Success is the sum of small efforts, repeated day in and day out. -Robert J. Collier Welcome back to Episode 29! This week we are starting out with a bit of psychiatry before swinging over to the Pediatric ER for a quick neonatal resuscitation. We may even stop by the trauma bay to see what is happening there and give you a chance to win a prize. We’ve said enough already. Let’s get warmed up with a rapid review. This week, we are trying something new – we will be reviewing some of the...

Welcome back to Episode 28! We are already well into intern year. Remember it is a roller coaster, with ups and downs, but in the end, you will really appreciate just how far you have come. This week we start off with a quick ophthalmology review and then dive into the new material, covering ob/gyn, pediatric dermatology, torsades de pointes and much more. Let’s get started. * Acute angle closure glaucoma classically presents with painful monocular vision loss. The pupil would be fixed...

It is during our darkest moments that we must focus to see the light. -Aristotle Welcome back to Episode 27 and a big welcome to all the new interns who are only about 1 week into residency! We hope you find Roshcast to be easy to listen to and helpful in your education. As we have said from the outset, we want this to be as high-yield as possible to not only improve your in-training scores but also improve your care at the bedside. We are open to any suggestions, so please reach...

There are two ways of spreading light: to be the candle or the mirror that reflects it. – Edith Wharton Welcome back to Episode 26! Remember to listen for a trauma ring tone and if you hear one send us the time via email or tweet us @Roshcast with the time you hear it. This week, we start out with a brief ultrasound review and then get into some ophthalmology, ID, and toxicology. We will discuss a challenging cyanide toxicity question thanks to a suggestion from one of our listeners....

No act of kindness, no matter how small, is ever waster. – Aesop Welcome back to Episode 25 — our silver anniversary episode! It was great connecting with a few listeners recently at SAEM. At the beginning of this week’s episode, we announced a new contest – be the first to tweet to us (@Roshcast) or email ([email protected]) the exact time in episodes 26-30 that you hear a trauma phone ring tone to win a 30-day subscription to Rosh Review! First, let us get started with a rapid...

Shoot for the moon and if you miss you will be among the stars. – Les Brown Welcome back to Episode 24! We are coming to you live from Orlando at SAEM this week. Ok, it is not exactly live, but we are launching this episode from Orlando. Although the venue has changed, we have the same high quality review for you this week. This week we begin with a renal rapid review and then get into the new material, starting with some OB and virology, and ending with the more obscure, but still...

We aim above the mark to hit the mark. -Ralph Waldo Emerson Welcome back to Episode 23! It was great running into a few listeners at CORD last week and hearing your feedback. This week, we start off with an OB/GYN related pharmacology review before jumping into the new material. Hope you enjoy! * Cervicitis is treated with ceftriaxone 250 mg IM and azithromycin 1 g PO. * Bacterial vaginosis is treated with metronidazole twice daily for 7 days. * Oxytocin or the prostaglandins...

No matter what people tell you, words and ideas can change the world.   -Robin Williams Welcome back to Episode 22! This week, we have some bread-and-butter emergency medicine with a lot of deeper learning points, so pay close attention as you listen through. Let’s start out with a review of pediatrics before we jump into the new material. * In treating epiglottitis, the first priority is airway management. Once the airway has been secured, it can be treated with either...

Change your thoughts and you change your world. -Norman Vincent Peale Welcome back to Episode 21! We are all over the place this week, tackling topics from orthopedics to electrolyte abnormalities. Thanks to our listeners for the excellent feedback. Keep it coming to [email protected]. Let’s get started with a quick neurology rapid review from prior episodes! * Treatment for a radial nerve palsy is supportive with a wrist splint, and the condition is...

As knowledge increases, wonder deepens. -Charles Morgan Welcome back to Episode 20! We have a great episode lined up for you this week, again covering topics that run the gamut of Emergency Medicine. We are excited to say that we have covered over 100 questions in approximately five hours of Roshcast over six months! As always, send us any feedback or suggestions to [email protected]. Let’s get going with this week’s content! * TTP is treated with plasmapheresis. If...

Knowing is not enough; we must apply. Willing is not enough; we must do. -Johann Wolfgang von Goethe Welcome back to episode 19! We are certainly relieved to have this year’s in-training exam behind us, and we are sure you are too. We hope you recognized some of the content we reviewed in episodes 1-15 and were able to grab a few extra points. Now that we’ve all had a brief break, we are back with new material to help you prepare for next year’s exam and to help improve your clinical...

Believe you can and you’re halfway there. –Theodore Roosevelt Welcome back to Episode 18! This is the last and final rapid review before the In-Training Exam! Remember to pause the podcast as you go through the review and quiz yourself. Let’s get started with Ob/GYN. OB/GYN Emergencies * The most common cause of maternal mortality during delivery is maternal hemorrhage. Maternal hemorrhage can be caused by uterine atony, genital trauma or retained products. Uterine atony is...

