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?...

Avsnitt(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 Jan 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 Jan 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 Jan 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 Dec 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 Dec 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 Nov 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 Nov 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 Okt 201712min

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