Today's episode is an AI text-to-speech (TTS) reading of our most recent blog post: 12 Key Principles for Diagnosing and Managing Vertigo and Dizziness.Read along here:https://www.pointofcaremedicine.com/blog-post/12-key-principles-for-diagnosing-and-managing-vertigo-and-dizzinessRelated ContentDizziness and Vertigo Admission Template
https://www.pointofcaremedicine.com/inpatient-admission/dizziness-and-vertigo Dizziness and Vertigo Clinical Review
https://www.pointofcaremedicine.com/review-article/dizziness-and-vertigo
Today's quick admit episode is a rapid review on the evaluation of vertigo and dizziness in a hospital setting.
Visit https://www.pointofcaremedicine.com/inpatient-admission/dizziness-and-vertigo to see the online admission template and follow along.
Timestamps
00:00 - Intro and Summary
02:13 - Admission Checklist
02:51 - HPI Intake
06:54 - Focused Physical Exam
09:06 - Differential Diagnosis
09:49 - Initial Workup
10:22 - Treatment
Related Content
Dizziness and Vertigo Clinical Review https://www.pointofcaremedicine.com/review-article/dizziness-and-vertigo
12 Key Principles for Diagnosing and Managing Dizziness and Vertigo https://www.pointofcaremedicine.com/blog-post/12-key-principles-for-diagnosing-and-managing-vertigo-and-dizziness
AFib with RVR: Quick Admit
This Quick Admit episode on AFib with RVR will focus on only the highest yield information you need when admitting a patient to the hospital.
To take your understanding of the disease to the next level, check out the full-length episode for more information including a discussion of the most important clinical pearls and literature.
Visit https://www.pointofcaremedicine.com/inpatient-admission/atrial-fibrillation to see the admission template discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps
00:00 Introduction to AFib Management
00:24 Initial Assessment and Triage
01:06 Reviewing Patient History
01:59 Admission Orders and Labs
02:29 Initial Treatment Considerations
03:41 History of Present Illness (HPI)
04:30 Physical Examination
04:58 Etiology and Causes
05:33 If You Remember Nothing Else
06:49 Conclusion and Follow-Up
Disclaimer: The content of this video and any associated media is meant for educational and information purposes only. RMO Medical Education does not provide medical advice, diagnosis, or treatment.
Atrial Fibrillation: Clinical Review
This full-length clinical review episode on atrial fibrillations is designed to help take your fund of knowledge to the next level!
Visit https://www.pointofcaremedicine.com/review-article/atrial-fibrillation to see the online Clinical Review Article.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps
00:00 Introduction to Atrial Fibrillation
00:12 Key Takeaways
01:13 Definitions
02:17 Etiologies
04:22 Pathophysiology
07:28: Physical Exam
08:18 Diagnostic Workup
10:25 Treatment - Stroke Prevention
14:17 Treatment - Rate Control
16:13 Treatment - Rhythm Control
19:05 Treatment - Risk Modification
20:10 Clinical Pearls
29:54 Review of Clinical Trials
34:11 Additional Resources and Conclusion
Show Notes
Review Articles
Direct Oral Anticoagulants in Patients with ESRD
Catheter ablation for atrial fibrillation: indications and future perspective
Related Content
Afib with RVR Admission Template
20 Atrial Fibrillation Facts Every Physician Needs to Know in 2025
10 Key Facts About Ablation for Atrial Fibrillation
CKD and Atrial Fibrillation: Navigating the Anticoagulation Maze
Disclaimer: The content of this video and any associated media is meant for educational and information purposes only. RMO Medical Education does not provide medical advice, diagnosis, or treatment.
This Quick-Admit episode on acute pancreatitis will focus on only the highest-yield information you need when admitting a patient to the hospital.
To take your understanding of the disease to the next level, check out the full-length episode for more information including a discussion of the most important clinical pearls and literature.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
This full-length episode on the inpatient management of acute pancreatitis includes not only the admission framework, but also key clinical pearls on the background, pathophysiology, etiologies, presentation, diagnosis, treatment, and complications associated with the disease to help take your understanding to the next level!
