244 episodes

We are a FOAMED project devoted to providing TOTAL care everywhere. This is done by sharing the Tools Of the Trade and Academic Learning in Emergency Medicine (TOTAL EM). We believe in education for emergency medicine professionals and the public.

TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine Chip Lange

    • Health & Fitness
    • 4.8 • 80 Ratings

We are a FOAMED project devoted to providing TOTAL care everywhere. This is done by sharing the Tools Of the Trade and Academic Learning in Emergency Medicine (TOTAL EM). We believe in education for emergency medicine professionals and the public.

    Podcast #244 - Updated Guidelines on Anorectal Emergencies

    Podcast #244 - Updated Guidelines on Anorectal Emergencies

    There are a variety of anorectal emergencies that present to the emergency department.  Recently, there were updated guidelines made by the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST).  In this post, we review some of the updated guidelines including for anorectal abscess, perineal necrotizing fasciitis (Fournier's gangrene), bleeding anorectal varices, complicated rectal prolapse (irreducible or strangulated), and retained anorectal foreign bodies.

    • 17 min
    Podcast #243 - ATLS Episode 8: Musculoskeletal Trauma

    Podcast #243 - ATLS Episode 8: Musculoskeletal Trauma

    We are back to providing our ATLS content and we are picking up where we left off.  Our last ATLS podcast was on spine and spinal cord trauma.  Somewhat similar in nature is musculoskeletal trauma.  This is a very common form of trauma.  However, delayed recognition and  treatment can result in life-threatening hemorrhage or limb loss.

    • 1 hr 8 min
    Podcast #242 - 10 Key Pearls for Cluster Headaches

    Podcast #242 - 10 Key Pearls for Cluster Headaches

    Cluster headaches are often considered one of the most painful human experiences.  They are short (lasting usually 15-180 minutes), frequent (up to 8 a day), unilateral headaches behind or around the eye often with ipsilateral autonomic symptoms and restlessness.  While migraines and tension headaches are seen frequently in the emergency department, cluster headaches are much less frequently seen and often are harder to identify as a result.  There are certain points to remember with patients that are experiencing cluster headaches and we list 10 of them here.

    • 9 min
    Podcast #241 - TXA in the Prehospital Setting

    Podcast #241 - TXA in the Prehospital Setting

    The use of tranexamic acid (TXA) has expanded with growing evidence in its use for a variety of clinical situations.  However, not all evidence is created equal and not all applications show benefit.  In this blog and podcast we discuss the various uses of TXA and the surrounding evidence.

    • 28 min
    Podcast #240 - PAs are Associates?

    Podcast #240 - PAs are Associates?

    For decades, there has been a major name debate regarding the appropriate title for PAs.  However, on May 24, 2021 the American Academy of PAs (AAPA) House of Delegates (HOD) came to a vote.  Over 100 possible titles were considered, but ultimately the winning vote was for "physician associate" which has led to a significant amount of discussion.  What is the history behind this decision and why now?  What has been the response?  We discuss this and more in this new blog and podcast.

    • 14 min
    Podcast #239 - Book Review: The Resuscitation Crisis Manual (RCM)

    Podcast #239 - Book Review: The Resuscitation Crisis Manual (RCM)

    There are countless guides and references that can be used in emergency medicine.  However, some books prove to be better resources than others and it is vital to identify them.  In this post, we review one of the books you should seriously consider having if you work in emergency medicine.

    • 8 min

Customer Reviews

4.8 out of 5
80 Ratings

80 Ratings

Cowboy Spike 40 ,

Variety of EM Topics

Great variety and always engaging. The guest posts and themed series have been great.

NCFirePolice ,

Great content without an uptight presentation

Chip does a great job keeping the shows informative and focused. He also does well on being a “real” person and does not act like a robot.

Dave H T ,

Not prepared

As a PA run podcast I am disappointed in this offering. I listen to the G/C episode this AM on my way to work and I was amazed at how unprepared it presented. The questions presented were poorly answered and focused more on anecdotal medicine for some aspect vs pulling the specific EBM for support.

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