Emergency Medicine Cases

Dr. Anton Helman
Emergency Medicine Cases

In-depth round table discussions with North America's brightest minds in Emergency Medicine on practical practice-changing EM topics since 2010, plus our EM Quick Hit series for a variety of short EM knowledge nuggets, and our Journal Jam series for EBM deep dives. World class Free Open Access Medical Education (FOAMed). For archived podcast episodes, show notes, quizzes, videos, discussions and an entire EM learning system, visit emergencymedicinecases.com. For donations, please visit https://emergencymedicinecases.com/donation/

  1. APR 1

    Ep 203 Intermediate Risk Pulmonary Embolism Risk Stratification, Management and Algorithm

    A 30-year-old woman rolls into your resuscitation bay looking very dyspneic on a non-rebreather, clammy with a heart rate of 135 bpm. She takes oral contraceptives, has had a sudden syncopal episode, and now lies in the stretcher struggling. Her blood pressure is 100/60 and she is hypothermic with a temp of 35.7°C. Her ECG and PoCUS suggest right heart strain. CTPA confirms a saddle pulmonary embolism (PE). But she’s not hypotensive… yet. So, what’s next? How do you predict which intermediate-risk patients will suddenly deteriorate? What role do biomarkers, imaging, and hemodynamics play in decision-making? Should she receive anticoagulation alone, or is thrombolysis warranted? When should you consider catheter-directed or surgical interventions? This case focuses us to think critically about risk stratification and early interventions in PE. Not all patients fit neatly into classification boxes, making clinical judgment crucial. Join Dr. Lauren Westafer, Dr. Justin Morgenstern, Dr. Bourke Tillman and Anton as they explore the key decision points, pitfalls, and lifesaving strategies for managing intermediate-risk PE in the ED... Podcast production, sound design & editing by Anton Helman; Voice editing by Braedon Paul Written Summary and blog post by Sara Brade, edited by Anton Helman April, 2025 Cite this podcast as: Helman, A. Morgenstern, J. Tillmann, B. Westafer, L. Intermediate Risk Pulmonary Embolism Risk Stratification, Management and Algorithm. Emergency Medicine Cases. Month, 2024. https://emergencymedicinecases.com/intermediate-risk-pulmonary-embolism-risk-stratification-management. Accessed April 12, 2025 Résumés EM CasesPulmonary embolism risk categories PE severity exists on a spectrum, ranging from low-risk cases to cardiac arrest. Patients who fall in the intermediate-risk category are particularly challenging because they represent a heterogenous group with varying degrees of severity and risk for clinical deterioration. The European Society of Cardiology (ESC) classifies PE severity into four categories: Low-risk patients do not require oxygen, show no signs of RV dysfunction, and have normal biomarkers. Intermediate-low risk patients have either elevated biomarkers OR RV dysfunction but not both. Intermediate-high risk patients exhibit both elevated biomarkers AND RV dysfunction. High-risk patients have prolonged hypotension (systolic BP 90 mmHg for at least 15 minutes), require pressor support, or cardiac arrest. Source: https://doi.org/10.1161/CIRCINTERVENTIONS.116.00434 Mortality for intermediate-risk PE patients has been reported as high as 15% within the first 30 days. The challenge in the ED is identifying and treating those at the highest risk of deterioration before they progress to hemodynamic instability. The pulmonary embolism death spiral: understanding how patients decompensates helps risk stratify them In cases of clinically significant high risk and intermediate high risk pulmonary embolism, the clot is thought to increase pulmonary vascular resistance, forcing the right ventricle (RV) to work harder to pump blood forward. Since the RV is not structurally designed to handle increased afterload, it begins to dilate. This dilation leads to a vicious cycle where the RV's myocardial perfusion is compromised, further reducing its contractility. As the obstruction worsens, blood return to the left ventricle (LV) is diminished, reducing cardiac output. The dilated RV also physically compresses the LV, worsening cardiac output even further. Additionally, hypoxia from pulmonary vasoconstriction exacerbates myocardial is...

