Episode Chapters
- Introduction – A Hot Red Arm13:31Blood Pressure Control in Acute Stroke11:10Paper Chase 1 - Pacemakers and MRI5:28Hand, Foot, and Mouth Disease8:45Difficult Conversations with Physicians11:53Wound Repair Pt 6 – Gnarly Wounds12:15Paper Chase 2 - Epi, Anaphylaxis, and the Elderly4:06Critical Care Mailbag: Vitamin C for Sepsis?6:41Pharmacology Rounds – What Works for Acute Migraine6:43Paper Chase 3 - Lysis of Intermediate Risk PE4:34Against Medical Advice26:28Annals of Emergency Medicine - Intranasal Medications8:55Strayerisms - Why Do We Intubate?Free Chapter10:21Intra-articular Lidocaine6:07Cardiology Corner - Epi In Cardiac Arrest, Again10:34Paper Chase 4 - Keeping Opioids Safe at Home3:56Down Syndrome Emergencies19:23Pharmacology Rounds – Gonorrhea Gets Some Muscle5:08EM:RAP On Location – A Case of Unusual Discharge2:40Paper Chase 5 - Do All Chest Pain Patients Need Monitoring?4:20Subarachnoid, Syncope, and Cardiac Arrest16:56The Challenging Foley24:53Mailbag and Summary20:36EM:RAP 2017 August Aussie Edition16:18EM:RAP 2017 August German Edition1h, 09mEM:RAP 2017 August French Edition41:16EM:RAP 2017 August Spanish Edition2h, 33m
Nurses Edition Commentary
Lisa Chavez, RN and Kathy Garvin, RN
No me gusta!
The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.
EM:RAP 2017 August Summary 718 KB - PDF
Gonorrhea is no longer the ‘easy treatment’ pushover it used to be.
Challenging Foleys, Conversations, and Intubations Full episode audio for MD edition 245:15 min - 342 MB - M4AEM:RAP 2017 August Aussie Edition Australian 16:18 min - 22 MB - MP3EM:RAP 2017 August German Edition Deutsche 69:31 min - 96 MB - MP3EM:RAP 2017 August French Edition Français 41:16 min - 57 MB - MP3EM:RAP 2017 August Spanish Edition Español 153:43 min - 211 MB - MP3EM:RAP 2017 August Board Review Answers 234 KB - PDFEM:RAP 2017 August Board Review Questions 180 KB - PDFEM:RAP 2017 August MP3 315 MB - ZIPEM:RAP 2017 August Spanish Summary 1 MB - PDFEM:RAP 2017 August Summary 718 KB - PDF
Michael R. - August 25, 2017 11:49 AM
250mg ceftriaxone IM and 1gm azithromycin PO covers syphilis? Are you sure that is a reasonable approach . . .? My understanding is that you need either a longer duration of ceftriaxone (10-14 days) or the higher dose of azithro (2gm PO) that most patients cannot tolerate.
Bryan H. - August 26, 2017 5:06 AM
Hi Michael, thanks for your question. Our discussion focused largely on gonorrhea, for which ceftriaxone 250 mg IM + azithromycin 1 gm PO is the CDC-recommended regimen in adults. The standard treatment for syphilis is Benzathine penicillin G 2.4 million units IM in a single dose. https://www.cdc.gov/std/tg2015/default.htm
Michael R. - August 29, 2017 11:01 AM
I agree - my point was that the segment summary said that the ceftriaxone 250 mg IM + azithromycin 1 gm PO also covers syphilis, which is not accurate (according to the CDC recommendations you cite above). Given the national shortage of benzathine penicillin G, we may need to resort to other regimens at some point in the near future, but I suppose that is a topic for another segment.
Anand S., M.D. - August 30, 2017 5:48 AM
Michael - thanks for raising this. In Bryan's defense, it was my comments at the end of the segment as Bryan didn't even address Syphilis. I was taught that ceftriaxone covers syphilis but, it seems that this is a debatable area. Bryan and I will be doing a deep dive into the topic soon!