https://simplecast.com IS-EMERCAST Welcome to IS-EMERCAST!. This is the partner and supplement to Med from the SHED – that highly useful resource on the net for Emergency Clinicians in the Illawarra-Shoalhaven. The perennial problem with trying to provide educational resources to a broad geographical area and a disparate group of clinicians always stumps us. Here is part of the answer. This podcast allows easily accessible clinical education and perspectives with a local flavour for those of us working in the Illawarra-Shoalhaven. It is brought to you by the Emergency Medicine Education and Training Program under the Auspices of the Australasian College for Emergency Medicine (ACEM) and funded by the Commonwealth Government. Whilst all efforts are made to ensure content is appropriate and up to date, all information and perspectives are those of the presenters themselves and do not represent the position of ACEM or Illawarra Shoalhaven Local Health District. 2019-2020 IS-EMERCAST en Wed, 29 Sep 2021 04:31:24 +0000 Wed, 29 Sep 2021 04:46:43 +0000 https://is-emercast.simplecast.com IS-EMERCAST https://image.simplecastcdn.com/images/6b5981ba-8999-4e20-97b0-3d0238849483/052ce1a7-e46c-4a9f-b9ab-194a2b99a771/3000x3000/acem-logo.jpg?aid=rss_feed https://is-emercast.simplecast.com episodic Welcome to IS-EMERCAST!. This is the partner and supplement to Med from the SHED – that highly useful resource on the net for Emergency Clinicians in the Illawarra-Shoalhaven. The perennial problem with trying to provide educational resources to a broad geographical area and a disparate group of clinicians always stumps us. Here is part of the answer. This podcast allows easily accessible clinical education and perspectives with a local flavour for those of us working in the Illawarra-Shoalhaven. It is brought to you by the Emergency Medicine Education and Training Program under the Auspices of the Australasian College for Emergency Medicine (ACEM) and funded by the Commonwealth Government. Whilst all efforts are made to ensure content is appropriate and up to date, all information and perspectives are those of the presenters themselves and do not represent the position of ACEM or Illawarra Shoalhaven Local Health District. Andrew Bezzina, Angus Bezzina no https://feeds.simplecast.com/weQ6rSd4 emergency medicine illawarra, emergency medicine training, emergency medicine Andrew Bezzina angusbezzina@gmail.com fd15f1db-994c-4529-9650-8f43ef9b698d Episode 19 - The Illusion of Certainty Wed, 29 Sep 2021 04:31:24 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://is-emercast.simplecast.com/episodes/episode-19-the-illusion-of-certainty-PX_esJ9f Episode 19 - The Illusion of Certainty Andrew Bezzina 00:23:59 Medicine has seen the proliferation of guidelines/pathways/clinical decision rules in a dizzying white noise of advisories. They have been developed on the charitable side to minimise variance and provide some certainty of benefit for patients and ease for clinicians. But "do they do what it says on the packet"? This is a perspective and caution on the use of guidelines and pathways and a plea to remember critical thinking and clinical acumen. Medicine has seen the proliferation of guidelines/pathways/clinical decision rules in a dizzying white noise of advisories. They have been developed on the charitable side to minimise variance and provide some certainty of benefit for patients and ease for clinicians. But "do they do what it says on the packet"? This is a perspective and caution on the use of guidelines and pathways and a plea to remember critical thinking and clinical acumen. guideline, pathway, variance no full 19 29fb62d5-4167-4799-93e7-9945d212e1e1 Episode 18 - The Transfer Conversation Doctors from a small rural ED provide insights into their experiences of transfer conversations and this is juxtaposed with insights from 2 Emergency Physicians on the receiving side of those conversations.

]]> Fri, 30 Jul 2021 05:29:20 +0000 angusbezzina@gmail.com (Dr. Greg Ceccato, Dr Matthew Allen, Dr Matthew Brandon, Dr David Wall, Dr Kate Molnar) https://is-emercast.simplecast.com/episodes/episode-18-the-transfer-conversation-dlCLVI_8 Doctors from a small rural ED provide insights into their experiences of transfer conversations and this is juxtaposed with insights from 2 Emergency Physicians on the receiving side of those conversations.

