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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: Page 3
Jul 19, 2016

This episode covers Chapter 33 of Rosen's Emergency Medicine.

Episode overview:

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

WiseCracks:

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

Jul 12, 2016

This episode covers Chapter 32 of Rosen's Emergency Medicine.

Chapter 32 – Constipation

Episode Overview:

1) List 6 treatment options for the management of constipation

Wisecracks:

1) What are 6 broad categories for the causes of constipation?

Jul 5, 2016

This episode covers Chapter 31 of Rosen's Emergency Medicine.

Episode Overview:

1)  Define Acute, Persistent, Chronic Diarrhea
2)  Describe the 4 mechanisms of diarrhea
3)  List 15 historical factors that increase the risk of probability of non-benign diarrhea
4)  What are the indications for empiric antibiotic treatment?
5)  List 6 organisms that cause bloody diarrhea

WiseCracks

1)  When is Loperamide indicated?
2)  When should you use stool cultures / O&P
3)  Best way to give children pedialyte?

Jul 5, 2016

This episode covers Chapter 30 of Rosen's Emergency Medicine.

Episode overview:

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

Wisecracks:

1) Describe the insertion of a Blakemore tube
2) List 6 causes of false positive stool guaic

Jun 28, 2016

This episode covers Chapter 29 of Rosen's Emergency Medicine.

Episode Overview:

  1. Describe the mechanism of development of a Hypochloremic Metabolic Alkalosis in vomiting
  2. List commonly used anti-emetics including their dose and their receptor site of action.
  3. List causes of vomiting specific to age groups: infant, newborn, child, and teen.

Wisecracks: 

  1. What are the three main areas providing afferent inputs to the vomiting centre?
  2. Name 6 critical causes and 6 complications of vomiting
Jun 28, 2016

This episode covers Chapter 28 of Rosen's Emergency Medicine.

Episode overview: 

1) Describe heme metabolism
2) List common pre-hepatic/hepatic/post-hepatic causes of jaundice

Wisecracks: 

1) What are clinical signs of liver disease?
2) What laboratory tests can be useful in a jaundiced patient?
3) List the triad of acute hepatic failure
4) List and describe 6 critical causes of jaundice
5) What are 3 causes of jaundice in pregnancy?

Jun 15, 2016

This episode covers Chapter 27 of Rosen's Emergency Medicine.

Episode overview:

  1. List and explain 8 causes of life-threatening abdominal pain
  2. List 15 causes of extra-abdominopelvic abdominal pain

Wisecracks:

  1. Why is WBC of so little utility in abdominal pain?
  2. When is an abdominal x-ray useful in investigating abdominal pain?
Jun 6, 2016

This episode covers Chapter 26 of Rosen's Emergency Medicine.

Episode overview:

  1. List 6 critical causes of chest pain

Wisecracks:

  1. Walk through a systems approach to chest pain including common and uncommon causes of chest pain
  2. Outline your approach to the person with sudden onset severe chest pain
Jun 2, 2016

On behalf of the Physicians as Humans project, I’m thrilled to present the first episode of the series: “Addiction in a medical student.” If you are unfamiliar with the project, please read this post to learn about the podcast series' origins.

In this first episode I speak with a Canadian medical student about his personal battle with drug addiction during medical school. He candidly describes his experience and the powerful impact it has had on his future as a 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 velmurug@ualberta.ca.

Thanks for listening!

Niresha, Physicians as Humans Project

Music for Physicians as Humans Episode 01

ambient by strange day https://soundcloud.com/strange-day
Creative Commons — Attribution 3.0 Unported— CC BY 3.0
http://creativecommons.org/licenses/by/3.0/
Music provided by Music for Creators https://youtu.be/_CxScpf_Dds

untitled by NICKV. https://soundcloud.com/nickvmusik
Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0
http://creativecommons.org/licenses/by-sa/3.0/
Music provided by Music for Creators https://youtu.be/c9y0bwX2kSQ

Fireflies by Muciojad https://soundcloud.com/muciojad
Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0
http://creativecommons.org/licenses/by-sa/3.0/
Music provided by Music for Creators https://youtu.be/nlFVU2SSBHA

I Am A Man That Will Fight For Your Honour by Chris Zabriskie
Indie Disco by Ben Fawkes https://soundcloud.com/benfawkes
Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0
http://creativecommons.org/licenses/by-sa/3.0/
Music provided by Music for Creators https://youtu.be/9yN_wLfNA9g

Your Heart Beats Like Mine by Crimson Mourn https://soundcloud.com/crimson-mourn
Creative Commons — Attribution 3.0 Unported— CC BY 3.0
http://creativecommons.org/licenses/by/3.0/
Music provided by Music for Creators https://youtu.be/45BYLXYmLEI
All songs have been modified for the project

Jun 1, 2016

This episode covers Chapter 25 of Rosen's Emergency Medicine.

