Sepsis 3.0: The good, the bad, and the . . . different

Hi everybody!  It’s great to be back with you again.  It’s been too long between posts again . . . somehow life and work are always there to keep me from getting to this like I should.  You’d think that I would know by now that these always take longer to produce than I think they will.  I’m sorry for the wait. :)

This month’s topic is sepsis 3.0 . . . it’s a little discussion about the new definition of sepsis that was published in JAMA this spring.  I think there’s both some good and some bad in the new definition, so I thought it would be a good topic to talk about.   And as always, please feel free to post comments, leave feedback, or start a discussion in the comments section.  There is a link to a CME quiz at the top of the page, and this talk is good for an hour of AMA category 1 CME!

AS you might imagine, sepsis is a complicated topic, and there is no way to do it justice in one 40 minute talk.  There are some great resources out there, and here are some links to some of the resources I used when I was just starting to do my research for this discussion:

R.E.B.E.L. EM: http://rebelem.com/sepsis-3-0/

EMCrit blog: http://emcrit.org/podcasts/sepsis-3/ and http://emcrit.org/wee/wee-cliff-deutschman-additional-thoughts-sepsis-3-0/

PulmCrit blog: http://emcrit.org/pulmcrit/problems-sepsis-3-definition/

Transfusion: Is Less More?

Hello, and happy spring!  It’s great to be back with you again this month.  I apologize that this is coming out a little bit later than planned, but between cold and flu season and a few technical difficulties, it took a little bit longer for some of the processing to happen than expected.  This month’s talk is on transfusion . . . . I know, it’s not the most sexy topic in the world.  But we do a lot of transfusions in the ED, so it’s something we need to dust off and look at from time to time – especially now that the new guidelines have come out with some new changes.  This one is a pretty quick view, so please enjoy this months video blog  . . . and as always, please feel free too leave feedback or comments!

Stuff you learned that’s just plain wrong

Hey folks, and happy new year!  I’m happy to be posting again, and wishing all of you a happy, safe, and healthy 2016.  This month’s talk is another one of my favorite things to post about . . . we’re busting some more medical myths this month.  These myths all have something in common: they’re all imaging-related myths.  So sit back, and let’s get to more medical mythbusting!  And as always, please feel free to leave comments or feedback.

8 Awesome Critical Care Papers

It’s been a while since I’ve posted anything to the site, but I wanted to get this up in time to wish you all a very happy holiday season!   It’s going up a little later in the month than intended, largely due to a virus that decided to set up shop in my larynx for a week.  There are a few comments from the peanut gallery (my 7-month-old kitten) in the audio, so I apologize for the occasional meows.

I just got back from ACEP a few weeks ago, and I wanted to share some of the great stuff that has just come out in the literature regarding the management of the critically ill patient in the ED.  So I picked 8 of the papers that I thought you could all apply immediately to your practice, so please enjoy!  As always, please feel free to leave thoughts or feedback, and if you’d like to get an hour of CME for watching this, go get the CME quiz from the link above and send it on in.

A few shout outs this month . . . for the great Christmas tune, the group is the very talented Straight no Chaser, a professional men’s a cappella group that started out at my own Indiana University.  And for his fantastic ED critical care blog and podcast, Dr Scott Weingart.  I highly recommend his podcast, and there is a link to the EMCrit site in the “Useful EM links” below.  But here is a link to the podcast on DSI: http://emcrit.org/dsi/

Choosing Wisely 2.0 (Part 2)

Hi folks!  I hope you’re all enjoying the summer and finding ways to escape the heat!  As promised, here is the second half of last month’s topic: an in-depth discussion of the last 3 Choosing Wisely items from the American College of Emergency Physicians.   A few folks have asked for more information about the Choosing Wisely Campaign, so I’m adding a link to the Choosing Wisely site under my list of “Useful EM Links” on the main page . . . feel free to check them out!  There are a lot of different societies that have made great recommendations that apply to our practice in the ED.  I hope you find this helpful . . . if you have any thoughts or suggestions, please leave a comment for me!   And of course, the CME quiz is also available by following the link at the top of the page.

Choosing Wisely 2.0, Part 1

Hi everybody!  I hope you’re all having a great summer, and staying cool now that the heat is upon us.  Thanks for checking in for the latest educational morsel . . . in this case, a discussion about the first 2 recommendations for Emergency Medicine from the Choosing Wisely campaign.  I apologize for being a little late publishing this for the second time in a row . . . between working shifts and an unfortunate episode of losing my voice for a couple days, I’m afraid it took longer than planned to get this posted.  There is a new CME quiz for this presentation up as well.  Please feel free to leave comments or feedback!

Updates in Anticoagulation 2015

Hi!  I apologize for the delay in publishing this presentation . . . . the plan was actually to publish this last month, but due to life, work, and technical Snafus, it was a bit later in production than I had hoped to be.  There are still one or two small audio glitches, and the audio seems to contain a few comments from a certain geriatric feline who insistently wanted attention while I was trying to produce this video. :)

Before we begin, I’d like to be clear that the viewpoints expressed in this presentation are my own opinions.  Feel free to disagree or leave comments.  I have no financial ties or conflicts of interest with any of the companies that make any of these drugs or products.  I just have some strong opinions, and one of those strong opinions is that I hate warfarin, and would love nothing more than to see this drug disappear from our clinical practice.    With that said, please enjoy this update!  CME is available to Dignity Health Providers, and the link to this month’s CME quiz is under the “CME Quiz” link at the top of this page.

I have also made a little “cheat sheet” for all the novel oral anticoagulant drugs, and I have uploaded it below for you to open and save.

Novel Oral Anticoagulant Cheat Sheet

March Bonus presentation: Mythbusters . . . ED style

Hello EM Comrades!  I just got back from the AAEM 2015 Scientific Assembly, and it was another really great conference this year.  Major props to all the presenters and the planning committee!   While I was there, I did a quick 20-minute talk for the Open Mic, and thought it might be nice to share that with you all as a bonus this month.  Keep your eyes open for the main presentation for March to be published in a few days, but in the meantime, let’s bust a few medical myths.  Please feel free to leave comments or send me email with feedback!

Welcome to the PEMS EDucation site!

Greetings!  And welcome to the new PEMS EDucation page, which is a site dedicated to delivering education and resources to the busy practicing Emergency Medicine Physician.   Every month at PEMS, we offer an educational session.  Not all of these will be able to go up on this page, as this isn’t a HIPPA compliant forum, but at least every other month new content will go up for you to access.  the site is still in it’s infancy, so please bear with me as I continue to construct this page to bring you up-to-date information and educational presentations.