Rural Emergency Medicine

This monthly podcast focuses on the nuances and difficulties of practicing emergency medicine in a rural environment.

Episode 22: Lytics for STEMI 10/26/2019

Episode 22: Lytics for STEMI In this episode we discuss using thrombolytics for treatment of STEMI when prompt cardiac catheterization is not available. We discuss the risk, benefits, indications, and contraindications of this therapy. /episode/index/show/ruralem/id/11793212

Episode 21: Ethics 09/17/2019

Episode 21: Ethics In this episode we have guest speaker, Dr. Alycia Valente. She discusses how to apply the basic principles of ethics to situations commonly encountered in the Emergency Department. /episode/index/show/ruralem/id/11291507

Episode 20: Sepsis Core Measures 05/04/2019

Episode 20: Sepsis Core Measures In this episode we discuss how to improve compliance with the sepsis core measures (SEP-1). /episode/index/show/ruralem/id/9651284

Episode 19: Lateral Canthotomy 04/12/2019

Episode 19: Lateral Canthotomy This is a discussion with Shad Saunders about orbital compartment syndrome and the need to perform lateral canthotomy in the Emergency Department. /episode/index/show/ruralem/id/9367694

Episode 18: Recognizing Psychosis 03/30/2019

Episode 18: Recognizing Psychosis We discuss how to recognize psychosis in the Emergency Department. Psychosis is not just a single symptom, but a mix of potential symptoms each of varying intensities. This can be subtle and difficult to miss. We also discuss how important the collateral history from family and friends is during the evaluation period. We discuss that it is beneficial to call the mental health provider for further information as well. /episode/index/show/ruralem/id/9202118

Episode 17: Ketamine Take 2 02/12/2019

Episode 17: Ketamine Take 2 In this episode we review our experience with Ketamine for depression and which patient population we have seen a benefit. /episode/index/show/ruralem/id/8613614

Episode 16: Complete Heart Block 12/20/2018

Episode 16: Complete Heart Block This is a discussion of complete heart block and the management in the Emergency Department. We discuss external pacing, temporary transvenous pacing, medications, and transfer considerations. /episode/index/show/ruralem/id/7993847

Episode 15: Bronchiolitis 11/01/2018

Episode 15: Bronchiolitis Guest lecturer, Tricia Swan, is a pediatric emergency physician. She discusses the treatment and diagnosis of bronchiolitis. /episode/index/show/ruralem/id/7402874

Episode 14: Discharge Instructions 10/02/2018

Episode 14: Discharge Instructions This is a discussion on how to approach discharge instructions for patients /episode/index/show/ruralem/id/7117723

Episode 13: ED Tips and Tricks 09/01/2018

Episode 13: ED Tips and Tricks This is a rapid fire discussion of multiple tips to help the emergency provider better patient care more efficiently. /episode/index/show/ruralem/id/6994966

Episode 12: Serotonin Syndrome 08/15/2018

Episode 12: Serotonin Syndrome This is a discussion with a toxicologist about a case of serotonin syndrome. /episode/index/show/ruralem/id/6928143

Episode 11: Giving Nec Fasc the Finger 07/15/2018

Episode 11: Giving Nec Fasc the Finger This is a discussion with Dr. Kenneth Bernard, an emergency physician working on a Native American reservation in Arizona. We discuss the First Annual Native America and Rural Emergency Medicine Conference. We also discuss a case of necrotizing fasciitis and a minimally invasive procedure that can aid in the diagnosis of this condition. /episode/index/show/ruralem/id/6812268

Episode 10: Pediatric Head Injury 06/21/2018

Episode 10: Pediatric Head Injury This is a discussion on the CT head decision rule for pediatric head trauma. /episode/index/show/ruralem/id/6728998

Episode 9: Alcohol Withdrawal 05/02/2018

Episode 9: Alcohol Withdrawal This is a discussion on current treatment recommendations for alcohol withdrawal syndromes. /episode/index/show/ruralem/id/6548597

Episode 8: Ketamine for Suicidal Patients 04/16/2018

Episode 8: Ketamine for Suicidal Patients In this episode, we have a psychiatrist, Dr. Heacock, discuss using ketamine to help reduce suicidality. /episode/index/show/ruralem/id/6484588

Episode 7: Toxicology Situational Awareness 03/01/2018

Episode 7: Toxicology Situational Awareness We interview Scott Phillips, a board certified toxicologist. He discusses how to approach the toxicology patient and discusses an overdose case. /episode/index/show/ruralem/id/6315642

Episode 6: Epidural and Suicidal Patients 01/11/2018

Episode 6: Epidural and Suicidal Patients This episode we have two segments. The first is a discussion of using an IO drill for skull trephination for epidural hematoma. The second segment is a discussion with a clinical psychiatrist on the topic of suicidal patients in the Emergency Department. /episode/index/show/ruralem/id/6140297

Episode 5: Transport Review 12/01/2017

Episode 5: Transport Review This is a discussion with Tadd Ferguson, a physician at a tertiary care center who receives multiple patient transfers from smaller hospitals. We his point of view on transfers as well as his ideas on how to improve patient transfers to other hospitals. /episode/index/show/ruralem/id/5999149

Episode 4: Managing Multiple Patients 11/18/2017

Episode 4: Managing Multiple Patients This is a discussion about ideas we have had and how we have managed multiple critical patients with limited resources. /episode/index/show/ruralem/id/5957629

Episode 3: The Difficult Transport 10/17/2017

Episode 3: The Difficult Transport We discuss considerations and difficulties when transferring a patient to another facility. /episode/index/show/ruralem/id/5849567

Episode 2: Esophageal Button Battery 09/09/2017

Episode 2: Esophageal Button Battery This is a case of a lodged esophageal button battery complicated by inability to transport to a pediatric endoscopist. /episode/index/show/ruralem/id/5723056

Episode 1: Shoulder Dystocia 09/05/2017

Episode 1: Shoulder Dystocia Case presentation of a precipitous delivery complicated by shoulder dystocia. This episodes discusses different management options of shoulder dystocia with focus on delivery in the Emergency Department. /episode/index/show/ruralem/id/5707805

Rural Emergency Medicine

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