Dr. Leeor Sommer Archives - Emergency Medicine Cases

Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic? What is the role of NIPPV in the management of life-threatening asthma? What are the factors we should consider when it comes to indications for endotracheal intubation of the crashing asthmatic? What role do blood gases play in the decision to intubate? What are the most appropriate ventilation strategies in the intubated asthma patient? and many more... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-04-23T12:37:49-04:00April 2nd, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology, Resuscitation|Tags: airway management, Dr. Leeor Sommer, Dr. Sameer Mal, endotracheal intubation, fentanyl, ketamine, NIPPV, SABA, salbutamol, ventilation settings|3 Comments

Ep 192 ED Adult Asthma Management Strategies For Improved Prognosis – A Stepwise Approach

In this part 1 of our 2-part podcast series on Asthma Management we explore a systematic approach to managing patients presenting to the ED with asthma exacerbations. Our discussion will emphasize the critical role of a thorough history and physical examination in effectively stratifying patient risk and guiding treatment/disposition decisions. Additionally, we'll examine the importance of providing comprehensive discharge medications and instructions to mitigate both mortality and morbidity associated with asthma exacerbations. We answer questions such as: which patients, if any, require peak expiratory flow measurements in the ED? Why is it so important to add steroid MDI therapy to oral steroid therapy in patients being discharged from the ED after an asthma exacerbation? What are the most predictive variables to risk stratify patients with asthma exacerbations to help guide treatment and disposition? and many more. Stay tuned for Part 2, where we'll delve deep into the management of the crashing asthmatic. Please support EM Cases FOAMed with a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-04-23T12:29:16-04:00March 19th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology|Tags: asthma action plan, asthma risk stratification, asthma severity, Dr. Leeor Sommer, Dr. Sameer Mal, ipatropium bromide, MDIs, SABA, salbutamol|3 Comments

Ep 130 Community Acquired Pneumonia: Emergency Management

While community acquired pneumonia (CAP) is 'bread and butter' emergency medicine, and the diagnosis is often a 'slam dunk', it turns out that up one third of the time, we are wrong about the diagnosis; that x-rays are not perfect; that blood work is seldom helpful; that not all antibiotics are created equal and that deciding who can go home and who needs to go to the ICU isn’t always so clear cut. With this in mind we are taking a deep dive into CAP, from diagnosis to disposition so that we can better achieve our EM goals of stabilizing sick patients, getting the right diagnosis, initiating the best treatment with the information at hand, prognosticating/appropriately deciding on disposition of patients, and being healthcare and antimicrobial stewards...

By Anton Helman|2022-10-26T20:05:47-04:00September 25th, 2019|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology|Tags: amoxacillin, azithromycin, CAP, ceftriaxone, CURB-65, Dr. Andrew Morris, Dr. Leeor Sommer, procalcitonin, PSI|7 Comments