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)

Episode 59: Bronchiolitis

Episode 59: Bronchiolitis

This EM Cases episode is on the diagnosis and management of Bronchiolitis. Bronchiolitis is one of the most common diagnoses we make in both general and pediatric EDs, and like many pediatric illnesse...

10 Feb 20151h 3min

Best Case Ever 32 Carr’s Cases – Endocarditis and Blood Culture Interpretation

Best Case Ever 32 Carr’s Cases – Endocarditis and Blood Culture Interpretation

David Carr discusses his top 10 pearls on endocarditis and blood culture interpretation in this Carr's Cases Best Case Ever on EM Cases - Endocarditis and Blood Culture Interpretation. [wpfil...

5 Feb 201513min

Episode 58: Tendons and Ligaments – Commonly Missed Uncommon Orthopedic Injuries Part 2

Episode 58: Tendons and Ligaments – Commonly Missed Uncommon Orthopedic Injuries Part 2

In part 2 of our round-table discussion on EM Cases with sports medicine guru Dr. Ivy Cheng and orthopedic surgeon Dr. Hossein Mehdian we elucidate some key commonly missed uncommon orthopedic injurie...

20 Jan 201546min

Best Case Ever 31: Emergency Pericardiocentesis

Best Case Ever 31: Emergency Pericardiocentesis

On this EM Cases Best Case Ever, Andrew Sloas, the brains behinds the fabulous PEM-ED podcast tells the tale of a pericardiocentesis gone bad and what he learned from it. Emergency pericardicentesis c...

14 Jan 20159min

Episode 57: The Stiell Sessions 2 – Update in Atrial Fibrillation 2014

Episode 57: The Stiell Sessions 2 – Update in Atrial Fibrillation 2014

In this bonus EM Cases podcast, The Stiell Sessions 2, we have Dr. Ian Stiell discussing an update in Atrial Fibrillation 2014 management including the age-old question of rate control vs rhythm contr...

1 Jan 201529min

Episode 56 The Stiell Sessions: Clinical Decision Rules and Risk Scales

Episode 56 The Stiell Sessions: Clinical Decision Rules and Risk Scales

There are hundreds of clinical decision rules and risk scales published in the medical literature, some more widely adopted than others. Ian Stiell, the father of clinical decision rules, shares with ...

30 Des 201459min

Episode 55: Fluids in Sepsis, Post-intubation Analgesia and Sedation

Episode 55: Fluids in Sepsis, Post-intubation Analgesia and Sedation

In this second part of the Weingart-Himmel Sessions on critical care pearls for the community ED on the EM Cases podcast, we discuss the many controversies and recent changes in fluid management in se...

17 Des 201451min

Journal Jam 2: Small Bore Chest Tube and Outpatient Management of Pneumothorax

Journal Jam 2: Small Bore Chest Tube and Outpatient Management of Pneumothorax

It makes sense that the treatment of primary spnontaneous pneumothorax would lend itself well to outpatient management, since patients are usually young and otherwise healthy, and the mortality and mo...

9 Des 201434min

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