CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. Our podcasts are found on this channel and include: CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations. First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.
http://canadiem.org/
episode 194: CRACKCast E194 - Pain Management
This episode of CRACKCast covers Chapter 3 in Rosen’s Emergency Medicine (9th Ed.) – Pain Management. This podcast will give you a solid approach to the basics pain management to use on your next shift!
Core Questions:
1. Define the following terms (Box 3.1):
- Allodynia
- Amnesia/amnestic
- Local anesthesia
- Analgesia
- Hypnotic
- Narcotic
- Nociceptor
- Noxious stimulus
- Opiate
- Opioid
- Pain
- Procedural Sedation
- Sedative
2. Describe a practical approach to stepwise management of pain in the ED.
3. Describe the adult parenteral and oral doses for:
- Morphine
- Hydromorphone
- Fentanyl
4. Differentiate between opioid side effects and opioid toxicity.
5. How do you manage opioid toxicity?
6. Describe relative safety profiles for the NSAIDS.
7. List the classes of local anesthetics. How do they work?
8. List the toxic doses for each local anesthetic:
- Lidocaine
- Lidocaine with Epi
- Bupivicaine
9. List 5 techniques to reduce pain of injection of local anesthetic.
10. List agents that can be used for topical anesthesia of:
- Intact skin
- Mucous membranes
- Open skin/lacerations
Wisecracks:
1. What agent can be used as a substitute in cases of anaphylaxis to local anesthetic?
2. Why should you avoid use of the following agents:
- Tramadol
- Demerol
3. How does local anesthetic toxicity present?