In anticipation of Episode 20 on Atrial Fibrillation, we present here, Dr. Clare Atzema’s Best Case Ever related to Afib.

Read the full details of this episode »

In anticipation of Episode 18, ‘Emergency Ultrasound – Pearls, Pitfalls & Controversies’ with Dr. Greg Hall, Dr. Jordan Chenkin, Dr. Paul Hannam and Dr. Jason Fischer, we present here, the sixth of our ‘Best Case Ever’ series.

In the upcoming episode we review the basic criteria for commonly used, practical Emergency Ultrasound (eUS) indications at the bedside and then dive into heated debate about specific pearls and pitfalls in eUS assessment of the patient with undifferentiated shortness of breath, undifferentiated shock, cardiac arrest and swollen leg. We discuss how best to interpret the massive body of literature for eUS and when we can hang our hats on our eUS findings.

In anticipation of Episode 16, ‘Hot Joints – What to Do’ with Dr. Joel Yaphe and Dr. Indy Ghosh, we present here, the fifth of our ‘Best Case Ever’ series.

In Episode 16: ‘Hot Joints – What to Do’ Dr. Yaphe and Dr. Ghosh discuss such questions as: What are the most important risk factors for septic arthritis? What are the most predictive signs and symptoms of septic arthritis? How does serum WBC, ESR and CRP contribute to the probability of septic arthritis? Should we still be performing arthrocenteses on patient’s with overlying cellulitis? with an INR of 6? How can you tell the difference between septic bursitis and septic arthritis and how are they managed differently? What does the literature tell us about how useful the synovial fluid tests are in ruling in or ruling out septic arthritis? What is the role of bedside ultrasound in septic arthritis? Is there a role for steroid therapy in septic arthritis? When would you consider oral NSAIDs vs oral prednisone vs intra-articular methylprednisolone for the treatment of Gout? Is there a role for colchicine in the ED treatment of Gout? What is acute calcific arthritis of hydroxyapatite disease and why is it important for ED docs to know about? What is the most common cause of dermatitis-arthritis? How can one distinguish Reactive Arthritis from Septic Arthritis clinically, and how do their work-ups differ? Is there a role for antibiotics in Reactive Arthritis? How does gonococcal arthritis present compared with non-gonococcal septic arthritis? and many more…..

In anticipation of Episode 15, ‘Acute Coronary Syndromes’ with Dr. Eric Letovsky,  Dr. Mark Mensour and Dr. Neil Fam, we present here, Dr. Helman’s ‘Best Case Ever’ of an ACS patient.

In Episode 15: ‘Acute Coronary Syndromes’, Drs. Fam, Mensour , Letovsky and Helman discuss questions like: How does a recent negative stress test or angiogram effect the pre-test probability of ACS in the ED? What does recent evidence tell us about the assumption that patients presenting with chest pain and a presumed new LBBB will rule in for MI and require reperfusion therapy? How will the new ultra-sensitive Troponins change our practice? When, if ever, should we be using IV B-blockers in AMI patients in the ED? How can we predict, in the ED, who might go on to have an urgent CABG, in which case Clopidogrel is contra-indicated? How should we choose between UFH, LMWH or Fondaparinux for unstable angina, NSTEMI and STEMI? In what situations is thrombolysis better than PCI for STEMI? Which low risk chest pain patients require an early stress test? CT coronary angiography? and many many more……

In association with Episode 14, ‘Headache Pearls & Pitfalls’ with Dr. Anil Chopra and Dr. Stella Yiu, we present here, the third of our new 5 minute ‘Best Case Ever’ series.

In Episode 14: Headache Pearls & Pitfalls, which has just been released, Dr. Chopra and Dr. Yiu answer questions like: With the ever improving resolution of CT, should we still be doing LP after negative plain CT head for all our thunderclap headache patients? How can we best minimize the chance of post-LP headache? What evidenced-based treatments can we initiate in the ED for our SAH patients that will improve outcomes? What are the best evidenced-based medications for migraine in the ED? What is the evidence for chiropractic neck manipulation as a cause for Cervical Artery Dissection? How do antiplatelets compare to heparin for the treatment of Cervical Artery Dissection? What is Spontaneous Intracranial Hypotension? What is the differential diagnosis for headache in the peri-partum patient? Does D-dimer have a role in ruling out Cerebral Venous Thrombosis in the low risk patient? and many many more……

In anticipation of Episode 13, ‘Killer Coma Cases’ with Dr. Brian Steinhart and Dr. David Carr, we present here, the second of our new 5 minute ‘Best Case Ever’ series.

Dr. Steinhart’s “found down” coma patient.

In Episode 13: Killer Coma Cases, Dr. Helman presents 4 challenging cases of patients who present with altered mental status to Dr. Carr and Dr. Steinhart, who give us loads of key pearls and intriguing controversy in the evaluation and treatment of these difficult patients.