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EM Quick Hits 38 ACS in Older Patients, Rural Neonatal Resuscitation, Hemophilia, Hiccups, ECG Computer Interpretation
by Anton Helman
May 10, 22
On this month's EM Quick Hits: Christina Shenvi on ACS in older people, Nour Khatib on rural NRP, Jess McLaren on how not to get fooled by ECG comp...
Tactical Medicine News
EM Quick Hits 37 Introducing QI Corner, Skin Abscess, O2 Sat Monitor Pearls, Infantile Spasms, Atrial Fibrillation Rate Control
Tahara Bhate's new QI corner Quick Hits series, Hans Rosenberg & Michael Gottlieb on the evidence around ED diagnosis and management of skin ab...
Tactical Medicine News
ECG Cases 29 Misdiagnosis from Lead Misplacement, Artifact and Lead Reversal
In this ECG Cases blog we review 10 cases of possible artifact, lead reversal and lead misplacement. Can you spot the abnormalities and avoid the m...
Tactical Medicine News
Ep 167 Myocarditis – A Diagnostic Challenge
Why does myocarditis often present a diagnostic challenge? What are the range of ECG findings in myocarditis? Does a negative high sensitivity trop...
Tactical Medicine News
Ep 166 Pericarditis and Cardiac Tamponade
Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are ...
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EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome
In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glauc...
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JJ 20 Outpatient Medications for COVID-19
In this Journal Jam podcast we dig deep into the science of FDA-approved outpatient medications for COVID with 3 critical appraisal masters: Dr. An...
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Ep 165 Getting Sued in Emergency Medicine – Practical Tips
How many civil actions against Emergency Physicians does CMPA handle and what have been the outcomes? What are the 4 aspects of medical negligence ...
Tactical Medicine News
EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update
In this months EM Quick Hits podcast: Ken Milne expertly walks us through the 10 biggest EM papers of 2021, Brit Long on a careful structured appro...
Tactical Medicine News
Select FOAMed EM Cases Summit Videos
A few select videos from EM Cases Summit 2021 have been made FOAMed and available here and on our youtube channel. The latest release is with Dr. R...
Tactical Medicine News
Ep 164 Cardiogenic Shock Simplified
What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred ...
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Ep 163 Acute Heart Failure ED Management – PoCUS, Oxygenation Strategies, Medication Strategies, PPV HAVoC and SCAPE
In this Part 1 of our two-part series on acute heart failure, Anton is joined by Dr. Tarlan Hedayati and Dr. Bourke Tillman to answer such question...
Tactical Medicine News
EM Quick Hits 34 Carr’s Case, Septic Arthritis vs Transient Synovitis, Managing Tracheostomies, Ethylene Glycol Poisoning, Ketamine for Agitation
In this months EM Quick Hits podcast: The mighty return of Carr's Cases! Sarah Reid on differentiating septic arthritis from transient synovitis in...
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Ep 162 Managing Adversity with Walter Himmel
I asked Dr. Walter Himmel to give a talk at EM Cases Summit 2021 on what he has learned in 40 years of practice. Herein lies his profoundly thought...
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ECG Cases 27 Pericarditis – Diagnosis of Exclusion
Jesse McLaren guides us through 9 cases and explains how pericarditis is a diagnosis of exclusion through 3 simple steps: 1. Exclude more serious c...
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Ep 161 Red Flag Headaches: General Approach and Cervical Artery Dissections
In this Part 1 or our two part podcast series on Red Flag Headaches we discuss a general approach, tips and tricks to assessing patients who presen...
Tactical Medicine News
ECG Cases 26: Pulmonary Embolism and Acute RV Strain
In this month's ECG Cases Dr. Jesse McLaren runs through 10 cases and explains how the ECG can be integral in the diagnosis and management of pulmo...
Tactical Medicine News
Journal Jam 19 Therapeutic Hypothermia After Cardiac Arrest – Mixed Evidence
In this Journal Jam podcast, special guest Dr. Mizuho Morrison joins Anton and Justin to clear up the muddy waters of therapeutic hypothermia with ...
