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 E134 - Tick-borne illness
December 12, 2017 07:53 - 22 minutes - 27.2 MBThis 134th episode of CRACKCast covers Rosen’s 9th edition, Chapter 126, tick-borne illnesses. Can't get all those crazy rare diseases straight in your head? We've got you covered.
CRACKCast E133 - Parasitic Infections
December 07, 2017 13:00 - 24 minutes - 44.6 MBThis episode of CRACKCast covers Rosen’s Chapter 125, Parasitic Infections. This episode will give you the tools to adequately investigate the peculiar parasitic infections that present in patients coming to the ED. In an age where physicians are increasingly exposed to international travelers and immigrant/refugee populations, knowing this content is absolutely essential.
CRACKCast E132 – HIV Infection and AIDS
December 04, 2017 13:00 - 25 minutes - 28 MBCore Questions: Define AIDS List 5 risk factors for AIDS List 10 AIDS-defining conditions Describe 3 serum tests for HIV List 6 Ddx for respiratory infections in HIV Describe the presentation and treatment of PCP pneumonia Describe an approach to diagnosis and management of CNS infections in AIDS List 5 causes of odynophagia in HIV List 6 causes of diarrhea in the HIV patient Describe HAART therapy Describe prophylaxis of opportunistic infections in HIV WiseCracks: Ri...
CRACKCast E131 – Rabies
November 30, 2017 13:00 - 11 minutes - 13.3 MBCore questions: What are the top 5 rabies-virus carrying animals in Canada? In the world? Describe the pathogenesis of the rabies virus disease (see fig. 123.6) List 5 stages of rabies. What are the clinical presentations of rabies? How is rabies diagnosed? What factors are involved in a rabies risk assessment. Which types of animal contact require PEP? Non-immunized Immunized Describe important aspects of rabies post-exposure immunoprophylaxis for the following exposures: Wi...
CRACKCast E130 - Viruses
November 27, 2017 13:00 - 33 minutes - 41 MBThis 130th episode of CRACKCast covers Rosen’s 9th edition, Chapter 122, Viruses. Viruses account for most infections and are typically self-limited illnesses. Recognition of specific viral illness patterns is important in the ED, where our intervention or withholding an ineffective treatment such as antibiotics can affect the health at a population level.
CRACKCast E129 - Bacteria
November 24, 2017 03:50 - 40 minutes - 51.3 MBThis 129th episode of CRACKCast covers Rosen’s 9th edition, Chapter 121, Bacteria. Bacterial infections represent a large proportion of presentations to the emergency department. Here we examine some of the most infrequently seen but extremely dangerous bacterial infections that you must be able to recognize. For more frequent infections, please see their individual chapters in Rosen’s.
CRACKCast E128 - Thyroid and Adrenal Disorders
November 20, 2017 13:00 - 34 minutes - 38 MBThis episode of CRACKCast covers Rosen's Chapter 120, Thyroid and Adrenal disorders. This episode is going to have a nice breakdown of how each of these major endocrine glands can go haywire and what to do when the storm approaches. The shownotes also have some additional material worth checking out!
CRACKCast E127 - Rhabdomyolysis
November 16, 2017 13:00 - 17 minutes - 23.7 MBThis 127th episode of CRACKCast covers Rosen’s 9th edition, Chapter 119, Rhabdomyolysis. Although usually benign, rhabdomyolysis can have deadly complications. Acute kidney injury and hyperkalemia are accompanied by high mortality. At-risk patients (see the "MUSCLE Breakdown" mnemonic) may present with muscle pain or altered mentation.
CRACKCast E126 - Diabetes Mellitus and Disorders of Glucose Homeostasis
November 13, 2017 13:00 - 35 minutes - 40.5 MBCore questions: Define DKA. List 6 potential triggers of DKA. Describe the pathophysiology of DKA. (Fig 118.1) How is DKA managed in children? In adults? What are the epidemiologic risk factors for cerebral edema in DKA? What are signs and symptoms of cerebral edema? How do you manage a pt with DKA and suspected cerebral edema? List 5 complications of DKA management List five common serious infections in diabetics and how they are managed. How does hypoglycemia classically prese...
CRACKCast E125 – Electrolyte Disorders
November 09, 2017 13:00 - 33 minutes - 39.8 MBCore questions What are the five most common causes of hyperkalemia? Describe the ECG features seen with hyperkalemia. List at least 5. How is hyperkalemia managed? How does each intervention work, and how long do the effects typically last? What are the five most common causes of hypokalemia? Describe the ECG features seen with hypokalemia. List at least 4. How is hypokalemia managed? What are the three main types of hypernatremia? Give 3 examples of each. List four central and fou...
