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EM Cases Summaries OLD

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 with 2 easy automatic download options: Evernote or Dropbox. Or you can download individual summary pdfs below. Download individual pdf EM Cases Summaries by clicking on the episode title below Episode 174 Traumatic Pneumothorax - Is Less More? with Mathieu Toulouse Episode 173 Febrile Infant with Brett Burstein & Gary Joubert Episode 172 Syncope Simplified with David Carr Episode 170 Cardiac Arrest Controversies Part 2 - PoCUS, Communication, ECPR, Termination with Bourke Tillmann, Scott Weingart, Sara Gray & Rob Simard Episode 169 Cardiac Arrest Controversies Part 1 with Bourke Tillmann, Scott Weingart, Sara Gray & Rob Simard Episode 167 Myocarditis with Paul Dorian & Walter Himmel Episode 166 Pericarditis & Cardiac Tamponade with Paul Dorian & Walter Himmel Episode 164 Cardiogenic Shock Simplified with Tarlan Hedayati & Bourke Tillmann Episode 163 Acute Heart Failure Part 1 with Tarlan Hedayati & Bourke Tillmann Episode 161 Red Flag [...]

By Anton Helman|2022-11-06T02:48:52-05:00January 20th, 2014|Tags: written summary|0 Comments

Episode 27: Drugs of Abuse – Stimulants and Opiates

Dr. Margaret Thompson & Dr. Lisa Thurgur Canada's toxicologist gurus discuss several cases of stimulant drugs of abuse such as cocaine, MDMA & bath salts, as well as the pearls and pitfalls of managing opiates toxicity. We discuss: The management of the intoxicated patient including seizures, dysrhythmias, cardiac ischemia and hypertensive emergencies related to cocaine toxicity, the recognition and management of necrotizing vasculitis caused by cocaine cut with Levamisole, the differential diagnosis and management of the "hot and crazy" patient, including the role of dantrolene and cyproheptidine, pearls and pitfalls of naloxone, the utility of urine drug screens and much more....

By Anton Helman|2021-03-31T13:05:16-04:00October 15th, 2012|Categories: EM Cases, Emergency Medicine, Episodes, Toxicology|Tags: acute coronary syndrome, bath salts, cocaine, dantrolene, drug screen, dysrhthmia, ecstacy, hypertensive emergency, levamisole, Lisa Thurgur, Margaret Thompson, naloxone, opiate, seizure, sympathomimetic, vasculitis|0 Comments

Best Case Ever 12: Drugs of Abuse

As a bonus to Episode 27 on Drugs of Abuse -Stimulants & Opiates, Dr. Margaret Thompson, one of Canada's leading Toxicologists and the medical director of the Ontario Poison Control Centre tells us 2 of her Best Cases Ever about stimulant overdose surprises. In the related Episode, Dr. Margaret Thompson & Dr. Lisa Thurgur Canada's toxicologist gurus discuss several cases of stimulant drugs of abuse such as cocaine, MDMA & bath salts, as well as the pearls and pitfalls of managing opiates toxicity. We discuss: The management of the intoxicated patient including seizures, dysrhythmias, cardiac ischemia and hypertensive emergencies related to cocaine toxicity, the recognition and management of necrotizing vasculitis caused by cocaine cut with Levamisole, the differential diagnosis and management of the "hot and crazy" patient, including the role of dantrolene and cyproheptidine, pearls and pitfalls of naloxone, the utility of urine drug screens and much more.... [wpfilebase tag=file id=396 tpl=emc-play /] [wpfilebase tag=file id=397 tpl=emc-mp3 /]

By Anton Helman|2019-11-11T21:38:55-05:00October 7th, 2012|Categories: Best Case Ever, EM Cases, Emergency Medicine, Resuscitation, Toxicology|Tags: acute coronary syndrome, bath salts, cocaine, dantrolene, drug screen, dysrhthmia, ecstacy, hypertensive emergency, levamisole, Lisa Thurgur, Margaret Thompson, naloxone, opiate, seizure, sympathomimetic, vasculitis|0 Comments

