EMplify by EB Medicine

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EMplify by EB Medicine episodes

March 07, 2022 Episode 67 - Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai
Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi DesaiEMplify – March 2022Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DOEpisode Outline:1.Why is this an important topic in EM? 2.Hemorrhage etiologies and definition3.Headache etiologies, both common and the more dangerous (ICH)4.Fever and infection* Mastitis* Endometritis5.Preeclampsia/eclampsia * Definition, diagnosis, risk factors (Table 1)6.HELLP syndrome* Definition, diagnosis (Table 2)7.Peripartum cardiomyopathy* Time of onset, how to make the diagnosis, risks (Table 3)8.Prehospital care* IV fluids* TXA* AMS evaluation* Chest pain* Fever/hypotension 9.ED evaluation * History (what kind of things should we remember to ask?) * Physical exam (what should we be paying attention to?) 10.Diagnostic studies* Hemorrhage (exam, vitals, labs, US)* Headache (labs, imaging – what type?)* Fever and infection (labs, imaging – US or CT, antibiotics)* Cardiopulmonary complaints (labs, imaging, ECG)11.Treatment* Hemorrhage * Headache (CVT)* Infection (mastitis, endometritis, wound Infection)* Preeclampsia, eclampsia, HELLP, seizures* Cardiomyopathy12.What about breastfeeding mothers? 13.Controversies and cutting edge* Endovascular therapy* Thromboelastography
1 hr 2 min
February 07, 2022Episode 66 - Acute Asthma
Episode 66 – Acute Asthma Exacerbations – An Interview with Dr. Steven Hochman and Dr. Brandon Somwaru
EMplify – February 2022
Emergency Department Management of Acute Asthma Exacerbations
Interview with the authors: Steven M. Hochman, MD, and Brandon Somwaru, DO

