Dr. Lauren Westafer, a PE researcher and Foamcast host, along with Dr. Justin Morgenstern, a regular contributor to EM platforms, and Dr. Bourke Tillman, an intensivist, dive into the complexities of managing intermediate-risk pulmonary embolism (PE). They discuss vital risk stratification techniques, including the use of biomarkers and imaging. The conversation also highlights crucial treatment decisions, weighing thrombolysis against anticoagulation, and the role of clinical judgment in dynamic situations. Their insights aim to enhance emergency care strategies for this challenging condition.

Stephen Freedman, a pediatric emergency medicine expert, discusses diagnosing pediatric bloody diarrhea and the risk of hemolytic uremic syndrome. Matthew McArther sheds light on the diagnosis and management of dengue fever in travelers, emphasizing its critical phases. Andrew Petrosoniak explores imaging strategies for geriatric trauma patients, highlighting tailored protocols. They also question the use of intramuscular epinephrine in out-of-hospital cardiac arrests and delve into thrombotic thrombocytopenic purpura, its urgent recognition, and treatment.

Samantha Martin, a pediatrician specializing in adolescent medicine, and Jennifer Tomlin, an emergency medicine clinician, discuss the often-overlooked signs of eating disorders in emergency settings. They reveal the high mortality rates associated with these disorders and the common misdiagnoses due to vague symptoms. The conversation emphasizes the importance of early detection, the role of family dynamics in recovery, and critical screening techniques like the SCOFF questionnaire. They also cover the medical complications of eating disorders and the vital need for clinicians to probe deeper into patient histories.

This discussion features Brittany Ellis, an emergency physician and geriatric care advocate, who addresses challenges in emergency care for older patients. Dave Jerome shares expert insights on managing prolonged tourniquet use. Phil Gillick highlights the benefits of peer support programs in rural settings. ECG guru Jesse McLaren decodes the critical nuances of ST elevation and depression in acute cases. Finally, Melody Ng offers practical nutrition tips for shift workers, focusing on meal timing and dietary choices to enhance well-being. A riveting blend of expert knowledge!

Reuben Strayer, an emergency medicine expert, joins Mike Betzner and Scott Weingart, seasoned emergency physicians, to share their insights on enhancing clinical decision-making in the ED. They discuss the critical skills of efficient data gathering, masterful history-taking, and the nuances of physical examinations. The conversation highlights the importance of cognitive strategies like heuristic cycling and the balance of shared decision-making with patients. Additionally, they explore emotional resilience techniques to combat stress and boost performance, stressing the value of reflective practices and mindfulness in high-stakes environments.

Join Reuben Strayer, an emergency medicine educator and algorithmic thinker, Scott Weingart, an ED intensivist and resuscitation expert, and Mike Betzner, an emergency physician and mountain biking enthusiast, as they delve into strategies for enhancing performance in high-pressure medical environments. They discuss pre-shift rituals, managing cognitive load, and the impact of interruptions on decision-making. The trio emphasizes the importance of emotional resilience, clear communication, and effective debriefing to maintain focus and improve patient care during critical moments.

Join Ross Prager, an intensivist from London with expertise in point-of-care ultrasound, as he discusses the transformative role of transesophageal echocardiography (TEE) during cardiac arrest. Justin Morgenstern shares the latest research on nebulized ketamine as a game-changing analgesic in the ED, especially for older patients. Matthew McArthur presents compelling evidence for using subcutaneous insulin protocols for managing DKA. Together, they highlight new insights that enhance patient care and emergency protocols.

Emergency physician Dr. George Kovacs and trauma expert Dr. Andrew Petrosoniak discuss critical insights on trauma airway management. They delve into the timing and indications for intubation in complex cases, like penetrating neck injuries and head trauma. Unique strategies for contaminated airways and the importance of re-sequencing trauma resuscitation protocols are highlighted. The conversation emphasizes teamwork, the significance of proper assessment techniques, and advanced methods for managing agitated or severely head-injured patients.

Kevin Wasko, Chief of the ED at North York General Hospital, shares insights on managing post-tonsillectomy hemorrhages. Brit Long discusses critical strategies for assessing and managing post-CABG incision infections. Anand Swaminathan provides expert tips on using gum elastic bougies for airway management. Leah Flannigan highlights the importance of identifying vascular injuries in pelvic fractures. Andrew Petrosoniak emphasizes the value of debriefing in trauma resuscitations, enhancing team performance and patient outcomes.

Dr. Peter Brindley is an ICU doctor and professor at the University of Alberta, while Dr. Leon Baker is a hybrid physician trained in South Africa and Canada, both passionate about improving the culture in medicine. They explore the importance of a positive work environment, emphasizing human connection, empathy, and open communication. The discussion includes strategies for fostering collaboration, reshaping perspectives on death, and enhancing mentorship in high-pressure settings. Their insights aim to empower professionals to create a fulfilling atmosphere that ultimately benefits patient care.