Patient education and bike helmet use, falling through the cracks during disasters, under-use of epinephrine, and we’re going to take a look at the bowel disorder Crohn’s disease. If that’s what you’re looking for on this weeks show, you found it right here on the MedicCast.

MedicCast Episode 317

digestive_tract_line_smGood day and welcome to this week’s episode of the MedicCast. I’m your host Jamie Davis the Podmedic. I’d like to welcome all of you the program this week. There is a great show coming up for you including a look at some of the people who fell through the cracks during hurricane Sandy a few months back. That disaster affected so many people and we saw the devastation but do we really understand how some people are just teetering on the edge, all the time, of being without normal resources even in the best of times. And when disaster comes along, it just makes it completely so they can’t cope with the problem. That’s something we are going to follow up on here on the show and I hope you’ll follow up and check on that as well, plus our other news items coming up.

Then we’re going to be looking at Crohn’s disease, we’ll talk about some of these other disorders and things that we might come across patients with these problems in their medical history that are really going to be treated in the emergency environment. But, we should still have an understanding of what these disorders are and how they might be affecting the patient’s other problems when they present to us with an emergency. So we’ll follow up and look at Crohn’s disease later on in this episode.

I do want to remind you to follow up on all of the information you’ll find in every episode over at the MedicCast website. That’s at When you get over there, you’ll find links to the show notes right there at the top of the page. Click that link and you’ll find the most recent episode and you can scroll down find all of the previous episodes. Use that link to follow-up on the information from each show: the links to the news items, the additional resource links for each week’s Tip of the Week, and more. All of that is available for you over there at the MedicCast website and I urge you to follow up on that there.

If you want to get back in touch with me. I welcome your e-mails. Send those e-mails into I love to hear from you and I respond back to every e-mail that comes in. Keep those e-mails coming with your questions, your comments, or suggestions, and anything else you’d like to share with me. I love getting news links from people. It’s hard for me to judge what you want to hear about in an episode so when you send me news items to take a look at for future episodes, it’s a great opportunity for me to give back to you something you’re interested in. So keep those communications coming in, continue to be an active part of the MedicCast community.

There’ll be some more contact information coming up later on in this episode, but we should probably think about heading into this week’s news items. They’re coming right up in just a sec.


Inpatient Prevention Education and Bike Helmets

First off in this week’s news items is a look at how we can become more actively involved in injury prevention. A recent study looking at bicycle helmet use among pediatric patients discovered that doing inpatient training with real information, with discussions and frank of information on what can happen if you get a severe brain injury, actually gives the prevention message a little more weight.

Special Needs Community and Disaster Management

While I was at EMS World Expo in November, the East Coast was getting hammered with hurricane Sandy. There were many things that came out of that disaster and lessons learned about preparedness. Some of the lessons learned  were about how we can be as prepared as we want to be, but ultimately we are not prepared for the type of devastation than nature can incur upon us.

EMS Not Proactive with Epinephrine for Anaphylaxis

Finally in the news this week, an article I picked up out of the College of Allergy, Asthma and Immunology annual scientific meeting recently held in Anaheim, California. This organization recently had a study presented to them on EMS professionals who were not as proactive as they should have been in dealing with anaphylaxis patients. These patients with severe allergic reactions and anaphylactic reactions were less likely than had previously been thought to receive epinephrine in the field.


Crohn’s Disease Review for EMS

Time now for this week’s tip of the week and I’m really excited to be joined again this week by our good friend Lisa Booze from the Maryland Poison Center. I got a chance to sit down over a phone call with her and get some information from her for this week’s Tox Tidbits segment, a little toxicology look on a specific item that Lisa brings to us. I’m looking forward to sharing you that recorded conversation with you here on the show.

Crohn’s Disease Links

NIH National Library of Medicine on Crohn’s

National Institute of Diabetes, Digestive and Kidney Diseases on Crohn’s

NIH on Inflammatory Bowel Disease


Contact the MedicCast

Take a look at these articles. You can find these links at the MedicCast site ( in the shownotes for this episode. Get back to me. Let me know what you think about these news items by email at or sending a message via Facebook( or Twitter (

The MedicCast is a proud member of the ProMed Podcast Network.


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Until next time, Scene safety, BSI!

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