ANNALS AUDIO AND PODCASTING

The podcasts are created by David H. Newman, MD, and Teri Reynolds, MD, PhD. Dr. Newman teaches at Columbia University and the Department of Emergency Medicine, Mt. Sinai School of Medicine. He is an Evidence-Based Medicine editor at Annals of Emergency Medicine, authored the critically acclaimed Hippocrates' Shadow, and is widely published in both scientific and popular media journals. Dr. Reynolds is a Department Editor at Annals and currently teaches in the Departments of Emergency Medicine and Global Health Sciences at UCSF. She completed her residency at Highland Hospital and her ultrasound fellowship and Masters in Global Health Sciences at UCSF. She is a Department Editor at Annals of Emergency Medicine.

FOUR WAYS TO ACCESS THE PODCASTS:

1. To play on your computer, just click on any of the individual files below.
2. To download the mp3 file, right-click (on a PC) or control-click (on a mac) and choose "Save Link As".
3. If you have the iTunes media player, you can subscribe to listen to Annals of Emergency Medicine podcasts at the iTunes Music Store. To subscribe and have the podcast automatically download to your iTunes each month, search and subscribe to "Annals of Emergency Medicine" from the iTunes home page.
4. For automatic delivery of content of each issue, copy and paste http://podcasts.elsevierhealth.com/ymem/ymem_rss_audio.xml to your rss icon RSS reader.


We would very much appreciate your feedback on this new feature. Please send any questions or comments to AnnalsAudio@acep.org.


audio iconAudio and Podcasting Archives

May 2012 Issue
May (Vol. 59, Issue 5)
audio icon   Full Podcast - Audio (MP3)

May Highlights:

audio icon  Introduction Podcast

-The UK 4-hour length of stay rule – what can we learn?  audio icon  Podcast

-Episodes of care: how will EM payment structures work in a new world?  audio icon  Podcast

-ED closures: who does it hurt most?  audio icon  Podcast

-Banana bags – bringing change to a department  audio icon  Podcast

-Does viral testing in the ED reduce antibiotic prescribing?  audio icon  Podcast

-Pharmacists in the ED: saving the day, invisibly  audio icon  Podcast

-Nontechnical emergency physician skills: how to find them  audio icon  Podcast

-Increasing Computed Tomography Use for Patients With Appendicitis and Discrepancies in Pain Management Between Adults and Children: An Analysis of the NHAMCS  audio icon  Podcast

-  audio icon  Conclusion Podcast


April 2012 Issue
April (Vol. 59, Issue 4)
audio icon   Full Podcast - Audio (MP3)

April Highlights:

audio icon  Introduction Podcast

-Controversial data: no mortality benefit of regional STEMI centers  audio icon  Podcast

-A safe chest pain protocol with early discharge and selective stress  audio icon  Podcast

-Nurse-administered procedural sedations in Uganda  audio icon  Podcast

-Sublingual opiates - an option  audio icon  Podcast

-Does Buffered Lidocaine Decrease the Pain of Local Infiltration?  Should Topical Nonsteroidal Anti-inflammatory Drugs Be Used to Treat Acute Musculoskeletal Conditions?  audio icon  Podcast

-Standards for Rh testing  audio icon  Podcast

-Intravenous access by EMS – too much?  audio icon  Podcast

-Preventing acute mountain sickness - what works  audio icon  Podcast

-Can Asymptomatic Patients With a Supratherapeutic International Normalized Ratio Be Safely Treated as Outpatients?  audio icon  Podcast

-  audio icon  Conclusion Podcast


March 2012 Issue
March (Vol. 59, Issue 3)
audio icon   Full Podcast - Audio (MP3)

March Highlights:

audio icon  Introduction Podcast

-Glidescope versus fiberoptic nasopharyngoscopy for airway view: a trial  audio icon  Podcast

-Preoxygenation for airway management: a definitive review and how-to  audio icon  Podcast

-Disaster medicine: concepts, paradigms, standards  audio icon  Podcast

-Medical Relief After Earthquakes: It's Time for a New Paradigm  audio icon  Podcast

-Altering the Standard of Care in Disasters—Unnecessary and Dangerous  audio icon  Podcast

-A biomarker for head injury, S100-B  audio icon  Podcast

-  audio icon  Conclusion Podcast


February 2012 Issue
February (Vol. 59, Issue 2)
audio icon   Full Podcast - Audio (MP3)

