Category: Total EM

Podcast #111 – Peritonsilar and Deep Neck Infections

At the request of listeners, we are covering some essential clinical topics such as deep neck infections including peritonsilar abscess (also known as “quinsy”).  These are life-threatening conditions that require early recognition and intervention.  Since peritonsilar infections are not of deep visceral spaces, this is technically separate but given their high incidence and at times

Podcast #110 – IO Devices and Lab Values

I​​ntraosseous (IO) devices are traditionally used in the initial stages of resuscitation when peripheral intravenous (IV) access is not readily obtainable.  This can happen for a variety of reasons such as edema, burns, obesity, or IV drug abuse among others.  Although ultrasound can be used to obtain peripheral or central venous access, the most rapid route

Podcast #108 – Dogmalysis of Dry Drowning

Every year, we see drownings.  In some cases people survive, but unfortunately sometimes they do not.  However, there is confusion in both the medical community and the public regarding what is considered to be a drowning event.  Dogma and myths are everywhere and one of the most common is “dry drowning”  which is why we

Podcast #105 – PARAMEDIC2: It’s Time to Call the Code on Epinephrine (Adrenaline)

Epinephrine (adrenaline) has been a hallmark of cardiac arrest management as an attempt to obtain a return of spontaneous circulation (ROSC).  However, the evidence for epinephrine in out-of-hospital cardiac arrest (OHCA) as well as in the hospital (IHCA) has been conflicting.  We review the largest trial to date just recently published in the New England

Podcast #104 – Does How You Dress Matter?

Does it actually matter how you dress when you go to work?  The BMJ recently published an open access article covering this exact issue.  Although in many ways limited, this study offered some key insights regarding how our dress attire in different settings could potentially impact patient perceptions. The study, conducted at 10 academic hospitals