Emergency Medicine Journal Club Cast – Details, episodes & analysis

Happy Hazardous Holidays! This is our *belated* holiday special - filled with surprise new hosts, toxic ingestions, slips and falls (off the roof), and Christmas-tree-light filled ex laps. We hope you enjoy. 

Vitals & Useful Links:

• Learn about one important etiology of epigastric pain (see spoilers below if you want to know which one - hint: We've covered a type of it before!)
• PulmCrit has a great post about it here (spoilers)

In this episode, Jordan (PGY1.5) takes Kyle (PGY0) and Arman (PGY0) through a case of epigastric abdominal pain. We quickly get to the diagnosis, but the etiology and management are fascinating! As per usual, Nurse Barb and Jordan lay down some wisdom on the way the real world of medicine works. How would you approach this case? As always, we learn a couple of very important points about the epigastric abdominal pain. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Grab some roses and a heart shaped box of chocolates - it's the Valentine's Day Special! As is tradition we have a 3-part Valentine's Day Special episode featuring many of our previous guests! In this one - Arman and Pranav talk about Cupid and high school!

Join us to learn about some interesting and non-romantic Valentine's Day-themed Emergency Medicine topics. This week Arman, Kyle, Adam, Pranav, Taylor, Danny, Abby, Nate, and Chris come together to talk all things love/romance/oral microbiome/foreign body related for this weekend. We want to avoid spoilers as much as possible, but we discuss topics ranging from hickies to broken hearts. We also talk chocolate facts! We hope you enjoy this one, and stay tuned for future holiday episodes! If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

Arman's Article: Benedetto U, Caputo M, Kosti A, et al. Cupid's arrow retained in the heart. J Thorac Dis. 2019;11(1):E1-E3. doi:10.21037/jtd.2018.12.12

Pranav's Article: Wu TY, Hsiao J, Wong EH. Love bites--an unusual cause of blunt internal carotid artery injury. N Z Med J. 2010;123(1326):112-115. Published 2010 Nov 26.

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

On this episode of EMWIT, we talk about Match Week. We run through the Match Week schedule, SOAP, and the Match algorithm. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the different SLOEs. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com.

Important Links

• Match Week Schedule
• Match Week Site
• How SOAP Works
• How the Match Algorithm Works

Check out our website at www.emjccast.com

Music: "Grainy Rock" by Lonely Coyote Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful!

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Continuing our EMJC spinoff series, EMWIT, we talk about a huge part of your EM residency application, the SLOE. We go over the E-SLOE, S-SLOE, and O-SLOE to give you all an idea of what you're being evaluated on as an EM applicant. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the different SLOEs. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com.

Important Links

• CORDEM's 'SLOE 101' PowerPoint (we're sorry we don't have a direct link to the E-SLOE PDF)
• S-SLOE
• O-SLOE

Check out our website at www.emjccast.com

Music: "Grainy Rock" by Lonely Coyote Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful!

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links:

• Learn about one important etiology of abdominal pain (see spoilers below if you want to know which one)
• Podcasts: Abdominal Pain Basics (EM Clerkship), This Episode's Topic (EM Clerkship) *SPOILERS*
• EM Basic Show Notes: Female Abdominal Pain
• Recommendations for Management of This Episode's Topic *SPOILERS*

In a big twist this week, we welcome our friend and future surgeon Brynne (MS4) to lead Arman (MS4) and Kyle (MS4) through a surgical emergency case. As always, we learn a couple very important points about one etiology of abdominal pain including some non-surgical interventions we can perform in the Emergency Room. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

Here's Brynne's article on Adhesive Disease in Abdominal Surgery
Ten Broek, R. P., Issa, Y., van Santbrink, E. J., Bouvy, N. D., Kruitwagen, R. F., Jeekel, J., ... & van Goor, H. (2013). Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. Bmj, 347.

Her Article on Small Bowel Obstruction
Mullan, C. P., Siewert, B., & Eisenberg, R. L. (2012). Small bowel obstruction. American Journal of Roentgenology, 198(2), W105-W117.

Another Article on Adhesive Disease
Menzies, D., & Ellis, H. (1990). Intestinal obstruction from adhesions--how big is the problem?. Annals of the Royal College of Surgeons of England, 72(1), 60.

Grading of Adhesive Disease

Long-Term Prognosis After Operation for Adhesive Disease

Risk of Adhesion Recurrence

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links:

• Learn about how to manage pediatric head and neck trauma (see spoilers below if you want to know how)
• Pediatric Emergency Playbook Podcast - Blunt Head Trauma
• PEM ED Podcast - Clearing the Pediatric C-Spine

EMJC's in-house gymnast graces us with his presence as Kyle (MS4) leads Arman (MS4) and Nathan (MS4) through a case of a child brought to the ED after a trampoline accident. How would you approach this case? As always, we learn a couple of very important points about pediatric trauma and injuries. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.

