EM Quick Hits Videos – Management of Aortic Dissection: Medications
Dr. Anand Swaminathan
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EM Quick Hits Videos – Neuroprotective Intubation
Dr. Katie Lin
Ep 199 Trauma Airway and Airway Trauma
In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma? Dr. George Kovacs and Dr. Andrew Petroniak answer this and other questions such as: how should we re-sequence the trauma resuscitation depending on immediate life-threats? When is immediate vs delayed intubation recommended? How useful are the Zones of the neck in penetrating neck trauma? What is the optimal dosing of airway medications in the sick trauma patient? How should we modify our airway strategy for the severely head injured patient and/or agitated patient? When should we consider ketamine facilitated fiberoptic intubation in the trauma patient? and many more... Please consider a donation to EM Cases to ensure ongoing Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/
EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality
In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic error, Matthew McArthur on penicillin allergy labels, myths and penicillin challenges, and Susan Lu on how ED physician personality influences patient outcomes... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/
EM Quick Hits 55 – Induction Agents, Gabapentinoids, Neuroprotective Intubation, Approach to Paresthesias, Preventing Burnout
Anand Swaminathan on an update on the appropriate selection of induction agents. Hans Rosenberg on when to use gabapentinoids for pain control in the ED. Katie Lin on pearls for neuroprotective intubation. Nour Khatib and Hamza Jalal on an approach to paresthesias in the ED. Eric Wortmann on preventing burnout in emergency medicine. Please support EM Cases with a donation https://emergencymedicinecases.com/donation/
EM Quick Hits 47 HFNC, Dissection Drugs, ADJUST-UNLIKELY for PE, Antibiotic Course Duration, Skin Glue Hacks, ESP Block, Learner Oversight
In this month's EM Quick Hits podcast: Anand Swaminathan on 3-pronged approach to aortic dissection management, Jonathan Wallace on rural practice tips for glue removal and ESP block for renal colic, Sara Gray on everything you need to know about High Flow Nasal Cannula but were afraid to ask, Maria Ivankovic on reducing the duration of antibiotic therapy for uncomplicated common bacterial infections, Tahara Bhate on handover and learner oversight on QI corner and Kerstin De Wit on the ADJUST-UNLIKELY tool for pulmonary embolism...
Résumés EM Cases
Épisode 195 Prise en charge de l'hémorragie sous-arachnoïdienne avec Katie Lin & Jeff Perry Épisode 194 Hémorragie sous-arachnoïdienne : reconnaissance, bilan et diagnostic avec Jeff Perry & Katie Lin Épisode 193 Reconnaissance et prise en charge des crises d'asthme très sévères avec Leeor Sommer & Sameer Mal Épisode 192 Stratégies de prise en charge de l'asthme avec Leeor Sommer & Sameer Mal Épisode 191 L'avenir de la médecine d'urgence avec Alecs Chochinov & David Petrie Épisode 188 Hémoptysie avec Bourke Tillmann & Scott Weingart Épisode 187 Crash anaphylaxie et AMAX 4 avec Ben McKenzie Episode 186 Traumatic Dental Emergencies with Chris Nash & Richard Ngo Épisode 185 Urgences dentaires non traumatiques avec Chris Nash & Richard Ngo Épisode 184 Interactions médicamenteuses avec David Juurlink & Walter Himmel Épisode 183 MIP et lésions génitales avec Catherine Varner & Robyn Shafer Episode 182 STIs: Cervicitis, Vulvovaginitis, Urethritis with Catherine Varner & Robyn Shafer Episode 181 CVT, IIH, GCA, Peripartum Headache with Roy Baskind & Amit Shah Épisode 180 Intoxication à l'acetaminophène avec Emily Austin & Margaret Thompson Épisode 179 Blessures de la main avec Matt Distenfano & Arun Sayal Épisode [...]
EMC Cases Summaries
The EM Cases Summaries are succinct, written, easily navigable, key point reports of each main episode podcast, authored by Our Team that you can download to your smartphone or tablet to reference and read at the bedside or at your leisure automatic download via dropbox. Download individual pdf EM Cases Summaries by clicking on the category and then episode title below Episode 202 Eating Disorders with Samantha Martin & Jen Tomlin Episode 199 Trauma Airway with George Kovacs & Andrew Petrosoniak Episode 197 Acute Heart Failure Risk Stratification & Disposition with Clare Atzema & Doug Lee Episode 196 Pediatric Meningitis Recognition, Workup & Management with Shannon MacPhee & Jeanette Comeau Episode 195 Management of Subarachnoid Hemorrhage with Katie Lin & Jeff Perry Episode 194 Subarachnoid Hemorrhage Recognition, Workup, Diagnosis with Jeff Perry & Katie Lin Episode 193 Life Threatening Asthma with Leeor Sommer & Sameer Mal Episode 192 Asthma Management - 5 Step Approach with Leeor Sommer & Sameer Mal Episode 191 Future of EM - Systems Thinking with Alecs Chochinov & David Petrie Episode 190 Carpal Bone Injuries with Arun Sayal & Matt Distefano Episode 189 Wrist Injuries with Arun Sayal & Matt [...]
Ep 164 Cardiogenic Shock Simplified
What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred over milrinone and vice versa? How can we best pick up occult cardiogenic shock before it floured shock kicks in? What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room? What is the evidence for intra-aortic balloon pumps, percutaneous ventricular assist devices and ECMO in the patient with cardiogenic shock? Which patients with acute heart are safe to send home in general? How useful is the Ottawa Heart Failure Risk Score in aiding in disposition decisions?...
Ep 163 Acute Heart Failure ED Management – PoCUS, Oxygenation Strategies, Medication Strategies, PPV HAVoC and SCAPE
In this Part 1 of our two-part series on acute heart failure, Anton is joined by Dr. Tarlan Hedayati and Dr. Bourke Tillman to answer such questions as: how does PoCUS compare with clinical assessment and CXR in diagnostic accuracy for acute heart failure? How do we best integrate PoCUS in the our assessment and management of the patient with acute heart failure? What is PPV HAVoC and how can we use it to optimize acute heart failure management goals? What should be our specific goals of management in the acute heart failure depending on the underlying cause? How does high flow nasal cannula (HFNC) compare to non-invasive positive pressure ventilation (NIPPV) in the management of acute heart failure? How should we interpret the C3PO trial in the context of the world's literature on NIPPV in acute heart failure? How should we dose nitroglycerin to maximize its effects without dumping the blood pressure in patients with SCAPE and those without SCAPE? How should we best time and dose furosemide in the acute heart failure patient with renal insufficiency? Is there any role for morphine or ACEi in the ED management of acute heart failure? What are best anxiolytic medication choices in acute heart failure? Is there any role for second line diuretics in the management of acute heart failure in the ED? and many more...