resuscitation and critical care medicine

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 Anton Helman|2024-07-30T21:36:56-04:00September 29th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: cerebral edema, diabetic ketoacidosis, DKA, euglycemic DKA, hypokalemia, metabolic acidosis|9 Comments

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 Anton Helman|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: alcohol abuse, ARDS, cholangitis, phenobarbital, postpartum hemorrhage, status epilepticus, traumatic cardiac arrest|0 Comments

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...

By Anton Helman|2024-11-30T13:48:31-05:00June 30th, 2020|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Pediatrics, Respirology, Resuscitation, Special Populations, Ultrasound|Tags: atrial fibirillation, cardioversion, COVID-19, electrical cardioversion, Human Trafficking, lung POCUS, pacemaker, procainamide, renal colic, simulation training|1 Comment

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...

By Anton Helman|2023-05-14T17:33:02-04:00June 15th, 2020|Categories: Best Case Ever, EM Cases, Emergency Medicine, Medical Specialty, Obstetrics & Gynecology, Pediatrics, Resuscitation|Tags: perimortem c-section, resuscitative hysterotomy|2 Comments

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...

By Anton Helman|2022-06-11T16:39:46-04:00May 18th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics, Resuscitation, Uncategorized|Tags: airway, cardiac arrest, CPR, Dr. Hilary Whyte, newborn resuscitation, NRP|9 Comments

EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule

Anand Swaminathan on recognition and ED management of adrenal crisis, Maria Ivankovic on indications for antibiotics in strep throat from EM Cases Course 2020, Jesse McLaren on recognition of posterior MI from ECG Cases, Justin Yan & Hans Rosenberg on just the facts of approach to DKA, Brit Long on ovarian torsion imaging myths, Walter Himmel on how to use the HINTS exam properly, and Ian Stiell on how to use Canadian CT head rules properly...

By Anton Helman|2024-12-14T23:51:05-05:00April 21st, 2020|Categories: Cardiology, Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Resuscitation, Trauma|Tags: adrenal crisis, Canadian CT Head Rule, CT head, DKA, HINTS, minor head injury, ovarian torsion, pharyngitis, posterior MI, strep throat|4 Comments

EM Quick Hits 16 COVID-19 Oxygenation Strategies, Trauma Care, Addictions Considerations, Cardiovascular Complications and Compassionate Care

Anand Swaminathan on oxygenation strategies for COVID-19 learned from the New York experience, Andrew Petrosoniak on trauma care modifications in the COVID-19 era, Michelle Klaiman on addiction medicine considerations, Brit Long & Michael Gottlieb on cardiac complications of COVID-19 and Leeor Sommer on physician compassion and preserving patients' humanity...

By Anton Helman|2022-05-03T21:16:59-04:00April 7th, 2020|Categories: Cardiology, COVID-19, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Respirology, Resuscitation|Tags: alcohol withdrawal, COVID-19, HFNC, myocarditis, oxygenation, proning|6 Comments

Ep 140 COVID-19 Part 4 – Protected Intubation

There are many complicated guides on airway management and protected intubation since the COVID-19 pandemic broke. This can be confusing in our rush to develop protocols and guides in our own EDs. In this podcast, part of the COVID-19 EM Cases 5-part series, we aim to simplify protected intubation so that you can adapt it to your ED rapidly. Canada's leading airway expert, George Kovacs guides us through the general principles and important details of the protected RSI...

By Anton Helman|2022-11-02T18:23:41-04:00March 28th, 2020|Categories: COVID-19, EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: apneic CPAP, COVID-19, Dr. George Kovacs, protected intubation, protected RSI|9 Comments

Ep 139 COVID-19 Part 3 – PPE: What We Know, Conservation Strategies and Protected Code Blue

The single most important thing we can do as ED providers in this COVID pandemic is to protect ourselves, our colleagues, our patients, our families and our friends against transmission of the virus; and there is no higher risk of transmission that during the resuscitation of a sick COVID patient. In this podcast we speak with a world expert on PPE, Dr. Laurie Mazurik about protecting against transmission of the virus before, during and after your shift. Not only do we discuss the details of all PPE from head protection to footwear, but we give tips on the equally important non-PPE protection as well. We touch on PPE conservation strategies as we struggle with supplies, give you the bottom line on donning/doffing sequencing, and discuss the core principles of the protected code blue...

By Anton Helman|2022-11-02T18:29:02-04:00March 26th, 2020|Categories: COVID-19, EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology, Resuscitation, Special Populations|Tags: N95, perosnal protective equipment, PPE, PPE conservation, protected code blue|10 Comments

EM Quick Hits 13 – One Syringe Adenosine, Pertussis Pearls, Hyperemesis Gravidarum, Tramadol, Hypertension Myths, KOBI

Salim Rezaie on single syringe adenosine for SVT, Sarah Reid on pertussis pearls, Elisha Targonsky on management of hyperemesis gravidarum , Joe Nemeth on the utility of hypertension as a risk factor in EM, Justin Morgenstern on tramadol myths, Reuben Strayer on ketamine only breathing intubation (KOBI)...

By Anton Helman|2024-12-15T17:32:19-05:00February 25th, 2020|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Obstetrics & Gynecology, Pediatrics, Resuscitation|Tags: adenosine, hyperemesis, hypertension, intubation, KOBI, pertussis, SVT, tramadol, whooping cough|0 Comments