CRACKCast & Physicians as Humans on CanadiEM

CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone. CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources.
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CRACKCast & Physicians as Humans on CanadiEM



All Episodes
Now displaying: October, 2016
Oct 31, 2016

This episode covers Chapter 47 of Rosen’s Emergency Medicine.

1. List 6 general indicators of genitourinary trauma?

Lower urinary tract and external genitalia


  • What are the four parts of the male urethra?
  • What is the mechanism of an anterior urethral injury (at least 5 causes)? What is the mechanism of a posterior urethral injury?
  • List 4 indications for retrograde urethrogram before foley placement?
  • Describe the technique for a retrograde urethrogram?
  • Classify bladder injuries and describe the mechanism of injury.
  • Differentiate between extraperitoneal and Intraperitoneal bladder rupture
  • Describe the indications and technique for retrograde cystogram?
  • Outline the management of the different types of bladder injuries.
  • List 3 clinical findings of a penile fracture
  • Describe the management of penile
  • Constricting devices
  • Superficial hematoma
  • Superficial lacerations
  • Degloving injury
  • Penile Fracture
  • Penile amputation
  • Blunt scrotal trauma
  • Bites



Upper urinary tract


  • What is the presentation of a ureteric injury?
  • What are the indications for renal imaging in an adult trauma patient? In a pediatric trauma ?
  • Describe the management of renal injuries:
  • Blunt
  • Penetrating





What is the most common site of urethral injuries?

Oct 24, 2016

This episode covers chapter 46 of Rosen's Emergency Medicine text book.


Episode Overview:

1) What are three mechanisms of injury in blunt trauma?

2) List expected seat-belt injuries

3) What are the most common intra-abdominal injuries in children?

4) Differentiate between the use of CT scan, diagnostic peritoneal lavage (DPL) and ultrasound – advantages & disadvantages.

5) List intra-abdominal injuries that may be missed on CT.

6) Describe the process of local wound exploration.

  1. List 5 ways to determine if peritoneum has been violated

7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma

8) Describe the management of unstable blunt abdominal trauma

  1. Pelvic fracture
  2. Head injury (closed head injury)
  3. Wide mediastinum (aortic injury)

9) Provide an approach to anterior abdominal trauma with:

  1. Evidence of peritoneal violation (penetrating injuries)
  2. Evidence of intra-abdominal injury with blunt abdominal trauma

10) Provide an approach to flank injuries

11) Provide an approach to back injuries




1) Describe indications and technique of diagnostic peritoneal lavage (DPL). What is a positive DPL?

2) List 1 absolute contraindication and 4 relative contraindications to DPL

3) What is Waddel’s triad?

4) What are Gray-Turner and Cullen’s signs?

5) How much blood is detectable by bedside US?

Oct 17, 2016

This episode covers Chapter Chapter 45 of Rosen’s Emergency Medicine text book and is full of pearls for Thoracic Trauma.

Sign Post:

  1. Differentiate Chest wall injury, rib fracture, and flail chest

  2. Describe the clinical presentation and management of a sternal fracture

  3. Describe Injuries to lung parenchyma

  4. What is Traumatic asphyxia?

  5. List 6 indication for tube thoracostomy 

  6. Indications for OR Thoracotomy 

  7. What is the management of Diaphragmatic injury?

  8. Differentiate between myocardial concussion, contusion and rupture

  9. Review indications for ED Thoracotomy

  10. Describe your approach to identification and management of pericardial tamponade

  11. CXR findings for blunt aortic injury.
  12. List the 6 most common causes of esophageal perforation

  13. What is the Nexus CT Chest Rule?



  1. Clinical conditions that mimic esophageal perforation
  2. Describe the basic approach to ED thoracotomy
  3. What is Electrical Alternans?
Oct 10, 2016

This episode of CRACKCast covers Rosen’s Chapter 044, Neck Trauma. Continuing in our trauma series, this episode tackles the challenging issue of neck trauma and injuries, and explores the anatomy and relevant considerations in the diagnosis and management of both blunt and penetrating neck injuries.

Episode Overview:

1) Describe the landmarks and structures using the Zones of the neck & the Triangles of neck

2) List 6 hard and 6 soft signs of penetrating neck trauma. What are the indications for immediate OR vs CTA in managing penetrating neck trauma

3) Describe an approach to managing acute neck trauma in the ER

4) Describe the management of venous air embolism

5) Describe techniques for airway management in penetrating neck trauma

6) Describe the management of suspected pharyngoesophageal trauma. What are signs of esophageal injury?

7) List 3 hard signs of laryngotracheal trauma and describe airway management dilemmas


1) Differentiate between choking, hanging and strangulation

2) Define judicial and non-judicial hanging and describe expected injury patterns

Oct 3, 2016

This episode covers Chapter 043 of Rosen’s Emergency Medicine, Spinal Injuries.

Episode Overview

  • Describe the anatomical contents of the anterior and posterior spinal columns
  • List cervical spinal injuries for the following mechanisms, and indicated whether they are stable or unstable
    1. Flexion x 6
    2. Shear / AP forces x 1
    3. Flexion-Rotation x 2
    4. Extension x 3
    5. Vertical Compression x 2
  • List 8 unstable C-spine injuries
  • Describe an approach to C-Spine X-rays, and define normal:
    1. Predental space
    2. Soft-tissue spaces
    3. Line of Swischuck
  • Describe Canadian C-Spine Rule + Nexus Rule
  • Describe incomplete cord lesions
  • Describe:
    1. Wallenburgs Syndrome
    2. Dejeune Onion Skin Pattern of Analgesia
    3. Horners Syndrome
    4. Cauda Equina
  • How does the bulbocavernosus reflex reflect the presence of spinal shock
  • List features of sacral sparing
  • List Dermatomes/ Myotomes / Spinal reflexes
  • List 6 causes of Horner’s
  • For what C-spine injuries is a CT-a indicated to R/O vascular injury
  • Are Steroids indicated for C-spine injuries
  • For whom is surgical intervention indicated immediately with a spinal cord injury
  • Define neurogenic shock and describe its management
  • Define spinal shock
  • What is the risk of cervical injury in Down’s Syndrome? Rheumatoid Arthritis?
  • What are the Denver criteria?