Emergency Medicine Cases | Online medical education podcast

Ep 198 Understanding and Improving Culture in Emergency Medicine: Key Insights

In this EM Cases podcast Anton chats with Dr. Peter Brindley and Dr. Leon Byker who have a deep interest in the Culture of Medicine to explore what culture in medicine is, why culture is so important, and then drive home 10 strategies to improving the culture in our departments emphasizing the importance of human connection, empathy, open communication, and a willingness to learn from mistakes in creating a positive and fulfilling work environment, so that we love our work, we love our department, we love taking care of our patients and our patients have better outcomes... Support EM Cases and Free Open Access Medical Education by making a donation now: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-10-01T11:36:22-04:00October 1st, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: Dr. Peter Brindley, end of life care, medical culture, teamwork|0 Comments

ECG Cases 51 – ECGs falsely labeled “normal”

In this ECG Cases Dr. Jesse McLaren outlines why not to trust the ECG interpretation, even if normal, because it can miss critical findings. He explores how to independently and systematically interpret every ECG so that when the computer ECG interpretation says "normal" you don't miss key findings... Please consider donating to EM Cases to ensure it stays Free Open Access https://emergencymedicinecases.com/donation/

By Jesse McLaren|2024-10-01T12:27:53-04:00October 1st, 2024|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine|Tags: Brugada, Dr. Jesse McLaren, ECG cases, ECG computer interpretation, ECG intepretation, hyperkalemia, occlusion MI, Wellens, WPW|0 Comments

EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI

On this month's EM Quick Hits podcast: Ian Chernoff on the often elusive diagnosis of traumatic coronary artery dissection, Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia, Brit Long and Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management, Dave Jerome on recognition and management exercise-associated hyponatremia and heat illness and Jesse McLaren on the Queen of Hearts AI model in helping identify occlusion MI on ECG... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-09-27T20:16:00-04:00September 10th, 2024|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Trauma|Tags: AI, DKA, EAH, ECG interpretation, Exercise Associated Hyponatremia, hypokalemia, hyponatremia, Mesenteric Ischemia, OMI, SCAD|0 Comments

Ep 197 Acute Heart Failure Risk Stratification and Disposition

We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognostication of acute heart failure in the ED to improve our diagnostic accuracy and disposition decisions for patients with acute heart failure... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-09-07T12:12:26-04:00August 19th, 2024|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: BNP, clinical decision rule, Dr. Clare Atzema, Dr. Ian Chernoff, EHMERG score, Lung US, POCUS|0 Comments

ECG Cases 51 – Artifact and Lead Misplacement

ECG artifact and lead reversal can mimic tachy-arrhythmia, infarct or Brugada. Learn how to identify these errors to prevent misdiagnosis on this month's ECG Cases with Dr. Jesse McLaren... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Jesse McLaren|2024-09-07T12:12:52-04:00August 19th, 2024|Categories: Cardiology, ECG Cases, EM Cases|Tags: Dr. Jesse McLaren, ECG, ECG artifact, ECG interpretation, lead misplacement|0 Comments

EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma

In this month's EM Quick Hits podcast: Andrew Petrosoniak on the role of vasopressors in the hemorrhaging trauma patient, Megan Landes on providing HIV PEP and PrEP in the ED, Justin Morgenstern & George Kovacs on the PREOXI trial and evidence for pre-oxygenation with NIPPV before intubation in RSI, Brit Long on recognition and management of blast crisis in the ED, and Leah Flanagan & Liam Loughrey on the rise of nitrous oxide toxicity... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-09-07T12:13:20-04:00July 30th, 2024|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Resuscitation, Toxicology, Trauma|Tags: blast crisis, hiv, HIV PEP, HIV PrEP, nitrous oxide, Pre-oxygenation, PREOXI, RSI, subactue combined degneration spinal cord, tumor lysis syndrome, vasopressors|2 Comments

Compassionate Care to Improve Patient Outcomes and Your Career from EMU 2024

As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice. There is evidence that compassion may improve morbidity and/or mortality in patients after trauma, cardiac events, cancer, diabetes, back pain, migraine headache and other conditions, prevent physician burnout and reduces rates of medical error, reduce the rates of patient complaints and litigation, and improve physician efficiency and resource utilization by reducing non-essential test ordering. A cultural shift emphasizing the importance of compassion in patient care needs to occur to improve outcomes of our patients and our job satisfaction; as such, compassion should be part of our training and CME...

By Anton Helman|2024-07-30T12:15:36-04:00July 30th, 2024|Categories: Conference, EM Cases, Emergency Medicine, Medical Specialty, NYGH EM Update|Tags: Dr. Anton Helman, medical error, physician burnout, physician compassion, resource utilization|0 Comments

Journal Club 6 Which Older Patients Can Safely Forgo CT Head After a Fall? The Falls Decision Rule

The decision of whether or not to order a CT head for an older patient who falls is one I need to make on almost every shift. The Canadian CT Head Rule does not apply to older patients. Does the recently derived Falls Decision Rule give us an answer to the question of which older patients can safely forego a CT head after a fall? Dr. Rohit Mohindra reviews the latest evidence in this EM Cases Journal Club...

By Rohit Mohindra|2024-07-09T11:54:08-04:00July 9th, 2024|Categories: EM Cases, Journal Club, Medical Specialty, Neurology, Special Populations, Trauma|2 Comments

Ep 196 Pediatric Meningitis Recognition, Workup and Management

In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various ages? How does one differentiate between meningitis and retropharyngeal abscess on physical exam? How do the Canadian and American guidelines on work up of well-appearing febrile infants compare when to it comes to indications for lumbar puncture? Which patients with suspected meningitis require imaging prior to lumbar puncture? How do we best interpret the various CSF tests to help distinguish between viral and bacterial meningitis? What are the indications and timing of administering dexamethasone in the pediatric patient with suspected meningitis? and many more.... EM Cases is Free Open Access; please consider a donation to help ensure that EM Cases remains Free Open Access on our donation page https://emergencymedicinecases.com/donation/

By Anton Helman|2024-08-06T17:06:20-04:00July 8th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics|Tags: dexamethasone, febrile infant, febrile seizure, lumbar puncture|0 Comments

EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments

In this month's EM Quick Hits podcast: Megan Landes on the importance of diagnosing HIV in the ED, Jesse McLaren on the failed paradigm of STEMI criteria and ECG tips to identify acute coronary occlusion, Anand Swaminathan on evidence for non-invasive airway management in the poisoned patient, Brit Long and Hans Rosenberg on the identification, workup and management of spontaneous bacterial peritonitis, Matt Poyner on the most lucrative side-gig, DIY investing. To support EM Cases, please consider a donation here: https://emergencymedicinecases.com/donation/

By Shaila Gunn|2024-06-18T13:10:16-04:00June 18th, 2024|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty, Resuscitation, Special Populations, Toxicology|Tags: ascites, cirrhosis, ECG interpretation, hiv, intubation, occlusion MI, paracentesis, spontaneous bacterial peritonitis, STEMI, toxicology|3 Comments