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 E039 - Geriatric Trauma
September 05, 2016 11:00 - 23 minutes - 32.5 MBThis episode covers Chapter 39 of Rosen’s Emergency Medicine textbook. Episode Overview 1) 5 Risk Factors for falls in the elderly? 2) What anatomic and physiologic changes in the elderly patient are important for the management of trauma in the elderly patient. (changes in the CVS, CNS, reap, MSK, skin) Explain why these are important? 3) What are the most common c-spine injury in the geriatric patient?
CRACKCast E038 - Pediatric Trauma
August 29, 2016 12:00 - 39 minutes - 46.6 MBThis episode covers Chapter 38 of Rosen's Emergency Medicine. Episode Overview List 5 relevant anatomic/physiologic differences between children and adults in relation to trauma management List 8 airway differences between pediatrics and adults with their relevant implications List potential fluid therapies for hemorrhagic shock and their doses List 3 ideal IO sites in pediatrics and describe the procedure Describe the pediatric GCS List 6 indications for laparotomy List 6...
CRACKCast E037 - Trauma in Pregnancy
August 22, 2016 11:00 - 40 minutes - 55.3 MBThis episode covers Chapter 37 of Rosen's Emergency Medicine.With trauma in pregnancy we need to think about blunt vs. penetrating trauma. Many women do not know they are pregnant. Episode Overview: What is the threshold for fetal viability and how can this be estimated clinically? List the expected physiologic changes during pregnancy. List 8 unique considerations in the management of the pregnant trauma patient. How is fetal distress detected? Discuss placental abruption includi...
CRACKCast E036 - Multiple Trauma
August 15, 2016 11:00 - 28 minutes - 39.7 MBThis episode covers Chapter 36 of Rosen's Emergency Medicine. Episode Overview: List indications for activation of a trauma team What is the general approach to a multi-trauma patient? List commonly missed trauma injuries ED thoracotomy indications and contraindication for blunt and penetrating trauma Wisecracks: Describe the term permissive hypotension and when you would not use it What are 3 goals for out of hospital care of a trauma patient
CRACKCast E035 - Back Pain
July 25, 2016 11:00 - 13 minutes - 16.3 MBThis episode covers Chapter 35 of Rosen's Emergency Medicine. Episode overview: 1) List 10 historical red flags for back pain 2) List 6 Emergent Diagnosis for back pain Wisecracks: 1) Describe the most common sites of disc protrusion with their associated neurologic findings 2) Outline your approach to acute undifferentiated back pain 3) Describe your treatment approach for acute musculoskeletal low back pain
CRACKCast E034 - Vaginal Bleeding
July 20, 2016 11:00 - 17 minutes - 22.4 MBThis episode covers Chapter 34 of Rosen's Emergency Medicine. Episode Overview: 1) Indicate 12 causes of vaginal bleeding, indicating at which age group each is most common 2) List 6 causes of bleeding in early pregnancy 3) Describe the management of severe third trimester bleeding and postpartum hemorrhage Wisecracks: 1) List options for managing vaginal bleeding in the non-pregnant patient 2) When would you avoid estrogen products in non-pregnant women with vaginal bleeding?
CRACKCast E033 - Acute Pelvic Pain
July 19, 2016 11:00 - 14 minutes - 19.1 MBThis episode covers Chapter 33 of Rosen's Emergency Medicine. Episode overview: 1) List 8 diagnoses of pelvic pain in women that are of reproductive tract origin 2) List 3 causes of pelvic pain in the pregnant patient who is: Fewer than 20 weeks pregnant or Greater than 20 weeks pregnant WiseCracks: 1) List 6 life threatening causes of acute pelvic pain in women 2) Outline a systematic approach to acute pelvic pain in women 3) List 6 risk factors for ectopic pregnancy
CRACKCast E032 - Constipation
July 12, 2016 11:00 - 16 minutes - 22.8 MBThis episode covers Chapter 32 of Rosen's Emergency Medicine. Chapter 32 – Constipation Episode Overview: 1) List 6 treatment options for the management of constipation Wisecracks: 1) What are 6 broad categories for the causes of constipation?
