Episode Chapters
- Introduction: Subsegmental PE14:11Ankle Sprains15:28Happy Accidents - Introduction1:19Paper Chase 1 – Central Line Site and Complications6:37What Does Low Risk Chest Pain Really Mean?19:56The First 90 Seconds: Cardiac Arrest7:01Cardiology Corner - Syncope23:37Paper Chase 2- Who’s At Risk For Central Apnea?5:23LIN Session – IV Push Antibiotics10:50Happy Accidents – Alexander Fleming2:59Transgender Patients In The ED15:57Paper Chase 3 – Crystalloid vs Saline5:45The Inside Scoop on Icatibant12:37Second Degree BurnsFree Chapter16:37PE in Pregnancy15:08Paper Chase 4 - Single Dose Dexamethasone For Asthma5:38Happy Accidents – Mary Hunt4:04Annals of Emergency Medicine - VP Shunts15:24Petechiae in Kids20:23Paper Chase 5 - The Waning Days of Pelvis X -rays4:09March Summary20:46EM:RAP 2016 March Aussie Edition38:52EM:RAP 2016 Mars Résumé en Francais52:06EM:RAP 2016 March Canadian Edition33:43EM:RAP 2016 March German Edition1h, 41mEMRAP 2016 Marzo Resumen Español1h, 27m
Nurses Edition Commentary
Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
No me gusta!
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EM:RAP 2016 March Written Summary 858 KB - PDF
A VP shunt patient presents with a new mass on their neck. What’s your next step?
Spring Forward Into PE Full episode audio for MD edition 236:48 min - 330 MB - M4AEM:RAP 2016 March Aussie Edition Australian 38:52 min - 53 MB - MP3EM:RAP 2016 Mars Résumé en Francais Français 52:06 min - 72 MB - MP3EM:RAP 2016 March Canadian Edition Canadian 33:43 min - 46 MB - MP3EM:RAP 2016 March German Edition Deutsche 101:18 min - 139 MB - MP3EMRAP 2016 Marzo Resumen Español Español 87:22 min - 120 MB - MP3EM:RAP 2016 March Written Summary 858 KB - PDFEM:RAP 2016 March Board Review Answers 187 KB - PDFEM:RAP 2016 March Board Review Questions 169 KB - PDFEMRAP 2016 March MP3 Files 302 MB - ZIP
Todd H. - March 6, 2016 1:27 PM
good afternoon
nice review...
wanted to give you a fascinating case regarding VP shunt problems...
5 years ago, one of my partners saw a 7 month old with previous hx of VP shunt. Pt presented lethargic, bradycardia HR 70 but grossly non focal...bulging anterior fontanelle.. We are a community hospital, neurosurgeon that placed shunt was at University Hospital. Our neurosurgeon was in the OR, my partner suspected elevated ICP from shunt malfunction. He contacted neurosurgeon at University tertiary care hospital. Shunt tap was advised. My partner tried unsuccessfully, implying proximal problem. Pt deteriorating... They got really clever... with neurosurgery talking my partner thru procedure..my partner set up angiocath attached to syringe and 3 way stopcock..and they tapped the "anterior fontanelle".. my partner removed some fluid...patient improved mental status and increased HR..Patient was transferred to tertiary care hospital..with my partner "riding shotgun" in ambulance, withdrawing CSF with syringe every time patient deteriorated.... They went right from ambulance to OR for shunt revision... What heroic work..a life saved...!!!
Paul J. - March 6, 2016 4:35 PM
Holy smokes what a crazy case! On the note of anterior fontanelle tap, we're planning on showing a video of this procedure at Essentials this May. The things we have to do in EM...
Todd H. - March 7, 2016 6:35 AM
good morning...
Has anyone else in EmRap land ever done this??? It's like the most heroic thing I have ever heard of in 30 years!!!!