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AZEMCast is THE competitive emergency medicine podcast. The host, Dr. Aaron Leetch, moderates a panel of emergency physicians who will go head to head navigating a clinical case from the Ring Down to the Work Up to the Dispo. Panelists are awarded points for their approach to the case and their clinical application of evidence-based medicine. However, points are deducted for weak arguments or reliance on experience-based medicine. The panelist with the most point at the end of the case will win the opportunity to soapbox about whatever aspect of EM they are most passionate about. We hope this podcast will model the knowledge, skills and approach that will help you take the best care of your patients. Posts ≠ medical advice http://uanow.org/participate
Episodes
Saturday Sep 30, 2017
September 2017 - Health Care Policy
Saturday Sep 30, 2017
Saturday Sep 30, 2017
Happy September everyone!
Here in Tucson, the air is thick with pumpkin spiced lattes, influenza and tension over health care policy decisions. Jarrod had the bright idea to discuss healthcare policy which I fought tooth and nail . . . until I realized that I was being an ignorant coward and avoiding an incredibly important topic that affects us all.
Couple of ground rules:
1) Our aim is to DEFINE 10 healthcare policy terms that we felt were important for all EM docs to know
2) We did our best to remain impartial and leave our personal opinons out of this.
3) We failed horribly at goal #2. While there is some evidence that we cite and some Turkey's flocking about, there is a TON of opinion, presumption and guessing throughout the episode.
Fortunately we have TWO peer reviewers with opposite opinions about health care policy and whether or not our podcast is any good. They will be on next month because they had so much to offer that we split it into its own episode. They did both agree that this is an important topic that most providers get very little training on so I hope we can at least start a converstaion which they can steer in the right direction next month.
Listen, but take each word with a pound of salt and look into these terms and how they affect you and your patients.
The AZEMCast Team
Wednesday Aug 30, 2017
August 2017 - NIPPV
Wednesday Aug 30, 2017
Wednesday Aug 30, 2017
Happy August Everyone!
Monday Jul 31, 2017
July 2017- Chronic Pain in the ED
Monday Jul 31, 2017
Monday Jul 31, 2017
The AZEMCast Team
Thursday Jun 29, 2017
June 2017 - Rosenisms
Thursday Jun 29, 2017
Thursday Jun 29, 2017
Happy June everyone! As hot as it is here in Tucson, takes some time to slow down and think about the amazing job we have and all the opportunities you have to help on a daily basis. We have a great job but it has it’s high highs and low lows. That’s why we wanted to give you all something to muse on for the summer as you transition into the next phase of your career with a selection of Rosenisms past and present. Peter talks about everything from our role in the ED to standard of care to how you establish trust with a patient you just met. Listen to this one a few times over because even the ones I recorded a few years ago have taken on new meaning as time rolls on.
The AZEMCast Team
Sunday May 28, 2017
2017 May - Syncope
Sunday May 28, 2017
Sunday May 28, 2017
Happy May Everyone!
Syncope: a Greek word meaning "to cut off" such as to cut off blood flow to the brain or light to the eyes.
Dun fell out: an American word meaning kind the same thing but pretty much whatever it wants to mean.
Seizure: Any (and I mean ANY) movement observed by a lay person after someone has experience syncope or has dun fell out.
What is it? How to I treat it? What do I do with it? No matter how you define these words, it is a pain in the neck to figure out what's going on with a patient with this complaint. Fortunately, we here at AZEMCast have devised a simple, easy way to be just as confused as we are ;) Take a lesiurely stroll with us through the literature, through some cases and through the minefield that is the syncopal patient.
Aaron, Jarrod, Brian and Chris
Sunday Apr 30, 2017
April 2017 - Azithromycin
Sunday Apr 30, 2017
Sunday Apr 30, 2017
Happy April Everyone!
Aaron, Jarrod, Brian and Chris
Saturday Apr 01, 2017
March 2017 - Ovarian Torsion
Saturday Apr 01, 2017
Saturday Apr 01, 2017
Saturday Feb 11, 2017
February 2017 - Trauma Board Review
Saturday Feb 11, 2017
Saturday Feb 11, 2017
Happy February!
As a special Valentine's Day present to all you residents listening, we give you an EARLY episode chock full of Trauma in-training exam goodness. Think of it as a heart-shaped box of chocolates. Much of it is the traditional chocolate training that you already know. Some of it is the disturbing marscapone/coconut anecdote that you wish you didn't bite into. But somewhere in that box is the glorious factoid that you need for your exam in a few weeks that is totally worth the filler you had to sift through to get it. Listen well, find those last pearls of wisdom before the test and score big!
Hugs and kisses,
Aaron, Jarrod, Brian and Chris
Tuesday Jan 31, 2017
January 2017 - Dealing with Clinical Uncertainty - Part 2
Tuesday Jan 31, 2017
Tuesday Jan 31, 2017
I told you we'd be back for 2017 but Jarrod, Brian, Chris and I are taking a back seat to our peer reviewers who truly outdid themselves this time. Dr. Clay Josephy and Dr. Mike McLaughlin from Lake Tahoe gave us an exceptional peer review that was so good, we gave them their own episode. And to add to their community experience we enlisted the sage advice of Dr. Peter Rosen to give you even more to chew on. So enjoy a fresh take as we give our pipes and our opinions a rest.
Aaron, Jarrod, Brian and Chris
Saturday Dec 31, 2016
December 2016 - Dealing with Clinical Uncertainty - Part 1
Saturday Dec 31, 2016
Saturday Dec 31, 2016
The end of the 2016 is almost here and we are pretty sure that there will still be a 2017 tomorrow. So certain in fact that we split this episode into 2 parts. The use of MRI in the ED led to a very in depth discussion of how emergency physicians think. Specifically, how do we deal with clinical uncertainty, that cross roads you encounter multiple times per shift where you don't have a diagnosis, but you're pretty sure the patient will be ok. It's tough to learn in residency and even tougher to implement as a new attending, but over time you begin to develop your gestalt and each person develops that differently. Jarrod, Brian, Chris and I discuss our own personal opinions (shocker, I know) along with some actual evidence to help you create the mental schema that gets you through work every day.
Our Peer Review by Drs. Clay Josephy and Mike McLaughlin was so good this time around that we will highlight it for January's episode as well as more deep thoughts by Dr. Peter Rosen.
Happy New Year!
Aaron, Jarrod, Brian and Chris