CRACKCast E124 - Acid Base Disorderw
November 06, 2017 13:00 - 29 minutes - 33.9 MBThis episode of CRACKCast covers Rosen’s Chapter 124, Acid Base Disorders. This chapter covers a simple approach to acid base disorders and ABG interpretation, including the differential diagnosis for the identified disorders & treatment options.
CRACKCAST E123 - Selected Oncologic Emergencies
November 02, 2017 12:00 - 39 minutes - 57.4 MBThis 123rd episode of CRACKCast covers Rosen’s 9th edition, Chapter 115, Selected Oncologic Emergencies. With an ever aging population, cancer incidence continues to rise. Therapies continue to prolong life often with high risks of side effects, and emergency physicians need to be equipped to treat complications of this treatment and importantly cancer morbidity itself.
CRACKCast E122 – Disorders of Hemostasis
October 30, 2017 12:00 - 24 minutes - 27.6 MBEpisode Overview: List 10 causes of Thrombocytopenia List 6 causes of Thrombocytosis Describe the presentation and treatment of HIT, ITP and TTP Describe what causes an abnormal PT? What causes an abnormal PTT? Describe the deficiency and management of Hemophilia A, Hemophilia B, and vWD Describe the management of a major and minor bleed in hemophilia A List 4 items in cryoprecipitate List adjunctive therapies in DIC Wisecracks: How do you differentiate coagulat...
CRACKCast E121 - Anemia, Polycythemia and WBC disorders
October 26, 2017 12:00 - 34 minutes - 44.5 MBThis 121st episode of CRACKCast covers Rosen’s 9th edition, Chapter 112 and 113, Anemia, Polycythemia, and White Blood Cell Disorders. These blood disorders are numerous and this episode attempts to break their classification and approach down in a systematic manner.
CRACKCast E120 – Dermatologic Presentations
October 23, 2017 12:00 - 47 minutes - 53.5 MBThis episode covers Chapter 110 of Rosen’s Emergency Medicine (9th Ed.), Dermatologic Presentations. Episode Overview List five broad categories of rashes Describe the primary skin lesion types a. Bonus: What are the secondary skin lesions (show notes only) List systemic diseases that present with cutaneous signs for each of the following locations: Generalized rash Head and neck Hands Legs Palms and Soles Describe the various presentations of tinea and their treatment List 8...
CRACKCast E119 - Allergy & Anaphylaxis
October 19, 2017 12:00 - 27 minutes - 35.4 MBEpisode 119 of CRACKCast covers chapter 109 of Rosen's Emergency Medicine 9th edition. Its hard to go a couple hours in the ED without seeing allergy or that life-threatening anaphylaxis, so you need to be tres familiar with this entity!!!
CRACKCast E118 – Vasculitis
October 16, 2017 12:00 - 25 minutes - 29.1 MBThis episode covers Ch 108 of Rosens (9th Ed.), SLE and the Vasculitides. These conditions can lead to some pretty varied ED presentations, so we need to know when to suspect lupus or vasculitis, and how to manage it. Episode Overview: What the pathophysiology of lupus List diagnostic criteria for SLE List drugs that induce lupus Describe the clinical manifestations w/ Classic triad & Symptoms and signs by system in lupus List 3 drug regimens to treat SLE How does neonatal lup...
CRACKCast E117 - Tendinopathy and Bursitis
October 12, 2017 13:10 - 10 minutes - 10.9 MBThis episode covers Chapter 107 of Rosen’s Emergency Medicine (9th Ed.), Tendinopathy and Bursitis. Episode Overview: Mechanical overload and repetitive micro-trauma are the key underlying mechanisms of tendinopathy Most patients present with progressively worsening pain after work or sports-related activities that are repetitive in nature Tendinopathy can also be associated with non-mechanical causes such as: Systemic manifestations of disease Use of fluoroquinolones Infectio...
CRACKCast E116 - Arthritis
October 09, 2017 11:00 - 37 minutes - 46.6 MBThis episode of CRACKCast covers Rosen’s Ch 106, Arthritis. When a patient rolls in with an active joint, we need to know how to rule out those can't-miss diagnoses.
CRACKCast E115 - Suicide
October 05, 2017 12:00 - 13 minutes - 14.9 MBThis episode covers Chapter 105 of Rosen’s Emergency Medicine (9th Ed.), Suicide. Episode Overview: Suicide is a common but preventable cause of death Suicide is usually triggered by treatable or reversible short-term crises Most attempted suicide survivors are grateful to be alive Suicide risk changes over time; estimations of imminent risk are NOT evidence-based Routine screening labs provide little value to most ED patients with self-harm behaviours Evaluations should be tar...