February highlights:

-audio icon  Introduction Podcast

-ACEP policy on gifts from industry, and the ethics of gifts and ‘education’ from industry  audio icon  Podcast

-Gifts to Physicians From Industry: The Debate Evolves  audio icon  Podcast

-Limiting Gifts, Harming Patients  audio icon  Podcast

-Coffers Brimming, Ethically Bankrupt  audio icon  Podcast

-AED failures and adverse events – what happened and what do we do about it?  audio icon  Podcast

-A clinical prediction rule for low risk chest pain  audio icon  Podcast

-High sensitivity troponins and risk stratification  audio icon  Podcast

-Short term outcomes after ED back pain visits  audio icon  Podcast

-Pain scores at triage improves pain management  audio icon  Podcast

-Bed rest after LP to prevent headache: worthless!  audio icon  Podcast

-  audio icon  Conclusion Podcast


January 2012 Issue
January (Vol. 59, Issue 1)
audio icon   Full Podcast - Audio (MP3)

January highlights:

-audio icon  Introduction Podcast

-How cumbersome are the time-related CMS measures?  audio icon  Podcast

-STEMIs can get to the cath lab quickly even during crowding  audio icon  Podcast

-Disagreement between EPs and neurologists in diagnosing TIA  audio icon  Podcast

-Stroke mimics: very common, or rare? And how often do they bleed with lytics?  audio icon  Podcast

-Variability in admission rates for pneumonia among EPs  audio icon  Podcast

-Snapshot Review: Steroids for Bells Palsy  audio icon  Podcast

-Dengue fever – one of the biggest prospective studies you’ll EVER see…  audio icon  Podcast

-Poison Centers, an increasingly important public health tool, and a half century of evolution  audio icon  Podcast

-  audio icon  Conclusion Podcast


December 2011 Issue
December (Vol. 58, Issue 6)
audio icon   Full Podcast - Audio (MP3)

December highlights:

-audio icon  Introduction Podcast

-Pain severity and ACS: when it hurts more is it also more likely to be ACS?  audio icon  Podcast

-Intraosseus versus Intravenous access during cardiac arrest, a randomized trial  audio icon  Podcast

-Is discharge after cardioversion of atrial fibrillation safe? A quick lit review  audio icon  Podcast

-Lumbar artery hemorrhage in trauma  audio icon  Podcast

-What is the yield of MRI for c-spine tenderness AFTER a negative CT scan?  audio icon  Podcast

-The ‘Captain Morgan’ technique for hip dislocation  audio icon  Podcast

-Progesterone for acute TBI – does it work?  audio icon  Podcast

-Computerized order entry: how many are using it?  audio icon  Podcast

-Short term death after ED discharge: who’s dying?  audio icon  Podcast

-A field kit for diagnosing organophosphate poisoning  audio icon  Podcast

-  audio icon  Conclusion Podcast


November 2011 Issue
November (Vol. 58, Issue 5)
audio icon   Full Podcast - Audio (MP3)

November highlights:

audio icon  Introduction Podcast

- Whole body CT imaging in blunt trauma - can we be safely selective?  audio icon  Podcast

-Validation of the Simplified Motor Score - Goodbye to the GCS???  audio icon  Podcast

-Predictors of revisit after ED trauma care  audio icon  Podcast

-Diabetes as a mortality predictor in sepsis - not so much  audio icon  Podcast

-Probiotics for diarrhea  audio icon  Podcast

-CT use nationally over the past decade  audio icon  Podcast

-Preventing pressure ulcers in the elderly  audio icon  Podcast

-Effective lecture strategies  audio icon  Podcast

-Who should take the ARDMS certification exams for ultrasound?  audio icon  Podcast

-  audio icon  Conclusion Podcast


October 2011 Issue
October (Vol. 58, Issue 4)
audio icon   Full Podcast - Audio (MP3)

October highlights:

audio icon  Introduction Podcast

-Do children with minor head injury and a normal head CT need further observation or imaging?  audio icon  Podcast

-Oral vs nasal vs buccal midazolam for procedural sedation in kids, a randomized trial  audio icon  Podcast

-Financial consequences of reducing boarding  audio icon  Podcast

-Geographic determinants of cardiac arrest in Singapore  audio icon  Podcast

-Structured vs unstructured pain control protocols, a randomized trial  audio icon  Podcast

