Episode 94 UTI Myths and Misconceptions

Episode 94 UTI Myths and Misconceptions

In 2014, the CDC reported that UTI antibiotic treatment was avoidable at least 39% of the time. Why? Over-diagnosis and treatment results from the fact that asymptomatic bacteriuria is very common in all age groups, urine cultures are frequently ordered without an appropriate indication, and urinalysis results are often misinterpreted. Think of the last time you prescribed antibiotics to a patient for suspected UTI – what convinced you that they had a UTI? Was it their story? Their exam? Or was it the urine dip results the nurse handed to you before you saw them? Does a patient’s indwelling catheter distort the urinalysis? How many WBCs/hpf is enough WBCs to call it a UTI? Can culture results be trusted if there are epithelial cells in the specimen? Can a “dirty” urine in an obtunded elderly patient help guide management?...

Jaksot(390)

Best Case Ever 53 – TTP

Best Case Ever 53 – TTP

As EM Cases has grown and expanded over the past 7 years I've had the pleasure of working with a team of talented people. This Best Case Ever was produced by two all-star EM residents from Ottawa, pod...

20 Joulu 20168min

Best Case Ever 52 – Pediatric Hypothermia Cardiac Arrest

Best Case Ever 52 – Pediatric Hypothermia Cardiac Arrest

In anticipation of EM Cases Episode 90 on the Pediatric Advanced Life Support (PALS) guidelines with the lead author Dr. Allan DeCaen and Dr. Anthony Crocco, Dr. DeCaen tells his Best Case Ever showin...

6 Joulu 20165min

Episode 89 – DOACs Part 2: Bleeding and Reversal Agents

Episode 89 – DOACs Part 2: Bleeding and Reversal Agents

In this Part 2, DOACs Bleeding and Reversal we discuss the management of bleeding in patients taking DOACs with minor risk bleeds, like epistaxis where local control is easy to access, moderate risk b...

6 Joulu 201653min

Episode 88 – DOACs Part 1: Use and Misuse

Episode 88 – DOACs Part 1: Use and Misuse

As we get better at picking up thromboembolic disease, and the indications for Direct Oral Anticoagulants (DOACs) widen, we're faced with increasingly complex decisions about when to start these medic...

22 Marras 20161h 14min

Journal Jam 8 – Dilute Apple Juice for Pediatric Gastroenteritis

Journal Jam 8 – Dilute Apple Juice for Pediatric Gastroenteritis

This is EM Cases Journal Jam podcast on a randomized control trial of dilute apple juice vs PediaLyte for mild pediatric gastroenteritis. While IV rehydration is required in cases of severe gastroente...

8 Marras 201643min

Best Case Ever 51 – Anticoagulants and GI Bleed with Walter Himmel

Best Case Ever 51 – Anticoagulants and GI Bleed with Walter Himmel

In anticipation of Episode 88 and 89: DOACs Use, Misuse and Reversal with the president of Thrombosis Canada and world renowned thrombosis researcher Dr. Jim Douketis, internist and thrombosis expert ...

8 Marras 20169min

Episode 87 – Alcohol Withdrawal and Delirium Tremens: Diagnosis and Management

Episode 87 – Alcohol Withdrawal and Delirium Tremens: Diagnosis and Management

Alcohol withdrawal is everywhere. We see over half a million patients in U.S. EDs for alcohol withdrawal every year. Despite these huge volumes of patients and the diagnosis of alcohol withdrawal seem...

25 Loka 20161h 26min

Best Case Ever 50 – Delirium Tremens

Best Case Ever 50 – Delirium Tremens

In anticipation of EM Cases Episode 87 on Alcohol Withdrawal Dr. Sara Gray describes her Best Case Ever of severe alcohol withdrawal and Delirium Tremens from Janus General. Also on this podcast Dr. ...

11 Loka 201618min

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