First, a heartfelt shout-out to Drexel EM3 Dr. Alin Gragossian and her wonderful new blog. We cherish this wonderful friend and colleague and we miss her each and every day. Can’t wait for her to be back by our side (as she soon will be) dealing with our challenging EM cases! Her journey from the brink and back again is unique and inspiring – and she is an excellent writer. Get back here soon, Alin!!!
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Our March Journal Club looks at three articles of interest:
Reading these three articles will help you with the clinical challenges we are tackling this month: Will the new ultra sensitive troponin change your practice? When can an opioid overdose reversed with naloxone can go home? How do you treat refractory ventricular fibrillation – can double sequential defibrillation make a difference? Listen in here to find out what we think – and see you at Journal Club!
In this podcast, I am joined by Ryan Arnold M.D. and Muga Capan Ph.D. who are directing our newly formed Center for Healthcare Analytics and Decision Science. They put together a graduate student team of Andrew Armstrong, Devanshi Dholakia, Karen Nwal, Karan Gandhi, Mallika Mhapankar, Matthew Shaw, Mihir Chheda, Parth Girme, Sharath Chandra, Zoya Khalife to analyze the hospital rapid response database created by EM Resident Mark Ramzy MD. Their goal was to use decision science tools to try to determine if there was a pattern that predicted early v late rapid response in patients admitted through the ED. The hope was that characteristics, identifiable in the ED, could predict who would deteriorate early. There was a pattern – but not what you’d expect! Listen in to find out more!
Listen here to the Podcast
Drexel Business Dragons working with Drexel Medical Dragons!
Reading the literature is not just a part of residency training – it’s an important habit of EM physicians who have an evidence based practice!
Here’s the articles we are reviewing!
Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial
Is every appendicitis case a surgical emergency – maybe not!
Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis
Oxygen – too little is not so good. What about too much? Well that’s another matter…
Emergency department neuroimaging for epileptic seizures This article looks at whether imaging is really required in patients who have a seizure with a known history of epilepsy and no other concerns really need a head CT
Enjoy – thanks for listening as always and see you at the boathouse!
Find the podcast here:
Podcast for November Journal Club Drexel EM
Years in the making, this study finally establishes that a rapid resuscitation approach to pediatric DKA is appropriate and is not responsible for cerebral edema.
Single agents for acute agitation – is one better than the other?
Epinephrine saves lives, but at what cost?
Enjoy the podcast below:
What does this month’s journal club have to do with astrophysics? Want to grasp the literature for this month’s journal club and get inside what the attendings are thinking about analgesics, stroke therapy, and PE prevalence? Listen to this month’s podcast!
In this video cast I try to sort through some of the differences between a simple CHF exacerbation and acute decompensated heart failure. I discuss the wet/dry warm/cold approach, use of BNP and NTproBNP in decision making, high dose nitro, ACE inhibitors, BiPAP, and the proper timing of diuretics.
Here is the videocast.
Click below for the podcast – audio only.
“The Road to Character” by David Brooks. As an academic physician climbing my “second mountain”, I am really connecting with the message this book offers. I was moved and inspired by his talk at #AAMC2017
The old 6 hour rule to differentiate mushrooms with limited toxicity (early i.e. < 6 hr GI symptoms) from those that cause serious end organ damage (late >6 hr GI symptoms) has been busted by the recognition of two additional mushrooms that cause both early GI symptoms and late end organ toxicity. Furthermore, another mushroom has been added to the group with late GI symptoms and delayed end organ damage. Hope this mnemonic and vodcast will help sort them out for you!
Enjoy the vodcast!