Emergency Medicine Cases

Dec 03 2024 367 ep. 54 mins 31.5k

In-depth round table discussions with North America's brightest minds in Emergency Medicine on practical practice-changing EM topics since 2010, plus our EM Quick Hit series for a variety of short EM knowledge nuggets, and our Journal Jam series for EBM deep dives. World class Free Open Access Medical Education (FOAMed). For archived podcast episodes, show notes, quizzes, videos, discussions and an entire EM learning system, visit emergencymedicinecases.com. For donations, please visit https://emergencymedicinecases.com/donation/

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EM Quick Hits 61 TEE in Cardiac Arrest, Nebulized Ketamine, Cellulitis Update, SQ Insulin for DKA, Medicolegal DDx Documentation Tips

Dec 03 2024 59 mins

Topics in this EM Quick Hits podcast Ross Prager on TEE in cardiac arrest (1:05) Justin Morgenstern on nebulized ketamine for analgesia in the ED (26:27) Hans Rosenberg & Krishin Yadav on standardizing cellulitis management (32:48) Matthew McArther on latest studies on subcutaneous insulin protocols in DKA (40:04) Jennifer C. Tang on documenting differential diagnoses medicoleg

Ep 199 Trauma Airway and Airway Trauma

Nov 12 2024 104 mins

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the un

EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How

Oct 22 2024 52 mins

Topics in this EM Quick Hits podcast Kevin Wasko on post-tonsillectomy hemorrhage management (1:06) Brit Long on assessment and management of post-CABG surgical incision infections (15:40) Anand Swaminathan on evidence, pitfalls and tips on using Bougies (23:07) Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures (31:05) Andrew P

Ep 198 Understanding and Improving Culture in Emergency Medicine: Key Insights

Oct 01 2024 88 mins

There is a culture problem in medicine. 70% of us are disengaged, more than 50% contribute nothing to our departments and more than 15% actively work against a healthy culture in our departments. What makes an Emergency Department run like a well-oiled machine with staff that find meaning in their work and who are grateful for serving the public? There are individual skills; there

EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI

Sep 10 2024 58 mins

Topics in this EM Quick Hits podcast Ian Chernoff on traumatic coronary artery dissection (1:05) Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia (15:50) Brit Long & Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management (21:47) Dave Jerome on managing exercise-associated hyponatremia and heat illness (33:47) Jesse McLaren

Ep 197 Acute Heart Failure Risk Stratification and Disposition

Aug 19 2024 74 mins

We’d like to think that we’re getting better at identifying acute heart failure and making good disposition decisions. But the facts are, ED physicians are only about 80% accurate diagnosing acute heart failure, and 30-day mortality outcomes and readmission rates for acute heart failure have been about the same in North America for the last few decades – plus we often send ho

EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma

Jul 30 2024 71 mins

Topics in this EM Quick Hits podcast Megan Landes on providing HIV PEP and PrEP in the ED (1:05) Justin Morgenstern and George Kovacs on evidence for pre-oxygenation with NIPPV before intubation in RSI (19:05) Brit Long on recognition and management of blast crisis in the ED (41:31) Leah Flanagan and Liam Loughrey on the rise of nitrous oxide toxicity (50:40) Andrew Petrosoniak on

Ep 196 Pediatric Meningitis Recognition, Workup and Management

Jul 08 2024 88 mins

In this EM Cases main episode podcast with Dr. Shannon MacPhee and Dr. Jeanette Comeau we discuss the recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis including antibiotic choices and dexamethasone. We answer such questions as: w

EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments

Jun 18 2024 58 mins

Topics in this EM Quick Hits podcast Megan Landes on the importance of diagnosing HIV in the ED (1:10) Jesse McLaren on the failed paradigm of STEMI criteria and ECG tips to identify acute coronary occlusion (22:33) Anand Swaminathan on evidence for non-invasive airway management in the poisoned patient (29:25) Brit Long and Hans Rosenberg on the identification, workup and manageme

Ep 195 Management of Subarachnoid Hemorrhage

May 28 2024 48 mins

Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Mortality in SAH patients can be up to 30% even without neurological deficit. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast series on subarachnoid hemorrhage w

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