Based on a blend of the number of podcast downloads, webpage views, social media engagement, number of positive emails and comments that I received, and my own favs, I'm pleased to bring you the EM Cases Best of 2017 Top 10. Many huge thanks to the entire EM Cases team, Advisory Board, SREMI, the amazing guest experts and you, the listeners of the podcasts, readers of the blogs, viewers of the videos and participants in the course, for making 2017 another successful year for EM Cases! And here they are...
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?
One of Emergency Medicine's most cutting edge educators Dr. Rob Rogers, the brains behind iTeach EM podcast & blog as well as the director of The Teaching Course tells us the story of his Best Case Ever where he used Social Media as an EM Education tool that led to a life saved and a difficult diagnostic pick-up. In the upcoming episode on Social Media (SoMe) in EM education and FOAMed (Free Open Access Medical Education) with three prominent educators in the FOAM movement, Brent Thoma of Boring EM and Academic Life in EM, Ken Milne of The Skeptics Guide to EM & Rob Rogers, we discuss how SoMe can enhance your career, tips on how to get the most out of FOAMed without getting overwhelmed by the volume of material, swarm-based medicine, tacit knowledge sharing, the flipped classroom, the use of FOAMed in emergency medicine training curricula, how Twitter, Google+, Google Hangout and Google Glass have changed the face of medical education, and much more. To have your questions about SoMe and FOAMed answered by our guest experts and find key references go here.
In this episode on Hypertensive Emergencies, Dr. Joel Yaphe, EM residency program director at the University of Toronto & Dr. Clare Atzema, one of Canada's leading cardiovascular EM researchers will discuss the controversies of how to manage patients who present to the ED with high blood pressure and evidence of end organ damage related to the high blood pressure. Hypertensive emergencies are a grab bag of diagnoses that all need to be treated differently. Hypertensive Encephalopathy, Aortic Dissection, Acute Pulmonary Edema, Pre-eclampsia & Eclampsia, Acute Renal Failure, Subarachnoid Hemorrhage and Intracranial Hemorrhage all need individualized blood pressure management.
Dr. Anil Chopra & Dr. David Carr discuss the breadth of presentations and key diagnostic clues of Aortic Dissection. They review the value of ECG, CXR and biomarkers as well as compare and contrast the use of Transesophageal Echo and CTA in this sometime elusive diagnosis. Being the authors of the Tintanalli chapter on Occlusive Arterial Disease, they give as lots of clinical pearls and pitfalls when it comes to Acute Limb Ischemia. We end with a discussion on the trials and tribulations of Compartment Syndrome.
Dr. David Carr, the past author of Tintinalli's chapter on occlusive arterial disease, tells us his Best Case Ever related to Aortic Dissection. In the related Episode 28: Aortic Dissection, Acute Limb Ischemia & Compartment Syndrome, we discuss the breadth of presentations and key diagnostic clues of Aortic Dissection. We review the value of ECG, CXR, biomarkers and the use of Transesophageal Echo and CTA in this sometime elusive diagnosis. We debate lots of clinical pearls and pitfalls when it comes to acute limb ischemia, and end with a discussion on the trials and tribulations of Compartment Syndrome. [wpfilebase tag=file id=398 tpl=emc-play /] [wpfilebase tag=file id=399 tpl=emc-mp3 /]
As a bonus to Episode 18: Point of Care Ultrasound Controversies with the gurus of POCUS, Dr. Greg Hall, Dr. Jordan Chenkin, Dr. Paul Hannam and Dr. Jason Fischer, we present here, Dr. Hall's Best Case Ever. In the related episode our panel of experts answer questions such as: How does 2-point compression Point of Care Ultrasound of the leg compare to radiology department ultrasound for DVT? How does POCUS for pneumothorax compare to CXR and CT? In what situations does cardiac standstill on POCUS not suggest futile resuscitation? Can evaluation of RV function on Point of Care Ultrasound help us decide whether or not to thrombolyse a patient with submassive pulmonary embolism? How can POCUS help in diagnosing CHF? What is the best anatomical approach for pericardiocentesis? How can Point of Care Ultrasound help us in the crashing pediatric patient? and many more…… [wpfilebase tag=file id=380 tpl=emc-play /] [wpfilebase tag=file id=381 tpl=emc-mp3 /]
In relation to Episode 13 on The Found Down Patient with Dr. Brian Steinhart and Dr. David Carr, we present here, the second of our new 5 minute 'Best Case Ever' series. Dr. Steinhart's found down patient In Episode 13 The Found Down Patient, Dr. Helman presents 4 challenging cases of patients who present with altered mental status to Dr. Carr and Dr. Steinhart, who give us loads of key pearls and intriguing controversy in the evaluation and treatment of these difficult patients. [wpfilebase tag=file id=370 tpl=emc-play /] [wpfilebase tag=file id=371 tpl=emc-mp3 /]