East Nose & Throat
Ep 224 Vertigo Part 1: Approach to Episodic Vertigo
Vertigo is one of the most dreaded chief complaints in Emergency Medicine – for good reason! Symptoms can be vague, the assessment can be nuanced, and there are so many potential pitfalls along the way for accurately investigating and diagnosing dizzy patients. What do we actually need to know about risk stratifying these patients at the bedside? What red flags are most helpful to screen for? How do we tease out the useful parts of the history and physical exam to guide our diagnostic strategy? In this Vertigo Part 1 episode, Katie is joined by emergency physicians and vertigo gurus Dr. Peter Johns and Dr. Elisha Targonsky to outline a practical 4-step approach to assessing patients with EPISODIC vertigo and key clinical pearls to make your next vertigo assessment so much easier. Stay tuned for the upcoming paired Vertigo Part 2 episode that will cover an approach to continuous vertigo… If you find EM Cases content helpful for your practice, please consider contributing a donation to help us continue producing free, high-quality, and open-access emergency medicine educational content here: https://emergencymedicinecases.com/donation/
Ep 223 Epistaxis Management: A Step-Wise Approach
Epistaxis is usually straightforward—until it isn’t. How can you distinguish an anterior bleed from a dangerous posterior bleed? What’s the best sequence for compression, vasoconstrictors, TXA, cautery and packing? When should you reach for an anterior balloon tampon or posterior dual balloon? And how do you manage the airway when torrential bleeding fills the oropharynx? In this Epistaxis Management Deep Dive, Anton is joined by emergency physician Dr. Leeor Sommer and otolaryngologist Dr. Doron Sommer for a practical step-wise approach to everything from the routine nosebleed to life-threatening hemorrhage... If you find EM Cases useful in your practice, please consider making a donation to help us keep producing free, open-access emergency medicine education here: https://emergencymedicinecases.com/donation/
Ep 220 Facial Injuries: Assessment, Management and Disposition
Facial trauma is common in emergency medicine, but the biggest pitfalls are often not the fractures themselves—they're the threatened airway, vision-threatening ocular injuries, missed septal hematomas, and subtle soft tissue injuries hiding beneath the skin. Which facial fracture is most likely to cause delayed airway obstruction? Why does the physical examination often matter more than the CT scan? Which injuries require urgent consultation or transfer, and which can safely go home? In this episode of EM Cases, Anton is joined by Dr. Jeff Fialkov and Dr. Andrew Petrosoniak for a practical, top-down approach to facial trauma covering airway, bleeding, vision-threatening injuries, fracture assessment, soft tissue injuries, and disposition. Please consider a donation to EM Cases to ensure ongoing high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/
Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions
Antibiotics for strep throat seem like a simple decision—but the evidence is anything but simple. In this Journal Jam podcast with Dr. Casey Parker and Dr. Justin Morgenstern, we critically appraise the literature behind one of the most common infections seen in emergency medicine. Do antibiotics meaningfully improve symptoms? Do they prevent peritonsillar abscess, post-streptococcal glomerulonephritis, or rheumatic fever? How reliable are the studies informing our practice? We explore publication bias, limitations of the Centor score, antibiotic harms, and the importance of local epidemiology, helping clinicians move beyond dogma toward more nuanced, evidence-based decision-making... Please consider a donation to EM Cases to ensure ongoing high quality free open access medical education here: https://emergencymedicinecases.com/donation/
EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How
On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures, Andrew Petrosoniak on debriefing after cases: why, when and how... Do you learn a lot from EM Cases? Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/
EM Quick Hits 52 Infant Vomiting, Orbital Cellulitis, Prehospital TXA in Trauma, Prevention and Treatment of Delirium, Procedural Skills Decay, Altitude Sickness
In this month's EM Quick Hits podcast: Sarah Reid on an approach to Infant Vomiting, Brit Long on Orbital Cellulitis essentials, Justin Morgenstern on the PATCH trial - Prehospital TXA in Trauma, Christina Shenvi on Prevention and Treatment of Delirium, Jason Hine on Procedural Skills Decay, Aaron Billin on Altitude Sickness... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/
