Emergency Medicine Journal Club Cast EMJC Cast

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.

Vitals & Useful Links:


Learn about important management strategies for burn patients (see spoilers below if you want to know more)
Podcast - EMCrit Episode on Burns (spoilers)
emDOCs - Burns (spoilers)

Brynne is back! According to one of our two iTunes reviews, she has been voted the best host of the podcast yet, so let's hope she lives up to her high standard. On this episode, Brynne (MS4), leads Arman (MS4), and Kyle (MS4) through a case of a burn patient who sounds eerily similar to our old eye pain patient from a few weeks ago....hmmmm suspicious. As always, we learn some important management strategies for burn patients from our favorite future surgical intern. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*****EPISODE SPOILERS BELOW*****
Here's Brynne's article on Smoke Inhalation Injuries
Toon, M. H., Maybauer, M. O., Greenwood, J. E., Maybauer, D. M., & Fraser, J. F. (2010). Management of acute smoke inhalation injury. Critical care and resuscitation, 12(1), 53.

And here's her article on advances in burn care
Ipaktchi, K., & Arbabi, S. (2006). Advances in burn critical care. Critical Care Medicine, 34(9), S239-S244.

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 fever & abdominal pain (see spoilers below if you want to know which one)
EM Clerkship Podcast - Pediatric Abdominal Pain

In this episode, Arman (MS4) takes Kyle (MS4) and Neil (MS3) through a case of worsening fever and abdominal pain that had already been previously been evaluated. Nothing is ever too simple in the world of pediatric emergency medicine! As always, Nurse Barb is moonlighting in the pediatric emergency room to guide our hosts to the appropriate management. How would you approach this case? As always, we learn a couple of very important points about the GU side of abdominal pain. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*****EPISODE SPOILERS BELOW*****
Here is the article from Ultrasound Quarterly presented today: Cavorsi, K., Prabhakar, P., & Kirby, C. (2010). Acute pyelonephritis. Ultrasound Quarterly, 26(2), 103–105. https://doi.org/10.1097/RUQ.0b013e3181dc7d0b

An article on pyelonephritis from the great site emDocs: http://www.emdocs.net/pyelonephritis-its-not-always-so-straightforward/

And of course - a great UpToDate article on complicated UTIs: https://www.uptodate.com/contents/acute-complicated-urinary-tract-infection-including-pyelonephritis-in-adults

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 eye pain (see spoilers below if you want to know which one)
EM Clerkship Podcast - Evaluating Eye Complaints
EM Cases - Nontraumatic Eye Emergencies

Welcome back from our extended break! Sometimes life just gets in the way and your one week break turns into a one month break, but the EMJC crew is back with a new guest and a very special case. This week, Kyle (MS4) leads Adam (MS3) and new guest Nikita (MS3) through a case of a young male with an eye complaint, all with the help of Arman (MS4) aka Nurse Barb. How would you approach this case? As always, we learn a couple of very important points about eye complaints. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com
*****EPISODE SPOILERS BELOW*****
Here are the UpToDate articles we presented today: Uveitis etiology and Uveitis treatment 
Here is an article on A Systematic Approach to Emergencies in Uveitis
Al-Dhibi, H. A., Al-Mahmood, A. M., & Arevalo, J. F. (2014). A systematic approach to emergencies in uveitis. Middle East African journal of ophthalmology, 21(3), 251–258. https://doi.org/10.4103/0974-9233.134687

Here is an article on diagnosis and management of anterior uveitis
Agrawal, R. V., Murthy, S., Sangwan, V., & Biswas, J. (2010). Current approach in diagnosis and management of anterior uveitis. Indian journal of ophthalmology, 58(1), 11–19. https://doi.org/10.4103/0301-4738.58468
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 management  and etiologies of a case of weakness and fatigue in an middle aged female
EMCrit - Internet Book of Critical Care chapter on management of this patient's bradycardia

Jordan is back! EMJCCast's favorite PGY1 (almost 2!) is here to lay down some knowledge with Kyle (MS4) and Arman (MS4) in this case of weakness and fatigue in a middle aged female. How would you approach this case? As always, we learn some important management strategies for a specific etiology of weakness & fatigue. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*****EPISODE SPOILERS BELOW*****
Here is the ACLS Algorithm for management of bradycardia
Liu, L. A., RN. (2019, December 19). ACLS bradycardia Algorithm. Retrieved March 15, 2021, from https://www.acls.net/acls-bradycardia-algorithm.htm

Here is the AHA's article on management of symptomatic bradycardia
American Heart Association. (2005). Part 7.3: Management of symptomatic bradycardia and tachycardia. Circulation, 112(24 suppl).

EMCrit has a great brief chapter about bradycardia on the Internet Book of Critical Care here; Josh Farkas also covers why we should use epinephrine over atropine for initial management here

Here's an article on non-occlusive MI & vasospastic angina
Beijk, M. A., Vlastra, W. V., Delewi, R., van de Hoef, T. P., Boekholdt, S. M., Sjauw, K. D., & Piek, J. J. (2019). Myocardial infarction with non-obstructive coronary arteries: a focus on vasospastic angina. Netherlands Heart Journal, 27(5), 237-245.

And a great approach to bradycardia in the ED from our favorite EM Clerkship

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.