Episodes

  • "Is there a way out of the mire?" Altered Mental Status in the Emergency Department

    "Is there a way out of the mire?" Altered Mental Status in the Emergency Department
    Mar 1 2022
    In this episode of JACEP Open, Luke Wood and Matthew DeLaney dig into a recent paper from JACEP Open looking at risk stratifying patients who present with altered mental status.
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    11 mins
  • What Does VL Actually Mean?

    What Does VL Actually Mean?
    Dec 16 2021
    When is VL actually VL? Much of the literature around video laryngoscopy fails to describe how the video laryngoscope is actually used. Too often, we lump all VL devices and techniques into one group when there are actually two broad types of devices (standard and hyperacute geometry blades) as well as two techniques of using standard geometry (direct vs indirect visualization). We review a JACEP open systemic review of the literature to learn how often the literature makes these distinctions. And we even throw a bit of laryngoscope history in for good measure. References: 1. Pieters BM, Eindhoven GB, Acott C, Van Zundert AAJ. Pioneers of Laryngoscopy: Indirect, Direct and Video Laryngoscopy. Anaesth Intensive Care. 2015;43(1_suppl):4-11. doi:10.1177/0310057X150430S103 2. Dean P, Kerrey BT. Video screen visualization patterns when using a video laryngoscope for tracheal intubation: A systematic review. JACEP Open. 2022; 3: e212630.
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    15 mins
  • Urine Pregnancy Testing: Friend of Foe?

    Urine Pregnancy Testing: Friend of Foe?
    Sep 30 2021
    This month we dive deep into Urine Pregnancy Testing. Despite being used widely to make major clinical decisions the real world performance of urine pregnancy testing is far from perfect.
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    22 mins
  • Myth Busting

    Myth Busting
    Jul 20 2021
    Myths are common in Emergency Medicine but often don’t hold up to scrutiny. We cover two papers from JACEP Open that help shed light on two myths: only paramedics can give epinephrine in cardiac arrest and all rollover collisions should be transported to a trauma center because they are predictive of major injury.
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    17 mins
  • One too many?

    One too many?
    Jun 2 2021
    Intoxicated patients can pose a unique challenge in the emergency department. While some patients may just need a few hours to sleep it off, intoxicated patients have high rates of both short and long term medical outcomes. In this month's JACEP Open Podcast we dive into the challenge of risk stratifying intoxicated patients.
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    18 mins
  • Risk of COVID-19 Transmission with Oxygenation

    Risk of COVID-19 Transmission with Oxygenation
    May 19 2021
    At the beginning of the pandemic, we all had to change many of our practices to protect ourselves and our colleagues from COVID-19, even though we had little evidence to work with. Fortunately, we are starting to get good data in to help revise our these practices and reach our goal of good care for our patients with good protection for us. Dr. Jarvis covers two JACEP Open papers discussing the risk of oxygenation strategies and the effectiveness of personal protective equipment (PPE).
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    13 mins
  • Healthcare Heroes?

    Healthcare Heroes?
    Feb 16 2021
    COVID-19 has radically impacted our day to day lives in the emergency department. In this month's episode Dr. Matthew DeLaney and Dr. Luke Wood discuss COVID-19's potential impact on patient satisfaction. To learn more check out: Jehle, D, Leggett, J, Short, R, Pangia, J, Wilson, C, Gutovitz, S. Influence of COVID‐19 outbreak on emergency department Press Ganey scores of emergency physicians. JACEP Open. 2020; 1: 1413– 1417. https://doi.org/10.1002/emp2.12287
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    19 mins
  • It Take A Little HEART

    It Take A Little HEART
    Jan 6 2021
    Emergency Physicians see patients commonly see patients with chest pain on every shift. Among other considerations, they have to determine the patient’s risk of having a bad outcome before they’re able to receive further care. This risk stratification has historically depended on clinical gestalt. Over the past decade or so, multiple clinical scores have been developed to help physicians make this decision. The question, though, is how well do they work. Are they better than clinical gestalt alone? How should they be interpreted in light of the ECG and troponin? In this episode of the JACEP Open podcast, Dr. Jeff Jarvis discusses two recent papers from the Journal that help answer these questions.
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    13 mins