acute coronary syndrome Archives - Emergency Medicine Cases

EM Quick Hits 74 Non-obstructive ACS with Amal Mattu, Threadworms, NPO Guidelines, Sickle Cell Disease, Coaching the EM Mind Part 4

In this month’s EM Quick Hits Podcast, Amal Mattu discusses non-obstructive and non-thrombotic causes of ACS, Andrew Tagg reviews how to diagnose and treat threadworms (pinworms), and Justin Morgenstern implores us to let our ED patients eat and drink. Plus, Hans Rosenberg shares practical pearls for managing vaso-occlusive episodes and complications of sickle cell disease in the ED, and Sara Gray and Katie Lin return for Part 4 of “Coaching the EM Mind,” with strategies for addressing imposter syndrome and shame. Please consider a donation to EM Cases here: https://emergencymedicinecases.com/donation/

By Sara Brade|2026-11-10T10:27:32-05:00November 10th, 2026|Categories: Cardiology, Clinical Practice, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Genitourinary, Hematology, Medical Specialty, Neurology, Pediatrics, Special Populations, Wellness|Tags: acute chest syndrome, acute coronary syndrome, Amal Mattu, assertive communication, cocaine, coronary embolism, coronary vasospasm, ED fasting, growth mindset, imposter syndrome, mebendazole, medical errors, MINOCA, non-obstructive causes of ACS, NPO, physician shame, pinworms, SCAD, Sickle Cell Disease, systemic racism, threadworms, vaso-occlusive episode|0 Comments

Best Case Ever 17: Geriatric Emergency Medicine

As a bonus to Episode 34 on Geriatric Emergency Medicine, Dr. Don Melady, one of Canada's leading educators in Geriatric EM, tells us about his Best Case Ever in which a simple fall turns out to be a multi-facited complicated case with a simple solution. In the related Episode 34 on Geriatric Emergency Medicine Dr. Melady and Dr. Jacques Lee cover an approach to geriatric Delirium, managing agitation, indications for CT head in the delirious older person, management of recurrent falls, pearls in the assessment of the 'Weak & Dizzy' geriatric patient, key drug interactions, pain management, atypical ACS and pearls in Geriatric abdominal pain presentations.

By Anton Helman|2017-02-03T12:54:32-05:00July 2nd, 2013|Categories: Best Case Ever, EM Cases, Emergency Medicine, Neurology, Trauma|Tags: acute coronary syndrome, delirium, Don Melady, drug interactions, falls, Geri-EM, pain management|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