emergency medicine neurology

EM Quick Hits 53 Postpartum Hemorrhage, Serotonin Syndrome, TBI Herniation Syndromes, Ulcerative Colitis, Pediatric C-Spine Immobilization, Global EM

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine immobilization controversies and techniques, Navpreet Sahsi on the difference between humanitarian and development work

By Shaila Gunn|2023-11-29T08:20:46-05:00November 28th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty, Neurology, Obstetrics & Gynecology, Pediatrics, Resuscitation, Toxicology, Trauma|Tags: brain herniation, c-spine, c-spine collar, cardiocerebral resuscitation, cerebral herniation, colitis, global EM, postpartum hemorrhage, serotonin syndrome, tbi, ulcerative colitis|0 Comments

EM Quick Hits 49 Stroke Management Update, Intussusception, 5 Penetrating Trauma Tips, Skin Foreign Body Hack, CT Radiation Risk, Emergency Fund

On this month's EM Quick HIts podcast: Anand Swaminathan on EVT for large vessel occlusion strokes, Sarah Reid on picking up intussusception, Andrew Petrosoniak on 5 Penetrating Trauma Tips, Peter Toth on using a slit lamp to manage skin foreign body hack, Nour Khatib and Jonathan Wallace on CT Radiation Risk and Matt Poyner on setting up an emergency fund...

By Anton Helman|2023-06-16T10:47:12-04:00June 6th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Pediatrics, Plastics, Trauma|Tags: CT radiation, emergency fund, endovascular therapy, GSW, intussusception, ischemic stroke, penetrating trauma, skin foreign body, slip lamp|2 Comments

Ep181 Cerebral Venous Thrombosis, Idiopathic Intracranial Hypertension, Giant Cell Arteritis and Peripartum Headaches

In this episode, Dr. Roy Baskind and Dr. Ahmit Shah answer such questions as: when is an opening pressure on LP required? When should we pull the trigger on ordering a CT venogram in the patient with unexplained headache? Which older patients who present with headache require an ESR/CRP? How do the presentations of cerebral venous thrombosis (CVT) and idiopathic intracranial hypertension (IIH) compare and contrast? When is it safe to start steroids in the ED for patients suspected of giant cell arteritis (GCA); will starting steroids affect the accuracy of a temporal artery biopsy? How soon should patients suspected of GCA get a temporal artery biopsy? When should we consider posterior reversible encephalopathy syndrome (PRES) and pituitary apoplexy in the peripartum patient? How should we think about the differential diagnosis of vascular headaches? and many more...

By Anton Helman|2023-05-14T17:15:03-04:00April 11th, 2023|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: cerebral venous thrombosis, CT venogram, CVT, Dr. Ahmit Shah, Dr. Roy Baskind, GCA, giant cell arteritis, idiopathic intracranial hypertension, IIH, peripartum headache, PRES, vascular headaches|1 Comment

EM Quick Hits 46 – Wilderness Medicine, Bowel Prep Hyponatremia, Non-Convulsive Status Epilepticus, Morel Lavallee Lesions, Pacemaker ECGs, Loans vs Investing

In this EM Quick Hits podcast: Justin Hensley and Aaron Billin on Wilderness Medicine, Elisha Targonsky on Bowel Prep Hyponatremia, Brit Long on Non-Convulsive Status Epilepticus, Andrew Petrosoniak on Morel Lavallee Lesions, Jesse McLaren on Pacemaker ECGs and Matt Poyner on paying off loans vs investing...

By Anton Helman|2023-02-14T09:21:05-05:00February 14th, 2023|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Trauma|Tags: ECG pacemaker, hyponatremia, Morel Lavallee, NCSE, wilderness medicine|0 Comments

EM Quick Hits 41 – IO Limitations, Missed Ectopic Pregnancy, Bronchiolitis O2 Monitoring, DRE in Cauda Equina Syndrome, Withdrawal of Life Sustaining Care

In this EM Quick Hits podcast: Anand Swaminathan on limitations and practical tips on intraosseus access,Tahara Bhate QI corner on missed ectopic pregnancy, Sarah Reid from EM Cases Summit on oxygen saturation monitoring in bronchiolitis and management of infant gastro-esophageal reflux, Brit Long on the value of rectal exam in diagnosis of cauda equina syndrome, Hans Rosenberg & Ariel Hendin on withdrawal of life-sustaining care in the ED...