-High flow 02 during propofol sedation, a randomized trial  audio icon  Podcast

-Evidence-Based Emergency Medicine  audio icon  Podcast

-  audio icon  Conclusion Podcast


September 2011 Issue
September (Vol. 58, Issue 3)
audio icon   Full Podcast - Audio (MP3)

September highlights:

audio icon  Introduction Podcast

-ED utilization after Massachusetts health reform  audio icon  Podcast

-What does the public know about AEDs?  audio icon  Podcast

-How well does a 30-day outcome prediction tool for syncope work… at one year?  audio icon  Podcast

-Transfers to regional centers for coronary catheterization: is road time a major barrier?  audio icon  Podcast

-Outcomes of Emergency Department Patients Presenting With Adverse Drug Events  audio icon  Podcast

-Evidence-Based Emergency Medicine  audio icon  Podcast

-CDC Update: Antiviral Agents for the Treatment and Chemoprophylaxis of Influenza  audio icon  Podcast

-  audio icon  Conclusion Podcast


August 2011 Issue
August (Vol. 58, Issue 2)
audio icon   Full Podcast - Audio (MP3)

August highlights:

audio icon  Introduction Podcast

-Physician task analysis: how do you spend your time in the ED?  audio icon  Podcast

-Psychiatry consultations: variations in time  audio icon  Podcast

-ED Triage: is the process the problem?  audio icon  Podcast

-Pediatric c-spine fractures: a case-control study  audio icon  Podcast

-Stroke in kids: what does it look like?  audio icon  Podcast

-Decision aids for trauma: when do we need the surgeon?  audio icon  Podcast

-Emergency Department Management of Patients on Warfarin Therapy  audio icon  Podcast

-Is 2 days of dexamethasone good enough for asthma? A randomized trial  audio icon  Podcast

-  audio icon  Conclusion Podcast


July 2011 Issue
July (Vol. 58, Issue 1)
audio icon   Full Podcast - Audio (MP3)

July highlights:

audio icon  Introduction Podcast

-What patients understand about radiation exposure from CTs  audio icon  Podcast

-The true ‘discriminatory zone’ for beta-HCG when an IUP is not visible  audio icon  Podcast

-Hospital characteristics associated with higher ‘Left Without Being Seen’ rates  audio icon  Podcast

-Interventions that impact frequent ED users  audio icon  Podcast

-Bacterial cleanliness of ultrasound probes in the ED  audio icon  Podcast

-Randomized trial of an oral chelating agent for iron ingestion  audio icon  Podcast

-Emergency Department Operational Metrics, Measures and Definitions: Results of the Second Performance Measures and Benchmarking Summit  audio icon  Podcast

-Accuracy of Noninvasive Multiwave Pulse Oximetry Compared With Carboxyhemoglobin From Blood Gas Analysis in Unselected Emergency Department Patients   audio icon  Podcast

-Systematic Review and Meta-analysis of the Effect of Warming Local Anesthetics on Injection Pain   audio icon  Podcast

-  audio icon  Conclusion Podcast


June 2011 Issue
June (Vol. 57, Issue 6)
audio icon   Full Podcast - Audio (MP3)

June highlights:

audio icon  Introduction Podcast

-Sex Bias in Cardiovascular Testing: The Contribution of Patient Preference  audio icon  Podcast

-Increased A1C Among Adult Emergency Department Patients With Type 2 Diabetes  audio icon  Podcast

-Erythromycin Infusion or Gastric Lavage for Upper Gastrointestinal Bleeding: A Multicenter Randomized Controlled Trial  audio icon  Podcast

-Advanced Management of Acute Iliofemoral Deep Venous Thrombosis: Emergency Department and Beyond  
-Is Outpatient Oral Antibiotic Therapy Safe and Effective for the Treatment of Acute Uncomplicated Diverticulitis?  audio icon  Podcast

-A Randomized Controlled Trial of Self-Management Education for Asthma Patients in the Emergency Department   audio icon  Podcast

-Effectiveness and Acceptability of a Computerized Decision Support System Using Modified Wells Criteria for Evaluation of Suspected Pulmonary Embolism  audio icon  Podcast

