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CRACKCast & Physicians as Humans on CanadiEM

The CRACKCast and CanadiEM.org Team

2
Followers
7
Plays
CRACKCast & Physicians as Humans on CanadiEM

CRACKCast & Physicians as Humans on CanadiEM

The CRACKCast and CanadiEM.org Team

2
Followers
7
Plays
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About Us

CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources.

Latest Episodes

CRACKCast E215 - Abdominal Pain

Today's episode of CRACKCast takes the listener through Chapter 24 in Rosen's 9th Edition - Abdominal Pain

53 MIN5 d ago
Comments
CRACKCast E215 - Abdominal Pain

First Year Diaries E04

In this episode of First Year Diaries, I am joined by Dr. Daniel Ting and Dr. Jared Baylis. Dr. Daniel Ting is a first-year staff at UBC, who is currently working from the Vancouver General Hospital and BC Children’s Hospital. Dr. Jared Baylis is also a first-year staff, working at the Kelowna General Hospital. I asked them what it is like to transition from residency to working as staff physicians. Later, we discussed the challenges they face as staff physicians and how residency prepared them for life as Emergency Physicians.

48 MIN2 w ago
Comments
First Year Diaries E04

CRACKCast E214 –Chest Pain

Core Questions Describe an approach to key history and physical exam for chest pain patients presenting to the ED. (Table 23.2 and 23.3) List 5 critical diagnoses, 5 emergent, and 5 nonemergent diagnoses to consider in the patient presenting with chest pain. (Table 23.1) Describe an approach to the critically ill patient with undifferentiated chest pain. (Figure 23.1) Describe an approach to ancillary testing in chest pain. (Table 23.4 and 23.5) List the risk factors associated with each critical chest pain diagnosis (Box 23.1) Explain the approach to risk stratification of ED chest pain patients. Wisecracks What are the X-ray findings of aortic dissection? What are your HR and BP targets in Aortic dissection? List the components of the HEART score.

46 MINJUN 2
Comments
CRACKCast E214 –Chest Pain

ClerkCast Ep04 - Adult Fever

Today we are sitting down with Dr Alim Pardhan. Dr Pardhan is the FRCP EM program director at McMaster University, Hamilton General Hospital ED side lead, and a passionate medical educator. Your key takeaways from this episode are: Understanding the mechanisms behind fever and hyperthermia The causes of hyperthermia - think drugs, CNS infections, thyroid storm, and environmental exposure Five big, bad, and deadly causes of fever in our patients in the ED - necrotizing fasciitis! Endocarditis! Meningitis! Ascending cholangitis! Sepsis! Identification and management of the patient with sepsis

36 MINMAY 11
Comments
ClerkCast Ep04 - Adult Fever

CRACKCast E213 - Dyspnea

Core Questions Define the following terms: Dyspnea Tachypnea Hyperpnea Hyperventilation Dyspnea on exertion Orthopnea Paroxysmal Nocturnal Dyspnea What anatomical structures are responsible for controlling respiratory effort? Outline an approach to the history for the dyspneic patient. Detail the physical examination for the dyspneic patient and highlight pivotal exam findings that point to specific pathologies. Outline the differential diagnosis for the patient presenting with dyspnea and highlight 5 critical, 5 emergent, and 5 non-emergent causes of shortness of breath. What ancillary tests are indicated for the dyspneic patient? Detail the utility of point-of-care ultrasound in the assessment of the dyspneic patient. Outline a management algorithm for the acutely dyspneic patient. Wisecracks List three findings on chest radiograph suggestive of pulmonary embolism. What is the utility of venous blood gas testing and how do its values correlate with that of an arterial blood gas?

