Emergency Medicine Cases http://www.emergencymedicinecases.com The CME Audio Program Where the Experts Keep You In the Know Fri, 03 Feb 2012 04:00:05 +0000 http://wordpress.org/?v=2.9.2 en hourly 1 The free Podcast portion of the CME audio program where the experts keep you in the know. Go to www.emergencymedicinecases.com for the full subscription version and to access the complete audio library. Emergency Medicine Cases (EMC) is Canada’s premier educational website dedicated to keeping staff physicians and emergency medicine residents up to date on the most current topics in emergency medicine. In ten episodes each year we present cases to two of Canada’s leading experts in emergency medicine, and discuss clinical pearls, important management issues and current clinical literature around the cases. We highlight key practical learning points that you can use in your every day practice. The discussions are skillfully edited so that the monthly program that is available for immediate listening or for download to your computer, handheld or ipod, is packed with relevant information. Learning with case examples has proven to be a very effective method of building one’s knowledge base of medicine. The cases you will hear on this program have been specifically designed to enhance learning. Emergency Medicine Cases no Emergency Medicine Cases garron@emergencymedicinecases.com garron@emergencymedicinecases.com (Emergency Medicine Cases) The free Podcast portion of the CME audio program where the experts keep you in the know. Go to www.emergencymedicinecases.com for the full subscription version and to access the complete audio library cme, emergency medicine, medical education, medicine Emergency Medicine Cases http://www.emergencymedicinecases.com/wp-content/plugins/powerpress/rss_default.jpg http://www.emergencymedicinecases.com Best Case Ever 7: Clare Atzema on Afib http://www.emergencymedicinecases.com/2012/02/02/best-case-ever-7-clare-atzema-on-afib/ http://www.emergencymedicinecases.com/2012/02/02/best-case-ever-7-clare-atzema-on-afib/#comments Fri, 03 Feb 2012 02:24:57 +0000 ahelman http://www.emergencymedicinecases.com/?p=1008

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

In the upcoming Episode 20 on Afib, Drs. Nazanin Meshkat, Clare Atzema and BryanAu answer such questions as: What factors should you take into account when deciding whether to use rate control or rhythm control? How is Aflutter treated differently to Afib in the ED? When should Troponins be ordered for our patients in Afib? What are the indications for admission for Afib and who can be safely sent home? How does the CHADS-VASc score compare to the CHADS2 score for determining who needs anticoagulation for stroke prevention? In which patients is electrical cardioversion contra-indicated? What is the best anti-arrhythmic medication for WPW in the setting of Afib? Why should you consider using an initial energy level of 200J biphasic for all your patients with Afib or Aflutter for electrical cardioversion despite the ACLS guidelines suggesting lower levels? and many many more……

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]]> http://www.emergencymedicinecases.com/2012/02/02/best-case-ever-7-clare-atzema-on-afib/feed/ 0 Best Case Ever 7: Dr. Clare Aztema on Afib http://www.emergencymedicinecases.com/2012/02/02/best-case-ever-7-dr-clare-aztema-on-afib/ http://www.emergencymedicinecases.com/2012/02/02/best-case-ever-7-dr-clare-aztema-on-afib/#comments Thu, 02 Feb 2012 15:19:16 +0000 ahelman http://www.emergencymedicinecases.com/?p=988 In anticipation of Episode 20 on Atrial Fibrillation, we present here, Dr. Clare Atzema’s Best Case Ever related to Afib.

In the upcoming Episode 20 on Afib, Drs. Nazanin Meshkat, Clare Atzema and BryanAu answer such questions as: What factors should you take into account when deciding whether to use rate control or rhythm control? How is Aflutter treated differently to Afib in the ED? When should Troponins be ordered for our patients in Afib? What are the indications for admission for Afib and who can be safely sent home? How does the CHADS-VASc score compare to the CHADS2 score for determining who needs anticoagulation for stroke prevention? In which patients is electrical cardioversion contra-indicated? What is the best anti-arrhythmic medication for WPW in the setting of Afib? Why should you consider using an initial energy level of 200J biphasic for all your patients with Afib or Aflutter for electrical cardioversion despite the ACLS guidelines suggesting lower levels? and many many more……

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]]> http://www.emergencymedicinecases.com/2012/02/02/best-case-ever-7-dr-clare-aztema-on-afib/feed/ 0 Whistler Annual Update in Emergency Medicine Conference http://www.emergencymedicinecases.com/2012/01/31/whistler-annual-update-in-emergency-medicine-conference/ http://www.emergencymedicinecases.com/2012/01/31/whistler-annual-update-in-emergency-medicine-conference/#comments Tue, 31 Jan 2012 14:31:30 +0000 ahelman http://www.emergencymedicinecases.com/?p=936 Still open for registration! February 19th-22nd, 2012. This will be the 25th anniversary of one of the best EM conferences in Canada, put on by The University of Toronto, with some of the best skiing in the world! This year, EM Cases guest experts Eric Letovsky, Joel Yaphe, David Carr, Shirley Lee, Paul Hannam, Anna Jarvis, Anil Chopra & Dave Mackinnon, as well as our EM Cases host Anton Helman will all be there giving talks. Go to www.sites.cepdtoronto.ca/whistler for more information.