-Rethinking Testing for Pulmonary Embolism: Less Is More  audio icon  Podcast

-The Six-Item Screener and AD8 for the Detection of Cognitive Impairment in Geriatric Emergency Department Patients   audio icon  Podcast

-The Effect of Cognitive Impairment on the Accuracy of the Presenting Complaint and Discharge Instruction Comprehension in Older Emergency Department Patients  audio icon  Podcast

-A Systematic Review and Qualitative Analysis to Inform the Development of a New Emergency Department-Based Geriatric Case Management Model   audio icon  Podcast

-Implications of Conducting Trend Analyses of Emergency Department Visits Using Publicly Released Masked Design Variables   audio icon  Podcast

-Emergency Department Management and 1-Year Outcomes of Patients With Atrial Flutter  audio icon  Podcast

-  audio icon  Conclusion Podcast


May 2011 Issue
May (Vol. 57, Issue 5)
audio icon   Full Podcast - Audio (MP3)


April 2011 Issue
April (Vol. 57, Issue 4)
audio icon   Full Podcast - Audio (MP3)

April highlights:

audio icon  Introduction Podcast

-Audiotaped discharge interactions: how good are we?  audio icon  Podcast

-Outcome bias: does a different outcome change our judgments about ‘good’ vs ‘poor’ care? YES!  audio icon  Podcast

-Noninvasive Hb device: accurate?  audio icon  Podcast

-Health literacy in the ED and associations: a Systematic Review  audio icon  Podcast

-Community views on neurologic emergency treatment research: time for more crosstalk  audio icon  Podcast

-Prewired ECG electrodes: faster  audio icon  Podcast

-End-of-life-care – how does it go in the ED?  audio icon  Podcast

-Injuries from personal transporters  audio icon  Podcast

-  audio icon  Conclusion Podcast


March 2011 Issue
March (Vol. 57, Issue 3)
audio icon   Full Podcast - Audio (MP3)

March highlights:

audio icon  Introduction Podcast

-Crowding effects on the quality of care delivered to children with asthma  audio icon  Podcast

-Delayed versus timely inpatient anticoagulation for NSTEMI - did it matter?  audio icon  Podcast

-Aeromedical transport to achieve timely reperfusion for STEMI - it didn't work  audio icon  Podcast

-Multicenter randomized trial of laryngoscope blades in the prehospital environment  audio icon  Podcast

-Does paralysis change papillary response after RSI?  audio icon  Podcast

-Airway management with new visualization devices: a new emphasis  audio icon  Podcast

-Randomized trial using medical language interpreters for optimal care: better?  audio icon  Podcast

-Translating triage tools into other languages: still successful?  audio icon  Podcast

-LEAN process tools in the ED  audio icon  Podcast

-Lactate and CRP, better together?  audio icon  Podcast

-Does Succinylcholine Maximize Intubating Conditions Better Than Rocuronium for Rapid Sequence Intubation?  audio icon  Podcast

-The Clinical Diagnosis of Arrhythmias in Patients Presenting With Palpitations   audio icon  Podcast

-  audio icon  Conclusion Podcast


February 2011 Issue
February (Vol. 57, Issue 2)
audio icon   Full Podcast - Audio (MP3)

February highlights:

audio icon  Introduction Podcast

-Podcast Summary  audio icon  Podcast

-Clinical Practice of Emergency Medicine:

-Emptying the Corridors of Shame: Organizational Lessons From England's 4-Hour Emergency Throughput Target  audio icon  Podcast

-The Effect of Triage Diagnostic Standing Orders on Emergency Department Treatment Time  audio icon  Podcast

-National Survey of Preventive Health Services in US Emergency Departments  audio icon  Podcast

-Pain Management:

-Ketamine With and Without Midazolam for Emergency Department Sedation in Adults: A Randomized Controlled Trial  audio icon  Podcast

-Alfentanil for Procedural Sedation in the Emergency Department  audio icon  Podcast

-Toxicology:

-Inaccuracy of ECG Interpretations Reported to the Poison Center  audio icon  Podcast

-Short-Term Outcomes After Fab Antivenom Therapy for Severe Crotaline Snakebite  audio icon  Podcast

-How Scientific Journals Work:

