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Invictus Reviews
Mel Herbert
28 episodes
16 hours ago
YouTube Link Tracheostomy and laryngectomy emergencies demand specific knowledge and immediate action to prevent devastating complications. Jess Mason delivers critical pearls on managing occluded, dislodged, and bleeding tracheostomies that are essential for both board exams and clinical practice. • Cuffed tracheostomies have a pilot balloon and are required for positive pressure ventilation • Uncuffed tracheostomies are more common in established patients but cannot be used with ventilat...
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Life Sciences
Science
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All content for Invictus Reviews is the property of Mel Herbert and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
YouTube Link Tracheostomy and laryngectomy emergencies demand specific knowledge and immediate action to prevent devastating complications. Jess Mason delivers critical pearls on managing occluded, dislodged, and bleeding tracheostomies that are essential for both board exams and clinical practice. • Cuffed tracheostomies have a pilot balloon and are required for positive pressure ventilation • Uncuffed tracheostomies are more common in established patients but cannot be used with ventilat...
Show more...
Life Sciences
Science
Episodes (20/28)
Invictus Reviews
Trach Emergencies
YouTube Link Tracheostomy and laryngectomy emergencies demand specific knowledge and immediate action to prevent devastating complications. Jess Mason delivers critical pearls on managing occluded, dislodged, and bleeding tracheostomies that are essential for both board exams and clinical practice. • Cuffed tracheostomies have a pilot balloon and are required for positive pressure ventilation • Uncuffed tracheostomies are more common in established patients but cannot be used with ventilat...
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16 hours ago
17 minutes

Invictus Reviews
Pediatric Status Epilepticus: A Primer
YouTube Link Status epilepticus has been redefined from 30 minutes to just 5 minutes of continuous seizure activity, aligning better with current treatment approaches that emphasize early intervention. This includes recognizing non-convulsive status, which often presents as a prolonged postictal state with subtle eye movements or gaze deviation. • Systematic assessment includes history of seizures, medications, shunts, trauma, potential ingestions • Lab evaluation should include glucose, ele...
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1 week ago
12 minutes

Invictus Reviews
A kid with a rash, again :)
YouTube Link Staph Scalded Skin Syndrome presents with terrifying skin desquamation but typically heals without scarring within two weeks. This case demonstrates the classic presentation in a three-year-old child with recent URI, highlighting the typical appearance, clinical course, and management principles. • Staph Scalded Skin Syndrome results from staphylococcal toxins that cleave the epidermis • Most common in young children, often following upper respiratory infections • No mucosal inv...
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3 weeks ago
4 minutes

Invictus Reviews
A fever and a Rash
YouTube Link Try and guess before reading the summary. Stevens-Johnson Syndrome presents a critical dermatological emergency characterized by mucosal lesions and diffuse rash with high mortality if untreated. Recognizing this condition requires understanding its presentation, pathophysiology, and immediate management strategies to improve patient outcomes. • Case presentation of 20-year-old female with fever, mucosal lesions, and diffuse rash • Mucosal involvement is the key diagnostic featu...
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4 weeks ago
5 minutes

Invictus Reviews
Navigating Pregnancy Complications: A Sneak Peek
YouTube Link Britt Guest's lecture on pregnancy complications with expert emphasis from Matt Delaney. This preview focuses on differentiating normal pregnancy nausea from hyperemesis gravidarum while demonstrating effective board exam question strategies. • Normal pregnancy nausea can be managed with pyridoxine (B6), doxalamine, ondansetron, ginger, and eating smaller frequent meals • Hyperemesis gravidarum causes severe dehydration, weight loss, vitamin deficiencies, and potential complicat...
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1 month ago
9 minutes

Invictus Reviews
Rubella In Question Form
Link to CXR Fundamentals Series on EM:RAP We explore Rubella (German measles or three-day measles), a disease that remains clinically relevant despite being considered nearly eradicated in the US due to vaccination. • Congenital rubella syndrome can cause severe complications including cataracts, cardiac abnormalities, growth restriction, and hearing loss • Rubella typically presents with cephalocaudal rash, low-grade fever, and arthralgia • The disease is less severe than measles but ...
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1 month ago
10 minutes

Invictus Reviews
Understanding Pneumomediastinum: When Air Escapes into Potential Spaces
YouTube Link The Invictus curriculum continues to expand with new lectures, emphasized content, transcripts, and multiple-choice questions, with Matt Delaney now helping with development. We explore pneumomediastinum and pneumopericardium through a simple balloon analogy: two lungs squishing around the heart where air can leak into potential spaces, sometimes tracking into the neck or even dissecting into the pericardium. • Invictus curriculum growing with new features and comprehensive cont...
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2 months ago
6 minutes

Invictus Reviews
How to Never Miss an Elbow Fracture Again: A Radiographic Roadmap
Link to YouTube Video We explore the essential techniques for accurately interpreting elbow X-rays, focusing on key lines, fat pad signs, and common fracture patterns that help reveal hidden injuries. • Standard elbow series includes AP, lateral, and oblique views, with the lateral being the most critical "money shot" • Two essential lines to draw: anterior humeral line (should pass through middle third of capitellum) and radiocapitellar line (should bisect the capitellum) • Fat pad signs ar...
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2 months ago
15 minutes

