Featured Episode

Episode 50 Recognition & Management of Pediatric Sepsis & Septic Shock

Episode 50 Recognition & Management of Pediatric Sepsis & Septic Shock

Kids aren’t little adults. Pediatric sepsis and septic shock usually presents as ‘cold shock’ where as adult septic shock usually presents as ‘warm shock’, for example. In this episode, a continuation of our discussion on Fever from with Ottawa PEM experts, Sarah Reid and Gina Neto, we discuss the pearls and pitfalls in the recognition and management of pediatric sepsis and septic shock. We review the subtle clinical findings that will help you pick up septic shock before it’s too late as well as key maneuvers and algorithms to stabilize these patients. We cover tips for using IO in children, induction agents of choice, timing of intubation, ionotropes of choice, the indications for steroids in septic shock, and much more…..

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Best Case Ever

Journal Jam 1 – Age Adjusted D-dimer with Jeff Kline & Jonathan Kirschner

Journal Jam 1 – Age Adjusted D-dimer with Jeff Kline & Jonathan Kirschner

Journal Jam
In this first ever episode of the Journal Jam podcast, a collaboration between EM Cases, Academic Life in EM and The Annals of Emergency Medicine’s Global Emergency Medicine Journal Club, Teresa Chan and I, along with Jeff Kline, Jonathan Kirschner, Anand Swaminathan, Salim Rezaie and Sam Shaikh from ALiEM, discuss the potential for Age Adjusted […]

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Best Case Ever 28 David Carr on Anti-NMDA Receptor Encephalitis

Best Case Ever 28 David Carr on Anti-NMDA Receptor Encephalitis

anti nmda receptor encephalitis
Dr. David Carr presents his second of Carr's Cases. This series features some potentially life-threatening diagnoses that may be perceived as zebras, but actually have a higher incidence then we might think - and if diagnosed early, can significantly effect patient outcomes. This Best Case Ever is about Anti-NMDA Receptor Encephalitis, a diagnosis that was only discovered in 2005, and has only recently been recognized by the Emergency Medicine community. Anti-NMDA Receptor Encephalitis may mimic a first presentation of schizophrenia or Neuraleptic Malignant Syndrome. It may present with seizure, altered mental status, autonomic instability or movement disorder in the absence of drug exposure. When you are faced with any of these presentations and no other diagnosis seems to fit, do an LP and send the CSF for anti-NMDA receptor antibodies. The time-sensitive treatment is IVIG and steroids. Anti-NMDA receptor Encephalitis is a must know diagnosis for all emergency medicine practitioners. Learn how to pick up this important diagnosis by listening to Dr. Carr's Best Case Ever and following the links to further resources.
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Best Case Ever 27 – Sarah Reid on Pediatric Shock

Best Case Ever 27 – Sarah Reid on Pediatric Shock

dr sarah reid
Ottawa this year, I had the pleasure of discussing pediatric shock and sepsis with Dr. Sarah Reid, a good medical school friend of mine from the Gretzky Year ('99) graduating class. I knew back then that she was heading for PEM educator stardom. Lo and behold, she is the now the director of CME at the Children's Hospital of Eastern Ontario and a national PEM speaker extraordinaire. After recording an eye-opening session on Pediatric Fever Without a Source and Pediatric Sepsis, she told me the story of her Best Case Ever where the initial presumptive diagnosis was sepsis. Maximize your learning and submit your questions on 'Pediatric Fever Without a Source' on the Next Time on EM Cases page.
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Best Case Ever 26 – Mike Betzner on Chloral Hydrate Poisoning & Cardiac Arrest

Best Case Ever 26 – Mike Betzner on Chloral Hydrate Poisoning & Cardiac Arrest

torsades de pointes
I met up with Mike Betzner at North York General's Update in EM Conference in Toronto. He is the medical director of Air Transport STARS air ambulance out of Calgary and an amazing speaker on the national lecturing circuit. His Best Case Ever on Chloral Hydrate poisoning & cardiac arrest describes a young man in cardiac arrest with resistant Ventricular Fibrillation and Torsades de Pointes. There is only one class of drugs that can get him back into normal sinus rhythm. Dr. Betzner describes how he recognized that this patient was suffering from Chloral Hydrate poisoning and how he saved his life with one simple intervention.
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Best Case Ever 25 Rob Rogers on Social Media in EM Education

Best Case Ever 25 Rob Rogers on Social Media in EM Education

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One of Emergency Medicine's most cutting edge educators Dr. Rob Rogers, the brains behind iTeach EM podcast & blog as well as the director of The Teaching Course tells us the story of his Best Case Ever where he used Social Media as an EM Education tool that led to a life saved and a difficult diagnostic pick-up. In the upcoming episode on Social Media (SoMe) in EM education and FOAMed (Free Open Access Medical Education) with three prominent educators in the FOAM movement, Brent Thoma of Boring EM and Academic Life in EM, Ken Milne of The Skeptics Guide to EM & Rob Rogers, we discuss how SoMe can enhance your career, tips on how to get the most out of FOAMed without getting overwhelmed by the volume of material, swarm-based medicine, tacit knowledge sharing, the flipped classroom, the use of FOAMed in emergency medicine training curricula, how Twitter, Google+, Google Hangout and Google Glass have changed the face of medical education, and much more. To have your questions about SoMe and FOAMed answered by our guest experts and find key references go here.
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Quick Links to Recent Episodes

Login required for some posts – Entire EM Cases Library is Free Access

Journal Jam 1 Age-Adjusted D-dimer with Jeff Kline & Jonathan Kirschner

Episode 49 Effective Patient Communication, Patient Centered Care & Satisfaction with Walter Himmel, Jean Pierre Champagne & Ann Shook

Episode 48 Pediatric Fever Without a Source with Sarah Reid & Gina Neto

Episode 47 Evidence Based Medicine with Walter Himmel

Episode 46 Social Media in Emergency Medicine Learning with Rob Rogers, Ken Milne & Brent Thoma

Episode 45 Swadron on Vertigo, Mattu on Cardiology Literature from EM Update Conference 2014 with Stuart Swadron & Amal Mattu

Episode 44 Whistler’s Update in EM Conference Highlights 2014 with Joel Yaphe, Lisa Thurgur & David Carr

Episode 43 Appendicitis Controversies with David Dushenski & Brian Steinhart

Episode 42 Mesenteric Ischemia & Pancreatitis with David Dushenski & Brian Steinhart

Episode 41 Hypertensive Emergencies with Joel Yaphe & Clare Atzema

Episode 40 Asymptomatic Hypertension with Joel Yaphe & Clare Atzema

Episode 39 Update in Trauma Literature with Dave MacKinnon & Mike Brzozowski

Episode 38 ENT Emergencies with Leeor Sommer & Maria Ivankovic

Episode 37 Anticoagulants, PCCs & Platelets with Walter Himmel, Katerina Pavenski & Jeannie Callum

Episode 36 Transfustions, Anticoagulants & Bleeding with Walter Himmel, Katerina Pavenski & Jeannie Callum