Physicians as Humans Podcast E04: A break for parenthood
October 04, 2017 12:00 - 13 minutes - 24.7 MBIn the fourth episode of the Physicians as Humans project, I speak with Dr. Kevin Dueck, a family medicine resident at McMaster, about his decision to take parental leave during residency. Also check out his blog https://abootmedicine.wordpress.com/! This is an ongoing project, so if you or anyone you know have a story about managing personal struggles while in medicine, please contact [email protected]. If you are unfamiliar with the project, please read this post for more information ...
CRACKCast E114 - Factitious Disorders and Malingering
October 02, 2017 14:26 - 11 minutes - 12.8 MBThis episode of CRACKCast covers Rosen' 9th edition, Chapter 104, Factitious Disorders and Malingering. Episode Overview Two categories of psychiatric illness are covered in this episode Factitious Disorder Malingering Individuals suffering from factitious disorders fabricate symptoms of illness to fulfill the sick role (primary gain) Individuals suffering from malingering fabricate symptoms of illness to obtain something (secondary gain) Despite the fact that we may suspect eit...
EP 113 - Somatoform Disorders
September 28, 2017 12:00 - 5 minutes - 5.54 MBThis 113th episode of CRACKCast covers Rosen’s 9th edition, Chapter 103, Somatoform Disorders. The diagnosis of SSD is made when there are persistent and clinically significant physical complaints that are accompanied by excessive and disproportionate health-related thoughts, feelings, and behaviours regarding these symptoms. Recent publications refer to “medically unexplained physical or somatic symptoms,” rather than somatization.
CRACKCast E112 – Anxiety Disorders
September 25, 2017 12:00 - 6 minutes - 7.73 MBThis episode covers Chapter 102 of Rosen’s Emergency Medicine (9th Ed.), Anxiety Disorders. Episode Overview Patients who present with predominant symptoms of anxiety may be suffering from medical disorders (think cardiac, resp, endocrine, neurologic), medication effects, or substance abuse or withdrawal. Anxiety may accompany the onset of serious medical disease, cause significant metabolic demands, and stress a marginally compensated organ system. Anxiety caused by physical illness...
CRACKCast E111 – Mood Disorders
September 21, 2017 12:00 - 8 minutes - 10.1 MBThis episode of CRACKCast covers Rosen’s Chapter 101 (9th Ed.), mood disorders. The podcast will focus on the diagnosis and management of common mood disturbances. Episode Overview Patients with apparent mood disorders should be evaluated for medical disorders, medication effects, substance abuse or withdrawal because these conditions can mimic both depression and mania. Mood disorders should be suspected in patients with multiple, vague, nonspecific complaints and in patients who are fre...
CRACKCast E110 - Thought Disorders
September 18, 2017 11:00 - 20 minutes - 25.9 MBThis episode covers chapter 110 of Rosen's emergency medicine (100 in the 9th edition). Confused about thought disorders? We can set you thinking straight!
CRACKCast E109 - CNS Infections
September 14, 2017 11:00 - 38 minutes - 48.7 MBThis episode of CRACKCast covers Rosen’s Chapter 109, CNS Infections. This chapter covers a differential diagnosis for CNS infections, including necessary workup and approaches to treatment.
CRACKCast E108 - Neuromuscular Disroders
September 14, 2017 09:11 - 24 minutes - 31 MBAre you confused by the NMJ? Good.... because we were too. This episode of CRACKCast covers Rosen’s Chapter 108, Neuromuscular Disorders. These disorders have a wide range of presentations and etiologies.
CRACKCast E107 - Peripheral Nerve Disorders
September 07, 2017 12:00 - 28 minutes - 30.5 MBThis episode of CRACKCast covers Rosen’s Chapter 107, Peripheral Nerve Disorders. These disorders have a wide range of presentations and etiologies. This chapter includes a comprehensive classification system to help in the ED in recognizing the various disorders.
CRACKCast E106 - Spinal Cord Disorders
September 04, 2017 12:00 - 24 minutes - 27.8 MBThis episode covers chapter 106 of Rosen's Emergency Medicine. Check out chapter 96 in the pretty new 9th edition. If you don't have it yet... you should. Ever wondered about how to get the spinal syndrome's straight? We've got that covered, and more of course!
CRACKCast E105 - Brain & Cranial Nerve Disorders
August 31, 2017 12:00 - 22 minutes - 26.8 MBThis episode of CRACKCast covers Rosen’s Chapter 105, Brain and Cranial Nerve Disorders. These can be the weird and wonderful in the ED, but subtle hints can clue us in that further investigation is needed for our patients. Having a high suspicion for these diagnoses can help you make an appropriate care plan and follow up for patients with neurological disease.
