BuffEM Podcast: Recent Episodes
John McNamara
Current literature and topic in emergency medicine carefully chosen from both emergency medicine and other specialty literature.
The views and opinions expressed in this podcast are mine and do not reflect the opinions of my employers or group.
Quick Summary
Antibiotic Prescribing for UTI - AJEM
Review of an article looking at prescribing patterns for UTI, pyelo, and ASB in community EDs.
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Tetracaine for Corneal Abrasions - Annals of EM
Brief overview of Annals of EM article studying use of tetracaine for corneal abrasions.
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Management of Diverticulitis - BMJ
Overview of Management of Diverticulitis - literature review from the BMJ and a look at various antibiotic strategies as recommended by UpToDate
Quick Summary Anaphylaxis Update Literature
Review of the Resuscitation Council UK Evidence base update for treatment of anaphylaxis and study from Simard et al addressing factors impacting observation times in ED patients with anaphylaxis.
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Prognostic Value of Serum Procalcitonin Levels in Patients with Febrile Neutropenia
A review of an article from JEM regarding the use of serum procalcitonin with or without MASCC score in patients with febrile neutropenia.
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OB/GYN Review Article (Annals of EM)
A brief summary of a review article detailing management of common postabortion complications in the ED.
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Ground Level Falls & TBI - AAST Podium Paper
A review of a paper from the Journal of Trauma and Acute Care Surgery evaluating impact of antiplatelet and anticoagulant medications on geriatric patients with ground level falls/head injury.
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SKIP & DEVT Trials
Overview on two recently published papers evaluating outcomes in patients with acute ischemic stroke undergoing mechanical thrombectomy with or without administration of alteplase.
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ACEP Clinical Policy on CAP
A review of the ACEP Clinical Policy on ED patients with CAP.
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FAST & Pelvic Fracture - Literature
A review of an article looking at the accuracy of FAST exam in patients with pelvic fractures.
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Antibiotics for Appendicitis - Literature
A review of the newest trial to evaluate antibiotics for the treatment of appendicitis (CODA collaborative) and comparison to the previous trial (APPAC).
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Cerebral Venous Thrombosis - Article
A brief summary of a clinical review on Cerebral Venous Thrombosis
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Low Dose Ketamine for Acute Pain in the ED - Article
A look at an article in Academic Emergency Medicine comparing low dose ketamine and morphine for the treatment of acute pain in the ED (SRMA).
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Ondansetron for Peds Gastro - Article
Review of article in Annals of EM regarding treatment of pediatric gastroenteritis with ondansetron with outpatient prescription
GI Cocktail Article
GI Cocktail Quick Summary
A look at an article in AEM regarding the use of lidocaine in a GI cocktail.
ED Thoracotomy Article
ED Thoracotomy Quick Summary
A look at an article on ED thoracotomy and factors associated with survival after ED thoracotomy.
ACEP Clinical Policy
Opioids in the ED Quick Summary
Review of the ACEP Clinical Policy of Opioids in the Emergency Department.
Contrast and Kidney Disease Article
Contrast and Kidney Disease Quick Summary
A look at the consensus statements from ACR and NKF regarding the use of IV contrast in patients with kidney disease.
Cardioversion Literature
Cardioversion Quick Summary
A look at the RAFF2 trial comparing procainimide versus placebo followed by cardioversion for new onset afib.
Antibiotics for Nonpurulent SSTI Literature
Antibiotics for Nonpurulent SSTI Quick Summary
Looking at education targeting standardized antibiotic therapy for nonpurulent skin and soft tissue infections
Capsaicin Cream Literature
CHS/Capsaicin Quick Summary
An overview of CHS (Cannabinoid Hyperemesis Syndrome) and article on the use of capsaicin cream for relief of symptoms
Pneumothorax Literature
Pneumothorax Quick Summary
A look at conservative (observation) vs chest tube placement for spontaneous pneumothorax.
Biomarkers Literature
Biomarkers Quick Summary
A look at the use of biomarkers in the diagnosis/treatment of CAP and AECOPD.
ICH Literature
ICH Quick Summary
A look at three studies examining topics in traumatic ICH.
Cardiac Arrest Literature
Cardiac Arrest Quick Summary
Overview of recent literature in both medical and traumatic cardiac arrest resuscitation.
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Literature - Missed Serious Neurologic Conditions
Summary of Annals of Emergency Medicine article on rate of missed serious neurologic conditions in patients presenting with headache or low back pain.
