Most Recent
Journal Jam 9 – D-dimer to Rule Out Aortic Dissection
The EM Cases Team is very excited to bring you not only a new format for the Journal Jam podcast but a new member of the team, Dr. Rory Spiegel, aka @EM_Nerd an Emergency Medicine physician from The University Maryland Medical Center in Baltimore, the founder of the EM Nerd blog and the co-host of the Annals of EM podcast. The new format sees Justin Morgenstern, Teresa Chan, Rory Spiegel and Anton Helman doing deep dives into the world's literature on specific practical questions while highlighting some important evidence-based medicine concepts. The question we ask in this Journal Jam podcast: Is there a role for D-dimer testing in the workup of aortic dissection in the ED?
WTBS 12 – Introducing EM Cases Conflict of Interest Policy
Whenever discussions about conflict of interest (COI) come up, one of the first questions that’s inevitably raised is why are we focusing only on financial conflicts and ignoring all the other kinds. That’s a fair question. What about intellectual conflicts or ones based on political leanings? Why are we implementing a COI policy? Is it really necessary? I thought it best to answer that question by having COI expert Joel Lexchin express his thoughts on this subject for us in this month’s guest post to Waiting to be Seen...
Episode 91 Occult Knee Injuries Pearls and Pitfalls
There are a whole slew of very important occult knee injuries - those that have a normal or near normal x-ray – that can cause serious morbidity if you miss them, and for the catchall soft tissue injuries there are some subtleties in diagnosis and management that will make a real difference to our patients. Arun Sayal and Hossein Mehdian answer questions such as: When should we suspect a spontaneously reduced knee dislocation? Do all patients suspected of a spontaneous knee dislocation require a CT angiogram to rule out vascular injury? Which patients with a low energy mechanism are at risk for knee dislocation and vascular complications? How can you increase the accuracy of the active straight leg raise in assessing for quadriceps and patella tendon rupture? What is an easy way to identify patella baja and patella alta on a knee x-ray? What are the indications for ultrasound of the knee? What are the true indications for a knee immobilizer and how can knee immobilizers kill our patients? and many more...
Episode 90 – Low and Slow Poisoning
One of the things we need to think about whenever we see a patient who’s going low and slow with hypotension and bradycardia is an overdose. B-blockers, calcium channel blockers (CCB) and digoxin are some of the most frequently prescribed cardiovascular drugs. And inevitably we’re gonna be faced with both intentional and unintentional overdoses from these drugs in the ED. If we can recognize these overdoses early and manage them appropriately, well - we’ll save some lives...
EM Cases Best of 2016 Top Ten
The year 2016 was one of the most productive one in the entire 7 year history of EM Cases with a total of 29 podcast releases, the introduction of the CritCases blog, the Q & A Pearl of the Week, Just The Nuggets emails, BEEM Cases, the expansion of the Waiting to Be Seen blog, the second EM Cases Digest ebook and the first ever EM Cases Course. The website was viewed by 227,200 visitors, and podcast downloads totaled a whopping 1,626,190 downloads in 2016, bringing us to over 3.5 million podcast downloads since inception. Based on a blend of the number of podcast downloads, webpage views, social media engagement, scores on the questionnaires at the bottom of each post, number of positive emails and comments that I received, and my own favs, I'm pleased to bring you the EM Cases Best of 2016 Top 10 picks of 2016...
WTBS 11 – Keeping Score: Providing Physician Feedback
What does the evidence say about the true utility of physician performance feedback and scorecards? Do they meet a real need for information to guide self-improvement or just scratch our competitive itches? What do we know about the best way to provide feedback? In this month’s guest blog Dr. Amy Cheng, the Emergency Department Director of Quality Improvement at St. Michael’s Hospital in Toronto with an interest in physician performance feedback, reviews what’s known and comments on her own experiences...
