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TamingtheSRU

UC Department of Emergency Medicine

4
Followers
2
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TamingtheSRU

TamingtheSRU

UC Department of Emergency Medicine

4
Followers
2
Plays
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About Us

www.tamingthesru.com - Free. Open-Access. Focused on Emergency Medicine, critical care and prehospital medicine, as well as practice algorithms and decreasing knowledge translation in Med Ed.

Latest Episodes

A Trio of Ketamine

A dive into 3 articles looking at the use of ketamine in the Emergency Department. 01:23 - Slow vs rapid infusion of ketamine for pain control in the ED 13:42 - Hemodynamic effects of ketamine vs etomidate for RSI 21:59 - Effect of versed or haldol vs placebo for emergence agitation in ketamine procedural sedation

27 minSEP 9
Comments
A Trio of Ketamine

Updates in Pediatric Cardiac Arrest

We recap 3 recently published articles that look at various aspects of caring for pediatric cardiac arrest patients. Is Epi helpful? Therapeutic hypothermia or normothermia - which is better? Is old school lidocaine better than amiodarone?

23 minMAY 6
Comments
Updates in Pediatric Cardiac Arrest

What to Do about the Flu?

In this podcast, we recap our most recent journal club which look at 3 papers on the topic on influenza. One recently published in the BMJ looking at usual care vs oseltamivir for community treatment of influenza-like illness, one looking at baloxavir for treatment of influenza, and a 3rd paper looking at the association of cardiovascular events and influenza infections.

32 minFEB 28
Comments
What to Do about the Flu?

Intrathecal Baclofen Withdrawal - Research Corner

In this latest episode of our Research Corner series, Dr. Hill sits down with PGY-3 Adam Gottula, MD and Amanda Peck, PharmD to discuss their recently published case report describing the use of dexmedetomidine for the management of acute intrathecal baclofen withdrawal. The discussion encompasses the mechanisms of action of baclofen, dexmedetomidine, and how dexmedetomidine might be useful in the management of these complex patients.

13 minFEB 4
Comments
Intrathecal Baclofen Withdrawal - Research Corner

Prehosptial Stroke Triage Research Corner

Over the past 5 years, there has been a dramatic expansion of the treatment strategies used to treat patients with acute ischemic stoke. As some of these treatments involve specific resources only available at certain institutions, appropriate triage of patients in the prehospital environment is becoming ever important. On one hand a patient who would best benefit from endovascular treatment triaged to a center without that capability will undoubtedly suffer a delay in care. On the other hand, over-triaging stroke patients to a comprehensive stroke center could overwhelm the resources of that center, potentially impacting the care of patients at that center. In the podcast below, we talk with Dr. Jason McMullan of the UC EM Division of EMS and Dr. James Li, PGY-3 who both have recent publications focusing on this phase of patient care.

15 min2019 NOV 5
Comments
Prehosptial Stroke Triage Research Corner

No Lung, No Problem! - VV ECMO

Transporting a VV ECMO and sweating? Hearing beeps in your sleep and fearing the flow alarm? Bolster your VV ECMO knowledge with Dr. Liz Powell and Paige Barger interviewed by Dr. Adam Gottula.

26 min2019 OCT 21
Comments
No Lung, No Problem! - VV ECMO

Sepsis Roundup - Journal Club Recap

We recap a trio of recent articles looking into various aspects of the care and management of patients with sepsis. Are balanced fluids truly better than plain old normal saline? Are steroids a friend or foe in patients with severe sepsis? Can assessing capillary refill really be better than drawing repeat lactates?

27 min2019 OCT 4
Comments
Sepsis Roundup - Journal Club Recap

Heat Emergencies - 2019 Updates with Dr. Mel Otten

Dr. Mel Otten, tox and wilderness guru and past president of the Wilderness Medical Society, takes us through his new 2019 WMS Guidelines on the prevention and treatment of heat illness.

16 min2019 AUG 28
Comments
Heat Emergencies - 2019 Updates with Dr. Mel Otten

Controversies in Kidney Stones

Flank pain and pain due to ureterolithiasis are common ED presentations. There exist, however, a number of controversies when you dive into the literature addressing the diagnosis and treatment of nephrology/ureterolithiasis. Is IV lidocaine effective at treating pain in these patients? Is there a way to avoid CT scans? What about tamsulosin? Is it only good for big stones/small stones? Is there a benefit at all. For our most recent Journal Club, we tackled several of these controversies.