CRACKCast E030 - GI Bleeding
July 05, 2016 11:00 - 20 minutes - 28.7 MBThis episode covers Chapter 30 of Rosen's Emergency Medicine. Episode overview: 1) List 5 causes of UGIB in adults and pediatrics 2) List 5 causes of LGIB in adults and pediatrics 3) Describe your management approach for severe UGIB 4) List 6 low-risk criteria D/C of GIB 5) List components of the Rockall and Glasgow-Blatchford score Wisecracks: 1) Describe the insertion of a Blakemore tube 2) List 6 causes of false positive stool guaic
CRACKCast E031 - Diarrhea
July 05, 2016 11:00 - 18 minutes - 26 MBThis episode covers Chapter 31 of Rosen's Emergency Medicine. Episode Overview: 1) Define Acute, Persistent, Chronic Diarrhea 2) Describe the 4 mechanisms of diarrhea 3) List 15 historical factors that increase the risk of probability of non-benign diarrhea 4) What are the indications for empiric antibiotic treatment? 5) List 6 organisms that cause bloody diarrhea WiseCracks 1) When is Loperamide indicated? 2) When should you use stool cultures / O&P 3) Best way to gi...
CRACKCast E029 - Nausea and Vomiting
June 28, 2016 23:00 - 18 minutes - 24.9 MBThis episode covers Chapter 29 of Rosen's Emergency Medicine. Episode Overview: Describe the mechanism of development of a Hypochloremic Metabolic Alkalosis in vomiting List commonly used anti-emetics including their dose and their receptor site of action. List causes of vomiting specific to age groups: infant, newborn, child, and teen. Wisecracks: What are the three main areas providing afferent inputs to the vomiting centre? Name 6 critical causes and 6 complications of vomitin...
CRACKCast E028 - Jaundice
June 28, 2016 11:00 - 20 minutes - 27.9 MBThis episode covers Chapter 28 of Rosen's Emergency Medicine. Episode overview: 1) Describe heme metabolism 2) List common pre-hepatic/hepatic/post-hepatic causes of jaundice Wisecracks: 1) What are clinical signs of liver disease? 2) What laboratory tests can be useful in a jaundiced patient? 3) List the triad of acute hepatic failure 4) List and describe 6 critical causes of jaundice 5) What are 3 causes of jaundice in pregnancy?
CRACKCast E027 - Abdominal Pain
June 15, 2016 11:00 - 20 minutes - 27.6 MBThis episode covers Chapter 27 of Rosen's Emergency Medicine. Episode overview: List and explain 8 causes of life-threatening abdominal pain List 15 causes of extra-abdominopelvic abdominal pain Wisecracks: Why is WBC of so little utility in abdominal pain? When is an abdominal x-ray useful in investigating abdominal pain?
CRACKCast E026 - Chest Pain
June 06, 2016 11:00 - 7 minutes - 9.97 MBThis episode covers Chapter 26 of Rosen's Emergency Medicine. Episode overview: List 6 critical causes of chest pain Wisecracks: Walk through a systems approach to chest pain including common and uncommon causes of chest pain Outline your approach to the person with sudden onset severe chest pain
Physicians as Humans E01 - An Addiction that Almost Killed Me
June 02, 2016 07:33 - 22 minutes - 31.2 MBOn behalf of the Physicians as Humans project, I’m thrilled to present the first episode of the series: “Addiction in a medical student.” If you are unfamiliar with the project, please read this post to learn about the podcast series' origins. In this first episode I speak with a Canadian medical student about his personal battle with drug addiction during medical school. He candidly describes his experience and the powerful impact it has had on his future as a physician. This is an ong...
CRACKCast E025 - Dyspnea
June 01, 2016 23:30 - 11 minutes - 15.5 MBThis episode covers Chapter 25 of Rosen's Emergency Medicine. Episode overview: List 10 critical causes of dyspnea Wisecracks: Outline your approach to the acutely dyspneic patient Name 6 uncommon causes of dyspnea
CRACKCast E024 - Hemoptysis
June 01, 2016 23:00 - 12 minutes - 16.9 MBThis episode covers Chapter 24 of Rosen's Emergency Medicine. Episode overview: Describe the management of massive hemoptysis List the 12 causes of hemoptysis Wisecracks: How do you tease out other hemoptysis mimics?
