EMGuidewire's Podcast
by EMGuideWire Team - From Carolinas Medical Center Emergency Medicine Residen
Join the faculty and residents of Carolinas Emergency Medicine Residency Program, one of the oldest programs in the country, as they explore some of the Core Concepts of Emergency Medicine as well as many of the niche environments of this important arena of specialty care.
Episodes
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Senior Residents' Reflections and Perspectives
Join the EMGuidewire crew as Dr. Diurba and Dr. Folk reflect upon their residency experience and the initiation of the Intern Nuggets episodes while, of course, discussing some important tips and tricks they learned along the way.
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Intern Nuggets '24: A-fib and A-flutter
Join the team from EMGuidewire from CMC Emergency Medicine Residency for another Intern Nuggets! In this episode, Drs. Crow and Lim discuss some tips on how they have approached the first half of their intern years as well as review management of Atrial Fibrillation and Atrial Flutter.
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Intern Nuggets '23 #1 - Agitation Management Tips
Join the crew from Carolinas Medical Center Emergency Medicine (@CMCEM) and EMGuidewire (@EMGuidewire) as they introduce a new group of interns as they discuss some of the first lessons they have learned about Agitation Management in the ED.
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Intern Nuggets #4 2023: Myositis
Join the EMGuidewire team from Carolinas Medical Center's Emergency Medicine Residency Program as Drs. Calienes Cerpa and Bissell gather together to discuss another great case filled with learning points. In this episode, they review myositis in a pediatric patient.
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Intern Nuggets #3 2023: Heart Blocks
Join the EMGuideWire team from Carolinas Medical Center, Emergency Medicine Residency, as Drs. Calienes and Bissell discuss Heart Blocks.
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Quick Cases with Drs. Diurba and Folk - Septic Pulmonary Emboli
Join the crew from Carolinas Medical Center's Emergency Medicine Residency and EMGuidewire as they discuss some interesting cases with Drs. Sofiya Diurba and Destiny Folk. This episode deals with a complex, critically ill adult who has septic pulmonary emboli.
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Quick Cases with Drs. Diurba and Folk - Critical Pediatric Case
Join the crew of EMGuidewire and the Residents and Faculty at Carolinas Medical Center Emergency Medicine Residency as they learn along with Drs. Sofiya Diurba and Destiny Folk. In this episode, Drs. Folk and Diurba will discuss an educational Pediatric Case that involves some critical decisions!
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Intern Nuggets 2022 #2 Self Care and Migraine Cocktails
Join the EMGuidewire team from Carolinas Medical Center's Emergency Medicine Residency Program as Drs. Bissell and Calienes Cerpa discuss some more important topics in their Intern Nuggets series. In this episode, they address some important Self Care issues that all interns (and likely everyone)...
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Resident Wellness Proactive Counseling
Join Drs. Diurba and Folk and the EMGuidewire team from @CMCEM as they begin an important conversation regarding Resident and Physician Wellness. If we exercise our bodies to remain physically healthy, shouldn't we exercise our emotional selves as well? Perhaps some proactive counseling sessions...
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Intern Nuggets 2022 #1 Palpitations
Join the EMGuideWire's team as they celebrate the beginning of the new academic year by introducing us to two new interns who will be taking over the Intern Nuggets! Drs. Calienes and Dr. Bissell take over the task of discussing interesting cases that they have encountered during the start of…
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Pediatric Pain Management - EMSC Improvement Project
Join the EMGuidewire team and Drs. Allen and Fox from Carolinas Medical Center as they discuss tips for Mitigating Anxiety and Pain in the Pediatric patient. This episode is published in concert with EMSC Innovation and Improvement Center. The Emergency Medical Services for Children Innovation…
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Intern Nuggets #7: SAEM Learning Points
Join the EMGuidewire team from Carolinas Emergency Medicine Residency as Drs. Diurba and Folk discuss their favorite learning points from this year's SAEM scientific assembly conference.
