For Episode 9, we were lucky enough to sit down with Anand Swaminathan and get his top 3 Emergency Medicine myths for med students. They are listed below along with links to some of ther literature Dr. Swaminathan mentioned in the show:
1. Antibiotics are necessary treatment for streptococcal pharyngitis
– Here is a link to a Cochrane review on the topic
– And here is an excellent deep dive of the literature from David Newman at the SMART EM podcast
2. Orthostatic vital signs are a good test for volume depletion
– Check out this JAMA review of physical diagnosis of volume depletion
3. Epinephrine has proven benefit in treatment of cardiac arrest
– Here is the OPALS trial for ALS in out of hospital cardiac arrest that Dr. Swaminathan mentioned
– And here is Dr. Jacobs’ RCT on epinephrine in out of hospital cardiac arrest Dr. Swaminathan also mentioned
One more that we didn’t talk about but that is a piece of medical dogma turns out to be just as fascinating as it is commonly propagated: Davide Newman of Smart EM takes apart everything you think you know about epinephrine and local anesthetics here.
Hope this inspires you to get out there and get after that 50%! Thanks for listening. See you back next month!