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Introduction: Subsegmental PE

Rob Orman, MD, Anand Swaminathan, MD FAAEM, and Tom Deloughery, MD
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14:11
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Nurses Edition Commentary

Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
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00:13

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EM:RAP 2016 March Written Summary 858 KB - PDF

It’s Deloughery vs. Kline in a PE smackdown.

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Jessica H. -

do you know if we'll be able to download tracks individually soon? (That way you can listen to specific tracks like you used to easier by hitting "next" or "last" instead of having to use the scroll bar).
Thanks!

Rob O -

Hi jessica, that is indeed in the works but unknown time of launch. In the downloads options, you can download the month as a zip file - that will have the individual files. Hope that helps

Thomas D. -

Ankle Sprains.
1. Are you routinely sending people to physical therapy for even Grade 1 sprains? I generally don't. Are there studies to suggest this is beneficial?
2. What are your thoughts on walking boots vs air casts vs splints?

Rob O -

Hi Thomas, here is the response from Dr. Ramadorai.....

1. Even grade I sprains should go to PT. See reference below.. there are more references but this one is pretty recent.
2. I prefer air casts as they allow for plantarflexion and dorsiflexion in the case of Grade I/II sprains. Splints should be used in the case of a Grade III but for 7-10 days only after which transition to aircast is my preference

Rob O -

Here is the reference
Punt, Ilona M., et al. "Gait and physical impairments in patients with acute ankle sprains who did not receive physical therapy." PM&R 7.1 (2015): 34-41.

Thomas D. -

Interesting. Not what the study was powered to prove / disprove. All the study concluded was that there were residual deficits at one month in the Grade I and Grade II ankle sprain groups. They also lost 40% to follow up which could indicate that those 40% felt better? No need to reply. Thanks for the reference!

Virginia H. -

Not sure if this was mentioned in the Annals article, but I think its worth saying.
MRI brain should NOT be used as the standard in the evaluation of CSF drainage shunts.
Many of the new generation shunts have magnetic valves that will be scrambled by MRI and would need re-calibration after. Unless you have Neurosurg available to reset the shunt settings after the MRI (I do not) you may be causing the dysfunction you are drying to diagnose.
For that reason I prefer CT.
Just my 2 cents!

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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

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