Emergency Medicine Cases

Dr. Mike Betzner discusses managing acute renal failure with volume overload in remote areas without dialysis. He explores solutions like nitroglycerin, BiPAP, phlebotomy, and rotating BP cuffs. Challenges include hyperkalemia and survival during transport.

Quick and insightful reviews of 17 important adult and pediatric emergency medicine studies from 2016: The PROCAMIO study for stable VT, platelets for head bleeds (PATCH), BP lowering in ICH (ATACH II), antibiotics for abscesses, work up of subarachnoid hemorrhage, dosing IV ketorolac, the PESIT trial, ketamine dosage for sedation in pediatrics, instructions after minor head injury, Salter-Harris I fractures of the lateral malleolus, interpreting oxygen saturation for disposition making in children with bronchiolitis, clinical pathways in pediatric asthma and sepsis and more...

Exploring the challenging diagnosis of euglycemic DKA caused by newer diabetes medications. Understanding the mechanism and risks associated with SGLT2 inhibitors. Distinguishing alcoholic ketoacidosis from euglycemic DKA. Discussing the treatment of euglycemic DKA and the importance of recognizing symptoms in patients on certain medications.

This is the first ever video podcast on EM Cases with Jordan Chenkin from EMU Conference 2017 discussing how to optimize three aspects of cardiac arrest care: persistent ventricular fibrillation, optimizing pulse checks and PEA arrest, with code team videos contrasting the ACLS approach to an optimized approach...

Join pediatric trauma experts Dr. Sue Beno and Dr. Faud Alnaji as they delve into the complexities of managing pediatric trauma. They discuss critical physiological differences between children and adults, essential for effective treatment. Key topics include fluid resuscitation strategies, the pivotal role of point-of-care ultrasound, and the nuances of airway management. The episode also highlights innovative approaches like the use of tranexamic acid in children and the significance of tailored protocols to enhance care efficiency. Tune in for invaluable insights into pediatric trauma management!

Airway management requires a lot things; it requires not only technical skills and specific considerations of anatomy and physiology but a co-ordinated team who can communicate clearly and react to a whole slew of potentially challenging situations. On this month's Best Case Ever podcast we use the framework of a new mnemonic PREPARE to discuss human factors, situational awareness and some airway tips and tricks with intensivist Peter Brindley, human factors expert Chris Hicks and EM-intensivist Sara Gray...

Unnecessary antibiotic treatment for UTIs is common due to over-diagnosis and misinterpretation of urinalysis results. The podcast explores the importance of appropriate management and judicious antibiotic use. It discusses the significance of history and physical examination for diagnosing UTIs and the challenges in interpreting urine cultures. The accuracy of self-diagnosis is compared to medical tests, and alternative treatment options are explored. The chapter concludes with the discussion of treatment options for lower UTIs, prevention of recurrent UTIs, and the limitations of sensitivity sheets.

Exploring a case of a patient with a complicated anion gap metabolic acidosis, discussing the controversy around using sodium bicarbonate, the indications for fomepizole, and the importance of building a therapeutic relationship with ED patients. Also covers the initial steps in managing severe renal failure and metabolic acidosis, the lack of evidence supporting bicarbonate use, treatment of hyperkalemia and anion gap metabolic acidosis, and the potential causes of anion gap metabolic acidosis.

I remember when I started practicing emergency medicine a decade and a half ago it seemed that any kid who came to our ED in cardiac arrest died. I know, depressing thought. But, over the past 15 years, survival to discharge from pediatric cardiac arrest has markedly improved, at least for in-hospital arrests. This is probably mostly due to an emphasis on high-quality CPR and advances in post-resuscitation care; nonetheless the more comfortable, knowledgeable and prepared we are for the always scary critically ill pediatric patient, the more likely we will be able to resuscitate them successfully - which is always a huge save.

In anticipation of the upcoming EM Cases main episode on Pediatric Polytrauma Dr. Suzanne Beno, Co-director of the Trauma Program at the Hospital for Sick Children in Toronto, tells her Best Case Ever of a child who suffers a severe traumatic head injury with signs of raised intracranial pressure and cerebral herniation. She discusses the importance of being vigilant when presented with classic patterns of injury, the use of hypertonic saline, crisis resource management and shared decision making with consultants...