The Point of Care Podcast

• AFib with RVR - Quick Admit

  AFib with RVR: Quick AdmitThis 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.Timestamps00:00 Introduction to AFib Management00:24 Initial Assessment and Triage01:06 Reviewing Patient History01:59 Admission Orders and Labs02:29 Initial Treatment Considerations03:41 History of Present Illness (HPI)04:30 Physical Examination04:58 Etiology and Causes05:33 If You Remember Nothing Else06:49 Conclusion and Follow-UpDisclaimer: 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.

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• Atrial Fibrillation - Clinical Review

  Atrial Fibrillation: Clinical ReviewThis 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.Timestamps00:00 Introduction to Atrial Fibrillation00:12 Key Takeaways01:13 Definitions02:17 Etiologies04:22 Pathophysiology07:28: Physical Exam08:18 Diagnostic Workup10:25 Treatment - Stroke Prevention14:17 Treatment - Rate Control16:13 Treatment - Rhythm Control19:05 Treatment - Risk Modification20:10 Clinical Pearls29:54 Review of Clinical Trials34:11 Additional Resources and ConclusionShow NotesReview ArticlesAtrial Fibrillation A Review Direct Oral Anticoagulants in Patients with ESRD Catheter ablation for atrial fibrillation: indications and future perspective Related ContentAfib with RVR Admission Template20 Atrial Fibrillation Facts Every Physician Needs to Know in 202510 Key Facts About Ablation for Atrial FibrillationCKD and Atrial Fibrillation: Navigating the Anticoagulation MazeDisclaimer: 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.

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• Acute Pancreatitis - Quick Admit

  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.

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• Acute Pancreatitis (Inpatient) - Full Episode

  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 Acute Pancreatitis: A Review ⁠(JAMA, 2021)⁠ Acute Pancreatitis ⁠(NEJM, 2016) Trials WATERFALL Trial - Aggressive (20 ml/kg bolus + 3 ml/kg/hr) vs Non-Aggressive (10 ml/kg bolus + 1.5 ml/kg/hr) fluid resuscitation in acute pancreatitis - fluid overload resulted in 20.5% vs 6.3% of patients but no difference in the development of moderately severe or severe pancreatitis ⁠(NEJM, 2022) Other Literature Enteral versus parenteral nutrition for acute pancreatitis ⁠(Cochrane, 2010)⁠ A Critical Evaluation of Laboratory Tests in Acute Pancreatitis ⁠(Am J Gastroenterol, 2002) Blogs and Summaries Clinical Problem Solvers - Acute Pancreatitis Illness Script Internet Book of Critical Care - Pancreatitis Radiopaedia - Imaging Findings in Acute Pancreatitis Pathway Guidelines Summary - Acute Pancreatitis

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• Hyperkalemia (Inpatient)

  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

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