CRACKCast E023 - Sore Throat
June 01, 2016 11:00 - 14 minutes - 19.4 MBThis episode covers Chapter 23 of Rosen's Emergency Medicine. Episode overview: List 8 Emergent Diagnoses for the chief complaint of sore throat List the most common viral, bacterial, and non-infectious causes of sore throat List at least 8 Describe the modified Centor Criteria and their use Wisecracks: Describe the pros and cons of antibiotics for suspected or confirmed acute GAS pharyngitis (see Rosen’s page 202) Other than Group B Strep, name 6 agents causing exudative pharyn...
CRACKCast E022 - Red and Painful Eye
May 22, 2016 23:00 - 20 minutes - 29 MBThis episode covers Chapter 22 of Rosen's Emergency Medicine. Episode overview: Describe the Relative Afferent Pupillary Defect, how it is diagnosed, and list a differential diagnoses for this finding List 6 treatment options for Acute Angle Closure Glaucoma Describe 5 history or physical exam findings that distinguish between periorbital cellulitis and orbital cellulitis Wisecracks: What are the causes of exophthalmos? How can you differentiate between viral and bacterial conju...
CRACKCast E021 - Diplopia
May 15, 2016 11:00 - 17 minutes - 23.4 MBThis episode covers Chapter 21 of Rosen's Emergency Medicine. Episode overview: List the differential diagnosis (critical emergent, urgent) for Diplopia Including at least 7 causes of binocular diplopia Describe the mechanisms of normal extraocular movements Describe the specific cranial nerve palsies causing diplopia Wisecracks: What are the 5 most important questions to ask yourself about diplopia? Describe your approach to diplopia in the sick patient
CRACKCast E020 - Headache
May 06, 2016 11:00 - 16 minutes - 22 MBThis episode covers Chapter 20 of Rosen's Emergency Medicine. Episode overview: List 7 life threatening causes of headaches List 5 red flags on history for headaches When should you perform a CT before performing a LP? Describe 8 clinical findings indicative of elevated ICP Wisecracks: Describe 5 CT findings suggestive of elevated ICP List 7 non-life threatening causes of headache
CRACKCast E019 - Dizziness and Vertigo
April 29, 2016 11:00 - 30 minutes - 42.4 MBThis episode covers Chapter 19 of Rosen's Emergency Medicine. Episode overview: Compare characteristics of peripheral and central vertigo What are risk factors for central causes of vertigo? List 4 vestibulotoxic drugs. Describe the Hallpike Maneuver and the Epley Maneuver List 5 causes of Peripheral Vertigo and describe features of illness List 5 causes of Central Vertigo and describe the features of illness Wisecracks: HINTS exam Pathophysiology stumper: Why does dizzin...
CRACKCast E018 - Seizures
April 25, 2016 11:00 - 22 minutes - 31 MBThis episode covers Chapter 18 of Rosen's Emergency Medicine. Episode Overview: Define status epilepticus List the doses of common medications used for status epilepticus List 10 differential diagnoses for seizures List 10 indications for head CT in new-onset seizure Wisecracks: How long does a driver in British Columbia require their driver’s license be suspended after a seizure? What are the most common causes of status epilepticus? What are the “cannot miss” causes of seizu...
CRACKCast E017 - Confusion
April 12, 2016 23:00 - 14 minutes - 20.3 MBThis episode covers Chapter 17 of Rosen's Emergency Medicine. Episode Overview: List the Major Categories for the differential diagnosis of Confusion Differentiate between organic and functional confusion. List the Critical and Emergent causes of Confusion Wise Cracks: Describe a quick assessment tool for screening for confusion
CRACKCast E016 - Altered Level of Consciousness and Coma
April 12, 2016 11:00 - 23 minutes - 32 MBThis episode covers Chapter 16 of Rosen's Emergency Medicine. Episode Overview: List a broad differential diagnosis for coma List GCS / Pediatric GCS Describe the oculocephalic and oculovestibular reflex Wise Cracks: List the common age-related causes of altered mental status What is the initial investigation management of an altered LOC patient?
