Episodi

  • Penicillin and Cephalosporin Cross Allergy
    Jan 30 2023

    Dive deep into the history of medicine to explore the origins of penicillin and the development of cephalosporins.  From the dank corners of Alexander Fleming's lab to the sewers of Sardinia we explore the history and controversy behind some of the most common antibiotics.  We will also discuss whether or not penicillin allergy is real and if you can give a penicillin allergic patient a cephalosporin and still keep your license to practice medicine.

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    34 min
  • Magnesium: Super molecule or super myth
    Nov 17 2022

    This episode explores the history and use of magnesium in modern medicine from discovery to its modern applications.  We examine the data regarding magnesium for everything from eclampsia, headache, asthma and even arrhythmia.    Is magnesium a super drug or just voodoo? 

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    32 min
  • Aspirin: the worlds most used drug
    Sep 10 2022

    This episode explores the fascinating history of aspirin and dives deep into the recent recommendations regarding not using aspirin for the primary prevention of cardiac disease.  This is part one of a multi-part series on NSAIDS, drugs we use every day but take for granted the most.

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    28 min
  • First trimester bleeding: Can we prevent first trimester miscarriage?
    Aug 7 2022

    This episode dives deep into one of the more common issues in emergency medicine: first trimester bleeding.  Traditionally, it has been a topic that both doctors and patients have felt helpless about but in this cast we review the physiology and reams of new evidence that can help us make outcomes better for these patients.  

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    40 min
  • Cannabinoid hyperemesis syndrome
    Jul 9 2022

    Disclaimer: Please excuse the audio quality of this episode, it’s a great talk we had some connection issues while recording this month due to distance and location of our hosts. 

    This cast explores why and how cannabinoids cause hyperemesis and looks at why the prevalence of this syndrome has increased in clinical practice.  We also explore what treatments actually work for these patients.

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    33 min
  • Steroids in cardiac arrest
    Jun 13 2022

    This episode examines the role of corticosteroids in cardiac arrest and in the post-arrest state.  We look at literature from several well-known trials and examine whether or not steroids improve survival and neurologic outcomes.

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    20 min
  • Mysteries and myths about fever in medicine
    May 6 2022

    This episode explores fever from its physiology and function to common conceptions (or misconceptions?) about fever.  We dive into how high of a fever is safe, when does a high fever mean serious illness, and do people really run hot (or cold)?  We also use the evidence to answer whether or not vaccine-related fever is a thing and if teething and fever are actually related in children.

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    32 min
  • Antibiotics in diverticulitis (?)
    Apr 4 2022

    This episode explores whether some patients with diverticulitis can be treated without antibiotics and if so who are these patients.  Additionally, when we chose an antibiotic for patients going home on them which one is best the old standard ciprofloxacin and Flagyl combination or augmentin?

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    29 min