emergency medicine education

BCE 78 Traumatic Cardiac Arrest

In anticipation of EM Cases Episode 118 Trauma: The First and Last 15 minutes with Andrew Petrosoniak, Kylie Bosman and Chris Hicks we have Joe Nemeth, Trauma Fellowship Director at Montreal General and Associate Professor at both McGill University and University of Toronto discussing his Best Case Ever of a teenager who was "stabbed in the box". Rajiv and Joe discuss preparation for trauma, the role of POCUS in predicting survival in traumatic cardiac arrest, the HOTT mnemonic for reversible causes of trauma arrest and more...

Ep 117 TIA Update – Risk Stratification, Workup and Dual Antiplatelet Therapy

Much has changed in recent years when it comes to TIA risk stratification, workup and antiplatelet therapy. In this podcast we use the overarching theme of timing to elucidate how to distinguish true TIA from the common TIA mimics, the importance of timing in the workup of TIA, why the duration of therapy with dual antiplatelet therapy and timing of starting anticoagulation in patient with atrial fibrillation, contributes to the difference between preventing catastrophic strokes and causing intracranial hemorrhage...

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...

JJ 14 Epinephrine in Cardiac Arrest

Does epinephrine improve the chances of return of spontaneous circulation at the expense of the brain? In other words, while we know that epinephrine doubles rates of ROSC in all comers in cardiac arrest, there’s never been robust evidence for long term improvements in neurologic functional outcomes. So, are we saving lives, or are we prolonging death? Find out the answer in this Journal Jam podcast with Justin Morgenstern and Rory Spiegel...

BCE 77 Pulmonary Embolism Workup in Pregnancy

This Best Case Ever elucidates the practical challenges of working up pregnant patients in the ED with a suspicion of pulmonary embolism. Since this recording, the first ever multi-center prospective outcome study looking at the pulmonary embolism workup in pregnancy was published in the Annals of Internal Medicine. A suggested algorithm and analysis of the study by Lauren Westafer are provided in these show notes....

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...

Ep 116 Emergency Management of Opioid Misuse, Overdose and Withdrawal

In this episode Dr. Kathryn Dong, Dr. Michelle Klaiman and Dr. Aaron Orkin discuss the latest in naloxone in opioid overdose cardiac arrest and altered LOA, a 5-step approach to ED opioid withdrawal management and how we can improve mortality and morbidity in patients with opioid use disorder in the era of the opioid epidemic...

Rapid Reviews Video – Asymptomatic Hypertension

While asymptomatic hypertension is rarely an emergency, many patients are referred to the ED for very high blood pressure readings. We need to know which of these patients have end organ damage and how to treat them without causing harm. In this Rapid Reviews Video Dr. Nick Clarridge discusses how to categorize hypertension in the ED, the key history and physical data points to look for, appropriate investigations as well as rational treatment options and controversies....

POCUS Cases 6 Pericardial Effusion POCUS

In this POCUS Cases Dr. Simard reviews the literature on accuracy of POCUS for pericardial effusion diagnosis, compares and contrasts the two cardiac views for determining a pericardial effusion, explains how to distinguish between pericardial fluid vs epicardial fat and pericardial fluid vs pleural effusion, explains the findings of cardiac tamponade and electrical alternans, and reviews the false positives of pericardial effusion on POCUS...