]]> Episode 18 - The Transfer Conversation Dr. Greg Ceccato, Dr Matthew Allen, Dr Matthew Brandon, Dr David Wall, Dr Kate Molnar 00:48:56 Transfer conversations are often a source of a lot of angst, frustration and irritation for clinicians in Emergency Departments on both ends of those conversations. This is a compilation of interviews with clinicians from both sides providing their insights, perspectives and wisdom on what makes them work and how to approach them. Transfer conversations are often a source of a lot of angst, frustration and irritation for clinicians in Emergency Departments on both ends of those conversations. This is a compilation of interviews with clinicians from both sides providing their insights, perspectives and wisdom on what makes them work and how to approach them. isobar, transfer conversations no full 18 a8c513c0-3918-4d01-8706-0c2061b6e3e6 Episode 17 - Under Pressure Emergency Medicine is a practice that requires good procedural skills and clinical acumen but also good "soft" skills such as communication and team management but equally importantly self management. Dr Karen Coss, Director of Emergency Medicine at Tamworth Regional Referral Hospital in North Western NSW provides us with the insights she has learned through her reading and personal experience. 

]]> Thu, 24 Jun 2021 05:57:24 +0000 angusbezzina@gmail.com (Clinical Professor Andrew Bezzina, Dr Karen Coss FACEM) https://is-emercast.simplecast.com/episodes/episode-17-under-pressure-xAvwq57o Emergency Medicine is a practice that requires good procedural skills and clinical acumen but also good "soft" skills such as communication and team management but equally importantly self management. Dr Karen Coss, Director of Emergency Medicine at Tamworth Regional Referral Hospital in North Western NSW provides us with the insights she has learned through her reading and personal experience. 

]]> Episode 17 - Under Pressure Clinical Professor Andrew Bezzina, Dr Karen Coss FACEM 02:13:50 Working in Emergency Departments can place us in high pressure situations. How we handle that pressure in performing our roles is a learned process as much as any other. Emergency Physician Dr Karen Coss provides us with her insights and knowledge on how to approach these situations. Working in Emergency Departments can place us in high pressure situations. How we handle that pressure in performing our roles is a learned process as much as any other. Emergency Physician Dr Karen Coss provides us with her insights and knowledge on how to approach these situations. stress management, psychological skills no full 17 8239c32a-feda-48ad-8737-9b75c69009e2 Episode 16 - Pneumothorax - when less is more Use of intercostal catheters and the management of pneumothoraces have been undergoing significant change over the last decade. The recent New England article comparing conservative management with interventional takes this the next station along the road.

]]> Tue, 13 Apr 2021 07:31:59 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://is-emercast.simplecast.com/episodes/episode-16-pneumothorax-when-less-is-more-2bm092Wk Use of intercostal catheters and the management of pneumothoraces have been undergoing significant change over the last decade. The recent New England article comparing conservative management with interventional takes this the next station along the road.

]]> Episode 16 - Pneumothorax - when less is more Andrew Bezzina 00:22:41 A quick review of the history of pneumothorax and of intercostal catheters before a reflection on NEJM article January 2020 - Conservative versus Interventional Treatment for Spontaneous Pneumothorax. A quick review of the history of pneumothorax and of intercostal catheters before a reflection on NEJM article January 2020 - Conservative versus Interventional Treatment for Spontaneous Pneumothorax. intercostal catheter, pneumothorax no full 16 aa6060f6-262b-4d07-a076-f0abf02017f3 Episode 15 - The Difficult Consult
  • There are many stressful elements to working in the Emergency Department many of them often not related to the patient interaction. One that has to be well up there especially for people who hate confrontation is the “difficult consult”. You ring the inpatient team representative and are faced with obstruction/interrogation/disrespect/anger/sometimes downright bullying……. Dr Tucker is a highly experienced EP including at a departmental management level – so we explore some of his views on this issue and how to manage it.
    • ]]>     Mon, 14 Dec 2020 23:55:56 +0000 angusbezzina@gmail.com (Dr Simon Tucker, Clinical Professor Andrew Bezzina) https://is-emercast.simplecast.com/episodes/episode-15-the-difficult-consult-IJLlRZVI
  • There are many stressful elements to working in the Emergency Department many of them often not related to the patient interaction. One that has to be well up there especially for people who hate confrontation is the “difficult consult”. You ring the inpatient team representative and are faced with obstruction/interrogation/disrespect/anger/sometimes downright bullying……. Dr Tucker is a highly experienced EP including at a departmental management level – so we explore some of his views on this issue and how to manage it.
    • ]]>     Episode 15 - The Difficult Consult Dr Simon Tucker, Clinical Professor Andrew Bezzina 00:35:40 In this episode Dr Simon Tucker provides insights into how he manages what can be very stressful interactions in the daily life of a doctor in the Emergency Department - the difficult consult. In this episode Dr Simon Tucker provides insights into how he manages what can be very stressful interactions in the daily life of a doctor in the Emergency Department - the difficult consult. consult, conflict no full 15     5a604454-100b-43d7-a6d4-d4c9c9ea4629 Episode 14 - Perspective is Key Working as clinicians in the ED, especially in the one ED over time, it's easy to develop a fixed view on life and where you fit in "the system". This is a road to cynicism, pessimism and burn out for many people. Dr Anne Smith provides perspectives balanced by an international career, experience in multiple Australian  EDs and finally but not least from a woman's perspective in the world of Emergency Medicine.

