Synopsis
www.tamingthesru.com - Free. Open-Access. Focused on Emergency Medicine, critical care and prehospital medicine, as well as practice algorithms and decreasing knowledge translation in Med Ed.
Episodes
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Hold the Bicarb?
10/02/2021 Duration: 10minThis is the final of 3 podcasts recapping our most recent journal club. In this podcast Dr. Olivia Urbanowicz walks us through a meta-analysis by Wu et al published in the Journal of Emergency Medicine in 2020. We tackle the question as to whether or not there is evidence that supports the routine use of sodium bicarbonate in patients with cardiac arrest.
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Clear! A Change in Paradigm for Defibrillation?
03/02/2021 Duration: 13minIn this, our second podcast recapping our most recent journal club, Dr. Colleen Laurence summarizes a recent pilot study by Cheskes et al looking at standard defibrillation vs vector change defibrillation vs dual sequence defibrillation. Could we be on the verge of a significant practice change in how we deliver defibrillation to patients with refractory V Fib/Tac?
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Beta Blockers for Refractory V Fib/Tac
27/01/2021 Duration: 08minThis is our first of 3 podcasts recapping our most recent journal club. In this podcast, Dr. Sarah Wolochatiuk summarizes the meta-analysis by Gottlieb et al entitled "Beta-blockade for the treatment of cardiac arrest due to ventricular fibrillation or pulseless ventricular tachycardia: A systematic review and meta-analysis" published in Resuscitation in 2019.
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Trio of Trauma - Journal Club Recap
26/10/2020 Duration: 27minWe cover a trio of papers related to the care of the trauma patient - should we be adding some vasopressin in patients needing >6 units of blood? Is VL really superior to DL in trauma patients? Should we stop wasting time of IVs and just grab the IO drill?
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A Trio of Ketamine
09/09/2020 Duration: 27minA dive into 3 articles looking at the use of ketamine in the Emergency Department. 01:23 - Slow vs rapid infusion of ketamine for pain control in the ED 13:42 - Hemodynamic effects of ketamine vs etomidate for RSI 21:59 - Effect of versed or haldol vs placebo for emergence agitation in ketamine procedural sedation
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Updates in Pediatric Cardiac Arrest
06/05/2020 Duration: 23minWe recap 3 recently published articles that look at various aspects of caring for pediatric cardiac arrest patients. Is Epi helpful? Therapeutic hypothermia or normothermia - which is better? Is old school lidocaine better than amiodarone?
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What to Do about the Flu?
28/02/2020 Duration: 32minIn this podcast, we recap our most recent journal club which look at 3 papers on the topic on influenza. One recently published in the BMJ looking at usual care vs oseltamivir for community treatment of influenza-like illness, one looking at baloxavir for treatment of influenza, and a 3rd paper looking at the association of cardiovascular events and influenza infections.
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Intrathecal Baclofen Withdrawal - Research Corner
04/02/2020 Duration: 13minIn this latest episode of our Research Corner series, Dr. Hill sits down with PGY-3 Adam Gottula, MD and Amanda Peck, PharmD to discuss their recently published case report describing the use of dexmedetomidine for the management of acute intrathecal baclofen withdrawal. The discussion encompasses the mechanisms of action of baclofen, dexmedetomidine, and how dexmedetomidine might be useful in the management of these complex patients.
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Prehosptial Stroke Triage Research Corner
05/11/2019 Duration: 15minOver the past 5 years, there has been a dramatic expansion of the treatment strategies used to treat patients with acute ischemic stoke. As some of these treatments involve specific resources only available at certain institutions, appropriate triage of patients in the prehospital environment is becoming ever important. On one hand a patient who would best benefit from endovascular treatment triaged to a center without that capability will undoubtedly suffer a delay in care. On the other hand, over-triaging stroke patients to a comprehensive stroke center could overwhelm the resources of that center, potentially impacting the care of patients at that center. In the podcast below, we talk with Dr. Jason McMullan of the UC EM Division of EMS and Dr. James Li, PGY-3 who both have recent publications focusing on this phase of patient care.
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No Lung, No Problem! - VV ECMO
21/10/2019 Duration: 26minTransporting a VV ECMO and sweating? Hearing beeps in your sleep and fearing the flow alarm? Bolster your VV ECMO knowledge with Dr. Liz Powell and Paige Barger interviewed by Dr. Adam Gottula.
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Sepsis Roundup - Journal Club Recap
04/10/2019 Duration: 27minWe recap a trio of recent articles looking into various aspects of the care and management of patients with sepsis. Are balanced fluids truly better than plain old normal saline? Are steroids a friend or foe in patients with severe sepsis? Can assessing capillary refill really be better than drawing repeat lactates?
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Heat Emergencies - 2019 Updates with Dr. Mel Otten
27/08/2019 Duration: 16minDr. Mel Otten, tox and wilderness guru and past president of the Wilderness Medical Society, takes us through his new 2019 WMS Guidelines on the prevention and treatment of heat illness.
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Controversies in Kidney Stones
07/08/2019 Duration: 17minFlank pain and pain due to ureterolithiasis are common ED presentations. There exist, however, a number of controversies when you dive into the literature addressing the diagnosis and treatment of nephrology/ureterolithiasis. Is IV lidocaine effective at treating pain in these patients? Is there a way to avoid CT scans? What about tamsulosin? Is it only good for big stones/small stones? Is there a benefit at all. For our most recent Journal Club, we tackled several of these controversies.
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ROSC with No STEMI
30/06/2019 Duration: 22minShould patient who have a V fib or V tac cardiac arrest take a trip to the cardiac Cath lab even if their post-ROSC EKG shows no evidence of ST-elevation? Drs Ham, Habib, and Klaszky breakdown several articles that address this clinical question and then we speak with Dr. Justin Benoit, the site PI for the ongoing ACCESS trial which is also looking into this question
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Air Care Series: Intro to LVADs
19/06/2019 Duration: 22minDr. Adam Gottula interviews Paige Barger and Liz Powell, MD on the basics of LVADs and how to troubleshoot them prehospital and in the ED
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Temporal Arteritis
14/06/2019 Duration: 13minTemporal Arteritis by UC Department of Emergency Medicine
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A Really Swollen Leg
14/06/2019 Duration: 15minA Really Swollen Leg by UC Department of Emergency Medicine
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The A Fib Chicken and Egg and An Unusual Cause of Sepsis
14/06/2019 Duration: 36minThe A Fib Chicken and Egg and An Unusual Cause of Sepsis by UC Department of Emergency Medicine
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Telling Tall Tales: Dogma in Emergency Medicine
14/06/2019 Duration: 17minTelling Tall Tales: Dogma in Emergency Medicine by UC Department of Emergency Medicine
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Pneumonia Alphabet Soup
14/06/2019 Duration: 26minPneumonia Alphabet Soup by UC Department of Emergency Medicine