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
-Name two acids that cause damage through liquefactive necrosis
-List Chemical Agents used in Warfare / Terrorism
-What chemicals should you NOT irrigate with water?
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.
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...
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.
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.
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 firstname.lastname@example.org.
Music for Episode 02 (All songs have been modified for the project)
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!
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
Evidence guided tips for scar healing?
How to decrease pain of anaesthetic injection?
Where can I find a concise guide to Suture material use?
This episode covers Chapter 58 of Rosen’s Emergency Medicine: Orthopaedic Ankle and Foot injuries. Its a gooder for sure.
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
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.
This episode covers Chapter 55 of Rosen’s Emergency Medicine.
1) Describe common pelvic fractures and their classification
2) List 3 categories of complications of pelvic fractures
3) Describe the approach and management of hemodynamically unstable pelvic fracture.
4) List 5 radiographic cues to posterior arch fractures
5) What is the management of penetrating pelvic trauma
1) How are open pelvic fractures diagnosed and managed?
2) What is the classification of acetabular fractures?
3) How are coccygeal fractures managed?
This episode covers Chapter 54 of Rosen’s Emergency Medicine.
1) Describe the myotomes and dermatomes L3-S1
2) List 4 Red Flag Diagnoses with associated RFs, Hx, PEX findings
3) Describe SLR, crossed-SLR, flip-test, reverse SLR and their implications
4) List 5 indications for Xray in low back pain
5) Discuss the discrimination of functional from organic back pain
6) Describe the management of:
b. Cauda Equina Syndrome
c. Spinal Infection
d. Vertebral Malignancy
e. Simple Radiculopathy
7) List 8 DDx for Thoracic back pain
Backpain treatment cocktails?
When to order the CT scan?
How to estimate the amount of post-void residual volume with ultrasound?
This episode covers Chapter 52 of Rosen's Emergency Medicine.
This episode covers Chapter 51 of Rosen’s Emergency Medicine.
1) Describe normal radiographic relationships:
2) Describe xray findings and management of
4) Describe DISI and VISI
5) Describe xray findings and management of
7) List 8 RFs for Carpal Tunnel Syndrome + Describe 2 tests for CTS
8) Describe the Monteggia and Galeazzi’s fracture patterns
This episode covers Chapter 47 of Rosen’s Emergency Medicine.
1. List 6 general indicators of genitourinary trauma?
Lower urinary tract and external genitalia
Upper urinary tract
What is the most common site of urethral injuries?
This episode covers chapter 46 of Rosen's Emergency Medicine text book.
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.
7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma
8) Describe the management of unstable blunt abdominal trauma
9) Provide an approach to anterior abdominal trauma with:
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?
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.
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
This episode covers Chapter 043 of Rosen’s Emergency Medicine, Spinal Injuries.
This episode covers Chapter 42 of Rosen’s Emergency Medicine, Facial Trauma.
1) Describe the anatomy of the bones, glands, and ducts of the face. At what ages do the sinuses appear?
2) List 5 types of facial fractures.
3) Describe the clinical presentation and associated radiographic findings of an orbital blowout fracture.
4) Describe an orbital tripod fracture and its management.
5) List the indications for antibiotics in a patient with facial trauma?
6) What is the importance of perioral electrical burns?
7) What are the indications for specialist repair of an eyelid laceration?
8) Describe the classification and management of dental fractures.
9) Describe the method for reducing a jaw dislocation? What is the usual direction of the dislocation?
In the second episode of the Physicians as Humans project, I speak with Dr. Rob Rogers (@EM_Educator), a leading educator in emergency medicine and director of The Teaching Course. He shares his experiences of dealing with a devastating illness in his own family and the effect it had on his career as an emergency physician.
This is an ongoing project, so if you or anyone you know have a story about managing personal struggles while in medicine, please contact email@example.com. If you are unfamiliar with the project, please read this post for more information on the origin of this podcast series. The CanadiEM podcast can be added to your podcast application from the iTunes store or by entering the podcast RSS feed. If you would prefer to download it, click here. It can also be streamed above.
Thanks for listening and please refer your colleagues!
Music for Episode 02 (All songs have been modified for the project)