You should have gotten an email with a link to your House’s spreadsheet  for this month.
To receive credit:
  1. Choose four hour’s worth of the below material.
  2. Put at least 12 pearls/pro-tips/factoids you learned into your House spreadsheet.
Due By: 05/30/18
Remember that your entries will be used for the competition questions, so make sure you know things the other House’s don’t!
  • Resources are sorted based on Tintinalli chapters then from shortest to longest credit. (AKA most ADD-friendly to least ADD-friendly!).
  • Times are derived from estimated reading/listening/viewing times rounded slightly upwards on average to account for comprehension time.
  • 🔊-Podcast        🗞-Blog        📽-Video       📑-Textbook

 

 

Just A Little Unwell: Common Mental Health Diagnoses and Approach

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1. 🗞 (5 Minutes): ALiEM: “Trick of the Trade: OKN Drum to Test Psychogenic Coma” Website
  • Because you can never have too many tricks.

 

2. 🔊 (10 Minutes): ERCast: “Examining Mental Health Patients” Website. (No Longer Available on iTunes)
  • What’s your approach to examining mental health patients safely and effectively?

 

3. 🔊 (10 Minutes): CrackCast: “Anxiety Disorders” Website. and iTunes.
  • Anxiety disorders giving you anxiety? Don’t worry, the CrackCast crew will guide you through Rosen’s!

 

4. 🔊 (10 Minutes): CrackCast: “Mood Disorders” Website. and iTunes.
  • Depression and Bipolar disorders can significantly affect your patients quality of life and your experience with them, the CrackCast crew brings you high-yield pearls from Rosen’s.

 

5. 🔊 (10 Minutes): CrackCast: “Somatoform Disorders” Website. and iTunes.
  • If Somatoform disorders are giving you SOB and CP, tune in to the CrackCast overview of Rosen’s on this topic.

 

6. 🔊 (15 Minutes): CrackCast: “Factitious Disorders and Malingering” Website. and iTunes.
  • Everyone’s favorite diagnoses…. in a discussion led by the CrackCast team walking you through Rosen’s.

 

 7. 🔊 (20 Minutes):ERCast: “Pseudo-seizures (PNES)” Website. and iTunes.
  • Not all who wander are lost, and not all who shake are seizing. Listen in to Dr. Rob Orman and Dr. Foland having a discussion on this often frustrating diagnosis.

 

8. 🔊 (25 Minutes): CrackCast: “Thought Disorders” Website. and iTunes.
  • Patients with psychosis can be frustrating and difficult to manage effectively and compassionately, listen in for some pro-tips from Rosen’s.

 

9. 🗞 (15 Minutes): Don’t Forget the Bubbles: “Munchausen by Proxy: Fabricated and Induced Illness” Website
  • What to watch for when the patient and caregiver may be more than they appear on the surface.

 

10: 📑 ( 60 Minutes):  Tintinalli’s Chapter 288 “Mental Health Disorders of the Elderly”. (8th Edition: Pages 1958-1963)

 

11: 📑 ( 60 Minutes):  Tintinalli’s Chapter 289 “Mood and Anxiety Disorders”. (8th Edition: Pages 1963-1969)

 

12: 📑 ( 120 Minutes):  Tintinalli’s Chapter 286 “Mental Health Disorders: ED Evaluation and Disposition”. (8th Edition: Pages 1941-1952)

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Agitation And Psychosis

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13. 📽 (5 Minutes): EMCrit: “On Human Bondage” Website.
  • Excellent video on how to effectively use restraints to keep your patient and staff safe during and episode of agitation. (For EMCrit Podcast on this topic, see below for Reuben Strayer’s talk)

 

14. 🗞 (15 Minutes): CanadiEM: “Violence and Agitation in the ED” Website
  • How to handle the aggressive and agitated patient.

 

15. 🗞 (15 Minutes): EMDocs: “Psychosis Mimics: ED Differential Diagnosis and Keys to Management” Website
  • Psychosis? It must just be a psych diagnosis, right? No way could the patient have a life-threatening pathology as well… right? What else could you be catastrophically  missing?

