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EM Cases Main Episodes are round table in-depth discussions on core EM topics with 2 or more EM Cases guest experts, and meticulously edited for an approximately one hour podcast.

EM Cases Main Episodes are round table in-depth discussions on core EM topics with 2 or more EM Cases guest experts, and meticulously edited for an approximately one hour podcast.
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Location:

Canada

Description:

EM Cases Main Episodes are round table in-depth discussions on core EM topics with 2 or more EM Cases guest experts, and meticulously edited for an approximately one hour podcast.

Language:

English


Episodes

Ep 111 Effective Learning Strategies in Emergency Medicine

6/18/2018
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In this episode we explore the most effective learning strategies while debunking 5 myths in learning, and answer questions such as: How do we maximize our learning in the face of an ever-growing body of knowledge and procedure skill set so that we can become better doctors? What can we learn from the Dunning-Kruger effect? How do we best minimize distractions while we learn? How do we improve retrieval strength for easy recall? How can deliberate practice inform learning procedures? How can...

Duration:01:26:33

BCE 72 Overinvestigation in Emergency Medicine

6/4/2018
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With increased access to timely advanced diagnostic testing in ED rational resource utilization is becoming ever more important. In his Best Case Ever Dr. Shabhaz Syed argues that a patient at Janus General who presented to the ED with chest pain, died as a result of overinvestigation, and explains how understanding the factors that contribute to overinvestigation, Baysian theory, diagnostic decision analysis, radiation risk, and teaching "dogma" may help prevent overinvestigation in...

Duration:00:21:34

Ep 110 Airway Pitfalls – Live from EMU 2018

5/22/2018
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The last decade has seen a torrent of literature and expert opinion on emergency airway management. It is challenging to integrate all this new information into a seamless flow when faced with a challenging airway situation. In this live podcast recorded at North York General's Emergency Medicine Update Conference 2018, Scott Weingart and Anton Helman put together the latest in emergency airway management by outlining 6 common airway pitfalls: Failure to prepare for failure, failure to...

Duration:00:32:10

BCE 71 Cricothyrotomy and the Value of Simulation Training

5/15/2018
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In anticipation of EM Cases Episode 110 Airway Pitfalls Live from EMU 2018 with Scott Weingart, we have Dr. Shira Brown tell her Best Case Ever of a pediatric trauma patient who required a cricothyrotomy. She explains how, despite working in a non-trauma center with limited resources, her team was well prepared because of the robust simulation program specifically designed for practicing emergency physicians that she had developed in her region. We also discuss the advantages and...

Duration:00:12:04

BCE 70 Female Urinary Retention – The Return of Carr’s Cases!

5/8/2018
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Urinary retention is 13 times less common in woman than it is in men, and the differential diagnosis is wide. In this EM Cases Best Case Ever we have the return of Dr. David Carr describing a woman with an unusual diagnosis who presents with urinary retention. We discuss issues around the appropriate use of chaperones and what to do in the situation when you are in over your head... The post BCE 70 Female Urinary Retention – The Return of Carr’s Cases! appeared first on Emergency Medicine...

Duration:00:18:57

Ep 109 Skin and Soft Tissue Infections – Cellulitis, Skin Abscesses and Necrotizing Fasciitis

4/24/2018
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How do you distinguish cellulitis from the myriad of cellulitis mimics? At what point do we consider treatment failure for cellulitis? What is the best antibiotic choice for patients who are allergic to cephalosporins? Which patients with cellulitis or skin abscess require IV antibiotics? Coverage for MRSA? What is the best and most resource wise method for analgesia before I&D of a skin abscess? What is the best method for drainage of a skin abscess? Which patients with skin abscess...

Duration:01:21:04

BCE 69 Necrotizing Fasciitis

4/17/2018
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In anticipation of EM Cases Episode 109 Recognition and Management of Skin and Soft Tissue Infections with Melanie Baimel and Andrew Morris we have Dr. Morris telling us his Best Case Ever of a nurse that he worked with diagnosed with Necrotizing Fasciitis. We discuss some of the diagnostic pearls for this difficult diagnosis as well as issues around privacy when health care workers become patients at their hospital. The post BCE 69 Necrotizing Fasciitis appeared first on Emergency...

Duration:00:08:17

BCE 68 Ectopic Pregnancy Pitfalls in Diagnosis

4/11/2018
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This month's EM Cases Best Case Ever podcast features Dr. Catherine Varner, Emergency Physician at Sinai Health System and researcher at Schwartz-Reisman Emergency Medicine Institute (SREMI) discussing the key pitfalls in the diagnosis of ectopic pregnancy and ruptured ectopic pregnancy. It turns out that we're missing the diagnosis more than we'd like to admit. Dr. Varner debunks much of the traditional teaching around ectopic pregnancy so that we can improve our diagnostic skills for...

Duration:00:19:49

Ep 108 Pediatric Physical Abuse Recognition and Management

3/26/2018
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Just one case of missed pediatric physical abuse I consider a travesty. The sad state of affairs is that thousands of cases of paediatric physical abuse are missed on initial presentation to EDs across North America. And a small but significant minority of these children die. In fact, 20-30% of children who died from abuse and neglect had previously been evaluated by medical providers for abusive injuries that were not recognized as abuse. Every child that presents to the ED with a...

