Episodes
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Welcome to Episode 36 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 36 of “The 2 View” – Marijuana as a schedule III drug, treating sunburns and other skin problems, pulse oximetry and racial bias, and diagnosing lower UTIs.
Marijuana as a schedule III drug
Burton KW. The DEA Plans to Reschedule Marijuana: What Happens Next? Medscape: Emergency Medicine. Published May 2, 2024. Accessed May 10, 2024. https://www.medscape.com/viewarticle/dea-plans-reschedule-marijuana-what-happens-next-2024a10008ka?ecd=wnledittpal_etid6489685&uac=106964SV&impID=6489685
Dea.gov. DEA: United States Drug Enforcement Administration. Accessed May 10, 2024. https://www.dea.gov/drug-information/drug-scheduling
Treating sunburns and other skin problems
12 Summer Skin Problems You Can Prevent. Aad.org. American Academy of Dermatology Association. Accessed May 10, 2024. https://www.aad.org/public/everyday-care/skin-care-secrets/routine/prevent-summer-skin-problems
Benedetti J. Sunburn. Merck Manual Professional Edition. Reviewed/Revised Oct 2023. Accessed May 10, 2024. https://www.merckmanuals.com/professional/dermatologic-disorders/reactions-to-sunlight/sunburn
Faurschou A, Wulf HC. Topical corticosteroids in the treatment of acute sunburn: A randomized, double-blind clinical trial. Arch Dermatol. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published May 2008. Accessed May 10, 2024. https://pubmed.ncbi.nlm.nih.gov/18490588/
How to Treat Sunburn. Aad.org. American Academy of Dermatology Association. Accessed May 10, 2024. https://www.aad.org/public/everyday-care/injured-skin/burns/treat-sunburn
Skowrońska W, Bazylko A. The Potential of Medicinal Plants and Natural Products in the Treatment of Burns and Sunburn—A Review. Pharmaceutics. PMC: PubMed Central. NIH: National Library of Medicine: National Center for Biotechnology Information. Published February 2023. Accessed May 10, 2024. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958865/
Pulse oximetry and racial bias
Gudelunas MK, Lipnick M, Hendrickson C, et al. Low Perfusion and Missed Diagnosis of Hypoxemia by Pulse Oximetry in Darkly Pigmented Skin: A Prospective Study. Anesth Analg. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published March 1, 2024. Accessed May 10, 2024. https://pubmed.ncbi.nlm.nih.gov/38109495/
Valbuena VSM, Seelye S, Sjoding MW, et al. Racial bias and reproducibility in pulse oximetry among medical and surgical inpatients in general care in the Veterans Health Administration 2013-19: multicenter, retrospective cohort study. BMJ. Published July 6, 2022. Accessed May 10, 2024. https://www.bmj.com/content/378/bmj-2021-069775.long
Diagnosing Lower UTIs
Aydemir B, Overton D. Diagnosing Lower Urinary Tract Infections. ACEP Now: The Official Voice of Emergency Medicine. Published May 10, 2024. Accessed May 10, 2024. https://www.acepnow.com/article/diagnosing-lower-urinary-tract-infections/
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! -
Welcome to Episode 35 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 35 of “The 2 View” – the spring editorial edition!
POCUS in the ED for Cholecystitis
March 2024: Annals of Emergency Medicine. SoundCloud. Published January 2022. Accessed May 2, 2024. https://soundcloud.com/annalsofem/march-2024
The Center for Medical Education. Upper Abdominal Disorders | The EM Boot Camp Course. YouTube. Published July 12, 2022. Accessed May 2, 2024. https://www.youtube.com/watch?v=ESxRdeEYeHk
Wilson SJ, Thavanathan R, Cheng W, et al. Test Characteristics of Emergency Medicine-Performed Point-of-Care Ultrasound for the Diagnosis of Acute Cholecystitis: A Systematic Review and Meta-analysis. Ann Emerg Med. Published October 18, 2023. Accessed May 2, 2024. https://www.annemergmed.com/article/S0196-0644(23)01214-3/abstract
PECARN Validation
Holmes JF, Yen K, Ugalde IT, et al. PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study. Lancet Child Adolesc Health. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published May 2024. Accessed May 2, 2024. https://pubmed.ncbi.nlm.nih.gov/38609287/
PECARN Pediatric Head Injury/Trauma Algorithm. MDCalc. Accessed May 2, 2024. https://www.mdcalc.com/calc/589/pecarn-pediatric-head-injury-trauma-algorithm
PECARN Pediatric Intra-abdominal injury (IAI) algorithm. MDCalc. Accessed May 2, 2024. https://www.mdcalc.com/calc/3971/pecarn-pediatric-intra-abdominal-injury-iai-algorithm
PECARN Spotlight: Tools Validated. EM Pulse PodcastTM. EM Pulse PodcastTM - Bringing research and expert opinion to the bedside. Published April 18, 2024. Accessed May 2, 2024. https://ucdavisem.com/2024/04/18/pecarn-spotlight-tools-validated/
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! -
Missing episodes?
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Welcome to Episode 34 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!Show Notes for Episode 34 of “The 2 View” – pertussis, computer interpretation of EKGs, TB, FQ side effects, and incidental findingsPertussisBest Practices for Healthcare Professionals on the Use of Polymerase Chain Reaction (PCR) for Diagnosing Pertussis. Pertussis: Use of PCR for diagnosis. Cdc.gov. Published January 12, 2023 https://www.cdc.gov/pertussis/clinical/diagnostic-testing/diagnosis-pcr-bestpractices.htmlSpecimen Collection and Diagnostic Testing. Cdc.gov. Published October 11, 2023 https://www.cdc.gov/pertussis/clinical/diagnostic-testing/specimen-collection-diagnosis.htmlTreatment. Cdc.gov. Published September 16, 2022 https://www.cdc.gov/pertussis/clinical/treatment.htmlComputer Interpretation of EKGsBracey A, Meyers HP, Smith SW. Emergency physicians should interpret every triage ECG, including those with a computer interpretation of “normal.” Am J Emerg Med. PubMed. National Library of Medicine: National Center for Biotechnology Information. Published May 2022 https://pubmed.ncbi.nlm.nih.gov/35361516/Deutsch A, Poronsky K, Westafer L, Visintainer P, Mader T. Validity of Computer-interpreted “Normal” and “Otherwise Normal” ECG in Emergency Department Triage Patients. West J Emerg Med. PubMed. National Library of Medicine: National Center for Biotechnology Information. Published January 2024 https://pubmed.ncbi.nlm.nih.gov/38205978/TuberculosisCDCTB. TB Testing & Diagnosis. cdc.gov Published July 26, 2022 https://www.cdc.gov/tb/topic/testing/default.htmGlobal Tuberculosis Institute. Treating Latent TB Infection (LTBI). YouTube. Published November 29, 2022 https://www.youtube.com/watch?v=Udq-65YuLloNiknejad M, Gaillard F. Tuberculosis (pulmonary