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 firstname.lastname@example.org. 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)
This episode covers Chapter 41 of Rosen’s Emergency Medicine.
1) list 7 causes of altered LOC in the trauma patient
2) List four herniation syndromes.
Describe the pathophysiology of uncal herniation and the typical presentation.
Describe the presentation of central herniation.
3) Describe how cerebral blood flow in relationship to the following parameters: PO2 , PCO2 , MAP and ICP. What are the indications for ICP monitoring?
4) What is the Canadian CT head rule? What are the inclusion criteria. What is the New Orleans CT head rule? What are the inclusion criteria? Which test is more sensitive? More specific?
5) What is a concussion? How is a concussion managed? What are potential complications? Define second impact syndrome & return to play
6) Outline the ED management goals of TBI.
7) 7 clinical features of basal skull #
This episode of CRACKCast covers Rosen’s Chapter 040, Injury Prevention and Control.
1) What are the three key aspects to Injury Control?
2) What makes up the Injury Triangle?
3) List 6 of 10 potential strategies for preventing transfer of energy
1) What can you actually do, as a health practitioner, to help injury prevention?
This episode covers Chapter 39 of Rosen’s Emergency Medicine textbook.
1) 5 Risk Factors for falls in the elderly?
2) What anatomic and physiologic changes in the elderly patient are important for the management of trauma in the elderly patient. (changes in the CVS, CNS, reap, MSK, skin) Explain why these are important?
3) What are the most common c-spine injury in the geriatric patient?
This episode covers Chapter 38 of Rosen's Emergency Medicine.
This episode covers Chapter 37 of Rosen's Emergency Medicine.With trauma in pregnancy we need to think about blunt vs. penetrating trauma. Many women do not know they are pregnant.
This episode covers Chapter 36 of Rosen's Emergency Medicine.
This episode covers Chapter 35 of Rosen's Emergency Medicine.
1) List 10 historical red flags for back pain
2) List 6 Emergent Diagnosis for back pain
1) Describe the most common sites of disc protrusion with their associated neurologic findings
2) Outline your approach to acute undifferentiated back pain
3) Describe your treatment approach for acute musculoskeletal low back pain
This episode covers Chapter 34 of Rosen's Emergency Medicine.
1) Indicate 12 causes of vaginal bleeding, indicating at which age group each is most common
2) List 6 causes of bleeding in early pregnancy
3) Describe the management of severe third trimester bleeding and postpartum hemorrhage
1) List options for managing vaginal bleeding in the non-pregnant patient
2) When would you avoid estrogen products in non-pregnant women with vaginal bleeding?
This episode covers Chapter 33 of Rosen's Emergency Medicine.
1) List 8 diagnoses of pelvic pain in women that are of reproductive tract origin
2) List 3 causes of pelvic pain in the pregnant patient who is: Fewer than 20 weeks pregnant or Greater than 20 weeks pregnant
1) List 6 life threatening causes of acute pelvic pain in women
2) Outline a systematic approach to acute pelvic pain in women
3) List 6 risk factors for ectopic pregnancy
This episode covers Chapter 32 of Rosen's Emergency Medicine.
Chapter 32 – Constipation
1) List 6 treatment options for the management of constipation
1) What are 6 broad categories for the causes of constipation?
This episode covers Chapter 30 of Rosen's Emergency Medicine.
1) List 5 causes of UGIB in adults and pediatrics
2) List 5 causes of LGIB in adults and pediatrics
3) Describe your management approach for severe UGIB
4) List 6 low-risk criteria D/C of GIB
5) List components of the Rockall and Glasgow-Blatchford score
1) Describe the insertion of a Blakemore tube
2) List 6 causes of false positive stool guaic