Journal Jam 10 Thrombolysis & Endovascular Therapy for Stroke Part 1

Journal Jam 10 Thrombolysis & Endovascular Therapy for Stroke Part 1

In this two part EM Cases Journal Jam podcast Justin Morgenstern, Rory Spiegel and Anton Helman do a deep dive into the world's literature on systemic thrombolysis for ischemic stroke followed by an analysis of endovascular therapy for stroke. We elucidate the important issues related to p-values, ordinal analysis, fragility index, heterogeneity of studies, stopping trials early and conflicts of interest related to this body of evidence. While "calling a code stroke" is now considered standard for most stroke patients and tPA for stroke is considered a class 1A drug, a close look at the literature tells us that the evidence is not as strong as our stroke protocols suggest...

Episoder(392)

Journal Jam 1: Age Adjusted D-dimer with Jeff Kline and Jonathan Kirschner

Journal Jam 1: Age Adjusted D-dimer with Jeff Kline and Jonathan Kirschner

In this first ever episode of the Journal Jam podcast, a collaboration between EM Cases, Academic Life in EM and The Annals of Emergency Medicine's Global Emergency Medicine Journal Club, Teresa Chan ...

15 Sep 201434min

Episode 50 Recognition and Management of Pediatric Sepsis and Septic Shock

Episode 50 Recognition and Management of Pediatric Sepsis and Septic Shock

Kids aren't little adults. Pediatric sepsis and septic shock usually presents as 'cold shock' where as adult septic shock usually presents as 'warm shock', for example. In this episode, a continuati...

26 Aug 201437min

Episode 49 Effective Patient Communication, Patient Centered Care and Patient Satisfaction

Episode 49 Effective Patient Communication, Patient Centered Care and Patient Satisfaction

If you believe that coping with some of the people we deal with in emergency medicine is difficult or impossible, you’re not alone. We all feel this way from time to time. We all work in stressful en...

11 Aug 20141h 14min

Best Case Ever 28: Anti-NMDA Receptor Encephalitis

Best Case Ever 28: Anti-NMDA Receptor Encephalitis

Dr. David Carr presents his second of Carr's Cases. This series features some potentially life-threatening diagnoses that may be perceived as zebras, but actually have a higher incidence then we might...

6 Aug 201413min

Episode 48 – Pediatric Fever Without A Source

Episode 48 – Pediatric Fever Without A Source

Have you ever seen a child in your emergency department with a fever - he asks sarcastically? At the ginormous community hospital where I work, we see about 25,000 kids each year in our ED and about h...

23 Jul 20141h 14min

Best Case Ever 27: Pediatric Shock

Best Case Ever 27: Pediatric Shock

Ottawa this year, I had the pleasure of discussing pediatric shock and sepsis with Dr. Sarah Reid, a good medical school friend of mine from the Gretzky Year ('99) graduating class. I knew back then t...

16 Jul 20146min

Episode 47: Evidence Based Medicine from NYGH EMU Conference 2014

Episode 47: Evidence Based Medicine from NYGH EMU Conference 2014

Dr. Walter Himmel (the 'walking encyclopedia of EM') gave a fantastic talk from North York General's Emergency Medicine Update Conference in Toronto, which have edited into a podcast with key commenta...

8 Jul 201448min

Best Case Ever 26: Chloral Hydrate Poisoning and Cardiac Arrest

Best Case Ever 26: Chloral Hydrate Poisoning and Cardiac Arrest

I met up with Mike Betzner at North York General's Update in EM Conference in Toronto. He is the medical director of Air Transport STARS air ambulance out of Calgary and an amazing speaker on the nati...

3 Jul 20149min

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