Episode Chapters
- June Introduction10:20Airway Corner - The PART Trial20:34Cardiology Corner - ACEP Clinical Policy on NSTEMI16:55Medicolegal Briefs - The Case of the Wrist Injury18:40EGLS - Echo-Guided Life support19:11Pediatric Pearls - Pediatric Mild Traumatic Brain Injury10:03Heat StrokeFree Chapter21:49Pharmacology Rounds -Newer Medications for Diabetes and Euglycemia DKA10:57Antibiotic Stewardship7:33Critical Care Mailbag - Dexmedetomidine15:20Trauma Surgeons Gone Wild - Kenji's Top 8 Tips on Chest Tube Insertion17:20Child Abuse15:31June Mailbag8:21June MegaSummary35:09EMRAP 2019 June Canadian Edition17:11EMRAP 2019 June German Edition1h, 32mEM:RAP 2019 June Spanish Edition1h, 18mEM:RAP 2019 June French Edition30:59EM:RAP 2019 June Farsi Edition2h, 12mEM:RAP 2019 June Aussie Edition57s
Nurses Edition Commentary
Kathy Garvin, RN and Lisa Chavez, RN
No me gusta!
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EMRAP 2019 June Written Summary 367 KB - PDF
EM:RAP 2019 June Full episode audio for MD edition 227:40 min - 317 MB - M4AEMRAP 2019 June Canadian Edition Canadian 17:11 min - 24 MB - MP3EMRAP 2019 June German Edition Deutsche 92:42 min - 127 MB - MP3EM:RAP 2019 June Spanish Edition Español 78:44 min - 108 MB - MP3EM:RAP 2019 June French Edition Français 30:59 min - 43 MB - MP3EM:RAP 2019 June Farsi Edition Farsi 132:49 min - 182 MB - MP3EM:RAP 2019 June Aussie Edition Australian 0:57 min - 1 MB - MP3EMRAP 2019 06 June Individual MP3s 294 MB - ZIPEMRAP 2019 June Board Review Answers 131 KB - PDFEMRAP 2019 June Board Review Questions 177 KB - PDFEMRAP 2019 June Spanish Written (SPA) 4 MB - PDFEMRAP 2019 June Written Summary 367 KB - PDF
Karl T., M.D. - June 16, 2019 10:06 AM
Tell me you didn’t just recommend getting an MRI on every wrist injury we see.
Jan S. - June 19, 2019 3:09 PM
Not the recommendation for sure! We said that for scaphoid fractures, plain films are not that sensitive (meaning that there is a significant false negative rate). That is why we immobilize those patients where our clinical suspicion for fracture is high and refer them as outpatients to their PMD or to ortho where they will get another round of examination and imaging down the line. Despite the poor test characteristics of plain films, we still start with them in the ED because when they are positive, we have our diagnosis! We talked about the fact that MRI is a better test than plain film for ruling in (or out) scaphoid fracture, but we mentioned that it is not practical for us in the ED.