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Episode 61 Whistler’s Update in EM Conference 2015 Highlights Part 1

Episode 61 Whistler’s Update in EM Conference 2015 Highlights Part 1

This EM Cases episode is Part 1 of The Highlights of The University of Toronto, Divisions of Emergency Medicine, Update in EM Conference from Whistler 2015 with Paul Hannam on Pearls and Pitfalls of Intraosseus Line Placement, Anil Chopra on who is at risk and how to prevent Contrast Induced Nephropathy, and Joel Yaphe on the Best of EM Literature from 2014, including reduction of TMJ dislocations, the TRISS trial (on transfusion threshold in sepsis), PEITHO study for thrombolysis in submassive PE, Co-trimoxazole and Sudden Death in Patients Receiving ACE inhibitors or ARBs, the effectiveness and safety of outpatient Tetracaine for corneal abraisons, chronic effects of shift work on cognition and much more…

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Best Case Ever

Best Case Ever 34: Inferior MI Presenting with Abdominal Pain

Inferior MI Presenting with Abdominal Pain In a previous Best Case Ever, 'Thinking Outside the Abdominal Box', Dr. Brian Steinhart reviewed some important can't-miss-diagnoses that can present elusively with abdominal pain. In this Carr's Cases Series on Inferior MI Presenting with Abdominal Pain, we continue in the theme of 'Thinking Outside the Abdominal Box' with David Carr explaining how he figured out that a man presenting with classic biliary colic was diagnosed with an inferior MI with right ventricular extension.
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Best Case Ever 33: Over-correction of Hyponatremia

over-correction of hyponatremia

Rapid over-correction of Hyponatremia can have devastating consequences: for one, osmotic demyelination syndrome (ODS) can result in destruction of the pons and a locked-in state. We don't see ODS very much as it's onset is delayed and usually sets in after the patient is admitted to hospital (or worse, sent home). Nonetheless, we need to know how to manage Hyponatremia in the ED so that we prevent ODS from ever happening. In this Best Case Ever, Dr. Melanie Baimel describes the case of a young woman who came in to the ED after drinking alcohol and taking Ecstasy, wanted to leave AMA after her Hyponatremia had inadvertently been corrected too rapidly, and the conundrum that ensued.

In the upcoming episode, Dr. Baimel and the first ever Internal Medicine specialist on EM Cases, Dr. Ed Etchells, discuss a rational step-wise approach to managing Hyponatremia, tailored for the EM practitioner; when you might consider giving DDAVP in the ED, the best way to correct Hyponatremia, how to manage the patient who's Hyponatremia has been corrected too quickly, and an easy approach to the differential diagnosis. Get a sneak peak at the algorithm that will be explain and review in the upcoming episode......

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Best Case Ever 32 Carr’s Cases – Endocarditis and Blood Culture Interpretation

endocarditis

David Carr discusses his top 10 pearls on endocarditis and blood culture interpretation in this Carr's Cases Best Case Ever on EM Cases.

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Best Case Ever 31: Andrew Sloas on Pericardiocentesis

pericardiocentesisOn this EM Cases Best Case Ever, Andrew Sloas, the brains behinds the fabulous PEM-ED podcast tells the tale of a pericardiocentesis gone bad and what he learned from it. Emergency pericardicentesis can be life saving, but it also carries risks. Dr. Sloas reviews the steps to take to ensure that the pericardiocentesis needle is the the correct place to minimize the risk of intubating the right ventricle of the heart. A discussion of errors of omission and ones of commission follows. As in FOAMed, let the bubbles show the way....
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Best Case Ever 30 Rob Rogers’ Mother

Dr-Rob-RogersI caught up with my friend and education innovation mentor Dr. Rob Rogers at ACEP in Chicago where he told me the tale of his mother's devastating illness - the only EM Cases occurrence of a second Best Case Ever. This powerful story begs many questions, some of which we discuss in the podcast: The importance of considering a lumbar puncture in the setting of altered mental status NYD, cognitive de-biasing strategies and the importance of being a humble patient advocate. We discuss a diagnosis that we should never miss in the ED, how to recognize it early, some pearls and pitfalls, as well as how to manage it effectively. We touch on how to recover from personal tragedy in anticipation of his upcoming SMACC talk in June 2015. Enough of this.....listen.  
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Radiopedia review of herpes encephalitis Life in The Fast Lane review of herpes encephalitis Postgrad Medicine review of herpes encephalitis (full PDF)    

 

Quick Links to Recent Emergency Medicine Cases Episodes

The entire EM Cases Library is Free Open Access

Episode 60 Emergency Management of Hyponatremia with Melanie Baimel & Ed Etchells

Episode 59 Bronchiolitis with Sanjay Mehta & Dennis Scolnik

Episode 58 Tendons & Ligaments – Commonly Missed Uncommon Injuries P2  with Ivy Cheng & Hussein Mehdian

Episode 57 The Steill Sessions 2: Update in Atrial Fibrillation with Ian Stiell

Episode 56 The Stiell Sessions 1: CDRs & Risk Scales with Ian Stiell & Hans Rosenberg

Episode 55 Weingart-Himmel Sessions 2 – Fluids in Sepsis & Post Intubation Sedation with Walter Himmel & Scott Weingart

Episode 54 Weingart-Himmel Sessions 1 – Preoxygenation & Delayed Sequence Intubation with Walter Himmel & Scott Weingart

Episode 53 Pediatric Point of Care Ultrasound with Jason Fischer, Alyssa Abo, Alex Arroyo & Adam Sivitz

Episode 52 Commonly Missed Uncommon Orthopedic Injuries P1 with Ivy Cheng & Hossein Mehdian

Episode 51 Managing Difficult Patients with Walter Himmel, Jean Pierre Champagne & Ann Shook

Episode 50 Recognition & Management of Pediatric Sepsis and Septic Shock with Sarah Reid & Gina Neto

 

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