]]> http://www.emergencymedicinecases.com/2012/01/31/whistler-annual-update-in-emergency-medicine-conference/feed/ 0 Episode 19 Part 2: Pediatric Gastro & Acute Abdomen http://www.emergencymedicinecases.com/2012/01/06/episode-19-part-2-pediatric-gastro-acute-abdomen/ http://www.emergencymedicinecases.com/2012/01/06/episode-19-part-2-pediatric-gastro-acute-abdomen/#comments Sat, 07 Jan 2012 01:04:26 +0000 ahelman http://www.emergencymedicinecases.com/?p=960 In Part 2 of this Episode Dr. Anna Jarvis, Canada’s “mother of pediatric emergency medicine” and  Dr. Stephen Freedman, one of Canada’s pre-eminent researchers in pediatric GI emergencies, discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastro mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of bowel obstruction in pediatrics follows, inlcuding intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed.

Drs Jarvis and Freedman answer such questions as: Does Ondansetron mask serious illness? Should we be sending home children with scripts for Ondansetron? What are the contra-indications to Ondansetron? What is the role of anti-diarrhea medications like probiotics in the pediatrics? How good are we at clinically assessing hydration status in children? What is any easy way to remember oral rehydration doses? Which, if any, lab tests are indicated for children with gastroentritis and why? When should we suspect Hemolytic Uremic Syndrome in a child with diarrhea? What is the value of Abdominal X-rays in pediatrics? What are the clinical pearls that can help us diagnose intussusception in a timely manner before gut ischemia sets in? Which is better to diagnose intussusception – ultrasound or enema? In what situations can should children with intussusception go directly to surgery without a barium or air enema? What is the best medication for treatment of pediatric constipation? and many many more…….

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]]> http://www.emergencymedicinecases.com/2012/01/06/episode-19-part-2-pediatric-gastro-acute-abdomen/feed/ 0 Episode 19 Part 1: Pediatric Abdominal Pain & Appendicitis http://www.emergencymedicinecases.com/2011/12/08/episode-19-part-1-pediatric-abdominal-pain-pearls-pitfalls/ http://www.emergencymedicinecases.com/2011/12/08/episode-19-part-1-pediatric-abdominal-pain-pearls-pitfalls/#comments Thu, 08 Dec 2011 18:32:51 +0000 ahelman http://www.emergencymedicinecases.com/?p=946 In Part 1 of this Episode, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the nuances of the history, physical and work up of abdominal pain in children and key pearls on how to distinguish serious surgical causes from the very common diagnosis of gastroenteritis.  An in-depth discussion on the pearls of the history, physical exam, lab tests, imaging, analgesics and antibiotics in pediatric appendicitis follows.

Dr. Jarivs and Dr. Freedman answer such questions as: What is the value of a urinalysis in kids with abdominal pain? What is the next step in the work-up of pediatric appendicitis when an ultrasound is ‘equivocal’? How can we optimize the accuracy of ultrasound in kids? Should we be using contrast when ordering a CT to rule out appendicitis? What is the value of inflammatory markers in the work-up of appendicitis? Which kids with appendicitis require antibiotics in the ED? Which kids with appendicitis do not require surgery? What are the most useful tips and tricks to use during your history and physical exam to maximize your diagnostic yield? and many many more……

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]]> http://www.emergencymedicinecases.com/2011/12/08/episode-19-part-1-pediatric-abdominal-pain-pearls-pitfalls/feed/ 0 Episode 18 Part 2: More Emergency Ultrasound Pearls, Pitfalls & Controversies http://www.emergencymedicinecases.com/2011/11/08/episode-18-part-2-more-emergency-ultrasound-pearls-pitfalls-controversies/ http://www.emergencymedicinecases.com/2011/11/08/episode-18-part-2-more-emergency-ultrasound-pearls-pitfalls-controversies/#comments Tue, 08 Nov 2011 15:25:25 +0000 ahelman http://www.emergencymedicinecases.com/?p=915 In Part 2 of this Episode Dr. Fischer, Dr. Hannam, Dr. Chenkin & Dr. Hall discuss how eUS can help our decision-making in the pediatric patient with a limp, in the patient with necrotizing fasciitis, in the pregnant patient with vaginal bleeding and in the common and challenging elderly patient with undifferentiated abdominal pain. They cover eUS indications from urinary retention to appendicitis and debate the utility of these indications. This is followed by a debate on how best to educate ourselves and the EM community in eUS and how best to designs quality assurance programs so that eUS becomes an accepted tool across the entire medical community.

Our panel of eUS experts answer questions such as: How does emergency ultrasound compare to X-ray to identify soft-tissue foreign bodies? How does the accuracy of  emergency ultrasound compared to radiology department ultrasound for cholycystitis? Can emergency ultrasound help us in the the paitient with suspected appendicitis? Can emergency ultrasound replace foley catheterization to assess for urinary retention in the patient with suspected cauda equina syndrome? What are the common pitfalls of the FAST exam and the AAA ultrasound exam? and many many more…..

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