Best Case Ever 59 Management of Acute Renal Failure with Volume Overload

Best Case Ever 59 Management of Acute Renal Failure with Volume Overload

Sometimes our renal failure patients present short of breath with volume overload and we don't have immediate access to dialysis. What then? Dr. Mike Betzner, EM doc and medical director of STARS air ambulance service and collaborator on EM Cases CritCases blog tells his Best Case Ever and his approach to this challenging clinical situation. He offers two commonly used solutions: nitroglycerin and BiPAP as well as two not so common solutions: phlebotomy and rotating BP cuffs blown to above SBP...

Jaksot(390)

Ep 106 Toxic Alcohols – Minding the Gaps

Ep 106 Toxic Alcohols – Minding the Gaps

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 agi...

30 Tammi 20181h 17min

BCE 65 Intimate Partner Violence – A Silent Epidemic

BCE 65 Intimate Partner Violence – A Silent Epidemic

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 ...

23 Tammi 201813min

Ep 105 Commonly Missed Ankle Injuries

Ep 105 Commonly Missed Ankle Injuries

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 di...

9 Tammi 20181h 20min

Ep 104 Emergency Management of Intracerebral Hemorrhage – The Golden Hour

Ep 104 Emergency Management of Intracerebral Hemorrhage – The Golden Hour

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 goo...

19 Joulu 20171h 38min

BCE 64 Salicylate Poisoning

BCE 64 Salicylate Poisoning

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 imp...

5 Joulu 201719min

Journal Jam 11 Post Contrast Acute Kidney Injury – PCAKI

Journal Jam 11 Post Contrast Acute Kidney Injury – PCAKI

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. Ho...

21 Marras 20171h 9min

Ep 103 Preventing Burnout and Promoting Wellness in Emergency Medicine

Ep 103 Preventing Burnout and Promoting Wellness in Emergency Medicine

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...

7 Marras 20171h 38min

BCE 63 Failing Up after Medical Error

BCE 63 Failing Up after Medical Error

Dr. Sarah Gray tells us the story of her worst case ever and what she learned from it. About 50% of North American physicians involved in a serious medical error report increased anxiety for future er...

31 Loka 201712min

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