Episode Chapters
- Introduction9:01Monthly Updates with Mel – July 20185:37Pharmacology Rounds - Fluoroquinolones are the Devil’s Drug6:59Critical Care Mailbag – DKA18:00Peritonsillar Abscess8:03Pharmacology Rounds – NOAC Overdose8:22Medicolegal 101: Acute Appendicitis10:06Team Based CPR10:40Annals of Emergency Medicine - Opioid Overdose and Reversal in Fentanyl Era13:04APAP vs Combo (APAP + NSAID) in MSK Pain6:56LIN Session - Pediatric Code GreyFree Chapter31:28Physician Grief20:28The History of the Opioid Epidemic24:19GCS-3K12:22SVT Adenosine vs Calcium Channel Blocker12:59July 2018 Mailbag12:11July Summary18:48EM:RAP 2018 July German Edition2 hoursEM:RAP 2018 July Spanish Edition1h, 30mEM:RAP 2018 July Australian Edition35:17EM:RAP 2018 July Canadian Edition24:10EM:RAP 2018 July French Edition27:05
Nurses Edition Commentary
Kathy Garvin, RN and Lisa Chavez, 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.
EMRAP 2018 07 July Vol.18 V2 Written Summary 390 KB - PDF
EM:RAP 2018 July Full episode audio for MD edition 229:23 min - 319 MB - M4AEM:RAP 2018 July German Edition Deutsche 120:44 min - 166 MB - MP3EM:RAP 2018 July Spanish Edition Español 90:31 min - 124 MB - MP3EM:RAP 2018 July Australian Edition Australian 35:17 min - 48 MB - MP3EM:RAP 2018 July Canadian Edition Canadian 24:10 min - 33 MB - MP3EM:RAP 2018 July French Edition Français 27:05 min - 37 MB - MP3EM:RAP 2018 07 July Individual MP3 Files 293 MB - ZIPEMRAP 2018 07 July Individual Summaries 742 KB - ZIPEMRAP 2018 07 July Spanish Summary 1 MB - PDFEMRAP Board Review Answers 2018 07 July Vol.18 07 116 KB - PDFEMRAP 2018 07 July Vol.18 V2 Written Summary 390 KB - PDFEMRAP Board Review Questions 2018 07 July Vol.18 07 407 KB - PDF
James H. - July 6, 2018 10:19 AM
Abd pain in the elderly. What’s the risk of a CT in someone who’s pretty much 70
Mike W. - July 6, 2018 10:25 AM
Exactly - super surprising a CT was not done on this guy!! Thx for the comments!
Dallas Holladay, DO - July 20, 2018 9:26 AM
Unless I have an extremely clear cut answer, any elderly patient with abd pain gets a CT when they see me.
I have sone away with using the stock discharge instructions in Epic. I take 60 seconds and type out this is what you were seen here for today, these were the tests that were done, these were the medications you were given. These are the diagnoses we discussed, this is your final diagnosis (if available), this is your followup plan, these are your return precautions. I also add my schedule for the week, encouraging them to call with any questions or concerns. I also typically give them copies of any image reports or lab results completed. This way, even if they forget what I said on discharge, they have a written copy of all of it for reference. I don't know if this will ever save me or improve my patient outcomes but I hope so!
Mike W. - July 20, 2018 9:39 AM
Dallas, I completely agree! Though we don't really have data on all these things that you and I do (such as recording the conversation in the MDM, individualized discharge instructions, etc) it certainly can't hurt - and I COMPLETELY agree that if you are over 65, it is a CT scan until proven otherwise!!