ICU gurus Nick Mohr and Brian Fuller join me to talk about preventing acute lung injury and ARDS in the ED...

A look at the HINTS exam to differentiate central from peripheral causes of vertigo with Dr. David Newman-Toker.

Brian Hiestand joins me via Skype from Wake Forest to discuss his recently published meta-analysis on the diagnosis of acute mesenteric ischemia...

Chris Carpenter sits down with Indi "we named the dog Indiana" Trehan and SueLin Hilbert to talk about pediatric volume resuscitation in the developing world...

This month, the outspoken Chandra Aubin and hold hands and talk about which patients shoulder undergo urgent cardiac cath following cardiac arrest...

Journal Club Podcast #6

This month, Chris Carpenter and I chat about the safety and feasibility of

managing acute pulmonary embolism in the outpatient setting...

Bottom Line: 

According to Rosen’s textbook of emergency medicine, approximately 1 in

every 500 to 1000 (0.1%-0.2%) ED patients have a pulmonary embolism (PE). 

Autopsy data ranges from 0.07% (Silverstein 1998) to 0.2% (Anderson 1991,

Hansson 1997), although experts believe that clinical estimates of PE

incidence underestimate the true value as opposed to autopsy, which often

overestimates the true incidence (White 2003)...

Journal Club Podcast  #5

Chief resident Tim Koboldt sits down with me to talk about low-risk chest

pain, knowledge translation, and breaking down barriers...  

Bottom Line: 

Chest pain remains a common chief complaint among patients presenting to

the Emergency Department, accounting for more than 10 million visits

annually in the US. According to data from the Physician Insurers

Association of America, more than a quarter of all money paid in closed

malpractice claims from 1985 to 2003 involved patients with a chief

complaint of “chest pain.” Given the high risk of malpractice, and

increased morbidity...

Naloxone remains the primary reversal agent in potential opiate overdose, though the optimal route of administration remains in question. We look at the evidence for the utility of intranasal naloxone in acute opiate overdose.

In patients presenting to the emergency department with cardiac arrest, predictors of outcome can assist with triage and decision-making. This months episode looks at the predictive value of cardiac standstill on bedside cardiac ultrasound in predicting futility of resuscitative efforts.

An analysis and discussion of the INTERACT2 trial, recently published in the New England Journal of Medicine, which compares a more intensive blood pressure lowering regimen to standard blood pressure lowering in patients with spontaneous intracerebral hemorrhage.