EMplify - September 2021Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net !Abnormal Uterine Bleeding in the Emergency Department (https://www.ebmedicine.net/topics/gynecologic-obstetric/bleeding)Authors:Tazeen Abbas, MDAbbas Husain, MD, FACEP* Physiology review* Terminology* Differentiating Causes: PALM-COEINStructural: Polyp, Adenomyosis, Leiomyoma, Malignancy/HyperplasiaNon-structural: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise specifiedOther causes: thyroid disease, hyperprolactinemia, stress, weight loss and anorexia, heavy exercise* Age Based Differential* 12-18Immaturity of the hypothalamic-pituitary- ovarian axisSexually transmitted infectionsCoagulopathies, and bleeding disorders (von Willibrand disease)* 19-39polypsfibroidsmalignancyPCOS* Age 40 and olderendometrial atrophymalignancy* History* Physical Exam* Diagnostic Studies* TreatmentUnstableStable* Special CasesDOACsPrepubescent girlsgenital injuries

Episode 61 - Abnormal Uterine Bleeding

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

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In this episode, Sam Ashoo, MD interviews Rob Orman, MD, founder of Orman Physician Coaching (https://roborman.com/), about routine examination of our careers in emergency medicine.* Understanding Career Cycles and Embracing Change* The Importance of Career Reflection and Making Trades* Navigating Career Satisfaction and Preventing Burnout* Proactive Career Management and Reflection Strategies* Exploring Career Alternatives and Rediscovering Joy in Medicine* Balancing Work, Love, Play, and Health for a Satisfying Life* When to Seek Coaching for Career Guidance* Practical Tools for Self-Reflection and Taking Action* Closing Thoughts and Resources for Emergency Physicians

Action Is The Antidote For Rumination - An Interview with Rob Orman, MD

In this episode, Sam Ashoo, MD and T.R. Eckler, MD interview Reuben J. Strayer, MD, author of the May 2024 Emergency Medicine Practice article, Current Concepts in Ketamine Therapy in the Emergency Department* Diving Into Ketamine Use in Emergency Medicine* Understanding Ketamine: From Origins to Emergency Use* Exploring the Ketamine Brain Continuum* Ketamine Dosing and Administration Techniques* Combining Ketamine with Neuroleptic Medications* Practical Approaches to Ketamine for Pain Management* Innovative Pain Management and Ketamine Use* Procedural Sedation with Ketamine: Techniques and Considerations* Addressing Agitation and Sedation in Emergency Situations* Navigating Intubation Strategies: DSI and Ketamine-Only Approaches* Ketamine's Role in Treating Asthma, Status Epilepticus, and Alcohol Withdrawal* Exploring Ketamine for Treatment-Resistant Depression* Concluding Remarks on Ketamine's Versatility in Emergency Medicine

Ketamine in the ED - An Interview with Reuben Strayer, MD

In this episode, Sam Ashoo, MD interviews Ashley A. Foster, MD, Bijan Ketabchi, MD, MPH and Jennifer A. Hoffmann, MD, MS on the March 2024 Pediatric Emergency Medicine Practice article, Evaluation and Management of Suicidal Ideation and Self-Harm in Children in the Emergency Department (https://www.ebmedicine.net/topics/psychiatric-behavioral/pediatric-emergency-medicine-suicidal-ideation-and-self-harm)* Introduction* Understanding Suicidal Ideation and Self Harm in Youths* Screening Tools and ApproachesAsk Suicide-Screening Questions (ASQ) Toolkit (https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials)Columbia Suicide Severity Rating Scale (C-SSRS) (https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/)* Prehospital Care* Managing Patients in the ED* Dealing with Challenging Populations* Lethal Means Counseling* Emerging Tools in Suicide Risk IdentificationSuicide Risk Screening Pathway (https://www.nimh.nih.gov/sites/default/files/documents/research/research-conducted-at-nimh/asq-toolkit-materials/youth-ed/suicide_risk_screening_pathway_ed_youth_asq_nimh_toolkit.pdf)* Disposition and Referrals* National 988 Suicide & Crisis Lifeline  (https://988lifeline.org/)

Suicidal Ideation and Self-Harm in Children

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2024 Pediatric Emergency Medicine Practice article, Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department (https://www.ebmedicine.net/topics/cardiovascular/pediatric-emergency-medicine-brief-resolved-unexplained-event)* Introduction* The Evolution of BRUE* Understanding BRUE Guidelines* The Importance of Pre-Hospital Care in BRUE Cases* Investigating the Event: Questions to Ask* Medical and Family History: Key Factors* Environmental and Social Considerations* Definitions and Risk Assessment* Physical Examination* Risk Stratification: Low Risk vs. High Risk Patients* Management: What to Do and What Not to Do* High Risk Population: Studies and Recommendations* The Importance of Communication and Decision Making* 5 Things That Will Change Your Practice

Brief Resolved Unexplained Events (BRUE)

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the March 2024 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Constipation (https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-constipation)Prevalence and ImpactUnderstanding the CausesMedications That Can Cause ConstipationDealing with Fecal ImpactionUnderstanding Stercoral ColitisPre-Hospital CareED History and Physical ExamDiagnostic Studies and Imaging* X-Ray* CT Scans* Advanced TestingTreatment Options for Constipation* Enemas* Osmotic Laxatives and Stool SoftenersSpecial Considerations: Pregnant, Pediatric, and Hospice PatientsPrescription Medications for ConstipationClinical Pathway for Constipation Management

Episode 61 - Abnormal Uterine Bleeding

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