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

• Introduction
• Understanding Suicidal Ideation and Self Harm in Youths
• Screening Tools and Approaches
• Ask Suicide-Screening Questions (ASQ) Toolkit
• Columbia Suicide Severity Rating Scale (C-SSRS)
• Prehospital Care
• Managing Patients in the ED
• Dealing with Challenging Populations
• Lethal Means Counseling
• Emerging Tools in Suicide Risk Identification
• Suicide Risk Screening Pathway
• Disposition and Referrals
• National 988 Suicide & Crisis Lifeline 

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

• 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

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

Prevalence and Impact

Understanding the Causes

Medications That Can Cause Constipation

Dealing with Fecal Impaction

Understanding Stercoral Colitis

Pre-Hospital Care

ED History and Physical Exam

Diagnostic Studies and Imaging

• X-Ray
• CT Scans
• Advanced Testing

Treatment Options for Constipation

• Enemas
• Osmotic Laxatives and Stool Softeners

Special Considerations: Pregnant, Pediatric, and Hospice Patients

Prescription Medications for Constipation

Clinical Pathway for Constipation Management

In this episode, Sam Ashoo, MD interviews Paul Aronson, MD, MHS, one of the authors of the February 2024 Pediatric Emergency Medicine Practice article, Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency Department

Guideline Changes

Pathophysiology

Etiology and Definitions

Prehospital Care

ED History and Physical

• Diagnostic StudiesAge 0-21 Days
• Age 22-28 Days
• Age 29-60 Days

Lumbar Puncture

Viral Testing

Urinalysis

Shared Decision Making

Disposition

In this episode, Sam Ashoo, MD, and T.R. Eckler MD interview Nick Harrison, MD and Daniel Brenner, MD, two of the authors of the February 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Right Heart Failure

• Pathophysiology
• Presenting Symptoms
• Differential Diagnosis
• Specific Acute Causes
• PE
• Sepsis
• RVMI
• PPV
• ARDS
• COVID-19
• Specific Chronic Causes
• CTEPH
• Left Heart Failure
• Congenital Heart Disease
• LVAD
• Lung Disease Group 3 Pulmonary Hypertension
• Pulmonary Arterial Hypertension
• Prehospital Care
• ED history and Physical
• Biomarkers
• ECG (table 5)
• Imaging
• Echo
• CT
• MRI
• Treatment
• Revascularization
• Respiratory Support
• Vasopressors and Inotropes

In this episode, Sam Ashoo, MD, interviews Vasisht Srinivasan, MD, FACEP one of the authors of the December 2023 Emergency Medicine Practice EXTRA article, Emergency Department Management of Stroke in Pregnant and Postpartum Patients



• Epidemiology
• Evidence
• Causes
• Risk Factors
• Differential Diagnosis
• Prehospital Care
• ED History and Physical Exam
• Labs
• Imaging
• ED BP Management
• Specific Ischemic Stroke Therapies
• Specific Hemorrhagic Stroke Therapies

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2024 Pediatric Emergency Medicine Practice article, Management of Pediatric Urinary Tract Infections in the Emergency Department, and the January 2024 Evidence Based Urgent Care article on Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Urgent Care Setting.

Epidemiology and Nomenclature

Prehospital Care

ED History and Physical Exam

• Infants Age <2 Months
• Children Age 2 Months to 2 Years
• Children >2 Years
• Adolescents

Urinalysis

• Clean Catch Protocol
• Catheterization
• Suprapubic Aspiration

Blood Cultures and CSF

Biomarkers (CRP and ESR)

Treatment

Distinguishing Viral vs Bacterial Pneumonia

Imaging

Antibiotic Treatment

Vaccination

Steroids

Atypical Presentations

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

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2023 Pediatric Emergency Medicine Practice article, Management of Pediatric Toxic Ingestions in the Emergency Department.

Epidemiology

Prehospital Care

ED History and Physical Exam

Diagnostic Studies

• Labs
• EKG
• Imaging
• Urine Toxicology Testing

Treatment

• Hemodialysis
• Activated Charcoal
• Whole Bowel Irrigation
• Gastric Lavage
• Ipecac

Drug Specific Therapies

• Acetaminophen
• Alcohols
• Anticholinergics
• Beta Blockers
• Calcium Channel Blockers
• Cholinergic Agents
• Digoxin
• Iron
• Opioids
• Salicylates
• Sedative Hypnotics
• Sulfonylureas
• Laundry Pods

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

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