    1h 36m
  2. MAR 11

    EM Quick Hits 63 S-TEC and HUS, IM Epinephrine in OHCA, Dengue, Geriatric Trauma Imaging, TTP

    Topics in this EM Quick Hits podcast Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome (1:06) Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiac arrest (27:04) Matthew McArther on recognition and ED management of dengue fever (33:56) Andrew Petrosoniak on imaging decision making in trauma in older patients (47:20) Brit Long & Michael Gotlieb on recognition and management of TTP (59:10) Podcast production, editing and sound design by Anton Helman Podcast content, written summary & blog post by Brandon Ng, edited by Anton Helman, March, 2025 Cite this podcast as: Helman, A. Freedman, S. Morgenstern, J. McArther, M. Petrosoniak, A. Long, B. Gotlieb, M. EM Quick Hits 63 - S-TEC and HUS, IM Epinephrine in OHCA, Dengue, Geriatric Trauma Imaging, TTP. Emergency Medicine Cases. March, 2025. https://emergencymedicinecases.com/em-quick-hits-march-2025/. Accessed April 12, 2025. Pediatric bloody diarrhea: Shiga Toxin Producing E. Coli (S-TEC) and HUS Consider obtaining a stool specimen or rectal swab in the ED for PCR testing (not culture) to detect S-TEC, Salmonella, Shigella, and Campylobacter. Which children with bloody diarrhea require bloodwork? Most children with blood in stool do not require blood work. Indications for bloodwork include: * Hemodynamic instability * S-TEC is high on your differential (bloodwork may be useful as baseline) * Recent travel with bloody diarrhea and fever * Close contact with S-TEC cases (~10% household transmission rate) When to suspect S-TEC? * Severe crampy abdominal pain * >15-20 small frequent, mucousy, bloody stools per day * Low grade fever * Signs of microangiopathy (e.g. petechiae, jaundice) * Endemic area Children generally do not require stool O&P for acute diarrhea but should be considered for chronic abdominal pain, chronic diarrhea, or failure to thrive. When to test for C.difficile? There is a high carriage rate of C. diff (up to ~50% in children under 2 years old). Consider C. diff testing only in children with risk factors such as recent antibiotic use or hospitalization, or as a second line test on follow up if bloody diarrhea persists that is not noted to be from another bacterial etiology. Why is it important to recognize S-TEC? A complication of S-TEC infection is Hemolytic Uremic Syndrome (HUS), caused by Shiga toxin accumulation in the kidney which leads to the HUS triad: acute kidney injury, hemolysis, and thrombocytopenia. * Shiga toxin 2 (STX2) is specifically associated with a 15-20% risk of HUS in children 10 days = low risk of HUS * Determining if toxin result is STX2+ (high risk) How to manage high risk patients with confirmed S-TEC? * Manage dehydration aggressively (volume depletion is associated with adverse outcomes in H...

