Info

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.
RSS Feed Subscribe in iTunes
CRACKCast & Physicians as Humans on CanadiEM
2017
June
May
April
March
February
January


2016
December
November
October
September
August
July
June
May
April
March
February
January


Categories

All Episodes
Archives
Categories
Now displaying: Page 3
Sep 19, 2016

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.  

  • differentiated between direct and indirect TBI
  • What are the indications for seizure prophylaxis following TBI?
  • What are the indications for antibiotics in TBI?
  • Complications of TBI?

7)  7 clinical features of basal skull #

 

Wisecracks

  1. CT tips: 3 signs of cerebral edema on CT,  5 differences on CT between SDH And EDH, List 3 CT findings in DAI
  2. What are: the Monroe-Kellie doctrine, the Cushing’s reflex, What is kernihan’s notch, and how does this syndrome present?
Sep 12, 2016

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

Wisecracks:

1) What can you actually do, as a health practitioner, to help injury prevention?

Sep 5, 2016

This episode covers Chapter 39 of Rosen’s Emergency Medicine textbook. 

Episode Overview

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?

Aug 29, 2016

 

This episode covers Chapter 38 of Rosen's Emergency Medicine.

Episode Overview

  1. List 5 relevant anatomic/physiologic differences between children and adults in relation to trauma management
  2. List 8 airway differences between pediatrics and adults with their relevant implications
  3. List potential fluid therapies for hemorrhagic shock and their doses
  4. List 3 ideal IO sites in pediatrics and describe the procedure
  5. Describe the pediatric GCS
  6. List 6 indications for laparotomy
  7. List 6 signs of elevated ICP in infants and children
  8. What is an impact seizure?
  9. List the 5 layers of the scalp and describe 3 types of extra cranial bleeding in pediatrics
  10. What is the difference between a linear and a diastatic skull fracture
  11. Describe the typical presentation and etiologic cause of an epidural hematoma and a subdural hematoma
  12. Describe the management of elevated ICP
  13. List 10 anatomical differences between the pediatric and adult cervical spine
  14. How can you discern between true subluxation and pseudosubluxation at C2/C3
  15. List 2 ways to choose the size of chest tube in pediatrics
  16. What are indications for ER resuscitative thoracotomy in chest trauma?
  17. List pediatric specific cardiovascular and abdominal injury patterns
Aug 22, 2016

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.

Episode Overview:

  • What is the threshold for fetal viability and how can this be estimated clinically?
  • List the expected physiologic changes during pregnancy.
  • List 8 unique considerations in the management of the pregnant trauma patient.
  • How is fetal distress detected?
  • Discuss placental abruption including the pathophysiology, clinical findings, diagnostic modalities, management, and complications.
  • List 2 potential uterine injuries
  • What is a safe radiation dose in pregnancy? What diagnostic tests have the potential to exceed this dose?
  • Describe early, variable, and late decelerations. What is the implication of each? What is one other indicator of fetal distress related to the FHR?

Wisecracks:

  • How is feto-maternal hemorrhage diagnosed and managed?
  • Describe specific management in the following conditions:
  • What are indications for peri-mortem c-sections. Describe the procedure.
Aug 15, 2016

This episode covers Chapter 36 of Rosen's Emergency Medicine.

Episode Overview:

  • List indications for activation of a trauma team
  • What is the general approach to a multi-trauma patient?
  • List commonly missed trauma injuries
  • ED thoracotomy indications and contraindication for blunt and penetrating trauma

Wisecracks:

  • Describe the term permissive hypotension and when you would not use it
  • What are 3 goals for out of hospital care of a trauma patient

 

Jul 25, 2016

This episode covers Chapter 35 of Rosen's Emergency Medicine.

Episode overview:

1)  List 10 historical red flags for back pain
2)  List 6 Emergent Diagnosis for back pain

Wisecracks:

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

Jul 20, 2016

This episode covers Chapter 34 of Rosen's Emergency Medicine.

Episode Overview:

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

Wisecracks:
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?

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?
« Previous 1 2 3 4 Next »