Buffalo Byte - CAP Guideline Summary
New format (trial period) - Buffalo Bytes with single paper reviews in a shorter podcast. This is a quick review of the IDSA/ATS CAP guidelines published in October.
October Quick Summary
This is an MP3 of the rapid summary of the articles that was previously at the end of the main podcast, now separated for easier listening.
October Podcast Literature
OHCA - non shockable to shockable, Futile resuscitation rule, low risk pediatric trauma, delayed head trauma in kids, ibuprofen in fractures, WBC and nondiagnostic MRI/Ultrasound, Buddy taping vs casting for boxer fractures, Hospitalization for syncope, outpatient PE and DVT treatment, Expired narcan, Multiple intubations and mortality, ACEP Clinical Policy on Headache, Helicopters for trauma patients, Imaging in renal colic, Hospital revisits, Postdischarge care, Crowding and impact on mortality
June 2019 Podcast Literature
June 2019 Podcast Quick Summary
Blunt Thoracic trauma and Low Dose CT, Delayed Naloxone for Opiate Overdose, Thunderclap Headache Management, VAD Devices, SECURE Trial, Vasopressors in Cardiac Arrest, Missed Scaphoid fractures, Closed Compressions for Hemorrhagic Cardiac Arrest, Time Sensitive Prehospital Trauma Patients
May Quick Summary
May Podcast Articles
EM pharmacists and antibiotics, Sux and hyperkalemia, TXA vs Packing for Epistaxis, TXA for epistaxis (meta-analysis), Glucagon and Food Impaction, Extraglottic Device Management, EXTEND Trial, Early vs Delayed Cardioversion for Afib, Coronary Angiography after Cardiac Arrest, POCUS and Kidney Stones, Rescue sedation in the ED, Esophageal Foreign Bodies - A Clinical Review
April Quick Summary
April Podcast Articles
IDSA for UTI, EcLiPSE/ConSEPT, Propofol Sedation in the ED, Muscle Relaxants and Back Pain, HTS/Mannitol via PIV, Acute Compartment Syndrome, C-Collars and ICP, Antivirals for Bell's, Andexanet Alfa, TXA for Head Trauma, Stress Testing after the ED
February and March Quick Summary
February and March Podcast Articles
Ondansetron in pediatric n/v/d, Chest CT for elderly rib fractures, Management of Infectious Diarrhea, Antibiotics for elderly UTI, BVM during intubation, Blunt Thoracolumbar trauma evaluation, Gender and NSTEMI treatment, Predictors of Antibiotic Failure in Nonpurulent SSTI, Safety of PERC + YEARS in Patients with Low Probability of PE, POCUS for RD in the ED, Oral vs IV Antibiotics for Bone & Joint Infection, Impact of Scribes in the ED, EtO2 Monitoring to Assess Preox in ED RSI, Burnout in EM Residents, Predicting SBI in Febrile Infants < 60 days old.
January Quick Summary
January Podcast Articles
Pediatric ApOx, Metoprolol vs Dilt for Afib in HF patients, Premedication for Adults with Ketamine sedation, Early IV fluids by EMS and sepsis mortality, Prehospital Sepsis Alerts, C-spine clearance with distracting injuries, Pediatric FAST for solid organ injury, Financial conflicts with stroke guidelines, and the HOUR rule for opioid overdoses.
