NursEM - Nursing in Emergency: Recent Episodes

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Current conversations and evidence-based practice issues related to Emergency Nursing.

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This month we dive into the different types of anemia. AND celebrate 1,000,000 downloads!

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What a treat! But a sugar-free one of course... Meet Dr. Tom Elliott from BCDiabetes (bcdiabetes.ca) who's a leading researcher in the field. When Landon and Monique were in Nursing school there was just... insulin... and that's about it. In the last few decades there have been way more medications and management strategies developed and we ask all of our questions.

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Its been a while - but we are back at it! In this episode we go over the basics of the Complete Blood Count (CBC).

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Honestly...the talent in the zoom is amazing!  We welcome Dr. Grant Innes, a true pioneer and famous researcher in Emergency Medicine (and former Resident of Dr. Peter Rosen himself)!  We also welcome Sherry Stackhouse, a well-known emergency nurse educator and Allan Lai co-host of the world-famous ResusTonight podcast.  Oh and Monique and Landon are there too but definitely humbled by the rest of them!

Using some cases presented by Dr. Innes, we all discuss diagnostic testing, pre/post-test probabilities and explore the 'controversy?' of whether nurses should be ordering tests before a MD/NP assessment has occurred.  We are all passionate about this topic and you might be surprised at how your opinion gets swayed once you have a listen.

We are sincerely thankful for Grant, Sherry and Allan for giving of their time to come together and collaborate on such an interesting topic to emergency departments.  This one's a bit long but honestly, cutting any of the content would have taken away from the brains in the zoom!  Digest this one in a couple of sittings...

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Finally!  We get to talking about the electrolytes and their disturbances.  It will make more sense listening to Episode 1 and 2 first!  

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In what was supposed to be a 2-part series, it became evident that it needed to be three once we started getting nerdy about feedback loops in the body.  Enjoy this episode where we talk about the body's feedback systems and how it maintains balance.

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In the episode we talk about the "fluid" part of fluid and electrolytes.  Ever wondered what all of those different IV fluids are for or just need a refresher?  Here we go...

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On this episode we talk about COVID drug therapy - steroids, the "zumabs" and, of course, ivermectin.  Note that this was recorded on September 15, 2021 and information (and weird trendy drugs) change frequently...

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We had the opportunity to have an extremely valuable experience in interviewing a network of people from various areas who have the lived experience of the war on drugs.  The focus is hearing how they would like to be treated when presenting to the emergency department.  Their lived experience will cause any health provider to reflect on their practice and make simple changes to make everyone's experience of care better!

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This month we talk about the types of vaccines and focus on the COVID-19 mRNA vaccine and dispel the myths circulating about it. 

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This month we talk about mask wearing and share our opinions on mask wearing.  And really we ask the question...why is this even a question?  Love us or hate us...we have an opinion on the matter!  Note this was recorded mid-September 2020 and took us a bit of time to get online (obviously information changes as time goes on...).

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This month we interview world-renowned harm reduction epidemiologist Dr. Jane Buxton about how the COVID pandemic has crossed with the opiate crises and harm reduction.   Dr. Buxton is truly inspiring in her approach to addictions medicine and approaching additions with a human perspective that could benefit all emergency practitioners.

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This month we talk to Dr. Robert Reynolds a 'friendly-neighbourhood' infectious disease specialist about COVID.  A mish mash of questions and thoughts for our little conversation.,

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Join Landon, Monique and Dr. Bob Anthony who combined have 102 Years of Emergency Medicine/Nursing Practice.  We have a chat about what's changed and how COVID-19 has caused lots of us to pause and reflect on our situation.  And for those interested, check out our free COVID-19 learning at covid19.epicclearning.ca

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This month we talk with Dr. Andrew Shih, your friendly neighbourhood hematologist (back by popular demand) about anticoagulants and how to reverse them in bleeding.

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This month we welcome back our special guest Dr. Gary Andolfatto to talk about behavioural and agitation control using multiple medications...and of course...ketamine!

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Our most requested topic!  This month we talk about vasopressors in detail and which ones to use when.

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This month we talk about gout - what is it?  Different types?  Who knew?  Now you will!

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This month we talk again with everyone's favourite transfusion specialist about when to transfuse.  Lower hemoglobin levels are well tolerated and learn about what we might be doing to even cause anemia! 

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This month we interview Dr. Andrew Shih, everyone's favourite friendly neighbourhood Tranfusion Medicine Specialist.  We talk about Massive Transfusion, TXA, Calcium, Blood typing and a whole lot more.  This is fantastic!