Tactical Medicine News
EM Quick Hits 32 Checkpoint Inhibitors, Adult Epiglotitits, HSP, Heat Stroke, Bell’s Palsy and Leukemia
In this EM Quick Hits: Walter Himmel on new diseases associated with immune checkpoint inhibitors, Leeor Sommer on the evolution of epiglottitis - ...
Tactical Medicine News
ECG Cases 25: ‘Late STEMI’ – How acute is the coronary occlusion?
In this ECG Cases blog we look at 10 patients with potentially ischemic symptoms. Which had a coronary occlusion, and how acute were they? Jesse Mc...
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Ep 160 Geriatric Trauma 2 Rib Fractures, Pelvic Fractures, Prognostication, Elder Abuse, Discharge Planning
In Geriatric Trauma Part 2 we answer questions such as: what are the indications for transfer to a trauma center in older patients with rib fractur...
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Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine
Just as pediatric patients are not small adults, geriatric patients are not just old adults. In this Part 1 of our 2-part EM Cases podcast series o...
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EM Quick Hits 31 NG Tubes in SBO, Hyperacute T-Waves, Malignant Otitis Externa, CCTA in NSTEMI and Low-risk Chest Pain, Canadian Syncope Score
In this month's EM Quick Hits podcast: Justin Morgenstern on the evidence for NG tubes in SBO, Jesse MacLaren on recognition of hyperacute T-waves ...
Tactical Medicine News
ECG Cases 24 Reciprocal Change and Occlusion MI
Dr. Jesse MacLaren reviews 10 ECG cases highlighting how reciprocal change can be secondary to LBBB/LVH, primary changes, or both, how it can be th...
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Ep 158 Management of Primary Spontaneous Pneumothorax
In this main episode podcast we discuss the conservative management of large spontaneous pneumothorax, when a pigtail chest tube with Heimlich valv...
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ECG Cases 23 – Wellens syndrome, reperfusion and reocclusion MI
Eight patients presented with potentially ischemic symptoms and T-wave inversions. Which had occlusion MI, which were reperfused and which were reo...
Tactical Medicine News
EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines
In this month's EM Quick Hits podcast: Arun Sayal on the nuances of assessment for scaphoid fractures, Justin Morgenstern on the evidence for thera...
Tactical Medicine News
Journal Jam 18 The Evidence for TXA – Should Tranexamic Acid Be Routine Therapy in the Bleeding Patient?
With the help of a special guest, EBM guru Dr. Ken Milne of the The SGEM, Anton and Justin look at all the various potential indications for TXA an...
Tactical Medicine News
EM Quick Hits 29 Vasopressor Failure, Asplenic Considerations, Bronchiolitis Update, ICD Electrical Storm, Night Shift Tips
In this month's EM Quick Hits podcast: Anand Swaminathan on vasopressor failure, Brit Long and Michael Gottlieb on aspleic considerations, Sarah Re...
Tactical Medicine News
ECG Cases 22: T-wave INVERSION mnemonic
The differential for T-wave INVERSION includes: Incorrect lead placement, No bundle (RBBB, LBBB), Ventricular hypertrophy (LVH, RVH), Embolism, Rec...
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Ep157 Neuromuscular Disease for Emergency Medicine
There is a long list of rare neuromuscular diseases. Nonetheless, there are a few that you are likely to see in the ED, that are relevant to Emerge...
Tactical Medicine News
Ep156 ED Approach to Acute Motor Weakness
In this Part 1 of our 2-part podcast on Acute Motor Weakness we introduce a five step approach to acute motor weakness with Dr. Roy Baskind Dr. Geo...
Tactical Medicine News
EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety
In this month's EM Quick Hits podcast: Anand Swaminathan on the approach to cardiogenic shock, Hania Bielawska on the myths of radiation dose in pr...
Tactical Medicine News
ECG Cases 21: Hyperacute T-waves and Occlusion MI
In this month's ECG Cases blog, Dr. Jesse MacLaren guides us through 10 cases of patients whose ECGs show tall T-waves and gives us the tools to di...
Tactical Medicine News
Glenohumeral Dislocation Rapid Review Video
New Rapid Review video to refresh your memory on podcast episode 135 Commonly Missed or Mismanaged Shoulder Injuries with Arun Sayal and Dale Dantz...
