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The DownEast Emergency Medicine Podcast

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Activity Overview

Episode publication activity over the past year

Episodes

Virtual Interviewing and Transitioning into Residency

09 May 2022

Contributed by Lukas

Interviewing and beginning your career in medicine comes with challenges! Dr. Sarah Bunting, MD is a PGY-1 emergency medicine resident at Maine Medica...

OMG, TMI! What does open notes mean for you and your patients?

24 Jun 2021

Contributed by Lukas

The 21st Century CURES act has mandated that starting on April 5th, 2021 patient notes (with a few very narrow exceptions) must be easily available to...

NOT A STAB IN THE DARK - MASTERING ULTRASOUND GUIDED PERIPHERAL IV

07 Jun 2021

Contributed by Lukas

Ultrasound Jedi, Dr. Andrew Fried, takes us through a masterclass on placing ultrasound guided peripheral IV's.   For full show notes, check out our ...

Two STEMI Mimics You've Got to Know!

05 Apr 2021

Contributed by Lukas

This year we are very fortunate to have Dr. Amal Mattu, EKG Jedi, as teaching faculty for our 39th Maine Medical Center/Maine ACEP Winter Symposium. I...

Pediatric Diarrhea with Dr. Jay Larmon

24 Mar 2021

Contributed by Lukas

Kids poop. Most of the time it goes well- aside from the messes and the wipes and the cleaning and the change of clothes. But sometimes medically pedi...

Academics for the Community Provider- Bringing quality and longevity to your career

04 Mar 2021

Contributed by Lukas

In medicine we often draw a solid line between community and academic medicine, but this likely is a fallacy. In fact there is a huge amount of academ...

Ludwig's Angina- more than a toothache

07 Jan 2021

Contributed by Lukas

In this episode we dive into the nasty, gnarly infection that is Ludwig's Angina. It's a bad player- and with complications including mediastinitis, e...

The COVID 19 Vaccine- Part 2- what the front line provider needs to know, review of the pfizer study

12 Dec 2020

Contributed by Lukas

This is Part 2 of our discussion of the COVID-19 vaccines. With frontline providers across the country (and world) asking themselves "Am I comfortable...

The COVID 19 Vaccine- What the front line provider needs to know

12 Dec 2020

Contributed by Lukas

This is Part 1 of our discussion of the COVID-19 vaccines. With frontline providers across the country (and world) asking themselves "Am I comfortable...

"I have something DOWN THERE!"- Herpes in the ED: Diagnosis, Treatment, & What to tell patients

05 Dec 2020

Contributed by Lukas

They have something DOWN THERE... No surprises, it's herpes. But making the diagnosis is the just first of many issues and questions- how do you treat...

FROM BAD TO WORSE: Avoiding peri-intubation cardiac arrest with Dr. Sam Wood

22 Oct 2020

Contributed by Lukas

Intubation in the emergency department (ED) can be a stressful endeavor. We are often presented with patients who have complex anatomy and tenous phys...

Sugar Is Bad For Kids- Pediatric DKA with Dr. George Willis

14 Sep 2020

Contributed by Lukas

The management of diabetic ketoacidosis (DKA) in children is full of difficult questions- how much insulin should I give? Who is at risk for cerebral ...

Not Just Drunk- wernicke's encephalopathy in the ED

03 Aug 2020

Contributed by Lukas

The diagnosis of Wernicker's encephalopathy is a elusive beast. The classic triad of altered mental status, ataxia, and ophthalmoplegia is, of course,...

Boarding in the ED- what it does to patients & how to fix it

15 Jul 2020

Contributed by Lukas

Boarding is a problem across most Emergency Departments in the United States, and likely the world. This adversely affects patients and staff. In this...

Does the FOAM rise to the top?- Critiquing quality of FOAM publications

02 May 2020

Contributed by Lukas

In this vodcast we review the prolific use of FOAM (free open access medical education) by learners, the need to assess FOAM quality, and a structured...

COVID CODE BLUE!!- Logistics of running codes in the COVID era

14 Apr 2020

Contributed by Lukas

In this vodcast we review the logistics of running a CODE BLUE (cardiac arrest) in a COVID patient, or any other patient under isolation care. Please ...

COVID-19 and Personal Protective Equipment -What the Front Line Provider Needs to Know to Stay Safe

09 Apr 2020

Contributed by Lukas

The personal protective equipment (PPE) for COVID-19 has been the center of attention in the medical world and laypress, in part because of the short ...

Uterine bleeding in the ED

31 Mar 2020

Contributed by Lukas

Uterine bleeding is a common presentation to the Emergency Department and rarely these patients are SICK. When they come in sick, it's not the time to...

