Emergency Medicine Cases

Ep 206 Massive Hemorrhage Protocols 2.0 – Update on the 7 Ts

In this update to the 7 T’s of Massive Hemorrhage Protocols with Dr. Jeannie Callum and Dr. Andrew Petrosoniak, we explore the most current, evidence-informed strategies for bleeding patients, from polytrauma to obstetrical, drawing on the latest clinical trial data and real-world experience. We answer the questions: What is the evidence based alternative to FFP in EDs where FFP is not readily available? How accurate are decision scores in helping decide the trigger for MHP activation? Why is testing fibrinogen levels and giving fibrinogen concentrates so important in massive hemorrhage? How should we tailor our MHP to the GI bleed patient? To the obstetrical patient? and many more... Please donate to EM Cases to ensure ongoing Free Open Access Medical Education at https://emergencymedicinecases.com/donation/.

By Anton Helman|2025-08-20T11:46:03-04:00August 4th, 2025|Categories: EM Cases, Emergency Medicine, Episodes, Gastroenterology, Medical Specialty, Obstetrics & Gynecology, Resuscitation, Trauma|Tags: Dr. Andrew Petrosoniak, Dr. Jeannie Callum, fibrinogen, GI bleed, ICH, MHP, platelet transfusion, tranexamic acid, transfusion, TXA|2 Comments

EM Quick Hits 2 Organophosphate Poisoning, TXA for Hemoptysis, Metacarpal Fracture Rotation, Abdominal Stab Wounds, Pediatric IV Cannulation

On this EM Quick Hits podcast we have Emily Austin on organophosphate poisoning, Arun Sayal on malrotation of metacarpal fractures, Andrew Petrosoniak on pitfalls in abdominal stab wound management, Anand Swaminathan on tranexamic acid for non-massive hemoptysis, and Natalie May on pediatric IV cannulation tips and tricks...

By Anton Helman|2022-09-05T17:46:09-04:00February 12th, 2019|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Special Populations, Toxicology, Trauma|Tags: abdominal stab wound, Dr. Anand Swaminathan, Dr. Andrew Petrosoniak, Dr. Arun Sayal, Dr. Emily Austin, Dr. Natalie May, IV cannulation, metacarpal fracture, organophosphate poisoning, penetrating trauma, tranexamic acid, TXA|4 Comments

Ep 119 Trauma – The First and Last 15 Minutes Part 2

What should your resuscitation targets be in the first 15 minutes for trauma patients with hemorrhagic shock, neurogenic shock, severe head injury? When is a pelvic binder indicated? Is a bedsheet good enough? What are the most common pitfalls in binding the pelvis? What are the best ways to maintain team situational awareness during a trauma resuscitation? Should we rethink patient positioning for the trauma patient? What are the indications for transport to a trauma center? What is the minimal data set required before transfer? Which patients require a pelvic x-ray prior to transfer to a trauma center? What are the key elements of a transport checklist? What does the future hold for trauma care and many more...

By Anton Helman|2024-08-02T17:11:44-04:00January 1st, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Trauma|Tags: Dr. Andrew Petrosoniak, Dr. Chris Hicks, Dr. Kylie Bosman, pelvic binder, resuscitation targets, transport checklist, trauma transfer|5 Comments

Ep 118 Trauma – The First and Last 15 Minutes Part 1

In this part 1 of Trauma - The First and Last 15 Minutes, we answer questions such as: how should we best prepare our team, our gear and ourselves for the trauma patient? How does resequencing the initial trauma resuscitation save lives? How can we most readily identify occult shock, the silent killer in trauma? What are 7 actions to consider in the first 15 minutes of resuscitation? How can the concepts of "controlled resuscitation" and "resuscitation intensity" help us decide resuscitation targets and when to activate a massive transfusion protocol? and many more...

By Anton Helman|2024-08-02T17:12:12-04:00December 18th, 2018|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Trauma|Tags: ABC score, controleed resuscitation, delta shock index, Dr. Andrew Petrosoniak, Dr. Chris Hicks, massive transfusion, resequenced trauma resuscitation, resuscitation intensity, shock index|5 Comments