CRACKCast E015 - Syncope
April 01, 2016 11:00 - 18 minutes - 25.1 MBThis episode covers Chapter 15 of Rosen's Emergency Medicine. Episode Overview: What are 12 critical causes of syncope? List common medications that can cause syncope Describe the San Francisco Syncope Rule What are red flags that require admission in syncope?
CRACKCast E014 - Cyanosis
March 30, 2016 11:00 - 25 minutes - 34.8 MBThis episode coveers Chapter 14 of Rosen's Emergency Medicine. Episode Overview: What is the differential diagnosis for cyanosis? List the common causes for methemoglobinemia 10 medications 6 toxins Describe the mechanism for methemoglobin formation, treatment, and indications for methylene blue Wisecracks Explain the oxygen-hemoglobin dissociation curve What is the hyperoxia test?
CRACKCast E013 - Weakness
March 14, 2016 23:00 - 15 minutes - 14.6 MBThis episode covers Chapter 13 of Rosen's Emergency Medicine. Episode Overview: Compare upper motor neuron (UMN), lower motor neuron (LMN), and neuromuscular junction (NMJ) causes of weakness List 10 neuromuscular causes of weakness and describe their basic pathophysiologic mechanism What are warning signs of impending respiratory failure in a patient with neuromuscular weakness? Wisecracks List seven non-emergent causes of peripheral neuropathy What are some causes of non-neuromu...
CRACKCast E012 - Fever
March 14, 2016 11:00 - 19 minutes - 26.9 MBThis episode covers Chapter 12 of Rosen's Emergency Medicine. Episode Overview: Describe the physiologic mechanism of increasing the body’s temperature What is the change in HR and RR with every increase of 1°C core body temperature? What is the emergency medicine specific approach to defining the infectious differential? List 15 causes of non-infectious hyperthermia Wisecracks Description of fever vs. hyperthermia Approach to a patient with an elevated temperature Points on f...
CRACKCast E011 - Neonatal Resuscitation
March 03, 2016 12:00 - 25 minutes - 23.1 MBThis episode covers Chapter 11 of Rosen's Emergency Medicine. Episode Overview: List the equipment needed for neonatal resuscitation List 5 questions to ask the mother during an imminent delivery Describe the components of the initial assessment of the newborn (APGAR) What is the management of meconium? When should oxygen be used in the neonatal resuscitation period? What is the indication for CPR in a neonate? Describe how to perform CPR on a neonate What are the indication...
CRACKCast E010 - Pediatric Resuscitation
February 29, 2016 12:00 - 35 minutes - 49.3 MBThis episode covers Chapter 10 of Rosen's Emergency Medicine. Episode Overview: Describe the CPR technique for an infant Describe the PALS cardiac arrest, bradycardia and tachycardia algorithms Describe the PALS septic shock algorithm List the dose and primary indication for core pediatric resuscitation medications What are 8 risk factors for Sudden Infant Death Syndrome (SIDS)? List 8 strategies for preventing SIDS Describe the management of a SIDS death Define Apparent Lif...
CRACKCast E009 - Adult Resuscitation
February 24, 2016 12:00 - 36 minutes - 33.7 MBThis episode covers Chapter 9 of Rosen's Emergency Medicine Episode Overview: List 10 etiologies of non-traumatic cardiac arrest List the two most important determinants of good outcomes in cardiac arrest List the components of good quality CPR List 6 ways to monitor CPR What are 3 hard indicators of adequate perfusion during CPR? What are your post-cardiac arrest goals? Wisecracks: List 4 contraindications to CPR ACLS algorithms talk through – you must know! pulseless VT...