Here's the article on PECARN Head Injury Algorithm
Kuppermann, N., Holmes, J. F., Dayan, P. S., Hoyle, J. D., Atabaki, S. M., Holubkov, R., … & Pediatric Emergency Care Applied Research Network. (2009). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The Lancet, 374(9696), 1160-1170.

Here's the PECARN C-Spine Paper
Leonard, J. C., Kuppermann, N., Olsen, C., Babcock-Cimpello, L., Brown, K., Mahajan, P., … & Pediatric Emergency Care Applied Research Network. (2011). Factors associated with cervical spine injury in children after blunt trauma. Annals of emergency medicine, 58(2), 145-155.

PECARN Algorithm - MD Calc

Comparison of PECARN, CATCH, and CHALICE

Ped EM Morsels Links: PECARN, Trampoline Injuries, and C-Spine Injuries

Nexus Criteria - MD Calc

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links:

• Learn about one important etiology of anxiety and flu-like symptoms (see spoilers below if you want to know which one)
• emDOCs article on the etiology of this case (spoiler)
• Great inphographic on this case (spoiler)
• EMCRIT Internet Book of Critical Care Chapter on this case (spoiler)
• Clinical decision making tool (spoiler)

Adam finally leads the guys through a case! The original EMJC crew is back together as Adam (MS3) leads Arman (MS4) and Kyle (MS4) through a case of a young male with anxiety, diarrhea, and "feeling warm". How would you approach this case? As always, we learn a couple of very important points about this constellation of symptoms and the treatment for this case. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.

Here's Adam's review article on Serotonin Syndrome
Volpi-Abadie J, Kaye AM, Kaye AD. Serotonin syndrome. Ochsner J. 2013;13(4):533-540.

Case Report of Paroxetine Induced Serotonin Syndrome
Hudd TR, Blake CS, Rimola-Dejesus Y, Nguyen T-T, Zaiken K. A Case Report of Serotonin Syndrome in a Patient on Selective Serotonin Reuptake Inhibitor (SSRI) Monotherapy. Journal of Pharmacy Practice. 2020;33(2):206-212. doi:10.1177/0897190019841742

Article on Demystifying Serotonin Toxicity
Demystifying serotonin syndrome (or serotonin toxicity) Ai-Leng Foong, Kelly A. Grindrod, Tejal Patel, Jamie Kellar Canadian Family Physician Oct 2018, 64 (10) 720-727;

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Vitals & Useful Links:

• Learn about one important etiology of chest pain and important workup details (see spoilers below if you want to know which one)
• Podcast: Approach to Chest Pain - EM Clerkship Podcast

We're back! The EMJC crew is back together for Season 2 in 2021, bringing you more cases with better audio quality AND our recently launched website: emjccast.com. In our first episode back, Arman (MS4) leads Kyle (MS4), Pranav (MS4), and Pranav's clicky pen through a case of a female presenting with chest pain. How would you approach this case? As always, we learn a couple very important points about chest pain and some relevant diagnostics. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.

Here's Arman's article on AKI after CT
Aycock, R. D., Westafer, L. M., Boxen, J. L., Majlesi, N., Schoenfeld, E. M., & Bannuru, R. R. (2018). Acute kidney injury after computed tomography: a meta-analysis. Annals of emergency medicine, 71(1), 44-53.

NS, LR, and sodium bicarb for preventing contrast-induced nephropathy

Sodium Bicarb and Acetylcysteine to prevent AKI

American College of Radiology and National Kidney Foundation consensus statement on IV contrast media use in CKD

Prophylactic hydration to prevent contrast-induced nephropathy

Vitamin D insufficiency in radiologists

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Intro Music: “Walk Through the Park” by Track Tribe

Welcome to EM WIT - Emergency Medicine: What is That?

In this EMJC spinoff series, we'll be addressing important topics that you should probably know about, but might not, and might be too afraid to ask. These episodes will all be 5-10 minute quick-hits on high yield topics such as this episode's topic - how to become an EM doctor. These won't be cased-based like the classic EMJC episodes you've come to know and love, but we think they will be just as helpful.

In this episode we talk about the path to becoming an Emergency Physician, emphasizing the residency application process. We hope this helps out anyone who is considering going into Emergency Medicine no matter what stage in life you're at now. You can find some important useful links below on the ERAS residency application timeline and how to become and EM doctor. If you have any questions, concerns, comments, or topics you think we should cover please email us at emjccast@gmail.com.

Important Links

• ERAS Timeline (*this is slightly different for the 2020-2021 cycle*)
• How to Become and EM Physician
• Inside the Match Podcast

Check out our new website at www.emjccast.com !!!!!!

DISCLAIMER:

The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Music: "Grainy Rock" by Lonely Coyote 

Please check out Lonely Coyote on Bandcamp, they're cool dudes who made an even cooler band and let us use this song for the podcast and we are eternally grateful!