Emergency Medicine Cases 2017-01-13T13:47:34+00:00

Rapid Reviews Video on Pediatric Trauma

This month we have a special guest production team bring you a whiteboard video on Pediatric Trauma. You might have had trouble remembering all the details of Episode 95 Pediatric Trauma with Dr. Sue Beno and Dr. Fuad Alnaji. But don't fret! In this short video Dr. Beno and Dr. Alun Ackery review the most important elements of both pediatric and adult multitrauma management for the community Emergency Physician. They discuss common pitfalls leading to bad pediatric trauma outcomes, airway management, hemodynamics, preparation for transfer to a trauma center and much more...

POCUS Cases Video Series has Launched!

The long wait has been well worth it. The EM Cases POCUS Cases Video Series has officially been launched! POCUS Cases is an original EM Cases video series led by Dr. Robert Simard, an Emergency Physician at North York General Hospital and Sunnybrook Health Sciences Centre in Toronto. Rob always wished he had x-ray vision…but since he possesses no special powers…using Point-of-Care Ultrasound (POCUS) is the next closest thing. He completed a POCUS fellowship at NOSM and teaches POCUS nationally and internationally. He is the creator POCUS Cases, an original EM cases screencast that provides POCUS clinical pearls in an engaging and fun way that will help you provide stellar care to your patients...

Ep 108 Pediatric Physical Abuse Recognition and Management

Just one case of missed pediatric physical abuse I consider a travesty. The sad state of affairs is that thousands of cases of paediatric physical abuse are missed on initial presentation to EDs across North America. And a small but significant minority of these children die. In fact, 20-30% of children who died from abuse and neglect had previously been evaluated by medical providers for abusive injuries that were not recognized as abuse. Every child that presents to the ED with a suspicious injury gives the treating physician an opportunity to intervene. We have to get better at identifying these kids when there’s still something we can do to protect them, before it’s too late. In this EM Cases main episode podcast on Pediatric Physical Abuse Recognition and Management Dr. Carmen Coombs and Dr. Alyson Holland discuss the 6 B's of child abuse, the TEN-4 FACE decision rule, the Pittsburgh Infant Brain Injury Score, disclosure tips, screening tests, reporting responsibilities and more...

JJ 12 BNP for Diagnosis of Acute CHF

BNP is currently in use in many EDs across North America and Europe. In this Journal Jam podcast we discuss the clinical utility of BNP and pro-NT-BNP in the work-up of the dyspneic ED patient. We ask the questions: does BNP add much beyond physician gestalt? Which patients might BNP be useful for? Should we abandon BNP as a dichotomous rule-in/rule-out variable and instead use it as a continuous variable? Does using BNP effect patient oriented outcomes? Is lung POCUS a better test? Are prediction models that include BNP useful? and many more....

BCE 67 Child Abuse – Sentinel Injuries

In anticipation of EM Cases Episode 107 on Pediatric Physical Abuse with Dr. Carmen Coombs and Dr. Alyson Holland, Dr. Coombs tells her Best Case Ever (actually worst case ever) that inspired her to pursue expertise in pediatric physical abuse...

WTBS 15 Planning to Fail: Why Warning Patients to Stay Away from the ED Will Never Work

It’s been another trying flu season in the northern hemisphere—for patients and for emergency department (ED) providers. EDs that are crowded at the best of times come close to a tipping point, waits to be seen and for beds climb, and hospitals struggle to handle the load, sometimes coping by putting patients in hallways or lounges. Even well-written surge plans fall apart in the face of staff illness or unit outbreaks. Too often when trying to help the system cope, a hospital, health region, or government puts out a call for the public to stay away from crowded EDs unless absolutely necessary—but are such warnings ethical or effective?