44 MINMAY 4
Comments
CRACKCast E213 - Dyspnea

CRACKCast E212 - Hemoptysis

Core Questions: Define “massive hemoptysis”. Which vessels, when injured, are typically associated with small and massive hemoptysis, and how do the vessel characteristics influence the degree of bleeding? Outline an approach to the history and physical examination for a patient presenting with hemoptysis. Outline the differential diagnosis for hemoptysis and highlight five critical and five emergent diagnoses that cause hemoptysis. (Box 21.1 and 21.2) What ancillary tests are warranted in the patient with hemoptysis? Detail the utility of imaging studies in patients with hemoptysis. Detail the diagnostic approach to the patient with hemoptysis. (Figure 21.1) Outline an approach to managing the patient with hemoptysis. (Figure 21.2) What two maneuvers can be used to address massive hemoptysis from a suspected tracheo-innominate fistula (TIF)? What strategies can be used to improve oxygenation in the patient with massive hemoptysis? Wisecracks: List one gynecologic cause of hemopty...

34 MINAPR 6
Comments
CRACKCast E212 - Hemoptysis

ClerkCast E03 - Abdominal Pain

We are finally back with episode 3 of ClerkCast! Today we will be talking about ABDOMINAL PAIN with McMaster FRCP EM resident Dr Rakesh Gupta Key takeaways from this episode include: 1. Thinking outside the GI tract for patients with abdominal pain 2. The importance of a good physical exam 3. What type of imaging is best for your patient? Hint: it depends! 4. How to consult your inpatient colleagues! P-I-Q-U-E-D Thanks for the listen!

43 MINMAR 30
Comments
ClerkCast E03 - Abdominal Pain

CRACKCast E211 –Sore Throat

Core Questions: What are the three anatomically-distinct zones of the pharynx, and what structures outline their borders? Ultrasound of the Neck Lateral neck radiograph Nasopharyngoscopy CT Soft Tissues Neck Describe the utility of the following imaging modalities in the patient with sore throat. Outline five viral, five bacterial, and five other potential aetiologies of sore throat in the ED patient? (Table 20.1) Outline the components of the Modified Centor Score and describe its application. Describe the diagnostic algorithm for the patient with sore throat. (Figure 20.4) Outline the approach to managing a patient with sore throat in the ED. (Figure 20.4) What antibiotics can be used in the patient with suspected or confirmed streptococcal pharyngitis? (Box 20.2) Wisecracks: In what age groups is streptococcal pharyngitis rarely seen? What is Waldeyer’s Tonsillar Ring? What is the “thumb sign” and what pathology does it point to?

31 MINMAR 3
Comments
CRACKCast E211 –Sore Throat

CRACKCast E210 - Red and Painful Eye

Core Questions: Detail the pertinent points to review when taking the history of a patient presenting with a red and painful eye - Box 19.2 Outline an approach to the ocular physical examination - Box 19.3 Outline the components of the slit lamp examination - Box 19.4 What signs and symptoms, if present, likely indicate the presence of serious ocular pathologies - Box 19.1 What is a relative afferent pupillary defect and what conditions cause it? List ten causes of increase intraocular pressure List five causes for an absent red reflex - Box 19.5 Name three critical, emergent, urgent, and non-urgent causes of the red and painful eye? - Figure 19.8 Wisecracks: What are the fundoscopic findings of a central retinal artery occlusion. What is the pinhole test and what visual disturbances does it correct? What are the three most common causes of an irregularly shaped pupil What is Seidel’s Test and what condition does it identify?

75 MINFEB 5
Comments
CRACKCast E210 - Red and Painful Eye

CRACKCast E209 –Diplopia

Core Questions: What is diplopia and how is it classified? What four questions help clinicians delineate the potential cause of a patient’s diplopia? What are the cardinal directions of gaze and how are they tested? Outline the physical exam for the patient with monocular and binocular diplopia. Outline the DDx for monocular diplopia? Outline the DDx for binocular diplopia? [Table 18.1] Detail the different oculomotor palsies. [Figure 18.3] Detail the various lacunar stroke syndromes. [Box 18.1] Define internuclear ophthalmoplegia. What ancillary tests are required for the patient presenting with diplopia? [Figure 18.4] Wisecracks: What are the most common oculomotor palsies and what causes them? What is orbital apex syndrome? What is the “rule of the pupil” and how reliable is it? Detail the physical exam maneuvers used to identify patients with myasthenia gravis.