By Anton Helman|2022-08-16T09:23:57-04:00August 16th, 2022|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Obstetrics & Gynecology, Pediatrics, Resuscitation|Tags: bronchiolitis, cauda equina syndrome, DRE, ectopic pregnancy, intraosseus access, IO, withdrawal of life-sustaining care|1 Comment

EM Quick Hits 40 – GI Balloon Tamponade, SVT and Troponin, Falls in Older Patients, Vertical Vertigo, VAFEI Airway

In this month's EM Quick Hits podcast: Anand Swaminathan on GI balloon tamponade preparation and indications, Jesse McLaren on why troponin is rarely useful in SVT, Christina Shenvi on why we should not use the term "mechanical fall" in older patients, Nour Khatib & Jonathan Wallace on rural vertical vertigo case and Reuben Strayer on VAFEI - Video-Assisted Flexible Endoscopic Intubation for the anatomically challenging airway...

By Anton Helman|2022-07-19T12:55:32-04:00July 19th, 2022|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty, Neurology, Resuscitation, Special Populations|Tags: airway, balloon tamponade, falls, geriatric, SVT, troponin, VAFEI, vertigo|1 Comment

EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glaucoma, Reuben Strayer on bougie vs endotracheal tube and stylet on first-attempt intubation, Justin Hensley on management of frostbite, Sarah Foohey on the hot and altered patient, and Andrew Petrosoniak on central cord syndrome...

By Anton Helman|2023-02-06T13:12:57-05:00March 1st, 2022|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Ophthalmology, Plastics, Resuscitation, Toxicology, Trauma|Tags: altered mental status, bougie, central cord syndrome, fluid resuscitation, frostbite, glaucoma, hyperthermia, iloprost, sepsis, spinal cord injury, vasopressors|0 Comments

Ep 161 Red Flag Headaches: General Approach and Cervical Artery Dissections

In this Part 1 or our two part podcast series on Red Flag Headaches we discuss a general approach, tips and tricks to assessing patients who present with headache followed by a deep dive into cervical artery dissections. With the help of Dr. Roy Baskind and Dr. Amit Shah we answers questions such as: what are the big 4 headache diagnoses that are not routinely picked up on plain CT or LP? Why are the symptoms of cervical artery dissection often fluctuating? Why do the symptoms of cervical artery dissection sometimes seem to not fit an anatomical distribution? What are the key clinical features that would trigger you to suspect cervical artery dissection? How do you decide which patients require a CT angiogram? What is the evidence for a causal relationship between chiropractic manipulation and cervical artery dissections? What is evidence for antiplatelet agents, anticoagulants and thrombolysis in the management of cervical artery dissection? Which patients with cervical artery dissection can be safely discharged from the ED and many more...

By Anton Helman|2022-10-29T17:40:37-04:00November 2nd, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: approach to headache, carotid artery dissection, cervical artery dissection, Dr. Amit Shah, Dr. Roy Baskind, vertebral artery dissection|0 Comments

EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine

In this month's EM Quick Hits podcast, Anand Swaminathan on tips and tricks in polytrauma, Rohit Mohindra on diagnosis and management of toxic megacolon, Jesse McLaren on ECG in pulmonary embolism, Victoria Myers on approach to the patch call for cardiac arrest, Brit Long on when to do a CT head before LP, Salim Rezaie on nebulized ketamine - the ketaBAN study...

By Anton Helman|2022-05-03T21:15:05-04:00October 18th, 2021|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Neurology, Respirology, Resuscitation, Trauma, Ultrasound, Uncategorized|Tags: cardiac arrest, colitis, ECG, ketamine, lumbar puncture, meningitis, nebulized ketamine, pseudo PEA, pulmonary embolism, right heart strain, trauma resuscitation|1 Comment

Ep157 Neuromuscular Disease for Emergency Medicine

There is a long list of rare neuromuscular diseases. Nonetheless, there are a few that you are likely to see in the ED, that are relevant to Emergency Medicine because they require timely diagnosis and treatment. In this Part 2 of our 2-part series on acute motor weakness with Roy Baskind and George Porfiris, we keep it short and simple by limiting our discussion to the key clinical clues and management strategies of two of the more common acute life-threatening neuromuscular diseases, myasthenia gravis and Guillain Barré syndrome, and how to distinguish them from their mimics...

By Anton Helman|2022-10-29T17:48:25-04:00June 1st, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: GBS, Guillain Barre, myasthenia gravis, neuromuscular disease|4 Comments