manifestations). In: Radiopaedia.org. Radiopaedia.org; 2010. Revised January 5, 2024 https://radiopaedia.org/articles/tuberculosis-pulmonary-manifestations-1?lang=usFluoroquinolone Antibiotic Side EffectsFarkas J. PulmCrit - Six reasons to avoid fluoroquinolones in the critically ill. PulmCrit (EMCrit). Published August 1, 2016 https://emcrit.org/pulmcrit/fluoroquinolone-critical-illness/FDA Drug Safety Podcast: FDA updates warnings for oral and injectable fluoroquinolone antibiotics due to disabling side effects. U.S. fda.gov Published January 19, 2022 https://www.fda.gov/drugs/fda-drug-safety-podcasts/fda-drug-safety-podcast-fda-updates-warnings-oral-and-injectable-fluoroquinolone-antibiotics-dueHighlights of Prescribing Information: CIPRO. fda.gov https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/019537s086lbl.pdfStanley I. Mother is left unable to walk after taking just three ANTIBIOTIC pills to treat a UTI: Disabled vet husband she previously cared for is also in a wheelchair. DailyMail.com. Published February 22, 2024 https://www.dailymail.co.uk/health/article-13111327/young-mother-unable-walk-antibiotic-pills-uti.htmlTilley C. “Killer” antibiotic that’s STILL being prescribed to 15m Americans a year: Widow of singer Bobby. DailyMail.com. Published March 2, 2024 https://www.dailymail.co.uk/health/article-13115607/Bobby-Caldwell-wife-fluoroquinolone-antibiotics.htmlIncidental FindingsIncidental Findings. acr.org. American College of Radiology https://www.acr.org/Clinical-Resources/Incidental-FindingsSchleicher S. DermDx: Suspicious Mole on Sole of Foot. Clinical Advisor. Published February 16, 2024 https://www.clinicaladvisor.com/slideshow/derm-dx/dermdx-suspicious-mole-foot/?elqtrack=True&hmemail=1f%2FJfEV7hN5vJr6vg%2FQRqK0NA6IXtyO3&hmsubid&nid=1639413404&sha256email=092493d8223fdfa40d9e995176d13e5fc5b5211674db9deb440c025fd462c80cViennet M, Tapia S, Cottenet J, Bernard A, Ortega-Deballon P, Quantin C. Increased risk of colon cancer after acute appendicitis: a nationwide, population-based study. EClinicalMedicine. Published August 30, 2023 https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00373-5/fulltextRecurring Sources Center for Medical Education. Ccme.org. http://ccme.orgThe Proceduralist. Theproceduralist.org. http://www.theproceduralist.orgThe Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspxThe Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.comTrivia Question: Send answers to [email protected] sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
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Welcome to Episode 33 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!Show Notes for Episode 33 of “The 2 View” – Walking Boots, Jones Fracture: A Review, and a Few Procedures: Penile Foreign Body Removal and Keloid Removal.Walking BootsInfraorbital Nerve Block Courtesy of Jessica Mason MD. Dropbox. Accessed January 24, 2024. https://www.dropbox.com/scl/fi/r6ite1ior1wdcg63jcect/Infraorbital-Nerve-Block-Courtesy-of-Jessica-Mason-MD.mp4?rlkey=o5aiz60qmcvpqlnz2z62q8vkz&dl=0Jones Fracture: A ReviewJones J, Datir A. Jones fracture. In: Radiopaedia.org. Radiopaedia.org; 2008. Revised October 20, 2023. Accessed January 24, 2024. https://radiopaedia.org/articles/jones-fracture-1?lang=usMetzl JA, Bowers MW, Anderson RB. Fifth Metatarsal Jones Fractures: Diagnosis and Treatment. J Am Acad Orthop Surg. Published February 15, 2022. Accessed January 24, 2024. https://journals.lww.com/jaaos/Fulltext/2022/02150/FifthMetatarsalJonesFracturesDiagnosisand.6.aspxMichigan Foot Doctors. 5th Metatarsal Jones Fracture [Recovery, Treatment & Surgery]. YouTube. Published April 22, 2020. Accessed January 24, 2024. https://www.youtube.com/watch?v=8f0ECP1FtCcA Few Procedures: Penile Foreign Body Removal and Keloid RemovalMemariani H, Memariani M, Moravvej H, Shahidi-Dadras M. Emerging and Novel Therapies for Keloids: A compendious review. Sultan Qaboos Univ Med J. NIH: National Library of Medicine, National Center for Biotechnology Information. Published February 2021. Accessed January 24, 2024. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968901/Roberts JR. Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care, 7th Edition; 2018. Accessed January 24, 2024. https://www.us.elsevierhealth.com/roberts-and-hedges-clinical-procedures-in-emergency-medicine-and-acute-care-9780323354783.htmlRoberts JR, Roberts M. The Curse of the Keloid. Emergency Medicine News. Published February 28, 2018. Accessed January 24, 2024. https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=79The Proceduralist. Foreign body in the shaft of the penis removal using dorsal nerve block. YouTube. Published January 11, 2024. Accessed January 24, 2024. https://www.youtube.com/watch?v=71PesnLDl-0The Proceduralist. Keloid. YouTube. Published February 9, 2018. Accessed January 24, 2024. https://www.youtube.com/watch?v=wRBstgCULBcWeech D, Ameer MA, Ashurst JV. Anatomy, Abdomen and Pelvis, Penis Dorsal Nerve. StatPearls Publishing. NIH: National Library of Medicine, National Center for Biotechnology Information. Updated August 8, 2023. Accessed January 24, 2024. https://www.ncbi.nlm.nih.gov/books/NBK525966/Recurring Sources Center for Medical Education. Ccme.org. http://ccme.orgThe Proceduralist. Theproceduralist.org. http://www.theproceduralist.orgThe Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspxThe Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.comTrivia Question: Send answers to [email protected] sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
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Welcome to Episode 32 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 32 of “The 2 View” – EMTALA, provider-in-triage positions, head injuries, appendicitis
EMTALA / Head Injuries / Provider In Triage
Latner A. Man Escorted Out of Hospital Without Being Seen: Is This an EMTALA Violation? Clinicaladvisor.com. Published April 11, 2023. Accessed January 21, 2024. https://www.clinicaladvisor.com/home/my-practice/legal-advisor/man-escorted-out-of-hospital-emtala-violation/
Centers for Medicare and Medicaid Services. Emergency Medical Treatment & Labor Act (EMTALA). Cms.gov. Accessed January 21, 2024. https://www.cms.gov/medicare/regulations-guidance/legislation/emergency-medical-treatment-labor-act
MDCalc. Canadian CT Head Injury/Trauma Rule. Mdcalc.com. Accessed January 21, 2024. https://www.mdcalc.com/calc/608/canadian-ct-head-injury-trauma-rule
Appendicitis
Latner A. PA and NP Fail to Diagnose Appendicitis. Clinicaladvisor.com. Published December 6, 2023. Accessed January 21, 2024.