CRACKCast E008 - Brain Resuscitation
February 22, 2016 12:00 - 16 minutes - 14.7 MBThis episode covers Chapter 8 of Rosen's Emergency Medicine. Episode Overview: Describe 6 therapeutic interventions for the post-arrest brain List 5 techniques for initiating therapeutic hypothermia List 4 mechanisms of therapeutic hypothermia in improving neurological outcome Wisecracks: What components make up cerebral blood flow and CPP? (shownotes only) Essential Evidence: Target Temperature Management at 33 C vs 36 C after Cardiac Arrest (Nielsen et al., 2013)
CRACKCast E007 - Blood Products
February 17, 2016 12:00 - 25 minutes - 34.2 MBThis episode covers Chapter 7 of Rosen's Emergency Medicine. Episode Overview: Describe the 3 categories of blood antigens Who is the universal donor and why? Define massive transfusion List 5 physiologic complications of massive transfusion What are the indications for the administration of: pRBCs / FFP / Platelets** / Cryoprecipitate List 6 complications of blood transfusions and their management Wisecracks: What are the components of octaplex? When is it indicated? What ...
CRACKCast E006 - Shock
February 08, 2016 12:00 - 26 minutes - 35.7 MBThis episode covers Chapter 6 of Rosen's Emergency Medicine. Episode Overview: List, define and explain the 5 causes of shock What is the utility of lactate and base deficit in the management of shock? Define: SIRS, Sepsis, Severe Sepsis, and Septic Shock List 5 empirical criteria for the diagnosis of circulatory shock Describe Early Goal Directed Therapy Describe the management goals in cardiogenic shock Wisecracks: A stepwise approach to cardiogenic shock
CRACKCast E005 - Patient Monitoring
February 04, 2016 17:00 - 10 minutes - 10.7 MBThis episode covers Chapter 5 of Rosen's Emergency Medicine. Episode Overview List 6 situations when pulse oximetry is not useful? List 10 situations when capnography is useful? Describe the ETCO2 curve? List four indications for invasive blood pressure monitoring?
CRACKCast E004 - Procedural Sedation and Analgesia
February 04, 2016 12:00 - 29 minutes - 26.9 MBThis episode covers Chapter 4 of Rosen's Emergency Medicine. Episode Overview: What are the depths of procedural sedation (PSA)? Describe the continuum of procedural sedation? Describe the recommended personnel and monitoring during PSA? What are contraindications for PSA in the ED? What agents can be used for procedural sedation and analgesia? Describe ASA classification system? Describe appropriate discharge instructions for patients post-procedural sedation? List 8 compli...
CRACKCast E003 - Pain
January 21, 2016 12:00 - 16 minutes - 20.8 MBThis episode covers Chapter 3 of Rosen's Emergency Medicine. Episode Overview: Describe the steps in the afferent pain pathway? Differentiate between acute and chronic pain? List options for pain management at various steps in pain perception? Describe the different methods of assessing pain for all ages List 4 side effects of NSAIDS, what factors increase risk of GI bleeding? What is the mechanism of action of local anesthetics? What are the two classes? What is the toxic dos...
CRACKCast E002 - Mechanical Ventilation
January 15, 2016 12:00 - 9 minutes - 12.1 MBThis episode covers Chapter 2 of Rosen's Emergency Medicine. Episode Overview: What are Indications and contraindications to NIPPV? Describe your initial BePAP or CPAP settings? What are good initial vent settings? How do you troubleshoot the crashing patient on the ventilator?
CRACKCast E001 - Airway
January 14, 2016 00:00 - 13 minutes - 16 MBThis episode covers Chapter 1 of Rosen's Emergency Medicine. Episode Overview: How do you make the decision to intubate a patient? What are predictors of difficult bag valve mask ventilation? What are the predictors of difficult intubation? What are the predictors of difficult LMA insertion? What are the predictors of a difficult surgical airway? Differentiate non-depolarizing vs. depolarizing paralytic agents? What are the contraindications to succinylcholine?
CRACKCast E000 - An Interview with Peter Rosen
January 13, 2016 12:00 - 11 minutes - 13.6 MBIn this first and very special episode of CRACKCast we interview the legend himself, Dr. Peter Rosen. A huge thank you Dr. Peter Rosen for making his time available for this. Portions of the interview will be showing up in later episodes. Remember: "study from fear"