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everytime someone stops believing... a fairy Dies (tinkerbell) Cries fairies don’t exist? Lies just use your Eyes to look to the Skies not believing is un Wise nothing more than a Guise they're dropping like Flies o! can't you empa Thize and get real you Guys without our help, sur Prise they will all ago Nize Support the cause by following our social medias! @PixiePals on Twitter, Instagram, Snapchat, Squarespace, Ziprecruiter, LinkedIn, MySpace, Tumblr, Pinterest, Reddit, Audible, Goodreads ...
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Streaming Consciousness is a new venture by two friends from NYC. We've always had great conversations so we decided to record them. Give it a listen and hopefully we can make you laugh and inspire creativity.
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show series
 
There are a variety of anorectal emergencies that present to the emergency department. Recently, there were updated guidelines made by the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST). In this post, we review some of the updated guidelines including for anorectal abscess, perineal necrotizi…
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We are back to providing our ATLS content and we are picking up where we left off. Our last ATLS podcast was on spine and spinal cord trauma. Somewhat similar in nature is musculoskeletal trauma. This is a very common form of trauma. However, delayed recognition and treatment can result in life-threatening hemorrhage or limb loss.…
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Cluster headaches are often considered one of the most painful human experiences. They are short (lasting usually 15-180 minutes), frequent (up to 8 a day), unilateral headaches behind or around the eye often with ipsilateral autonomic symptoms and restlessness. While migraines and tension headaches are seen frequently in the emergency department, …
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For decades, there has been a major name debate regarding the appropriate title for PAs. However, on May 24, 2021 the American Academy of PAs (AAPA) House of Delegates (HOD) came to a vote. Over 100 possible titles were considered, but ultimately the winning vote was for "physician associate" which has led to a significant amount of discussion. Wha…
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Last year, the American Heart Association (AHA) provided updates to their basic life support (BLS), advanced cardiac life support (ACLS), and pediatric advanced life support (PALS) programs. Mike Sharma is helping again by reviewing some of the key updates and changes to guidelines. We also provide some additional feedback and information to consid…
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Recently there was commentary in a forum that suggested the Pulmonary Embolism Rule-Out Criteria (PERC Rule) was essentially useless for detecting a pulmonary embolism (PE). It started with an anecdote, which is a logical fallacy (post hoc ergo propter hoc) and went wild from there. This led to the realization that many still do not understand how …
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Injuries to the spine can occur both in blunt and penetrating trauma. They can also be with or without neurological deficits. For this reason, they should be considered in all patients with multiple injuries. In this podcast, Chip Lange and Mike Sharma review the pearls and pitfalls of this disease process.…
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We are able to provide a sneak peak at some updated content with Practical POCUS. Over the last few months, Practical POCUS has been working to improve its content with the plan to help further promote point of care ultrasound (POCUS) to a broader audience. One audience in particular is with EMS. This 10 minute video is an excerpt from the updated …
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Elevated intracranial pressure (ICP) was just discussed in our last podcast on head injuries. However, we briefly mentioned how there is a certain amount of controversy on this subject. This separate podcast is to act as a supplement to the Chapter 6 ATLS podcast on head trauma that was just covered. We find this particularly important given how lo…
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We received quite a bit of feedback with the last podcast and requests to discuss specifically the variants and their potential impacts on the current COVID-19 vaccines. It is worth noting that at the time of this publication there is still limited data but we discuss the key concepts and takeaways with the current knowledge we have on the topic.…
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We are finally back with another ATLS podcast. Mike Sharma and Chip Lange together discuss the complex but important subject of thoracic trauma. They break it down this time by addressing key aspects that come up during the primary and secondary assessments. This topic also broaches how to manage the traumatic circulatory arrest patient without a p…
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We have mentioned in previous podcasts that if you have questions or special requests to send them our way. Another one of our listeners did just this after listening to part of our ATLS series. This has been a very popular series and we are so glad you enjoy it so much. The discussions that have been built off of this as a result has led to even m…
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For the first time ever, we delayed our normal podcast release to coincide with a very special reveal by Butterfly Network: the new and improved version of their device called the Butterfly iQ+. Practical POCUS was able to get their hands on the brand new device so that you can see what it looks like. There are videos to help compare the two device…
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There are many people who are still uncertain how point of care ultrasound (POCUS) can benefit them in their practice. This podcast will give you five examples of how POCUS can significantly change your patient care (in a very positive way) and what you can start doing to to improve your patient care by using POCUS.…
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Scaphoid fractures are often missed but important fractures due to their potential complications including non-union, post-traumatic osteoarthritis, and potential for avascular necrosis (AVN). These complications can even lead to lawsuits which further emphasizes the need to identify and properly treat these fractures whenever possible.…
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Airway management is a commonly discussed topic in emergency medicine and there are some challenges that are unique with trauma. Mike Sharma co-hosts again with our ATLS podcast series on this topic. Take the time to listen both to better prepare for your ATLS course but also to better manage your future trauma patients.…
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Surprisingly, we are back already to talk about dexamethasone. Our last podcast, #204, covered the press release from the RECOVERY (Randomised Evaluation of COVid-19 thERapY) trial and their mentioning of results regarding dexamethasone. Now, the study is available in a pre-print form. It is important that this has not yet been peer-reviewed and is…
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By now you may have heard of a potential breakthrough in COVID-19 treatment: dexamethasone. The steroid is well known and has been widely used. It is inexpensive and readily available making it a great choice if it proves to be successful. However, do we really have the evidence yet to support its use?…
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We celebrate another anniversary with this podcast. This podcast marks the 200th one! With every 50th podcast, we invite back Ken Milne from The SGEM. When trying to decide what to discuss this time, Ken suggested we discuss the Peltzman Effect. If you are not familiar, no problem! Ken breaks it down for us and how it is applied to medicine, includ…
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We had an excellent opportunity that we had to turn into a video podcast. The roundtable discussion is with Weill Cornell Medicine in New York City staff: a physician (Dr. McCarty), a PA (Matt), and a RN (Christina). They cover their ED's response and how each of them took on new roles to better manage patients in this challenging time. Their tips …
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Adrian Banning is back as our guest host this week. Once again, she did a stellar job and performed a very interesting interview with David Allen. As demonstrated on his Instagram account, he has become internationally renowned for his work as a tattoo artist. He focuses most of his work on mastectomy scar coverage. He has been published on JAMA an…
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If you have been to a healthcare facility recently or work in a hospital, chances are you have been screened as soon as you got to that location. Sometimes, you are even screened prior to arrival. The same strategies are being proposed to help us return to our "normal" lives. While this may seem like a beneficial strategy, there is a significant pr…
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We are in a point of time where information is incredibly easy to access. We also have the convenience to be able to rapidly share information. We are also in a crisis from a pandemic. We as a whole are in a dangerous situation where misinformation, rumors, and bias can play a major part in hurting ourselves, our loved ones, and the world as a whol…
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