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This month we talk about everything you've ever wanted to know about pancreatitis.  As with last month, we are still solving some sound issues and they will get better soon!

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This episode talks about various pain scales, their use in the clinical setting and at triage.  And as always, we have an opinion to share!  Sorry for the sound quality in this one but as you know we are 'one-take-wonders' and we are working to make the sound better in the future.

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This month we talk to Allan and Rob from Resuscitation Tonight about why Nursing podcasting, tweeting and exposure matters.  And...well...its a bit of shameless promotion for their new podcast - search for Resuscitation Tonight in your podcast App!  Follow them at @ResusTonight on Twitter or their website www.resustonight.com

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We are back!  After a six-month "vacation", we talk about ASA, acetaminophen, NSAIDs and ibuprofen in the treatment of pain, chest pain and as prevention.

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Confused about all of those new anticoagulants that patients seem to know more about that you?  We attempt to explain them and how they relate to the clotting cascade.

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This month we look at emergency department problems in the male reproductive system.

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This month we have a discussion about ovarian cysts...what they are, causes, treatments.

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This month we talk about a phenomenon whereby 'legal' synthetic cannabinoids have been causing coagulation disorders in unsuspecting patients.

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Our first ever Guest Speaker! Dr. Gary Aldolfatto, a well-known Ketamine researcher, talks to us about everything we ever wanted to know about Ketamine. In fact, we chatted so much we split to split it into two podcasts! Part One discusses dosing, myths, pain control and procedural sedation. Part Two discusses intubation, behavioural control, physiologic effects and other trendy bits. Don't miss both episodes!Support the show (https://nursem.org/donate/)

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Our first ever Guest Speaker! Dr. Gary Aldolfatto, a well-known Ketamine researcher, talks to us about everything we ever wanted to know about Ketamine. In fact, we chatted so much we split to split it into two podcasts! Part One discusses dosing, myths, pain control and procedural sedation. Part Two discusses intubation, behavioural control, physiologic effects and other trendy bits. Don't miss both episodes!Support the show (https://nursem.org/donate/)

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An evidence-based interesting conversation about the physician-nurse communication relationship that also gets into male-male vs male-female vs female-female communication despite profession.Support the show (https://nursem.org/donate/)

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This month we have a chat about bias (of course...not our own...) and how to deal with some of them! Its a big patient safety issue!Support the show (https://nursem.org/donate/)

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We discuss Group A (and B) Strep and why it should always be on your radar in the ED.Support the show (https://nursem.org/donate/)

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This month we talk about Tri-Cyclic Antidepressant Overdose.Support the show (https://nursem.org/donate/)

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This month we talk about diagnostic testing and the use of clinical predictor rules in our practice...are we overusing diagnostic tests? Support the show (https://nursem.org/donate/)

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Current tidbits about stroke care and some cool Canadian research that is leading the way! Support the show (https://nursem.org/donate/)

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This month we talk about strep throat, mono and when people need antibiotics and more importantly when they don't! Like our podcast? Help support us by buying us a cup of coffee at nursem.orgSupport the show (https://nursem.org/donate/)

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This month we discuss upper GI issues - Ulcerative Colitis and Crohn's disease. Like our podcast? Help support us by buying us a cup of coffee at nursem.org Support the show (https://nursem.org/donate/)

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This month we discuss upper GI issues - gastritis, peptic ulcer disease and GERD. Like our podcast? Help support us by buying us a cup of coffee at nursem.org Support the show (https://nursem.org/donate/)

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This month we look at frostbite! Like our podcast? Buy us a cup of coffee at nursem.orgSupport the show (https://nursem.org/donate/)

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A little look at this neurological condition that can present with the common complaint of back pain.Support the show (https://nursem.org/donate/)

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A talk about anti-rejection medications and organ donation.Support the show (https://nursem.org/donate/)

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We talk about some conditions and diseases predominant to one sex over the other.Support the show (https://nursem.org/donate/)

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Let's talk about opioid use in the Emrgency Department.Support the show (https://nursem.org/donate/)

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Building on last month's episode, we talk about Asthma!Support the show (https://nursem.org/donate/)

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In the end...a discussion about spirometry and peak flows...but to get there...a discussion about everything oxygenation and ventilation!Support the show (https://nursem.org/donate/)

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Come and have a seat on our 'qSOFA' and talk about Sepsis 3.0 this month.Support the show (https://nursem.org/donate/)

