Arizona Emcast

Happy October everyone!   This month we take a pause from the competitive format to ponder the question: to PanScan or not to PanScan? Recently we had an exceptional conference lecture by Dr. Garrett Pacheco and Dr. Adam Nelson addressing all of the reasons why and why not. Such an excellent talk need sot be spread broadly. No points this time around but the debate style is still in effect. Enjoy!   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy September everyone!   This month we explore the Ring Down of a 23 year old male coming in by EMS with abdominal pain and vomiting.   T 37.0   HR 108   BP 136/94   RR 18   O2 sat 97% on room air   The Panel Dr. Rachel Munn Dr. Vivienne Ng Dr. Brian Drummond   Who will win this month’s half-baked episode with the best evidence-based approach to the cannabinoid hyperemesis syndrome?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy August everyone!   This month your favorite pharmacists are BACK as we review the Ring Down of a 53 year old male coming in by EMS unconscious/unresponsive after a motorcycle collision.   T 36.4   HR 140   BP 95/65   RR 10   O2 sat 95% on 15L NRB   The Panel Dr. Christopher Edwards Dr. Daniel Jarrell Dr. Kate Morizio   Who will win this month’s TXA-infused, citrate-leeched episode with the best evidence-based approach to the trauma resuscitation?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy July everyone!   Welcome to the new interns. You’re gonna get quite familiar with all the nuances of the electronic medical record system but none quite as much as sepsis alerts. We dig deep into those questions you want to know about sepsis alerts like:   Q: Are they good or bad for your patient?  A: Yes.   Q: Are we overcalling the disease or finally getting it under control?  A: Sure   Q:Are they annoying or necessary?  A: Definitely!   As a primer, Dr. Brian Drummond, Dr. Chris Williams and I give you some background, evidence, explanation and heavy opinion on why we have these alerts and what they mean for your patients and your ED flow.   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy June everyone!   This month it's an all-start, all-pharmacy cast as we review the Ring Down of a 64 year old male coming in by EMS in cardiac arrest.   Code 3, No vitals given   The Panel Dr. Christopher Edwards Dr. Daniel Jarrell Dr. KAte Morizio   Who will win this month’s appropriately-dosed episode with the best evidence-based approach to the cardiac arrest?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy May and Happy Memorial Day everyone!   This month it's we’ve got a new crew and the Ring Down of a 64 year old male coming in by EMS in cardiac arrest.   Code 3, No vitals given   The Panel Dr. Allie Min Dr. Rachel Munn Dr. Chris Williams   Who will win this month’s epinephrine-soaked episode with the best evidence-based approach to the cardiac arrest?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy April everyone!   This month it's we’re back with the attendings with the Ring Down of a 24 year old female coming in by EMS with shortness of breath (eerily familiar to last month’s)   T 37.0 HR 128   BP 96/68   RR 28 O2 sat 92% on room air   The Panel Dr. Vivenne Ng Dr. Jenny Plitt Dr. Brian Drummond   Who will win this month’s adrenaline filled episode with the best evidence-based approach to the anaphylaxis?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy March everyone!   This month it's Resident vs Resident with the Ring Down of a 24 year old female coming in by EMS with shortness of breath. T 37.2 HR 119   BP 126/92 RR 30 O2 sat 91% on room air   The Panel Dr. Michael Russo Dr. Patrick Mullett Dr. Jonathon Campbell   Who will win this month’s beta-agonizing episode with the best evidence-based approach to the acute asthmatic?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy February everyone!   This month we are taking break from the competitive format (and not because of hurt feelings or gloating). Brian, Chris and I have simple discussion of vascular limb injuries and the treatment of VIP patients in the great equalizer that is the emergency department. We’ll be back next month with more competition in a special resident vs resident episode!   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy January everyone!   This month, the Ring Down is a 59 year old male with difficulty breathing and hypoxia.   T 35.6 HR 116 BP 166/100 RR 40 O2 sat 45% on room air   The Panel Dr. Brian Drummond Dr. Matt Berkman Dr. Jenny Plitt   Who will win this month’s air hungry episode with the best evidence-based approach to Critical Aortic Stenosis?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy December everyone!   This month, the Ring Down is an 8 month male brought in by mom for difficulty breathing and cough.   T 38.2 HR 178 BP 135/93 RR 20 O2 sat 90% on room air   The Panel Dr. Brian Drummond Dr. Vivienne Ng Dr. Jenny Mendelson   Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to bronchiolitis?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy November everyone!   This month, the Ring Down is a 35 year old female coming in by EMS with back pain. T 37.6 HR 118   BP 170/90 RR 22 O2 sat 98% on room air   The Panel Dr. Brian Drummond Dr. Vivienne Ng Dr. Jenny Plitt   Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to renal colic?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy October everyone!   This month, the Ring Down is a 56 year old male coming in by EMS with chest pain and palpitations. T 37.0 HR 147  BP 168/98 RR 18 O2 sat 96% on room air   The Panel Dr. Brian “Candyman” Drummond Dr. Chris “Things that go bump in the nightshift” Williams  Dr. “Lord" David Horn    Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to atrial fibrillation with rapid ventricular response?   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy September everyone!   This month the Ring Down is a 73-year-old female coming in by EMS with abdominal pain. She comes in vomiting. Temp 37.4, HR 62, BP 175/103 RR 20 O2 sat 94%   How do you approach elderly abdominal paint? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Elaine Situ-LaCasse square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy August everyone!   This month the Ring Down is a 53-year-old male coming in by EMS after an ejected motor vehicle collision. He is unconscious and unresponsive. Temp 36.4, HR 85, BP 195/115 RR 10 O2 sat 95% on 2L nasal cannula.   How do you approach the unconscious trauma patient? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Amber Rice square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/  

