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ERCAST

Welcome to ERCast, a focused discussion on the questions, quagmires and known unknowns we face everyday in the emergency department.

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Apr 17, 2018

A few weeks ago, a post on Clay Smith’s Journal Feedabout the new IDSA C diff guidelines caught my attention (specifically, that metronidazole is no longer recommended as first line therapy). Whuut? I tweeted this and @medquestioningtweeted back, "Need to dig to see why they dropped metro in the bucket." Yes,...


Apr 3, 2018

The link you want is right below.

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If you’re new to the show, let me tell you what it's all about. I am a community emergency doc and have been at the job for about 20 years. In that time, I've found that the expectations placed on us are ridiculous: the stress, patient...


Mar 21, 2018

Walker Foland is an emergency physician practicing in Michigan and in this episode breaks down why pseudoseizures, now termed PNES (Psychogenic Nonepileptic Seizures), are a real disease.

 

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Are patients with PNES ‘faking it’?

  • PNES is a conversion disorder: an unconscious...


Mar 12, 2018

Joe Habbousche is the CEO of MDCalc, the world's most used online medical calculator. Chances are, you've used it yourself. Joe is a passionate advocate for the practice of evidence based medicine and the proper use of clinical decision tools. In this episode, we dissect one of his favorites: the Canadian CT Head...


Mar 5, 2018

In the edition of the Ercast journal club

  • thrombectomy in pts with delayed stroke presentation shows promise
  • beware behavioral changes after procedural sedation
  • kids with isolated linear skull fractures have a good short term prognosis
  • procalcitonin may help decrease abx use in respiratory infections
  • steroids in mild...