https://www.clinicaladvisor.com/home/my-practice/legal-advisor/pa-np-fail-appendicitis/
Roberts M, Sharma M. 29 - Toxoplasmosis, the OPAL trial, medical marijuana, appendicitis, and colchicine. The 2 View: EM PA & NP Podcast. Published November 20, 2023. Published October 13, 2023. Accessed January 21, 2024. https://2view.fireside.fm/29
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Questions: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! -
DengueCDC. Clinical assessment. Centers for Disease Control and Prevention. Cdc.gov. https://www.cdc.gov/dengue/training/cme/ccm/page73112.htmlCDC. Dengue. Centers for Disease Control and Prevention. Published August 15, 2023. https://www.cdc.gov/dengue/index.htmlRigby J. First Pill for Dengue Shows Promise in Human Challenge Trial. Medscape: Emergency Medicine. Published October 23, 2023. https://www.medscape.com/s/viewarticle/997558?ecd=wnlscitech231101MSCPEDIT_etid6007373&uac=255848DR&impID=6007373Schnirring L. California confirms 2nd local dengue case. Center for infectious disease research and policy. University of Minnesota. Umn.edu. Published November 2, 2023. https://www.cidrap.umn.edu/dengue/california-confirms-2nd-local-dengue-casePenis PainLizza E. Peyronie Disease. Medscape.com. Published August 17, 2023. https://emedicine.medscape.com/article/456574-overviewMalloy M, Sinert R. Dysuria and Discharge After a New Sexual Partner. Medscape. Published November 20, 2023. https://reference.medscape.com/viewarticle/847159Promethazine2018-2019 Targeted Medication Safety Best Practices for Hospitals. Ismp.org. https://www.ismp.org/sites/default/files/attachments/2019-01/TMSBP-for-Hospitalsv2.pdfDrug Shortage Detail: Promethazine Injection. Ashp.org. Updated November 21, 2023. https://www.ashp.org/drug-shortages/current-shortages/drug-shortage-detail.aspx?id=872Fass O. Antiemetics and QT prolongation. Clinicalcorrelations.org. Published January 15, 2021. https://www.clinicalcorrelations.org/2021/01/15/antiemetics-and-qt-prolongation/OzempicKorte C. Ozempic side effects could lead to hospitalization — and doctors warn that long-term impacts remain unknown. CBS News. Published June 10, 2023. https://www.cbsnews.com/news/ozempic-side-effects-weight-loss-drugs-wegovy-mounjaro-doctors-warn/Krishnan L, Dhatariya K, Gerontitis D. No clinical harm from a massive exenatide overdose – a short report. Clin Toxicol (Phila). Clinical Toxicology. Published December 11, 2012. https://www.tandfonline.com/doi/pdf/10.3109/15563650.2012.752495MedWatch: The FDA Safety Information and Adverse Event Reporting Program. FDA: U.S. Food and Drug Administration. Published September 15, 2022. https://www.fda.gov/medwatchNakanishi R, Hirose T, Tamura Y, et.al. Attempted suicide with liraglutide overdose did not induce hypoglycemia. Diabetes Research and Clinical Practice. Diabetesresearchclinicalpractice.com. Published November 12, 2012. https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(12)00384-1/fulltextOzempic® (semaglutide) injection for Type 2 Diabetes. Ozempic.com. https://www.ozempic.com/Hearing LossAhmed OH, Gallant SC, Ruiz R, Wang B, Shapiro WH, Voigt EP. Validity of the Hum Test, a Simple and Reliable Alternative to the Weber Test. Ann Otol Rhinol Laryngol. NIH: National Library of Medicine: National Center for Biotechnology Information. Published June 2018. https://pubmed.ncbi.nlm.nih.gov/29776326/#:~:text=Results%3A%20When%20examining%20the%20ability,respectively%2C%20with%20low%20pitched%20humming.Clinical Practice Guideline: Sudden Hearing Loss (Update). American Academy of Otolaryngology – Head and Neck Surgery. Entnet.org. https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/sudden-hearing-loss-update/Hearing loss in adults: assessment and management. National Guideline Centre (UK). Immediate, Urgent and Routine Referral. National Institute for Health and Care Excellence; 2018. NIH: National Library of Medicine: National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK536553/#:~:text=If%20the%20hearing%20loss%20developed,service%20or%20an%20emergency%20department.Mroz M. Do you know the three main types of hearing loss? Healthy Hearing. Published April 17, 2014. https://www.healthyhearing.com/help/hearing-loss/typesRecurring Sources Center for Medical Education. Ccme.org. http://ccme.orgThe Proceduralist. theproceduralist.org. http://www.theproceduralist.orgThe Procedural Pause. Emergency Medicine News. lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspxThe Skeptics Guide to Emergency Medicine. thesgem.com. http://www.thesgem.comBe sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
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Welcome to Episode 30 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 30 of “The 2 View” – oral phenylephrine, visual diagnosis plans, and NSVT.
Oral Phenylephrine
Myers Z. FDA panel: Many oral allergy meds don’t work. WTTV CBS4Indy. Published October 15, 2023. Accessed October 17, 2023. https://cbs4indy.com/news/fda-panel-many-oral-allergy-meds-dont-work/
Neurosyphilis Review
Hamill MM, Ghanem KG, Tuddenham S. State of the art review: neurosyphilis. Clin Infect Dis. Published August 18, 2023. Accessed November 1, 2023. doi: 10.1093/cid/ciad437
Visual Diagnosis - Behcet’s Disease
Behcet’s Disease. Vasculitis Foundation. Published July 18, 2012. Accessed October 17, 2023. https://www.vasculitisfoundation.org/education/behcets-disease/
ACEP Clinical Policy on Ischemic Stroke
Clinical Policies – Acute Ischemic Stroke. ACEP. Published May 2023. Accessed November 2, 2023. https://www.acep.org/patient-care/clinical-policies/acute-ischemic-stroke
The VAN Assessment to Identify Large Vessel Occlusion Strokes. Core EM. Published May 17, 2018. Accessed November 2, 2023. https://coreem.net/journal-reviews/the-van-assessment/
Los Angeles Motor Scale (LAMS). MDCalc. Accessed November 2, 2023. https://www.mdcalc.com/calc/3959/los-angeles-motor-scale-lams
Rapid Arterial oCclusion Evaluation (RACE) Scale for Stroke. MDCalc. Accessed November 2, 2023. https://www.mdcalc.com/calc/3941/rapid-arterial-occlusion-evaluation-race-scale-stroke
NSVT: Non-Sustained Ventricular Tachycardia
Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. Published August 1, 2018. Accessed October 17, 2023. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
Farzam K, Tivakaran VS. QT Prolonging Drugs. StatPearls Publishing; 2023. Accessed October 17, 2023. https://www.ncbi.nlm.nih.gov/books/NBK534864/
Foth C, Gangwani MK, Ahmed I, Alvey H. Ventricular Tachycardia. StatPearls Publishing; 2023. Accessed October 17, 2023. https://www.ncbi.nlm.nih.gov/books/NBK532954/
Ep 1 Lady G and Courage Under Fire. Burnt. Published January 27, 2021. Accessed November 2, 2023. https://podcasts.apple.com/us/podcast/ep-1-lady-g-and-courage-under-fire/id1551194920?i=1000506903956
Glaucomflecken. Will and Kristin’s Cardiac Arrest Story with Paramedic Lieutenant Aaron Gregg. Published August 22, 2023. Accessed October 17, 2023. https://www.youtube.com/watch?v=CQtYoKPNsrM
Laslett DB, Cooper JM, Greenberg RM, et al. Electrolyte Abnormalities in Patients Presenting With Ventricular Arrhythmia (from the LYTE-VT Study). Am J Cardiol. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published August 15, 2020. Accessed October 17, 2023. https://pubmed.ncbi.nlm.nih.gov/32565090/
Nonsustained ventricular tachycardias. Bmj.com. BMJ Best Practice. Accessed October 25, 2023. https://bestpractice.bmj.com/topics/en-us/831
PVCs and Nonsustained VT: When to Worry? How to Treat? - Penn Physician VideoLink.; 2015. Published January 7, 2015. Accessed October 17, 2023. https://videolink.pennmedicine.org/videos/pvcs-and-nonsustained-vt-when-to-worry-how-to-treat
TualatinValleyFire. Dr. Will Flanary - Cardiac Arrest Survivor. Published February 16, 2021. Accessed October 17, 2023. https://www.youtube.com/watch?v=wu9uAwnSrJU
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! -
Show Notes for Episode 29 of “The 2 View” – Toxoplasmosis, the OPAL trial, medical marijuana, appendicitis, and colchicine.
