
Every touchpoint through the ED affects a patient's experience.17min 9Justin Bright , MD, Rob Orman, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Strayerisms - Agitation MitigationFrom June 2017, Don’t Fear The Stink!
Reuben Strayer’s stepwise pharmacologic approach to managing the agitated patient. Agitated but cooperative - oral benzo or orally dissolving antipsychotic. Agitated but not dangerous - intramuscular haloperidol plus midazolam. Agitated delirium -IM ketamine.17min 29Reuben Strayer, MD, Lisa Chavez, RN, and Kathy Garvin, RN
The Problem With Thin SlicingFrom May 2017, Red, Hot, and Shot
Your prefrontal cortex is valuable real estate. Set it up for success in evaluating patients: focused review of systems, compare the information you have versus the rare but serious diagnosis, be aware that fatigue and ‘multitasking’ can impair the quality of thin sliced decisions.11min 32Mark Jaben, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Real TalkFrom May 2017, Red, Hot, and Shot
A novel approach to humanizing residency.11min 58Alicia Kurtz, MD, Brian Blake, MD, Bryan Kaye, MD, Nelson Diamond, MD, Jessica Mason, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Anxiety and Chest PainFrom May 2017, Red, Hot, and Shot
Many of our chest pain patients have anxiety. It may or may not be the principal cause of the pain, but it’s there. Jeff Kline and Paul Musey present the argument that it’s something we should address with patients in the ED.18min 9Paul Musey, MD, Rob Orman, MD, Jeff Kline, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Rural Medicine – GSWFrom April 2017, Little Tubes, Little Labs
A GSW to the chest is 5 minutes out. You have 6 units of blood. Total. In the entire hospital. The closest trauma center is 9 hours away, on a good day. There is no surgeon to back you up. You are it.22min 41Mel Herbert, MD MBBS FAAEM, Vanessa Cardy, MD, Jessica Mason, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Pharmacology Rounds – NSAID AllergiesFrom March 2017, Crashing Slowly
Are all those NSAID allergies you see on patients’ charts really allergies or could they be side effects?5min 39Rob Orman, MD, Bryan Hayes, PharmD, DABAT, Lisa Chavez, RN, and Kathy Garvin, RN
Decision FatigueFrom March 2017, Crashing Slowly
We all get tired as a shift progresses and the ability to make complex decisions degrades. Is there a way to reverse this or at least improve your decision making ability as the day wears on?20min 26Rob Orman, MD, Evelyn Kim, MD, Mike Simpson, MD, Justin Morgenstern, MD, Casey Parker, MD, Mizuho Spangler, DO, Andrew Sloas, DO RDMS FAAEM, Mike Weinstock, MD, Chris Hicks, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Paper Chase 3 - Cardiac Arrest Text AlertsFrom March 2017, Crashing Slowly
A Dutch province trained a group of volunteers in BLS and AED use. They then receive text alerts if someone had a suspected arrest <1km from them. There were significant increases in hospital discharge and other outcomes of interest when a text message volunteer responded.6min 32Sanjay Arora, MD, Mike Menchine, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Paper Chase 2 - Downstream Effects of Coronary CTAFrom March 2017, Crashing Slowly
Increased use of coronary CT angiography was associated with an increase in additional testing and procedures without a reduction in the rate of AMI within 30 days.3min 33Sanjay Arora, MD, Mike Menchine, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Strayerisms - Something for PainFrom March 2017, Crashing Slowly
Reuben strayer gives his ‘risk stratification’ approach to ED opioid prescribing.26min 54Reuben Strayer, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Introduction: How to Accept GratitudeFrom February 2017, Bad Bleeds in the Brain and Pelvis
We’re used to verbal abuse in our line of work, but when it comes to accepting gratitude, we often come up short.18min 54Rob Orman, MD, Anand Swaminathan, MD FAAEM, Dike Drummond, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Dyspnea in the Palliative Care PatientFrom January 2017, Broken Ankles, Ribs, and Pumps
There can be a reflex to ‘do nothing’ for palliative patients at the end of life, but making them comfortable in the dying hours takes intent. We don’t resuscitate these patients in the same way as say, a healthy 20 year old, but they deserve acute management. It's just different in technique and …20min 1Justin Morgenstern, MD, Lisa Chavez, RN, and Kathy Garvin, RN
Mass Casualty Incidents - A Practical Approach from a Military PerspectiveFrom December 2016, Pneumonia in the Hotseat
Mizuho Spangler and Matt Nichols discuss cognitive and physical tools used by the military to assist us with management of a large MCI due to penetrating injuries.32min 45Mizuho Spangler, DO, Matthew Nichols, DO, Kathy Garvin, RN, and Lisa Chavez, RN
Opiate WithdrawalFrom October 2016, Say Hello to BRUE
Opiate withdrawal might not be life threatening, but patients often feel like they are going to die. Addiction medicine specialist Ken Starr discusses management strategies for mitigating withdrawal and treating acute withdrawal symptoms.14min 58Rob Orman, MD, Ken Starr, MD, Mizuho Spangler, DO, Kathy Garvin, RN, and Lisa Chavez, RN
Paper Chase 3 – Midazolam for NG Tube PlacementFrom September 2016, The Return
How do you make one of the most painful procedure in the ED less painful?6min 42Sanjay Arora, MD, Mike Menchine, MD, Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
Can You Pick Your Friends NoseFrom August 2016, Can You Pick Your Friend's Nose?
NG tube placement is one of the more uncomfortable procedures performed in the ED. Isn’t it worthy of a little anxiolysis to smooth the way?5min 48Patrick Bafuma, PA, Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
Understanding the Frequent FlyerFrom August 2016, Can You Pick Your Friend's Nose?
We often think of the ‘frequent flyer’ in the ED as someone who has nothing wrong who is seeking attention or some other secondary gain. But the statistics tell another story.13min 26Maria Raven, MD, Paul Jhun, MD FAAEM, Christopher Peabody, MD, Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
Caden’s Story – Intussusception P1From August 2016, Can You Pick Your Friend's Nose?
Intussusception is one of the most common abdominal emergencies in early childhood which involves the telescoping of a part of the intestine into itself. Most cases of intussusception are considered to be idiopathic. Less commonly, intussusception may be due to an underlying disease causing a …19min 23Ann Dietrich, MD, Mizuho Spangler, DO, and Ilene Claudius, MD
‹ PreviousNext ›