17 min2019 AUG 8
Comments
Controversies in Kidney Stones

ROSC with No STEMI

Should patient who have a V fib or V tac cardiac arrest take a trip to the cardiac Cath lab even if their post-ROSC EKG shows no evidence of ST-elevation? Drs Ham, Habib, and Klaszky breakdown several articles that address this clinical question and then we speak with Dr. Justin Benoit, the site PI for the ongoing ACCESS trial which is also looking into this question

22 min2019 JUN 30
Comments
ROSC with No STEMI

Latest Episodes

A Trio of Ketamine

A dive into 3 articles looking at the use of ketamine in the Emergency Department. 01:23 - Slow vs rapid infusion of ketamine for pain control in the ED 13:42 - Hemodynamic effects of ketamine vs etomidate for RSI 21:59 - Effect of versed or haldol vs placebo for emergence agitation in ketamine procedural sedation

27 minSEP 9
Comments
A Trio of Ketamine

Updates in Pediatric Cardiac Arrest

We recap 3 recently published articles that look at various aspects of caring for pediatric cardiac arrest patients. Is Epi helpful? Therapeutic hypothermia or normothermia - which is better? Is old school lidocaine better than amiodarone?

23 minMAY 6
Comments
Updates in Pediatric Cardiac Arrest

What to Do about the Flu?

In this podcast, we recap our most recent journal club which look at 3 papers on the topic on influenza. One recently published in the BMJ looking at usual care vs oseltamivir for community treatment of influenza-like illness, one looking at baloxavir for treatment of influenza, and a 3rd paper looking at the association of cardiovascular events and influenza infections.

32 minFEB 28
Comments
What to Do about the Flu?

Intrathecal Baclofen Withdrawal - Research Corner

In this latest episode of our Research Corner series, Dr. Hill sits down with PGY-3 Adam Gottula, MD and Amanda Peck, PharmD to discuss their recently published case report describing the use of dexmedetomidine for the management of acute intrathecal baclofen withdrawal. The discussion encompasses the mechanisms of action of baclofen, dexmedetomidine, and how dexmedetomidine might be useful in the management of these complex patients.

13 minFEB 4
Comments
Intrathecal Baclofen Withdrawal - Research Corner

Prehosptial Stroke Triage Research Corner

Over the past 5 years, there has been a dramatic expansion of the treatment strategies used to treat patients with acute ischemic stoke. As some of these treatments involve specific resources only available at certain institutions, appropriate triage of patients in the prehospital environment is becoming ever important. On one hand a patient who would best benefit from endovascular treatment triaged to a center without that capability will undoubtedly suffer a delay in care. On the other hand, over-triaging stroke patients to a comprehensive stroke center could overwhelm the resources of that center, potentially impacting the care of patients at that center. In the podcast below, we talk with Dr. Jason McMullan of the UC EM Division of EMS and Dr. James Li, PGY-3 who both have recent publications focusing on this phase of patient care.

15 min2019 NOV 5
Comments
Prehosptial Stroke Triage Research Corner

No Lung, No Problem! - VV ECMO

Transporting a VV ECMO and sweating? Hearing beeps in your sleep and fearing the flow alarm? Bolster your VV ECMO knowledge with Dr. Liz Powell and Paige Barger interviewed by Dr. Adam Gottula.

26 min2019 OCT 21
Comments
No Lung, No Problem! - VV ECMO

Sepsis Roundup - Journal Club Recap

We recap a trio of recent articles looking into various aspects of the care and management of patients with sepsis. Are balanced fluids truly better than plain old normal saline? Are steroids a friend or foe in patients with severe sepsis? Can assessing capillary refill really be better than drawing repeat lactates?

27 min2019 OCT 4
Comments
Sepsis Roundup - Journal Club Recap

Heat Emergencies - 2019 Updates with Dr. Mel Otten

Dr. Mel Otten, tox and wilderness guru and past president of the Wilderness Medical Society, takes us through his new 2019 WMS Guidelines on the prevention and treatment of heat illness.

16 min2019 AUG 28
Comments
Heat Emergencies - 2019 Updates with Dr. Mel Otten

Controversies in Kidney Stones

Flank pain and pain due to ureterolithiasis are common ED presentations. There exist, however, a number of controversies when you dive into the literature addressing the diagnosis and treatment of nephrology/ureterolithiasis. Is IV lidocaine effective at treating pain in these patients? Is there a way to avoid CT scans? What about tamsulosin? Is it only good for big stones/small stones? Is there a benefit at all. For our most recent Journal Club, we tackled several of these controversies.

17 min2019 AUG 8
Comments
Controversies in Kidney Stones

ROSC with No STEMI

Should patient who have a V fib or V tac cardiac arrest take a trip to the cardiac Cath lab even if their post-ROSC EKG shows no evidence of ST-elevation? Drs Ham, Habib, and Klaszky breakdown several articles that address this clinical question and then we speak with Dr. Justin Benoit, the site PI for the ongoing ACCESS trial which is also looking into this question

22 min2019 JUN 30
Comments
ROSC with No STEMI
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