 

16. 🗞 (15 Minutes): Rebel EM: “Chemical Sedation of the Agitated Patient” Website
  • Is there evidence for which medications are effective and safe for agitated patients?

 

17. 🔊 (20 Minutes): EMRAP: “Strayerisms – Agitation Mitigation” Website(Will Require Your EMRAP Login)
  • Pro-tips for managing the agitated and potentially dangerous patient.

 

18. 🗞 (25 Minutes): EMDocs: “EMDocs Cases: ED Approach to Agitation” Website
  • How to approach agitated patients while limiting danger to yourself, your staff, and the patient!

 

19. 📽 (30 Minutes): EMCrit: “Disruption, Danger, and Droperidol” Website.
  • Need a framework for how to approach and handle the potentially dangerous patient? Dr. Reuben Strayer has just what you’re looking for.

 

20: 📑 ( 30 Minutes):  Tintinalli’s Chapter 290 “Psychoses”. (8th Edition: Pages 1969-1972)

 

21: 📑 ( 60 Minutes):  Tintinalli’s Chapter 287 “Acute Agitation”. (8th Edition: Pages 1952-1958)

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Psychiatric Medications

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22. 🗞 (10 Minutes): PulmCrit: “What Does it Mean if a Patient is ‘Allergic’ to Haloperidol?” Website
  • Allergic to Haldol? Is something other than a simple allergy more likely?

 

 23. 🗞 (15 Minutes): PulmCrit: “Recognizing and Managing Paradoxical Reactions from Benzodiazepines and Propofol” Website
  • I gave them sedating medication and they got MORE agitated? What is that about?

 

24. 🔊 (15 Minutes): CrackCast: “Antipsychotics” Website. and iTunes.
  • Rosen’s core content on antipsychotic medications guided by the CrackCast crew.

 

25. 🔊 (20 Minutes): Skeptic’s Guide to Emergency Medicine: “Vitamin H (Haloperidol for Psychosis)” Website. and iTunes.
  • Haldol, it’s part of everyone’s favorite B52, but what does the evidence show for its safety and effectiveness? As always, the SGEM is a great listen to hone your analytical skills when reviewing the literature.

 

26. 🔊 (30 Minutes): CrackCast: “Sedative Hypnotics” Website. and iTunes.
  • Are you getting sleepy reading about Sedative Hypnotics in Rosen’s? The CrackCast crew can fix that!

 

27. 🔊 (40 Minutes): CrackCast: “Antidepressants” Website. and iTunes.
  • Depression and medications for the condition are fairly common, what do you need to know to effectively help these patients?

 

28. 🗞 (45 Minutes): PulmCrit: “Fentanyl Infusions For Sedation: The Opioid Pendulum Swings Astray” Website
  • Step 1: Don’t forget to sedate your post-intubation patient. Step 2: What drip should you choose for that sedation?

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Delerium

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29. 🗞 (15 Minutes): ALiEM: “Assessing and Managing Delirium in Older Adults” Website
  • Who is at risk for delirium? What do they need YOU in the Emergency Department to know?

 

30. 🔊 (20 Minutes): Intensive Care Network: “How I Manage Delerium” Website. and iTunes.
  • Delerium: Ignoring it won’t make it go away… learn how to detect and manage this condition with finesse.

 

31. 🔊 (25 Minutes): CrackCast: “Delirium and Dementia” Website. and iTunes.
  • Dive into Delirium and Dementia with the CrackCast crew guiding you through Rosen’s.

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Addiction

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32. 🗞 (10 Minutes): St. Emlyn’s: “MARSIPAN – Not Just for (Christmas) Cakes: Guidelines for Anorexia” Website
  • What do you need to be aware of in the anorexic patient?

 

33. 🔊 (10 Minutes): EMCases: “Opioid Misuse and Physician Compassion” Website. and iTunes.
  • It can be really hard to remain empathetic when you elements of addiction and opioid abuse come into play, this discussion is a reminder to consider the gravity of addiction in our patients.