    1h 7m
  3. FEB 18

    Ep 202 Eating Disorders: Common, Commonly Missed, Mismanaged and Misunderstood

    Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients don’t always fit the stereotype—many appear “healthy", have normal BMIs, and/or present with vague GI, cardiac, or neurological symptoms. Missing the diagnosis has important consequences. The earlier an eating disorder is identified and the earlier that appropriate treatment is initiated the better the long term outcomes. In this episode, with the expertise of Dr. Samantha Martin and Dr. Jennifer Tomlin, we’ll break down the essential clinical clues, screening questions, red flags, and subtle exam findings that can help Emergency Physicians diagnose eating disorders early and initiate treatment to decrease mortality and long term morbidity in these young patients. Eating disorders need to be thought of as both a psychiatric condition and medical condition to optimize the pick up rate and appropriate management. Missing or mismanaging eating disorders in the ED means missing an opportunity to save a life and prevent long term morbidity... Podcast production, sound design & editing by Anton Helman; Voice editing by Braedon Paul Written Summary and blog post by Anton Helman February, 2025 Cite this podcast as: Helman, A. Tomlin, J. Martin, S. Episode 202 Eating Disorders: Common, Commonly Missed, Mismanaged and Misunderstood. Emergency Medicine Cases. February, 2025. https://emergencymedicinecases.com/eating-disorders. Accessed April 12, 2025 Résumés EM CasesA 16-year-old male presents to the ED with his mother with the chief complaint of intermittent abdominal pain and constipation for several weeks. There are no red flag symptoms for an underlying surgical cause and review of systems is otherwise unremarkable. Vital signs include a HR 50, BP 85/40 T 35.9. Blood work is ordered, and it shows a mildly low potassium at 3.2 mEq/L, a mildly low hemoglobin at 11g/dl and normal liver enzymes. The patient is discharged from the ED with the diagnosis of low-risk nonspecific abdominal pain with a recommendation to follow up with their primary care physician, and instructions to return for list of red flag symptoms. This case represents a miss of a potentially life-threatening diagnosis that Emergency Physicians have little knowledge of. Eating disorders are common, often elusive, and can be deadly * Eating disorders, which include anorexia nervosa, bulimia nervosa, binge eating disorder and Avoidant/restrictive food intake disorder (ARFID), are common with increasing prevalence, increasing visits to emergency departments, and have the highest mortality of any psychiatric illness. * The lifetime prevalence rates of anorexia nervosa are as high as 4% among females and is increasing among males. * In young females the mortality rate of eating disorders is estimated to be as high as 10%. * In a recent study, after a 5-year follow-up the mortality rate of anorexia...

    1h 28m
  4. JAN 28

    EM Quick Hits 62 Optimizing RSI Medication Timing, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, Nutrition Tips for Shift Workers

    Topics in this EM Quick Hits podcast Anand Swaminathan on optimizing RSI medication timing (1:08) Brittany Ellis on ED boarding challenges in older patients and improving ED overcrowding and ED flow (7:30) Dave Jerome on managing prolonged tourniquet application (30:21) Nour Khatib and Phil Gillick on a rural peer support program case (39:20) Jesse McLaren on ECG reciprocal changes in acute occlusion myocardial infarction: the mirror image (54:43) Melody Ng on practical nutrition tips for shift workers (best of University of Toronto EM) (1:01:23) Podcast production, editing and sound design by Anton Helman Podcast content, written summary & blog post by Brandon Ng, edited by Anton Helman, January, 2025 Cite this podcast as: Helman, A. Swaminathan, A. Ellis, B. Jerome, D. Khatib, N. Gillick, P. McLaren, J. Ng. M. EM Quick Hits 62 - Optimizing RSI Medication Timing, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, Nutrition for Shift Workers. Emergency Medicine Cases. January, 2025. https://emergencymedicinecases.com/em-quick-hits-january-2025/. Accessed April 12, 2025. Optimizing RSI Medication Timing * Much of recent airway research relates to RSI preparation and tube delivery: Resuscitate prior to intubation, improve hemodynamics to decrease risk of peri-intubation hemodynamic collapse, improve oxygenation to increase safe apneic time, positioning, ramping, airway alignment, bed up, head elevated, and bougie first approach etc. * Typical approach to RSI involves near simultaneous administration of induction and paralytic agents to rapidly result in ideal intubating condition. However, this approach often results in an induced but not paralyzed patient, causing difficulties with tube delivery as medication onset times differ: * Succinylcholine: 45-60 seconds * Rocuronium (1.2 mg/kg): ~60 seconds * Etomidate: 30-40 seconds * Ketamine: 30-45 seconds * Propofol: 20-25 seconds * As such, consider aiming for simultaneous onset rather than simultataneous administration of induction and paralytic agent. * In studies by Driver et al. 2019 and Catoire et al. 2024, administering paralytic prior to induction agent is associated with lower first attempt intubation failure. Bottom line => Consider administering paralytic first, then induction agent ~20-30 seconds later, ensuring simultaneous onset for optimal RSI while averting awake paralysis. Expand to view reference list * Driver BE, Klein LR, Prekker ME, Cole JB, Satpathy R, Kartha G, Robinson A, Miner JR, Reardon RF. Drug Order in Rapid Sequence Intubation. Acad Emerg Med. 2019 Sep;26(9):1014-1021. doi: 10.1111/acem.13723. Epub 2019 Mar 19. PMID: 30834639. * Catoire P, Driver B, Prekker ME, Freund Y. Effect of administration sequence of induction agents on first-attempt failure during emergency intubation: A Bayesian analysis of a prospective cohort. Acad Emerg Med. 2024 Oct 18. doi: 10.1111/acem.15031. Epub ahead of print. PMID: 39425254. ED Boarding for Older Patients This segment is the first part of our series on The Best of The Internatio...