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Intern Nuggets #6: Reversal of Anticoagulants
Join Drs. Diurba and Folk, stellar Carolinas Medical Center Emergency Medicine Interns, and the EMGuidewire team as they discuss various reversal options for the numerous anticoagulants that exist today.
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Intern Nuggets #5: Altered Mental Status
Join Drs. Folk and Diurba, Emergency Medicine Interns enjoying their training at Carolinas Medical Center, as they discuss a case of Altered Mental Status with the EMGuidewire Team!
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Intern Nuggets #4: Beer Potomania and Hyponatremia
Join Drs. Folk and Diurba, Emergency Medicine Interns enjoying their training at Carolinas Medical Center, as they discuss Beer Potomania and Hyponatremia with the EMGuidewire Team!
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Intern Nuggets #3: Approach to Complex Patients and Feedback and Avoiding Burnout
Join the EMGuidewire team as Drs. Folk and Diurba explore another episode of INTERN NUGGETS! In this episode, they discuss an approach to the medically complex patient as well as giving and receiving feedback. They also explore the extremely important topic of burnout and ways to avoid it.
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Occlusive Myocardial Infarction Intro
Join the team from EMGuideWire from Carolinas Medical Center as Dr. Clare Gunn gets to chat with Dr. Pendell Meyers about the challenges of relying on the STEMI paradigm and what other factors to consider when evaluating patients for Occlusive Myocardial Infarctions (OMI).
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Tension Pneumoperitoneum: More Than Bad Belly Pain
Join the @EMGuideWire team from @CMCEM as they learn from former Chief Resident, Dr. Rushnell, how to manage the complex condition of Tension Pneumoperitoneum.
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Pediatric DVT and PE
Join the EMGuideWire team from the CMC EM Residency Program as we welcome back Dr. Rushnell, prior CMC EM Chief Resident, to discuss the challenging topic of Pediatric DVT and PE.
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Guillain–Barré Syndrome
Join the EMGuideWire Team from Carolinas Medical Center (@CMCEM) and Dr. Mark Kastner and Dr. Matthew Cravens in the Chief's Corner as they discuss the presentation and diagnosis of the challenging diagnosis of Guillain–Barré Syndrome.
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Intern Nuggets #2: Sign-out Tips and Pediatric Dehydration and BRUE
Join the crew from EMGuidewire as they are joined, once again, by Drs. Diurba and Folk for their unique perspectives from an intern's point of view. This month's Intern Nugget will cover sign-out and transition of care tips as well as some learning point on pediatric dehydration management and BRUE.
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4 Factor PCC in Trauma
Join the EMGuideWire Team as they welcome back Dr. Chelsea Rushnell, prior Chief Resident at CMC Emergency Residency, to discuss the management of the anticoagulated trauma patient. Perhaps just flooding individuals with FFP is not the best strategy. Dr. Rushnell will review the evidence for the...
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Intern Nugget #1: Imposter Syndrome, Complex Regional Pain Syndrome, and Analgesia Options
Join the EMGuideWire team from CMC EM residency as they hear a fresh perspective... from newly minted residency Interns, Drs. Destiny Folk and Sofiya Diurba. For this Intern Nugget, they address: 1) Imposter Syndrome and how to overcome it. 2) Complex Regional Pain Syndrome and how to manage it.…
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Penetrating Cardiac Trauma
Join the EMGuidewire team at Carolinas Medical Center Emergency Medicine program as they discuss important topics. This week, Drs. Cravens and Kastner discuss Penetrating Cardiac Injury (PCI): -The diagnosis of PCI is made in the trauma bay with repeat cardiac ultrasound exams and chest x-ray. If...
