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EM Quick Hits 50 Normal Unenhanced CT Renal Colic DDx, Perichondritis, Magnesium in Pediatric Asthma, Steroids for Pneumonia, OMI Cath Lab Activation

On this month's EM Quick Hits podcast David Carr on differential diagnosis of normal unenhanced CT renal colic, Leeor Sommer on recognition and management of perichondritis and auricular abscess, Suzanne Schuh on IV magnesium sulphate for pediatric asthma, Jess McLaren on Occlusion MI ECG interpretation requiring cath lab activation and Justin Morgenstern on update on steroids for pneumonia...

ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes

In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life...

ECG Cases 38 – ECG Interpretation in Cocaine Chest Pain

Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. In patients with chest pain + ST elevation, consider false positive STEMI including early repolarization, LVH and Brugada-pattern. In patients with cocaine chest pain who are STEMI negative, beware STEMI(-)OMI including subtle ST elevation, hyperacute T waves, reciprocal change, and refractory ischemia. For cocaine chest pain patients who's chest pain has resolved, look for reperfusion T wave inversion, as this may put them at risk for reocclusion.

EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM

On this month's EM Quick Hits podcast: Best of University of Toronto EM with Yaron Finkelstein on pediatric cannabis poisoning pitfalls, Brit Long on recognition and management of esophageal perforation, Jesse McLaren on 3 questions to diagnose Brugada Syndrome, Tahara Bhate on QI Corner, Constance Leblanc on maintaining wellness in career transitions from CAEP 2022...

ECG Cases 35 – ECG Approach to Takotsubo Syndrome

Takotsubo Syndrome is usually triggered by an emotional or physical stress leading to acute catecholaminergic myocardial stunning. The initial ST elevation phase of Takotsubo Syndrome mimics Occlusion MI, can not be distinguished by patient factors or POCUS findings, and requires immediate angiogram. The subsequent phase of Takotsubo Syndrome has T wave inversion in an apical distribution, which can mimic reperfusion, but often has very deep T wave inversions and a very long QT interval. Takotsubo Syndrome is a retrospective diagnosis of exclusion—with an angiogram ruling out occlusion, a ventriculogram showing apical ballooning, and a follow up echo showing recovery of LV function. Complications of Takotsubo Syndrome include LV failure, apical thrombus, and polymorphic VT from long QT. Jesse McLaren guides us through 10 ECGs to elucidate these important take home points...

Résumés EM Cases

Épisode 187 Crash anaphylaxie et AMAX 4  avec Ben McKenzieEpisode 186 Traumatic Dental Emergencies with Chris Nash & Richard NgoÉpisode 185 Urgences dentaires non traumatiques avec Chris Nash & Richard NgoÉpisode 184 Interactions médicamenteuses avec David Juurlink & Walter HimmelÉpisode 183 MIP et lésions génitales avec Catherine Varner & Robyn ShaferEpisode 182 STIs: Cervicitis, Vulvovaginitis, Urethritis with Catherine Varner & Robyn ShaferEpisode 181 CVT, IIH, GCA, Peripartum Headache with Roy Baskind & Amit ShahEpisode 180 Acetaminophen Poisoning with Emily Austin & Margaret ThompsonEpisode 179 Specific Hand Injuries with Matt Distenfano and Arun SayalÉpisode 177 Prise en charge et défi diagnostic de la bronchiolite avec Suzanne SchuhÉpisode 176 Pièges en radiographie orthopédique avec Arun Sayal & Yatin ChadhaÉpisode 175 Diagnostic différentiel orthopédique : Mnémotechnique SCARED OF avec Arun Sayal & Yatin ChadhaÉpisode 174 Pneumothorax traumatique avec Mathieu ToulouseÉpisode 173 Fiévre chez les nourrissons, stratification du risque et investigations avec Brett Burstein et Gary JoubertÉpisode 172 La syncope simplifiée avec Dr David CarrÉpisode 170 Controverse de l'arrêt cardiaque partie II – EDU, communication, arrêt des manœuvres avec Bourke Tillmann, Scott Weingart, Sara Gray & Rob SimardÉpisode 169 Controverses de l'arrêt cardiaque partie I avec Bourke Tillmann, Scott Weingart, [...]

By |2023-10-15T19:59:22-04:00August 12th, 2022|Comments Off on Résumés EM Cases

Ep 172 Syncope Simplified with David Carr

In this main episode podcast, Dr. David Carr joins Anton to give us his simplified approach to syncope based solely on history, physical and ECG to help guide disposition decisions.  We answer questions such as: What features have the best likelihood ratios to help distinguish syncope from seizure? What key clinical features on history and physical exam can help us distinguish orthostatic and reflex syncope from the more sinister cardiac syncope? What is the best approach to ECG interpretation for the patient who has presents with syncope? Are syncope clinical decision tools any better than physician gestalt? and many more....

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 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 Distefano Episode 188 Hemoptysis with Bourke Tillmann & Scott Weingart Episode 187 Crashing Analphylaxis & AMAX4 Algorithm with Ben McKenzie Episode 186 Traumatic Dental Emergencies with Chris Nash & Richard Ngo Episode 185 Atraumatic Dental Emergencies with Chris Nash & Richard Ngo Episode 184 Drug Interactions with David Juurlink & Walter Himmel Episode 183 PID & Genital Lesions with Catherine Varner & Robyn Shafer Episode 182 STIs: Cervicitis, Vulvovaginitis, Urethritis with Catherine Varner & Robyn Shafer Episode 181 CVT, IIH, GCA, Peripartum Headache with Roy [...]

By |2024-03-19T12:58:23-04:00July 12th, 2022|Comments Off on EMC Cases Summaries

Ep 166 Pericarditis and Cardiac Tamponade

Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the most common pitfalls in the ECG interpretation? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? How is uncomplicated viral pericarditis treated differently compared to pericarditis with other etiologies? Why is it so important to include colchicine as part of the treatment of pericarditis? Which patients with pericarditis require admission? and many more...

ECG Cases 27 Pericarditis – Diagnosis of Exclusion

Jesse McLaren guides us through 9 cases and explains how pericarditis is a diagnosis of exclusion through 3 simple steps: 1. Exclude more serious causes of chest pain, eg wraparound LAD occlusion, inferior OMI 2. Exclude complications of pericarditis, eg myocarditis, large pericardial effusion 3. Exclude normal variant ST elevation presenting with benign chest pain on this month's ECG Cases blog...

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