CDC - Toxoplasmosis
CDC – Parasites – Toxoplasmosis (Toxoplasma infection). Cdc.gov. Published June 9, 2023. Accessed September 26, 2023. https://www.cdc.gov/parasites/toxoplasmosis/index.html
OPAL RCT for Opioids in Back Pain
Jones C, O’Day R, Koes B, et. al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial. The Lancet. Thelancet.com. Published July 22, 2023. Accessed September 26, 2023. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00404-X/fulltext
Sikina M, Kiel J. Re-evaluating Red Flags for Back Pain. Acep.org. Sports Med. Published August 17, 2022. Accessed September 26, 2023. https://www.acep.org/sportsmedicine/newsroom/newsroom-articles/august2022/re-evaluating-red-flags-for-back-pain
Medical Marijuana
Brooks M. Is Medical Cannabis the Answer to the Opioid Crisis? Medscape Emergency Medicine. Published October 3, 2022. Accessed September 26, 2023. https://www.medscape.com/viewarticle/981767?ecd=wnlinfocu4broadbroadpersoexpansion-editorial_20230603&uac=106964SV&impID=5490911
Novak S. Physicians Aren’t Asking Enough Questions About Cannabis Use. Medscape Emergency Medicine. Published August 29, 2023. Accessed September 26, 2023. https://www.medscape.com/viewarticle/995954?ecd=WNLtrdalrtpos1230904etid5820671&uac=106964SV&impID=5820671
Appendicitis
Appendicitis. Acep.org. Accessed September 26, 2023. https://www.acep.org/patient-care/clinical-policies/appendicitis
Dora-Laskey A. Acute pain control. EM. Accessed September 26, 2023. https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m3-curriculum/group-acute-pain-control/acute-pain-control
Hidayat AI, Purnawan I, Mulyaningrat W, et al. Effect of Combining Dhikr and Prayer Therapy on Pain and Vital Signs in Appendectomy Patients: A Quasi-Experimental Study. NIH: National Library of Medicine. J Holist Nurs. Accessed September 26, 2023. https://pubmed.ncbi.nlm.nih.gov/37277995/
Smink D, Soybel D. Management of acute appendicitis in adults. UpToDate. Uptodate.com. Updated February 15, 2023. Accessed September 26, 2023. https://www.uptodate.com/contents/management-of-acute-appendicitis-in-adults
Colchicine
Chiabrando JG, Bonaventura A, Vecchié A, et al. Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review. J Am Coll Cardiol. ScienceDirect. Published January 2020. Accessed September 26, 2023. https://www.sciencedirect.com/science/article/pii/S0735109719384840?via%3Dihub
Gout clinical practice guidelines. American College of Rheumatology. Rheumatology.org. Accessed September 26, 2023. https://rheumatology.org/gout-guideline
Telmesani A, Moss E, Chetrit M. The Use of Colchicine in Pericardial Diseases. American College of Cardiology. Published December 5, 2019. Accessed September 26, 2023. https://www.acc.org/Latest-in-Cardiology/Articles/2019/12/04/08/22/The-Use-of-Colchicine-in-Pericardial-Diseases
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! -
Show Notes for Episode 28 of “The 2 View” – Live from Vegas, Fungal Meningitis Outbreak, NPs Sue for "Doctor" Title, Guest Chip Lange.
When Medical Tourism Goes Wrong
CDC. Fungal Meningitis Outbreak Social Media Toolkit. Centers for Disease Control and Prevention. Published July 18, 2023. Accessed July 25, 2023. https://www.cdc.gov/fungal/infections/HAI-fungal-meningitis-toolkit.html
Evaluating and Treating Patients for Fungal Meningitis. For both symptomatic and asymptomatic patients: perform lumbar puncture (LP) to evaluate CSF for fungal meningitis* Abnormal LP results Normal initial LP results Counsel patient to monitor for symptoms for 30 days following initial LP Consider scheduling repeat LP two weeks after initial LP Normal repeat LP results. Funguseducationhub.org. Accessed July 25, 2023. https://funguseducationhub.org/wp-content/uploads/2023/06/FM-algorithm_edited.pdf
Fungal Meningitis Outbreak Associated with Procedures Performed under Epidural Anesthesia in Matamoros, Mexico. Cdc.gov. Published August 11, 2023. Accessed July 25, 2023. https://www.cdc.gov/hai/outbreaks/meningitis-epidural-anesthesia.html
PA Title Change / Nurse Practitioners Sue California to use the Title “Doctor.”
Taylor M. Nurse practitioners sue California over restricted use of “doctor.” Beckershospitalreview.com. Published July 18, 2023. Accessed July 25, 2023. https://www.beckershospitalreview.com/hospital-physician-relationships/nurse-practitioners-sue-california-over-restricted-use-of-doctor.html
Title Change Rationale. Aapa.org. Accessed July 25, 2023. https://www.aapa.org/title-change/general-faqs/
Malaria Contracted in the US
Bendix A, Alexander B. New malaria case in Florida brings national total to 8, the first U.S. acquired cases in 20 years. NBC News. Published July 18, 2023. Accessed July 25, 2023. https://www.nbcnews.com/health/health-news/new-malaria-case-florida-brings-national-total-8-first-us-cases-20-yea-rcna94899
Locally Acquired Malaria Cases Identified in the United States. Health Alert Network (HAN) - 00494. Cdc.gov. Published June 26, 2023. Accessed July 25, 2023. https://emergency.cdc.gov/han/2023/han00494.asp
Meat allergy. ACAAI Public Website. Published October 30, 2020. Accessed July 25, 2023. https://acaai.org/allergies/allergic-conditions/food/meat/
Reliability of Fingerstick Glucometers
Media H. Picking cherries leads to a case of pseudohyperglycemia. Clinical Advisor. Published December 12, 2016. Accessed July 25, 2023. https://www.clinicaladvisor.com/home/case-files/picking-cherries-leads-to-a-case-of-pseudohyperglycemia/
Olansky L, Kennedy L. Finger-stick Glucose Monitoring. Diabetes Care. Published April 2010. Accessed July 25, 2023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845057/
Special Guest Chip Lange, PA-C, and His Story of Going into Myasthenia Crisis
About us. PRACTICAL POCUS. Accessed July 25, 2023. https://www.practicalpocus.com/aboutus.html
Cautionary Drugs. Drugs to avoid or use with caution in MG. Myasthenia.org. Accessed July 25, 2023. https://myasthenia.org/Portals/0/Cautionary%20Drugs.pdf
Colton, K. Myasthenia Gravis. EM:RAP CorePendium. EM:RAP CorePendium. Updated December 2, 2022. Accessed July 25, 2023. https://www.emrap.org/corependium/chapter/recrDWsB2k1uYPL9U
Libsyn, iTunes. Medical professionals. TOTAL EM. Accessed July 25, 2023. https://www.totalem.org/emergency-professionals
Something Sweet
Woodall AJ, McCrohan CR. Excitatory actions of propofol and ketamine in the snail Lymnaea stagnalis. Comp Biochem Physiol C. ScienceDirect. Comparative Biochemistry and Physiology Part C: Pharmacology, Toxicology and Endocrinology. Volume 127, Issue 3. Pages 297-305. Published December 2000. Accessed July 25, 2023. https://www.sciencedirect.com/science/article/abs/pii/S0742841300001559?via%3Dihub
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! -
Show Notes for Episode 27 of “The 2 View” – Brain abscesses, torsion, and delirium.