Episode 14 Part 2: Thunderclap Headache – Cerebral Venous Thrombosis and Cervical Artery Dissection

emergency headacheIn Part 2 of this episode on Thunderclap Headache - Cerebral Venous Thrombosis & Cervical Artery Dissction, Dr. Stella Yiu and Dr. Anil Chopra review the presentation, work-up and management of some of the less common but very serious causes of headache including Cervical Artery Dissection (CAD), Cerebral Venous Thrombosis (CVT) and Idopathic Intracranial Hypertension (IIH). They tell us the most effective ways in which we can minimize the chance of the common Post-LP Headache. They answer questions such as: How does a carotid artery dissection present compared to a vertebral artery dissection? What is the evidence for chiropractic neck manipulation as a cause for Cervical Artery Dissection? How do antiplatelets compare to heparin for the treatment of Cervical Artery Dissection? What is Spontaneous Intracranial Hypotension? What is the differential diagnosis for headache in the peri-partum patient? Does D-dimer have a role in ruling out Cerebral Venous Thrombosis in the low risk patient? What is the imaging modality of choice for suspected Cerebral Venous Thrombosis? What is the value of opening pressure when performing an LP? What are the key headache diagnoses that can be missed on plain CT of the head and would warrant further investigation? and many more.....

By Anton Helman|2021-06-24T23:30:07-04:00May 9th, 2011|Categories: EM Cases, Emergency Medicine, Episodes, Neurology|Tags: Anil Chopra, CVT, D-dimer, IIH, opening pressure, post-LP headache, pseudotumor cerebri, spontaneous intracrnial hypotension, Stella Yiu|4 Comments

Episode 10 Part 1: Trauma Pearls and Pitfalls

In this episode on Trauma Pearls and Pitfalls, Dr. Dave MacKinnon and Dr. Mike Brzozowski discuss the latest in trauma controversies. In Part 1 they give us some key pearls and pitfalls on traumaairway management, the value of the C-spine collar, how to clear the C-spine, vascular access options in trauma, 'Damage Control Rescuscitation', the best resuscitation fluids to use including hypertonic saline, hemostatic drugs such as Tranexamic Acid in trauma, the vulue, or lack thereof, of Recombinant Factor 7a in trauma, and the use of Prothrombin Complex Concentrates in trauma.

By Anton Helman|2021-03-31T13:32:36-04:00January 11th, 2011|Categories: EM Cases, Emergency Medicine, Episodes, Resuscitation, Trauma|Tags: c-spine, damage control resuscitation, Dave MacKinnon, hypertonic saline, ketamine, Mike Brzozowski, PCCs, tranexamic acid, transfusions|0 Comments

Episode 6: Transient Ischemic Attack

Transient Ischemic Attack (TIA) can be difficult to diagnose. It's unclear who to work up. It's challenging if the patient is already taking blood thinners. Dr. Walter Himmel and Dr. Daniel Selchen discuss the key historical and physical examination maneuvers to determine whether patients with neurologic complaints have had a TIA or whether they have had a TIA mimic. They review the 3 best risk stratification rules including the ABCD2 Score to help us determine who needs to be admitted and who needs timely investigations to reduce vascular morbidity and mortality. The reasoning behind which patients require urgent carotid imaging, echocardiograms and advanced imaging such as CT Angiogram is explained, and the best medication choices are reviewed, as well as the indications for Clopidogrel, Aggrenox, Warfarin, Heparin and carotid endarterectomy in the managment of Transient Ischemic Attack. In the second part of the episode, a simple and practical approach to the patient with dizziness is presented, and a discussion on which patients with dizziness need urgent work-up and treatment for vertebrobasilar TIA.

By Anton Helman|2021-03-31T13:38:54-04:00July 1st, 2010|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Neurology|Tags: ABCD2 Score, anti-platelet, anticoagulants, anticoagulation, clinical decision rule, clopidogrel, CT angiogram, TIA, vertigo, Walter HImmel, Warfarin|1 Comment

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EM Cases Summaries OLD

Episode 27: Drugs of Abuse – Stimulants and Opiates

Best Case Ever 12: Drugs of Abuse

Episode 14 Part 2: Thunderclap Headache – Cerebral Venous Thrombosis and Cervical Artery Dissection

Episode 10 Part 1: Trauma Pearls and Pitfalls

Episode 6: Transient Ischemic Attack