CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries
291 episodes - English - Latest episode: 11 months ago - ★★★★★ - 38 ratingsCanadiEM 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. Our podcasts are found on this channel and include:
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.
ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations.
First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations.
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.
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Episodes
CRACKCast E183 - The Immunocompromised Patient
June 04, 2018 12:00 - 22 minutes - 41.4 MBThis episode of CRACKCast covers Rosen’s Chapter 187, The Immunocompromised Patient. This chapter covers the unique population of immunocompromised patients, including management of febrile neutropenia, as well as common infections seen in these patients and how to treat them.
CRACKCast E182–Drug Therapy in the Geriatric Patient
May 31, 2018 12:00 - 10 minutes - 12.1 MBCore Questions List 4 factors altering pharmacokinetics in the elderly (ADME) List 6 factors contributing to adverse events from medications in the elderly Beers List Which 8 meds are most responsible for adverse events in the elderly? List 5 harmful drug interactions in the elderly What are top 10 STOPP criteria?
CRACKCast E181 - Approach to the Geriatric Patient
May 29, 2018 03:41 - 14 minutes - 26.3 MBThis episode of CRACKCast covers Rosen's chapter 183, approach to the geriatric patient. Our geriatric patients can often mask serious diagnoses with vague presentations and multiple co-morbidities.
CRACKCast E180 - Labor & Delivery
May 24, 2018 12:00 - 37 minutes - 68.8 MBThis episode of CRACKCast covers Rosen’s Chapter 181, Labor and Delivery. This chapter covers the high risk realm of ED deliveries, including potential complications such as PROM, malpresentation and umbilical cord emergencies.
CRACKCast E179 - Drug Therapy in Pregnancy
May 21, 2018 12:00 - 10 minutes - 18.7 MBThis episode of CRACKCast covers Rosen’s Chapter 179, Drug Therapy in Pregnancy. There is a lot of fear and anxiety often present within pharmacologic therapy in pregnancy, but having informed, shared decision making with patients can lead to safer outcomes and adherence when treating.
CRACKCast E178 - Co-Morbird Medical Emergencies During Pregnancy
May 17, 2018 12:00 - 15 minutes - 28.6 MBThis episode of CRACKCast covers Rosen’s Chapter 178, Co-Morbid Medical Emergencies during Pregnancy. This chapter covers many complicated issues that arise during the care of pregnant patients already suffering from concomitant medical illness, and how to manage these conditions balancing risks to both mother and fetus.
CRACKCast E177 - Acute Complications of Pregnancy
May 14, 2018 20:38 - 36 minutes - 65 MBThis episode of CRACKCast covers Rosen’s Chapter 177, Acute Complications of Pregnancy. This chapter covers many acute issues that arise during the unique physiologic state that is pregnancy, from first trimester bleeding to diagnostic challenges and management of other conditions during pregnancy.
CRACKCast E176 – Musculoskeletal Disorders
May 10, 2018 12:00 - 37 minutes - 44.9 MBCore questions What are the indications for orthopedic surgery for clavicle fracture? List 5 Xray features of supracondylar fracture Describe the Gartland Classification for Extension-type supracondylar fractures List specific complications of a supracondylar fracture. Describe the sequence of ossification around the elbow. What is Baumann’s Angle? (shownotes) Monteggia fracture-dislocation Toddler’s fracture Nursemaid’s elbow. Describe the radiographic findings and manage...
CRACKCast E175 – Neurologic Disorders
May 07, 2018 12:00 - 40 minutes - 50.4 MBThis episode of CRACKCast covers Chapter 174 in Rosen's 9th Edition. Today, we will go over common topics in paediatric neurology and emergency medicine that will help you on your next shift! Knowledge of neurologic disorders is essential for any practitioner of emergency medicine, so strap in for a high-yield post. Core Questions List ten causes of provoked (acutely symptomatic) seizures. List four episodic disorders that may mimic seizures in neonates and four in non-neonates. How ...
CRACKCast E174 – Genitourinary and Renal Tract Disorders
May 03, 2018 12:00 - 35 minutes - 41.1 MBThis episode of CRACKCast covers Rosen's Chapter 173, Genitourinary and Renal Tract Disorders. Torsion, phimosis, UTIs, stones, and priapism are some of the high-yield topics covered here. Core questions: 1. List a DDx for priapism and describe treatment. 2. Describe the management of a paraphimosis. 3. Describe the management of a phimosis. 4. What is the pathophysiology of balanoposthitis? What is the most common bug in balanoposthitis? 5. How is balanoposthitis managed? 6. D...
