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Tranexamic Acid (TXA) for Hemorrhage in Trauma
http://emjclub.com/podcast/tranexamic-acid
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Tranexamic Acid (TXA) for Hemorrhage in Trauma. Journal Club Podcast #15: July 2014. I'm joined this month by Drs. Wes Watkins and Bill Dribben to talk about the use of tranexamic to reduce hemorrhage in trauma patients. Click Tab to Expand. Valle EJ, Allen CJ, Van Haren RM, Jouria JM, Li H, Livingstone AS, Namias N, Schulman CI, Proctor KG. Do all trauma patients benefit from tranexamic acid? Total time fr...
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Geriatric Fall Assessment in the Emergency Department
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The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Geriatric Fall Assessment in the Emergency Department. Journal Club Podcast #18: November 2014. Chris Carpenter, Mike Galante, and I get together to talk about two things we all do eventually: growing old and falling down. Click Tab to Expand. Identification of fall risk factors in older adult emergency department patients, Acad Emerg Med 2009; 16:211-219. Geriatric patients in the ED. Fall-prevention progr...
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Albumin for Patients with Spontaneous Bacterial Peritonitis or Large Volume Paracentesis
http://emjclub.com/podcast/albumin-sbp
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Albumin for Patients with Spontaneous Bacterial Peritonitis or Large Volume Paracentesis. Journal Club Podcast #21: March 2015. A few of the residents join me to discuss the benefits of albumin administration for patients with SBP or those undergoing large volume paracentesis. Click Tab to Expand. You follow the resident’s recommendations, but are curious what the evidence actually shows. After your shi...
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Routine Laboratory Screen in Psychiatric Patients in the ED
http://emjclub.com/podcast/psychiatric-laboratory-screening
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Routine Laboratory Screen in Psychiatric Patients in the ED. Journal Club Podcast #21: April 2015. I contemplate the necessity of routine laboratory testing for psychiatric patients presenting to the emergency department. Click Tab to Expand. Schiller MJ, Shumway M, Batki SL. Utility of routine drug screening in a psychiatric emergency setting. Psychiatr Serv. 2000 Apr;51(4):474-8. A PubMed search was condu...
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Epinephrine in Out-of-Hospital Cardiac Arrest
http://emjclub.com/podcast/epinephrine-in-cardiac-arrest
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Epinephrine in Out-of-Hospital Cardiac Arrest. Journal Club Podcast #19: January 2015. This month I sat down with EMS physician Dr. Bridgette Svancarek and talk all about epinephrine, and whether it really does any good. Click Tab to Expand. Reardon PM, Magee K. Epinephrine in out-of-hospital cardiac arrest: A critical review. World J Emerg Med. 2013;4(2):85-91. You and the EMS team take over CPR and bag th...
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Treat and Release vs. Observation After Naloxone for Opioid Overdose
http://emjclub.com/podcast/observation-after-naloxone
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Treat and Release vs. Observation After Naloxone for Opioid Overdose. Journal Club Podcast #17: October 2014. Evan Schwarz and I sit down to talk about heroin, naloxone, and personal responsibillity. Click Tab to Expand. Watson WA, Steele MT, Muelleman RL, Rush MD. Opioid toxicity recurrence after an initial response to naloxone. J Toxicol Clin Toxicol. 1998;36(1-2):11-7. PubMed was searched using the follo...
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Thrombolytics in Submassive Pulmonary Embolism
http://emjclub.com/podcast/submassive-pe
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Thrombolytics in Submassive Pulmonary Embolism. Journal Club Podcast #16: September 2014. Maia Dorsett and I chat about thrombolytics, pulmonary emboli, and Muppets. That's right, Muppets. Click Tab to Expand. You begin by reading a previous Washington University Journal Club on this topic from July 2010. At which time the evidence was sparse, and a firm conclusion could not be drawn. You decide to see ...
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Subcutaneous Insulin in the Treatment of DKA
http://emjclub.com/podcast/sc-insulin-dka
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Subcutaneous Insulin in the Treatment of DKA. Journal Club Podcast #13: April 2014. Dr Chandra Aubin and I discuss subcutaneous fast-acting insulin as an alternative to insulin drips in the treatment of diabetic ketoacidosis. Click Tab to Expand. Patients (adult or pediatric) with mild to moderate DKA. Subcutaneous fast-acting insulin analog (aspart or lispro). Duration of therapy, ICU admission, ICU length...
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Endovascular Therapies in the Management of Acute Stroke
http://emjclub.com/podcast/endovascular-therapies-in-stroke
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. Endovascular Therapies in the Management of Acute Stroke. Journal Club Podcast #23: May 2015. Dr Peter Panagos, director of neurovascular emergencies at Washington University, joins me to talk about Mr. Clean, Mr. Rescue, ESCAPE, and whole lot of other great acronyms. Click Tab to Expand. The family poses the following questions:. 2 Does the patient really need to get IV tPA locally? Can you predict who wil...
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The Diagnostic Evaluation of Renal Colic
http://emjclub.com/podcast/renal-colic
The EMJClub Emergency Medicine Podcast. The Washington University Emergency Medicine Journal Club. The Diagnostic Evaluation of Renal Colic. Journal Club Podcast #20: February 2015. Dr Chandra Aubin joins me to talk about the using ultrasound, CT, and sometimes plain old common sense to diagnose those kidney stones. Click Tab to Expand. Smith-Bindman R, Aubin C, Bailitz J, et al. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med. 2014 Sep 18;371(12):1100-10. You are a...