December Quick Summary
December Podcast Articles
Overview of infectious disease response and measles, honey for cough in kids, ultrasound for ETI confirmation, Imaging for PE in pregnancy, Prehospital identification of stroke, ILCOR - Antiarrhythmics for cardiac arrest, Dimer in Adolescent PE, Hyperkalemia treatment in the ED, Evaluation and Management of SBO in the ED
November Quick Summary
November Podcast Articles
Guidelines for pancreatitis management, C-Spine Trauma and Distracting Injuries, Pediatric FAST exams, Vertebroplasty...or not, Prophylactic Antibiotics for COPD, CHF Management, Bleeding - antiplatelets vs anticoags, Non-STE-ACS, POCUS before Transabdominal Pelvic Ultrasound in Pediatric Females, Hyperpronation (FTW) in Nursemaids elbow
October Quick Summary
October Articles
CCR by triage nurses, IM sedation in the ED, Orthostatic VS ???, Intranasal vasoconstrictors effect on BP, Antibiotics for Appendicitis ?, Single dose vs 7 day dose metronidazole for Trichomoniasis, Vanc/Zosyn and AKI, "Occult" PTX and HTX and management, Nebulized TXA for Secondary Post-Tonsillectomy Hemorrhage, IV Lidocaine for Renal Colic, Rural Level III Centers in a trauma system, Ground vs Flight RSI (EMS), Procedural Sedation - Consensus Practice Guideline
September Quick Summary
September Podcast Articles
Abscess I&D with POCUS, Dilaudid vs IV Tylenol for pain, Coronary CTA for Chest Pain, 2018 Surviving Sepsis Guidelines, Low Acuity Visits, AIRWAYS-2, Effect of Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults with OHCA, Infectious Endocarditis, ARRIVE trial, MRI for Appendicitis in kids/pregnant patients, UTI in Renal Colic, PE in AECOPD, Macrolide Resistance in CAP in the ED, Dripped lidocaine for Mucosal Lacerations, and ED Patients with Advanced Directives in the ICU
August Quick Summary
August Podcast Articles
ED patients with low acuity patients in ambulances, Epi in OHCA, Patients presenting with elevated BP, Biphasic anaphylaxis, The word 'quiet' ?, Probiotics and C. diff, Spinal Motion Restriction in the trauma patient, Bup vs clonidine, Outpatient PE management, NIPPV for COPD, POCT in the ED, and Management of Hyperkalemia
Pelvic exams and STIs, Non-operative vs operative management of hip fractures, Tamsulosin for kidney stones, NG tube decompression for SBO, Procedural sedation with one vs two physicians, CXR in everyone with chest pain ? , Fluids and Pediatric DKA, NIPPV + NC, PRISMS trial - alteplase vs aspirin, ESBL UTI, Bicarb in the ICU, Backboards and imaging, SVT and troponin leak, Pediatric pneumonia, Lactate after HD, Tetracaine for corneal abrasions, fixed dose vs weight based PCC, ED Urgent Care transfers, Diplopia in the ED
Quick Summary
July 2018 Articles
Quick Summary attached (click PDF link for access)
Literature for Download
Bougie for First-Attempt Intubation success, Sux vs Roc for RSI, NBMA and effects on tracheal intubation success/outcomes, Risk of CVA and TIA with resolved afib, TNkase vs Alteplase before thrombectomy for stroke, MRI-Guided Thrombolysis for stroke with unknown onset, TXA for ICH, Vertebroplasty vs Sham procedure for compression fractures, Prehospital Spinal Immobilization for Penetrating trauma, Analysis of ED to ED transfers for traumatic injury, Allergic-like contrast reactions in the ED, Strep pharyngitis clinical mimics, IO vs IV Access in cardiac arrest and effect on mortality, Managing peripheral facial palsy, Approach to the Agitated ED patient, UDS and ED Psychiatric patients, Protocolized Lab screening for medical clearance of psych patients
Drunk or something worse, BEST AF - optimal joules for cardioversion, ondansetron prophylaxis with opioid therapy, high risk features for aortic dissection, Lactate for prognostication in overdose, ACEP Clinical Policy for suspected VTE, ABI & physical exam for penetrating extremity trauma, Needle aspiration vs chest tube for spontaneous ptx, steroids vs NSAIDs for gout, EKG predictors for badness in older adults with syncope, coronary angio for patients with OHCA without STEMI, HEMS vs GEMS - who benefits, Optimal duration of steroids in COPD exacerbations, and value of the pupillary light reflex after OHCA
Opiates vs nonopiates for chronic arthritic pain, TXA for epistaxis in patients taking antiplatelet drugs, clinical bundles to reduce hypoxia in prehospital intubation, peripheral catheters in the ED (really needed?), flecainide for chemical cardioversion of AF, HEMS for head trauma patients, treatment of Cannabinoid hyperemesis syndrome, ACEI induced visceral angioedema, Prehospital EtCO2 and mortality, detecting critical illness in drunk patients, Opioid prescribing in the ED, Naproxen with or without muscle relaxants for acute low back pain, reviews of TIA and sudden onset headache evaluation and management in the ED.
March 2018 - NS vs balanced crystalloids for resuscitation, inhaled isopropyl alcohol vs zofran for nausea, ED central line CLABSI, CT for abdominal injury, PROPER trial, Bactrim for UTI, Suboxone vs Naltrexone for opioid relapse, clearing the c-spine in an intoxicated patient, trauma teams and undertriage, steroids for septic shock, DEFUSE 3 - thrombectomy in stroke, MI after influenza, Abdominal injuries in kids, Palliative care symptom management, Treating hyperglycemia in the ED, Interruptions in the ED, Ectopic pregnancy - myths and tips, Bactrim for skin abscesses after I&D, MRI for c-spine clearance, Steroids for urticaria, Stroke alerts in the ED