50 MINJAN 7
Comments
CRACKCast E209 –Diplopia

Latest Episodes

CRACKCast E215 - Abdominal Pain

Today's episode of CRACKCast takes the listener through Chapter 24 in Rosen's 9th Edition - Abdominal Pain

53 MIN5 d ago
Comments
CRACKCast E215 - Abdominal Pain

First Year Diaries E04

In this episode of First Year Diaries, I am joined by Dr. Daniel Ting and Dr. Jared Baylis. Dr. Daniel Ting is a first-year staff at UBC, who is currently working from the Vancouver General Hospital and BC Children’s Hospital. Dr. Jared Baylis is also a first-year staff, working at the Kelowna General Hospital. I asked them what it is like to transition from residency to working as staff physicians. Later, we discussed the challenges they face as staff physicians and how residency prepared them for life as Emergency Physicians.

48 MIN2 w ago
Comments
First Year Diaries E04

CRACKCast E214 –Chest Pain

Core Questions Describe an approach to key history and physical exam for chest pain patients presenting to the ED. (Table 23.2 and 23.3) List 5 critical diagnoses, 5 emergent, and 5 nonemergent diagnoses to consider in the patient presenting with chest pain. (Table 23.1) Describe an approach to the critically ill patient with undifferentiated chest pain. (Figure 23.1) Describe an approach to ancillary testing in chest pain. (Table 23.4 and 23.5) List the risk factors associated with each critical chest pain diagnosis (Box 23.1) Explain the approach to risk stratification of ED chest pain patients. Wisecracks What are the X-ray findings of aortic dissection? What are your HR and BP targets in Aortic dissection? List the components of the HEART score.

46 MINJUN 2
Comments
CRACKCast E214 –Chest Pain

ClerkCast Ep04 - Adult Fever

Today we are sitting down with Dr Alim Pardhan. Dr Pardhan is the FRCP EM program director at McMaster University, Hamilton General Hospital ED side lead, and a passionate medical educator. Your key takeaways from this episode are: Understanding the mechanisms behind fever and hyperthermia The causes of hyperthermia - think drugs, CNS infections, thyroid storm, and environmental exposure Five big, bad, and deadly causes of fever in our patients in the ED - necrotizing fasciitis! Endocarditis! Meningitis! Ascending cholangitis! Sepsis! Identification and management of the patient with sepsis

36 MINMAY 11
Comments
ClerkCast Ep04 - Adult Fever

CRACKCast E213 - Dyspnea

Core Questions Define the following terms: Dyspnea Tachypnea Hyperpnea Hyperventilation Dyspnea on exertion Orthopnea Paroxysmal Nocturnal Dyspnea What anatomical structures are responsible for controlling respiratory effort? Outline an approach to the history for the dyspneic patient. Detail the physical examination for the dyspneic patient and highlight pivotal exam findings that point to specific pathologies. Outline the differential diagnosis for the patient presenting with dyspnea and highlight 5 critical, 5 emergent, and 5 non-emergent causes of shortness of breath. What ancillary tests are indicated for the dyspneic patient? Detail the utility of point-of-care ultrasound in the assessment of the dyspneic patient. Outline a management algorithm for the acutely dyspneic patient. Wisecracks List three findings on chest radiograph suggestive of pulmonary embolism. What is the utility of venous blood gas testing and how do its values correlate with that of an arterial blood gas?

44 MINMAY 4
Comments
CRACKCast E213 - Dyspnea

CRACKCast E212 - Hemoptysis

Core Questions: Define “massive hemoptysis”. Which vessels, when injured, are typically associated with small and massive hemoptysis, and how do the vessel characteristics influence the degree of bleeding? Outline an approach to the history and physical examination for a patient presenting with hemoptysis. Outline the differential diagnosis for hemoptysis and highlight five critical and five emergent diagnoses that cause hemoptysis. (Box 21.1 and 21.2) What ancillary tests are warranted in the patient with hemoptysis? Detail the utility of imaging studies in patients with hemoptysis. Detail the diagnostic approach to the patient with hemoptysis. (Figure 21.1) Outline an approach to managing the patient with hemoptysis. (Figure 21.2) What two maneuvers can be used to address massive hemoptysis from a suspected tracheo-innominate fistula (TIF)? What strategies can be used to improve oxygenation in the patient with massive hemoptysis? Wisecracks: List one gynecologic cause of hemopty...