CRACKCast E173 – Infectious Diarrheal Disease and Dehydration
April 30, 2018 12:00 - 30 minutes - 33.3 MBCore Questions: 1) What are three pathophysiologic types of diarrhea? Give an example of a cause for each. 2) List 6 common causes of childhood infectious diarrhea in developed countries. 3) List 5 important differential diagnoses of diarrhea in children. 4) List 5 important differential diagnoses of vomiting in children. 5) When should you initiate a medical evaluation of children with acute diarrhea? 6) Describe the typical presentation of: Rotavirus Norovirus Salmonella ...
CRACKCast E172 – Gastrointestinal Disorders
April 26, 2018 12:00 - 31 minutes - 36.3 MBCore questions: List 8 causes of neonatal jaundice and indicate whether they are conjugated or unconjugated List indications for work-up of a jaundiced infant What are RFs for hyperbilirubinemia? (8) What is the differential diagnosis for vomiting in a child? Describe the typical presentation of each of the following: Hypertrophic pyloric stenosis Malrotation with midgut volvulus NEC GERD Intussusception Hirschsprung's Disease Meckel’s Diverticulum HSP List Xray finding...
CRACKCast E171 – Pediatric Cardiac Disorders - PART B
April 23, 2018 12:00 - 33 minutes - 36.8 MBThis episode of CRACKCast reviews Rosen’s Chapter 170, Pediatric Cardiac Disorders. This podcast covers the common infectious complications leading to pediatric cardiac issues. Additionally, we will review Kawasaki's Disease, Acute Rheumatic Fever, HOCM, and much more. Episode Overview: 1. Describe procedures and conditions for which prophylaxis for bacterial endocarditis is recommended. 2. Describe 2 potential prophylaxis regimens. 3. What is the differential diagnosis of myocardit...
CRACKCast E171 – Pediatric Cardiac Disorders - PART A
April 19, 2018 12:00 - 28 minutes - 32.9 MBThis episode of CRACKCast covers Rosen’s Chapter 170, Pediatric Cardiac Disorders. This podcast covers cyanotic and acyanotic cardiac defects, the presentation and management of congestive heart failure in pediatric populations, and the management of common arrhythmias in children. A second podcast will release next week detailing other issues in pediatric cardiology. Episode Overview: 1. What is the most common form of congenital heart disease? 2. List 6 Acyanotic and 8 Cyanotic types...
CRACKCast E170 – Pediatric Respiratory Emergencies: Disease of the Lungs
April 16, 2018 12:00 - 22 minutes - 25.9 MBCore questions: Name 8 non-infectious causes that may present as pneumonia Describe the workup for a child with suspected pneumonia? What are the typical causes of bacterial pneumonia and viral pneumonia in the following age groups: < 1 month 1 month – 3 months 3 months – 5 years ≥ 5 years What is the empiric treatment of bacterial pneumonia in these age groups for outpatients? For inpatients? List 8 complications of pneumonia List 6 criteria for admission with pneumonia What ...
CRACKCast E169 – Pediatric Respiratory Emergencies: Lower Airway Obstruction
April 12, 2018 12:00 - 31 minutes - 36.1 MBCore questions: Excluding asthma, list 8 causes of wheeze Outline the pathophysiology of asthma. What are the features of mild, moderate and severe asthma? Describe the PRAM score List 8 medications for asthma treatment with doses What is the typical ED management for a pts with an asthma exacerbation? Describe adjunctive therapies that might be used in a patient with refractory symptoms. How are PO corticosteroids used in the management of asthma? When should children be starte...
CRACKCast E168 – Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections
April 09, 2018 12:00 - 34 minutes - 39 MBCore questions: What is the pathophysiology of inspiratory and expiratory stridor? Provide a differential diagnosis for stridor in children (based on location: supraglottic, glottic, subglottic) list at least three in each category. What is the typical presentation of a retropharyngeal abscess? Describe the management of a RPA. What are the typical pathogens? What the typical pathogens in epiglottis? How are these patients managed? Differentiate between croup and other conditions m...
CRACKCast E167 – Pediatric Fever
April 05, 2018 12:00 - 35 minutes - 40.1 MBCore questions: List 10 non-infectious causes of fever in children List 3 bacterial pathogens responsible for infections in the following age groups 0-28 days 1-3 months 3-36 months > 3 yr List 5 tests to perform on CSF Describe the empiric management of fever in the neonate (0-28 days) Why is ceftriaxone not recommended for the neonate? Describe one of The Rochester criteria The Philadelphia criteria Define simple and complex febrile seizure. What are indications for LP? W...
