Ep 146 DKA Recognition and ED Management

In this first part of our 2-part podcast on DKA and HHS, Drs Melanie Baimel, Bourke Tillman and Leeor Sommer discuss the importance of identifying the underlying cause or trigger in DKA patients, the pitfall of ruling out DKA in patients with normal pH or normal serum glucose, how to close the gap effectively, why stopping the insulin infusion is almost never indicated, how to avoid cardiac collapse when DKA patients require endotracheal intubation, the best alternatives to plastic in the trachea, why using a protocol improves patient outcomes, how to avoid the common complications of hypoglycemia and hypokalemia, and much more...

By |2024-07-30T21:36:56-04:00September 29th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: , , , , , |9 Comments
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ECG Cases 13: LVH and Occlusion MI

LVH produces secondary repolarization abnormalities that can mimic STEMI. Signs of occlusion MI in patients with LVH include: new Q waves/loss of R waves, disproportionate and dynamic ST elevation (or ST depression from posterior MI), and hyperacute T waves. In this ECG Cases blog we look at 6 patients who presented with potentially ischemic symptoms and LVH on their ECG. Which had an acute coronary occlusion?

By |2022-08-14T22:08:57-04:00September 15th, 2020|Categories: Cardiology, ECG Cases, EM Cases, Medical Specialty|Tags: , , , |0 Comments
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EM Quick Hits 22 Postpartum Hemorrhage, Phenobarbital in Status Epilepticus, Managed Alcohol Programs, Traumatic Cardiac Arrest, Cholangitis, ED Approach to ARDS

In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiac arrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS...

By |2024-11-30T13:48:59-05:00September 15th, 2020|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty, Neurology, Obstetrics & Gynecology, Pediatrics, Resuscitation, Toxicology, Trauma|Tags: , , , , , , |0 Comments
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Ep 145 Physician Compassion – The Barbara Tatham Memorial Podcast

Dr. Barbara Tatham, EM colleague and educator, died of metastatic sarcoma at the age of 32 in October 2019. During her last year of life, in between surgeries, ICU stays and rounds of chemotherapy and radiation, she gave lectures on compassionate care inspired by her journey as a patient. In August 2019 we met at my summer cottage to record this podcast. We explored the evidence that compassionate care improves patient outcomes and staves off physician burnout. We discussed how compassion can be learned and applied easily and efficiently in your practice. We talked about the do’s and don’ts of compassionate care and ended with a call to action. It is my hope that, through this podcast, her voice and vision will reverberate and she will continue to champion compassionate care into the future…

By |2024-08-06T13:13:45-04:00August 25th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: , , , |6 Comments
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EM Quick Hits 21 TXA in GI Bleed, Pediatric DKA, POCUS for Shoulder Dislocations, Lisfranc Injuries, Dexamethasone for COVID Pneumonia, Consultation Tips

Salim Rezaie on HALT-IT trial for TXA in unstable GI bleed, Sarah Reid on pediatric DKA update in fluid management and cerebral edema, Hans Rosenberg on POCUS in shoulder dislocations via CJEM, Arun Sayal on Lisfranc injury pearls and pitfalls, Justin Morgenstern on RECOVERY Trial for Dexamethasone in COVID pneumonia, Walter Himmel on getting what you need from consultants...

By |2024-11-30T13:52:23-05:00August 11th, 2020|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Hematology, Medical Specialty, Orthopaedics, Pediatrics, Respirology|Tags: , , , , , , , , , , , |0 Comments
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Ep 144 Testicular Torsion: A Diagnostic Pathway

In this Part 2 of Urologic Emergencies EM Cases main episode podcasts Dr. Natalie Wolpert and Dr. Yonah Krakowsky answer questions about testicular torsion including: when, after the onset of symptoms, is the testicle salvageable? How sensitive is the presence of cremasteric reflex in ruling out testicular torsion? Are there any set of clinical symptoms and signs or decision tools (such as the TWIST Score) that can rule in or rule out testicular torsion with confidence? How accurate is doppler ultrasound in the diagnosis of testicular torsion? To what degree does Prehn's sign help distinguish epididymitis from testicular torsion? How can you distinguish testicular torsion from torsion of testicular appendage? When is manual de-torsion indicated and how effective is it? and many more...

By |2024-07-30T21:38:55-04:00July 28th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Genitourinary, Medical Specialty, Pediatrics|Tags: , , , , , |0 Comments
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Ep 143 Priapism and Urinary Retention: Nuances in Management

This month's main episode podcast on Urologic Emergencies -  Priapism and Urinary Retention asks: for priapism how much time to do we have to fix it before there’s irreversible tissue damage? How is priapism managed differently depending on the cause? What is the value of a corporal blood gas for managing priapism? What are the indications for cavernosal phenylephrine injections? What are the common medications that cause urinary retention that we often miss leading to needless recurrent urinary retention? Why is a suprapubic catheter in many respects safer than a urethral catheter for managing urinary retention? Which patients are at high risk for complications of post-obstructive diuresis? and many more...

By |2024-07-30T21:39:46-04:00July 14th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Genitourinary, Medical Specialty|Tags: , , , , , |4 Comments
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ECG Cases 11: LBBB + Occlusion MI

In ECG Cases 11 - LBBB + Occlusion MI Jesse McLaren runs through 5 patients who present with potentially ischemic symptoms and LBBB and explains the evolution of decision making for cath lab activation criteria. The two most important points are that we should always use the Smith-modified Sgarbossa Criteria to identify occlusion MI in the patient with ischemic symptoms and LBBB, whether old or new, and that those with refractory ischemia and hemodynamic instability from suspected occlusion MI require cath lab activation regardless of the ECG....

By |2020-07-13T12:22:19-04:00July 13th, 2020|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty|Tags: , , , , |0 Comments
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WTBS 24 What We Should Learn From the First Wave of COVID-19

COVID-19 is the greatest challenge our healthcare system has faced in a century. Let’s make sure we learn fast, and learn the right things, to get ready for the next challenge...

By |2020-07-13T11:13:57-04:00July 13th, 2020|Categories: COVID-19, EM Cases, Emergency Medicine, Medical Specialty, Waiting to be Seen|Tags: , , , , |1 Comment
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