Emergency Medicine Cases

EM Quick Hits 71 EMC²: Fever Without a Source, Coaching the EM Mind Part 1, Traumatic Pneumothorax Part 2, PECARN C-spine Rule, Medetomidine Withdrawal, EMS Handover

In this month's EM Quick Hits Podcast we introduce not one, but two new series! First, "EMC²" - EM Cases Cases (we know, horrible name ;) where Anton or Katie discuss a knowledge building case with a special guest. And second, "Coaching the EM Mind" with Dr. Sara Gray a professional coach for EM providers, where Katie discusses with her the science and best expert advice on how to perform your best in the ED. Plus, a withdrawal syndrome that is new EDs, life-threatening and requires specific treatment - metetomadine withdrawal, EMS handover done right, why community ED docs should not use the PECARN C-spine Rule and Part 2 of Petro's tips on management of traumatic pneumothorax... Please consider a donation to ensure EM Cases continues to be Free Open Access here: https://emergencymedicinecases.com/donation/

By Anton Helman|2026-03-10T16:01:06-04:00March 10th, 2026|Categories: EM Quick Hits, Emergency Medicine, Medical Specialty, Pediatrics, Toxicology, Trauma, Wellness|Tags: c-spine rule, chest tube, fever without a source, handover, medetomidine, PECARN|0 Comments

Ep 158 Management of Primary Spontaneous Pneumothorax

In this main episode podcast we discuss the conservative management of large spontaneous pneumothorax, when a pigtail chest tube with Heimlich valve is indicated, detection of persistent air leak, removal of chest tube, surgical indications for spontaneous pneumothorax, management pitfalls and more...

By Anton Helman|2022-10-29T17:47:37-04:00July 27th, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology, Ultrasound|Tags: air leak, chest tube, Heimlich valve, needle aspiration, pigtail catheter, thoracentesis|5 Comments

BCE 81 Tension Hydrothorax

Tension hydrothorax is a massive pleural effusion presenting with hemodynamic abnormalities secondary to mediastinal compression. Dr. Allan Shefrin tells his Best Case Ever of a child who presents in shock and discusses the causes of tension hydrothorax, indications for tube thoracostomy for hydrothorax and integration of POCUS into pediatric resuscitation.

By Tanishq Suryanvanshi|2023-05-14T17:38:50-04:00March 10th, 2020|Categories: Best Case Ever, EM Cases, Emergency Medicine, Medical Specialty, Respirology, Ultrasound|Tags: chest tube, hydrothorax, pediatric POCUS, pediatric shock, pleural effusion, tube thoracostomy|0 Comments

Crit Cases 14 Bronchopleural Fistula Management

Dr. Mike Misch guides us through this part 2 of a blunt chest trauma case with a presumed bronchopulmonary fistula requiring 3 chest tubes and describes options to optimize one-lung ventilation for safe transport...

By Anton Helman|2020-01-28T14:30:58-05:00January 28th, 2020|Categories: CritCases, EM Cases, Emergency Medicine, Medical Specialty, Respirology, Resuscitation, Trauma|Tags: blunt chest trauma, bonchopleural fistula, bronchial blocker, chest tube, DOPERS, double lumen ETT, one lung ventilation|2 Comments