CRACKCast E166 – General Approach to the Pediatric Patient
April 02, 2018 13:00 - 23 minutes - 27.3 MBCore questions: 1) List age specific vital signs (RR, HR): “1 odd yr - 60 count down aid” 2) What is the lower fifth percentile of systolic BP for the neonate, infant, and 1-10 yr old child? 2) Describe the 3 components of the Pediatric Assessment Triangle. 3) Describe the Canadian Pediatric Triage and Acuity Scale 4) List 5 historical indicators of child abuse 5) List 5 features suggestive of child abuse on physical examination and/or radiology? Wisecracks: What are devel...
CRACKCast E165 – Sedative Hypnotics
March 29, 2018 12:00 - 25 minutes - 30.3 MBThis episode of CRACKCast covers Rosen's 9th Edition, Ch. 159. In the podcast, we will look at the sedative hypnotic toxidrome and the various agents that bring patients to your ED. Core questions: Describe the components of the GABA receptor complex and their physiologic effect Describe the sedative-hypnotic toxidrome, and list 8 drugs in the DDx How do barbiturates work? What are the clinical symptoms of barbiturate overdose? How are they managed? How do benzodiazepin...
CRACKCast E164 – Plants, Mushrooms, and Herbal Medications
March 26, 2018 12:00 - 13 minutes - 18.3 MBThis episode of CRACKCast covers Chapter 158 in Rosen's Emergency Medicine, 9th Edition. Core Questions: For each of the following, describe the expected toxicity: Jequirity pea, rosary Umbrella tree, Dieffenbachia, Dumb cane Capsicum annum Water Hemlock Jimson Weed, Deadly Nightshade Eucalyptus oil Poinsettia Oleander, Foxglove Tobacco Pokeweed Rhododendron Yew Castor Beans List 5 mushrooms with early onset toxicity and 3 with late onset – and describe the toxic...
CRACKCast E161 – Antipsychotics
March 22, 2018 12:00 - 12 minutes - 21.6 MBThis episode of CRACKCast covers Rosen’s 9th Edition Chapter 155, Antipsychotics. Continuing along the spectrum of toxicologic exposures, these agents account for a large number of presentations to emergency departments every year. Being equipped with the knowledge of how to deal with the side effects of these medications and their associated toxidromes is imperative and may help you save lives in the future.
CRACKCast E160 – Lithium
March 19, 2018 12:00 - 15 minutes - 24.3 MBThis episode of CRACKCast covers Rosen's Chapter 154, Lithium. You will have a solid approach to lithium overdose after listening to this episode!
CRACKCast E163 – Pesticides
March 15, 2018 12:00 - 25 minutes - 29.7 MBCore questions: Describe the cholinergic toxidrome from organophosphates Describe the clinical presentation of organophosphate toxicity. How is organophosphate toxicity managed? What are the complications of organophosphate toxicity? What is the difference between organophosphates and carbamates? What are the unique features of chlorinated hydrocarbon toxicity? What is an example of a chlorinated hydrocarbon? How are they managed? How do Substituted Phenols (Dinitrophenol) cause t...
CRACKCast E157 - Iron and Heavy Metals
March 12, 2018 12:00 - 23 minutes - 38.9 MBThis episode of CRACKCast covers Rosen’s 9th Ed Chapter 151, Iron and Heavy Metals. While often not recognized in the acute care setting, chronic toxicity from heavy metals is common and has high morbidity, especially in pediatric populations and requires careful attention to risk factors and symptomatology.
CRACKCast E162 – Opioids
March 08, 2018 13:00 - 30 minutes - 34.5 MBCore questions: List 6 commonly abused opioids (Table 156:1) Describe the opioid toxidrome (list opioid effects on Neuro, Resp, Ophtho, CV, GI, Derm) List opioid preparations associated with the following presentations: Long QTc → Prolonged QRS → Seizures → Hallucinations →) Sensorineural hearing loss → Serotonin syndrome → i) What is the dose of narcan? ii) What is the duration of action? iii) How do you administer a narcan infusion? What opioid overdoses/ingestions ne...
