Emergency Medicine Cases

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

Crit Cases 14 Bronchopleural Fistula Management

Dr. Mike Misch guides us through this part 2 of a blunt chest trauma case with a presumed bronchopulmonary fistula requiring 3 chest tubes and describes options to optimize one-lung ventilation for safe transport...

By Anton Helman|2020-01-28T14:30:58-05:00January 28th, 2020|Categories: CritCases, EM Cases, Emergency Medicine, Medical Specialty, Respirology, Resuscitation, Trauma|Tags: blunt chest trauma, bonchopleural fistula, bronchial blocker, chest tube, DOPERS, double lumen ETT, one lung ventilation|2 Comments

CritCases 13 Shock and Hypoxia in Blunt Chest Trauma

In this CritCases blog, Shock and Hypoxia in Blunt Chest Trauma, a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, Mike Misch guides us through a hairy thoracic trauma case, reviewing principles of trauma resuscitation, airway considerations, tension pneumothorax management and a rare and challenging trauma diagnosis...

By Anton Helman|2020-01-15T10:56:58-05:00January 14th, 2020|Categories: CritCases, EM Cases, Emergency Medicine, Medical Specialty, Respirology, Resuscitation, Trauma|Tags: bronchopleural fistula, Dr. Mike Misch, hemothorax, tension pneumothorax, trauma resuscitation|4 Comments

Ep 133 Emergency Management of Status Epilepticus

Among the presentations seen in the ED, few command the same respect as status epilepticus. It is, in itself, both a diagnostic dilemma and, at times, a therapeutic nightmare. There’s a reason it’s the very first domino to fall in the dreaded sequence “seizure, coma, death”. Status epilepticus can be nuanced to manage. Sure, most seizures self-abort or love an IV dose of lorazepam, but ask anyone who’s been down the propofol route, and they’re not likely to have forgotten the time they stared down a patient who just...would...not....stop...

By Anton Helman|2024-08-01T00:27:57-04:00December 17th, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology, Resuscitation|Tags: Dr. Aylin Reid, Dr. Paul Koblic, leviteracetam, lorazepam, seizure|3 Comments

EMU 365 Mike Betzner on The Crashing Asthmatic

This EMU365 Video features Dr. Mike Betzner, medical director of STARS Air Ambulance service, collaborator on the CritCases blog, and bad-ass resuscitationist presenting his approach to the crashing asthmatic...

By Anton Helman|2019-11-04T19:53:52-05:00November 4th, 2019|Categories: Conference, EM Cases, EMU 365, Medical Specialty, NYGH EM Update, Resuscitation|Tags: Dr. Mike Betzner, IV epinephrine, severe asthma|0 Comments

Ep 131 PEA Arrest, PseudoPEA and PREM – With Simard and Weingart

Rob Simard of POCUS Cases fame and Scott Weingart go beyond ACLS and guide you through the complex world of PEA. We discuss that the palpation technique is poor at determining whether or not a patient has a pulse, that the POCUS pulse is more accurate and as rapid compared to the palpation technique at determining whether or not a patient has a pulse, the difference between true PEA arrest, PseudoPEA and PREM, why epinephrine may be harmful in PEA, Weingart's chain of survival approach from PEA arrest to ROSC, four tools to help differentiate true PEA arrest from PseudoPEA, how to prevent long pauses in chest compressions using POCUS, EM Cases PEA arrest and PseudoPEA suggested dynamic algorithm, vasopressor choices in PseudoPEA, whether the "QRS wide vs narrow width" approach to PEA arrest underlying cause is useful or not and much more...

By Anton Helman|2022-08-04T19:32:44-04:00October 22nd, 2019|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: Dr. Rob Simard, PEA, POCUS, PREM, PRES, pseudoPEA, pulseless electrical activity, ROSC|4 Comments

EM Quick Hits 7 Approach to Status Epilepticus, Codeine Interactions, Anticoagulation in Malignancy, Atrial Fibrillation Rate vs Rhythm Control, Peripheral Vasopressors, Motivational Interviewing

Anand Swaminathan on a simple approach to status epilepticus, David Juurlink on codeine and tramadol interactions: nasty drugs with nastier drug interactions, Brit Long on DOACS in patients with malignancy: which patient's with cancer can be safely prescribed DOACs? Ian Stiell on atrial fibrillation rate vs rhythm control controversy, Justin Morgenstern on peripheral vasopressors: safe or unsafe? Michelle Klaiman, Taryn Lloyd on motivational interviewing that makes a difference to patient's lives...

By Anton Helman|2024-05-21T01:24:56-04:00August 13th, 2019|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Neurology, Psychiatry, Resuscitation, Toxicology|Tags: anticoagulants, atrial fibirillation, codeine, Dr. David Juurlink, DVT, motivational interviewing, pain management, pulmonary embolism, seizure, status epilepticus, vasopressors|5 Comments

BCE 80 Pediatric Respiratory Failure

In this EM Cases Best Case Ever podcast Rajiv interviews Dr. Eric Russell, Assistant Professor of Pediatrics at the Baylor College of Medicine, Pediatric Emergency Medicine attending physician at the Texas Children's Hospital, and editor at the Human Diagnosis Project. They discuss a challenging case of a pediatric patient who presents with what at first appears to be bronchiolitis...

By Anton Helman|2023-05-14T17:46:54-04:00August 13th, 2019|Categories: Best Case Ever, Cardiology, EM Cases, Emergency Medicine, Medical Specialty, Pediatrics, Respirology, Resuscitation|Tags: Dr. Eric Russell, myocarditis|1 Comment

EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest

In this EM Quick Hits Podcast: Ludwig's Angina Emergency Management - Approach, Airway, Imaging, Transient Monocular Vision Loss (TMVL), D-dimer in the Work-up of Pulmonary Embolism in Pregnancy, Management of Pediatric Nasal Foreign Bodies: Tips and Tricks, Sulfamethoxazole-Trimethoprim Drug Interactions and Airway Options in Cardiac Arrest - LMA for all?...

By Anton Helman|2020-11-29T15:10:37-05:00June 4th, 2019|Categories: Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Ophthalmology, Pediatrics, Respirology, Resuscitation|Tags: cardiac arrest, D-dimer, LMA, Ludwig's angina, nasal foreign body, trimethoprim, vision loss|3 Comments