Case Files: CPC Edition

Seed Global Health

Welcome to the CPC Emergency Medicine podcast, where we go beyond the diagnosis. Each episode, we revisit and dissect complex cases previously presented in our (CPC) EM case discussion series. Listen in as we break down real cases, compare Global vs. Local management strategies, and provide specific, actionable recommendations for practicing emergency medicine anywhere in the world. Hosted by Dr. Daniel Olinga and Dr. Emmanuel David Okumu

Episodes

  1. ARDS in Trauma

    5 MAR

    ARDS in Trauma

    In this episode, we tackle this exact nightmare scenario, breaking down a recent CPC case of a polytrauma patient who develops ARDS. Join your hosts Dr Daniel Olinga and Dr Emmanuel David Okumu, along with special guests Dr. Ambrose Okello and Dr. Umar Rashid, as we explore the critical, real-world decisions made when the textbook meets reality. We discuss: The Case: A rapid recap of the 48-year-old male patient, day 5 post-RTA with rib, femur, and mandible fractures, and his sudden respiratory decompensation.Defining ARDS Without Resources: Why the classic Berlin Definition fails us and how the Kigali Modification (using SpO2/FiO2 ratios and POCUS) allows for a clinical diagnosis of ARDS without a ventilator or ABG.The Management DilemmaGlobal vs. Local RealityVentilation: Low Tidal Volume ventilation in the West vs. Awake Proning on High Flow Nasal Cannula (HFNC) in Uganda.Monitoring: Daily CT scans vs. Lung POCUS to instantly differentiate edema from pneumothorax.The Silent Killers: Why DVT prophylaxis is critical, why Tramadol isn't enough for pain, and the often-overlooked reality of nutrition—how a mandible fracture can lead to death from hypoglycemia if an NG tube isn't placed and the family isn't educated on liquid feeds. Tune in to learn how to treat ARDS with what you have: Oxygen, positioning, ultrasound, and a pragmatic approach. Disclaimer: For Educational Purposes only, refer to guidelines for definitive management Show Notes & Resources: · Watch the Full Case Video: https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V · The Kigali Modification: Riviello et al. (2016) - Diagnosing ARDS without ABGs or Ventilators. · ARISE-AFRICA Protocol: Recent trials on CPAP/HFNC in African settings.

    40 min

About

Welcome to the CPC Emergency Medicine podcast, where we go beyond the diagnosis. Each episode, we revisit and dissect complex cases previously presented in our (CPC) EM case discussion series. Listen in as we break down real cases, compare Global vs. Local management strategies, and provide specific, actionable recommendations for practicing emergency medicine anywhere in the world. Hosted by Dr. Daniel Olinga and Dr. Emmanuel David Okumu