Invictus Reviews
Special non-board review content on burnout
Link to Scott Course: https://guidewirecoaching.com/unburnable/ Scott Weingart discusses his journey into physician executive coaching, focusing on helping emergency medicine physicians overcome burnout through mindset shifts and practical skills development. • Burnout often stems from inner voice negativity that physicians mistake as their core identity • Cognitive distancing teaches docs to separate unhelpful thoughts from themselves • Stoic philosophy helps physicians accept un...
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3 months ago
35 minutes

Invictus Reviews
The Poopy Pants Episode
YouTube Link We explore the clinical management of foodborne and waterborne illnesses, focusing on key differences between viral and bacterial causes that determine treatment approaches. Understanding when to use supportive care versus antimicrobial therapy helps clinicians provide appropriate management for this common presentation. • The vast majority of diarrheal illnesses are viral, self-limited, and need no testing or treatment beyond oral rehydration • Oral rehydration solutions are pr...
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3 months ago
5 minutes

Invictus Reviews
The Necrotizing Fasciitis Questions
Links: YouTube Version Dirty White Coat The Pitt Necrotizing soft tissue infections demand immediate recognition and aggressive treatment to prevent devastating outcomes and death. Dr. Mellick reviews critical diagnostic features, treatment protocols, and exam-relevant information about these life-threatening conditions through a series of board-style questions. • Necrotizing infections in IV drug users present with severe pain, woody edema, and require immediate surgical exploration • Hemor...
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3 months ago
9 minutes

Invictus Reviews
IVIG, The Pitt, and Invictus Updates
YouTube Link We share exciting updates from our clinical experiences in Kenya and celebrate the authentic portrayal of emergency medicine in the television show "The Pit," which features emergency physician Joe Sachs as a key writer and producer. • Emergency medicine residency match rates have recovered to 97.9%, approaching the traditional 98-99% fill rate after dropping to 80% during COVID • A case study from Kenya featuring a patient with Guillain-Barré syndrome following measles demonstr...
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3 months ago
5 minutes

Invictus Reviews
Spots and Dots: Measles vs. Chickenpox
YouTube link Measles and chickenpox are often confused despite having significant differences in symptoms, severity, and treatment options. We break down the key distinctions between these two infectious diseases, highlighting why measles is significantly more dangerous and why vaccination remains critical for public health. • Measles starts on head and neck, spreads downward through the body • Measles is highly contagious with an R0 of 18, spreading through respiratory droplets • Patients a...
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4 months ago
4 minutes

Invictus Reviews
Travel Pause and Some Updates
Quick note on a travel pause then we will be back at it!
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5 months ago
2 minutes

Invictus Reviews
Healing Little Bones: A Focus on Torus Fractures
YouTube Link Pediatric emergency medicine is highlighted through a detailed discussion on torus fractures, their management, and the implications for treatment approaches. Ilene Claudius provides valuable insights into pediatric care, emphasizing the importance of community feedback and ongoing education for healthcare professionals. • Ilene Claudius is our expert • Overview of torus fractures and typical causes related to childhood injuries • New evidence on treating torus fract...
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5 months ago
5 minutes

Invictus Reviews
A Case of Weakness
Mel presents a case of weakness. Don't read on or you will get the spoiler. YouTube Link Eaton-Lambert syndrome presents a unique clinical challenge, especially when linked to underlying malignancies. In this episode, we delve into the connections between muscle weakness, potential cancer diagnoses, and the importance of early recognition in enhancing patient care. • Case study of a 60-year-old man with muscle weakness highlights critical symptoms • Discussion of differential di...
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5 months ago
4 minutes

Invictus Reviews
Vesicular, Bullous and Sloughing Rashes - A call for feedback
Ok - this is a simple one - a great talk with a link to YouTube - we need your feedback. Go watch the lecture and give you you feedback here on on the YouTube channel please :). Feedback can also go to: mel@emrap.org YouTube Link here
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5 months ago
35 minutes

Invictus Reviews
Some Questions on Bulbar Affecting conditions
Mel does some MCQs to highlight the diseases affecting bulbar muscles we have been covering the last few weeks.YouTube Link
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5 months ago
8 minutes

Invictus Reviews
A New Era of Board Exam Preparation Awaits and "The Pitt"
This episode explores the intersections of emergency medicine and media representation, highlighting the successes of 'The Pit' and the new Invictus board review initiative. We discuss the importance of medical accuracy in shows, the decline in board exam scores, and the vital role of ongoing education. • Effect of 'The Pitt' on public perception of emergency medicine• Collaboration between medical experts and writers for accuracy• Discussion on the real stories behind emergency care• In...
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5 months ago
5 minutes

Invictus Reviews
Myasthenia Gravis: Unraveling the Complexities and Crises
5 months ago
8 minutes

Invictus Reviews
YouTube Link Tracheostomy and laryngectomy emergencies demand specific knowledge and immediate action to prevent devastating complications. Jess Mason delivers critical pearls on managing occluded, dislodged, and bleeding tracheostomies that are essential for both board exams and clinical practice. • Cuffed tracheostomies have a pilot balloon and are required for positive pressure ventilation • Uncuffed tracheostomies are more common in established patients but cannot be used with ventilat...