EMU 365 Thrombolysis in Pulmonary Embolism with Amit Shah

The final EMU365 video from EMU2018 features Dr. Amit Shah who discusses decision making and dosing around the use of thrombolytics in PE in the context of cardiac arrest, massive PE and submassive PE; the controversy around using half dose alteplase, and nuanced decision making around which patients with submassive PEs should have thrombolysis...

Ep 122 Sepsis and Septic Shock – What Matters from EM Cases Course

In this podcast Dr. Sara Gray, intensivist and emergency physician, co-author of The CAEP Sepsis Guidelines, answers questions such as: How does one best recognize occult septic shock? How does SIRS, qSOFA and NEWS compare in predicting poor outcomes in septic patients? Which fluid and how much fluid is best for resuscitation of the septic shock patients? What are the indications for norepinephrine, and when in the resuscitation should it be given, in light of the CENSER trial? What are the goals of resuscitation in the patient with sepsis or septic shock? When should antibiotics administered, given that the latest Surviving Sepsis Campaign Guidelines recommend that antibiotics be administered within one hour of arrival for all patients suspected of sepsis or septic shock? What are the indications for a second vasopressor after norepinephrine? Given the conflicting evidence for steroids in sepsis, what are the indications for steroids? Should we be considering steroids with Vitamin C and thiamine for patients in septic shock? What are the pitfalls of lactate interpretation, and how do serial lactates compare to capillary refill in predicting poor outcomes in light of the ANDROMEDA trial? Is procalcitonin a valuable prognostic indicator in septic patients? and many more...

EMU365 Pediatric EM Expert Panel

This EMU 365 video features Drs. Anthony Crocco, Farhan Bhanji and Angelo Mikrogianakis on a potpourri of Pediatric Emergency topics including pediatric trauma resuscitation, adjuncts in bronchiolitis management as well as disposition decision making, ketamine in procedural sedation, nuances of fluid resuscitation, antibiotics to avoid, the evidence for TXA in pediatrics, initial management of pediatric seizures including IM fosphenytoin, and more... 

EMU 365 Limitations of X-rays in Orthopedic Injuries with Arun Sayal

This EMU 365 video features Dr. Arun Sayal on the limitations of x-rays in the assessment of orthopedic injuries in emergency medicine from North York General's Emergency Medicine Update Conference 2018...

EMU 365 Physician Burnout with Peter Brindley

Dr. Brindley explores ways in which physicians can find happiness and meaning in their work. A simple act of showing gratitude is just one of the tools in his toolbox for how to reduce burnout and promote resiliency...

EMU 365 Pediatric Trauma Top 10 Pearls with Angelo Mikrogianakis

Pediatric traumas are high acuity but low frequency situations that are stress provoking for emergency physicians. Dr. Mikrogianakis, Chief of Pediatric Emergency Medicine at Alberta Children’s Hospital gives his Top 10 Pediatric Trauma Pearls you can use to help with your practice...

EMU 365 Upper GI Bleed with Walter Himmel

Walter Himmel takes us through the resuscitation of a sick patient with an UGIB and the management priorities including blood products, antibiotics, TXA, octreotide, pantoprazole and endoscopy in this EMU 365 video...

EMU 365 Bleeding Out: Massive Transfusion in Trauma with Andrew Petrosoniak

In this EMU 65 video, Dr. Andrew Petrosoniak, trauma team leader at St. Michael's Hospital in Toronto, suggests a formula to assess which patients require massive transfusion, how to identify early who need blood and how, tools to help identify who needs blood, pitfall situations, how best to deliver the blood to your patients and more...

EMU 365 Toxicology Cases from the ED

In this EMU 65 video, Dr. Emily Austin discusses appropriate circumstances where you might consider gastric lavage, critical bupropion overdose and when to use intralipid emulsion therapy, types of inhalant exposures, and more...