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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

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 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 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 & [...]

By |2024-04-02T13:21:37-04:00July 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...

BEEM Cases 1 – Pediatric Minor Head Injury

Dr. Andrew Worster and the BEEM (Best Evidence in Emergency  Medicine) group from McMaster University has teamed up with EM Cases, Justin Morgenstern (@First10EM) and Rory Spiegel (@EMNerd_) to bring you a blog that blends the BEEM critical appraisals in a case-based, interactive, practice-changing format. In each post we choose the most important literature on a given topic and run through a case, learning how to apply evidence based medicine to our practice. Welcome to BEEM Cases! And here's BEEM Cases 1 - Pediatric Minor Head Injury...    Written by Justin Morgenstern (@First10EM), edited by Anton Helman (@EMCases), adapted from the BEEM Course, Jan 2016   Pediatric Minor Head Injury - Decision Rules, Isolated LOC & Strict Rest The Case... With seconds left in the game, Melissa, an 11 year old girl, drives hard to the basket for a layup. She gets knocked to the ground, and doesn’t see the winning shot pass through the net, because it appeared as though she briefly lost consciousness. She quickly gets back up and celebrates with her friends, but after the celebrations, her parents bring her to your community emergency department to get checked. You confirm that she [...]

Episode 69 Obesity Emergency Management

Current estimates of the prevalence of obesity are that a quarter of adult Canadians and one third of Americans are considered obese with approximately 3% being morbidly obese. With the proportion of patients with a BMI>30 growing every year, you’re likely to manage at least one obese patient on every ED shift. Obese patients are at high risk of developing a host of medical complications including diabetes, hypertension, coronary artery disease, peripheral vascular disease, biliary disease, sleep apnea, cardiomyopathy, pulmonary embolism and depression, and are less likely compared to non-obese adults to receive timely care in the ED. Not only are these patients at higher risk for morbidity and mortality, but obesity emergency management is complicated by the patient’s altered cardiopulmonary physiology and drug metabolism. This can make their acute management much more challenging and dangerous. To help us gain a deeper understanding of the challenges of managing obese patients and elucidate a number of important differences as well as practical approaches to obesity emergency management, we welcome Dr. Andrew Sloas, the founder and creator of the fantastic pediatric EM podcast PEM ED, Dr. Richard Levitan, a world-famous airway management educator and innovator and Dr. David Barbic a prominent Canadian researcher in obesity in emergency medicine from University of British Columbia....

Best Case Ever 39 – Airway Strategy & Mental Preparedness in EM Procedures with Richard Levitan

I caught up with airway educator, innovator and self-described enthusiast Dr. Richard Levitan at SMACC in Chicago this past June. In this Best Case Ever on Airway Strategy and Mental Preparedness in EM Procedures, Dr. Levitan uses a great save of his in a penetrating trauma case as a basis for discussion on mental preparedness and how we've been thinking about our general approach to emergency procedures the wrong way. Rather than fixating on the final goal of a procedure, which can often be daunting and lead us astray, he suggests a methodical incrementalized and compartmentalized approach to EM procedures that reduces stress and fear, improves confidence and enhances success. He runs through several examples including intubation, cricothyrotomy and initial approach to hypoxia to explain his Simple Incremental Approach to EM Procedures. Could this be a paradigm shift in the way we think about procedures in EM?....

Best Case Ever 31: Emergency Pericardiocentesis

On this EM Cases Best Case Ever, Andrew Sloas, the brains behinds the fabulous PEM-ED podcast tells the tale of a pericardiocentesis gone bad and what he learned from it. Emergency pericardicentesis can be life saving, but it also carries risks. Dr. Sloas reviews the steps to take to ensure that the pericardiocentesis needle is the the correct place to minimize the risk of intubating the right ventricle of the heart. A discussion of errors of omission and ones of commission follows.... [wpfilebase tag=file id=540 tpl=emc-play /] [wpfilebase tag=file id=541 tpl=emc-mp3 /]

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 |2022-11-06T02:48:52-05:00January 20th, 2014|Tags: |0 Comments

Episode 8: Emergency Airway Controversies

There are so many emergency airway controversies in emergency medicine! Dr. Jonathan Sherbino, Dr. Andrew Healy and Dr. Mark Mensour debate dozens of these controversies surrounding emergency airway management. A case of a patient presenting with decreased level of awareness provides the basis for a review of the importance, indications for, and best technique of bag-valve-mask (BVM) ventilation, as well as a discussion of how best to oxygenate patients. This is followed by a discussion of what factors to consider in deciding when to intubate and some of the myths of when to intubate. The next case, of a patient with severe head injury who presents with a seizure, is the fodder for a detailed discussion of Rapid Sequence Intubation (RSI). Tips on preparation, pre-oxygenation and positioning are discussed, and some great debates over pre-treatment medications, induction agents and paralytic agents ensues. The new concept of Delayed Sequence Intubation is explained and critiqued. They review how to identify a difficult airway, how best to confirm tube placement and how to avoid post-intubation hypotension. In the last case of a morbidly obese asthmatic they debate the merits of awake intubation vs RSI vs sedation alone in a difficult airway situation and explain the best strategies of ventilation to avoid the dreaded bradysystlolic arrest in the pre-code asthmatic. Finally, some key strategies to help manage the morbidly obese patient's airway effectively are reviewed.

Experts Bios

Learn more about any of Emergency Medicine Cases guest experts bios by clicking on their name below. G to L M to R S to Z A to F Dr. Alyssa Abo is a Pediatric Emergency Physician at Children’s National Medical Center in Washington, D.C. She is the Associate Director of Emergency Ultrasound there. Dr. Samina Ali is a Professor of Pediatrics and an Adjunct Professor of Emergency Medicine, as well as a practicing pediatric emergency physician at the Stollery Children's Hospital. Dr. Fuad Alnaji is a Pediatric Emergency Physician and Intensivist at Children's Hospital of Eastern Ontario (CHEO) in Ottawa. He trained at Arabian Gulf University, Bahrain before beginning his pediatric residency at CHEO, where he also completed subspecialty training in pediatric critical care medicine and pediatric emergency medicine in 2012. Dr. Alnaji works in CHEO’s pediatric critical care unit as well as the emergency department. His interests in transport, trauma, resuscitation and medical simulation have lead him to pursue work as a trauma team leader as well as transport medicine physician with ORNGE. Dr. Andrew Arcand is an Emergency Physician and the chief [...]

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