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...

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...

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....

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...

EM Quick Hits 20 Imaging Renal Colic, Human Trafficking, Atrial Fibrillation During COVID, Transvenous Pacemaker Placement, COVID Lung POCUS, COVID Derm, Virtual Simulation

Justin Morgenstern on imaging choices in renal colic, Hanni Stoklosa on recognition and management of human trafficking, Rohit Mohindra on management of atrial fibrillation during COVID-19, Anand Swaminathan on transvenous pacemaker placement, Rob Simard on COVID-19 lung POCUS, Brit Long on COVID-19 dermatology and Sarah Foohey & Paul Koblic on virtual simulation...

BCE 82 Perimortem C-section – The Resuscitative Hysterotomy

In this EM Cases Best Case Ever podcast, Dr. Kari Sampsel, Emergency Physician at Ottawa Hospital and Assistant Professor at University of Ottawa, Medical Director of Sexual Assault and Partner Abuse Care Program guides us through an example of a perimortem C-section - a resuscitative hysterotomy at Janus General. She and Rajiv discuss preparation, indications, the procedure, team dynamics and debriefing for this HALO procedure...

WTBS 23 Preparing for the Next Viral Wave to Prevent a Tidal One: Co-circulation of Annual Influenza and COVID-19

It remains to be seen whether influenza and COVID-19 will overlap. The actions we take now will determine how well we navigate the coming waves and resulting surges. We’re aiming for something closer to smooth sailing as opposed to capsizing or, worse, sinking. Dr. Kieran Moore and Dr. Howard Ovens explore preparation strategies for co-circulation of seasonal influenza and COVID-19 in this month's Waiting to Be Seen...

EM Quick Hits 19 Angioedema, SAH Decision Tool, Breastfeeding Myths, COVID-19 Neurology, Spider Bites, Skin Abscess Management

Anand Swaminathan on airway management in angioedema, Jeff Perry on Ottawa subarachnoid hemorrhage rule and 6hr CT rule, Hania Bielawska on ED breastfeeding myths and misconceptions, Brit Long on neurologic associations with COVID-19, Justin Hensley on management of spider bites and Hans Rosenberg & Heather Murray on management of skin abscesses...

WTBS 22 The End of The Beginning: What’s Next for EDs in the COVID-19 Pandemic?

In this month's Waiting to Be Seen blog Dr. Howard Ovens explores The End of The Beginning: What’s Next for EDs in the Pandemic? Many questions have arisen now that we are a few months into the pandemic in North America: How long will ED volumes remain low? What will happen as hospital services ramp up? Will staff get tired of precautions? Will PPE supplies be maintained? What will happen during flu season? What mitigation strategies are available to us? Dr. Ovens explains how we must maintain vigilance in our EDs and not let our guards down. COVID-19 is not going away anytime soon...

Ep142 Neonatal Resuscitation – Airway, Temperature Control, Central Access, Hemodynamics, Glucose Control and Transport

Dr. Hilary Whyte, Dr. Jabeen Fayyaz, Dr. Emily MacNeill discuss a neonatal resuscitation algorithm, airway management, fluid resuscitation, central access tips, glucose and temperature control and transport tips...

Donate Subscribe
Go to Top