Duration:01:19:36

JJ 12 BNP for Diagnosis of Acute CHF

3/13/2018
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BNP is currently in use in many EDs across North America and Europe. In this Journal Jam podcast we discuss the clinical utility of BNP and pro-NT-BNP in the work-up of the dyspneic ED patient. We ask the questions: does BNP add much beyond physician gestalt? Which patients might BNP be useful for? Should we abandon BNP as a dichotomous rule-in/rule-out variable and instead use it as a continuous variable? Does using BNP effect patient oriented outcomes? Is lung POCUS a better test? Are...

Duration:00:49:43

BCE 67 Child Abuse – Sentinel Injuries

3/13/2018
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In anticipation of EM Cases Episode 107 on Pediatric Physical Abuse with Dr. Carmen Coombs and Dr. Alyson Holland, Dr. Coombs tells her Best Case Ever (actually worst case ever) that inspired her to pursue expertise in pediatric physical abuse... The post BCE 67 Child Abuse – Sentinel Injuries appeared first on Emergency Medicine Cases.

Duration:00:10:58

Ep 107 Blunt Ocular Trauma Live from The EM Cases Course

2/27/2018
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In this live podcast on Blunt Ocular Trauma from The EM Cases Course 2018 with Anna MacDonald we discuss the most important diagnoses to consider, describe how physical exam in queen while CT can misguide you, explain a simple approach to orbital compartment syndrome with retrobulbar hematoma, give you tips on lateral canthotomy, how to pick up subtle hyphemas, why sickle cell patients are high risk, describe the key clinical clues to subtle globe rupture, the role of tranexamic acid in...

Duration:00:58:57

BCE 66 CHD with Bronchiolitis: A Delicate Balance

2/13/2018
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When patients with known congenital heart disease present to the ED with common illnesses we need to consider how their physiology might alter our approach to those common illnesses. Max Ben-Yakov guides us through his Best Case Ever of a CHD patient who presents with bronchiolitis and gives us some tips on how best to approach these fragile patients in a crisis situation... The post BCE 66 CHD with Bronchiolitis: A Delicate Balance appeared first on Emergency Medicine Cases.

Duration:00:15:56

Ep 106 Toxic Alcohols – Minding the Gaps

1/30/2018
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We see patients with toxic alcohol poisoning most commonly in three clinical scenarios. One, after an intentional suicide attempt where they tell you exactly what they took; two, when they come in agitated and won’t give you a history and the three, the inebriated patient found down. Alcohol is everywhere, and inevitably inebriated people show up at your ED with a myriad of medical and psychiatric problems. It’s our job as ED professionals, not only to identify traumatic, medical and...

Duration:01:02:10

Best Case Ever 65 Intimate Partner Violence – A Silent Epidemic

1/23/2018
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I was taken aback when I came across the statistic that approximately every 6 days a woman in Canada is killed by her intimate partner. Victims of intimate partner violence and domestic violence that we see in the ED typically involve an abuse story of repeated escalating violence over time that ends up in a crisis situation. The woman is often financially dependent on her abuser and has no one to turn to for help. In one of her worst cases ever from Janus General, Dr. Meeta Patel and I...

Duration:00:13:22

Episode 105 Commonly Missed Ankle Injuries

1/8/2018
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You probably can't remember the last time you worked a shift in the ED and didn’t see at least one patient with an ankle injury. While almost all of these patients are relatively straightforward to diagnose and manage a small but significant minority of these patients will have a more elusive diagnosis, that if not identified early, could lead to significant morbidity... The post Episode 105 Commonly Missed Ankle Injuries appeared first on Emergency Medicine Cases.

Duration:01:20:02

Episode 104 Emergency Management of Intracerebral Hemorrhage – The Golden Hour

12/19/2017
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There exists a kind of self-fulfilling prognostic pessimism when it comes to ICH. And this pessimism sometimes leads to less than optimal care in patients who otherwise might have had a reasonably good outcome if they were managed aggressively. Despite the poor prognosis of these patients overall, there is some evidence to suggest that early aggressive medical management may improve outcomes. As such, the skill with which you manage your patient with ICH in those first few hours could be...

Duration:01:38:31

Best Case Ever 64 Salicylate Poisoning

12/5/2017
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In this EM Cases Best Case Ever Hans Rosenberg and Rajiv Thavanathan discuss recognition and management pearls and pitfalls in salicylate poisoning. They answer question such as: What are the most important diagnostic clues of salicylate poisoning in the patient who presents with undifferentiated fever and altered level of awareness? What is the best timing and ventilation strategy for intubation? Which electrolyte abnormalities do you need to be on the lookout for? and many more... The...

Duration:00:19:52

Journal Jam 11 Post Contrast Acute Kidney Injury – PCAKI

11/21/2017
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Lauren Westafer joins Justin Morgenstern, Rory Spiegel and Anton Helman in a deep dive discussion on the world's literature on Post Contrast Acute Kidney Injury (PCAKI) in this Journal Jam podcast. Hospitals continue to insist on time consuming, and potentially dangerous protocols for administration of fluids to patients with renal dysfunction prior to CT IV contrast despite the lack of evidence that Contrast Induced Nephropathy (CIN) even exists. Would you choose a different imaging...

Duration:01:09:30

Episode 103 Preventing Burnout and Promoting Wellness in Emergency Medicine

11/7/2017
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Burnout – it’s the elephant in the room that we all know about but prefer not to discuss. Yet according to a 2013 Medscape survey, 40% of physicians reported burnout in U.S. In this episode, Sara Gray and Chris Trevelyan present an honest approach to preventing burnout and promoting wellness, outlining strategies both at the individual and systems levels. They explain why wellness matters, how you can strive to achieve it and how to recognize when you or a colleague are unwell so that you...

Duration:01:38:07