AZEMCast is THE competitive emergency medicine podcast. The host, Dr. Aaron Leetch, moderates a panel of emergency physicians who will go head to head navigating a clinical case from the Ring Down to the Work Up to the Dispo. Panelists are awarded points for their approach to the case and their clinical application of evidence-based medicine. However, points are deducted for weak arguments or reliance on experience-based medicine. The panelist with the most point at the end of the case will win the opportunity to soapbox about whatever aspect of EM they are most passionate about. We hope this podcast will model the knowledge, skills and approach that will help you take the best care of your patients. Posts ≠ medical advice http://uanow.org/participate
https://azemcast.podbean.com
August 2016 - Alcohol and Alcohol Withdrawal
August = College Students = Alcohol and in preparation for those Friday nights (and sometimes Wednesday mornings), we are discussing too much and too little alcohol. Brian Drummond and Chris Williams drop sake bombs of clinical expertise in discussing who needs a blood alcohol level, who's safe for discharge and what we do with the patient scratching at their non-existent bug bites. Be sure to check out our happy hour menu of evidence-based medicine below and take those opinions with a grain of salt (and a lime) in this month's tall, refreshing pint of AZEMCast.
The AZEMCast team
References:
Pitzele HZ & Tolia VM
“Twenty Per Hour: Altered Mental State Due to Ethanol Abuse and Withdrawal”
Emerg Med Clin North Am, 2010
PMID: 20709249
Roberts JR & Dollard D
“Alcohol Levels Do Not Accurately Predict Physical or Mental Impairment in Ethanol-Tolerant Subjects”
J Med Tox, 2010
PMID: 20358415
Ward FE, et al “Effects of Ethanol Ingestion on the Severity and Outcome of Trauma” Am J Surg, 1982 PMID: 7091524
Amato L, et al “Efficacy and Safety of Pharmacological Interventions for the Treatment of Alcohol Withdrawal Syndrome” Cochrane Database, 2011 PMID: 21678378
Young GP, et al “Intravenous Phenobarbital for Alcohol Withdrawal and Convulsions” Ann Emerg Med, 1987 PMID: 3619162
Brotherton AL, et al “Propofol for Treatment of Refractory Alcohol Withdrawal Syndrome: A Review of the Literature” Pharmacotherapy, 2016 PMID: 26893017
Rosenson J, et al “Phenobarbital for Acute Alcohol Withdrawal: A Prospective Randomized Double-Blinded Placebo-Controlled Study” J Emerg Med, 2013 PMID: 22999778
Maldonado JR, et al “The Prediction of Alcohol Withdrawal Severity Scale: Systematic Literature Review and Pilot Study” Alcohol, 2014 PMID: 24657098