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: 08/05/18
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


Upper GI

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1. 🔊 (5 Minutes): EMRAP: “Paper Chase 3 – Haloperidol: The Once and Future King of HUGS ” Website(Will Require Your EMRAP Login)
  • Diabetic gastroparesis, we know it, we love it, we love treating it… haha… but for those of use looking for other tools to add to the tool box, give this a listen


2. 🗞 (5 Minutes): Don’t Forget the Bubbles: “GastroEsophageal Reflux Disease in Infants” Website
  • Is that baby just spitting up? Or is there something more that we can do?


3. 🗞 (10 Minutes): SinaiEM: “Troubleshooting PEG Tubes” Website
  • Hey, accidents happen. Sometimes that tube gets pulled, clogged, or just plain doesn’t work. What do you do?


4. 🗞 (10 Minutes): St.Emlyn’s: “JC: More on alcohol sniffing and nausea.” Website
  • Smelling alcohol pads vs ondansetron… ready… FIGHT!


5. 🗞 (10 Minutes): REBELEM: “Button Battery Ingestion” Website
  • Kids and sleep deprived residents alike tend to put things in their mouths they probably shouldn’t. Sometimes you need to do something about it.


6. 🗞 (10 Minutes): REBELEM: “Question Tradition: Glucagon for Food Boluses” Website
  • This still floats around Emergency Departments as a treatment option, but is it the right thing to do?


7. 🗞 (10 Minutes): CoreEM: “Upper GI Bleeding” Website
  • Real simple breakdown. Upper GI Bleeds.


8. 🗞 (10 Minutes): ALiEM: “Upper Gastrointestinal Bleeding: Evidence-Based Treatment” Website
  • For those who prefer that ALiEM style.


9. 🗞 (15 Minutes): EMDocs: “Gastric Volvulus: ED Presentation, Evaluation, and Management” Website
  • How to recognize it, how to work it up, and what to do with it.


10. 🗞 (15 Minutes): EMDocs: “Troubleshooting G-tube & J-tubes: Common scenarios / Tips & Tricks” Website
  • Comes up more than you realize. Handle it like a pro.


11. 🗞 (15 Minutes): EMCrit: “Ultrasound-guided Blakemore tube placement” Website
  • Something so important, make sure you do it right.


12. 🗞 (20 Minutes): EMDocs: “Gasteroenteritis Mimics: What should the emergency physician consider?” Website
  • Gastroenteritis, so common, but not as common as you think. Make sure you don’t miss these.


13. 📽 (20 Minutes): EMCrit: “Sengstaekn-Blakemore Tube Placement” Website.
  • Always unsettling when your patient is filling bag after bag with bright red bloody vomit. Do you know how to use this life-saving tool?


14. 🔊 (25 Minutes): FoamCast: “Pneumoperitoneum, Gastritis, and PUD” Website. and iTunes.
  • Solid podcast with some good pearls, Rosen’s review, and core content.


15. 🔊 (25 Minutes): CrackCast: “Gastroenteritis” Website.
  • Our friends from the north go through a Rosen’s chapter and break it down into easy to remember pearls.


16: 📑 ( 25 Minutes):  Tintinalli’s Chapter 72 “Nausea and Vomiting”. (8th Edition: Pages 489-492)


17. 🔊 (30 Minutes): Emergency Medicine Cases: “GI Bleed Emergencies Part 2” Website. and iTunes.
  • Listed out of order because we’re sorting here by length… don’t forget to listen to Part 1.


18: 📑 ( 30 Minutes):  Tintinalli’s Chapter 75 “Upper Gastrointestinal Bleeding”. (8th Edition: Pages 503-506)


19. 🔊 (35 Minutes): SGEM: “Gastroparesis — I Feel Like Throwing Up” Website.
  • Haldol for gastroparesis? You don’t say…


20: 📑 ( 45 Minutes):  Tintinalli’s Chapter 78 “Peptic Ulcer Disease and Gastritis”. (8th Edition: Pages 514-517)


21: 📑 ( 60 Minutes):  Tintinalli’s Chapter 77 “Esophageal Emergencies”. (8th Edition: Pages 508-514)


22. 🔊 (90 Minutes): Emergency Medicine Cases: “GI Bleed Emergencies Part 1” Website. and iTunes.
  • How do you distinguish between upper and lower GI bleed? Is fecal occult blood testing helpful? When to transfuse? What about fibrinogen levels? Holy cow should I give them TXA?




Lower GI

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23. 🗞 (10 Minutes): CoreEM: “Antibiotics vs Observation in Uncomplicated Diverticulitis” Website
  • When do you need to treat and when can you wait and see? I think social situation and likelihood of follow-up play heavily on our decision process, but what if…


24. 🗞 (10 Minutes): LITFL: “Tropical Travel Trouble” Website.
  • Short and sweet review for a definitively not-sweet thing to experience


25. 🗞 (10 Minutes): EMDocs: “US Probe: Ultrasound for Small Bowel Obstruction” Website.
  • I don’t know that I’d run to surgery and say “they have SBO, I saw it on US…” But maybe another tool to help guide your differential.


26. 🗞 (15 Minutes): EMCrit: “CT Angiogram for evaluation of severe hematochezia” Website.
  • Definitely do not do if your patient is unstable… really hate coding in the CT scanner… but if they’re stable and you can’t decide if this is upper or lower GI, maybe discuss this with our GI friends. Especially if the patient is going to be boarding for a while anyway.


27. 🗞 (20 Minutes): EMDocs: “Post-Colonoscopy Complications” Website.
  • “Doc, they did the colon camera yesterday, now I have….”


28. 🗞 (20 Minutes): EMDocs: “Portal Vein Thrombosis: A Primer for Emergency Medicine Physicians” Website.
  • Good review, great pearls, get some.