CRACKCast E155 - Toxic Alcohols
March 05, 2018 13:00 - 31 minutes - 30.2 MBThis episode of CRACKCast covers Rosen’s Chapter 141, Toxic Alcohols. This chapter covers exposure to your stereotypical toxic alcohols (i.e., ethylene glycol and methanol) as well as the consequences of ingesting ethanol and isopropyl alcohol.
CRACKCast E159 - Inhaled Toxins
March 01, 2018 13:00 - 23 minutes - 41.7 MBThis episode of CRACKCast covers Rosen’s Chapter 153, Inhaled Toxins. This chapter covers exposure to various inhalation toxins including CO, hydrogen sulfide, etc. and includes their treatment and management for acute exposures.
CRACKCast E152 - Cardiovascular Drugs
February 26, 2018 13:00 - 32 minutes - 53.6 MBThis episode of CRACKCast covers Rosen’s 9th Ed Chapter 147, Cardiovascular Drugs. With increasingly common use of these medications for heart disease and an ever aging population, it is imperative to understand the prompt recognition and therapy for toxic exposures. Recognition of the more lethal agents and how to disposition these patients in the ED are the cornerstones of this chapter.
CRACKCast E154 – Cocaine and Other Sympathomimetics
February 22, 2018 13:00 - 17 minutes - 32.1 MBThis episode of CRACKCast covers Rosen’s 9th Edition Chapter 154, Cocaine and Other Sympathomimetics. Continuing along the spectrum of toxicologic exposures, these agents account for a large number of presentations to emergency departments every year. Having an in-dept understanding of their mechanism of action and a solid approach to the assessment and treatment of these patients is critical.
CRACKCast E158 - Hydrocarbons
February 19, 2018 13:00 - 13 minutes - 24.7 MBThis episode of CRACKCast covers Rosen’s 9th Ed Chapter 152, Hydrocarbons. Continuing the spectrum of toxicologic exposures, these agents account for relatively few presentations. Recognition of the more lethal agents and how to disposition these patients in the ED are the cornerstones of this chapter.
CRACKCast E154 - Hallucinogens
February 15, 2018 13:00 - 16 minutes - 30.4 MBThis episode of CRACKCast covers Rosen’s 9th Ed Chapter 150, Hallucinogens. This chapter covers exposure to several families of hallucinogenic toxins, their presentations, complications, and treatment.
CRACKCast E153 - Caustics
February 12, 2018 13:00 - 14 minutes - 25.6 MBThis episode of CRACKCast covers Rosen’s Chapter 153, Caustics. This chapter covers oral exposure to caustic agents, including the ED management, complications and potential treatment.
CRACKCast E151 - Antidepressants
February 08, 2018 13:00 - 39 minutes - 48.5 MBThis episode of CRACKCast covers Rosen’s 9th Edition Chapter 146, Antidepressants. Continuing the section on toxicology, antidepressants make up one of the most commonly prescribed medications in the general population. The use and misuse of antidepressants can have serious consequences and having a high suspicion of overdose in suicidal patients can lead to timely antidote therapy.
CRACKCast E150 – Anticholinergics
February 05, 2018 18:03 - 11 minutes - 18.7 MBThis episode of CRACKCast Covers Rosen's Chapter 145, Anticholinergics. You will learn everything you need to know for the next hot and bothered patient that rolls in to the ED!
CRACKCast E149 - ASA & NSAIDS
February 01, 2018 13:00 - 36 minutes - 55.4 MBThis episode of CRACKCast covers Rosen's Chapter 149, Aspirin and Nonsteroidal agents. You will become well-versed in the presentation of Salicylism and how to manage it. The episode also touches on NSAID overdose, with rare severe complications.
CRACKCAST E148 - Acetaminophen
January 29, 2018 13:00 - 32 minutes - 40 MBThis 148th episode of CRACKCast covers Rosen’s 9th edition, Chapter 143, acetaminophen. Also known as paracetamol and Tylenol, you need to know this overdose cold!
CRACKCast E147 - General Approach to the Poisoned Patient
January 25, 2018 13:00 - 49 minutes - 56.5 MBThis episode of CRACKCast covers Rosen’s Chapter 147, A General Approach to the Poisoned Patient. This is probably one of the most cornerstone podcasts we have done, and you'll enjoy the pearls dropped by staff ED-Toxicologist, Dr Jesse Godwin.
CRACKCast E146 - Radiation Injury
January 22, 2018 13:00 - 18 minutes - 23.7 MBIn this 146th episode of CRACKCast, we cover Radiation injury. A very rare, but important topic to know cold. From alpha particles to triage systems, we've got you covered.