Happy July everyone! This season we are trying something brand new for your listening pleasure. It’s a unique approach to your education that is case-based, evidence-based and most importantly … competitive!   The panelists you know and love will go head to head demonstrating the necessary skills you need to be a top notch emergency physician. Panelists will be awarded points for their quick wit, prioritization of tasks and mastery of evidence based medicine. However they will lose points for weak arguments, purely experience based medicine and use of unhelpful medical jargon like “high index of suspicion” or “gestalt.”   Each episode they will navigate a case just as they would on shift, discussing their approach to the ring down, the work up and the dispo. The panelist with the most points at the end of the episode will have center stage to discuss the art of EM near and dear to their hearts. Follow along with the score and the cited literature as chapter title cards appear on your screen.We hope you enjoy

Happy June everyone!    First, a huge shout out to our graduating seniors who need as much praise and admiration as possible to show our appreciation. It’s a new world and you are all ready for it!    Also a big welcome to our new interns who have traveled from all over to now be a part of the COVID battle in AZ. July 1st is always nerve wracking but I’m certain this year it’s even more so. Know that your program has your back and you can reach out at any time. Hopefully the worst part will be the endless Zoom meetings.   And speaking of Zoom, this month we are talking about the management of headache in the ED. Migraine and headache are multifactorial complaints and there’s no one-size-fits-all treatment. This leads to some uncertainty but also to some creativity for us EM providers. Brian, two Chris’s and I will finish up our headache discussion with our tips to crafting the perfect migraine cocktail for your patient.   Stay safe!   The AZEMCast Team  Email: [email protected] Twitter: @arizona

Happy May everyone!    At least I hope so. Things seems to be settling into the new normal and I hope you and yours are well.   ED volumes are coming and with it, the typical ED complaints are coming back. And nothing says the ED is returning back to normal like the headache patient. Once the patient gets to us, how do we approach them? With evidence-based medicine and experience of course! Fortunately, this month’s episode has exactly that this month with Brian, Chris and myself.   Stay safe!   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Hey all you cats and kittens, happy April,   I hope you all are finding some rest and balance during this uncertain time. Please know that what you do is greatly appreciated by those around you.    This month continues with the awesome peer review by Drs. Clay Josephy and Mike McLaughlin. If you didn’t listen to last month’s episode, you need to so you can hear all the many ways they appropriately use sedation. Clay and Mike continue to put us in our place this month as they discuss their favorite sedative, including some stuff we glossed over.    Thank you guys for your expertise and for all you do,   The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Well, it's March, everyone! Since there is nothing but COVID-19 coverage everywhere you look, we at AZEMCast are going to do the opposite. We are going to finish the marathon procedural sedation coverage we started last year with a TWO-PART Peer Review from Drs. Clay Josephy and Dr. Mike McLaughlin. We are not covering COVID-19 for several reasons. Partially to give you something different. Partially because we already have this recorded. But mostly because we know NOTHING about COVID-19 worth recording.  Keep your heads up! The AZEMCast Team  Email: [email protected] Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/