EM Cases Main Episodes are round table in-depth discussions with 2 or more EM Cases guest experts, inherently peer reviewed, and edited for a podcast.

Ep 141 COVID-19 Part 5 Epidemiology and Prediction Models

Ashleigh Tuite infectious diseases mathematical modeler discusses factors predicting spread of SARS CoV-2, prediction models and flattening the curve of COVID-19. Is the COVID-19 virus likely to mutate? And if it does what are the most likely consequences? What do prediction models show in terms of how long this pandemic will last? Is there likely to be a 2nd peak?...

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...

Ep 138 COVID-19 Part 2 – ED Surge Capacity Strategies in the COVID-19 Pandemic

No matter where you practice emergency medicine there will be, or has been, capacity problems in the COVID-19 crisis. Even if we "flatten the COVID-19 curve" there will be a load on the systems that exceeds our capacity. Dr. Daniel Kollek, emergency physician, chair of the CAEP Disaster Medicine committee and Director of the Centre for Excellence in Emergency Preparedness, answers questions...

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...

Ep 137 COVID-19 Part 1 – Screening, Diagnosis and Management

In this early release first podcast in a series of main episodes on COVID-19, Infectious Diseases specialist at Mount Sinai Health Systems and University Health Network and Professor at the University of Toronto Andrew Morris joins Anton on the latest on emergency screening, diagnosis and management of COVID-19, with some tips on managing yourself and your team by Howard Ovens...

Ep 136 Occult Shoulder Injuries and Proximal Humerus Fractures

Dr. Arun Sayal and Dr. Dale Dantzer answer questions such as: What should be included in the list of  key occult shoulder injuries that we should have in our back pockets when we are faced with a patient who has injured their shoulder and the x-ray appears normal? Which proximal humerus fractures are likely to require surgical management? Which shoulder injuries require a simple sling vs Velpeau sling vs collar and cuff vs sugar tong splint? When is an ultrasound of the shoulder indicated and how should they be interpreted? What is the best x-ray view to diagnose a sternoclavicular dislocation? What are the surgical indications for clavicle fractures? and many more...

Ep 135 Commonly Missed or Mismanaged Shoulder Injuries – Approach and Glenohumeral Dislocations

Dr. Arun Sayal and Dr. Dale Dantzer answer questions such as: How do we know we have adequate shoulder x-ray views? How can we best remember the differential diagnosis of an orthopedic extremity emergency with a normal x-ray? What is the quickest and best way to test neurologic status of patients with shoulder injuries? Why is axillary view of the shoulder so valuable? What is the biggest myth when it comes to the mechanism of injury for posterior glenohumeral shoulder dislocations? What physical exam maneuvers increase suspicion for posterior glenohumeral dislocation? What are the subtle findings on x-ray we should look for in patients with suspected posterior glenohumeral dislocation? What is the preferred first line reduction technique for posterior shoulder dislocation? What are the most common and consequential pitfalls in the management of anterior shoulder dislocations? and many more...

Ep 134 Shift Preparation: Pre-gaming with Rob Orman

The question is: how do we best mentally and physically prepare for an ED shift? Dr. Rob Orman, master educator and fellow podcaster joins Anton to discuss a few options...

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...

Ep 132 Emergency Approach to Resolved Seizures

What is the essential list of immediate life threats with specific antidotes that we must know for the ED patient with a seizure? What are the key elements for distinguishing a true seizure from syncope? From Psychogenic Non-Epileptic Seizure (PNES)? From TIA? From migraine? How do you distinguish Todd's Paralysis from TIA or stroke? What are indications for lactate and troponins in patients who present with a seizure? Do all patients with first time unprovoked seizures require anti-seizure medication in the ED? What is the preferred anti-seizure medication and route for ED loading for the patient with a first time seizure? Which patients who present with seizure require a CT head in the ED? What are indications and ideal timing for EEG for patient who present to the ED with seizure? and many more...

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