Episode overview:

  1. List 10 critical causes of dyspnea

Wisecracks:

  1. Outline your approach to the acutely dyspneic patient
  2. Name 6 uncommon causes of dyspnea
Jun 1, 2016

This episode covers Chapter 24 of Rosen's Emergency Medicine.

Episode overview:

  1. Describe the management of massive hemoptysis
  2. List the 12 causes of hemoptysis

Wisecracks:

  1. How do you tease out other hemoptysis mimics?
Jun 1, 2016

This episode covers Chapter 23 of Rosen's Emergency Medicine.

Episode overview:

  1. List 8 Emergent Diagnoses for the chief complaint of sore throat
  2. List the most common viral, bacterial, and non-infectious causes of sore throat
    • List at least 8
  3. Describe the modified Centor Criteria and their use

Wisecracks:

  1. Describe the pros and cons of antibiotics for suspected or confirmed acute GAS pharyngitis (see Rosen’s page 202)
  2. Other than Group B Strep, name 6 agents causing exudative pharyngitis
May 22, 2016

This episode covers Chapter 22 of Rosen's Emergency Medicine.

Episode overview:

  1. Describe the Relative Afferent Pupillary Defect, how it is diagnosed, and list a
    differential diagnoses for this finding
  2. List 6 treatment options for Acute Angle Closure Glaucoma
  3. Describe 5 history or physical exam findings that distinguish between periorbital
    cellulitis and orbital cellulitis

Wisecracks:

  1. What are the causes of exophthalmos?
  2. How can you differentiate between viral and bacterial conjunctivitis?
  3. Causes of anisocoria?
May 15, 2016

This episode covers Chapter 21 of Rosen's Emergency Medicine.

Episode overview:

  1. List the differential diagnosis (critical emergent, urgent) for Diplopia
    • Including at least 7 causes of binocular diplopia
  2. Describe the mechanisms of normal extraocular movements
  3. Describe the specific cranial nerve palsies causing diplopia

Wisecracks:

  1. What are the 5 most important questions to ask yourself about diplopia?
  2. Describe your approach to diplopia in the sick patient
May 6, 2016

This episode covers Chapter 20 of Rosen's Emergency Medicine.

Episode overview:

  1. List 7 life threatening causes of headaches
  2. List 5 red flags on history for headaches
  3. When should you perform a CT before performing a LP?
  4. Describe 8 clinical findings indicative of elevated ICP

Wisecracks:

  1. Describe 5 CT findings suggestive of elevated ICP
  2. List 7 non-life threatening causes of headache
Apr 29, 2016

This episode covers Chapter 19 of Rosen's Emergency Medicine.

Episode overview:

  1. Compare characteristics of peripheral and central vertigo
  2. What are risk factors for central causes of vertigo?
  3. List 4 vestibulotoxic drugs.
  4. Describe the Hallpike Maneuver and the Epley Maneuver
  5. List 5 causes of Peripheral Vertigo and describe features of illness
  6. List 5 causes of Central Vertigo and describe the features of illness

Wisecracks:

  1. HINTS exam
  2. Pathophysiology stumper:
    • Why does dizziness or vertigo lead to nausea, sweating, malaise?
  3. What is the barbecue roll?
Apr 25, 2016

This episode covers Chapter 18 of Rosen's Emergency Medicine.

Episode Overview:

  1. Define status epilepticus
  2. List the doses of common medications used for status epilepticus
  3. List 10 differential diagnoses for seizures
  4. List 10 indications for head CT in new-onset seizure

Wisecracks:

  1. How long does a driver in British Columbia require their driver’s license be suspended after a seizure?
  2. What are the most common causes of status epilepticus?
  3. What are the “cannot miss” causes of seizure?
Apr 12, 2016

This episode covers Chapter 17 of Rosen's Emergency Medicine.

