Emergency Medicine Cases

EM Quick Hits 34 Carr’s Case, Septic Arthritis vs Transient Synovitis, Managing Tracheostomies, Ethylene Glycol Poisoning, Ketamine for Agitation

In this months EM Quick Hits podcast: The mighty return of Carr's Cases! Sarah Reid on differentiating septic arthritis from transient synovitis in pediatric limp, Anand Swaminathan on managing tracheostomy complications in the ED, Nour Khatib on rural medicine and ethylene glycol poisoning, Justin Morgenstern on RCTs for ketamine in patients with severe agitation...

By Anton Helman|2024-10-27T20:27:46-04:00November 30th, 2021|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Pediatrics, Resuscitation, Toxicology|Tags: agitation, Carr's Cases, ethylene glycol, ketamine, pediatric limp, septic arthritis, tracheostomy, transient synovitis|3 Comments

Ep 162 Managing Adversity with Walter Himmel

I asked Dr. Walter Himmel to give a talk at EM Cases Summit 2021 on what he has learned in 40 years of practice. Herein lies his profoundly thoughtful answer, that is especially relevant during the COVID pandemic - a special edition EM Cases video podcast of his live presentation at The Summit...

By Anton Helman|2022-10-21T19:49:44-04:00November 16th, 2021|Categories: Conference, EM Cases, EM Cases Summit, Emergency Medicine, Episodes, Medical Specialty|Tags: adversity quotient, antifragility, Cynefin, Dr. Walter Himmel|1 Comment

ECG Cases 27 Pericarditis – Diagnosis of Exclusion

Jesse McLaren guides us through 9 cases and explains how pericarditis is a diagnosis of exclusion through 3 simple steps: 1. Exclude more serious causes of chest pain, eg wraparound LAD occlusion, inferior OMI 2. Exclude complications of pericarditis, eg myocarditis, large pericardial effusion 3. Exclude normal variant ST elevation presenting with benign chest pain on this month's ECG Cases blog...

By Jesse McLaren|2021-11-16T10:50:29-05:00November 16th, 2021|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty|Tags: ECG, myocarditis, occlusion MI, pericardial effusion, pericarditis, STEMI|2 Comments

Ep 161 Red Flag Headaches: General Approach and Cervical Artery Dissections

In this Part 1 or our two part podcast series on Red Flag Headaches we discuss a general approach, tips and tricks to assessing patients who present with headache followed by a deep dive into cervical artery dissections. With the help of Dr. Roy Baskind and Dr. Amit Shah we answers questions such as: what are the big 4 headache diagnoses that are not routinely picked up on plain CT or LP? Why are the symptoms of cervical artery dissection often fluctuating? Why do the symptoms of cervical artery dissection sometimes seem to not fit an anatomical distribution? What are the key clinical features that would trigger you to suspect cervical artery dissection? How do you decide which patients require a CT angiogram? What is the evidence for a causal relationship between chiropractic manipulation and cervical artery dissections? What is evidence for antiplatelet agents, anticoagulants and thrombolysis in the management of cervical artery dissection? Which patients with cervical artery dissection can be safely discharged from the ED and many more...

By Anton Helman|2024-07-10T22:34:14-04:00November 2nd, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: approach to headache, carotid artery dissection, cervical artery dissection, Dr. Amit Shah, Dr. Roy Baskind, vertebral artery dissection|0 Comments

EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine

In this month's EM Quick Hits podcast, Anand Swaminathan on tips and tricks in polytrauma, Rohit Mohindra on diagnosis and management of toxic megacolon, Jesse McLaren on ECG in pulmonary embolism, Victoria Myers on approach to the patch call for cardiac arrest, Brit Long on when to do a CT head before LP, Salim Rezaie on nebulized ketamine - the ketaBAN study...

By Anton Helman|2024-10-27T20:27:05-04:00October 18th, 2021|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Neurology, Respirology, Resuscitation, Trauma, Ultrasound, Uncategorized|Tags: cardiac arrest, colitis, ECG, ketamine, lumbar puncture, meningitis, nebulized ketamine, pseudo PEA, pulmonary embolism, right heart strain, trauma resuscitation|1 Comment

ECG Cases 26: Pulmonary Embolism and Acute RV Strain

In this month's ECG Cases Dr. Jesse McLaren runs through 10 cases and explains how the ECG can be integral in the diagnosis and management of pulmonary embolism, even though it is not incorporated into any of the commonly used decision tools for diagnosis of pulmonary embolism...

By Jesse McLaren|2024-12-29T17:10:06-05:00October 18th, 2021|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty, Respirology|Tags: ECG, ECG cases, pulmonary embolism, RV strain|2 Comments

Journal Jam 19 Therapeutic Hypothermia After Cardiac Arrest – Mixed Evidence

In this Journal Jam podcast, special guest Dr. Mizuho Morrison joins Anton and Justin to clear up the muddy waters of therapeutic hypothermia with a deep dive into the world’s literature...

By Anton Helman|2024-05-05T14:46:37-04:00October 5th, 2021|Categories: EM Cases, Emergency Medicine, Journal Jam, Medical Specialty, Resuscitation|Tags: journal jam, targeted temperature, therapeutic hypothermia, TTM2|0 Comments

EM Quick Hits 32 Checkpoint Inhibitors, Adult Epiglotitits, HSP, Heat Stroke, Bell’s Palsy and Leukemia

In this EM Quick Hits: Walter Himmel on new diseases associated with immune checkpoint inhibitors, Leeor Sommer on the evolution of epiglottitis - adult epiglottitis clinical pearls, Sarah Reid on how to pick up HSP, Anand Swaminathan on an approach to management of heat stroke, Justin Morgenstern on the association between pediatric Bell's palsy and leukemia...

By Anton Helman|2022-10-26T21:32:30-04:00September 21st, 2021|Categories: Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Pediatrics, Resuscitation|Tags: Adult Epiglotitits, Bell's palsy, checkpoint inhibitors, heat stroke, HSP|3 Comments

ECG Cases 25: ‘Late STEMI’ – How acute is the coronary occlusion?

In this ECG Cases blog we look at 10 patients with potentially ischemic symptoms. Which had a coronary occlusion, and how acute were they? Jesse McLaren explains 'Late STEMI' and how reperfusion strategies should not be based on time of symptom onset...

By Jesse McLaren|2021-09-21T15:36:40-04:00September 21st, 2021|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty|Tags: Dr. Jesse McLaren, ECG interpretation, STEMI|0 Comments

Ep 160 Geriatric Trauma 2 Rib Fractures, Pelvic Fractures, Prognostication, Elder Abuse, Discharge Planning

In Geriatric Trauma Part 2 we answer questions such as: what are the indications for transfer to a trauma center in older patients with rib fractures and why? Can we accurately prognosticate older trauma patients in the ED? How can we best engage family members in goals of care discussions for the older trauma patient? What are the risk factors for elder abuse that we need to be aware of in the ED? How can we best minimize the risk for recurrent falls and bounce backs for the older trauma patient who is discharged from the ED? and many more...

By Anton Helman|2024-07-17T18:33:57-04:00September 7th, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Special Populations, Trauma|Tags: elder abuse, falls, frailty scale, hip fracture, non-accidental trauma, pelvic fracture, rib fracture|2 Comments