In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.

Epidemiology

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic studies

• Point of care testing
• Labs
• Imaging

Treatment

• IV fluids, the 2-bag system
• Mild DKA
• Moderate to severe DKA
• Potassium and phosphate supplementation
• Magnesium and calcium
• Sodium bicarbonate
• Hypoglycemia
• HHS
• Monitoring

Complications

• Cerebral edema
• Intubation

Insulin pumps

Disposition

Summary

Highlights

• EBUC - Management of Acute Asthma Exacerbations in Urgent Care
• EMP - Evidence-Based Emergency Department Management of Methamphetamine Toxicity
• PEMP - Trauma Extra - Blunt Thoracic Injuries (coming Nov. 15th)

Check out the clinical pathways at https://www.ebmedicine.net/pathways

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the October 2023 Pediatric Emergency Medicine Practice article, Substance Use in Adolescents: Recognition and Management in the Emergency Department and the October 2023 Emergency Medicine Practice article, Evidence-Based Emergency Department Management of Migraine and Other Primary Headaches

Substance Use In Adolescents

Epidemiology

Risk Factors

Differential Diagnosis

Prehospital Care

ED History and Physical Exam

Urine Drug Screen

Treatment

• Marijuana
• Alcohol
• Methaphetamines
• MDMA
• Cocaine
• Opioids

Disposition

Migraine and Other Primary Headaches

Epidemiology

Cluster Headaches

Medication Overuse Headache

Nerve Blocks

• Greater Occipital
• Sphenopalatine Ganglion

Pregnant Patients

Disposition

Check out the clinical pathway at https://clinicalpathways.ebmedicine.net

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the September 2023 Emergency Medicine Practice article, Emergency Department Management of Patients With Rectal Bleeding

Etiology/pathophysiology

Risk factors

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic studies

• Laboratory testing
• Imaging studies

Treatment

• Transfusion
• Coagulation reversal
• Embolization

Special Populations

• Pediatrics
• Pregnant patients
• Elderly patients

Scoring systems

Disposition

Check out the clinical pathway at https://clinicalpathways.ebmedicine.net

In this episode, Sam Ashoo, MD, and TR Eckler, MD, interview Al Sacchetti, MD, about the August 2023 Emergency Medicine Practice article, Evidence-Based Management of Pulmonary Embolism in the Emergency Department

Etiology/pathophysiology

Risk factors

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic scoring systems

Pregnant patients 

Diagnostic studies

• ECG
• D-Dimer
• Troponin & BNP
• Chest x-ray
• CT 
• V/Q scans
• MRI
• US

Treatment

• IV fluids
• Anticoagulation
• Vasopressors
• Thrombolytics
• Thrombectomy
• ECMO

Disposition

Check out the clinical pathway at https://clinicalpathways.ebmedicine.net

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2023 Emergency Medicine Practice article, Diagnosing and Treating Pericarditis and Myocarditis in the Emergency Department

Epidemiology

Nomenclature

Etiology

Differential diagnosis

Prehospital care

ED history and physical

Diagnostics

• ECG
• Labs
• Imaging (X-ray, CT, US, MRI)

Treatment 

Special populations

• COVID-19
• Athletes
• MIS-C

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations

Epidemiology

Etiology

Differential diagnosis

Prehospital care

History and physical 

Diagnostics

Treatment

• Acute decompensated heart failure
• Acute ischemic stroke
• Acute coronary syndrome
• Intracerebral hemorrhage
• Subarachnoid hemorrhage
• Aortic dissection
• Hypertensive encephalopathy
• Severe pre-eclampsia and eclampsia

Controversies

• Arterial line placement
• Beta blockers and cocaine

Risk management caveats

Summary

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the May 2023 Emergency Medicine Practice article on Emergency Department Management of Gastrointestinal Foreign Body Ingestion

Epidemiology

Etiology - types of ingestions

Anatomy - common locations by age

• Food impaction
• Sharp objects
• Button batteries
• Magnets
• Colorectal foreign bodies

Prehospital care

History and Physical

Imaging

Expectant management

Endoscopic removal

Non-endoscopic techniques

Body Packing

Glucagon

Gastric button batteries

Summary

In this episode, Sam Ashoo, MD, talks with Rob Orman, MD, founder of Orman Physician Coaching, about longevity in emergency medicine.



• Personal foundation 
• Regular check-ins
• Becoming an expert in… 
• Job stress
• Living beneath your means
• Recharging and shift work
• Bad outcomes
• Physician lounge
• Learning to say no
• Set a reminder

More at Orman Physician Coaching 

Announcements: 

The interactive Clinical Pathways have launched and they are available for free! 

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the March 2023 Emergency Medicine Practice article on Emergency Department Management of Infective Endocarditis-Associated Stroke

Epidemiology

Pathophysiology

Populations at Risk

Complications

• Intracranial hemorrhage
• Aneurysms
• Heart block

Prehospital Care

ED History and Examination

Imaging

Antibiotic Therapy

Surgical Treatment

Special Populations

Summary

Announcements: 

The interactive Clinical Pathways have launched and they are available for free! 

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In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department

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History

Point-of-care testing

I/O lines

Presentation, differential, and treatment of:

• Hyponatremia
• Hypernatremia
• Hypokalemia
• Hyperkalemia
• Hypocalcemia
• Hypercalcemia
• Hypomagnesemia
• Hypophosphatemia