Episode Overview:

  1. List the Major Categories for the differential diagnosis of Confusion
  2. Differentiate between organic and functional confusion.
  3. List the Critical and Emergent causes of Confusion

Wise Cracks:

  1. Describe a quick assessment tool for screening for confusion
Apr 12, 2016

This episode covers Chapter 16 of Rosen's Emergency Medicine.

Episode Overview:

  1. List a broad differential diagnosis for coma
  2. List GCS / Pediatric GCS
  3. Describe the oculocephalic and oculovestibular reflex

Wise Cracks:

  1. List the common age-related causes of altered mental status
  2. What is the initial investigation management of an altered LOC patient?
Apr 1, 2016

This episode covers Chapter 15 of Rosen's Emergency Medicine.

Episode Overview:

  1. What are 12 critical causes of syncope?
  2. List common medications that can cause syncope
  3. Describe the San Francisco Syncope Rule
  4. What are red flags that require admission in syncope?
Mar 30, 2016

This episode coveers Chapter 14 of Rosen's Emergency Medicine.

Episode Overview:

  1. What is the differential diagnosis for cyanosis?
  2. List the common causes for methemoglobinemia
    • 10 medications
    • 6 toxins
  3. Describe the mechanism for methemoglobin formation, treatment, and indications for methylene blue

Wisecracks

  1. Explain the oxygen-hemoglobin dissociation curve
  2. What is the hyperoxia test?
Mar 14, 2016

This episode covers Chapter 13 of Rosen's Emergency Medicine.

Episode Overview:

  1. Compare upper motor neuron (UMN), lower motor neuron (LMN), and neuromuscular junction (NMJ) causes of weakness
  2. List 10 neuromuscular causes of weakness and describe their basic pathophysiologic mechanism
  3. What are warning signs of impending respiratory failure in a patient with neuromuscular weakness?

Wisecracks

  1. List seven non-emergent causes of peripheral neuropathy
  2. What are some causes of non-neuromuscular weakness?
  3. Clinical pearls for the weak patient
Mar 14, 2016

This episode covers Chapter 12 of Rosen's Emergency Medicine.

Episode Overview:

  1. Describe the physiologic mechanism of increasing the body’s temperature
  2. What is the change in HR and RR with every increase of 1°C core body temperature?
  3. What is the emergency medicine specific approach to defining the infectious differential?
  4. List 15 causes of non-infectious hyperthermia

Wisecracks

  1. Description of fever vs. hyperthermia
    • Approach to a patient with an elevated temperature
  2. Points on fever in the elderly, chronically ill, or immunosuppressed
  3. What is the most accurate way of measuring core body temperature?

 

Mar 3, 2016

This episode covers Chapter 11 of Rosen's Emergency Medicine.

Episode Overview:

  1. List the equipment needed for neonatal resuscitation
  2. List 5 questions to ask the mother during an imminent delivery
  3. Describe the components of the initial assessment of the newborn (APGAR)
  4. What is the management of meconium?
  5. When should oxygen be used in the neonatal resuscitation period?
  6. What is the indication for CPR in a neonate?
  7. Describe how to perform CPR on a neonate
  8. What are the indications for intubation of a neonate?
  9. List 4 reasons not to resuscitate a newborn

Wisecracks

  1. What are some special considerations for resuscitating a preterm infant?
  2. Describe the Neonatal Resuscitation algorithm
  3. A quick review of specific neonatal disorders:
    • Diaphragmatic hernia
    • Meningomyelocele
    • Omphalocele
    • Choanal atresia
    • Pierre-Robin sequence
  4. Neonatal Resuscitation Case (shownotes only)
Feb 29, 2016

This episode covers Chapter 10 of Rosen's Emergency Medicine.

Episode Overview:

  1. Describe the CPR technique for an infant
  2. Describe the PALS cardiac arrest, bradycardia and tachycardia algorithms
  3. Describe the PALS septic shock algorithm
  4. List the dose and primary indication for core pediatric resuscitation medications
  5. What are 8 risk factors for Sudden Infant Death Syndrome (SIDS)?
  6. List 8 strategies for preventing SIDS
  7. Describe the management of a SIDS death
  8. Define Apparent Life Threatening Events (ALTE) and list 10 causes

Wisecracks

  1. Epidemiology and pathophysiology of pediatric cardiac arrest
  2. What does Rosen’s say about atropine and succinylcholine use in pediatric resuscitation?
  3. What are the pertinent anatomic features of children as it relates to laryngoscopy and intubation?
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