Put your heart, mind, and soul into even your smallest acts. This is the secret of success.   –Swami Sivananda Welcome back to Episode 17! This is part 2 of the 3 part ITE rapid review series. In Episode 16, we covered abdominal emergencies, cardiovascular emergencies, cutaneous emergencies, endocrine emergencies, and environmental emergencies. Today we jump right in with HEENT emergencies. Let’s get started!  HEENT Emergencies * The target pH for eye irrigation after a chemical...

What we think, we become -Buddha Welcome back to Episode 16! With the In-training exam next week, we are doing things a little different this week. Instead of covering new material before the exam, we are launching three episodes, back to back, reviewing the most high-yield points that we have covered so far, organized by topic. We think this extra layer of spaced repetition will help you gain a few extra points during your test. We have set it up in a quiz format, so you can pause the...

All our dreams can come true — if we have the courage to pursue them. -Walt Disney Welcome back to episode 15! As promised, we are back to our weekly episodes leading into the ITE. We start this week with a rapid review of some of the infectious disease high-yield points that we have covered in the past few months, and then we dive right into the new material. Stay tuned for some comical outtakes at the end of the podcast for an inside look at the recording of Roshcast. We think you will...

If opportunity doesn’t knock, build a door.   -Milton Berle Welcome back to Episode 14! After a short break for Jeff’s honeymoon, we are back this week with more high-quality review. We have weekly episodes in the works to keep you motivated. Take note of a small change to the format this week – after each question, you will hear a one-second pause to contemplate the answer or to pause the podcast to give you even more time. We made this change in response to listener feedback; keep more...

You must do the things you think you cannot do. -Eleanor Roosevelt Welcome back to lucky Episode 13! We will start with a cardiology review based on teaching points from prior episodes. Then, we will take you through some new topics from orthopedics to burns. * Hypertension is the most common finding in acute aortic dissection. * Fusion beats are a QRS complex with hybrid morphology of a sinus beat and an intraventricular beat resulting from impulses from two different locations...

The best preparation for tomorrow is doing your best today.    -H. Jackson Brown Jr. Welcome back to Episode 12! This week we once again continued our theme based review. We focused on a few high-yield bites and envenomation. This material is easy to gloss over since we do not come across it too often clinically. Not only will this prepare you at the bedside, but it will also help you pick up a few easy points on the In-Training Exam, which, by the way, is right around the corner. *...

If you set your goals ridiculously high and it’s a failure, you will fail above everyone else’s success.  -James Cameron Welcome back to Episode 11! Hope you all had a fantastic holiday and New Year’s break. With the In-Training Exam (ITE) just a few months away, it is time to kick the studying into high gear! We changed the brief initial Rapid Review to cover topics from all prior episodes for better spaced repetition. In this episode, we go over important mnemonics. Consider pausing the...

Fear is the great extinguisher of dreams… Conversely, it can be your best mentor and source of motivation. –Paula Amato Welcome back to episode 10! This week we review some key ophthalmologic findings with excellent teaching images for you to see. We also hit the lung, the joints, the extremities and even spend time on scorpions, snakes, and spiders.  We begin each episode with a rapid review of the previous week’s highlights then dive into the Q&A and wrap up with another rapid...

We’re sitting on a train oblivious to the fact that it’s moving at 80 miles per hour, but anyone sitting outside the train watches it whiz right by! This is the value of learning to see the world through the eyes of others.   -Andy Grove Welcome back to episode 9! This week we review many high yield associations such as organisms and valvular endocarditis. The episodes are short and sweet, so you can even listen twice! We will start this week’s episode off with a Rapid Review of the...

In the end the great truth will have been learned, that the quest is greater than what is sought, the effort finer than the prize, or rather that the effort is the prize, the victory cheap and hollow were it not for the rigor of the game.  -Justice Benjamin Cardozo Welcome back to episode 8! With Thanksgiving behind us, let’s keep up the momentum as the In-Training Exam is right around the corner. Here is a sneak peak into the category breakdown established by ABEM for the ITE. Roshcast...

  I wish to do something great and wonderful, but I must start by doing the little things like they were great and wonderful.   -Albert Einstein Welcome back to another episode of Roshcast. This is Episode 7 and we’ll be talking about Rh immunoglobulin, dystonic reactions, chemical-induced corneal Burns, medication-induced hypoglycemia, vaginal candidiasis, ocular Trauma and much more. The In-Training exam is 92 days away. By consistently studying a little every week and identifying...

“As to diseases, make a habit of two things — to help, or at least, to do no harm.”   ― Hippocrates Welcome back to episode 6! Last week’s episode included a new intro Rapid Review…let us know what you think of it. Should we continue it? Keep sending your thoughts to [email protected]. This podcast is fluid, and we are open to making changes that would best suit our listeners’ learning styles. Let’s get started * Prophylaxis for Neisseria meningitidis should be offered to...

“The young physician starts life with 20 drugs for each disease, and the old physician ends life with one drug for 20 diseases.”   -Osler  Welcome back to another episode of Roshcast. This week are are adding a new level of spaced repetition by doing a brief review of previous week’s key take away points before diving into the new material.     * The most common causes of small bowel obstructions are (1) adhesions and then (2) cancer. In comparison, large bowel obstructions are caused...