-Longitudinal Trends in the Performance of Scientific Peer Reviewers
Implementation of a Journal Peer Reviewer Stratification System Based on Quality and Reliability
Use of the Internet by Print Medical Journals in 2003 to 2009: A Longitudinal Observational Study
A Survey of Past Participants in the Annals of Emergency Medicine Editorial Board Fellowship Program
Citations to Web Pages in Scientific Articles: The Permanence of Archived References
audio icon  How Scientific Journals Work Section Podcast

-  audio icon  Conclusion Podcast


January 2011 Issue
January (Vol. 57, Issue 1)
audio icon   Full Podcast - Audio (MP3)

Highlights include:

-Estimating future risk after A Fib events in the ED, a derivation

-Wide variations in the management of A Fib across Canadian EDs

-New CHF guidelines: time to improve the mix, increase cross-talk, and move forward

-Fight!: Managing A fib, clinical controversies head-to-head — convert vs control

-Vascular events in dizzy patients discharged home: not common

-When the NIHSS says ’0', it still may be a stroke

-Value of ABCD2 when added to a TIA unit: not so much


December 2010 Issue
December (Vol. 56, Issue 6)
audio icon   Full Podcast - Audio (MP3)

December highlights:

audio icon  Intro Podcast

-CT utilization in an academic ED: on the rise  audio icon  Podcast

-Emergency physician ultrasound for DVT: nearly perfect?  audio icon  Podcast

-Safety articles:

-Getting the staff together to solve communication problems  audio icon  Podcast

-A randomized trial of computer support for renal dosing  audio icon  Podcast

-Labeling and bar codes to reduce errors  audio icon  Podcast

-Standardizing sign-out  audio icon  Podcast

-The 2009 H1N1 outbreak in a pediatric ED: just another flu?  audio icon  Podcast

-Pediatric suicide visits: are there interventions that work?  audio icon  Podcast

-Web vs classroom ultrasound training, a randomized trial  audio icon  Podcast

-Motivations and barriers to recruiting new EP’s to rural areas: a survey  audio icon  Podcast

-EP ultrasound for ruling out ectopic, how good are we? A systematic review  audio icon  Podcast

audio icon  Close Out Podcast


November 2010 Issue
November (Vol. 56, Issue 5)
audio icon   Full Podcast - Audio (MP3)

November highlights:

audio icon  Intro Podcast

-Waiting room management of chest pain (and 2 editorials to go with it)  audio icon  Podcast

- Can BNP predict outcomes in patients with ‘indeterminate’ troponins?  audio icon  Podcast

-Etomidate versus midazolam for sepsis, a randomized trial (+ editorial)  audio icon  Podcast

-Infection rates in ED-placed central lines  audio icon  Podcast

-Patient-controlled sedation for procedures, a randomized trial  audio icon  Podcast

-Sufentanyl for prehospital pain control, a randomized trial  audio icon  Podcast

- Pain scores in the elderly--what’s the minimum clinically important change?  audio icon  Podcast

-Beta-blockers for acute MI - is there benefit? (+Author interview)  audio icon  Podcast

audio icon  Close Out Podcast


October 2010 Issue
October (Vol. 56, Issue 4)
audio icon   Full Podcast - Audio (MP3)

October highlights:

audio icon  Intro Podcast

-Translating ACEP clinical policies into computer decision support  audio icon  Podcast

-PE diagnosis strategies, a cost-effectiveness analysis  audio icon  Podcast

-Dynamic research, static literature   audio icon  Podcast

-Ambulance diversion affects at-risk populations most  audio icon  Podcast

-Implementing 2005 AHA guidelines and improvements in survival of cardiac arrest  audio icon  Podcast

-A review and meta-analysis of syncope decision aids  audio icon  Podcast

-Co-oximetry for carboxyhemoglobin measurement: how accurate?  audio icon  Podcast

-Droperidol vs midazolam for sedation in aggressive ED patients  audio icon  Podcast

-Domestic Violence screening in the ED: a randomized trial  audio icon  Podcast

audio icon  Close Out Podcast


September 2010 Issue
September (Vol. 56, Issue 3)
audio icon  Full Podcast - Audio (MP3)

September highlights:

audio icon  Intro Podcast

-A Randomized trial of stress MRI for chest pain management  audio icon  Podcast

-Coronary Artery Calcium Scores for chest pain patients: what does it add?  audio icon  Podcast

-Load bearing devices to do your CPR: how do they perform?  audio icon  Podcast

-Very high mortality rates among patients with delirium in the ED  audio icon  Podcast