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Diabetic Ketoacidosis Emergent Management
Join the EMGuideWire Team from CMC EM group as they explore the initial thoughts and management of a patient who presents with severe Diabetic Ketoacidosis (DKA). For this episode, Drs. Claire Milam and Travis Barlock explore the initial considerations and practical management tips. Definitions…
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Posterior Eye Pathology Core Concepts
Join the Drs. Ray and Barlock from the EMGuideWire team as the discuss the initial assessment and evaluation of some ocular complaints with specific attention to pathology of the Posterior Eye. SHOWNOTES: Key Points Always get visual acuity for any eye complaint Swinging flashlight test can help...
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Severe Asthma Management in the ED
Join the EMGuidewire team as Drs. Serven and Blackwell discuss the management of the patient presenting with Severe Status Asthmaticus in the Emergency Department. Don't forget to review the basic concepts that were published earlier... this time the focus is on the critically ill patient.
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Trauma Assessment
Join the EMGuidewire Team as they address how to prepare for the arrival of a trauma patient in your Emergency Department. Drs. Serven and Blackwell from Carolinas Medical Center Emergency Medicine Residency Program will give us some insight and pearls on how to manage the potential chaos.
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Airway Management Preparation
Join the EMGuideWire team as Drs. Serven and Shreve are joined by Dr. Trigonis to discuss simple strategies to make sure your room is set up and you are prepared for performing an emergent intubation on your patients in the Emergency Department. Shownotes - Once through start to finish: Set up...
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Pulmonary Edema and Hypertension
Join Drs. Alyssa Thomas and Victoria Serven from Carolinas Medical Center Emergency Medicine Residency Program and the EMGuideWire Team as they discuss how they initially evaluate and manage the patient who present with acute pulmonary edema and hypertension.
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Point of Care Ultrasound for COVID-19 Patients
Join the EMGuideWire team as they explore the use of Point-of-Care Ultrasound for the evaluation of patients with possible COVID-19 infection. Dr. Patrick Lam, from the Carolinas Medical Center Department of Emergency Medicine Department Division of Ultrasound, will guide us on the techniques and...
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Healthcare Disparities and COVID Pandemic
Join EMGuideWire team as they listen in to EM Residency Conference at Carolinas Medical Center (in Charlotte, NC) and learn from Emily MacNeill, MD as she discusses "What Happens When a Disease Management System Crashes into a Public Health Crisis."
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Neurologic Manifestations and Complications of COVID-19
Join the EMGuideWire team as they learn from one of the world's foremost experts in neurologic emergencies, Dr. Andrew Asimos. This episode will address the Neurologic Manifestations and Complications of the COVID-19 Infection.
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Hydroxychloroquine Toxicity
Join the EMGuideWire team as they listen to Dr. Geib discuss how to recognize and manage Hydroxychloroquine toxicity, which may become more prevalent during the current COVID-19 pandemic.
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ARDS Management during COVID 19
Join the EMGuideWire team as they learn from Critical Care fellow, Dr. Russell Trigonis while he addresses the important aspects of managing ARDS in patients with COVID-19 infections.
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Trauma and Pregnancy
OB Trauma Core Concepts Physiologic changes of pregnancy: physiologic anemia, decreased SVR, increased HR, increased RR, and pelvic vessel engorgement Traumatic complications: placental abruption, preterm labor (PTL), uterine rupture, and pelvic fx Abruption triad = abd pain, large for dates...
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Ludwig's Angina
Join the EMGuideWire Crew from CMC EM Residency Program as they discuss Ludwig's Angina and the management Priorities!!! BACKGROUND Angina = "Strangling" Bilateral infection of submental, submandibular, and sublingual spaces 70-85% of cases arise from odontogenic source Periapical abscesses of...
