Emergency Medicine News - EMN Live

Drs. Raja and Pescatore wrap up their tenure on the podcast with a discussion of the future of the specialty.

Drs. Pescatore and Raja talk about how they treat shoulder dislocations and the results of the KetaBAN trial, which uses breath-actuated nebulized ketamine for pain.

Drs. Pescatore and Raja review the latest evidence on whether emergency physicians should initiate therapeutic hypothermia after cardiac arrest and also talk about patient awareness during sedation while on mechanical ventilation and how much information is retained from listening to podcasts.

Should you do a pan scan on patients who have a cardiac arrest? Drs. Pescatore and Raja weigh in on that and on AEDs in the community, head-up CPR, an elevated position to facilitate venous return, and impedance threshold devices.

All emergency physicians know the specialty’s 10 commandments, written in 1991 by Corey Slovis, MD, and Keith Wrenn, MD, but now Dr. Slovis and Christopher Evans, MD, formerly a resident at Vanderbilt and now a clinical informatics fellow at the University of North Carolina, have updated them. Drs. Raja and Pescatore review all 10 and add their own take.

Drs. Pescatore and Raja talk about an unexpected effect of COVID-19 and why TXA doesn’t change the need for nasal packing in their latest podcast. Bonus! An interview with Daniel Boron-Brenner, DO, on push-dose pressors.

Drs. Pescatore and Raja talk about what to do when patients present after unprotected sex, and Dr. Pescatore’s wife, Jessica Pescatore, DO, an OB-Gyn, joins them to teach them all about ulipristal. Bonus: A discussion about TXA for subarachnoid hemorrhage.

Changes were made to the pediatric ALS guidelines, say Drs. Raja and Pescatore, not the least of which was the number of breaths to give per minute. They also discuss the updated dosing for gonorrhea treatment. Learn more in their latest EMN Live podcast.

Drs. Raja and Pescatore say the evidence is in for cannabinoid hyperemesis syndrome: Haloperidol is more effective, leads to faster discharge, and requires less rescue medicine. Tune into their latest EMN Live podcast for this and more.

Drs. Pescatore and Raja celebrate the end of 2020 and discuss antigen testing for COVID-19, and trichomonas testing in men.

Drs. Raja and Pescatore talk about the Figs scrubs ad controversy that showed a female physician reading a book upside down. Also this month: The STEMI paradigm to AMI and TXA in trauma.

Drs. Pescatore and Raja talk about using vasopressorsin patients with septic shock and antimicrobial therapy for otitis externa.

Drs. Raja and Pescatore talk about antacid monotherapy, airway checklists, and how to cope with lower volume because of the pandemic.

Drs. Pescatore and Raja talk about palliative care teams in the ED for COVID-19 patients, figuring out whether patients want a full code, and how you should stop using TXA for GI bleeds, even though Dr. Pescatore supported its use two years ago. Find the Lancet article they discuss at https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30848-5/fulltext.

Drs. Raja and Pescatore talk about cyanide toxicity from house fires (it will be on the boards!) and what to do if you don’t have hydroxocobalamin, and about how to manage peritonsillar abscess.

Drs. Pescatore and Raja delve into simulated training for using tourniquets and saline and methylene blue.

Drs. Pescatore and Pescatore talk more about COVID-19 and the hydroxychloroquine debacle.

Drs. Raja and Pescatore talk about COVID-19 in their EDs and how medical students are being given the option to graduate early.

Drs. Raja and Pescatore explore two studies: One compares colchicine with naproxen for relieving gout pain (read the study here: https://bit.ly/2QKwEXD), and the other examines the use of coloring books for alleviating anxiety in adults waiting in the ED (read the study here: https://bit.ly/33HCY7D).

Drs. Raja and Pescatore explore the roc v. sux trial that didn’t help at all, high-flow nasal cannula for palliative care patients, and the benefits of intermittent fasting.