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This month we respond to a challenge from a listener to simplify the clotting cascade. At the 15-minute mark, we mix up the extrinsic and intrinsic pathways! Oops...so to be clear - the extrinsic pathway is 3+7=10 and intrinsic pathway is the TENET pathway. That math and acronym will make sense when you listen, we just flipped the pathways by accident. Support the show (https://nursem.org/donate/)

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This month we talk about teh components of the complete eye exam...including the proper way to do a visual acuity.Support the show (https://nursem.org/donate/)

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Join us this month for a talk about low and high pressure headaches.Support the show (https://nursem.org/donate/)

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This month we talk about a few communicable diseases, vaccines and spend a few minutes on Zika. Support the show (https://nursem.org/donate/)

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THis month we touch on ectopic pregnancy, Rh Factor and treatment using Methotrexate.Support the show (https://nursem.org/donate/)

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Everyone is getting Narcan - users, friends, bystanders, fire departments, ambulance services...so why? What does it do? nd what's changed with using it and some of the newer drugs out there?Support the show (https://nursem.org/donate/)

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Do you know what the ABI is? Have you done one? Have you done is correctly and do you know what it all means? Listen this month to learn all about it...and Monique's learns the difference between some anatomy as well! Support the show (https://nursem.org/donate/)

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Is this test making a comeback? Is it useful in all cases or only certain ones? Let's chat about it...Support the show (https://nursem.org/donate/)

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This month we talk about a condition that can affect spinal cord injured patients and the simple treatments for this potentially life threatening condition.Support the show (https://nursem.org/donate/)

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What is the BNP? When would we use it? ...and when wouldn't we?Support the show (https://nursem.org/donate/)

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This month we talk about multiple sclerosis (MS) and a condition called neuromyelitis optica (NMO)...listen to learn more!Support the show (https://nursem.org/donate/)

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Ce mois-ci, nous parlons de la sclérose en plaques (SP) et une condition appelée neuromyélite optique (NMO) ... écouter pour en savoir plus!Support the show (https://nursem.org/donate/)

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Joyeux mois du coeur! Un examen rapide et une discussion a propos de nouvelles options de traitement pour l'insuffisance cardiaque.Support the show (https://nursem.org/donate/)

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Happy Heart Month! A quick review and chat about new treatment options for CHF.Support the show (https://nursem.org/donate/)

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A quick review of HIV/AIDS and some of the current trends in prevention, diagnosis and treatment.Support the show (https://nursem.org/donate/)

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Do you 'get' hyponatremia? We didn't really either...so we looked into it and here's the basics on what it is and how it is treated. You can really make people worse treating is incorrectly so make sure you listen to this podcast!Support the show (https://nursem.org/donate/)

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Is it cloudy, clear or something in between? Join us this month as we talk about pee! From the 'look' to the dip to the microscope...what does it all mean?Support the show (https://nursem.org/donate/)

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As marijuana use become legalized, decriminalized, used in medicine and recreationally in various jurisdictions around the world, we take a look at two cases that presented with conditions that may not have appeared as obvious on initial presentation. Welcome to the Wacky World of Weed!Support the show (https://nursem.org/donate/)

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Ever wondered why we measure these? And why on some patients and not others? This month we nerd-out on these three electrolytes. Support the show (https://nursem.org/donate/)

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In our experience most ED nurses and paramedics think of anaphylaxis as someone's airway closing...did you know that it is much more than that? Learn with us this month and we learn it ourselves!Support the show (https://nursem.org/donate/)

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Most of us haven't had a good in-depth evidence-based review of IM Injections since Nursing school...which for Monique and Landon was a looooong time ago!Support the show (https://nursem.org/donate/)

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In this episode we discuss the use of routine C-Spine immobilization with rigid cervical collars and some of the research that talks about the fact that they may be doing more harm than good.Support the show (https://nursem.org/donate/)

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In this episode we discuss what the D-Dimer is and why we shouldn't be ordering them willy-nilly!Support the show (https://nursem.org/donate/)

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Dans cet épisode, nous discutons du test D-dimère et pourquoi il ne doit pas être prescrit sans bonne raison!Support the show (https://nursem.org/donate/)

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In this episode we discuss triage, CTAS and some of the barriers that we find ourselves faced with. Is triage even necessary? Are WE the barrier to patient flow?Support the show (https://nursem.org/donate/)

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We discuss current concussion recognition, diagnosis, treatment and return to activity recommendations. Support the show (https://nursem.org/donate/)

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We discuss some of the DRAFT 2015 guidelines currently open for public viewing and comment on the ILCOR website.Support the show (https://nursem.org/donate/)