    1h 26m
  5. JAN 7

    Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience

    In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we best streamline thorough data gathering for each case so that we don't miss key data points? How do the master EM clinicians perform an efficient and targeted history and physical exam? How can the concept of heuristic cycling help you avoid outdated or faulty thinking? How can we document our clinical encounter in a way that considers a differential diagnosis that prioritizes dangerous conditions and improve our thinking around cases? How can we use the 2-10% rule for pre-test probabilities and the concept of preferred error to guide our decision making for tests and treatments in the ED? What strategies can we use to avoid anchoring bias and keep your mind open to all possibilities? What’s the role of shared decision-making when navigating diagnostic uncertainty? How does understanding the vigilance pendulum help us assess our risk tolerance better? How can post-shift decision journaling, conducting pre-mortems and meditation improve our decision making and boost our emotional resilience on shift? and many more... Podcast production, sound design & editing by Anton Helman Written Summary and blog post by Rowan Helman and Anton Helman January, 2025 Cite this podcast as: Helman, A. Weingart, S. Betzner, M. Strayer, R. How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience. Emergency Medicine Cases. January, 2025. https://emergencymedicinecases.com/how-em-experts-think-part-2. Accessed April 12, 2025 Résumés EM CasesEpisode 200 How EM Experts Think Part 1: Strategies for Pre-Shift, Arrival Ritual, Staying Focused, Managing Interruptions, Cognitive Load & Negative Emotions, Resuscitation Mindset, Post-Resuscitation Recovery History taking: How EM Experts Think "We're not as concerned only about what the patient has. We're concerned about what the patient needs". -Reuben Strayer Traditional approaches to history-taking taught in medical school usually by internal medicine, often fall short in the dynamic and unpredictable environment of the ED, and fail to address the patients immediate needs. Emergency Medicine works on a hypothetico-deductive methodology, using simultaneous inductive and deductive reasoning. It involves formulating a hypothesis to make predictions, comparing predictions to observations and determining if they are consistent and finally, confirming or falsifying the hypothesis. The cardinal skill in differential diagnosis generation for EM is being able to link symptoms and signs to a list of dangerous conditions that apply to the patient in front of you. Generating a list of dangerous conditions for all common presentations to the ED at home, and them having them easily accessible via documentation templates can help hone your diagnostic skills. Data gathering Preparation before entering the patient’s room is critical. Effective pre-history strategies include: * Chart Review: Review triage vital signs, nursing notes, EMS run sheets,

    1h 23m
  6. 12/23/2024

    How EM Experts Think: Strategies for Pre-Shift, Arrival Ritual, Staying Focused, Managing Interruptions, Cognitive Load & Negative Emotions, Resuscitation Mindset, Post-Resuscitation Recovery

