In this episode we discuss using thrombolytics for treatment of STEMI when prompt cardiac catheterization is not available. We discuss the risk, benefits, indications, and contraindications of this therapy.

Rural Emergency Medicine Podcast

Episode 22: Lytics for STEMI

In this episode we have guest speaker, Dr. Alycia Valente. She discusses how to apply the basic principles of ethics to situations commonly encountered in the Emergency Department.

Episode 21: Ethics

In this episode we discuss how to improve compliance with the sepsis core measures (SEP-1).

Episode 20: Sepsis Core Measures

This is a discussion with Shad Saunders about orbital compartment syndrome and the need to perform lateral canthotomy in the Emergency Department.

Episode 19: Lateral Canthotomy

We discuss how to recognize psychosis in the Emergency Department. Psychosis is not just a single symptom, but a mix of potential symptoms each of varying intensities. This can be subtle and difficult to miss. We also discuss how important the collateral history from family and friends is during the evaluation period. We discuss that it is beneficial to call the mental health provider for further information as well.

Episode 18: Recognizing Psychosis

In this episode we review our experience with Ketamine for depression and which patient population we have seen a benefit.

Episode 17: Ketamine Take 2

This is a discussion of complete heart block and the management in the Emergency Department. We discuss external pacing, temporary transvenous pacing, medications, and transfer considerations.

Episode 16: Complete Heart Block

Guest lecturer, Tricia Swan, is a pediatric emergency physician. She discusses the treatment and diagnosis of bronchiolitis.

Episode 15: Bronchiolitis

This is a discussion on how to approach discharge instructions for patients

Episode 14: Discharge Instructions

This is a rapid fire discussion of multiple tips to help the emergency provider better patient care more efficiently.

Episode 13: ED Tips and Tricks

This is a discussion with a toxicologist about a case of serotonin syndrome.

Episode 12: Serotonin Syndrome

This is a discussion with Dr. Kenneth Bernard, an emergency physician working on a Native American reservation in Arizona. We discuss the First Annual Native America and Rural Emergency Medicine Conference. We also discuss a case of necrotizing fasciitis and a minimally invasive procedure that can aid in the diagnosis of this condition.

Episode 11: Giving Nec Fasc the Finger

This is a discussion on the CT head decision rule for pediatric head trauma.

Episode 10: Pediatric Head Injury

This is a discussion on current treatment recommendations for alcohol withdrawal syndromes.

Episode 9: Alcohol Withdrawal

In this episode, we have a psychiatrist, Dr. Heacock, discuss using ketamine to help reduce suicidality.

Episode 8: Ketamine for Suicidal Patients

This monthly podcast focuses on the nuances and difficulties of practicing emergency medicine in a rural environment.

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Rural Emergency Medicine Podcast

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