    ]]>     Tue, 27 Oct 2020 05:28:14 +0000 angusbezzina@gmail.com (Dr Anne Smith FACEM, Clinical Professor Andrew Bezzina FACEM) https://is-emercast.simplecast.com/episodes/episode-14-perspective-is-key-pl1pHpua Working as clinicians in the ED, especially in the one ED over time, it's easy to develop a fixed view on life and where you fit in "the system". This is a road to cynicism, pessimism and burn out for many people. Dr Anne Smith provides perspectives balanced by an international career, experience in multiple Australian  EDs and finally but not least from a woman's perspective in the world of Emergency Medicine.

    ]]>     Episode 14 - Perspective is Key Dr Anne Smith FACEM, Clinical Professor Andrew Bezzina FACEM 00:31:01 The view of life as a female Emergency Physician across cultures and countries. The view of life as a female Emergency Physician across cultures and countries. no full 14     7e05eb59-38c4-4fcf-bb1f-2fad1587c495 Episode 12 - The Orphan ED Wed, 9 Sep 2020 06:28:55 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://is-emercast.simplecast.com/episodes/episode-12-the-orphan-ed-kTsxkIq4 Episode 12 - The Orphan ED Andrew Bezzina 00:25:53 A discussion with Dr Peter Smith around some of the issues that face EDs without a range of on site support services. Peter provides the benefits of his insights based on experience as a clinician and a department DIrector. A discussion with Dr Peter Smith around some of the issues that face EDs without a range of on site support services. Peter provides the benefits of his insights based on experience as a clinician and a department DIrector. no full 13 42c5bd0b-27f4-4dd0-9027-96e4e1c38179 Episode 11 - What is this wellbeing thing? Sun, 14 Jun 2020 04:37:12 +0000 angusbezzina@gmail.com (Dr Bishan Rajapakse FACEM, Clinical Professor Andrew Bezzina FACEM) https://is-emercast.simplecast.com/episodes/what-is-this-wellbeing-thing-ry5Nee51 Episode 11 - What is this wellbeing thing? Dr Bishan Rajapakse FACEM, Clinical Professor Andrew Bezzina FACEM 00:31:27 Wellbeing in the ED. What is it all about? An interesting interview with Bishan Rajapakse a local champion of the Wellbeing focus in Emergency Departments and health generally. Wellbeing in the ED. What is it all about? An interesting interview with Bishan Rajapakse a local champion of the Wellbeing focus in Emergency Departments and health generally. wellbeing no full 11 0e9bb315-322a-4fca-8eef-950bce5b3415 Episode 10 - To do or Not to Do? - End of Life Tue, 12 May 2020 08:17:10 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://is-emercast.simplecast.com/episodes/episode-10-to-do-or-not-to-do-end-of-life-ollS7lxX Episode 10 - To do or Not to Do? - End of Life Andrew Bezzina 00:28:22 Managing the critically ill patient with multiple co-morbidities is a complex and difficult problem. Patient, family, carers and staff all need care in a busy environment with multiple competing priorities. Here is a way to consider it. Managing the critically ill patient with multiple co-morbidities is a complex and difficult problem. Patient, family, carers and staff all need care in a busy environment with multiple competing priorities. Here is a way to consider it. no full 10 cd3e474c-978d-4842-8d7d-0e822adbc278 Episode 9 - Paediatric Fever - a sensible approach Thu, 27 Feb 2020 06:37:22 +0000 angusbezzina@gmail.com (Dr Simon Binks FACEM) https://is-emercast.simplecast.com/episodes/paediatric-fever-a-sensible-approach-yrXlpk9L Episode 9 - Paediatric Fever - a sensible approach Dr Simon Binks FACEM 00:20:25 This is an open discussion with local expert Dr Simon Binks on how he approaches paediatric fever presentations in practical terms. We cover some of the basic questions around investigation strategies, use of pathways and risk stratification. This is an open discussion with local expert Dr Simon Binks on how he approaches paediatric fever presentations in practical terms. We cover some of the basic questions around investigation strategies, use of pathways and risk stratification. no full 9 1424c386-da8c-4b84-9081-1d12772d7110 Episode 8 - A Walk in the pARC - paediatric appendicitis Kharbanda AB  et al Development and Validation of a Novel Pediatric Appendicitis Risk Calculator (pARC). Pediatrics 2018 141:4  

