Most Recent
EM Quick Hits 74 Non-obstructive ACS with Amal Mattu, Threadworms, NPO Guidelines, Sickle Cell Disease, Coaching the EM Mind Part 4
In this month’s EM Quick Hits Podcast, Amal Mattu discusses non-obstructive and non-thrombotic causes of ACS, Andrew Tagg reviews how to diagnose and treat threadworms (pinworms), and Justin Morgenstern implores us to let our ED patients eat and drink. Plus, Hans Rosenberg shares practical pearls for managing vaso-occlusive episodes and complications of sickle cell disease in the ED, and Sara Gray and Katie Lin return for Part 4 of “Coaching the EM Mind,” with strategies for addressing imposter syndrome and shame. Please consider a donation to EM Cases here: https://emergencymedicinecases.com/donation/
ECG Cases 64 – AV Block Pitfalls and Pearls
AV block can be challenging to recognize and classify on the ECG, particularly when P waves are subtle or conduction patterns are misleading. In this ECG Cases blog, Dr. Jesse McLaren takes a practical, stepwise approach to diagnosing AV block: identifying what the atria are doing, distinguishing nodal from infranodal block, and recognizing reversible causes. Learn how to differentiate Mobitz I, Mobitz II and complete heart block, identify secondary causes using the BRADI mnemonic, and determine which patients may require urgent pacing... Please consider a donation to EM Cases to ensure ongoing FOAMed here: https://emergencymedicinecases.com/donation/
Ep 224 Vertigo Part 1: Approach to Episodic Vertigo
Vertigo is one of the most dreaded chief complaints in Emergency Medicine – for good reason! Symptoms can be vague, the assessment can be nuanced, and there are so many potential pitfalls along the way for accurately investigating and diagnosing dizzy patients. What do we actually need to know about risk stratifying these patients at the bedside? What red flags are most helpful to screen for? How do we tease out the useful parts of the history and physical exam to guide our diagnostic strategy? In this Vertigo Part 1 episode, Katie is joined by emergency physicians and vertigo gurus Dr. Peter Johns and Dr. Elisha Targonsky to outline a practical 4-step approach to assessing patients with EPISODIC vertigo and key clinical pearls to make your next vertigo assessment so much easier. Stay tuned for the upcoming paired Vertigo Part 2 episode that will cover an approach to continuous vertigo… If you find EM Cases content helpful for your practice, please consider contributing a donation to help us continue producing free, high-quality, and open-access emergency medicine educational content here: https://emergencymedicinecases.com/donation/
WTBS 31 ED Triage Physician – Does a Doc Belong at Triage?
Does a doc belong at triage? With emergency department overcrowding and long wait times becoming the norm, placing physicians at triage has gained traction as a potential solution. But does it actually improve patient care, or does it introduce new risks and inefficiencies? In this Waiting to Be Seen blog, Dr. Howard Ovens examines the benefits, medico-legal concerns, and limitations of physician-at-triage models, and proposes a practical alternative that may improve ED flow, make better use of limited physician resources, and provide more continuity of care for patients...
Introducing EM Cases ProHacks Procedural Videos Series
Introducing EM Cases ProHacks — a new free, open-access video series dedicated to emergency medicine procedures. Each concise, practical video takes you through a specific ED procedure from start to finish, including indications, preparation, equipment, step-by-step technique, solutions to common roadblocks, and the tips and tricks that make procedures safer, smoother, and more successful at the bedside. Led by the ProHacks team of Dr. Gil Yehudaiff, Dr. Adrian Heller, and Dr. Lara Murphy, the series focuses on the practical details you wish someone had shown you before doing the procedure yourself. Whether you’re learning a procedure for the first time or looking to refine your technique, ProHacks is designed to help you be better prepared when it counts...
Ep 223 Epistaxis Management: A Step-Wise Approach
Epistaxis is usually straightforward—until it isn’t. How can you distinguish an anterior bleed from a dangerous posterior bleed? What’s the best sequence for compression, vasoconstrictors, TXA, cautery and packing? When should you reach for an anterior balloon tampon or posterior dual balloon? And how do you manage the airway when torrential bleeding fills the oropharynx? In this Epistaxis Management Deep Dive, Anton is joined by emergency physician Dr. Leeor Sommer and otolaryngologist Dr. Doron Sommer for a practical step-wise approach to everything from the routine nosebleed to life-threatening hemorrhage... If you find EM Cases useful in your practice, please consider making a donation to help us keep producing free, open-access emergency medicine education here: https://emergencymedicinecases.com/donation/
