Episode 98 Teaching on Shift
We discuss some quick, easy tips on how you can take your educating skills to the next level, from orienting the learner and establishing expectations at the start of the shift, to key questioning techniques to use in case presentations, to the lost art of active observation, to the One Minute Preceptor model, to giving effective end-of-shift feedback, medicine’s white whale. We end with a surprise appearance by another master educator who gives his top pearls on teaching on shift. This podcast is about how, on your next ED shift, you can make the most of every teachable moment...
New Sickle Cell Disease Management Rapid Reviews Video
Our EM Cases feature Rapid Reviews Videos is growing! The latest release covers the main episode on Emergency Management of Sickle Cell Disease with John Foote and Richard Ward. In this video Michelle Yee reviews the key questions on history when assessing patients with sickle cell disease, the complications of sickle cell disease, an approach to pain and symptom management, and common misconceptions/pitfalls in emergency management of sickle cell disease pain crisis....
WTBS 13 Transgender Patients: How to Foster a Safer Emergency Department Environment
In this EM cases Waiting to Be Seen blog we discuss how to make Emergency Departments safe places for transgender patients to access care that is informed and non-judgmental. A big part of our job is to advocate for our patients. Dr. Nadia Primiani helps us understand where some of our most vulnerable populations are coming from and aims to improve our familiarity and comfort with issues around gender to improve care...
Journal Jam 10 Part 2 Endovascular Therapy for Stroke
In this part 2 of EM Cases Journal Jam podcast on Thrombolysis and Endovascular Therapy for Stroke Justin Morgenstern, Rory Spiegel and Anton Helman do a deep dive into the world's literature on endovascular therapy for stroke. While the evidence for endovascular therapy is stronger than that for IV systemic thrombolysis for stroke outcomes at 90 days, a closer look at the literature reveals that a very small minority of patients are eligible for endovascular therapy and we still don't know which patients benefit most from endovascular therapy...
Journal Jam 10 Thrombolysis & Endovascular Therapy for Stroke Part 1
In this two part EM Cases Journal Jam podcast Justin Morgenstern, Rory Spiegel and Anton Helman do a deep dive into the world's literature on systemic thrombolysis for ischemic stroke followed by an analysis of endovascular therapy for stroke. We elucidate the important issues related to p-values, ordinal analysis, fragility index, heterogeneity of studies, stopping trials early and conflicts of interest related to this body of evidence. While "calling a code stroke" is now considered standard for most stroke patients and tPA for stroke is considered a class 1A drug, a close look at the literature tells us that the evidence is not as strong as our stroke protocols suggest...
Best Case Ever 59 Management of Acute Renal Failure with Volume Overload
Sometimes our renal failure patients present short of breath with volume overload and we don't have immediate access to dialysis. What then? Dr. Mike Betzner, EM doc and medical director of STARS air ambulance service and collaborator on EM Cases CritCases blog tells his Best Case Ever and his approach to this challenging clinical situation. He offers two commonly used solutions: nitroglycerin and BiPAP as well as two not so common solutions: phlebotomy and rotating BP cuffs blown to above SBP...