CRACKCast E219 - Diarrhea
Play • 44 min

Core Questions

  1. Define diarrhea.
  2. Outline the pathophysiologic processes that result in diarrhea.
  3. List 10 infectious causes of diarrhea. - Box 28.1
  4. List 10 non-infectious causes of diarrhea. - Box 28.2
  5. Outline 5 important aspects of a patient’s history to elucidate in cases of diarrhea.
  6. Detail an approach to laboratory testing in the patient with diarrhea.
  7. When are empiric antibiotics indicated for the treatment of diarrheal illnesses?

Wisecracks

  1. What antibiotics are most commonly implicated with precipitating C.difficile diarrhea?
  2. What factors increase the probability of non-benign diarrheal illness?
  3. Outline the constituent ingredients contained within the World Health Organization’s rehydration formula.
  4. What is the BRAT diet and why is it recommended in patients with acute diarrheal illnesses?
Stimulus.
Stimulus.
Rob Orman, MD
37. Stress Inoculation
We break down three techniques to inoculate yourself against the stress of time critical tasks. Guest Bio: Jason Hine, MD is a community emergency medicine physician at Southern Maine Healthcare where he is the Medical Director of Education. He is a graduate of Tufts University School of Medicine and the Temple EM Residency program where he served as chief.  He serves as an Associate Editor and Author on the DownEast EM blog and podcast and has an interest in procedural skill set decay as well as the role of academics in improving the recruitment, retention, and satisfaction of community physicians.   Episode Sponsor: Panacea Financial is a financial services company created for doctors, by doctors -- aiming to improve the lives of physicians and physicians in training with products and services tailored to the medical community.  Whether it's scheduling residency interviews, trying to buy a house during training, or looking for ways to fund your practice, Panacea Financial was created to remove the unique financial hurdles of physicians and allow you to better serve your communities. Panacea Financial is a Division of Sonabank, Member FDIC. You can follow them on the Insta, Twitter, Facebook, and everybody's well dressed favorite, Linkedin.  Listen on: * iTunes * Spotify * Stitcher We discuss: * The importance of stress inoculation training when you need to perform a HALO (High Acuity Low Opportunity) procedure [05:15]; * How inoculating against stress helps you 1) perform well when confronted with the situation in real life and 2) serves as a memory aid [07:05]; * 3 techniques for stress inoculation [08:00]; * Why you should not only ask people to observe you, but also request that they provide feedback on your imperfections [16:40]; * The advantages of low-fidelity stress inoculation strategies as compared with simulation labs [18:00]; * Additional tools for reducing stress [19:20]; * And more. For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
22 min
PsychEd: educational psychiatry podcast
PsychEd: educational psychiatry podcast
PsychEd
PsychEd Episode 30: Anti-black Racism and Mental Health with Dr. Kwame McKenzie
Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers anti-black racism and mental health with Dr. Kwame McKenzie. Dr. McKenzie is an international expert on the social causes of illness, suicide and the development of effective, equitable health systems. He is a Professor of Psychiatry at University of Toronto and a staff psychiatrist and Director of Health Equity at the Centre of Addiction and Mental Health. The learning objectives: By the end of this episode, you should be able to… * Understand the history and legacy of racism and mental health in the black community * Understand the current state of racism towards black people and the impacts on their mental health. * Explore how healthcare workers can be anti-racist in providing mental health care and how the system can change to improve the mental health of black people. Host(s): Anita Corsini (social worker), Dr. Alex Raben (staff psychiatrist), and Rebecca Marsh (CC4) Produced by: Anita Corsini, Rebecca Marsh, Randi Wang (CC4), and Dr. Alex Raben Guest experts: Dr. Kwame McKenzie, staff psychiatrist Resources: Manual for Cognitive-Behavioural Therapy for English-Speaking People of Caribbean Origin The City of Toronto has curated a list of Mental Health Resources for Black Communities. Organizations include: * Across Boundaries * Black Creek Community Health Centre * Caribbean African Canadian Social Services * Rexdale Community Health Centre * TAIBU Community Health Centre * The Black Health Alliance * Women’s Health in Women’s Hands Community Health Centre References: * Adelman, J. (2003). Study in Blue and Grey, Police Interventions with People with Mental Illness: A Review of Challenges and Responses [Ebook]. Canadian Mental Health Association. Retrieved 7 October 2020, from https://cmha.bc.ca/wp-content/uploads/2016/07/policereport.pdf. * Bailey, R. K., Mokonogho, J., & Kumar, A. (2019). Racial and ethnic differences in depression: current perspectives. Neuropsychiatric disease and treatment, 15, 603–609. https://doi.org/10.2147/NDT.S128584 * Bor, J., Venkataramani, A., Williams, D., & Tsai, A. (2018). Police killings and their spillover effects on the mental health of black Americans: a population-based, quasi-experimental study. The Lancet, 392(10144), 302-310. https://doi.org/10.1016/s0140-6736(18)31130-9 * Bresnahan, M., Begg, M., Brown, A., Schaefer, C., Sohler, N., & Insel, B. et al. (2007). Race and risk of schizophrenia in a US birth cohort: another example of health disparity?. International Journal Of Epidemiology, 36(4), 751-758. https://doi.org/10.1093/ije/dym041 * Chakraborty, A., McKenzie, K., & King, M. (2009). Discrimination, ethnicity and psychosis — a qualitative study. Ethnicity And Inequalities In Health And Social Care, 2(1), 18-29. https://doi.org/10.1108/17570980200900004 * Fernando, S. (2014). Racism in psychiatry. In R. Moodley & M. Ocampo (Eds.), Critical Psychiatry and Mental Health: Exploring the Work of Suman Fernando in Clinical Practice (pp. 22-32). Taylor & Francis. * Kirkmayer, L. J. (2014). Critical psychiatry in Canada. In R. Moodley & M. Ocampo (Eds.), Critical Psychiatry and Mental Health: Exploring the Work of Suman Fernando in Clinical Practice (pp. 170-181). Taylor & Francis. * Kuper, A. (2018). Cultural Safety & Equity [Lecture PDF]. Retrieved from University of Toronto Faculty of Medicine. * Maynard, R. (2017). Policing Black Lives: State Violence in Canada from Slavery to the Present. Fernwood. * McKenzie, K. (2002). Does racial discrimination cause mental illness?. European Psychiatry, 17, 84. https://doi.org/10.1016/s0924-9338(02)80385-6 * McKenzie, K., & Bhui, K. (2007). Institutional racism in mental health care. BMJ, 334(7595), 649-650. https://doi.org/10.1136/bmj.39163.395972.80 * MCRRT - St. Joseph's Healthcare Hamilton. St. Joseph's Healthcare Hamilton. (2020). Retrieved 7 October 2020, from https://www.stjoes.ca/health-services/mental-health-addiction-services/mental-health-services/coast/mcrrt. * Richardson, L. (2019). Diversity and Advocacy [Lecture PDF]. Retrieved from University of Toronto Faculty of Medicine. CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association. For more PsychEd, follow us on Twitter (@psychedpodcast) and Facebook. You can provide feedback by email at psychedpodcast@gmail.com. For more information visit our website: psychedpodcast.org.
1 hr 5 min
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