EMplify by EB Medicine

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

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