June 30, 2020 @ 1:08 pm

June 2020 - Headache Treatment

Happy June everyone! 

 
First, a huge shout out to our graduating seniors who need as much praise and admiration as possible to show our appreciation. It’s a new world and you are all ready for it! 
 
Also a big welcome to our new interns who have traveled from all over to now be a part of the COVID battle in AZ. July 1st is always nerve wracking but I’m certain this year it’s even more so. Know that your program has your back and you can reach out at any time. Hopefully the worst part will be the endless Zoom meetings.
 
And speaking of Zoom, this month we are talking about the management of headache in the ED. Migraine and headache are multifactorial complaints and there’s no one-size-fits-all treatment. This leads to some uncertainty but also to some creativity for us EM providers. Brian, two Chris’s and I will finish up our headache discussion with our tips to crafting the perfect migraine cocktail for your patient.
 
Stay safe!
 

 

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May 29, 2020 @ 5:17 pm

May 2020 - Headache Evaluation

Happy May everyone! 

 
At least I hope so. Things seems to be settling into the new normal and I hope you and yours are well.
 
ED volumes are coming and with it, the typical ED complaints are coming back. And nothing says the ED is returning back to normal like the headache patient. Once the patient gets to us, how do we approach them? With evidence-based medicine and experience of course! Fortunately, this month’s episode has exactly that this month with Brian, Chris and myself.
 
Stay safe!
 
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April 29, 2020 @ 11:10 am

April 2020 - Procedural Sedation Peer Review - Part 2

Hey all you cats and kittens, happy April,

 
I hope you all are finding some rest and balance during this uncertain time. Please know that what you do is greatly appreciated by those around you. 
 
This month continues with the awesome peer review by Drs. Clay Josephy and Mike McLaughlin. If you didn’t listen to last month’s episode, you need to so you can hear all the many ways they appropriately use sedation. Clay and Mike continue to put us in our place this month as they discuss their favorite sedative, including some stuff we glossed over. 
 
Thank you guys for your expertise and for all you do,
 
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March 30, 2020 @ 6:46 pm

March 2020 - Procedural Sedation Peer Review - Part 1

Well, it's March, everyone!

Since there is nothing but COVID-19 coverage everywhere you look, we at AZEMCast are going to do the opposite. We are going to finish the marathon procedural sedation coverage we started last year with a TWO-PART Peer Review from Drs. Clay Josephy and Dr. Mike McLaughlin.

We are not covering COVID-19 for several reasons. Partially to give you something different. Partially because we already have this recorded. But mostly because we know NOTHING about COVID-19 worth recording. 

Keep your heads up!

The AZEMCast Team 
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February 21, 2020 @ 3:54 pm

February 2020 - ITE Prep - Oncologic Emergencies

Happy February everyone!

The emergency medicine in-training exam is next week and we want to make sure you get a great score by covering 2% of the test in 30 minutes. Yes, yes, you’re welcome.
 
Now oncology is not a huge part of the exam but cancer patients are a common occurrence in the ED. Our biggest plea is that you be aware of the specific emergencies that relate to cancer and look for them. You can always phone your friendly neighborhood oncologist for help, but recognition is the first step in management.
 
Best of luck on the test!
 
The AZEMCast Team 
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January 31, 2020 @ 5:05 pm

January 2019 - Sedative Agent - Part 2

Happy January and 2020 everyone!!!

 
It’s time. It’s finally time! Ketamine and Propofol baby! The Coke and Pepsi of sedative agents. People love one and hate the other. When I ask ask for Ketamine, the pharmacist asks me, “Is Propofol OK?” 
 
But in reality, there are pros and cons to both <cough> ketamine is superior <cough> and so we’ll discuss the manifold uses of these awesome sedative agents in the ED. Get your screenshot fingers ready because this episode has more EBM than you can shake a sparkly white glove at.

The AZEMCast Team 

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December 31, 2019 @ 10:09 pm

December 2019 - Sedative Agents - Part 1

Happy December, Happy 2019 and Happy 2010s!!!

I'm sure the first thing you'll do to start the new decade is to listen to our podcast, but I'd encourage you to rest, count your blessing and set some goals for your year. THEN listen.

We’ve been slowly making our way through procedural sedation in the ED this year and we’re finally to everyone’s favorite part: the drugs! With so many options and so many combinations, finding the right agent for your patient is like crafting the perfect New Year’s Eve cocktail. Everyone has their own preference: Some mix, some chase, some like it straight up. But however you like your cocktail, you need to know your elements. And you need to know how to use them responsibly. So as we close out this decade (how weird is that to say?!?!) let’s foray into the fundamentals of sedative drugs. 

Have fun tonight, please drink responsibly, don’t drink and drive and have a happy New Year!

The AZEMCast Team 

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November 30, 2019 @ 10:40 am

November 2019 - Celebrating Dr. Peter Rosen

Happy November everyone!

We hope your Thanksgiving was wonderful, that your time off was long and your shifts were short.

 
This month we celebrate Dr. Peter Rosen who passed away earlier this month. Dr. Rosen was a great friend to our little podcast. Many organizations and institutions around the country will be memorializing him over the next several months and we would like to contribute our thanks as well. Please enjoy some excerpts from previous interviews with Dr. Rosen on this month’s episode.

I hope his wisdom and love for EM will continue to inspire others for years to come. Of all the quotable lines from Peter, my favorite and the one that best encompasses his passion for EM and the people he mentored is how he signed every email. 

“Love, Peter.” 

The AZEMCast Team 

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October 28, 2019 @ 2:44 pm

October 2019 - Safety and Procedural Sedation

Happy October everyone!

You know the EM stereotype about adrenaline junkies who love taking risks and shooting from the hip? Apparently, that kind of behavior can get you in trouble. Who knew? And when it comes to procedural sedation, it can get your patient in trouble. Safety is a huge concern with ED procedural sedation because it's easy to put a patient to sleep. The hard part is making sure they wake up.

Several years ago ACEP came out with a clinical policy on procedural sedation to ensure that we not only keep our privilege to do sedation but that we show we can do it right. So this month, we comb through that policy and tell you everything you need to be certain you are prepped and ready to sedate.

The AZEMCast Team 

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September 30, 2019 @ 4:01 pm

September 2019 - Intro to Procedural Sedation

Happy September everyone!

As the days get shorter and pumpkin spice infiltrates every part of our lives, we decided to talk about the closest thing we get to do in the ED to be master bakers and chefs: procedural sedation. A cup of propofol, a dollop of ketamine and a pinch of fentanyl all added to a heavy base of pre-procedure safety checklists is the perfect receipt for a happy, sleepy patient who will never remember the awful things we discussed regarding abscesses over the summer. Sedations are fun if done well. Done poorly, they're like pumpkin-spiced Spam (real product, can't make this stuff up).

So we're starting from the beginning with the why, the who and the how on procedural sedation in the ED.

The AZEMCast Team 

 
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