Tranexamic Acid Beyond Trauma

16 Mar 2020

Contributed by Lukas

Tranexamic acid (TXA) is a synthetic lysine derivative that binds with the lysine site on plasminogen, inhibits fibrinolysis and stabilizes clot. Whil...

You passed out, Eh?- the Canadian Syncope Risk Score and its use in the ED

15 Feb 2020

Contributed by Lukas

Syncope is an incredibly common presentation to the Emergency Department with a broad differential diagnosis from the benign (vasovagal) to the lethal...

FOAM (free open access medical education) & How to Use It with Matt Delaney

27 Jan 2020

Contributed by Lukas

FOAM [free open access medical education] is growing at an amazing rate (we are actually using FOAM now to talk about FOAM). Like most powerful tools,...

Blood Pressure Pearls for Neuro Emergencies with Evie Marcolini

09 Jan 2020

Contributed by Lukas

We have a lot of numbers to remember when it comes to the care of the brain injured patient. From subarachnoid hemorrhage to traumatic brain injury, i...

Coding in the Community- Keeping It Real with Really Limited Resources

18 Dec 2019

Contributed by Lukas

Coding cardiac arrest patients is tough. There's lots to do- from getting access, to doing ultrasounds, to analyzing rhythms, the tasks really add up!...

Fentanyl Hysteria with Ryan Marino

03 Dec 2019

Contributed by Lukas

In this podcast we sit down the ED toxicologist Ryan Marino to talk about this phenomenon in the media of "fentanyl hysteria"- a trend of fear-mongeri...

Neuroimaging Update: The Studies and Sequences You Should Know

18 Nov 2019

Contributed by Lukas

The world of emergency neuroimaging is evolving and increasingly influencing time-sensitive treatment decisions. A basic understanding of the imaging ...

Emergency Mansplaning- Gender Equality in your ED

02 Nov 2019

Contributed by Lukas

Gender equity (or in truth, inequity) in medicine has come under the spotlight with an increasing focus on a culture of fairness, improving female pra...

Buprenorphine, the Opioid Epidemic, and the Emergency Provider

16 Oct 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more.   The reality of America’s opioid addiction and overdose problem...

Marble Mouth- Oropharyngeal Foreign Bodies in Kids

01 Oct 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more. In this podcast we review the complexity of the oral foreign body (...

Making Metacognition Work for You

17 Sep 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more.   Metacognition is a person’s ability to understand their though...

Toss the Tube or Scoop and Run?- Controlling the Airway in Out of Hospital Cardiac Arrest

22 Aug 2019

Contributed by Lukas

How should we handle the airway in out of hospital cardiac arrest? Just bag and go? Should we tube these guys? Maybe just toss in a supraglottic? In t...

You Down with GME? Yeah, You Know Me- Learning during residency from the residents' perspective

21 Jul 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more.   We talk a fair bit in MedEd (that's medical education for cool p...

The PREVENT Trial: when to use BVM in your intubations

17 Jun 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more.   When you're intubating a patient, twiddling your thumbs waiting ...

The Pressure is ON!! Hypertensive Emergencies in the ED

10 Jun 2019

Contributed by Lukas

Hypertensive Emergency is an umbrella term for a wide range of disease processes seen in the ED. They all represent as sick-as-stink patients with cri...

Acute Otitis Media- do you really know what you're doing?

12 May 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more. In this podcast we sit down with Dr. Daria Thompson, a pediatric ho...

The Subclavian Line: the resuscitation line of champions

21 Apr 2019

Contributed by Lukas

Check out the post on SimKit for shownotes, references, and more.   Which central venous catheter (CVC) is best for our patients? Is it the internal...

Analgesic Use in the ED - What Works, What Doesn't

04 Feb 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more.   Prompt, safe, and effective pain management is a core competency...

Epinephrine in Out of Hospital Cardiac Arrest- The PARAMEDIC-2 Trial

14 Jan 2019

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references, and more.   Author: Jason Hine MD and Sam Potter MD Peer Review: Jeff Holmes...

The Adrenal Trial: are steroids in septic shock dead?

15 Nov 2018

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references and more. Author: Jason Hine MD and Sam Potter MD Peer Reviewer: Jeff Holmes M...

Coding in the Community with Salim Rezaie

02 Nov 2018

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references and more.   Author: Jason Hine MD and Salim Rezaie MD Peer Reviewer: Jeff Hol...

Subdissociative Dose Ketamine in the Emergency Department with Sergey Motov

02 Nov 2018

Contributed by Lukas

Check out our post on the Down East EM blog for shownotes, references and more.   Author: Jason Hine MD and Sergey Motov MD Peer Review: Jeff Holme...

Welcome to the Down East EM podcast!

02 Nov 2018

Contributed by Lukas

This is our introductory podcast to tell you a bit about who we are and what we do.   We are committed to providing high quality education to improve...