-Follow-up outcomes are surprising among observation unit short stay patients  audio icon  Podcast

-Auto injector epi in digits and their outcomes: further proof of safety  audio icon  Podcast

-Bradykinin receptor antagonist (icatibant) for angioedema: a case series  audio icon  Podcast

-RCT: Antibiotics vs placebo for abscesses — a surgical disease?  audio icon  Podcast

-Facilitated web-based self-triage for influenza-like illness – the SORT system  audio icon  Podcast

audio icon  Close Out Podcast


August 2010 Issue
August (Vol. 56, Issue 2)
audio iconAudio (MP3)

August highlights:

-Video laryngoscopy for ED airways – how often does it help?
-ET cuff pressures at altitude in flight – bloated
-ED management of airways in obese patients – a review
-Etomidate and clinical outcomes – a systematic review of a blazing controversy
-A trial of biliary ultrasound by emergency physicians – as good as radiologists?
-CTs limited to region of tenderness: a trial – how much would we miss?
-Removing fecal occult blood tests from the ED – does it change behaviors?
-Large-scale databases for research – what can each tell us?
-Attrition from EM practice – who leaves, and how many?
-Emergency medicine in Iraq – building from (nearly) scratch


July 2010 Issue
July (Vol. 56, Issue 1)
audio iconAudio (MP3)

Highlights include:

-ED migraines - 2 RCTs agree (again): triptans down, NSAIDs, antiemetics still on top
-A statewide prescription registry changes prescription habits: Is knowing your patient's prescription history good or bad?
-Physician orders in triage and impact on length of stay
-Myths and realities of frequent ED users
-Defining the "emergency care sensitive condition," a research agenda and proposal
-A novel marker for kidney injury in sepsis, how accurate?
-Changes in the rabies vaccine schedule, 5 goes to 4



June 2010 Issue
June (Vol. 55, Issue 6)
audio iconAudio (MP3)


May 2010 Issue
May (Vol. 55, Issue 5)
audio iconAudio (MP3)

Highlights include:

-Randomized trial of antibiotics or placebo for abscesses in peds who won?
-Is ondansetron masking important diagnoses? a chart review of 34000 children
-Are emergency physicians activating the cath team appropriately in one major medical center?
-The SF syncope rule, another assessment and another finding
-Interview: past, present, and future of cardiac research in EM, Judd Hollander
-EBEM: Can you give penicillin to penicillin allergic patients? Should we be using antivirals for Bells Palsy?


March/April 2010 Issues
March/April (Vol. 55, Issue 3/4)
audio iconMarch Audio (MP3)
audio iconApril Audio (MP3)

Highlights include:

-Pulmonary Embolism - Three MAJOR articles on PE, including testing for and diagnosing the disease
-Safety risks in the ED - Emergency physician perceptions, compared to national safety goals
-Inadvertent epinephrine overdoses: how to avoid this common problem
-Cyanide poisoning: two randomized animal trials and an interview with toxicologist Richard Dart


February 2010 Issue
February (Vol. 55, Issue 2)
audio iconAudio (MP3)

Highlights:

-Validation of the ABCD2 score for predicting stroke within 7 days in admitted TIA patients
-Average wait times and lengths of stay for EDs in the U.S.
-Handoffs: Emergency physician-hospitalist and Emergency physician-Emergency physician signouts the good, the bad, and how to start assessing
-A bedside visual test to quantify methemoglobinemia
-Methamphetamine body stuffers and their outcomes


January 2010 Issue
January (Vol. 55, Issue 1)
audio iconAudio (MP3)

Highlights include:

-How accurate is noncontrast CT for the diagnosis of appendicitis? A meta-analysis
-International experiences the ethical challenge of short-term medical excursions
-Impact of a mobile pediatric emergency response team for an influenza epidemic
-How often are emergency physicians testing and treating for influenza?
-Informed consent are media messages accurate for community consent in high risk trials? And in low risk, observational studies how often do subjects read the consent document?

And from the EBM section

-How accurate are clinical factors in the diagnosis of IBS?
-Is nebulized saline effective for ED management of bronchiolitis?


December 2009 Issue
December (Vol. 54, Issue 6)
audio iconAudio (MP3)

Highlights include:

* The prevalence of prolonged QTc in the ED
* Risk levels for major adverse events after syncope in the elderly
* 80-lead EKG: how much does it add, and what is it adding?
* Admission v. discharge imbalances and crowding in the ED
* What patient groups are disproportionately filling our EDs as volumes increase?


