What are the benefits of early rhythm control versus rate control alone? When is electrical cardioversion used and what information can it tell us? What side effects for amiodarone, dofetilide, and sotalol, propafenone and flecainide? When should catheter ablation be considered in patients with atrial fibrillation? Time stamps: 02:05 Pearl 1 - Rhythm control 11:23 Pearl 2 - Electrical cardioversion 17:53 Pearl 3 - Class III antiarrhythmics and side effects 26:31 Pearl 4 - Class Ic antiarrhythmics and side effects 31:55 Pearl 5 - Catheter ablation Tags: cardiology, primary care, CoreIM, IMco ..read more

Should your patients be reaching for albuterol when their asthma flares up? Some of us may have been treating asthma exacerbations incorrectly for many years… What is the right approach? Tune in to the fifth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group, to learn about the latest asthma management trials and guidelines, and how to translate them into better patient care. Show Notes & Transcript Time Stamps 01:47 Evolving story of asthma management 03:26 Pathophysiology of asthma management 06:01 Key players & terms 08:56 Story ..read more

What do the different iron labs mean?! How to interpret iron labs in the setting of inflammation? How to take a good menstrual history? Sponsor: Freed is an AI scribe that listens, prepares your notes, and writes your note in < 30 seconds. Freed learns your style over time and is HIPAA compliant!  Use the code CORE50 to get 50% off your first month with Freed Time stamps: 03:43 Iron deficiency labs and interpretation in inflammation 16:08 Heavy menstrual bleeding evaluation 27:04 When should a premenopausal woman with iron deficiency have endoscopy? 35:15&nbs ..read more

Uncover many blind spots on tube feeds! Sponsor: At Panacea Financial, every single customer gets their OWN 24/7 primary care banker who actually knows you! Youtube Interviews:  Short-term enteral access Durable enteral access What is venting aka decompression? Show Notes & Transcript Timestamp 02:21 Indications for tube feeds 09:36 Routes of enteral access 19:20 Components of tube feeds 7:03 Tube feeds complications 34:50 Counseling patients before discharge and medication interactions Tags: IMCore, CoreIM, nursing home, primary care, dietician, nutrition support, hospital me ..read more

How do you manage GDMT in a frail older adult? When is a guardian needed and what is the process for obtaining guardianship? Sponsor: Echonous, the maker of Kosmos, is redefining point-of-care ultrasound at half the price (or less) of comparable carts. Mention Core IM at the Demo to get a free A.I application of choice! Youtube Interviews:  When to consider a guardian? Guardianship Process Limitation and value of individualism Show Notes & Transcript Timestamp 04:03 Deep Dive 1: How do you approach guideline-directed medical therapy of heart failure with reduced ejection fractio ..read more

How do you counsel patients eligible for the RSV vaccines? What do the results of the RENOIR and AReSVi trials tell us and how do they compare? How should we interpret vaccine trials in the first place? Tune in to the fourth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group. Sponsor: Pathway FREE evidence-based clinical decision support app. Guideline summaries, interactive algorithms, landmark trials & more Show Notes & Transcript Time Stamps 02:30 Epidemiology of RSV 03:46 Development of RSV vaccine 05:55 Vaccine trial ..read more

When you see a low mag or a low phos, what are you thinking about? And do PPIs effect magnesium absorption? How much sodium and potassium are found in a typical oral phosphorus supplement? Sponsor: Pathway FREE evidence-based clinical decision support app. Guideline summaries, interactive algorithms, landmark trials & more Youtube interview on key points on magnesium Youtube interview on key points on phosphate CME : http://bit.ly/CIMCME || Show Notes & Transcript Timestamp 01:37 Pearl 1: Magnesium 09:39 Pearl 2: Framework for hypomagnesemia 16:53 Pearl 3: Magnesium rep ..read more

Sharpen your de-escalation skills! Sponsor: GlassHealth | Get unlimited A.I queries for 1 month with promo code: COREIM ! Timestamps: 02:26 Difficult Patients 10:25 Mediation Toolkit 17:20 Maxims of Mediation 26:46 When the Conversation Still Breaks Down 35:11 Conclusion Tags: IMCore, CoreIM, ethics, humanities, nurse practitioner, pharmacist, physician assistant, burnout Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy ..read more

In community-acquired pneumonia, can steroids improve mortality? Past studies of steroids in CAP have been conflicting, with some showing a mortality benefit and others showing no difference. How does the CAPE COD trial change how we think about patients hospitalized with severe CAP? To find out, tune into the third episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group. Sponsor: Panacea Financial Student Loan Consultation Show Notes & Transcript 01:50 Pathophysiology of Steroids and Infection 03:50 Steroids in PNA Studies 08:56 CAPE C ..read more

Syncope history, PPM/ICD prior to MRI or surgery, anticoagulation for pacemaker or ICD procedures and new cardiac devices and how they may look different on EKG or chest x-ray! Sponsor: Post Investment: Real Estate Syndications  Show Notes & Transcript Timestamps: 01:13 Pearl 1: Should we approach syncope history differently in our patients with pacemakers and ICDs? 06:31 Pearl 2: Considerations for patients with implantable devices before surgery. 12:26 Pearl 3: Considerations for patients with implantable devices before MRI. 14:45 Pearl 4: Anticoagulation i ..read more