Episode Outline:
Epidemiology
Risk factors for death from asthma (Table 1)
Triggers for asthma attacks
Variants of asthma (Table 2)
Differential diagnosis (Table 3)
Can PE be a trigger for an acute asthma attack?
Prehospital care
ED care: history (what should we ask?)
ED care: physical exam (what are we looking for?)
Classifying mild/moderate/severe asthma
Lab studies
POCUS (Table 5 and Figure 3)
Peak expiratory flow
ETCO2 capnography and capnometry
Chest x-ray
Treatment (Table 6)
Medications
Oxygen
SABA vs LABA
What about MDIs?
Continuous nebs?
Anticholinergics
Steroids (IV, oral, inhaled; prednisone vs dexamethasone)
Magnesium sulfate
Epinephrine
Terbutaline
Ketamine
NIPPV
Intubation pearls and pitfalls (Table 8)
Special populations
Pediatrics
Pregnancy
COVID-19
Controversies and cutting edge
Biologics
Fractional exhaled nitric oxide
Heliox
High flow nasal cannula
Delayed sequence intubation
ECMO
Disposition
1 hr 3 min
February 07, 2022 Episode 66 – Acute Asthma
Episode 66 – Acute Asthma Exacerbations – An Interview with Dr. Steven Hochman and Dr. Brandon SomwaruEMplify – February 2022Emergency Department Management of Acute Asthma ExacerbationsInterview with the authors: Steven M. Hochman, MD, and Brandon Somwaru, DO Episode Outline:EpidemiologyRisk factors for death from asthma (Table 1)Triggers for asthma attacksVariants of asthma (Table 2)Differential diagnosis (Table 3)Can PE be a trigger for an acute asthma attack? Prehospital careED care: history (what should we ask?)ED care: physical exam (what are we looking for?)Classifying mild/moderate/severe asthma Lab studiesPOCUS (Table 5 and Figure 3)Peak expiratory flowETCO2 capnography and capnometryChest x-rayTreatment (Table 6)MedicationsOxygenSABA vs LABAWhat about MDIs?Continuous nebs?AnticholinergicsSteroids (IV, oral, inhaled; prednisone vs dexamethasone)Magnesium sulfateEpinephrineTerbutalineKetamineNIPPVIntubation pearls and pitfalls (Table 8)Special populationsPediatrics PregnancyCOVID-19 Controversies and cutting edgeBiologicsFractional exhaled nitric oxideHeliox High flow nasal cannulaDelayed sequence intubationECMODisposition
1 hr 3 min
January 07, 2022 Episode 65 - Acute Joint Pain
Diagnosis and Management of Acute Joint Pain in the Emergency Department (https://www.ebmedicine.net/topics/musculoskeletal/joint-pain)Interview with author: Rachel Sullivan, MD* Why joint pain ?* Differential Diagnosis Mono vs Poly Articular Presentation? Figure 1Infectious, degenerative, autoimmune, crystal deposition, reactive, traumaticSeptic Arthritis-Bimodal incidence RisksSeptic arthritis is polyarticular in 15% to 20% of cases, and in these cases, the mortality is highGonococcal Highest riskCommonly affected jointsSymptomatic or asymptomatic infection Lyme ArthritisViral - Zika, chikungunya, human parvovirus B19, hepatitisDegenerative osteoarthritis AutoimmuneGoutCPPD* Prehospital * ED History - table 2, table 4* ED exam * Labs - do we need them? * Imaging* Arthrocentesis - Table 5* Treatment* Special PopulationsProstheses Immunocompromised HIV* Clinical Pathway
46 min
January 06, 2022Episode 65 – Acute Joint Pain
Interview with author: Rachel Sullivan, MD
Why joint pain ?
Differential Diagnosis
Mono vs Poly Articular Presentation? Figure 1
Infectious, degenerative, autoimmune, crystal deposition, reactive, traumatic
Septic Arthritis-
Bimodal incidence
Risks
Septic arthritis is polyarticular in 15% to 20% of cases, and in these cases, the mortality is high
Gonococcal
Highest risk
Commonly affected joints
Symptomatic or asymptomatic infection
Lyme Arthritis
Viral – Zika, chikungunya, human parvovirus B19, hepatitis
Degenerative osteoarthritis
Autoimmune
Gout
CPPD
Prehospital
ED History – table 2, table 4
ED exam
Labs – do we need them?
Imaging
Arthrocentesis – Table 5
Treatment
Special Populations
Prostheses
Immunocompromised
HIV
Clinical Pathway
46 min
December 01, 2021Episode 64 – Thoracic Aortic Syndromes- An Interview with Dr. Anthony Hackett
EMplify – December 2021
Announcements:
The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,
This month get a $50 Amazon Gift Card with all orders over $300 at https://www.ebmedicine.net
Check out the newly redesigned FOAMed blog at https://www.ebmedicine.net/ebmblog/
Thoracic Aortic Syndromes in The Emergency Department: Recognition and Management
Interview with author: Anthony Hackett, MD
Thoracic Aortic Syndromes
Dissection, Intramural Hematoma, and Penetrating Aortic Ulcers
Pathophysiology
Intima, media, and adventitia
Epidemiology and classification
Debakey vs Stanford classification- do we still use Debakey ?
Risk Factors
Prehospital Care – what should EMS be looking for?
ED Care
History
HTN, Pulse defecits, Chest Pain, Syncope?Table 3
ADD-RS score
Exam
Diagnostics
Labs
EKG – STEMI?
Imaging
CXR
Echo
CT
MRI
Aortogram
Treatment
BP management
Heart Rate
Shock
Surgery – Who goes and when?
Special populations
Pregnancy
Controversies
D-Dimer
53 min
December 01, 2021 Episode 64 - Thoracic Aortic Syndromes- An Interview with Dr. Anthony Hackett
EMplify - December 2021Announcements:* The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,* This month get a $50 Amazon Gift Card with all orders over $300 at https://www.ebmedicine.net* Check out the newly redesigned FOAMed blog at https://www.ebmedicine.net/ebmblog/Thoracic Aortic Syndromes in The Emergency Department: Recognition and Management (https://www.ebmedicine.net/topics/cardiovascular/aortic-syndromes)Interview with author: Anthony Hackett, MDThoracic Aortic Syndromes* Dissection, Intramural Hematoma, and Penetrating Aortic Ulcers* PathophysiologyIntima, media, and adventitia* Epidemiology and classification Debakey vs Stanford classification- do we still use Debakey ? * Risk Factors* Prehospital Care - what should EMS be looking for? * ED CareHistory HTN, Pulse defecits, Chest Pain, Syncope?Table 3ADD-RS scoreExamDiagnosticsLabsEKG - STEMI? ImagingCXREcho CTMRIAortogramTreatmentBP managementHeart RateShock* Surgery - Who goes and when? * Special populationsPregnancy* ControversiesD-Dimer
53 min
November 01, 2021Episode 63 – Rib Fracture- An Interview with Dr. Patrick Maher
EMplify – November 2021
Announcements:
The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,
Also, this month use code ACEP21! and get 20% of all orders at https://www.ebmedicine.net
Emergency Department Management of Rib Fractures
Author: Patrick Maher, MD
Episode Outline:
Why rib fractures?
Anatomy
Fig 1
Pre-hospital
ED evaluation
History
Physical Exam
Imaging
Nexus Chest Decision Instrument in Blunt Trauma
ACR criteria for imaging
CT vs xray
Ultrasound
Treatment
Meds
Binders
Kinesiotaping – Fig 4
Respiratory support
Operative fixation
Special Populations
Elderly
Cancer patients
Pediatrics
Disposition
Battle Score
Rib Score
FVC
46 min
November 01, 2021 Episode 63 - Rib Fracture- An Interview with Dr. Patrick Maher
EMplify - November 2021Announcements:* The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,* Also, this month use code ACEP21! and get 20% of all orders at https://www.ebmedicine.netEmergency Department Management of Rib FracturesAuthor: Patrick Maher, MDEpisode Outline:* Why rib fractures?* AnatomyFig 1* Pre-hospital* ED evaluationHistory Physical Exam* ImagingNexus Chest Decision Instrument in Blunt TraumaACR criteria for imagingCT vs xrayUltrasound * TreatmentMedsBindersKinesiotaping - Fig 4Respiratory supportOperative fixation* Special PopulationsElderlyCancer patientsPediatrics* DispositionBattle ScoreRib ScoreFVC
46 min
October 04, 2021 Episode 62 - Cervical Spine Injuries- An Interview with Dr. Jara-Alamonte
EMplify - October 2021Announcements: * The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,* Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net Emergency Dept. Management of Cervical Spine Injuries (https://www.ebmedicine.net/topics/musculoskeletal/cervical-spine)Authors: Geoffrey Jara-Alamonte, MDChandni Pawar, MDEpidemiologyAnatomy (Figure 2 +3)Spinal Cord Injury Injury (Table1)* Primary* SecondaryDifferential DiagnosisPrehospital Care - selective immobilizationED evaluations* History* Physical Exam (Table 6)* Imaging* Vascular Injury - Modified Denver Criteria (table 9)* Treatment* Special PopulationsPediatrics
55 min

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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…