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SVC Syndrome
Join the EMGuideWire team as they discuss Superior Vena Cava Syndrome! Shownotes: Definition: Any condition leading to obstruction of blood flow through the SVC Pathophysiology: Pathology in adjacent anatomy (lung, lymph node, thymus, mediastinum) or within the SVC itself obstructs venous return…
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NonFatal Strangulation and Domestic Violence
October was Domestic Violence month and in an effort to help highlight this very important topic, join Drs. Salzman, Dragoo, and Richardson from Carolinas Emergency Medicine Residency while they discuss the very important presentation of Strangulation. This is not a mere gesture of power, it may…
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Running a Code
Join the EMGuideWire crew as they discuss some tips and pearls on how to skillfully run a medical resuscitation. Pearls Preparation is everything. Get your staff, and get your stuff! Call out names, be redundant, and say what you are thinking out loud. Don't go for the tube! Supraglottic airways...
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Sepsis Management in the ICU
The EMGuideWire Team is visited by a prior crew member, Russell Trigonis, MD! Join them as they discuss how the patient diagnosed with Sepsis in your ED has their care continued in the ICU! Pearls Start pressors with IVF (30-40cc/kg). NE at 7mcg/min peripherally can always be stopped, but better...
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Pediatric Sepsis
It it the end of Sepsis Awareness Month, but there is a BONUS Monday (Sept. 30th), so why not a BONUS episode! Join the EMGuideWire Team as they explore the challenges the children bring to this clinical condition. Let's review Pediatric Sepsis! Pearls: Screening should be age adjusted. Identify...
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Guided Resuscitation for Sepsis
Join the EMGuideWire Crew as they continue to explore the High Yield management points for Sepsis! This week's Episode's Pearls: Early fluids save lives. Give 40cc/kg bolus in first 3 hours. But don't fluid overload the patient! U/S the heart and lungs: A plethoric IVC, immobile mitral valve, and…
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Antibiotics for Sepsis
Join the EMGuideWire crew once again for this month's series on Sepsis in honor of Sepsis Awareness month. Episode 3 will cover antibiotic use and selection. Antibiotics for Sepsis Take a history and perform a chart biopsy first! Consider past infections, bug susceptibilities, healthcare acquired...
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Fluids in Sepsis
Sepsis Awareness Month continues! Join the EMGuideWire Team as they dive into the issues of Fluid selection for resuscitation. 1) Fluids are not all created equal. Use balanced fluids for large volume resuscitation. 2) Lactated Ringers is likely the best choice available in the ED. Plasmalyte is...
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Sepsis Definitions
Join the EMGuideWire Team,from Carolinas Emergency Medicine Residency Program in Charlotte, NC, as they explore the critical core concepts on the important topic of Sepsis. In this first episode, the team will discuss the definitions of Sepsis. Pearls: Sepsis is a dysregulated systemic…
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Sepsis Awareness Month Core Concepts
Join the EMGuideWire Team, from Carolinas Emergency Medicine Residency Program in Charlotte, NC, as they explore the critical core concepts on the important topic of Sepsis. Over the course of September, Sepsis Awareness Month, the group will cover a variety of high-yield points to help make us…
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Thyroid Storm and Thyrotoxicosis
Join the EMGuideWire team from Carolinas Medical Center Emergency Medicine Residency Program as they discuss the challenging condition of thyrotoxicosis and thyroid storm! From evaluation to management, this critical state requires our respect and attention!
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Skin Soft Tissue Infections
Join the EMGuideWire crew as they explore the various skin and soft tissue infections that are commonly encountered and considered in the Emergency Department. While some may be minor, like furuncles, others can be life-threatening, like necrotizing fasciitis.
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Pediatric Difficult Airway Review
Join the EMGuideWire Team as they explore the Basic Principles that must be considered when managing a pediatric airway. Knowledge of the anatomic and physiologic differences that exist between adults and children is paramount! Assuming that all pediatric airways are going to be "difficult" may...
About this show
Join the faculty and residents of Carolinas Emergency Medicine Residency Program, one of the oldest programs in the country, as they explore some of the Core Concepts of Emergency Medicine as well as many of the niche environments of this important arena of specialty care.
Hosted by
EMGuideWire Team - From Carolinas Medical Center Emergency Medicine Residen