Episode 92 – Aortic Dissection Live from The EM Cases Course

Episode 92 – Aortic Dissection Live from The EM Cases Course

While missing aortic dissection was considered "the standard" in the late 20th century, our understanding of the clinical diagnoses has improved considerably since the landmark International Registry of Aortic Dissection (IRAD) study in 2000. Nonetheless, aortic dissection remains difficult to diagnosis with 1 in 6 being missed at the initial ED visit. With the help of Dr. David Carr we’ll discuss how to pick up atypical presentations of aortic dissection without over-imaging as well as manage them like pros by reviewing: 1. The 5 Pain Pearls, 2. The concepts of CP +1 and 1+ CP, 3. Physical exam pearls, 4. CXR pearls and blood test pitfalls, and 5. The importance of the correct order and aggressive use of IV medications. So with these objectives in mind…

Avsnitt(390)

Episode 72 ACLS Guidelines 2015 Post Arrest Care

Episode 72 ACLS Guidelines 2015 Post Arrest Care

Once we've achieved ROSC our job is not over. Good post-arrest care involves maintaining blood pressure and cerebral perfusion, adequate sedation, cooling and preventing hyperthermia, considering anti...

3 Nov 20151h 4min

Episode 71 ACLS Guidelines 2015 – Cardiac Arrest Controversies Part 1

Episode 71 ACLS Guidelines 2015 – Cardiac Arrest Controversies Part 1

A lot has changed over the years when it comes to managing the adult in cardiac arrest. As a result, survival rates after cardiac arrest have risen steadily over the last decade. With the release of t...

21 Okt 20151h 7min

Best Case Ever 41 Opiate Misuse and Physician Compassion

Best Case Ever 41 Opiate Misuse and Physician Compassion

Opiate misuse is everywhere. Approximately 15-20% of ED patients in the US are prescribed outpatient opiates upon discharge. In Ontario, about 10 people die accidentally from prescription opiates ev...

13 Okt 20157min

Episode 70 End of Life Care in Emergency Medicine

Episode 70 End of Life Care in Emergency Medicine

Most of us in North America live in cultures that almost never talk about death and dying. And medical progress has led the way to a shift in the culture of dying, in which death has been medicalized....

29 Sep 20151h 7min

Episode 69 Obesity Emergency Management

Episode 69 Obesity Emergency Management

Current estimates of the prevalence of obesity are that a quarter of adult Canadians and one third of Americans are considered obese with approximately 3% being morbidly obese. With the proportion of ...

8 Sep 20151h 5min

Best Case Ever 39 – Airway Strategy & Mental Preparedness in EM Procedures with Richard Levitan

Best Case Ever 39 – Airway Strategy & Mental Preparedness in EM Procedures with Richard Levitan

I caught up with airway educator, innovator and self-described enthusiast Dr. Richard Levitan at SMACC in Chicago this past June. In this Best Case Ever on Airway Strategy and Mental Preparedness in E...

1 Sep 201514min

Episode 68 Emergency Management of Sickle Cell Disease

Episode 68 Emergency Management of Sickle Cell Disease

A recent needs assessment completed in Toronto found that Emergency providers are undereducated when it comes to the Emergency Management of Sickle Cell Disease. This became brutally apparent to me pe...

18 Aug 20151h 1min

Best Case Ever 38 Sickle Cell Acute Chest Syndrome

Best Case Ever 38 Sickle Cell Acute Chest Syndrome

Sickle Cell Acute Chest Syndrome remains the leading cause of death in patients suffering from Sickle Cell Disease. In his Best Case Ever, Dr. Richard Ward, a hematologist with a special interest in S...

11 Aug 20156min

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