    https://pediatrics.aappublications.org/content/pediatrics/early/2018/03/09/peds.2017-2699.full.pdf

    Cotton D et al Validation of the Pediatric Appendicitis Risk Calculator in a Community Emergency Department Setting Ann Emerg Med Vol 74:4 October 2019

    https://www.annemergmed.com/article/S0196-0644(19)30346-4/fulltext

    MD Calc - www.mdcalc.com  

    ]]>     Mon, 17 Feb 2020 03:01:21 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog Kharbanda AB  et al Development and Validation of a Novel Pediatric Appendicitis Risk Calculator (pARC). Pediatrics 2018 141:4  

    https://pediatrics.aappublications.org/content/pediatrics/early/2018/03/09/peds.2017-2699.full.pdf

    Cotton D et al Validation of the Pediatric Appendicitis Risk Calculator in a Community Emergency Department Setting Ann Emerg Med Vol 74:4 October 2019

    https://www.annemergmed.com/article/S0196-0644(19)30346-4/fulltext

    MD Calc - www.mdcalc.com  

    ]]>     Episode 8 - A Walk in the pARC - paediatric appendicitis Andrew Bezzina 00:22:32 A wander through the evidence and possible implications of this new calculator for aiding diagnosis of paediatric appendicitis. A wander through the evidence and possible implications of this new calculator for aiding diagnosis of paediatric appendicitis. paediatric, score, appendicitis, clinical decision tool no full 8     90dd4a69-1965-48f0-a4d9-245436f8fba2 Episode 7 - Acute Coronary Syndrome - at last some consistency - PACSA PACSA via ACI

    https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2019_014.pdf

    4th Universal Definition of MI

    https://academic.oup.com/eurheartj/article/40/3/237/5079081

    Sgarbossa

    https://litfl.com/sgarbossa-criteria-ecg-library/

    Posterior MI

    https://litfl.com/posterior-myocardial-infarction-ecg-library/

    De Winter waves

    https://litfl.com/de-winter-t-wave-ecg-library/

    ]]>     Mon, 17 Feb 2020 02:54:35 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog PACSA via ACI

    https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2019_014.pdf

    4th Universal Definition of MI

    https://academic.oup.com/eurheartj/article/40/3/237/5079081

    Sgarbossa

    https://litfl.com/sgarbossa-criteria-ecg-library/

    Posterior MI

    https://litfl.com/posterior-myocardial-infarction-ecg-library/

    De Winter waves

    https://litfl.com/de-winter-t-wave-ecg-library/

    ]]>     Episode 7 - Acute Coronary Syndrome - at last some consistency - PACSA Andrew Bezzina 00:19:38 So many permutations of times and values for Troponin. So many different responses to ECG. What exactly IS a STEMI anyhow? The Pathway for Acute Coronary Syndrome Assessment from ACI is finally some consistency. Here are the highlights. So many permutations of times and values for Troponin. So many different responses to ECG. What exactly IS a STEMI anyhow? The Pathway for Acute Coronary Syndrome Assessment from ACI is finally some consistency. Here are the highlights. acute coronary syndrome, edacs, troponin, heart score no full 7     3196aa57-4613-4ac8-9a72-a5f851152b30 Episode 6 - The Headache of Headache in ED D W Dodick - Nosological Entities? Thunderclap Headache.  J Neurol Neurosurg Psychiatry 2002;72:6–11.        https://jnnp.bmj.com/content/72/1/6.info