34 MINAPR 6
Comments
CRACKCast E212 - Hemoptysis

ClerkCast E03 - Abdominal Pain

We are finally back with episode 3 of ClerkCast! Today we will be talking about ABDOMINAL PAIN with McMaster FRCP EM resident Dr Rakesh Gupta Key takeaways from this episode include: 1. Thinking outside the GI tract for patients with abdominal pain 2. The importance of a good physical exam 3. What type of imaging is best for your patient? Hint: it depends! 4. How to consult your inpatient colleagues! P-I-Q-U-E-D Thanks for the listen!

43 MINMAR 30
Comments
ClerkCast E03 - Abdominal Pain

CRACKCast E211 –Sore Throat

Core Questions: What are the three anatomically-distinct zones of the pharynx, and what structures outline their borders? Ultrasound of the Neck Lateral neck radiograph Nasopharyngoscopy CT Soft Tissues Neck Describe the utility of the following imaging modalities in the patient with sore throat. Outline five viral, five bacterial, and five other potential aetiologies of sore throat in the ED patient? (Table 20.1) Outline the components of the Modified Centor Score and describe its application. Describe the diagnostic algorithm for the patient with sore throat. (Figure 20.4) Outline the approach to managing a patient with sore throat in the ED. (Figure 20.4) What antibiotics can be used in the patient with suspected or confirmed streptococcal pharyngitis? (Box 20.2) Wisecracks: In what age groups is streptococcal pharyngitis rarely seen? What is Waldeyer’s Tonsillar Ring? What is the “thumb sign” and what pathology does it point to?

31 MINMAR 3
Comments
CRACKCast E211 –Sore Throat

CRACKCast E210 - Red and Painful Eye

Core Questions: Detail the pertinent points to review when taking the history of a patient presenting with a red and painful eye - Box 19.2 Outline an approach to the ocular physical examination - Box 19.3 Outline the components of the slit lamp examination - Box 19.4 What signs and symptoms, if present, likely indicate the presence of serious ocular pathologies - Box 19.1 What is a relative afferent pupillary defect and what conditions cause it? List ten causes of increase intraocular pressure List five causes for an absent red reflex - Box 19.5 Name three critical, emergent, urgent, and non-urgent causes of the red and painful eye? - Figure 19.8 Wisecracks: What are the fundoscopic findings of a central retinal artery occlusion. What is the pinhole test and what visual disturbances does it correct? What are the three most common causes of an irregularly shaped pupil What is Seidel’s Test and what condition does it identify?

75 MINFEB 5
Comments
CRACKCast E210 - Red and Painful Eye

CRACKCast E209 –Diplopia

Core Questions: What is diplopia and how is it classified? What four questions help clinicians delineate the potential cause of a patient’s diplopia? What are the cardinal directions of gaze and how are they tested? Outline the physical exam for the patient with monocular and binocular diplopia. Outline the DDx for monocular diplopia? Outline the DDx for binocular diplopia? [Table 18.1] Detail the different oculomotor palsies. [Figure 18.3] Detail the various lacunar stroke syndromes. [Box 18.1] Define internuclear ophthalmoplegia. What ancillary tests are required for the patient presenting with diplopia? [Figure 18.4] Wisecracks: What are the most common oculomotor palsies and what causes them? What is orbital apex syndrome? What is the “rule of the pupil” and how reliable is it? Detail the physical exam maneuvers used to identify patients with myasthenia gravis.

50 MINJAN 7
Comments
CRACKCast E209 –Diplopia
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