Brain Abscesses
Accorsi EK, Hall M, Hersh AL, Shah SS, Schrag SJ, Cohen AL. Notes from the Field: Update on Pediatric Intracranial Infections - 19 States and the District of Columbia, January 2016-March 2023. MMWR Morb Mortal Wkly Rep. CDC, Centers for Disease Control and Prevention.
https://www.cdc.gov/mmwr/volumes/72/wr/mm7222a5.htm
Brook I. Clinical Case. Brain Abscess Clinical Presentation. Medscape.com.
https://reference.medscape.com/article/212946-clinical
Goodman B. Doctors watching for more cases after mysterious cluster of brain infections strikes kids in southern Nevada. CNN. CNN Health.
https://www.cnn.com/2023/04/28/health/brain-abscess-cluster-nevada/index.html
The Center for Medical Education. 23 - Dear Doctor, Skin Closures, and Wound Management. 2 View: Emergency Medicine PAs & NPs.
https://2view.fireside.fm/23
What’s “ordinary negligence”? //Missed brain abscess//Special offer. Mad Mimi. Medical Malpractice Insights: Learning from Lawsuits.
https://madmimi.com/s/3fc5711
Testicular Torsion
Lukosiute-Urboniene A, Nekrosius D, Dekeryte I, Kilda A, Malcius D. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emerg Med J. BMJ Journals.
https://emj.bmj.com/content/40/2/134.info
Mellick LB, Watters BC. The Torsed Testicle Traction Technique and 2 Case Reports. Pediatr Emerg Care.
https://journals.lww.com/pec-online/Citation/2023/05000/TheTorsedTesticleTractionTechniqueand2_Case.14.aspx
Sessions AE, Rabinowitz R, Hulbert WC, Goldstein MM, Mevorach RA. Testicular torsion: direction, degree, duration and disinformation. J Urol. PubMed. NIH: National Library of Medicine. National Center for Biotechnology Information.
https://pubmed.ncbi.nlm.nih.gov/12544339/
Ovarian Torsion
Long B, Koyfman A, Gottlieb M. Dispelling 5 Ovarian Torsion Myths. ACEP Now.
https://www.acepnow.com/article/dispelling-5-ovarian-torsion-myths/
Ovarian Torsion. Acep.org. ACEP Emergency Ultrasound Section.
https://www.acep.org/emultrasound/newsroom/sept2020/ovarian-torsion
Spinelli C, Piscioneri J, Strambi S. Adnexal Torsion in Adolescents: Update and review of the literature.
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/08/adnexal-torsion-in-adolescents
Swenson DW, Lourenco AP, Beaudoin FL, Grand DJ, Killelea AG, McGregor AJ. Ovarian torsion: Case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. European Journal of Radiology. ScienceDirect.
https://edus.ucsf.edu/sites/edus.ucsf.edu/files/wysiwyg/1-s2.0-S0720048X14000023-main.pdf
Delirium
ACEP’s Position on Hyperactive Delirium. American College of Emergency Physicians.
https://www.acep.org/news/acep-newsroom-articles/aceps-position-on-hyperactive-delirium
Hatten BW, Bonney C, Dunne RB, et al. ACEP Task Force Report on Hyperactive Delirium with Severe Agitation in Emergency Settings, Approved by the ACEP Board of Directors, June 23, 202. American College of Emergency Physicians.
https://www.acep.org/siteassets/new-pdfs/education/acep-task-force-report-on-hyperactive-delirium-final.pdf
Hayes BD, O’Brien M. Should Diphenhydramine be included in an Acute Agitation Regimen? AliEM: Academic Life in Emergency Meedicine.
https://www.aliem.com/diphenhydramine-acute-agitation-regimen/
Psychiatric Patient. American College of Emergency Physicians.
https://www.acep.org/patient-care/clinical-policies/Psychiatric-Patient
Reuben. Emergency Department Agitated Patient Treatment Map. Emergency Medicine Updates.
https://emupdates.com/danger/
Veraart JKE, Smith-Apeldoorn SY, Bakker IM, et al. Pharmacodynamic Interactions Between Ketamine and Psychiatric Medications Used in the Treatment of Depression: A Systematic Review. Int J Neuropsychopharmacol. Oxford Academic.
https://academic.oup.com/ijnp/article/24/10/808/6309481?login=false
Prescription Drug Monitoring Programs
D’Souza RS, Lang M, Eldrige JS. Prescription Drug Monitoring Program. StatPearls Publishing. NIH: National Library of Medicine. National Center for Biotechnology Information.
https://www.ncbi.nlm.nih.gov/books/NBK532299/
Something Sweet
Brito C. Bobi, the world’s oldest dog, turns 31 years old. CBS News.
https://www.cbsnews.com/news/bobi-the-worlds-oldest-dog-turns-31-years-old/
Recurring Sources
Center for Medical Education. http://ccme.org
The Proceduralist. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com.