 

34. 🗞 (15 Minutes): RebelEM: “Should You Prescribe Oral Thiamine for Chronic Alcoholics?” Website
  • Is there any evidence for oral thiamine prescription for those frequent flyer patients who struggle with alcohol abuse?

 

35. 🔊 (15 Minutes): CoreEM: “Wernicke’s Encephalopathy” Website. and iTunes.
  • Going beyond the classic triad, what should you keep in mind about Wernicke’s?

 

36. 🔊 (20 Minutes): ERCast: “What You Don’t Know About Wernicke’s Encephalopathy” Website. and iTunes.
  • Patient comes in with chronic pain and you want to avoid narcotics? What does the literature show for haloperidol as an alternative when your patient is on chronic opiates?

 

37: 📑 ( 30 Minutes):  Tintinalli’s Chapter 291 “Eating Disorders”. (8th Edition: Pages 1973-1976)

 

38. 🔊 (30 Minutes): SMACC: “Opioids – Pain, Compassion, Addiction, Malingering” Website. and iTunes.
  • We have an opioid epidemic now, how did we get here and how do we escape?

 

39. 🔊 (35 Minutes): ERCast: “Anorexia Nervosa May Not Scare You, but it Should” Website. and iTunes.
  • What should you be prepared for with the patient struggling with Anorexia?

 

40. 🔊 (60 Minutes): EMCases: “Opioid Misuse in Emergency Medicine” Website. and iTunes.
  • A great discussion on EMCases with Reuben Strayer on pitfalls of opioids in modern medicine.

 

41: 📑 ( 90 Minutes):  Tintinalli’s Chapter 292 “Substance Use Disorders”. (8th Edition: Pages 1976-1982)

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Suicide

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42. 🔊 (10 Minutes): CoreEM: “Suicide Assessment” Website. and iTunes.
  • CoreEM gives an overview of what to be aware of when seeing suicidal patients in the Emergency Department.

 

43. 🗞 (15 Minutes): EMDocs: “Emergency Department Tips and Tricks for Managing the Suicidal Patient” Website
  • What should you be thinking about in the first 5-10 minutes with a potentially suicidal patient?

 

44. 🔊 (15 Minutes): CrackCast: “Suicide” Website. and iTunes.
  • The CrackCast crew guides you through Rosen’s chapter covering suicidal patients.

 

45. 🔊 (25 Minutes): ERCast: “Is My Patient Suicidal?” Website. (No Longer Available on iTunes)
  • An in-depth and interesting talk by Dr. Rob Orman on how to manage suicidal patients.

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Atraumatic Joint Pain

(More to come on Joint Pain in Trauma/Ortho II Block as well as Infectious Disease Block)

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46. 🗞 (5 Minutes): ALiEM: “Trick of the Trade: Stimson Technique Using Wrist Restraints” Website
  • Because you can never have too many tricks for shoulder reductions.

 

47. 🗞 (10 Minutes): Brown Coat Nation: “Journal Club: Naproxen with Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain. ” Website
  • Lower back pain comes in all the time to the Emergency Department. What pain medications are effective for these patients?

 

48. 🔊 (10 Minutes): CrackCast: “Tendinitis and Bursitis” Website. and iTunes.
  • CrackCast crew covering Rosen’s chapter on tendinitis and bursitis.

 

49. 🔊 (10 Minutes): CoreEM: “Flexor Tenosynovitis” Website. and iTunes.
  • Great review on flexor tenosynovitis.

 

50. 📽 (10 Minutes): LifeintheFastLane: “FARES Method for Shoulder Reduction” Website.
  • What’s your go-to method for popping shoulders back in to place? Add the FARES technique to your toolbox with the video at LifeintheFastLane.

 

51. 🔊 (10 Minutes): EMRAP: “Intra-articular Lidocaine” Website(Will Require Your EMRAP Login)
  • Local Anesthetic for shoulder reductions? Are there benefits to this procedure? (Hint: Yes!)

