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?...

Episoder(390)

Journal Jam 4 – Low Dose Ketamine Analgesia

Journal Jam 4 – Low Dose Ketamine Analgesia

You’d think ketamine was in the ED drinking water! Not only has this NMDA receptor antagonist been used effectively for procedural sedation and rapid sequence intubation, but also, for delayed sequenc...

31 Jul 201538min

Episode 67 Pediatric Pain Management

Episode 67 Pediatric Pain Management

Pain is the most common reason for seeking health care. It accounts for 80% of ED visits. The WHO has declared that “optimal pain treatment is a human right”. As has been shown in multiple ED-based Pe...

7 Jul 20151h 6min

Best Case Ever 37 Neonatal Lazy Feeder

Best Case Ever 37 Neonatal Lazy Feeder

On this EM Cases Best Case Ever Dr. Anthony Crocco, the Head and the Division Head of Pediatric EM at McMaster University and Medical Director of Pediatric Emergency Medicine at Hamilton Health Scien...

16 Jun 20158min

Episode 66 Backboard and Collar Nightmares from Emergency Medicine Update Conference

Episode 66 Backboard and Collar Nightmares from Emergency Medicine Update Conference

In the first of our series on Highlights from North York General's Emergency Medicine Update Conference, Dr. Kylie Boothdiscusses Backboard and Collar Nightmares. The idea that backboards and c-spine ...

9 Jun 201522min

Best Case Ever 36 Tracheo-innominate Fistula

Best Case Ever 36 Tracheo-innominate Fistula

In this Best Case Ever with Dr. Scott Weingart, the brains behind EMcrit.org, we hear the devastating story of a tracheostomy gone bad. Dr. Weingart shares with us what he has learned about how to man...

2 Jun 201514min

Episode 65 – IV Iron for Anemia in Emergency Medicine

Episode 65 – IV Iron for Anemia in Emergency Medicine

For years we’ve been transfusing red cells in the ED to patients who don’t actually need them. A study looking at trends in transfusion practice in the ED found that about 1/3 of transfusions given we...

27 Mai 20151h 6min

Journal Jam 3 – Ultrasound vs CT for Renal Colic

Journal Jam 3 – Ultrasound vs CT for Renal Colic

In this Journal Jam we have Dr. Michelle Lin from Academic Life in EM interviewing two authors, Dr. Rebecca Smith‑Bindman, a radiologist, and Dr. Ralph Wang an EM physician both from USCF on their art...

21 Mai 201530min

Episode 64 Highlights from Whistler’s Update in EM Conference 2015 Part 2

Episode 64 Highlights from Whistler’s Update in EM Conference 2015 Part 2

In this Part 2 of EM Cases' Highlights from Whistler's Update in EM Conference 2015 Dr. David Carr gives you his top 5 pearls and pitfalls on ED antibiotic use including when patients with sinusitis r...

14 Mai 201541min

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