http://www.thesgem.com
Trivia Question: Send answers to [email protected] -
Welcome to Episode 26 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!Show Notes for Episode 26 of “The 2 View” – Save time charting & code accurately, dementia, PE in pregnancy, and the PCN shortage.PCN ShortageAult, A. FDA Drug Shortages. Current and Resolved Drug Shortages and Discontinuations Reported to FDA. FDA issues new rule on drug shortages. Community Oncology, 9(1), 34. U.S. Food & Drug. Published April 26, 2023. Accessed May 9, 2023. https://doi.org/10.1016/j.cmonc.2011.12.003Bendix, A. Shortage of penicillin limits access to the go-to drug for syphilis. NBC News. Published April 27, 2023. Accessed May 9, 2023. https://www.nbcnews.com/health/health-news/shortage-penicillin-limits-access-go-drug-syphilis-rcna81777Global shortages of penicillin. Shortages of benzathine penicillin. Global Sexually Transmitted Infections Programme. World Health Organization. Who.int. Accessed May 9, 2023. https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/stis/treatment/shortages-of-penicillinDementiaAlzheimer’s Disease Fact Sheet. Alzheimer’s Disease and Related Dementias: Basics of Alzheimer’s Disease and Dementia. National Institute on Aging. Accessed May 9, 2023. https://www.nia.nih.gov/health/alzheimers-disease-fact-sheet Home. Alzheimer’s Disease and Dementia. Alzheimer’s Association. Accessed May 9, 2023. https://www.alz.org/Silbert, L, Erten-Lyons, D. Memory Loss, Confusion in a 51-Year-Old Fired From Her Job. Medscape. Published March 2, 2023. Accessed May 9, 2023. https://reference.medscape.com/viewarticle/850363PE in PregnancyNegaard M. YEARS Algorithm for pulmonary embolism (PE). MDCalc. Accessed May 9, 2023. https://www.mdcalc.com/calc/4067/years-algorithm-for-pulmonary-embolism-peStals MAM, Moumneh T, Ainle FN, et al. Noninvasive diagnostic work-up for suspected acute pulmonary embolism during pregnancy: a systematic review and meta-analysis of individual patient data. J Thromb Haemost. 2023;21(3):606-615. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published December 22, 2022. Accessed May 9, 2023. https://pubmed.ncbi.nlm.nih.gov/36696189/Thromboembolism in Pregnancy. ACOG: The American College of Obstetricians and Gynecologists. Acog.org. Practice Bulletin, Number 196. Published July 2018. Accessed May 9, 2023. https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/07/thromboembolism-in-pregnancyCharting & Coding2023 Emergency Department Evaluation and Management Guidelines. ACEP: American College of Emergency Physicians. Acep.org. Last Updated: October 2022. Accessed May 9, 2023. https://www.acep.org/administration/reimbursement/reimbursement-faqs/2023-ed-em-guidelines-faqsAmerican Medical Association. 2023 Emergency Medicine Coding Guide. MDCalc. Accessed May 9, 2023. https://www.mdcalc.com/calc/10454/2023-emergency-medicine-coding-guideCPT Evaluation and Management (E/M) Code and Guideline Changes. AMA: American Medical Association. Ama-assn.org. Accessed May 9, 2023. https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdfICD-10-CM Coding for Social Determinants of Health. AHA: American Hospital Association – Advancing Health in America. Aha.org. Published January 2022. Accessed May 9, 2023. https://www.aha.org/system/files/2018-04/value-initiative-icd-10-code-social-determinants-of-health.pdfLevel of MDM (based on 2 of 3 elements of MDM) number and complexity of problems addressed. ACEP: American College of Emergency Physicians – Advancing Emergency Care. ERCODER. Acep.org. Accessed May 9, 2023. https://www.acep.org/siteassets/sites/acep/media/reimbursement/acep---2023-ed-mdm-grid.pdfRecurring Sources Center for Medical Education. Ccme.org. http://ccme.orgThe Proceduralist. Theproceduralist.org. http://www.theproceduralist.orgThe Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspxThe Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.comTrivia Question: Send answers to [email protected] sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
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Welcome to Episode 25 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 25 of “The 2 View”
Pediatric Nurse Practitioners Are Not Okay
Della Volpe K. We Are Not Ok, Say Pediatric NPs. Clinical Advisor. Published March 17, 2023. Accessed March 27, 2023. https://www.clinicaladvisor.com/home/meeting-coverage/napnap-2023/pediatric-nps-not-ok/?utmsource=newsletter&utmmedium=email&utmcampaign=NWLTRCADCONFNAPNAPMODERNA032023RM&hmEmail=1f%2FJfEV7hN5vJr6vg%2FQRqK0NA6IXtyO3&sha256email=092493d8223fdfa40d9e995176d13e5fc5b5211674db9deb440c025fd462c80c&hmSubId=&NID=1639413404&elqTrackId=31abe541d69a4ca587368d18c07e2aeb&elq=24134fa5abd64addafddd14ad54e8f8d&elqaid=13088&elqat=1&elqCampaignId=10964&fbclid=IwAR2YZErTgA9ET7Yzib3bPYuhD68VDtGAayIfQ2bu398LBTX6xEmLjZX3EY
Sarjoo A. Pediatricians: We Can’t Bear the Burden of Teen Angst. Medscape. Published March 13, 2023. Accessed March 27, 2023. https://www.medscape.com/viewarticle/989552
New TASER
Bleetman A, Hepper AE, Sheridan RD. The use of TASER devices in UK policing: an update for clinicians following the recent introduction of the TASER 7. BMJ Journals. Emerg Med J. Published 2023. Accessed March 27, 2023. https://emj.bmj.com/content/40/2/147.long
Taser Injuries. Emergency Central. Unboundmedicine.com. Accessed March 27, 2023. https://emergency.unboundmedicine.com/emergency/view/5-MinuteEmergencyConsult/307682/all/Taser_Injuries
Vilke G, Chan T, Bozeman WP, Childers R. Emergency Department Evaluation After Conducted Energy Weapon Use: Review of the Literature for the Clinician. NIH National Library of Medicine: National Center for Biotechnology Information. PubMed. J Emerg Med. Published September 26, 2019. Accessed March 27, 2023. https://pubmed.ncbi.nlm.nih.gov/31500994/
Hyperacute T-Waves
Dr. Smith’s ECG blog. Blogspot.com. Published March 2023. Accessed March 27, 2023. http://hqmeded-ecg.blogspot.com/search/label/hyperacute%20T-waves
Koechlin L, Strebel I, Zimmermann T, et al. Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction. Ann Emerg Med. PubMed. NIH: National Library of Medicine. National Center for Biotechnology Information. Published online February 9, 2023. Accessed March 27, 2023. https://pubmed.ncbi.nlm.nih.gov/36774205/
Writing Committee, Kontos MC, de Lemos JA, et al. 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. Published November 2022. Accessed March 27, 2023. https://www.jacc.org/doi/10.1016/j.jacc.2022.08.750
DEA Updates – Segment with Dr. Rick Bukata
Criteria for Furnishing Number Utilization by Nurse Practitioners. State of California, DCA (Department of Consumer Affairs). Board of Registered Nursing. Rn.ca.gov. Accessed March 27, 2023. https://www.rn.ca.gov/pdfs/regulations/npr-i-16.pdf
DEA Announces Proposed Rules for Permanent Telemedicine Flexibilities. Drug Enforcement Administration (DEA). Published February 24, 2023. Accessed March 27, 2023. https://www.dea.gov/press-releases/2023/02/24/dea-announces-proposed-rules-permanent-telemedicine-flexibilities
Mid-Level Practitioners Authorization by State. US Department of Justice. Drug Enforcement Administration. Diversion Control Division. Usdoj.gov. Accessed March 27, 2023. https://www.deadiversion.usdoj.gov/drugreg/practioners/
Removal of DATA Waiver (X-Waiver) Requirement. SAMHSA. Substance Abuse and Mental Health Services Administration. Samhsa.gov. Last Updated January 25, 2023. Accessed March 27, 2023. https://www.samhsa.gov/medications-substance-use-disorders/removal-data-waiver-requirement
Statutory Changes in Pharmacy Law. Pharmacy.ca.gov. Published December 9, 2022. Accessed March 27, 2023. https://www.pharmacy.ca.gov/lawsregs/newlaws.pdf
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! -
Welcome to the 2 View - Episode 24
Welcome to Episode 24 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 24 of “The 2 View” – New street drug xylazine/"tranq," app for EM coding changes, FPL injuries, hemorrhoids.