 

52. 🗞 (15 Minutes): CoreEM: “Shoulder Dislocation” Website
  • Let the CoreEM team walk you through shoulder reductions.

 

53. 🗞 (15 Minutes): RebelEM: “Acetaminophen vs. Diclofenac vs. Combo for Acute MSK Pain” Website
  • Which medication (or combo) is more effective for musculoskeletal pain?

 

54. 🗞 (15 Minutes): Rebel EM: “Effectiveness of Diazepam Adjunct Therapy in Acute Low Back Pain” Website
  • Benzo’s? Do they add anything to your management of back pain patients?

 

55. 🔊 (30 Minutes): ALiEM: “Atraumatic Low Back Pain: ACEP E-Qual Network Podcast” Website. and iTunes.
  • A great discussion of how to approach back pain and potential pitfalls.

 

56. 🔊 (25 Minutes): St. Emlyn’s: “Induction Podcast. Back Pain in the ED.” Website. and iTunes.
  • Perfect introduction to approaching back pain in the emergency department.

 

57. 🔊 (30 Minutes): ERCast: “Haloperidol for Pain” Website. and iTunes.
  • Patient comes in with that chronic pain and you want to avoid narcotics? What does the literature show for haloperidol as an alternative when your patient is on chronic opiates?

 

58: 📑 ( 60 Minutes):  Tintinalli’s Chapter 284 “Joints and Bursae”. (8th Edition: Pages 1927 – 1936)

 

59: 📑 ( 60 Minutes):  Tintinalli’s Chapter 280 “Shoulder Pain”. (8th Edition: Pages 1894-1900)

 

60. 🔊 (70 Minutes): EMRAP: “C3: Back Pain” Website(Will Require Your EMRAP Login)
  • Seriously, I wish I had an EMRAP C3 for every topic in emergency medicine, fantastic resource!

 

61: 📑 ( 90 Minutes):  Tintinalli’s Chapter 281 “Hip and Knee Pain”. (8th Edition: Pages 1900-1911)

 

62: 📑 ( 90 Minutes):  Tintinalli’s Chapter 279 “Neck and Back Pain”. (8th Edition: Pages 1887-1894)

 

63. 🔊 (90 Minutes): EMCases: “Hand Emergencies Part 1” Website. and iTunes.
  • I’ve got to hand it to them, the EMCases team has handled handling hands handily!

 

64. 🔊 (30 Minutes): EMCases: “Hand Emergencies Part 2” Website. and iTunes.
  • More EMCases Hand discussion.

 

65. 🔊 (90 Minutes): EMCases: “Acute Mono-arthritis” Website. and iTunes.
  • When joints go bad, EMCases has your core content covered.

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Atraumatic Hands and Feet… When they Creak and Leak

(More to come on Joint Pain in Trauma/Ortho II Block as well as Infectious Disease Block)

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66. 🗞 (5 Minutes): EMDocs: “Charcot Joint: What Do Emergency Physicians Need to Know?” Website
  • Charcot joint? What does that look like?

 

67. 🗞 (15 Minutes): BrownCoatNation: “Feeling Argumentative: Packing vs. Not Packing Abscesses” Website
  • To pack or not to pack an abscess, that is the question.

 

68. 🗞 (20 Minutes): EM Docs: “The Hand: An Expedited Examination and Key Points Regarding ED Diagnoses” Website
  • A handy handbook on handling hand patients….

 

69: 📑 ( 40 Minutes):  Tintinalli’s Chapter 285 “Soft Tissue Problems of the Foot”. (8th Edition: Pages 1936 – 1939)

 

 70: 📑 ( 50 Minutes):  Tintinalli’s Chapter 283 “Non-Traumatic Disorders of the Hand”. (8th Edition: Pages 1921- 1927)

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Rheumatic Joint Diseases

See Block 2: Rheumatology for More Options

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71: 📑 ( 90 Minutes):  Tintinalli’s Chapter 282 “Systemic Rheumatic Diseases”. (8th Edition: Pages 1911-1921)

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