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Medical Cases Podcast

Medical Cases Podcast is a medical variety show whose target audience includes Internal Medicine and Emergency Medicine residents, medical students and foreign medical graduates. Podcasts will be 1 of 4 types: knowledge pearls (KP), clinical pearls (CP), board review (BR) and cases.
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Now displaying: December, 2016

Medical Cases Podcast - EM/IM/Critical Care

Dec 23, 2016

 

 

A special short episode just in time for Christmas. Here we review an article published in The BMJ entitled "Dispelling the nice or naughty myth: retrospective observational study of Santa Claus."

This article, while funny, was also touching.

As healthcare providers we are constantly surrounded by death, negativity and people at their worst. We sometimes focus on the medicine and forget the human aspect. Even worse, we are sometimes 'forced' into customer service roles, relegating ourselves to be servants of our patients. However, we must keep in mind that while it can be tough in the hospital, we are still taking care of mothers, brothers and children that are beloved by their families. So while you are working your long night shift on Christmas - or while you are away from your family taking care of someone else's, try to spread some Christmas joy and cheer, in the hospital.  

 

Best holiday wishes,

From the MCP

 

 

 

Sources: Park, J. J., Coumbe, B. G., Park, E. H., Tse, G., Subramanian, S. V., & Chen, J. T. (2016). Dispelling the nice or naughty myth: retrospective observational study of Santa Claus. Bmj, I6355. doi:10.1136/bmj.i6355

Dec 7, 2016

 

Guide to the in-hospital fanny pack:

 

The decision to have a fanny pack was a natural progression. It started in 4th year medical school when a resident gave me a bougie and told me "son, you should keep this in your pocket for your entire rotation". From that moment I felt something inside of me change, I felt more prepared. I wasn't a pro at intubation but I knew I had one of the three things any ER doctor needs to be ready for any situation:

  1. Knowledge
  2. Equipment
  3. The Ability to act

Then I witnessed an intubation where the waveform capnography would not calibrate properly resulting in an unnecessary extubation and re-intubation. After that, I started carrying a colormetric CO2 detector in my pocket. I had a bougie, scalpel, end tidal and EMRA pocket guides - along with my badge and stethoscope. I was starting to get weighed down. Finally, on a trip to Mexico, I adopted the use of a portable pulse oximeter as all the residents there carried their own due to the lack of available monitors on every bed.

The pulse ox was the final straw. I bought a fanny pack. 

 

So what's the final list?

  1. Everest fanny pack.
  2. 10 Blade Scalpel + Bougie = Cric Kit
  3. 12g Angiocath for Needle Decompression
  4. 18g Spinal Needle for Pericardiocentesis
  5. Tape Measure
  6. Portable Pulse Ox
  7. EMRA Antibiotic Guide'
  8. PALS Pocket Card
  9. MCP Rapid Response Checklist (IAD Checklist)
  10. Manometer for Central Line Placement Confirmation
  11. Lollipops
  12. Sharpie
  13. Badge and Stethoscope (they hang on the belt as decorations!)

 

 

My Fanny:

 

Hospitalist's Fanny:

 

Critical Care PA Fellow's Fanny:

 

 

Link to fanny pack:https://www.amazon.com/Everest-Signature-Waist-Pack-Standard/dp/B000A13NJO/ref=sr_1_1?ie=UTF8&qid=1481136819&sr=8-1&keywords=everest+fanny+pack

Link to Pulse Ox: https://www.amazon.com/Santamedical-Generation-SM-165-Fingertip-Saturation/dp/B00R59OTOC/ref=sr_1_3_a_it?ie=UTF8&qid=1481136846&sr=8-3&keywords=pulse+oximeter

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