Highlights IVF: Keep patients dry but not too dry; check the IVC; Scott prefers LR Furosemide: Only if iatrogenically fluid-overloaded Vasopressor: Norepinephrine sooner rather than later in a hypotensive COVID patient Corticosteroids: Scott's team is doing Dexamethasone 10mg qdaily to any admitted patient with respiratory failure; Methylprednisolone 60mg q6hr for those with rising inflammatory markers (CRP, D-dimer); Methylprednisolone 125mg q6hr if critically ill Anticoagulation: Scott's...

Hospitals are calling clinicians in to help with COVID inpatient care. Part 3 of 4 in this critical care crash course with Dr. Scott Weingart and Dr. Mizuho Morrison on the latest "What if I get called in?" podcast. Just-in-time critical care pearls and pitfalls from the frontlines. Highlights Initial COVID ventilator settings: Volume AC mode, Tidal volume of 8 mL/kg of ideal body weight, Respiratory rate of 16 to 18 breaths per minute, FiO2 of 100%, and PEEP of 8 cmH2O Ventilator...

Hospitals are calling clinicians in to help with COVID inpatient care. Part 2 of 4 in this critical care crash course with Dr. Scott Weingart and Dr. Mizuho Morrison on the latest "What if I get called in?" podcast. Just-in-time critical care pearls and pitfalls from the frontlines. Highlights Preoxygenate using CPAP with a viral filter Induce and paralyze while the patient is sitting up Avoid post-intubation auscultation and confirm with ETCO2 Avoid using the BVM until after the patient...

Hospitals are calling clinicians in to help with COVID inpatient care. Part 1 of 4 in this critical care crash course with Dr. Scott Weingart and Dr. Mizuho Morrison on the latest "What if I get called in?" podcast. Just-in-time critical care pearls and pitfalls from the frontlines. Highlights COVID “happy hypoxemics” may require intubation if they have:  Any increased work of breathing (tachypnea is common but they should be a “happy tachypneic”) Altered mental status Rising CO2 on...

Patients with COVID-19 present in a variety of ways and clinicians need to have a low index of suspicion for diagnosis. Management involves emergency referrals for patients with low oxygen saturation. Every patient should be treated as if they could have COVID-19. Mike Weinstock, MD, and Matthieu DeClerck, MD are joined by Frank Illuzzi, MD in this very important segment.  To view the references and show notes from this podcast Click Here

Covid-19 is a rapidly spreading pandemic that has already had worldwide ramifications. As Emergency Rooms and Hospitals quickly get overwhelmed by ill patients, the Urgent Care and Primary Care setting play critical roles in appropriately triaging patients that can go home vs those that need to be transferred to the Emergency Department for further evaluation and treatment. The ability to act as levies to the large number of patients during this pandemic will help preserve the ED and Hospital...

There are so many active threads, subthreads, and sub-sub-threads of conversation in the medical community surrounding the COVID-19 pandemic. In this Hippo Education Short, Tom Robertson, MD and Steve Biederman, MD of Primary Care RAP’s Paper Chase take 4 hot topics in COVID-19 and examine the literature behind them. They look into the epidemiology of the outbreak in the U.S. and lessons learned, the sensitivity and specificity of SARS-CoV-2 testing, the rates of co-infection with other...

Mizuho Morrison, DO sits down with emergency medicine pharmacist/toxicologist Bryan Hayes, PharmD to answer some pertinent questions and myth-bust clarifications about pharmaceutical options in COIVD-19 treatment. To view the references and show notes from this podcast Click Here

Sometimes it can seem like every other child we see has a food allergy. How prevalent are food allergies in the general population, and how can we best diagnose and manage them? To shed light on these questions, as well as recent guideline changes in the allergy community and novel therapies on the horizon, PC RAP welcomes back Torie Grant, MD MHS a Med/Peds allergist and immunologist at Johns Hopkins. She sits down with Neda Frayha, MD to share the full scoop on food allergies. To hear Part...

Sol Behar, MD interviews Children’s Hospital of Philadelphia NICU doc Joanna Parga-Belinkie, MD to discuss Covid-19 and some of the peripartum issues that come up during the novel coronavirus pandemic for both pregnant moms and their newborns. For the show notes and additional references please click here

Has your clinical practice shifted to telemedicine yet? In the era of COVID-19, clinicians everywhere are being thrown into telemedicine, often without any experience or background knowledge. To help us all get up to speed with this patient care technology, Hippo Education’s Dr. Neda Frayha sits down with Dr. Edward Kaftarian, the Vice Chair of Mental Health at the American Telemedicine Association and CEO of Orbit Health Telepsychiatry. Together they explore the benefits and potential...

