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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
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Now displaying: January, 2017
Jan 30, 2017

This episode of CRACKCast covers Rosen’s Chapter 60, Foreign Bodies. This episode covers an approach to foreign bodies, including location specific tips, complications and safe removal in the ED.

  1. Describe your approach to Ocular FB
  2. What is Seidel Sign?
  3. List indirect signs of FB on Xray
  4. List complications of ear FB
  5. Describe the process of anesthesia of the ear and preparation for FB removal
  6. Describe 5 techniques for removal of FB from ear
  7. Describe the management of TM perforation secondary to FB
  8. Describe 5 techniques for removal of FB from nose
  9. Describe a step-wise approach to pediatric FB airway obstruction
  10. List 7 symptoms of Esophageal FB
  11. List 8 complications of esophageal FB
  12. List 4 complications specific to button battery ingestions
  13. List indications for removal of esophageal FBs
  14. List 4 removal techniques of esophageal FB
  15. List 5 techniques for management of food bolus and their mechanism of action
  16. List the criteria for continued expectant management for intestinal FB
  17. Describe the stepwise management of a Rectal FB

 

Wisecracks:

  1. What is the safe dose of topical anesthetics?
  2. How do you test the radiolucency of an object?
  3. What is a Cafe Coronary? What is Penetration Syndrome?
  4. Differentiate Body stuffing from Body Packing
Jan 27, 2017

In the third episode of the Physicians as Humans project, I corresponded with a Canadian emergency physician who sent me her personal account of depression.  The result is this beautiful, thoughtful story that she has graciously allowed me to read for the podcast.

This is an ongoing project, so if you or anyone you know have a story about managing personal struggles while in medicine, please contact velmurug@ualberta.ca.

Music for Episode 02 (All songs have been modified for the project)

  1. ambient by strange day. Music provided by Music for Creators under a Creative Commons Attribution 3.0 Unported— CC BY 3.0 license.
  2. Cease by A Himitsu. Music provided by Music for Creators under a Creative Commons Attribution 3.0 Unported— CC BY 3.0 license.
  3. I Dunno by Grapes. Music provided by Music for Creators under a Creative Commons Attribution 3.0 Unported— CC BY 3.0 license.
  4. Lost Within by A Himitsu. Music provided by Music for Creators under a Creative Commons Attribution 3.0 Unported— CC BY 3.0 license.
  5. Moon by LEMMiNO. Music provided by Music for Creators under a Creative Commons Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 license.
  6. Tomorrow by Bensound
  7. Laws of Movement by The Passion HiFi. www.thepassionhifi.com
Jan 23, 2017

This episode of CRACKCast covers Rosen’s Chapter 59, Wound Management Principles. This episode covers the nitty-gritty details of wound management and what you need to know to get that perfect wound closure!

 

Questions:

1) List risk factors for wound infection
2) List the 5 stages of wound healing
3) List toxic doses of local anesthetics
4) 3 types of wound closure?
5) List advantages of and contraindications of tissue adhesives
6) List indications for tetanus immune prophylaxis
7) List 5 specific wound care instructions
8) List 7 situations where antibiotic prophylaxis is indicated in wound management

 

WiseCracks:

Evidence guided tips for scar healing?

How to decrease pain of anaesthetic injection?

Where can I find a concise guide to Suture material use?

Jan 16, 2017

This episode covers Chapter 58 of Rosen’s Emergency Medicine: Orthopaedic Ankle and Foot injuries. Its a gooder for sure.

 

  1. Describe the bones of the foot and important joints/ligaments
  2. List Ankle stress tests
  3. Describe an approach to ankle x rays (including the Ottawa ankle rules)
  4. Describe the Weber classification
  5. List indications for ortho referral in the ER
  6. Describe the management of Achilles and Tibialis posterior tendon ruptures
  7. Describe the Hawkin’s classification of talar neck fractures
  8. Describe the diagnosis and management of calcaneal fractures and list 3 injuries associated with calcaneal fractures
  9. Describe the anatomy and classification of lisfranc injuries
  10. Describe the management of metatarsal shaft fractures.
  11. List 6 predisposing conditions for stress fractures
  12. List 4 causes each of hindfoot pain and forefoot pain
  13. Differentiate between Jones and Dancer’s fracture
  14. Describe 4 plain-film radiographic abnormalities for stress fracture
  15. Describe the Tillaux fracture and pathophysiology


Wisecracks:

  1. Discuss soft tissue injuries of the ankle
  2. Name 6 other mimics of the “ it's just an ankle sprain” 
Jan 9, 2017

This episode covers Chapter 57 of Rosen’s Emergency Medicine.

 

1) List contents of popliteal fossa

2) Describe Ottawa knee Rule

3) Describe Schatzker classification for tibial plateaus fractures

4) Describe the Insall-Salvati ratio

5) Describe the management of a knee dislocation

6) Describe the management and classification of patellar fracture and dislocation

7) List 6 overuse syndromes

8) Describe the sensory and motor function of nerves of the lower extremity

9) Describe the 4 compartments of the lower leg and their contents

10) Describe the management of Tibial tubercle fractures and Osgood-Schlatter Disease

11) List 4 complications of tibial shaft fractures

12) Describe the management of proximal fibula fractures

 

Wisecracks

 

  • What is a Baker’s cyst and how is it managed?
  • What are extensor mechanism injuries in the knee?
  • DDx of acute onset calf pain?

 

 

Jan 2, 2017

This episode covers Chapter 56 of Rosen’s Emergency Medicine.

1) List 3 compartments of leg and contents

2) List 8 causes of AVN (traumatic and atraumatic)

3) List 5 most common primary cancers metastatic to bone

4) List 15 causes of hip pain without an obvious hip fracture

5) List 3 techniques for reduction of the hip

6) Describe 4 types of hip dislocation.

Wisecracks

  1. Pediatric hip/femur pathology?
  2. Hip dislocations
  3. Classification of femur fractures
  4. 6 causes of a child with a limp
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