TheCase.Report - An Irish Emergency Medicine Podcast

From the seatbelt sign and it’s association with intra-abdominal pathology to the “Hateful Eight” to the electrolyte breakdown in red cells, Callum, Eoghan and our AITR Dr Sean Croughan are doing a deep dive of managing the unstable trauma patient in this month's episode of thecase.report. Oh, and don't forget about distracting injuries!

Following on from our second South African Special Episode last month, we’re back in Ireland in a rural ED. Eoghan, the only Reg working in ED this evening gets a pre-alert about a female involved in a single vehicle road traffic collision. Follow the case from zero-point survey to a detailed debrief with the show notes online.

As always, don’t forget to follow us on socials on instagram, twitter and facebook to keep updated with all things TCR. Right then, let’s get to it!

Improvisation is the buzz word in this thrilling second bonus episode centred on South Africa (you can find the first here). We were delighted to sit down with TCR veteran Dr Jimmy Lee, Consultant in Emergency Medicine in University Hospital Galway. With a passion for Global Health & Humanitarian Medicine, Dr Lee recalls his unforgettable experience completing his Trauma and Resuscitation fellowship in Chris Hani Baragwanath Hospital in Soweto, South Africa.

In our first bonus of the season, Leah sits down with Dr Jamie Kearns and peppers him with questions. Can he withstand the onslaught?

Jamie is a Consultant in Sports and Exercise Medicine at UPMC Sports Surgery Clinic and Head of Medical at Munster Rugby. He was awarded FFSEM (Irl) in 2017 and was elected to the Board of the FSEM in 2018.

Welcome back to a brand new season of TheCase.Report!  As we continue to grow into our fourth season, so too does our team - a big welcome to our many new members who are taking TCR to new heights. The team have been working all throughout our summer hiatus to deliver what promises to be an incredibly exciting season 4!  

Many thanks as always to IAEM who make this podcast possible - at our heart, we are a community of learning and it is humbling to see how the podcast has evolved over time. But enough of the soppiness, we’re starting the season as we mean to go on -  with a bang.  Literally.  

We’re kick starting this new Case.Report marathon with the golden triad - Leah, Liam and Carl.... oh and also swimming, cycling and running. It’s triathlon time! Treating you to a trio of interesting cases, increasingly relevant to EM, we’re delving into some presentations to watch out for, how to manage them and tips to keep your patients off the bench.

Coaching us through it we have our Adult in the Room, Patrick Martin. Paddy is one of our amazing Emergency Advanced Nurse Practitioners and we are very lucky to have us join us this month. Don’t forget to download the incredible infographics that accompany the show notes made by our fantastic new junior producers!

Leah sat down with Professor Seamus Morris, Consultant Orthopaedic and Spinal Trauma surgeon at the National Spinal Injuries Unit as a follow up to our case. They go through all things cervical spinal collars, MRIs, ASIA scores and discuss the development of the trauma system for Ireland.

Prof Morris is a specialist in spinal trauma surgery and after finishing his orthopaedic specialty training in RCSI, travelled to London and New York for fellowships. He is course director on a number of widely accredited trauma training courses including the European Trauma Course and is Clinical Professor of Surgery in UCD.

Don't miss this as Leah put's the controversies to Prof Morris and gets some well needed answers.

We’re back with some more spinal trauma for you. Orla re-joins us this month along with Liam and Marike to discuss an unusual case of spinal injury in the ED today. It’s one not to miss.

We then catch up with Dr. Deirdre Glynn, Consultant in Emergency Medicine at St. James’s Hospital and trauma and POCUS enthusiast to discuss spinal cord syndromes and their management in the Emergency Department settings including the all important secondary prevention.

Our very own Callum Swift is in South Africa gaining some valuable out of programme experience, and has put together this excellent episode over there with some excellent EM colleagues.

For the case, Callum is joined by Dr Heounohu Hessou. Their work is looked over by the Adult in the Room, Dr Martin de Man.

Callum is then joined by Dr Katya Evans, who discusses palliative care in EM.

Let's get to it!

Carl sat down this month with Dr Siobhan Statuta, an incredible Sports Medicine Primary Care specialist based in the University of Virginia. She started her career working as a surgical technologist for an orthopaedic practice that specialises in sports injuries. She undertook her residency in Family Medicine and continued on to complete a fellowship in Sports Medicine and Faculty Development. She has multiple publications in the world of female athletic medicine and concussion.

Dr Statuta has taken time out from her work touring with the US women's development football team to join us on TheCase.Report to discuss all things RED-S and female athlete health.

Check out the poll below on Spotify and let us know what you think of our new split episodes and whether the lengths work for you! We want to tailor more content to make it better for you.

As always, if you liked the episode, be sure to subscribe and drop us a rating on Spotify, Apple Podcasts or wherever you get your podcasts.

We’ve something new! Leah is entering the world of Sports and Exercise Medicine with Dr Carl Byrne, Emergency Medicine SpR and sports med fanatic. Aoife joins them from behind the scenes of TCR to discuss all things concussion.

Professor John Ryan, Head of Medicine in Leinster Rugby and Consultant in Emergency Medicine in St. Vincent’s University Hospital is our Adult in the Room this month and helps us along our way.

On balance, we’ve decided to start splitting our cases to give you even more content to look forward to throughout the month. Our bonus Sports Medicine segment will be released in two weeks time so don’t worry, you can have even more TCR to listen to.

AND… We’re introducing some fun new show notes which can be used as infographics and posters for teaching cases within your department. Catch the start of them on our website https://thecase.report and watch our Twitter space where we will start to release ones for old cases.

Mohammed is joined by Karl and Stephen who have got an intoxicating case from the paeds ED for you this month!

Our Adult in the Room Dr Eleanor Ryan isn't far off and is at hand to help with this sticky case.

Karl also sat down with Dr Gergana Semova to chat about how to manage the scariest of all patients... the neonate!

Be sure to head over to IPEM.ie to check out the exciting upcoming conference.

Right, let's get to it!