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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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Now displaying: February, 2017
Feb 27, 2017

This episode covers Chapter 64 of Rosen’s Emergency Medicine. Worried about what to do with those patient's coming in with their skin melting off from a chemical exposure? We've got you covered.

 

1) Describe the difference between Alkali and Acid injuries

2) Describe a HAZMAT response on scene

3) Describe the decontamination of an individual

4) List PPE for first responders or caregivers


Wisecracks

-Name two acids that cause damage through liquefactive necrosis
-List Chemical Agents used in Warfare / Terrorism
-What chemicals should you NOT irrigate with water?

Feb 20, 2017

This episode of CRACKCast covers Rosen’s Chapter 63, Thermal Burns. These patients are often the sickest in the department and many are on their way to the ICU. There are life-saving interventions that are begun in the emergency department with significant impacts on morbidity and mortality, and many are discussed in this episode.

Signposts:

  1. List zones of burns
  2. List 6 indications for intubation in the burn patient
  3. List and describe 2 formulas for fluid resuscitation
  4. Describe depth classification for burn injuries
  5. List indicators of upper airway and lower airway burns
  6. What is the Rule of 9’s and how is it modified in pediatrics
  7. List criteria for transfer to burn unit
  8. Describe basic burn dressing management
  9. List 5 burn prevention strategies

Wisecracks:

  1. What are the indications for an escharotomy
  2. What are the primary considerations in mechanical ventilation of burn patients
Feb 13, 2017

This episode covers Chapter 62 of Rosen’s Emergency Medicine. Does leaving the comfort of your warm, safe bed scare you? After this chapter, it might...

Sign Post:

  1. List the 4 families of venomous snakes.
  2. Describe phenotypic characteristics of Pit-Vipers
  3. Describe phenotypic characteristics of coral snakes?
  4. List the grades of pit viper envenomation and indicate therapy?
  5. Describe a black-widow spider and expected management goals?
  6. Describe a brown recluse spider and expected management goals
  7. List 3 classes of venomous marine injuries, and describe key principles of management for each?

 

WiseCrack:

  • What does expert opinion suggest to avoid anaphylaxis in non-recombinant antivenin administration?
  • What is the most toxic, per weight, venom?
  • What are the general phenotypic features of poisonous snakes in North America?
Feb 6, 2017

This episode covers Chapter 61 of Rosen’s Emergency Medicine. Know anything about mammalian bites...? Yeah, neither did we until we read this chapter. Lots of juicy clinical pearls. 

 

  1. List 5 pathogens responsible for infection from Dog bite
  2. List 4 risk factors for overwhelming sepsis from dog bite
  3. What first line antibiotic is a good choice for cat and dog bites?
  4. What species are known to cause infection with Pasteurella multocida?
  5. What are the risk factors for infection with animal bites?
  6. Describe the treatment of Monkey Bites?
  7. When is anti-viral prophylaxis NOT indicated for a monkey bite
    1. What is the duration of therapy of antiviral prophylaxis?
  8. Describe the recommendations for wound closure and antibiotics in bite cases

 

Wisecracks:

  1. What about seal bites?
  2. What about rabies in BC?
  3. Waterhouse-Friderichsen syndrome & capnocytophagia-related Gangrene sepsis - what are they?
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