November 2009 Issue
November (Vol. 54, Issue 5)
audio iconAudio (MP3)

Highlights include:

* Interruptions during EMS CPR how common? And is a non-rebreather better than a BVM?
* Out-of-hospital use of the Canadian c-spine rule
* Med student testing for EM rotations: a randomized controlled trial
* Battery-operated intraosseus needle driver: success rate in cadavers
* MRSA in septic arthritis
* EBM reviews: Factor VII in trauma, ED cardioversion for AF, and H&P for PAD


October 2009 Issue
October (Vol. 54, Issue 4)
audio iconAudio (MP3)

Highlights include:

* The safety of inpatient hallway beds
* Impact of ED crowding on delays to treatment of high acuity patients
* The LEAN method of ED process streamlining
* Utility of a tracking system to forecast crowding
* Rate of serious infections in ALTE patients
* New decision aids for blunt abdominal trauma in children and in adults, and a comparison of decision aids for ankle fracture in children

Also, new randomized controlled trials

* NSAIDs vs. APAP+codeine for pediatric arm fracture pain
* The 1+1 hydromorphone protocol vs. typical treatment for acute pain
* IV paracetamol vs. morphine vs. placebo for renal colic pain
* Evidence-based summary of pediatric wrist fracture treatment


September 2009 Issue
September (Vol. 54, Issue 3)
audio iconAudio (MP3)

Highlights include:

* tPa for stroke - two studies, two editorials, one massive controversy
* EM workforce - how many ED physicians are now board certified? The answer is...
* Patient expectations - do they determine satisfaction?
* Physician signouts - is there a better way?
* ED boarding of admitted patients led to dangerous errors
* Tamsulosin for ureteral stones - beneficial?
* Evidence-based Emergency Medicine:
* Diagnosis of DVT, paracentesis results in ascites, and treatment of pneumothorax


August 2009 Issue
August (Vol. 54, Issue 2)
audio iconAudio (MP3)

Content for this month includes:

* Risk factors for VTE
* Ketamine and cerebral oximetry for pediatric sedation
* Local anesthesia for IVs

Also, articles on cardiac arrest resuscitation including:

* Cost effectiveness of public access AEDs
* Termination criteria for out-of-hospital resuscitation
* Post-resuscitation care for survivors
* Disparities in survival in the U.S.
...and much more.


July 2009 Issue
July (Vol. 54, Issue 1)
audio iconAudio (MP3)

Highlights include:

-Chest pain research and eliciting a history: whos right, the doctor or the researcher?
-The utility of stress tests for chest pain patients <40 y/o: little to none?
-Chest Pain Center outcomes and adherence to guidelines
-A surprising finding in the use of ultrasound for peripheral IVs: not better, maybe worse
-CT angiography of the chest for PE: repeat customers
-HIV testing in the ED, including an interview with the investigator
-Penicillin skin testing: guess how often penicillin allergy is real
-Grams stain of peritoneal fluid from the ED: hard to find a reason
-Palliative care in the ED

Evidence-Based Emergency Medicine summaries including:

-The utility of albumin administration
-The value of oral rehydration for dehydrated kids
-Reliable physical exam indicators of stroke
-Contrast-induced nephropathy what is the literature telling us?


June 2009 Issue
June (Vol. 53, Issue 6)
audio iconAudio (MP3)

* Dr. Deb Diercks on chest pain triage and Dr. Vivek Tayal on ultrasound training

Summaries include:

* Failures in patient hand-offs
* Family presence: no impact on efficiency
* Computerized risk assessments in low risk chest pain
* Optic nerve diameter doesn't predict ICP
* Neurocognitive testing may identify mild TBI
* S3 doesn't help to diagnose CHF


May 2009 Issue
May (Vol. 53, Issue 5)
audio iconAudio (MP3)


April 2009 Issue
April (Vol. 53, Issue 4)
audio iconAudio (MP3)


March 2009 Issue
March (Vol. 53, Issue 3)
audio iconAudio (MP3)


February 2009 Issue
February (Vol. 53, Issue 2)
audio iconAudio (MP3)


December Issue
December (Vol. 52, Issue 6)
audio iconAudio (MP3)