80.2K
Downloads
101
Episodes
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
Monday Mar 30, 2020
March 2020 - Procedural Sedation Peer Review - Part 1
Monday Mar 30, 2020
Monday Mar 30, 2020
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!
Friday Feb 21, 2020
February 2020 - ITE Prep - Oncologic Emergencies
Friday Feb 21, 2020
Friday Feb 21, 2020
Happy February everyone!
Friday Jan 31, 2020
January 2019 - Sedative Agent - Part 2
Friday Jan 31, 2020
Friday Jan 31, 2020
Happy January and 2020 everyone!!!
The AZEMCast Team
Tuesday Dec 31, 2019
December 2019 - Sedative Agents - Part 1
Tuesday Dec 31, 2019
Tuesday Dec 31, 2019
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
Saturday Nov 30, 2019
November 2019 - Celebrating Dr. Peter Rosen
Saturday Nov 30, 2019
Saturday Nov 30, 2019
Happy November everyone!
We hope your Thanksgiving was wonderful, that your time off was long and your shifts were short.
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
Monday Oct 28, 2019
October 2019 - Safety and Procedural Sedation
Monday Oct 28, 2019
Monday Oct 28, 2019
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
Monday Sep 30, 2019
September 2019 - Intro to Procedural Sedation
Monday Sep 30, 2019
Monday Sep 30, 2019
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
Saturday Aug 31, 2019
August 2019 - Cutaneous Abscesses - Part 2
Saturday Aug 31, 2019
Saturday Aug 31, 2019
Happy August everyone!
We left off last month’s saga of purulence with an epic cliff hangar. Why do we try so many methods to get the pus out when cold, hard steel works best? PAIN! These things hurt! It’s the pain inflicted that makes use go from watching Dr. Pimple Popper in our spare time to picking up as many abdominal pains as possible to avoid the abscess I&D. So this month we end our series on abscesses with a discussion of how to get the pain controlled. I don’t have the best answer to this, but fortunately, we have several smarted and more experienced people who can give you their best advice on how to get the pus out and still feel like a decent human being afterwards. Plus our peer review on the entire series by UA alumnus Dr. Grant Roper so you can see how much we are consistent with the community and how much we are blowing smoke.
The AZEMCast Team
Peer Review by Dr. Grant Roper
Wednesday Jul 31, 2019
July 2019 - Cutaneous Abscesses - Part 1
Wednesday Jul 31, 2019
Wednesday Jul 31, 2019
Happy July everyone!
First off, welcome to the new interns here and around the country. This podcast is intended to be a supplement to your education and by NO MEANS is it enough to train you how to be a good doctor. Instead we hope to teach you the ways of evidence-based emergency medicine in a way that is practical and applicable to your next shift.
Fortunately interns, you missed missed a rousing discussion on pilonidal and bartholin gland abscesses! But have no fear for there is still plenty of pus to discuss. This month we tackle the ins and outs of cutaneous abscesses or as they’re better known in the ED, “spider bites.” Not sure what poor spiders did to be confused with these awful boils. At any rate, these things are painful and full of purulent badness and it’s our job to get it out. This month we’ll discuss the good, the bad and the ugly methods of getting the pus out leading to a cliffhanger ending of what works best!
To be continued . . .
The AZEMCast Team
Sunday Jun 30, 2019
June 2019 - "Special" Abscesses
Sunday Jun 30, 2019
Sunday Jun 30, 2019
Happy June everyone!
June is the end of an era for us in academics. We say goodbye to our seniors and welcome another crop of interns to the fold. To our seniors, thank you for your exceptional work over the years. We are proud to have worked with you and are excited to see what you accomplish in your careers. To our interns, welcome to the family. We are eager to work with you and see you transform into amazing emergency physicians.
Ok, enough of the sappy melodrama, on to the pus. And not just any pus, this month we focus on the pus that dare not speak its name. The pus down below. Butt pus. From pilonidal cysts to perianal abscesses to bartholin gland abscesses, we cover the down and dirty of how to care for some serious infection in sensitive areas. We even sometimes manage to do it with a straight face and a professional demeanor! So strap on your face shields and breathe through your mouth for this month's episode of AZEMCast.