DRH-EM Education

Dr. Ferenchick’s talk on postpartum complications:

• Our first repeat offender is emDocs and their post “Hellp!!! Pregnancy Complications in the Postpartum Period”. They cover preeclampsia/ecclampsia (and note that it can occur 4-6 weeks postpartum, just as Dr. Ferenchick stated), HELLP, peripartum cardiomyopathy, thromboembolic disease, as well as infections. This is more of an overview than a deep dive. If you’re looking for an extensive review, check out the EBMedicine article.

Dr. Van Laere’s breakdown of problems with K, Ca, and Na:

• Here’s EMcrit on hyperkalemia and hyponatremia. The hyperkalemia episode initially recommended kayexalate, but Weingart has since redacted this. Nothing revolutionary here, but it’s always fun to listen to someone bash kayexalate. In regards to the hyponatremia with neurologic symptoms, Weingart recommends for 100 ccs of 3% over 10-60 minutes with a repeat X 1 if necessary.
• In the comments section of Weingart’s hyponatremia post, Chris Nickson from Life in the Fast Lane describes his approach and a posted a link to a pediatric seizure case that he had. Good stuff there.
• EMlyceum has a nice write-up of hyperkalemia management as well.
• The EKG library at Life in the Fast Lane has everything, including hyperkalemia, hypokalemia, hypercalcemia, and hypocalcemia.

Dr. Lagina on dysbarism:

• The Intensive Care Network has a short podcast with slides on some of the topics Dr. Lagina covered, including hyperbaric oxygen for arterial gas embolism, carbon monoxide, and nec fasc.

Dr. Baker chatting up integrating FOAM:

• LITFL has an extensive run through of what FOAM is, what role it plays, and why they love it so much. This includes numerous videos, search database links, different hashtags to look for on twitter, and a push for asynchronous learning and flipping the classroom.
• Dr. Salim Rezaie out of UT San Antonio has a great site over at RebelEM. He had a recent post on foam utilization, and he advocated for getting a news aggregator (like Feedly), a podcast catcher, QxMD, pubmed alerts, and of course, a twitter account.

Dr. Cibrario on types of SVT, differentiating V Tach from SVT with aberrancy, and how to treat A Fib with WPW.

• Once again, LITFL has a fantastic chart of all of the SVTs with a write-up and EKG examples of each. A must read.
• Mattu breaking down  V Tach vs SVT with aberrancy. Here he goes through the various ECG criteria that have attempted to screen for V Tach among other wide complex tachycardias, and he essentially dismisses them all for either poor sensitivity or specificity.
• Dr. Smith’s EKG Blog has a fascinating case write-up of WPW without PR shortening, as well as A Fib with WPW.

That’s all for this week.

FOAM it up, my friends.

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This is a new addition to the blog where we look at the topics discussed during Grand Rounds the previous week and have a further look into FOAM resources regarding said topics. The impetus behind this is to provide asynchronus learning tools and to initiate a basis for spaced repetition. Please let us know what you think.

This week’s topics:

• Dr. Wolf’s talk on Normal Pregnancy Complication
  • EMdocs’ write up of early postpartum complication
  • CoreEM (NYU Bellevue’s blog) post on shoulder dystocia

• Dr. Najman’s and Dr. Rhayem’s talks on uterine and ovarian disorders, respectively:
  • EMbasic’s non-pregnant vaginal bleeder post and podcast runs down a lot of what was covered

• Dr. Felt’s Noncardiac Newborn Emergencies
  • FOAMcast has everything you need in regards to pediatric GI emergencies, including posts from St. Emlyn’s Natalie May on emesis description , PedEMMorsels’ Sean Fox on intussusception, and EMpem’s post and podcast of neonatal jaundice

• Dr. Berk’s EKG Rounds
  • FOAM is loaded with anything and everything EKG. Here’s EKG extraordinaire Amal Mattu’s fantastic breakdown on youtube of V Tach vs SVT with aberrancy and his breakdown of treating V tach with adenosine
  • LIFTL’s extensive run through of SVT
  • ALiEM’s write up of SVT with aberrancy vs V Tach

• Dr. Sullivan’s US Rounds were rapid fire, but some of the scans covered were
  • Nec Fasc via 5minsono
  • Pneumonia via 5minsono
  • Everything echo by ultrasoundpodcast

FOAM it up, my friends

Comments welcomed.

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