Emergency Medicine Cases

Ep 224 Vertigo Part 1: Approach to Episodic Vertigo

Ep 223 Epistaxis Management: A Step-Wise Approach

Epistaxis management in the emergency department requires a systematic approach prioritizing airway safety and source control over immediate, aggressive intervention. Most nosebleeds are anterior and respond to sustained, direct pressure applied to the cartilaginous portion of the nose for at least 10 minutes, often su...

EM Quick Hits 73 MedMal Case Peds Headache, Phenobarb in Alcohol Withdrawal, Peer Support Programs, Asymptomatic Bacteriuria, Mechanical Ventilation, Coaching the EM Mind Part 3

Emergency medicine clinical practice requires a synthesis of rigorous diagnostic reasoning, evidence-based management, and effective team communication. Diagnostic errors often stem from cognitive biases and incomplete data gathering, particularly in cases like subarachnoid hemorrhage where subtle symptoms are easily o...

Ep 222 Imaging Decisions in Emergency Medicine

Emergency medicine requires a nuanced approach to imaging, balancing the necessity of diagnostic clarity against the cumulative risks of radiation and resource limitations. CT scans, while essential, carry significant long-term cancer risks, particularly in younger patients, necessitating clear communication of these h...

Ep 221 EM-Primary Care Health Systems Strategies, Myths, Misperceptions and Solutions

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

Ep 220 Facial Injuries: Assessment, Management and Disposition

Facial trauma management in the emergency department requires a systematic, top-down approach that prioritizes airway stability and hemorrhage control over immediate imaging. While CT scans are standard for diagnosing complex fractures, physical examination remains the most critical tool for identifying life-threatenin...

Ep 219 Hip Emergencies: Recognition and Management

Hip fractures and dislocations represent high-morbidity emergencies requiring rapid, systematic management in the emergency department. Mortality rates for hip fractures reach 20% within one year, necessitating surgical intervention within 24 hours to optimize outcomes. Effective emergency care centers on early pain ma...

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change

Ep 217 Pediatric Agitation: Assessment and Management

Ep 216 Cardiac Arrest Update: Beyond the 2025 ACLS Guidelines Part 2 – Medications, Airway, Termination and Post-ROSC Care

Cardiac arrest management requires moving beyond standard algorithms to address complex clinical scenarios through physiological judgment and evidence-based decision-making. Vasopressors like norepinephrine serve as the primary post-ROSC hemodynamic support, while push-dose epinephrine acts as a critical bridge. Antiar...

Ep 215 Cardiac Arrest Update: Beyond the 2025 Guidelines Part 1: CPR, Defibrillation and Ventilation

This podcast episode focuses on adult cardiac arrest management, emphasizing the importance of high-quality CPR, defibrillation strategies, and POCUS during arrest. It challenges the notion that guidelines alone are sufficient, advocating for a deeper understanding of care nuances. Key areas explored include emergency ...

EM Quick Hits 71 EMC²: Fever Without a Source, Coaching the EM Mind Part 1, Traumatic Pneumothorax Part 2, PECARN C-spine Rule, Medetomidine Withdrawal, EMS Handover

Emergency medicine clinical practice requires a nuanced approach to diagnostic uncertainty, procedural management, and professional sustainability. Fever of unknown origin necessitates a broad differential, including rare viral etiologies like West Nile virus, while traumatic pneumothorax management relies on patient s...

Ep 214 Bridging the Gap in Endometriosis Care: Recognition, Risk Stratification, and ED-Initiated Management

This podcast addresses the challenges of diagnosing and managing endometriosis in the emergency department, highlighting the frequent misdiagnoses and long wait times for specialized care. It emphasizes the importance of recognizing key historical features, such as progressive dysmenorrhea and cyclical bowel or bladder...

Ep 213 Update in Management of Status Epilepticus

Status epilepticus management requires rapid intervention to prevent neuronal damage and improve patient outcomes. Essential actions include immediate glucose testing, prompt administration of benzodiazepines—preferably lorazepam—and minimizing the time to seizure cessation. When seizures persist beyond five minutes, s...

Ep 212 PECARN Febrile Young Infant Prediction Tool: When To Safely Forgo LP and Empiric Antibiotics

EM Quick Hits 70 MedMal Cases Upper Back Pain, Traumatic Pneumothorax/Hemothorax Decision Making, Risk Stratification of ICH for Consultation, Post-Circumcision Bleeds, IV Contrast Allergy, Emotional Contagion

Upper back pain demands a rigorous differential diagnosis, as it frequently masks life-threatening conditions like aortic dissection or acute coronary syndrome rather than benign GERD or muscle spasms. In trauma management, hemodynamic stability dictates the approach to pneumothorax and hemothorax, where ultrasound pro...

Ep 211 Thyrotoxicosis and Thyroid Storm: Recognition and Management

Ep 210 Decompensated Hypothyroidism Recognition and Management

Decompensated hypothyroidism presents a significant diagnostic challenge in the emergency department, frequently masquerading as sepsis or sedative overdose. Clinicians must maintain a high index of suspicion for patients presenting with unexplained bradycardia, hypotension, and altered mental status, particularly when...