Episode Chapters
- Introduction14:29Origin of the HEART ScoreFree Chapter15:18Paper Chase 1 – Nebulized Saline for Bronchiolitis5:15Hyperbilirubinemia22:52CTA vs MRA for Vertebral Dissection7:41Paper Chase 2 – Dabigatran Reversal5:41Cybersecurity17:02Paper Chase 3 – Treadmills Get A Stress Test5:33What is Cardiac Standstill?14:34Paper Chase 4 – Does Time To Furosemide Matter?6:57Critical Care Mailbag - Albumin in Resus, Aspiration in DSI, RSI Mistakes8:15Annals of Emergency Medicine – A Pain in the Abscess13:39Hyperemesis Gravidarum25:50Position of Death7:49LIN Sessions - Ortho Imaging15:30Paper Chase 5 - Does Canadian Head CT Rule Decrease Imaging?5:23Pediatric Pearls – Non Invasive Urine Collection5:49Brown Recluse Spiders24:51Informed Consent21:34Otitis Externa5:08Summary13:58EM:RAP 2018 January German Edition1h, 36mEM:RAP 2018 January Canadian Edition18:24EM:RAP 2018 January Spanish Edition1h, 34mEM:RAP 2018 January French Edition21:02
Nurses Edition Commentary
Lisa Chavez, RN and Kathy Garvin, RN
No me gusta!
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EM:RAP January 2018 Written Summary 933 KB - PDF
The Collector Full episode audio for MD edition 263:02 min - 367 MB - M4AEM:RAP 2018 January German Edition Deutsche 96:14 min - 132 MB - MP3EM:RAP 2018 January Canadian Edition Canadian 18:24 min - 25 MB - MP3EM:RAP 2018 January Spanish Edition Español 94:31 min - 130 MB - MP3EM:RAP 2018 January French Edition Français 21:02 min - 29 MB - MP3EM:RAP 2018 January Individual MP3 340 MB - ZIPEM:RAP 2018 January Individual Written 964 KB - ZIPEM:RAP 2018 January Spanish Written 1,019 KB - PDFEMRAP Board Review Answers 2018 01 Jan Vol.18 01 95 KB - PDFEMRAP Board Review Questions 2018 01 Jan Vol.18 01 161 KB - PDFEM:RAP January 2018 Written Summary 933 KB - PDF
Brian T. - January 7, 2018 11:33 AM
What drops (if any) are safe when the TM is perforated or cannot be assessed due to swelling? I have heard mixed answers to this. Some say no drops, some say no steroids, some say it doesn't matter...
Christine A. - January 13, 2018 9:55 AM
What is the safety of quinolone drops in children?
Joseph P. - January 21, 2018 11:59 AM
He mentions using eye drops in the ear. I have had a pharmacist request a change to tobramycin drops. I was concerned about ototoxicity if there is a perforation. Thoughts?
Clayton F. - December 29, 2018 1:38 PM
Quinolone drops are safe in children because the effect is mainly topical, and they're safe with perfs/tubes (as are steroids). Besides canal swelling, another shout-out for steroid drops is in patients with bloody otorrhea (which almost always represents granulation tissue that will melt away with the steroids). We didn't mention it, but the steroid eyedrop I usually use is prednisolone (aka Pred Forte). As to the issue of using an aminoglycoside-containing drop (or any other ototoxic component) in a patient that has (or might have) a perf/tube: imagine yourself explaining to the jury why you used a medicine referred to as "ear-toxic" in the ear... enough said.
Cortisporin has not one but TWO ototoxic components: polymyxin B and neomycin.