Showing posts with label Podcast. Show all posts
Showing posts with label Podcast. Show all posts

Monday, August 29, 2016

Budding EM

EM is still a budding field in India and I see many of our non-EM colleagues (who have never even worked in an ED) lecture during EM summits. While there is no doubt about their subject specific knowledge, there is often a disconnect felt when they try and teach EM or Critical Care. So this was one of the poll created recently:

Q - Should we be inviting non-EM physicians at EM conferences to lecture about Emergency Medicine?


  1. Yes - 62%
  2. No - 30%
  3. Yes, but only after they go thru an EM induction program - 8%


My thoughts on this..




Some more thoughts from the FOAMed world:

Steve Carroll I think non-EM specialists certainly have something to offer when it comes to their specialty and how they would manage something or what they prefer that we do in the ED- but, for example, if a trauma surgeon wants to tell me how to do airway management (with the exception of a trach) then they should immediately close their mouth because they think they know what they are talking about but in reality they have no idea...

Justin Hensley Different specialties can offer some interesting perspectives. You have to watch what they're going to say though, because sometimes they're too specialty oriented.
Justin Hensley More like, asking the stick manufacturer to comment on ice hockey. They might not play the game, but they can offer insight to the tools.
Justin Hensley We do a feature called "ask the expert" where we bring in other people and them ask them EM specific questions. Makes it a bit more emergency oriented.

MC Gill One who never worked ER will not add any value. It is like asking a cricket player to give opinion about ice hockey.

Bishan Rajapakse Great question Lakshay (and interesting results and discussion that is emergency from the question) - I guess it all depends on which non-EM people you ask. EM is not an island, and to develop, even in mature systems, requires interdisciplinary action - especially policy makers, public health, pre-hospital, nursing, allied health, health minister etc. Even having different specialities attend EM can be very helpful - after all, we work in integrated hospitals. ------------------------------My experience of attending different IEM conferences since 2007 is that I think it is quite advantageous to have multidisciplinary conferences. A well facilitated forum with multiple disciplines is usually very productive. For example, I recently attended a high profile social media and critical care conference in Dublin, which was a true international collaboration, and interdisciplinary collaboration (doctors, nurses, paramedics, and even surgeons, and social workers were plenary speakers) - the results were good. There was an productive IEM track where people from all backgrounds were sharing ideas.-------------------------------- MC Gill I can hear your frustrations. I remember at one of the early conference hearing the question from an ex-president of college of physicians which went something like "so what is the difference between an intensivist and and emergency physician exactly?" - but I think this was a great question and great opportunity to educate those who still don't know what EM is all about - after all we are one of the most dynamic specialities that exist and it is important to keep others in the loop if we are to progress sustainably. Justin Hensley - i agree offering insight in ways that may cover our own blind spots. If people are invited and discussion is facilitated appropriately they will only offer benefit, and useful discussion. --------------------------------The key in my opinion is good facilitation at conferences, which is sometimes lacking. Using newer mediums such as twitter allow for a range of discussion to occur from the delegates, rather than just the loudest most prominent people in the room.

Praveen Chenna Invite .
They can lecture on their subject n it's importance or relevance to the field of emergency , is always acceptable.


Hashmat Faheem Emergency Medicine is comparatively newer branch as a speciality in India.. Protocols, Diseases generally varies from places where speciality is established... it might be useful to get some inputs from Non Emergency Medicine Faculties


of course we should... But they should invite EPs to speak at their conferences too

Yeah, we work in teams (PH, EM, CC, Anesth, surg, etc) so I don’t see why not. Just need to have good communication


Feel free to share your comments.


Author:

              
     Lakshay Chanana

     @EMDidactic
                                                        






Monday, February 29, 2016

HELLP Syndrome - Podcast


HELLP syndrome - Another great masquerader that requires a high suspicion for diagnosis. Check out the show notes and listen to the podcast.


Hellp

Monday, September 28, 2015

Dengue Epidemic: Why are we unable to walk the talk?

Like every year, its again time for another dengue epidemic. Isn't it really surprising how we repeat history over and over, suffer from the same illness every year. Media highlights it, politicians and bureaucrats are called upon and then starts the "blame game"...

Its the same story, hospitals get packed with patients, lack of beds, patients get shunted among various hospitals when they are critically ill before they succumb to death. And we cannot even imagine how the parents of a 7 year old feel when they witness their child going through such pain. Horrifying..

We (Physicians) cannot increase the capacity of hospitals after a certain extent, there are already two sometimes three patients occupying a single bed. 

So as healthcare providers, what can we do about it?