CRACKCast E104 - Delirium & Dementia
August 28, 2017 12:00 - 20 minutes - 25.1 MBThis episode covers Chapter 104 (or 94 in the 9th Edition) of Rosen's Emergency Medicine. If you can't get delirium versus dementia straight in your head, then this is the podcast for you! Core questions: List the four key diagnostic criteria for delirium List six strong predisposing or precipitating factors for delirium List 15 causes of delirium Describe how to use a screening tool for delirium: MMSE List 3 potential medications used for chemical restraint List 2 potential sid...
CRACKCast E103 - Headache Disorders
August 24, 2017 12:00 - 31 minutes - 35.7 MBThis episode of CRACKCast covers Rosen’s Chapter 103, Headache Disorders. This chapter covers an approach to headaches, including the red flags and key history questions to clinch the diagnosis.
CRACKCAST E102 - Seizure
August 21, 2017 12:00 - 22 minutes - 22.7 MBThis episode of CRACKCast covers Rosen’s Chapter 102, Seizures. This can be a challenging complaint to diagnose without collateral, but recognition and treatment is critical for patient and public safety. This chapter covers the various etiologies of seizure and their management - both acutely and in the community.
CRACKCast E101 - Stroke
August 17, 2017 12:00 - 32 minutes - 39.9 MBThis episode covers chapter 101 of Rosen's Emergency Medicine. Its a gooder... Stroke! All things brain badness, so come have a listen or take a gander at the shownotes.
E100 - Select Gynecologic Disorders
August 14, 2017 20:45 - 16 minutes - 20.6 MBThis (centennial!) episode of CRACKCast covers Rosen’s Chapter 100, Gynecologic Disorders. This chapter covers the common presentation of pelvic pain and vaginal bleeding in the emergency department, including can't miss life or organ diagnoses.
CRACKCast E099 - Select Urologic Disorders
August 11, 2017 03:02 - 30 minutes - 38.7 MBThis episode of CRACKCast covers Rosen’s Chapter 99, Urological Disorders. This episode will cover a selection of urological disorders commonly seen in the ED along with key steps in management. Episode Overview UTI’s in Adults Prostatitis Renal Calculi Bladder (Vesical) Calculi Acute Scrotal Pain Acute Urinary Retention Hematuria
CRACKCast E098 - STIs
August 07, 2017 19:03 - 20 minutes - 25.8 MBThis episode of CRACKCast covers Rosen’s Chapter 98, Sexually Transmitted Infections. This chapter covers an overview of the various sexually transmitted infections commonly seen in the ED, as well as their management.
CRACKCast E097 - Renal Failure
August 06, 2017 00:44 - 29 minutes - 37 MBThis episode of CRACKCast covers Rosen’s Chapter 97, Renal Failure. This chapter covers an approach to acute and chronic kidney injuries, including causes, complications and treatments.
CRACKCast E096 - Anorectal Disorders
July 31, 2017 16:55 - 23 minutes - 30 MBThis episode of CRACKCast covers Rosen’s Chapter 96, Anorectal Disorders. These complaints are sensitive in nature and are not easily volunteered by patients. A sensitive and thorough history is necessary to help resolve these complaints that can be devastating to quality of life. What are risk factors for the develop of symptomatic haemorrhoids? Describe 4 degrees of internal hemorrhoids and indicated management options Describe the management of non-thrombosed external haemorrhoid &...
CRACKCast E095 - Large Intestine
July 27, 2017 12:00 - 28 minutes - 35.6 MBThis episode of CRACKCast covers Rosen’s Chapter 95, Large Intestine. This chapter covers a number of pathologies affecting the large colon, including their associated risk factors & complications. List features that are typical for IBS. (Describe the Rome IV criteria and list 4 medications used to treat irritable bowel syndrome - show notes) What is the pathophysiology of diverticular disease? List clinical presentations of diverticular disease. How is diverticular disease mana...
CRACKCast E094 - Gastroenteritis
July 24, 2017 12:00 - 24 minutes - 30.9 MBThis episode covers Chapter 94 of Rosen’s Emergency Medicine 8th edition (look at chapter 84 for the 9th edition). Have you ever seen gastroenteritis? If you haven't, its probably because you aren't in emergency medicine yet... but once you are... you will. Listen to this post to get ready for the brown winter. Describe a general approach or investigation and management for suspected infectious diarrhea in the following groups: Non-bloody diarrhea Bloody Diarrhea What are the...