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Ep 155 Treatment of Bradycardia and Bradydysrhythmias
In Part 1 of our 2-part series on bradycardia and bradydysrhythmias we discussed a practical approach with electrophysiologist Paul Dorian and EM d...
Tactical Medicine News
Ep 154: 4-Step Approach to Bradycardia and Bradydysrhythmias
How do we figure out when bradycardia is due to a medical illness and when it is a primary cardiac problem? What are the 4 immediate life threateni...
Tactical Medicine News
ECG Cases 20 – Approach to Bradycardia and the BRADI Mnemonic
In this ECG Cases we review 10 patients who presented with bradycardia, introduce an approach to reversible causes using the BRADI mnemonic and gui...
Tactical Medicine News
EM Quick Hits 27 Colchicine for COVID, Bicarb in Cardiac Arrest, Troponin in CKD, GHB Withdrawal, Iloprost for Frostbite, Patient Complaints
In this month's EM Quick Hits podcast: Justin Morgenstern on colchicine for COVID pneumonia, Victoria Myers on sodium bicarbonate in cardiac arrest...
Tactical Medicine News
WTBS 26 COVID-19 Pandemic Lessons on Designing a Better Health Care System: What Does it Mean for Emergency Medicine?
Thomas Friedman’s book The World Is Flat is an exploration of how globalization and modern communications technology have changed the world. Our em...
Tactical Medicine News
WTBS 27 What Emergency Medicine Network Connections and Coverage Look Like in a Resilient Health Care System
When you apply the same principles of a resilient system (integration, adaptation, self-regulation, diversity, and situational awareness) to stabil...
Tactical Medicine News
Ep 153 Pediatric Minor Head Injury and Concussion
Recent literature suggests that pediatric patients take longer to recover from mild traumatic brain injury compared to adults, and persistent post-...
Tactical Medicine News
ECG Cases 19 Tachycardias – Approach, WIDER Mnemonic for Wide SVT DDx, VT vs SVT
In this ECG Cases blog Jesse McLaren review an approach to tachycardia, explore the WIDER mnemonic for wide SVT differential diagnosis, and how to ...
Tactical Medicine News
POCUS Cases 10 Limitations, Pitfalls and Accuracy of POCUS for Ruptured AAA
Dr. Rob Simard discusses one of the most important uses of POCUS in the ED, and that is for AAA. He reviews the literature on the accuracy of POCUS...
Tactical Medicine News
EM Quick Hits 26 LAST, Sodium Nitrite Poisoning, Post-intubation Care, Tetracaine for Corneal Abrasion, ST Segment in Occlusion MI, Coping with COVID
Anand Swaminathan on LAST prevention, recognition and management, Emily Austin on sodium nitrite suicide kit poisoning, methemoglobinemia and methy...
Tactical Medicine News
POCUS Cases 9 Abdominal Free Fluid in Trauma
Rob Simard explains how to incorporate abdominal POCUS into your assessment of the trauma patient, he reviews the literature on accuracy of POCUS f...
Tactical Medicine News
Ep 152 The 7 Ts of Massive Hemorrhage Protocols
Dr. Jeannie Callum, Dr. Andrew Petrosoniak and Dr. Barbara Haas join Anton in answering the questions: How do you decide when to activate the MHP? ...
Tactical Medicine News
ECG Cases 18 – ST DEPRESSED Mnemonic and Occlusion MI
In this ECG Cases blog we look at 10 patients who presented with potentially ischemic symptoms and ST depression. Which had occlusion MI?
The post ...
Tactical Medicine News
EM Quick Hits 25 Cerebral Venous Thrombosis, Diphenhydramine Alternatives, Abdominal Compartment Syndrome, Neonatal Constipation, Intubating Metabolic Acidosis
In this month's EM Quick Hits podcast: Justin Morgenstern on which patients to consider cerebral venous thrombosis in, Maria Ivankovic on diphenhyd...
Tactical Medicine News
Journal Jam 17 – Steroids for CAP and COVID Pneumonia
What are the indications for steroids in patients with pneumonia besides those with concurrent COPD exacerbations, ARDS or adrenal shock? What is t...
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