CRACKCast E144 - High Altitude Medicine
January 18, 2018 13:00 - 25 minutes - 45.5 MBThis episode of CRACKCast covers Rosen’s Chapter 144, High Altitude Medicine. The problems encountered can be mostly be prevented through slow ascent and generally treated with oxygen and descent. This summary of respiratory physiology will explain why people can find themselves quickly quite unwell at high altitudes.
CRACKCast E145 - Drowning
January 15, 2018 13:00 - 18 minutes - 24.8 MBThis episode of CRACKCast covers Rosen’s Chapter 145, Drowning. Not only an important topic to know about in the resuscitation bay, but also out in the world!
CRACKCast E143 - Diving Injuries and Dysbarism
January 11, 2018 13:00 - 33 minutes - 62.2 MBThis episode of CRACKCast covers Rosen's Chapter 143, Diving Injuries and Dysbarism. While infrequently encountered except for those centers frequented by SCUBA enthusiasts, we must know the hard facts on the potentially life-threatening diving related injuries that may occur suddenly and need urgent attention.
CRACKCast E142 – Electrical and Lightning Injuries
January 08, 2018 13:00 - 32 minutes - 37.6 MBThis episode of CRACKCast covers Chapter 134 of Rosen's Emergency Medicine (9th Ed.): Electrical and Lightning Injuries. Core questions: What is the relationship between current, voltage and resistance? How does this relate to potential for injury from electrical and lightning injuries? What are the types of electrical injury? (based on type of current) Differentiate between AC and DC current injuries. List 4 types of electrical burns and 5 mechanisms of lightning injury List 5 ...
CRACKCast E141 - Heat Illness
January 05, 2018 05:25 - 23 minutes - 31 MBThis 141st episode of CRACKCast covers Rosen’s 9th edition, Chapter 133, heat illness. Want to mentally escape from the throes of our gripping winter? Let's go straight into heat illnesses.
CRACKCast E140 - Accidental Hypothermia
January 02, 2018 13:00 - 36 minutes - 39.9 MBCore Questions List 5 mechanisms of heat loss and 5 physiological responses to cold Describe 3 CV manifestations of hypothermia What are the risk factors for hypothermia? List 6. Define mild, moderate and severe hypothermia. Describe the CNS, CVS, hematologic and GU presentations associated with hypothermia for each stage (mild, moderate, severe) What are the changes made to BLS and ACLS in the setting of hypothermia? What are the indications for CPR, defibrillation, and ant...
CRACKCast E139 - Frostbite & Non-Freezing Injuries
December 28, 2017 13:00 - 17 minutes - 21.5 MBThis episode of CRACKCast covers Rosen's Chapter 131, Frostbite. You will be a pro at managing the spectrum of cold injury that can present to the ED!
CRACKCast E138 - Sepsis Syndromes
December 25, 2017 13:00 - 24 minutes - 32.6 MBThis episode of CRACKCast covers Rosen’s Chapter 138, Sepsis Syndromes. Sepsis is a topic that has undergone a lot of change in the last 15 years since the Rivers paper was published. This episode covers the original definitions of SIRS and sepsis, while also covering more recent evidence & the newest evidence-based treatment protocols.
CRACKCast E137 - Skin & Soft Tissue Infections
December 21, 2017 17:38 - 33 minutes - 43 MBThis episode of CRACKCast covers Rosen’s Chapter 129, Skin Infections. These are common and rarely life threatening, but careful consideration should be given for those who may benefit from admission over outpatient treatment. This is a big episode covering the bugs, presentations, and useful tips when treating these infections in the ED.
CRACKCast E136 - Bone and Joint Infections
December 18, 2017 13:00 - 30 minutes - 29.4 MBEpisode Overview: List 6 risk factors for bone and joint infections Describe the classification of osteomyelitis (based on pathophysiology) List the 3 most common bacteria causing osteomyelitis/septic arthritis for each age group: neonate, child, adult; and the following circumstances: Sexually active adolescent Infected prosthesis Sickle cell disease IVDU Human bite Plantar puncture wound Diabetic foot Describe a diagnostic approach to osteomyelitis. What is the utility...
CRACKCast E135 - Tuberculosis
December 14, 2017 13:00 - 32 minutes - 38.3 MBEpisode 135 of CRACKCast covers Rosen's 9th edition, Chapter 127, tuberculosis. TB, or not TB, that is the question. This episode will elucidate the early recognition, risk factors, therapy and precautions regarding this worldwide killer.