    Long BJ, Koyfman A. - Benign Headache Management in the Emergency Department

    The Journal of Emergency Medicine, Vol. 54, No. 4, pp. 458–468, 2018

    https://www.jem-journal.com/article/S0736-4679(17)31189-7/fulltext 

    Edlow JA et al  Clinical Policy: Critical Issues in the Evaluation and Management
    of Adult Patients Presenting to the Emergency Department With Acute Headache

    Ann Emerg Med. 2008;52:407-436.  

    https://www.annemergmed.com/article/S0196-0644(08)01463-7/fulltext

    ]]>     Mon, 17 Feb 2020 02:50:01 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog D W Dodick - Nosological Entities? Thunderclap Headache.  J Neurol Neurosurg Psychiatry 2002;72:6–11.        https://jnnp.bmj.com/content/72/1/6.info

    Long BJ, Koyfman A. - Benign Headache Management in the Emergency Department

    The Journal of Emergency Medicine, Vol. 54, No. 4, pp. 458–468, 2018

    https://www.jem-journal.com/article/S0736-4679(17)31189-7/fulltext 

    Edlow JA et al  Clinical Policy: Critical Issues in the Evaluation and Management
    of Adult Patients Presenting to the Emergency Department With Acute Headache

    Ann Emerg Med. 2008;52:407-436.  

    https://www.annemergmed.com/article/S0196-0644(08)01463-7/fulltext

    ]]>     Episode 6 - The Headache of Headache in ED Andrew Bezzina 00:19:35 "To do or not to do?" is a common question in ED and never more so when it comes to considering where to go in assessing and managing headache. These are some thoughts, reflections based on the available evidence. Hope it doesn't give you a headache! "To do or not to do?" is a common question in ED and never more so when it comes to considering where to go in assessing and managing headache. These are some thoughts, reflections based on the available evidence. Hope it doesn't give you a headache! lumbar puncture, subarachnoid, headache no full 6     2b08b528-af3a-4f5d-a626-530ea78a48d4 Episode 5 - COPD - who's driving here? Wilson F Abdo and Leo MA Heunks - Oxygen-induced hypercapnia in COPD:myths and facts

    Critical Care 2012, 16:323  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682248/

    Austin M Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ 2010;341:c5462  

    https://www.bmj.com/content/341/bmj.c5462

    Robinson T  The Role of Hypoventilation and Ventilation-Perfusion Redistribution in Oxygen-induced Hypercapnia
    during Acute Exacerbations of Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med Vol 161. pp 1524–1529, 2000.  https://www.atsjournals.org/doi/full/10.1164/ajrccm.161.5.9904119?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed

    ]]>     Mon, 17 Feb 2020 02:40:14 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog Wilson F Abdo and Leo MA Heunks - Oxygen-induced hypercapnia in COPD:myths and facts

    Critical Care 2012, 16:323  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682248/

    Austin M Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ 2010;341:c5462  

    https://www.bmj.com/content/341/bmj.c5462

    Robinson T  The Role of Hypoventilation and Ventilation-Perfusion Redistribution in Oxygen-induced Hypercapnia
    during Acute Exacerbations of Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med Vol 161. pp 1524–1529, 2000.  https://www.atsjournals.org/doi/full/10.1164/ajrccm.161.5.9904119?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed

    ]]>     Episode 5 - COPD - who's driving here? Andrew Bezzina 00:15:50 Just  when you think you have a grip on the back story....You haven't. Just how does oxygen affect respiratory status in acute exacerbations of COPD? Just  when you think you have a grip on the back story....You haven't. Just how does oxygen affect respiratory status in acute exacerbations of COPD? oxygen therapy, copd, hypercapnia no full 5     b889ce7b-2926-4cd4-9b5b-e0583cd39ebf Episode 4 - Back Pain - What a pain! Menniti-Ippolito á M. Maggini á R. Raschetti R. Da Cas á G. Traversa á A. M. Walker, Ketorolac use in outpatients and gastrointestinal hospitalization: a comparison with other non-steroidal anti-inflammatory drugs in Italy, Eur J Clin Pharmacol (1998) 54: 393±397

    https://link.springer.com/article/10.1007/s002280050481

    ]]>     Mon, 17 Feb 2020 02:34:52 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog Menniti-Ippolito á M. Maggini á R. Raschetti R. Da Cas á G. Traversa á A. M. Walker, Ketorolac use in outpatients and gastrointestinal hospitalization: a comparison with other non-steroidal anti-inflammatory drugs in Italy, Eur J Clin Pharmacol (1998) 54: 393±397

