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Emergency Medicine Cases

EM Quick Hits 9 Burn Blister Debridement, ECG Cases, Compartment Syndrome, Pediatric Asthma, Spinal Trauma, Motivational Interviewing P2

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 8 October 2019

⏱️ 39 minutes

🧾️ Download transcript

Summary

Justin Morgenstern on the lack of evidence for burn debridement, Jesse MacLaren on ECG Cases - missed ischemia and pitfalls of "normal" computer ECG interpretations, Arun Sayal on clinical diagnosis pitfalls of compartment syndrome, Sarah Reid on pediatric asthma pitfalls and myths, Andrew Petrosoniak on T-spine and L-spine fracture work-up, Michelle Klaiman & Taryn Lloyd on motivational interviewing part 2...

Transcript

Click on a timestamp to play from that location

0:00.0

This is EM cases, EM Quick Hits podcast, where our team of experts and educators bring a clear, concise, and condensed, practice-changing knowledge on all those EM topics you may not

0:21.0

be totally comfortable with.

0:22.7

Cases, the latest evidence, procedural tips and tricks, pitfalls to avoid, and the key

0:26.8

take-home points and references on the EM cases website.

0:30.5

Quick, let's get on with it.

0:32.8

First up, we have Justin Morgan's turn on the evidence for debridement of burn blisters.

0:38.6

Now, while every burn surgeon I've ever talked to recommends debridement of all but the smallest tiny little burn

0:43.5

blisters, the evidence is, well, you'll hear. A few months ago, there was a great episode of

0:51.2

EM cases about burns. And if you haven't heard it yet, just stop listening

0:54.5

to me and go find it. It was great. But there was one point that I took issue with, and I wanted

0:59.4

to discuss it here. Now, on the podcast, they recommend that we should debrid listers. Now, this has always

1:05.3

been a controversial topic, and you'll find different opinions from different experts. I just wanted

1:09.6

to present a different opinion from that of our guest experts.

1:12.7

And the point isn't to confuse you with different options.

1:16.3

Honestly, there isn't great evidence here.

1:18.5

But the best thing about evidence-based medicine is that once you've heard the data,

1:23.7

once you know the trials, you don't have to rely on the experts.

1:26.7

You don't have to take my word for it, and you don't have to take on the experts. You don't have to take my word for it.

1:28.7

And you don't have to take Dr. Fish's or Dr. Ivanx's word.

1:32.1

You can make up your own mind for yourself.

1:35.2

So here are the trials.

1:36.4

First, we have Gimble in 1957.

...

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