

CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries
The CanadiEM.org Team
CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. Our podcasts are found on this channel and include:
CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content.
ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations.
First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations.
Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.
CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content.
ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations.
First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations.
Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.
Episodes
Mentioned books

12 snips
Feb 29, 2016 • 36min
CRACKCast E010 - Pediatric Resuscitation
Tristan Jones, a PGY2 physician specializing in pediatric resuscitation, joins to walk through infant CPR technique and PALS algorithms. They cover compression/ventilation ratios, cardiac arrest rhythms, bradycardia and tachycardia management, shock and vasoactive strategies, key pediatric drug doses, SIDS prevention and ED management, ALTE causes and workup, and pediatric intubation tips.

13 snips
Feb 24, 2016 • 37min
CRACKCast E009 - Adult Resuscitation
They break down causes of non‑traumatic cardiac arrest and what to look for when investigating why someone arrested. Clear focus on time to defibrillation and the components of high‑quality CPR. Practical ways to monitor CPR effectiveness and objective perfusion markers are discussed. Actionable post‑resuscitation physiological targets and a simple post‑arrest checklist are presented.

8 snips
Feb 22, 2016 • 16min
CRACKCast E008 - Brain Resuscitation
Discussion of post-cardiac-arrest brain care, including six immediate interventions to protect the brain. Pathophysiology of ischemic brain injury and goals of cerebral resuscitation are explored. Practical temperature management approaches and five ways to initiate therapeutic hypothermia are reviewed. Strategies to prevent secondary injury like seizure control, glucose management, and bedside protective measures are highlighted.

Feb 17, 2016 • 25min
CRACKCast E007 - Blood Products
Explains ABO and Rh basics and who can donate to whom. Defines massive transfusion and common physiologic complications. Reviews indications and dosing for PRBCs, FFP, platelets and cryoprecipitate. Covers immune and nonimmune transfusion reactions and which products carry infection risk. Discusses PCCs, FEIBA, plasma types and uses of recombinant factor VII.

13 snips
Feb 8, 2016 • 27min
CRACKCast E006 - Shock
Explore the five causes of shock and how lactate levels can inform management. Dive into SIRS, sepsis, and their severe forms, with essential diagnostic criteria. Discover the intricacies of early goal-directed therapy in septic patients, and learn about the complexities of cardiogenic shock management. Understand how cardiovascular obstructions affect blood flow, from pulmonary embolism to cardiac tamponade. Plus, memorable mnemonics help simplify the various types of distributive shock for critical care professionals.

8 snips
Feb 4, 2016 • 10min
CRACKCast E005 - Patient Monitoring
A lively dive into patient monitoring tools and their limits. Pulse oximetry basics and common situations that give false readings are listed. Practical uses of capnography and differences between qualitative and quantitative monitoring are explored. The shape and phases of the end-tidal CO2 waveform are explained. Clear reasons for placing invasive arterial monitoring are outlined.

14 snips
Feb 4, 2016 • 29min
CRACKCast E004 - Procedural Sedation and Analgesia
A fast-paced run through procedural sedation and analgesia: sedation levels from minimal to general, dissociation, and ED targets. Practical prep, monitoring needs, staffing and airway risk assessment. Drug comparisons covering fentanyl, midazolam, ketamine, propofol, etomidate, ketofol and nitrous oxide. Recovery, discharge rules, contraindications and common complications with management tips.

Jan 21, 2016 • 17min
CRACKCast E003 - Pain
Anatomy of the afferent pain pathway and how signals reach the brain. Differences between acute and chronic pain and their effects. Various pain assessment tools across ages. Multimodal targets for analgesia and NSAID harms with GI bleeding risks. Local anesthetic classes, toxic doses, expected toxicities and treatment. Techniques to reduce injection pain and topical options for skin, mucosa, and wounds.

Jan 15, 2016 • 10min
CRACKCast E002 - Mechanical Ventilation
This episode covers Chapter 2 of Rosen's Emergency Medicine. Episode Overview: What are Indications and contraindications to NIPPV? Describe your initial BePAP or CPAP settings? What are good initial vent settings? How do you troubleshoot the crashing patient on the ventilator?

7 snips
Jan 14, 2016 • 13min
CRACKCast E001 - Airway
This episode covers Chapter 1 of Rosen's Emergency Medicine. Episode Overview: How do you make the decision to intubate a patient? What are predictors of difficult bag valve mask ventilation? What are the predictors of difficult intubation? What are the predictors of difficult LMA insertion? What are the predictors of a difficult surgical airway? Differentiate non-depolarizing vs. depolarizing paralytic agents? What are the contraindications to succinylcholine?


