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Dr. Peter Brindley Dr. Leon Byker on what culture in medicine is, why culture is so important, 10 strategies to improving the culture in our departments emphasizing the importance of human connection, empathy, open communication, and a willingness to learn from mistakes in creating a positive and fulfilling work environment, so that we love our work, we love our department, we love taking care of our patients and our patients have better outcomes on the EM Cases podcast
Traumatic Coronary Artery Dissection, Proper Use of Insulin in DKA and hyperkalemia, Mesenteric Ischemia recognition and management, Exercise Associated Hyponatremia, AI for OMI, EM Quick Hits podcast EM Cases
Testing patients for HIV in the ED, failed paradigm of STEMI criteria for acute coronary occlusion, when to intubate the tox patient, SBP pearls, DIY physician investments. EM Cases EM Quick Hits podcast
The shift from STEMI to Occlusion MI. If STEMI criteria, consider false positives, false negatives, look for other signs of occlusion, consider clinical OMI signs (refractory ischemia, hemodynamic/electrical instability) and POCUS (new regional wall motion abnormalities) on EM Cases ECG Cases blog
Goals of management in patients with nontraumatic subarachnoid hemorrhage Prevent hematoma expansion Prevent re-bleeding Prevent ischemia Identify and treat raised ICP Prepare the patient for definitive management Optimize vital signs Prevent aspiration
Justin Morgenstern on the use of high dose nitroglycerin in SCAPE, Andrew Neill and Leah Flanagan on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), Brit Long on an indications for CT in diverticulitis, Tahara Bhate on factors that lead to diagnostic error and CRAO, Matthew McArthur on penicillin allergy and penicillin challenges, and Susan Lu on how ED physician personality influences patient outcomes on EM Cases EM Quick Hits podcast
Pericardial effusion: tachycardia and low voltage ECG requires POCUS to assess for pericardial effusion and tamponade. STEMI(-)OMI: subtle ECG signs of occlusion and POCUS signs of regional wall motion abnormality can identify Occlusion MI in the absence of STEMI criteria. RV strain: ECG and POCUS can show signs of RV strain, which can be acute or chronic. ECG Cases blog. EM Cases
In this Waiting to Be Seen blog at EM Cases, Dr. Howard Ovens on 4 key learnings in EM leadership: Be a good clinician, get substantial real-world experience, take a long-term view of benefits and risks, get along with your counterparts in the leadership dyad.
Anand Swaminathan appropriate selection of induction agents, Hans Rosenberg gabapentinoids, Katie Lin pearls for neuroprotective intubation, Nour Khatib and Hamza Jalal approach to paresthesias in the ED, and Eric Wortmann on preventing burnout in emergency medicine.
On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine immobilization controversies and techniques, Navpreet Sahsi on the difference between humanitarian and development work
Infant Vomiting, Orbital Cellulitis, Prehospital TXA in Trauma, Prevention and Treatment of Delirium, Procedural Skills Decay, Altitude Sickness on this EM Cases Quick Hits podcast