    https://link.springer.com/article/10.1007/s002280050481

    ]]>     Episode 4 - Back Pain - What a pain! Andrew Bezzina 00:26:28 A quick wander through the limited evidence on approaching this problem in the ED. Why do we do it so differently? What are the risks? What should we tell patients? A quick wander through the limited evidence on approaching this problem in the ED. Why do we do it so differently? What are the risks? What should we tell patients? nsaids, muscle relaxants, back pain no full 4     cf793d66-608e-44b9-9424-6d0d64ada7ec Episode 3 - The mythical UTI Schulz L et al  Top Ten Myths Regarding the Diagnosis and Treatment of Urinary Tract Infections  Journal of Emergency Medicine, Vol. 51, No. 1, pp. 25–30, 2016

    http://dx.doi.org/10.1016/j.jemermed.2016.02.009 

    ]]>     Mon, 17 Feb 2020 02:24:41 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog Schulz L et al  Top Ten Myths Regarding the Diagnosis and Treatment of Urinary Tract Infections  Journal of Emergency Medicine, Vol. 51, No. 1, pp. 25–30, 2016

    http://dx.doi.org/10.1016/j.jemermed.2016.02.009 

    ]]>     Episode 3 - The mythical UTI Andrew Bezzina 00:18:50 We blame so much on the water works and it seems we test almost anyone with a bladder for UTI but what is the truth? Can you feel it in your waters? We blame so much on the water works and it seems we test almost anyone with a bladder for UTI but what is the truth? Can you feel it in your waters? urinary tract infection, urinalysis, antibiotics no full 3     d83695f5-844a-4cf4-ada7-1b598511a4e0 Episode 2 - Salty or Balanced? Semler M et al  Balanced Crystalloids versus Saline in Critically Ill Adults N Engl J Med 2018;378:829-39.

    https://www.nejm.org/doi/full/10.1056/NEJMoa1711584

    Self W et al  Balanced Crystalloids versus Saline in Non Critically Ill Adults N Engl J Med 2018;378:819-28.

    https://www.nejm.org/doi/full/10.1056/NEJMoa1711586 

    ]]>     Mon, 17 Feb 2020 00:39:11 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog Semler M et al  Balanced Crystalloids versus Saline in Critically Ill Adults N Engl J Med 2018;378:829-39.

    https://www.nejm.org/doi/full/10.1056/NEJMoa1711584

    Self W et al  Balanced Crystalloids versus Saline in Non Critically Ill Adults N Engl J Med 2018;378:819-28.

    https://www.nejm.org/doi/full/10.1056/NEJMoa1711586 

    ]]>     Episode 2 - Salty or Balanced? Andrew Bezzina 00:13:20 A debate that never gets old - which fluid do I give? A debate that never gets old - which fluid do I give? balanced solutions, saline no full 2     df186827-ae37-4ee9-a4cd-a2cdd2293952 Episode 1 - Diagnostic Reasoning Crosskerry P et al  Cognitive debiasing 2: impediments to and strategies for change.

    BMJ Qual Saf. 2013 Oct; 22(Suppl 2): ii65–ii72.   

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786644/

    Crosskerry P  A Universal Model of Diagnostic Reasoning Acad Med. 2009 Aug;84(8):1022-8.

    https://www.ncbi.nlm.nih.gov/pubmed/19638766

    ]]>     Sun, 16 Feb 2020 21:22:32 +0000 angusbezzina@gmail.com (Andrew Bezzina) https://emet-islhd.blog Crosskerry P et al  Cognitive debiasing 2: impediments to and strategies for change.

    BMJ Qual Saf. 2013 Oct; 22(Suppl 2): ii65–ii72.   

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786644/

    Crosskerry P  A Universal Model of Diagnostic Reasoning Acad Med. 2009 Aug;84(8):1022-8.

    https://www.ncbi.nlm.nih.gov/pubmed/19638766

    ]]>     Episode 1 - Diagnostic Reasoning Andrew Bezzina 00:25:20 Thinking about thinking - Emergency Medicine is all about decision making. More importantly it is about decision making when under time pressure. So how should we consider the way we think? Thinking about thinking - Emergency Medicine is all about decision making. More importantly it is about decision making when under time pressure. So how should we consider the way we think? thinking, cognitive error no full 1