Molnupiravir
Butler CC, Hobbs FDR, Gbinigie OA, et al. Molnupiravir plus usual care versus usual care alone as early treatment for adults with COVID-19 at increased risk of adverse outcomes (PANORAMIC): an open-label, platform-adaptive randomised controlled trial. Lancet. PubMed. NIH: National Library of Medicine, National Center for Biotechnology Information. Published January 28, 2023. Accessed February 21, 2023. https://pubmed.ncbi.nlm.nih.gov/36566761/
Molnupiravir. COVID-19 Treatment Guidelines. NIH. Last Updated: September 26, 2022. Accessed February 21, 2023. https://www.covid19treatmentguidelines.nih.gov/therapies/antivirals-including-antibody-products/molnupiravir/
Easy Emergency Medicine Coding Calculator
American Medical Association. 2023 Emergency Medicine Coding Guide. MDCalc. Accessed February 21, 2023. https://www.mdcalc.com/calc/10454/2023-emergency-medicine-coding-guide
CPT Evaluation and Management (E/M) Code and Guideline Changes. Ama-assn.org. AMA: American Medical Association. Accessed February 21, 2023. https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf
Graham. 2023 Emergency Medicine Level of Service/Billing Guidelines Overview. Published December 31, 2022. Accessed February 21, 2023. https://www.youtube.com/watch?v=WuV8O3SuXJI
The Center for Medical Education. Documentation Changes that Can Help Your Practice. Published August 16, 2022. Accessed February 21, 2023. https://www.youtube.com/watch?v=gHLBjzQt4vo
Xylazine
DEA Joint Intelligence Report. The Growing Threat of Xylazine and its Mixture with Illicit Drugs. U.S. Department of Justice Drug Enforcement Administration. Dea.gov. Published October 2022. Accessed February 21, 2023. https://www.dea.gov/sites/default/files/2022-12/The%20Growing%20Threat%20of%20Xylazine%20and%20its%20Mixture%20with%20Illic
it%20Drugs.pdf
FDA warns about the risk of xylazine exposure in humans. Fda.gov. FDA. Published November 8, 2022. Accessed February 21, 2023. https://www.fda.gov/media/162981/download
Hoffman J. Tranq dope: Animal Sedative Mixed with Fentanyl Brings Fresh Horror to U.S. Drug Zones. The New York Times. Published January 7, 2023. Accessed February 21, 2023. https://www.nytimes.com/2023/01/07/health/fentanyl-xylazine-drug.html.
National Institute on Drug Abuse. Xylazine. National Institute on Drug Abuse: Advancing Addiction Science. Published April 21, 2022. Accessed February 21, 2023. https://nida.nih.gov/research-topics/xylazine
Overdose C on O. Toxicity of Xylazine and How It Impacts People Who Use Drugs by Dr. Joseph D’Orazio. Published June 15, 2022. Accessed February 21, 2023. https://www.youtube.com/watch?v=Rqpf0jIuyCo
Flexor Pollicis Longus and Other Thumb Injuries
Gault D. A review of repaired flexor tendons. J Hand Surg Br. ScienceDirect. Published October 1987. Accessed February 21, 2023. https://www.sciencedirect.com/science/article/abs/pii/0266768187901811
Urbaniak JR. Repair of the flexor pollicis longus. Hand Clin. Europe PMC. Published February 1, 1985. Accessed February 21, 2023. https://europepmc.org/article/med/3912396
Hemorrhoids
Procedure Review: Thrombosed Hemorrhoids. EM:RAP. EM:RAP.ORG. Published April 2018. Accessed February 21, 2023. https://www.emrap.org/episode/emrapliveapril/procedurereview
Zuber TJ. Hemorrhoidectomy for Thrombosed External Hemorrhoids. Am Fam Physician. AAFP. Published 2002. Accessed February 21, 2023. https://www.aafp.org/pubs/afp/issues/2002/0415/p1629.html
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
Be sure to listen in and see what we have to share! -
Welcome to Episode 23 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Links To Our Live Courses
Original EM Boot Camp Course: https://courses.ccme.org/course/embootcamp
Advanced EM Boot Camp Course: https://courses.ccme.org/course/advancedbootcamp
Emergency Medicine & Acute Care Series Course: https://courses.ccme.org/course/ema
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
Be sure to listen in and see what we have to share! -
Welcome to Episode 22 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Links To Our Live Courses
Original EM Boot Camp Course: https://courses.ccme.org/course/embootcamp
Advanced EM Boot Camp Course: https://courses.ccme.org/course/advancedbootcamp
Emergency Medicine & Acute Care Series Course: https://courses.ccme.org/course/ema
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
Be sure to listen in and see what we have to share! -
Welcome to Episode 21 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Links To Our Live Courses
Advanced EM Boot Camp Course: https://courses.ccme.org/course/advancedbootcamp
Original EM Boot Camp Course: https://courses.ccme.org/course/embootcamp
Emergency Medicine & Acute Care Series Course: https://courses.ccme.org/course/ema
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
Be sure to listen in and see what we have to share! -
Dr. James R. Roberts, MD, FACMT, FACEP, FAAEM, CMRO, accomplished physician, professor, leader in Emergency Medicine, previous Chairman at Mercy Catholic Medical Center Emergency Department in Philadelphia, Pennsylvania, and Vice Chairman of the Department of Emergency Medicine at Drexel University College of Medicine, beloved father, brother, friend, and husband, passed away Friday, July 22nd, 2022, in Folsom, California. He was 76.
Jim was born February 9th, 1946, in Forty Fort, Pennsylvania, son of Jane and George Roberts. He is survived by his children, Martha and Matthew Roberts, his grandchildren Eleanor Cronin and Liam Roberts, his brother George Roberts, his sister Mary Peterlin, nieces, nephews, family-in-law, and his partner Lydia Forte Roberts, to whom he was married for over 40 years.
Jim graduated from Lafayette College, and studied medicine at Thomas Jefferson University. He completed his internship at Highland General Hospital in Oakland, California, with residencies at The Medical College of Pennsylvania, and was a McNeil Scholar at Bellevue Hospital in New York City.
Jim was a trailblazer in the field of Emergency Medicine, and was one of the first board-certified Emergency Medicine physicians in the world. He taught thousands of students via ED residency programs he built and led. He was a board-certified Toxicologist and worked with Philadelphia Poison Control Center for several decades. Jim was a medical expert witness and published a robust library of work. He was broadly recognized for his clinical practice, research, writing, and teaching. Jim was Chairman of the editorial board for Emergency Medicine News magazine (Wolters Kluwer) for almost 40 years. Jim's widely-read textbook, "Clinical Procedures in Emergency Medicine and Acute Care" (Elsevier) had seven editions.
