This talk goes over a brief overview of the two types of stokes, the importance of time when dealing with acute treatments, and the mechanism of action with alteplase. We go over the selecting the appropriate candidates for thrombolytic use and the recent trend to transition from alteplase to Tenecteplase. Lastly, we go over some of the potential complications from thrombolytic use and review the reversal agents needed for intracerebral hemorrhages.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=brain

This is a summary of the key considerations when managing ICH patients - epidemiology, pathophysiology, anatomy, diagnosis, assessment, treatment and more. And what is current evidence-bases ‘best practice’?

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=brain

This talk reviews the important aspects of diagnosing subarachnoid hemorrhage in a patient who presents with sudden onset severe headache. I will review the importance of the history, nuances and limitations of diagnostic strategies including CT, lumbar puncture, CTA and MRI. I will present various published guidelines and recommendations for management of the patient with diagnosis of subarachnoid hemorrhage.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=brain

This talk presents a case and discuss the diagnostic workup of the patient with acute dizziness. Evie will address pitfalls of diagnosis, and a strategy for the workup of the patient with dizziness using timing and triggers, as well as the HiNTS exam and its usefulness in this population.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=brain

Confusion is one of the commonest presentations in the emergency department. It is a symptom that presents an underlying problem in any organ system that most of the time can be life threatening if not identified and proper intervention initiated timely. Can occur before or during the patient stay in hospital. Confusion can be due to an interplay among so many factors or causes. Therefore, an emergency care provide should have a wide set of knowledge to tease out all the possible causes in their patient to reduce on the morbidity and mortality.. Using the ABCDE approach within first five minutes of patient interaction in very integral to patient care and outcome. Further appropriate investigations and their interpretation is very important as it will aid in proper interventions.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=brain

Pancreatitis is a common presentation in the emergency department globally, yet quite often missed. Patients present at various stages of the disease trajectory. Those that are earlier missed will present with life threatening conditions hence increasing morbidity and mortality. A few of the cases will not have the classical presentation. Emergency medicine clinicians should therefore equip themselves with the knowledge about pancreatitis to enable them to take a good history and do proper clinical patient examination. With the advances in medicine and accessibility, proper investigations should be done to aid in diagnosis and to also role out other causes or comorbidities. Timely and appropriate interventions should then be applied to improve outcome and quality of life in these patients. In resource limited settings, the higher index of suspicion and aggressive intervention helps prevent constraining the few resources since patients wont progress to severe cases which demand more resources and expertise.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=brain

Headache is a common reason that people come to emergency departments but sorting out who has a serious secondary headache and who has a benign cause is not always easy. Informed by recent international studies of headache in emergency departments, this talk will discuss the causes of headache, high risk features that can inform decision-making about investigation and variation in treatment of benign headache. The focus will then switch to migraine focussing on the ED specific evidence-based for abortive treatments.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=brain

Skin infections are a common presenting complaint to the emergency department. This talk provides an overview of animal bites, other infected skin infections, abccesses and necrotising facsciitis.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=bowel

Acute appendicitis is the most common reason for emergency abdominal surgery. Untreated appendicitis, when associated with rupture, can lead to abscess, peritonitis, sepsis, and death. Uncomplicated appendicitis (i.e., localized appendicitis), which has traditionally been treated with urgent appendectomy, accounts for approximately 80% of cases. In the past three decades, numerous trials of nonoperative treatment in patients with acute uncomplicated appendicitis have been conducted, and the use of antibiotic agents as a first strategy has become acknowledged as a safe option, including with emergency department care and then discharge with outpatient management. In this lecture, I review the expected outcomes associated with initial operative and nonoperative treatment of acute uncomplicated appendicitis and offer guidance on counseling patients to help them chose between the two approaches.

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=bowel

Learning objectives of this talk:

• Understand the mechanism of action of tranexamic acid
• Be aware of the effects of tranexamic acid in bleeding patients 
• Know who should be treated, when and where

To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=blood