EMRAP and AIR (GI) (Mar 2021)
AIR: https://aliemu.com/courses/gi-2020/
EM:RAP for Asynchronous Learning! For credit, first, listen to the entire podcast. Your participation in the discussion board here is your attestation that you have listened and engaged with the content in a meaningful way.
https://www.emrap.org/episode/emrap2021march/march
When you have finished listening to the podcast, answer the following questions:
1. Please list three things you learned from this podcast that you were not aware of before.
2. Are there any areas of your practice that you would change after listening to this podcast? If so, what would you do differently?
3. What topic mentioned in this podcast is considered too “bleeding edge” (ex. too new, lacks enough evidence, not ready for prime time). Are there any practices mentioned in this podcast that you would consider to not be applicable to our practice setting here at BMC?
One comment
1.
a. I was unaware of the aortic dissection risk score and have not used it before in practice when considering working up dissections
b. I was unaware that there were so many types of GI tamponade balloons and that the most essential thing to blow up is actually the gastric balloon and not the esophageal balloon.
c. I was not aware that to inflate esophageal balloons for tamponade always required a manometer and will never do that without one.
2. I thought that the discussion on cervical artery dissection was interesting especially when considering stroke like presentations in younger patients. I think that going forward, i will probably have a lower threshold to order the CTA upfront if these younger patients have any concerning HA presentations or exam findings.
3. I think that the aortic dissection risk score is very interesting but seemingly overly sensitive and will result in a massive increase in the number of patients getting aortic imaging. I think it is great when justifying why I might not get a scan on a patient, but the checklist questions are so broad and vague that you could include a majority of chest, back, abdominal pain presentations that it is just not feasible