Arizona EMCast
 

Arizona EMCast

https://feed.podbean.com/azemcast/feed.xml

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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

January AZEMCast - The Approach to Critical Aortic Stenosis

Sunday Jan 31, 2021

Sunday Jan 31, 2021

Happy January everyone!

 
This month, the Ring Down is a 59 year old male with difficulty breathing and hypoxia.
 
T 35.6 HR 116 BP 166/100 RR 40 O2 sat 45% on room air
 
The Panel
Dr. Brian Drummond
Dr. Matt Berkman
Dr. Jenny Plitt
 
Who will win this month’s air hungry episode with the best evidence-based approach to Critical Aortic Stenosis?
 

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December AZEMCast - The Approach to Bronchiolitis

Thursday Dec 31, 2020

Thursday Dec 31, 2020

Happy December everyone!

 
This month, the Ring Down is an 8 month male brought in by mom for difficulty breathing and cough.
 
T 38.2 HR 178 BP 135/93 RR 20 O2 sat 90% on room air
 
The Panel
Dr. Brian Drummond
Dr. Vivienne Ng
Dr. Jenny Mendelson
 
Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to bronchiolitis?
 

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November 2020 AZEMCast - The Approach to Renal Colic

Monday Nov 30, 2020

Monday Nov 30, 2020

Happy November everyone!

 
This month, the Ring Down is a 35 year old female coming in by EMS with back pain.
T 37.6 HR 118   BP 170/90 RR 22 O2 sat 98% on room air
 
The Panel
Dr. Brian Drummond
Dr. Vivienne Ng
Dr. Jenny Plitt
 
Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to renal colic?
 

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October 2020 AZEMCast: The Approach to AFib with RVR

Saturday Oct 31, 2020

Saturday Oct 31, 2020

Happy October everyone!
 
This month, the Ring Down is a 56 year old male coming in by EMS with chest pain and palpitations.
T 37.0 HR 147  BP 168/98 RR 18 O2 sat 96% on room air
 
The Panel
Dr. Brian “Candyman” Drummond
Dr. Chris “Things that go bump in the nightshift” Williams 
Dr. “Lord" David Horn 
 
Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to atrial fibrillation with rapid ventricular response?
 

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September 2020 AZEMCast: The Approach to Elderly Abdominal Pain

Wednesday Sep 30, 2020

Wednesday Sep 30, 2020

Happy September everyone!

 
This month the Ring Down is a 73-year-old female coming in by EMS with abdominal pain. She comes in vomiting.
Temp 37.4, HR 62, BP 175/103 RR 20 O2 sat 94%
 
How do you approach elderly abdominal paint? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Elaine Situ-LaCasse square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.
 

 

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August 2020 AZEMCast: The Approach to the Unconscious Trauma

Sunday Aug 30, 2020

Sunday Aug 30, 2020

Happy August everyone!

 
This month the Ring Down is a 53-year-old male coming in by EMS after an ejected motor vehicle collision. He is unconscious and unresponsive. Temp 36.4, HR 85, BP 195/115 RR 10 O2 sat 95% on 2L nasal cannula.
 
How do you approach the unconscious trauma patient? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Amber Rice square off to see who can best manage their patient with the utmost skill, prioritization and adherence to the best available evidence.
 

 

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July 2020 AZEMCast -The Approach to Young Chest Pain

Friday Jul 31, 2020

Friday Jul 31, 2020

Happy July everyone!

This season we are trying something brand new for your listening pleasure. It’s a unique approach to your education that is case-based, evidence-based and most importantly … competitive!
 
The panelists you know and love will go head to head demonstrating the necessary skills you need to be a top notch emergency physician. Panelists will be awarded points for their quick wit, prioritization of tasks and mastery of evidence based medicine. However they will lose points for weak arguments, purely experience based medicine and use of unhelpful medical jargon like “high index of suspicion” or “gestalt.”
 
Each episode they will navigate a case just as they would on shift, discussing their approach to the ring down, the work up and the dispo. The panelist with the most points at the end of the episode will have center stage to discuss the art of EM near and dear to their hearts. Follow along with the score and the cited literature as chapter title cards appear on your screen.We hope you enjoy this new take on EM education and can carry it forward to your next shift. 
 
Welcome to this month’s episode on the Approach to Young Chest Pain.
 

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June 2020 - Headache Treatment

Tuesday Jun 30, 2020

Tuesday Jun 30, 2020

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 2020 - Headache Evaluation

Friday May 29, 2020

Friday May 29, 2020

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 2020 - Procedural Sedation Peer Review - Part 2

Wednesday Apr 29, 2020

Wednesday Apr 29, 2020

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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