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps
00:00:00 - Background and Epidemiology
00:01:13 - A Note on Chronic Pancreatitis
00:01:31 - Admission Checklist
00:03:49 - HPI Intake
00:04:33 - Physical Exam
00:05:20 - Etiology and Differential
00:06:20 - Plan - Work Up
00:07:30 - Plan - Treatment
00:09:31 - If You Remember Nothing Else
00:10:04 - Pearls - Pathophysiology
00:11:15 - Pearls - Etiology and Risk Factors
00:12:56 - Pearls - Presentation and Diagnosis
00:15:56 - Pearls - Treatment
00:18:08 - Pearls – Complications
Show Notes
Reviews
Trials
Other Literature
Blogs and Summaries
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps:
00:00:07 - Background and Epidemiology
00:00:42 - Pathophysiology
00:02:29 - Admission Checklist
00:04:29 - HPI Intake
00:05:15 - To Note on Exam
00:05:25 - Etiology and Differential
00:06:10 - Plan - Treatment
00:07:56 - If You Remember Nothing Else
00:08:40 - Pearls - Etiology
00:09:44 - Pearls - Presentation and Diagnosis
00:12:03 - Pearls - Treatment
Trials and Literature Clinical Management of Hyperkalemia (Mayo Clin Proc, 2021) An Integrated View of Potassium Homeostasis (NEJM, 2015) Risk of Hospitalization for Serious Adverse Gastrointestinal Events Associated With Sodium Polystyrene Sulfonate Use in Patients of Advanced Age (JAMA, 2019) - Kayexalate is associated with serious GI adverse events over 30 days (0.2% of people who take vs. 0.1% who don’t) - NNH is 1000; intestinal ischemia is the most common Sodium zirconium cyclosilicate in hyperkalemia (NEJM 2015) - reduces K over placebo Other Resources: Clinical Problem Solvers - Hyperkalemia Schema Core EM - Hyperkalemia (good EKG change images)
Life in the Fastlane - EKG Features of Hyperkalemia
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care without getting bogged down by unnecessary details or trivia.
Timestamps
00:00:08 – Background
00:01:12 – Pathophysiology
00:01:55 – Admission Checklist
00:03:29 – HPI Intake
00:04:19 – To Note on Exam
00:04:58 – Plan: Workup
00:05:40 – Plan: Treatment
00:07:28 – If You Remember Nothing Else
00:08:28 – Pearls
00:10:43 – Literature
Literature
IWGDF/IDSA Guidelines on Diagnosis and Treatment of Diabetes-Related Foot Infections (Diabetes Metab Res Rev, 2023)
Diabetic Foot Ulcers and Their Recurrence (NEJM, 2017)
Diabetic Foot Ulcers: A Review (JAMA, 2023)
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Time Stamps:
00:00:08 - Background and Definitions
00:01:39 - Pathophysiology
00:03:22 - Admission Checklist
00:04:25 - HPI Intake
00:05:51 - Physical Exam
00:06:06 - Differential Diagnosis
00:06:38 - Plan - Workup and Treatment
00:08:54 - If You Remember Nothing Else
00:10:14 - Pearls - Etiology
00:11:00 - Pearls - Presentation and Diagnosis
00:13:07 - Pearls - Treatment
00:15:20 - Literature and Trials
00:15:56 - Wrap Up
Show Notes:
Gout Review (NEJM, 2022)STOP Gout Trial (NEJM, 2022) - allopurinol non-inferior to febuxostat for preventing flares and for reaching target urate concentrations at 48 weeks CARES Trial (NEJM, 2018) suggested an increased risk of mortality in febuxostat from cardiac events, but a follow-up FAST Trial (Lancet, 2020) showed no difference compared to allopurinol - FDA still has a black box warning Calcium Pyrophosphate Deposition Disease (CPPD) Review (NEJM, 2016)
Today's episode is on the inpatient workup and management of Community-Acquired Pneumonia featuring an admission checklist, HPI intake, differential, plan, and high-yield clinical pearls.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care without getting bogged down by unnecessary details or trivia.