29: 📑 ( 20 Minutes):  Tintinalli’s Chapter 74 “Constipation”. (8th Edition: Pages 500-503)


30: 📑 ( 20 Minutes):  Tintinalli’s Chapter 82 “Diverticulitis”. (8th Edition: Pages 536-538)


31: 📑 ( 25 Minutes):  Tintinalli’s Chapter 76 “Lower Gastrointestinal Bleeding”. (8th Edition: Pages 506-508)


32: 📑 ( 25 Minutes):  Tintinalli’s Chapter 83 “Bowel Obstruction”. (8th Edition: Pages 538-541)


33: 📑 ( 25 Minutes):  Tintinalli’s Chapter 84 “Hernias”. (8th Edition: Pages 541-545)


34. 🔊 (25 Minutes): CrackCast: “Anorectal Disorders” Website.
  • Don’t want to read Rosen’s chapter on anorectal disorders? These guys did it for you!


35. 🔊 (25 Minutes): CrackCast: “Small Intestine” Website.
  • At least it’s not anorectal anymore…


36. 🔊 (30 Minutes): CrackCast: “Large Intestine” Website.
  • Those Canadians and their Rosen’s… bless them.


37: 📑 ( 90 Minutes):  Tintinalli’s Chapter 73 “Disorders Presenting Primarily With Diarrhea”. (8th Edition: Pages 492-500)


38: 📑 ( 120 Minutes):  Tintinalli’s Chapter 85 “Anorectal Disorders”. (8th Edition: Pages 545-563)




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39. 🗞 (5 Minutes): Brown Coat Nation: “Inconceivable: Liver Function Tests” Website
  • You keep using that word… I do not think it means what you think it means…


40. 🗞 (10 Minutes): CoreEM: “Should All Admitted Patients with Ascites Get a Paracentesis?” Website
  • Help a hospitalist out, get that diagnostic tap.


41. 🔊 (10 Minutes): CoreEM: “Spontaneous Bacterial Peritonitis” Website.
  • I told you to get that diagnostic tap… now what should we do with it?


42. 🗞 (15 Minutes): EMCrit: “Secondary Bacterial Peritonitis” Website
  • Secondary to what? … exactly. Once you’ve discovered bacteria in the ascites, your work isn’t done. Where did the bacteria come from???


43. 🗞 (15 Minutes): EMDocs: “Budd Chiari Syndrom: ED Presentation, Evaluation, and Management” Website
  • Good review on something we don’t see as often.


44. 🗞 (20 Minutes): EMCrit: “Coagulopathy management in the bleeding cirrhotic: Seven Pearls and One Crazy Idea” Website
  • Admit it… you want to know what the crazy idea is.


45: 📑 ( 90 Minutes):  Tintinalli’s Chapter 80 “Hepatic Disorders”. (8th Edition: Pages 525-532)





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46. 🔊 (10 Minutes): CoreEM: “Acute Cholecystitis” Website.
  • Pretend you’re running away from a gallbladder while listening to this on a treadmill. Won’t help you run faster, just wanted to see if you’d actually do it.


47. 🔊 (10 Minutes): CoreEM: “Acute Cholangitis” Website.
  • Short and simple review for your ear holes.


48. 📽  (10 Minutes): LITFL: “The biliary system and cholecystitis” Website
  • Clean review WITH VIDEOS of an extremely common presentation. Has some ultrasound teaching to make it even better.


49. 🗞 (15 Minutes): EMDocs: “Cholangitis: Pearls and Pitfalls” Website
  • Maybe you like a case to go with your review? EMDocs has you covered.


50: 📑 ( 60 Minutes):  Tintinalli’s Chapter 79 “Pancreatitis and Cholecystitis”. (8th Edition: Pages 517-525)




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51. 🔊 (10 Minutes): EMRAP: “Sugar Up, PE Home, O2 Cranked” Website(Will Require Your EMRAP Login)
  • EMRAP goes over an article from Annals of Emergency Medicine. Antibiotics instead of surgery for appendicitis, will it become the new norm?


52. 📽 (15 Minutes): MGH Ultrasound: “Ultrasound Diagnosis of Appendicits” Website.
  • The folks out of Massachusetts General Hospital walk through ultrasound evaluation of appendicitis.


53. 🔊 (20 Minutes): CrackCast: “Appendicitis ” Website.
  • Rosen’s chapter review in audio form from our Canadian colleagues


54: 📑 ( 30 Minutes):  Tintinalli’s Chapter 81 “Acute Appendicitis”. (8th Edition: Pages 532-535)





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55. 🗞 (10 Minutes): CoreEM: “Acute Pancreatitis” Website
  • Simple review for what ails that pancreas


56. 🗞 (10 Minutes): Rebel EM: “Acute Pancreatitis” Website
  • Review for those rebels out there


57. 🗞 (15 Minutes): EMCrit: “The myth of large volume resuscitation in acute pancreatitis” Website
  • But I was taught in med school… oh you mean I may have actually been hurting… hmmm…


58. 🔊 (20 Minutes): CrackCast: “Pancreas” Website.
  • Friends from the north break down Rosen’s chapter on our friend the pancreas.



Abdominal Potpourri

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59: 📑 ( 90 Minutes):  Tintinalli’s Chapter 71 “Acute Abdominal Pain”. (8th Edition: Pages 481-489)


60: 📑 ( 40 Minutes):  Tintinalli’s Chapter 86 “Gastrointestinal Procedures and Devices”. (8th Edition: Pages 563-567)


61: 📑 ( 60 Minutes):  Tintinalli’s Chapter 87 “Complications of General Surgery Procedures”. (8th Edition: Pages 567-574)