CRACKCast E093 - Appendicitis
July 20, 2017 12:00 - 19 minutes - 24.1 MBThis podcast covers Chapter 93 of Rosen's 8th Edition Emergency Medicine (or Chapter 83 if you've got the new-shiny 9th edition). All hail to the appendix. The pluto of our organs. List 8 ddx for appendicitis List 5 causes of acute appendiceal obstruction and describe the pathophysiology of appendicitis including pain location List 5 PEX findings in appendicitis. Describe how the presentation of appendicitis is different in peds, pregnant women, and elderly. List 2 advantages and di...
CRACKcast E092- Small Intestine Disorders
July 17, 2017 12:00 - 21 minutes - 26.7 MBThis episode of CRACKCast covers Rosen’s Chapter 92 for the 8th Edition (Chapter 82 9th Edition), Small Intestine. This chapter covers the various pathologies, diagnoses and treatments of the Small Intestine. List types of mechanical bowel obstruction. What are potential etiologies of mechanical bowel obstruction? List causes of functional small bowel obstruction. List 5 lab tests useful in the dx of SBO. What findings are expected on AXR? On CT? Describe the acute management of...
CRACkCast E091 - Pancreas
July 17, 2017 06:23 - 18 minutes - 22.5 MBThis episode covers Chapter 91 of Rosen’s Emergency Medicine 8th edition (or Chapter 81 of the 9th edition). List 10 ddx for pancreatitis List 10 causes of pancreatitis. Which are most common in adults? Which one is most common in pediatrics? Describe 6 management priorities in acute pancreatitis. What are the early, late and chronic complications of pancreatitis? Describe Ranson’s criteria and Atlanta criteria List causes of chronic pancreatitis. What is the best diagnostic t...
CRACKcast E090 - Disorders of Liver & Biliary Tract
July 06, 2017 12:00 - 33 minutes - 42.2 MBThis episode covers Chapter 80 of Rosen's Emergency Medicine 9th edition. (Yes the new edition). Building on previous episodes (see fever, Jaundice and abdo pain), today we take a look at all things right upper quadrant badness. 1) List 8 ddx for hepatitis 2) Complete the following table for Hepatitis A, B & C: Transmission, Risk Factors, Carrier State, Acute Infection, Previous Infection, Chronic Infection, Prev Vaccine, Transmission Risk, Vaccine. (show notes: What is hep...
CRACKCast E089 - Upper GI Tract
July 03, 2017 21:07 - 22 minutes - 26.5 MBThis episode covers Chapter 89 of Rosen’s Emergency 8th edition (or chapter 79 of 9th edition). Great review of some old concepts already presented, add a few spritzers of new stuff. List the the types of dysphagia. What is an ED approach to this condition? What are 4 areas of narrowing in the esophagus that FBs get stuck? List 8 causes of esophageal obstruction & List 3 therapies for a food bolus. What are the indications for removal of an esophageal foreign body? What are the ...
CRACKCast E088 Pulmonary Embolism and Deep Vein Thrombosis
June 29, 2017 12:00 - 32 minutes - 43.3 MBThis Episode covers Chapter 88 (or 78 in 9th edition) of Rosen's Emergency Medicine. PE and DVT. Jeff Kline wrote this chapter, so you knows its a gooder! List 8 DDx for DVT Describe management of superficial thrombophlebitis + isolated calf thrombosis How is the d-dimer test used in the diagnosis of DVT? List 8 causes of an elevated D-dimer What are the Wells criteria for DVT? Describe how to use this score. Describe diagnostic approach of suspected DVT How is a proximal...
CRACKCast E087 - Peripheral Arteriovascular Disease
June 26, 2017 12:00 - 40 minutes - 52.6 MBThis episode covers Chapter 87 of Rosen’s Emergency Medicine What is an atheroma and how is it formed? What are the classic symptoms of arterial insufficiency? Provide a differential diagnosis for chronic arterial insufficiency. What is blue toe syndrome? What is its significance? Differentiate between thrombotic and embolic limb ischemia based on clinical features What is the management of an acutely ischemic limb? List three disorders characterized by abnormal vasomotor re...
CRACKCast E086 - Abdominal Aortic Aneurysm
June 15, 2017 12:00 - 19 minutes - 25.4 MBThis episode covers Chapter 86 of Rosen’s Emergency Medicine. AAAs are our Great-White-Buffalo in emergency medicine. You need to know this! List six presentations of an abdominal aortic aneurysm. Compare Aneurysm and Pseudoaneurysm List common misdiagnoses in patients with ruptured AAA List three common early and delayed complications of AAA repair List common delayed complications of Endovascular repair Wisecracks: What to do about the intact, asymptomatic aneur...