Show Notes:
00:00:08 - Background and Definitions
00:01:13 - Etiology and Pathophysiology
00:02:49 - Admission Checklist
00:05:16 - HPI Intake
00:06:38 - Physical Exam Findings
00:07:30 - Differential
00:08:48 - Treatment Plan
00:10:15 - If You Remember Nothing Else
00:11:47 - Clinical Pearls - Etiology
00:13:47 - Clinical Pearls - Presentation and Diagnosis
00:16:53 - Clinical Pearls - Treatment
00:19:52 - Clinical Pearls - Complications
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
00:00:07 - Historical Background and Definitions
00:01:56 - Admitting a Patient with Sepsis
00:05:29 - Plan for Workup and Management of Sepsis
00:07:41 - Clinical Pearls
00:16:07 - If You Remember Nothing Else
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Show Notes:
00:00:15 - Introduction and Terminology
00:01:51 - Beta Blockers
00:02:47 - ACE/ARB/ARNI
00:04:30 - MRA's
00:05:28 - SGLT2i's
00:06:12 - Nitrates and Hydralazine
00:08:41 - Loop Diuretics
00:09:25 - Initiating and Titrating GDMT
00:11:18 - Barriers and Other Considerations
00:13:44 - Resources for Use at the Point of Care
Other Resources and References:
GDMT for Everyone – https://www.gdmt.org/HFrEF.php
Table of all the Sacubitril/Valsartan Trials Published to Date (2023) - https://twitter.com/jaycvance/status/1660732176999108623
An elegant graphic showing how the hazard ratios with confidence intervals for all-cause mortality improve based on adding on each extra GDMT medication; brought to my attention by a tweet from Dr. Scott Cameron - https://twitter.com/2Scottish/status/1556798319996932096
Heart Failure with Reduced Ejection Fraction: A Review (JAMA, 2020) - https://pubmed.ncbi.nlm.nih.gov/32749493/
A Systematic Review and Network Meta-Analysis of Pharmacological Treatment of Heart Failure With Reduced Ejection Fraction (JACC, 2022) - https://www.jacc.org/doi/full/10.1016/j.jchf.2021.09.004
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Show Notes:
00:00:38 - Background and terminology
00:02:22 - Checklist for Admitting a Patient with ADHF
00:05:40 - Crafting your Assessment
00:08:56 - Creating a Plan for ADHF - Diuresis and GDMT
00:13:12 - Clinical Pearls
00:16:48 - A note on HFpEF
00:17:15 - If you remember nothing else
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Show Notes:
00:00:00 First steps and communicating with the ED
00:01:05 - Following up after dosing
00:02:02 - Troubleshooting resistance - drips, other loops, thiazides
00:03:35 - Monitoring while diuresis - labs and exam
00:06:09 - Switching to PO and guidance for discharge
00:07:19 - Presenting patients who are being diuresed
00:08:12 - If you remember nothing else
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
00:00:00 - First Things First
00:01:01 - Assessment of post-cardiac arrest patients, including the likely etiology, duration of CPR, and relevant medical tests.
00:01:46 - Plan for working up and treating post-arrest patients.
00:04:00 - Pearls for post-cardiac arrest care, including treating shivering, aspirational pneumonia prophylaxis, and looking for complications.
00:06:11 - Trials and literature related to post-cardiac arrest care
00:06:58 - If you remember nothing else
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps:
00:00:00 - Initial Steps and Delegation: Starting chest compressions, confirming code status, calling for help, delegating tasks, and gathering data. (Includes information on rhythm and pulse check, patient access, labs, and involving family members.)
00:02:21 - ACLS Protocol and Rhythm-Specific Interventions: Explains the procedure for rhythm checks, pulse checks, use of POCUS, intubation, and treatment based on shockable and non-shockable rhythms. Discusses medications and adjuncts for different rhythms and scenarios.
00:05:28 - Reversible Causes and Post-Cardiac Arrest Care: Covers the differential for reversible causes of arrest (H's and T's), treatment options, and considerations for post-cardiac arrest care. Includes targeted temperature management and decision-making based on patient condition.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.