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EM Quick Hits 31 NG Tubes in SBO, Hyperacute T-Waves, Malignant Otitis Externa, CCTA in NSTEMI and Low-risk Chest Pain, Canadian Syncope Score

In this month's EM Quick Hits podcast: Justin Morgenstern on the evidence for NG tubes in SBO, Jesse MacLaren on recognition of hyperacute T-waves vs other causes of tall T-waves, Brit Long on malignant otitis externa clinical pearls, Salim Rezaie on the value of CCTA in NSTEMI, Justin Morgenstern on the value of CCTA in low-risk chest pain, Hans Rosenberg on how to use the Canadian Syncope Score and it's validation in Canada...

By Anton Helman|2021-08-10T11:12:34-04:00August 10th, 2021|Categories: Cardiology, Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty|Tags: bowel obstruction, canadian syncope risk score, CCTA, hyperacute T wave, malignant otitis externa, myocardial infarction, nasogastric tube, NG tube, occlusion MI, syncope, tall T wave|1 Comment

Ep 158 Management of Primary Spontaneous Pneumothorax

In this main episode podcast we discuss the conservative management of large spontaneous pneumothorax, when a pigtail chest tube with Heimlich valve is indicated, detection of persistent air leak, removal of chest tube, surgical indications for spontaneous pneumothorax, management pitfalls and more...

By Anton Helman|2022-10-29T17:47:37-04:00July 27th, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology, Ultrasound|Tags: air leak, chest tube, Heimlich valve, needle aspiration, pigtail catheter, thoracentesis|5 Comments

EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety

In this month's EM Quick Hits podcast: Anand Swaminathan on the approach to cardiogenic shock, Hania Bielawska on the myths of radiation dose in pregnant patients, Hans Rosenberg & Michael Gottlieb on PoCUS in airway management, Menaka Pai on VIPIT following AstraZeneca COVID-19 vaccination, Brit Long & Michael Gottlieb on Angiotensin II for emergency clinicians, Michael Schull on tips on the safety of short-term steroid use....

By Anton Helman|2021-05-04T17:51:22-04:00May 4th, 2021|Categories: Cardiology, COVID-19, EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Obstetrics & Gynecology, Resuscitation, Ultrasound|Tags: airway, angiotensin, cardiogenic, COVID-19, POCUS, pregnancy, radiation, shock, steroids, VIPIT|1 Comment

Ep 146 DKA Recognition and ED Management

In this first part of our 2-part podcast on DKA and HHS, Drs Melanie Baimel, Bourke Tillman and Leeor Sommer discuss the importance of identifying the underlying cause or trigger in DKA patients, the pitfall of ruling out DKA in patients with normal pH or normal serum glucose, how to close the gap effectively, why stopping the insulin infusion is almost never indicated, how to avoid cardiac collapse when DKA patients require endotracheal intubation, the best alternatives to plastic in the trachea, why using a protocol improves patient outcomes, how to avoid the common complications of hypoglycemia and hypokalemia, and much more...

By Anton Helman|2022-06-11T07:04:59-04:00September 29th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: cerebral edema, diabetic ketoacidosis, DKA, euglycemic DKA, hypokalemia, metabolic acidosis|9 Comments

Ep 143 Priapism and Urinary Retention: Nuances in Management

This month's main episode podcast on Urologic Emergencies - Priapism and Urinary Retention asks: for priapism how much time to do we have to fix it before there’s irreversible tissue damage? How is priapism managed differently depending on the cause? What is the value of a corporal blood gas for managing priapism? What are the indications for cavernosal phenylephrine injections? What are the common medications that cause urinary retention that we often miss leading to needless recurrent urinary retention? Why is a suprapubic catheter in many respects safer than a urethral catheter for managing urinary retention? Which patients are at high risk for complications of post-obstructive diuresis? and many more...

By Anton Helman|2022-06-11T16:08:20-04:00July 14th, 2020|Categories: EM Cases, Emergency Medicine, Episodes, Genitourinary, Medical Specialty|Tags: phenylephrine, post obstructive diuresis, priapism, triple mix, urethral catheter, urinary retention|4 Comments

EM Quick Hits 19 Angioedema, SAH Decision Tool, Breastfeeding Myths, COVID-19 Neurology, Spider Bites, Skin Abscess Management

Anand Swaminathan on airway management in angioedema, Jeff Perry on Ottawa subarachnoid hemorrhage rule and 6hr CT rule, Hania Bielawska on ED breastfeeding myths and misconceptions, Brit Long on neurologic associations with COVID-19, Justin Hensley on management of spider bites and Hans Rosenberg & Heather Murray on management of skin abscesses...

By Anton Helman|2023-02-06T13:00:42-05:00June 2nd, 2020|Categories: COVID-19, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Obstetrics & Gynecology, Toxicology|Tags: angioedema, awake intubation, breast feading, COVID-19, Cricothyrotomy, KOBI, SAH, skin abscess, spider bite|0 Comments

Ep 128 Low Risk Chest Pain and High Sensitivity Troponin – A Paradigm Shift

In the age of high sensitivity troponins and the HEART pathway, which patients are safe to discharge home from the ED? What are the most useful historical factors to increase and decrease your pretest probability for ACS? Which cardiac risk factors have predictive value for ACS? Why should the words "troponitis" and "troponemia" be banned? How should high sensitivity troponin be interpreted differently than conventional troponin? Which is better for delta troponin interpretation - an absolute change in troponin or a percentage change? Which delta troponin is best - 1hr, 2hr or 3hr? What are the limitations of the HEART pathway? and many more....

By Anton Helman|2022-08-04T20:39:41-04:00July 30th, 2019|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: ACS, CCTA, chest pain, delta troponin, Dr. Andrew McRae, Dr. Eddy Lang, HEART pathway, high sensitivity troponin, MACE|9 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|2022-08-19T13:34:59-04:00May 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

Ep 121 Elbow Injuries – Ten Pitfalls in Diagnosis and Management

In this main episode podcast we discuss the pitfalls in the diagnosis and management of elbow injuries and answer questions such as: What is an easy way to remember the surgical indications for radial head fractures? What is the significance of a coronoid process fracture and how does it change management when seen with a radial head fracture? What is the best way to assess for pronation and supination of the forearm? Why is it so important to assess for the extensor mechanism on physical exam for patients with olecranon fractures? What is a quick easy way to test the peripheral nerves of the upper extremities? Which often missed soft tissue injuries of the elbow require urgent operative management? and many more...

By Anton Helman|2022-10-11T13:35:36-04:00February 26th, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Orthopaedics|Tags: coronoid process fracture, Dr. Arun Sayal, Dr. Dale Dantzer, elbow dislocation, olecranon fracture, radial head fracture, radiocapitellar line, terrible triad|3 Comments

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...

By Anton Helman|2022-10-16T08:03:58-04:00October 23rd, 2018|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation, Special Populations, Toxicology|Tags: buprenorphine, COWS Score, naloxone, naltrexone, opioid use disorder, precipitated withdrawal, readiness ruler, SBIRT, suboxone|3 Comments

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