Emergency Medicine Cases

In this insightful discussion, Dr. George Willis, an expert in endocrine emergencies from the University of Texas, and Dr. Alyssa Lewis, a critical care specialist from Toronto, dive into the intricacies of decompensated hypothyroidism. They clarify why 'myxedema coma' is a misleading term and discuss crucial ways to differentiate it from sepsis and overdose. Topics include the importance of cortisol testing, risks associated with intubation, and strategies for effective management, emphasizing the critical need for early diagnosis and proper treatment in these complex cases.

In this insightful discussion, Deborah Schoenfeld, a pediatric emergency medicine educator, dives into the complexities of pediatric urinary retention and acute transverse myelitis, outlining key diagnostic strategies. Matthew McArthur, an expert in headache management, reviews the nuances of post-dural puncture headaches, emphasizing prevention and treatment. Joseph Yasmeh presents a compelling medico-legal analysis of clenched fist injuries, detailing common pitfalls in management. Brit Long tackles the controversial use of IV thrombolysis for minor strokes, while Lauren Westaffer shares invaluable mentorship and leadership strategies for emerging physicians.

Dr. Walter Himmel, an emergency medicine physician and stroke expert, teams up with Dr. Katie Lin, a stroke neurologist and educator. They dive deep into the complexities of non-disabling strokes, emphasizing that they still pose serious risks. Key topics include identifying stroke mimics, understanding the nuances of antiplatelet therapies, and the critical importance of timely imaging. They also discuss the management of young patients and the significance of careful risk stratification to prevent future strokes.

Dr. Katie Lin, an emergency and stroke physician from Calgary, joins Dr. Walter Himmel, an experienced emergency physician from North York General, to explore recent shifts in ischemic stroke management. They discuss the crucial distinction between disabling and non-disabling strokes, which impacts urgent medical responses. Key insights include how to accurately assess disabling deficits at the bedside, strategies for managing 'wake-up strokes,' and evolving guidelines for thrombolysis and EVT therapies. This conversation highlights practical approaches for emergency care and patient-centered decision-making.

Dr. Isaac Bogoch, an infectious diseases expert, discusses recognizing and managing osteomyelitis, emphasizing key risk factors and the importance of imaging. Dr. Andrew Tagg shares insights on treating pediatric distal radius buckle fractures, highlighting findings from the FORCE trial. Dr. Justin Morgenstern analyzes Delayed Sequence Intubation, advocating its cautious adoption based on new evidence. Additionally, Dr. Brit Long explores altered mental status in ESRD patients, while Dr. Lisa Thurgur reflects on leadership challenges in medical education.

In this engaging discussion, Dr. Michael Mak, a sleep medicine specialist and assistant professor, dives into the challenges shift workers face regarding sleep. He shares evidence-based strategies to optimize sleep quality and highlights the critical role of circadian rhythms. The conversation covers the impacts of light exposure, the right timing for caffeine, and the potential risks of cannabis on sleep. Dr. Mak also emphasizes practical tips for creating a conducive sleep environment and the importance of recovery time for better cognitive function.

Dr. Issac Bogoch updates listeners on the rising threat of tick-borne illnesses, stressing the need for better awareness and diagnostics. Dr. Kathleen Stephanos shares insights on pediatric ECG interpretation, highlighting crucial differences between children and adults. Nail bed repair techniques are discussed by Dr. Matthew McArther, emphasizing best practices for injury management. Dr. Brit Long simplifies end-stage renal disease complexities. Finally, Dr. Catherine Varner shares her leadership journey, focusing on the importance of resilience and teamwork in emergency medicine.

Dr. Jeannie Callum, a transfusion hematologist, and Dr. Andrew Petrosoniak, a specialist in high-performance resuscitation teams, discuss cutting-edge strategies for managing massive hemorrhage. They delve into alternatives to fresh frozen plasma when it’s unavailable and the significance of fibrinogen testing. The pair also emphasize the importance of tailored approaches for different patient scenarios, including trauma and obstetrical cases, while highlighting the critical role of teamwork in effective hemorrhage management.

Join pediatric emergency medicine expert Deb Schoenfeld as she discusses the complexities of pediatric torticollis and the need for thorough evaluations in children. Justin Morgenstern dives into new findings on sodium correction rates in severe hyponatremia, challenging traditional practices. Andrew Petrosoniak shares best practices for post-intubation neurocritical care, enhancing patient safety. The episode features leadership insights from Judith Tintinalli and Victoria Myers, highlighting the importance of mentorship and inclusivity in emergency medicine.

In this engaging discussion, Dr. Thom Mayer, a renowned emergency medicine professor, and Dr. Carolyn Snider, a passionate leader in equitable healthcare, along with Dr. Howard Ovens, a skilled emergency physician, delve into transformative leadership in high-pressure settings. They explore the dynamics of trust and collaboration within emergency teams, advocating for shared responsibilities across all levels. Personal anecdotes highlight the power of vulnerability and communication, emphasizing how these elements can enhance team performance and patient outcomes in challenging environments.