We know that there's a constant flood of information. So, we produced this podcast mini-series to help rapidly onboard healthcare professionals who don’t see COVID-19 patients regularly. We’re going to keep this simple and short, something you can listen to on your drive into work. We'll point out key clinical pearls and pitfalls that we've learned on the frontlines to help keep you and your patients safe. You can do this. Featuring Aaron Bright, MD and Salim Rezaie, MD

Most healthcare professionals know what personal protective equipment (PPE) is, but the reality is that many of us don’t use this everyday and are wondering if we’re doing it correctly. Let’s highlight where people make mistakes and expose themselves to risk. Featuring Aaron Bright, MD and Salim Rezaie, MD

For healthcare professionals who may get called in to help with COVID-19 patients, you will most likely be asked to help triage and manage ambulatory suspected COVID-19 patients. Here’s what you need to know. Featuring Aaron Bright, MD and Salim Rezaie, MD

Most healthcare professionals are familiar with oxygen supplementation and nebulizers, maybe even CPAP/BiPAP. Most of us should have some Basic Life Support (BLS) training to use a bag-valve-mask (BVM) in case of emergency. But there are some of this changes with COVID-19. Featuring Aaron Bright, MD and Salim Rezaie, MD 

For healthcare professionals who do not often receive immediate laboratory results and diagnostic imaging reports, we’ll highlight unique diagnostic patterns and pitfalls with COVID-19 patients. Featuring Aaron Bright, MD and Salim Rezaie, MD

As healthcare professionals, we all recognize the increased risks we face as we care for our patients during the COVID-19 pandemic, but we must also care for ourselves, especially when we come home to our families. It’s normal to be concerned and one of the first things we can do is to start having conversations and plan ahead. Featuring Aaron Bright, MD and Salim Rezaie, MD

Our panel of podcast hosts from a variety of practice settings discuss the logistical and psychological impact of the COVID-19 pandemic on healthcare workers and discuss strategies to mitigate the stress associated with the pandemic.  Featuring:  Solomon Behar, MD, Neda Frayha, MD, Mike Weinstock, MD, and Matthieu DeClerck, MD  For References: Click Here  

In this Hippo Education Short, Infectious Diseases specialist Dr. Devang Patel and our own Dr. Neda Frayha discuss the latest, clinician-focused updates on the COVID-19 coronavirus outbreak.  Subscribe to Primary Care:RAP today to support this show and the important work being done to provide you with the most up-to-date medical knowledge from the world experts in the field.  http://www.hippoed.com References Available at  https://www.hippoed.com/pc/rap/episode/bonusshortcovid/covid19update

When we treat patients, whether in the hospital or outpatient setting, involving their family members can lead to improved outcomes. Tom Robertson, MD, and Mizuho Morrison, DO discuss the engagement of family members with Giora Netzer, MD, MSCE who literally wrote the book on family centered care.    For more incredible segments like this, subscribe to PC:RAP today. You'll never miss a moment of the program and earn 42 hours of CME per year. 

We have been waiting and waiting and waiting for the new community acquired guidelines. And here they are! Infectious Diseases expert Dr. Devang Patel, MD joins Matt DeLaney, MD, FACEP, FAAEM and Neda Frayha, MD for a conversation on CAP in general and the new guidelines in specific. For more incredible segments like this, subscribe to PC:RAP today. You'll never miss a moment of the program and earn 42 hours of CME per year.  Pearls: The latest guidelines for community acquired...

In this Hippo Education Short, Infectious Diseases specialist Dr. Devang Patel sits down with our own Dr. Neda Frayha to discuss what we know so far about the new 2019-n-CoV coronavirus outbreak and what front-line clinicians can do if we suspect a patient of ours might have this viral illness.  References: Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med, 24 Jan 2020. DOI: 10.1056/NEJMoa2001017.  Munster VJ, Koopmans M,...

Primary Care RAP has covered the start-screening-mammos-at-age-50 perspective in the past. Today, we’ll explore the other side of the coin: why women’s health focused organizations recommend beginning annual screening mammography at age 40. Neda Frayha, MD sat down with Dr. Alison Chetlen, DO a breast imaging expert and Associate Professor and Vice Chair of Education in the Department of Radiology at Penn State Health and Hershey Medical Center, for a deeper dive into the evidence we don’t...

Hoarseness is a common complaint in the primary care setting. Our ENT colleague, Dr. Elizabeth Guardiani, sits down with Drs. Matt DeLaney and Neda Frayha to discuss how we can approach this in primary care as well as when to refer to a specialist.  For more incredible segments like this, subscribe to PC:RAP today. You'll never miss a moment of the program and you'll stay up-to-date on all the latest with your favorite Primary Care RAP hosts and contributors.

We all know what to do in pre-op visits for non-cardiac surgery. But guidelines on the pre-op management of cardiac surgery patients are hard to find. Neda Frayha, MD sat down with Dr. Michael Grant, a cardiac anesthesiologist at the Johns Hopkins University School of Medicine, to learn what we need to worry about (and what our pre-op evaluations should include) when our patients go off to cardiac surgery. For more incredible segments like this, subscribe to PC:RAP today. You'll never miss a...