Jim loved the outdoors, especially boating, fishing, and exploring his favorite waters off the Florida Keys. A memorial for Jim will be held this Fall, 2022. In lieu of flowers, please send donations to Project Home (https://www.projecthome.org/). -
Welcome to Episode 19 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 19 of “The 2 View” – All things EM Boot Camp Course
Links To Our Live Courses
Advanced EM Boot Camp Course: https://courses.ccme.org/course/advancedbootcamp
Original EM Boot Camp Course: https://courses.ccme.org/course/embootcamp
Emergency Medicine & Acute Care Series Course: https://courses.ccme.org/course/ema
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
Be sure to listen in and see what we have to share! -
Welcome to Episode 18 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 18 of “The 2 View” – Acute Infectious Conjunctivitis, Post-Traumatic Patients in the ER: Treatment of the Sexual Assault Survivor, Cops in the ED, and a Very Special Interview.
Acute Infectious Conjunctivitis Review & Meta-Analysis
Fox SM. Conjunctivitis and Conjunctivitis-Otitis Syndrome. Pediatric EM Morsels. Published February 17, 2012. Accessed June 23, 2022. https://pedemmorsels.com/conjunctivitis-and-conjunctivitis-otitis-syndrome/
Johnson D, Liu D, Simel D. Does This Patient with Acute Infectious Conjunctivitis Have a Bacterial Infection?: The Rational Clinical Examination Systematic Review. The Rational Clinical Examination. JAMA Network. Published June 14, 2022. Accessed June 23, 2022.
https://jamanetwork.com/journals/jama/article-abstract/2793248
Prescription prices, coupons & pharmacy information. GoodRx. Accessed June 23, 2022. http://www.goodrx.com
Sheikh A, Hurwitz B, van Schayck CP, McLean S, Nurmatov U. Antibiotics versus placebo for acute bacterial conjunctivitis. Cochrane Database Syst Rev. Cochrane Library. Published September 12, 2012. Accessed June 23, 2022. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001211.pub3/full
Post-Traumatic Patients in the ER: Treatment of the Sexual Assault Survivor
Post-Exposure Prophylaxis (PEP). Cdc.gov. Centers for Disease Control and Prevention. Published March 28, 2022. Accessed June 23, 2022. https://www.cdc.gov/hiv/risk/pep/index.html
Preventing New HIV infections. Cdc.gov. Centers for Disease Control and Prevention. Published March 29, 2022. Accessed June 23, 2022. https://www.cdc.gov/hiv/guidelines/preventing.html
Sexual Assault and Abuse and STIs – Adolescents and Adults – STI Treatment Guidelines. Sexually Transmitted Infections Treatment Guidelines, 2021. Cdc.gov. Centers for Disease Control and Prevention. Published July 14, 2021. Accessed June 23, 2022. https://www.cdc.gov/std/treatment-guidelines/sexual-assault-adults.htm
Alcohol and Drug Testing of the Patient in Police Custody
Supreme Court Ruling Provides Clarity on Law Enforcement-Requested Blood Draws. Reliasmedia.com. Published January 1, 2020. Accessed June 23, 2022. https://www.reliasmedia.com/articles/145471-supreme-court-ruling-provides-clarity-on-law-enforcement-requested-blood-draws
Tessier W, Keegan W. Mandatory Blood Testing: When can police compel a health provider to draw a patient’s blood to determine blood levels of alcohol or other intoxicants? Mo Med. PMC PubMed Central. NIH: National Library of Medicine, National Center for Biotechnology Information. Published Jul-Aug 2019. Accessed June 23, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699816/
Risk Management Monthly featuring W. Richard Bukata MD, Greg Henry MD, and Rachel Lindor MD, JD
The Center for Medical Education. Physician Separation Agreements, Lawsuit from Starting IV line, and More | Risk Management Monthly. Published June 7, 2022. Accessed June 23, 2022. https://www.youtube.com/watch?v=6D24mJ5aJ_Y&list=PLlgl86ABpNQweXlLL8sNT19oixAoaTS46
Jim Roberts MD in Emergency Medicine News
Roberts J. Looking Back on a Career in Emergency Medicine. InFocus. Emergency Medicine News. Lww.com. Published June 2022. Accessed June 23, 2022. https://journals.lww.com/em-news/fulltext/2022/06000/infocus_lookingbackonacareerin_emergency.8.aspx
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
Be sure to listen in and see what we have to share! -
Welcome to Episode 17 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 17 of “The 2 View” – Monkeypox, A Typical NP/PA Day in the ER: Tips from the Heart, Timesavers, and Anaphylaxis.
Monkeypox
Lewis D. How PAs Can Avoid Malpractice: Go Back to Practice Basics. Medscape. Published May 23, 2022. Accessed May 30, 2022. https://www.medscape.com/viewarticle/974472
Monkeypox in Multiple Countries - Alert - Level 2, Practice Enhanced Precautions - Travel Health Notices. Centers for Disease Control and Prevention. Travelers’ Health. Cdc.gov. Accessed May 30, 2022. https://wwwnc.cdc.gov/travel/notices/alert/monkeypox
Monkeypox: public health advice for gay, bisexual and other men who have sex with men. World Health Organization. Who.int. Published May 25, 2022. Accessed May 30, 2022. https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men
Monkeypox Virus Infection in the United States and Other Non-endemic Countries – 2022. Centers for Disease Control and Prevention. HAN archive - 00466. Cdc.gov. Published May 20, 2022. Accessed May 30, 2022. https://emergency.cdc.gov/han/2022/han00466.asp
Morgenstern J. Monkeypox. First10EM. Published May 19, 2022. Accessed May 30, 2022. https://first10em.com/monkeypox/
Rezaie S. Monkeypox…the basics. REBEL EM - Emergency Medicine Blog. Published May 26, 2022. Accessed May 30, 2022. https://rebelem.com/monkeypoxthe-basics/
Top Three Timesavers
Heckerling PS, Tape TG, Wigton RS, et al. Clinical prediction rule for pulmonary infiltrates. Ann Intern Med. NIH National Library of Medicine: National Center for Biotechnology Information. PubMed.gov. Published November 1, 1990. Accessed May 30, 2022. https://pubmed.ncbi.nlm.nih.gov/2221647/
Mellick L. Ten Ways to Reduce a Dislocated Shoulder. Published August 13, 2015. Accessed May 30, 2022. https://www.youtube.com/watch?v=HtOnreM7heg
Mellick L. The Davos Method of Shoulder Dislocation Reduction. Published May 2, 2016. Accessed May 30, 2022. https://www.youtube.com/watch?v=u2MsnjVNoPM
UofSC Athletic Training. Spaso Technique for Glenohumeral Joint Reduction. Published October 11, 2020. Accessed May 30, 2022. https://www.youtube.com/watch?v=ei5Z62Whs1I
Anaphylaxis?
Roberts M, Sharma M. The 2 View. The Center for Medical Education. 14 - Urticaria, Foreign Bodies, and a Special Interview. 2 View: Emergency Medicine PAs & NPs. Published February 27, 2022. Accessed May 30, 2022. https://2view.fireside.fm/14
Tang AW. A Practical Guide to Anaphylaxis. Am Fam Physician. Published October 1, 2003. Accessed May 30, 2022. https://www.aafp.org/pubs/afp/issues/2003/1001/p1325.html
Something Sweet
Shoutouts to:
Dr. Brendon Carmondy, who is the Assistant Director of the Emergency Department at Suburban Hospital in Maryland, and his entire team.
Sierra Campus of the Hospitals of Providence in El Paso, TX, especially Dr. Madhu Achalla.
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
Be sure to listen in and see what we have to share! - Show more
