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Working on a humanitarian project abroad can be among the most challenging and fulfilling experiences of an Emergency Physician’s career. Much has been written about pre-departure training and strategies for adapting in the field. Far less attention, however, has been given to the challenges of returning home. In this Global EM colunm Dr. Nav Sahsi outlines a few coping strategies that he has learned on returning from humanitarian projects abroad...
On this EM Quick Hits podcast: Tick Borne Illness Update with Dr. Issac Bogoch, Pediatric ECG Interpretation with Dr. Kathleen Stephanos, Nailbed Repair with Dr. Matthew McArther, Closed Loop Communication with Dr. Shawn Segeren, ESRD with Dr. Brit Long, Leaders in EM Dr. Catherine Varner...
In this month's ECG Cases Dr. McLaren explores how sequence photos help identify Occlusion MI. He illustrates through cases how hyperacute T waves and subtle ST elevation with reciprocal ST depression can provide an early snapshot of occlusion MI – and might remain the only sign of occlusion. How resolution of ischemic symptoms along with regional T wave inversion (or reciprocally tall anterior T waves) can indicate spontaneous reperfusion, while subacute and persisting symptoms with Q waves and T wave inversion indicate refractory occlusion. And how spontaneous reperfusion is at risk for reocclusion, with recurrence of ischemic symptoms accompanied by ST/T pseudonormalization and then hyperacute T waves and ST elevation.
In this update to the 7 T’s of Massive Hemorrhage Protocols with Dr. Jeannie Callum and Dr. Andrew Petrosoniak, we explore the most current, evidence-informed strategies for bleeding patients, from polytrauma to obstetrical, drawing on the latest clinical trial data and real-world experience. We answer the questions: What is the evidence based alternative to FFP in EDs where FFP is not readily available? How accurate are decision scores in helping decide the trigger for MHP activation? Why is testing fibrinogen levels and giving fibrinogen concentrates so important in massive hemorrhage? How should we tailor our MHP to the GI bleed patient? To the obstetrical patient? and many more... Please donate to EM Cases to ensure ongoing Free Open Access Medical Education at https://emergencymedicinecases.com/donation/.
On this EM Quick Hits podcast: Pediatric Torticollis with Dr. Deb Shconfeld, Approach to Stable Wide Complex Tachydysrhythmias with Dr. Anand Swaminathan, Post-intubation Neurocritical Care 5 best practices with Dr. Andrew Petrosoniak, Hyponatremia Correction Rates with Dr. Justin Morgenstern, Paronychia Management with Dr. Andrew Tagg, and Women in EM Leader Series with Judith Tintinalli and Dr. Victoria Myers...Donate to EM Cases to help ensure continued Free Open Access Medical Education in the future here: https://emergencymedicinecases.com/donation/
In this podcast, with Dr. Thom Mayer, Dr. Carolyn Snider and Dr. Howard Ovens, on leading from the inside out, we cover foundational principles, practical habits, and transformative insights that can make any member of an ED team a more effective, compassionate, and adaptive leader. Here, you’ll find tools, philosophy, and stories that just might transform how you think about your role in the ED to make your work more satisfying, make your teams work together better and improve patient outcomes... Please consider a donation to EM Cases to help ensure we continue to provide high quality Free Open Access medical education into the future https://emergencymedicinecases.com/donation/
Occipital Nerve Block, PoCUS in Pulmonary Embolism, Myelopathy, Team Resuscitation, Incidental Neutropenia, Peer Programs on EM Cases' EM Quick Hits podcast
Risk stratification and management of pulmonary embolism, oxygenation, intubation, hemodyamic support, thrombolytics, catheter-directed therapies with Dr. Lauren Westafer, Dr. Bourke Tillman and Dr. Justin Morgenstern on EM Cases podcast
Whole blood transfusion in trauma, calcium pre-treatment to prevent diltiazem-induced hypotension, dynamic LV outflow tract obstruction, resuscitative thoracotomy, uterine casts, scale & proportionality in occlusion MI ECG interpretation on EM Cases' EM Quick Hits podcast
Explore the evolving definition of global health work in this insightful blog post. Discover how emergency medicine in low-resource settings, from Addis Ababa to rural Northern Ontario, bridges access to care, challenges misconceptions about global health sustainability, and highlights the critical role of teamwork, adaptability, and equity in underserved communities. Perfect for EM professionals balancing family, career, and a passion for global impact.
Optimizing RSI Medication Timing, Nutrition Tips for Shift Workers, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, on EM Cases' EM Quick Hits podcast
How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience
Dr. Patricia Lee is an EM physician in Calgary, Alberta and an Assistant Professor at the University of Calgary in the Department of Emergency Medicine. She reached out to me after listening to Episode 200 How EM Experts Think Part 1 as a longtime supporter of EM Cases, to highlight the importance of recognizing challenges that female-identifying EM physicians may face before, during and after ED shifts. She offers practical solutions to these challenges that may resonate with many EM Cases listeners...
How EM Experts Think: Strategies for Pre-Shift Preparation and Arrival Ritual, Staying Focused on Shift, Managing Interruptions, Managing Cognitive Load, Handling Negative Emotions, Resuscitation Mindset and Execution, Post-Resuscitation Recovery with Dr. Scott Weingart, Dr. Reuben Strayer, Dr. Mike Betzner on EM Cases
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
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
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