Emergency Medicine Cases

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.

Ian Chernoff delves into the tricky diagnosis of traumatic coronary artery dissection, shedding light on its elusive nature. Anand Swaminathan discusses optimal insulin use in emergency situations like DKA and hyperkalemia, while Brit Long and Hans Rosenberg reveal crucial pearls and pitfalls in mesenteric ischemia management. Dave Jerome tackles the recognition of exercise-associated hyponatremia and its management strategies. Finally, Jesse McLaren introduces the Queen of Hearts AI model to improve detection of occlusion myocardial infarction on ECG.

Discover the complexities of diagnosing acute heart failure and the over-admission of low-risk patients. Learn about critical symptoms, the implications of troponin levels, and the role of BNP in effective diagnosis. The podcast dives into various risk stratification tools, including the eMERGE score and Framingham criteria, enhancing management strategies. Explore how Point-of-Care Ultrasound is revolutionizing patient assessment and outcomes, emphasizing collaboration among emergency and cardiology departments for better care.

Andrew Petrosoniak discusses the complexities of using vasopressors in trauma resuscitation. Megan Landes talks about implementing HIV PEP and PrEP in emergency settings, tackling challenges and risk assessments. Justin Morgenstern and George Kovacs delve into the PREOXI trial, shedding light on innovative pre-oxygenation techniques. Brit Long focuses on blast crisis management in leukemia patients, while Leah Flanagan and Liam Loughrey address the rising concerns of nitrous oxide toxicity in recreational users. A blend of critical insights awaits!

This podcast covers recognition, workup, and management of pediatric meningitis including tips on performing LPs, differentiation between meningitis and retropharyngeal abscess, interpreting CSF tests, and administering dexamethasone. Experts discuss challenges in diagnosis, clinical decision tools, and maximizing success in pediatric lumbar punctures. Additionally, the chapter explores antibiotic choices, management strategies, monitoring patients, and preparing for complications in pediatric meningitis cases.

In this podcast, Megan Landes emphasizes the importance of diagnosing HIV in the ED, Jesse McLaren challenges the STEMI criteria for coronary occlusion, Anand Swaminathan discusses airway management for poisoned patients, Brit Long and Hans Rosenberg explore peritonitis in cirrhotic patients, and Matt Poyner shares insights on DIY investments.

Dr. Katie Lin and Dr. Jeff Perry discuss essential priorities in managing subarachnoid hemorrhage, including CT plus CTA, nimodipine use, and preventing rebleeding. They highlight prognostic tools for patient counseling. The podcast explores optimizing care, vasospasm, seizure prophylaxis, neuroprognostication, acute management strategies, and emerging trends in emergency medicine.

Join Dr. Jeff Perry and Dr. Katie Lin as they delve into the challenges of diagnosing subarachnoid hemorrhage, emphasizing the importance of early detection, key clinical clues, proper use of decision tools, indications for imaging tests and CSF interpretation. Explore the significance of evaluating thunderclap headaches, assessing risk factors for aneurysm rupture, and distinguishing various differential diagnoses. Understand the accuracy of non-contrast CT scans, Xanthochromia in CSF, and the implementation of decision tools for improved diagnosis and treatment outcomes.