Emergency Medicine Cases | Online medical education podcast

Ep 126 EM Drugs That Work and Drugs That Don’t – Part 1: Analgesics

In this podcast we discuss the key concepts in assessing drug efficacy trials, and provide you with a bottom line recommendation for the use of gabapentinoids, NSAIDs and acetaminophen for low back pain and radicular symptoms, topical NSAIDs and cyclobenzaprine for sprains and strains, caffeine as an adjunct analgesic, why we should never prescribe tramadol, dexamethasone for pharyngitis, calcium channel blockers for hemorrhoids and anal fissures, buscopan for abdominal pain and renal colic and why morphine might be a better analgesic choice than hydromorphone...

By Anton Helman|2024-08-01T00:31:27-04:00June 18th, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Orthopaedics|Tags: acetaminophen, anal fissure, buscopan, caffeine, cyclobenzaprine, dexamethasone, Dr. Joel Lexchin, hemorroids, hydromorphone, morphine, NSAIDs, opioids, p values, tramadol|10 Comments

Ep 125 Electrical Injuries – The Tip of the Iceberg

Electrical injuries are rare, representing less than 1% of burn center admissions. So there is a paucity of robust evidence for the management of these patients. Nonetheless, in this podcast we’ll give you the tools to help risk stratify electrical injuries, give some guidance on fluid resuscitation, describe immediate management of acute complications and make you aware of the potential delayed complications that must be anticipated...

By Anton Helman|2024-08-01T00:33:31-04:00June 4th, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Trauma|Tags: compartment syndrome, cord bite injury, electrical burn, lightning injuries, rhabdomyolysis|0 Comments

EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest

In this EM Quick Hits Podcast: Ludwig's Angina Emergency Management - Approach, Airway, Imaging, Transient Monocular Vision Loss (TMVL), D-dimer in the Work-up of Pulmonary Embolism in Pregnancy, Management of Pediatric Nasal Foreign Bodies: Tips and Tricks, Sulfamethoxazole-Trimethoprim Drug Interactions and Airway Options in Cardiac Arrest - LMA for all?...

By Anton Helman|2020-11-29T15:10:37-05:00June 4th, 2019|Categories: Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Ophthalmology, Pediatrics, Respirology, Resuscitation|Tags: cardiac arrest, D-dimer, LMA, Ludwig's angina, nasal foreign body, trimethoprim, vision loss|3 Comments

Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management

It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient...

By Anton Helman|2024-08-01T00:34:04-04:00May 21st, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics, Resuscitation, Trauma|Tags: awake intubation, CO poisoning, cyanide, cyanide poisoning, Dr. George Kovacs, Dr. Joel Fish, Dr. Maria Ivankovic, escharotomy, inhalation injury, rule of palms|8 Comments

EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips

In this Quick Hits Podcast: David Juurlink on acetaminophen and warfarin drug interaction, Hans Rosenberg on management of dental infections, Emily Austin on dialysis in massive acetaminophen overdose, Andrew Petrosoniak on MTP decisions and the RABT score in trauma , Joel Yaphe on statins for STEMI from Whistler's Update in EM Conference, and George Kovacs on how to maximize success of a cricothyrotomy from EM Cases Course 2019...

By Anton Helman|2024-05-05T14:39:06-04:00May 7th, 2019|Categories: Cardiology, Conference, Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Resuscitation, Toxicology, Trauma, Whistler Update in EM|Tags: acetaminophen overdose, APAP, Cricothyrotomy, dental infections, drug interaction, EM Cases Course, Ludwig's angina, massive transfusion, MTP, RABT score, SECURE-PCI, STEMI, warfarin interactions|0 Comments

POCUS Cases 8 – LV Dysfunction

In this POCUS Cases video Dr. Rob Simard reviews the literature on accuracy of identifying LV dysfunction on POCUS by non-radiologists, the steps in assessing LV dysfunction, and cautions us when it comes to patients with chronic LV dysfunction...

By Anton Helman|2019-05-07T10:01:13-04:00May 7th, 2019|Categories: Cardiology, EM Cases, Emergency Medicine, Medical Specialty, POCUS Cases, Ultrasound|Tags: B-lines, Dr. Rob Simard, LV dysfunction, pleural effusion|0 Comments

Ep 123 Pediatric UTI Myths and Misperceptions

On the one hand, UTI is one of the most common bacterial infections in children younger than 2 years of age and could lead to sepsis acutely and theoretically renal failure in the long run. On the other hand, it is important not to over-diagnose UTIs because we know that overuse of antibiotics increases costs, side effects and leads to antibiotic resistance. The first principles questions very much apply here: who to screen, how to screen, and what to do with the screen results. There are risks associated with not having a standardized approach to diagnosing pediatric UTIs. In this EM Cases main episode podcast with Dr. Olivia Ostrow and Dr. Michelle Science we discuss an approach to diagnosing pediatric UTIs whilst revealing some common pediatric UTI myths and misperceptions...

By Anton Helman|2024-05-21T02:19:33-04:00April 23rd, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics|Tags: antibiotic stewardship, Dr. Michelle Science, Dr. Olivia Ostrow, fever without a source, pediatric fever, urinalysis, UTI Calc, VCUG|2 Comments

JJ 15 Cardiac Stress Testing After Negative ED Workup for MI

In this Journal Jam podcast we do a deep dive into the hugely complex literature of cardiac stress testing and see whether or not stress testing portends any benefit for patients who we assess in the ED for chest pain. The problem is - if stress testing doesn’t benefit our patients and isn’t a good screening test for preventing MIs, then what do we do with our low risk chest pain patients we see in the ED?

By Anton Helman|2019-04-09T12:03:23-04:00April 9th, 2019|Categories: Cardiology, EM Cases, Journal Jam, Medical Specialty|Tags: Dr. Justin Morgenstern, Dr. Rory Spiegel, EBM, inclusion bias, nuclear stress test, pretest probability, stress echo, stress test, treadmill test|2 Comments

BCE 79 Pediatric UTI – Choosing Wisely

In anticipation of EM Cases Episode 123 Pediatric UTI Myths and Misconceptions, Dr. Olivia Ostrow, Pediatric Emergency Physician at Hospital for Sick Children, Assistant professor at the University of Toronto and a Medical Safety Leader with an academic focus in quality improvement, discusses a case that exemplifies how indiscriminate work up of pediatric UTI can lead to over-testing, over-treating and even worse outcomes...

By Anton Helman|2023-05-14T17:46:13-04:00April 9th, 2019|Categories: Best Case Ever, EM Cases, Emergency Medicine, Medical Specialty, Pediatrics|Tags: antibiotic stewardship, Dr. Olivia Ostrow, UTI Calc|0 Comments

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...

By Anton Helman|2023-02-06T13:11:10-05:00March 26th, 2019|Categories: Conference, EM Cases, EM Cases Course, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: ANDROMENA, CENSER, Dr. Sara Gray, EM Cases Course, Lactate, NEWS, norepinephrine, procalcitonin, qSOFA, Ringer's Lactate, sepsis, septic shock, SIRS, vasopressin|7 Comments