As physicians, one of our responsibilities is to teach. We must create awareness and educate laypersons about this disease. This can be by various mediums like television or organising community workshops. We all do get apprehensive during epidemics when issues are sensationalised. It is again our duty to do some "COMMUNITY EMERGENCY MEDICINE" here. 

In my opinion, a bulk of this problem can be solved by following simple measures like Community Participation/ Education and just following the treatment guidelines

Unnecessary admissions for mild infections are not justified, these can be managed as outpatients. Again this needs community education and participation of laypersons.







Check out the podcast and show notes (dengue fever)
This is a review of "Guidelines for the management of Dengue", minimum that all of us should know.







If you want to read more on how all of us can work together and prevent these deadly epidemics, then check out this awesome link 


Prevention is better than cure

Monday, August 31, 2015

The unexpected killer - "Burkholderia Pseudomallei"

In this episode, lets discuss the unexpected killer - Melioidosis…
Check out the show notes as you listen to the podcast.









Monday, July 20, 2015

Monday, June 22, 2015

Monday, April 27, 2015

Dog Bite/ Rabies: Things what you need to know

This week, I have a podcast for you. 

We are going to talk about Dog Bite/Rabies. The reason I chose this topic is because this is something which is still fairly common in India (Dog Bite) and the incidence of rabies in India has now been constant for about a decade. One of the reasons for this is poor knowledge of post exposure prophylaxis among medical professionals. I take you through the national guidelines for treating dog bites (Indian Guidelines).  I hope this will help to change the scenario:

Listen to the podcast. 
Find the show notes attached.

Thanks!










Monday, March 16, 2015

The other "ACS": Abdominal Compartment Syndrome!


Hi, This week I have a podcast on ACS --> Abdominal Compartment Syndrome!

As Emergency Physicians we should be familiar with issues requiring the ED/ICU care. And now, Intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) are increasingly recognised in the ICU, often associated with abdominal trauma and in patients requiring fluid resuscitation, such as those with septic shock, major abdominal surgery, burns, bowel obstruction, ascites, etc. ACS is the progression to end-organ dysfunction if IAH is not recognised and treated. 

Lets listen to the podcast to find out some more details, Check out the show notes too!


Tuesday, February 24, 2015

Scorpion Envenomation (Podcast)

Hi

This week, we are going to discuss another overlooked issue - "Scorpion Envenomation"
Fortunately, I did initial two years of my EM training at Christian Medical College, Vellore, Tamil Nadu where we used to get quite a bit of patients with Scorpion Sting/Envenomation.

Back in Vellore, whenever we used to talk about this issue, there was one name which always came up - "Dr. Himmatrao Bawaskar". He has done a ton of research on this and came up with an antidote for scorpion sting dropping the mortality down to <1% from 30%. His first individual paper titled “Diagnostic cardiac premonitory signs and symptoms of red scorpion sting” was published in The Lancet in 1982. 

It was in 1984, when he treated 126 patients with Prazosin; all of them survived. In 1986, in his paper in The Lancet - he put forward for the first time Prazosin as a physiological antidote for scorpion stings.

His work got recognition internationally as Prazosin's success was duplicated all over the world. This episode was not possible without mentioning about his exemplary work in this field. 

A message from Dr. Bawaskar,
We owe our learning, earning, and satisfaction to our ancestors (scientists) who blessed us with their research which gave us direction. It is our moral duty to repay them by engaging ourselves in, contributing to and publishing the research for the benefit of our future generations. This can be done only by performing our honest, sincere, and dedicated duty every single day. Never neglect what the patient or his relatives have to say since they are the sole reason of your existence as a doctor.”

I have focused on species found around Southern India.
This a really short one, just about 8 minutes. Check out the show notes.

Thanks!








Wednesday, February 4, 2015

Snake Envenomation (Podcast)


Hello friends,

This week, we are going to discuss a problem which is a major public health issue especially in and around SE Asia. It affects thousands of people but treatment protocols are not in place. This podcast will give you information which you need at the bedside when you come across these critically ill victims.

This information presented here comes from the national snakebite protocol (India) and WHO guidelines for snake bites in SE Asia. Checkout the show notes and listen to the podcast.





Thursday, January 29, 2015

Anaphylaxis - Now on the podcast !



Hi there!

Last week we dealt with anaphylaxis, now it is available on the podcast (15minutes).
This was a session which I took sometime back for the residents (The Flipped Classroom).


I still see shocked patients getting a trial of steroids/antihistaminics before epinephrine. Steroids/Antihistaminics work (if at all!) to prevent the biphasic reaction and relieve the skin symptoms.

Epinephrine is the DRUG of choice for anaphylaxis and it should be administered ASAP.




This podcast will give you an understanding about when and how to use epinephrine.

Listen to the podcast.
There is also a handout available.