    Which elements of your current pre-shift preparation contribute most to your mental clarity and performance, and what new practices might further optimize your readiness? With interruptions shown to increase task errors and decision fatigue, how can you strike a balance between being approachable to colleagues and safeguarding your focus for patient care? When confronted with a particularly challenging or emotionally charged case, what strategies have you found most effective for maintaining professionalism and clear decision-making under pressure? How often do you debrief after high-stakes scenarios, and what impact has debriefing—whether formal or informal—had on your team’s learning, emotional recovery, and future preparedness? What strategies do you use to foster open communication and ensure all team members feel empowered to provide input during high-stakes situations? How do you mentally and emotionally shift from managing a critical resuscitation to treating lower-acuity patients without compromising your focus or energy? When faced with a complex case where diagnostic clarity is elusive, how do you prioritize your next steps while maintaining confidence in your decision-making process? How can apps, personalized workflows, or EMR tools be better utilized to minimize cognitive load and enhance clinical decision-making during shifts? These are just some of the questions we pose in this 2-part podcast series on How the Experts Think with Dr. Reuben Strayer, Dr. Scott Weingart and Dr. Mike Betzner... Podcast production, sound design & editing by Anton Helman; Voice editing by Braedon Paul Written Summary and blog post by Anton Helman December, 2024 Cite this podcast as: Helman, A. Weingart, S. Betzner, M. Strayer, R. Episode 200 How EM Experts Think: Pre-Shift Preparation and Arrival Ritual, Staying Focused on Shift, Managing Interruptions, Managing Cognitive Load, Handling Negative Emotions, Resuscitation Mindset and Execution, Post-Resuscitation Recovery. Emergency Medicine Cases. December, 2024. https://emergencymedicinecases.com/how-the-em-experts-think-part-1. Accessed April 12, 2025 Résumés EM CasesPre-Shift Preparation and Arrival Ritual Effective preparation ensures you start your shift focused and ready. The chaos of the ED demands that clinicians arrive mentally and physically ready to handle high decision density, frequent interruptions, and unpredictable challenges. By developing pre-shift rituals, emergency providers can start shifts with clarity and confidence. Think of yourself as an elite athlete who requires both physical and mental training to maximize performance. Key Tips: * Mental and Physical Routines: * Ride a bike or run to work or perform a quick exercise routine to clear the mind * Take a cold shower to invigorate the body and mind * Consume protein-rich foods to sustain energy levels * Set up your workspace the same way each shift to reduce cognitive strain * Arrive early to establish a flow without interruptions * Establish a ritual to leave your personal issues at the door and mentally commit to the shift * Mental Framing: * Listen to medical podcasts or inspirational music during your commute to set a positive and engaged mindset * Practice gratitude by reflecting on the privilege of being a physician * Use positive self-talk to reinforce your readiness and confidence * Visualize success and mentally rehearse procedures and challenging sc...

    1h 22m
  7. 12/03/2024

    EM Quick Hits 61 TEE in Cardiac Arrest, Nebulized Ketamine, Cellulitis Update, SQ Insulin for DKA, Medicolegal DDx Documentation Tips

    Topics in this EM Quick Hits podcast Ross Prager on TEE in cardiac arrest (1:05) Justin Morgenstern on nebulized ketamine for analgesia in the ED (26:27) Hans Rosenberg & Krishin Yadav on standardizing cellulitis management (32:48) Matthew McArther on latest studies on subcutaneous insulin protocols in DKA (40:04) Jennifer C. Tang on documenting differential diagnoses medicolegal tips (52:47) Podcast production, editing and sound design by Anton Helman Podcast content, written summary & blog post by Anton Helman, December, 2024 Cite this podcast as: Helman, A. Prager, R. Morgenstern, J. Rosenberg, H. Yadav, K. McArther, M. Tang, J. EM Quick Hits 61 - TEE in Cardiac Arrest, Nebulized Ketamine, Cellulitis Update, SQ Insulin for DKA, Medicolegal DDx Documentation Tips. Emergency Medicine Cases. December, 2024. https://emergencymedicinecases.com/em-quick-hits-decemeber-2024/. Accessed April 12, 2025. Transesophageal Echo - TEE in Cardiac Arrest - Resuscitative TEE * Rational for resuscitative TEE and TEE in cardiac arrest: * Provides real-time feedback on the optimal location and quality of chest compressions in cardiac arrest (precise location of chest compressions with respect to cardiac anatomy can be observed and manipulated to optimize circulatory flow as compressions directly over the LV have been shown to be most effective); ~50% of patients experiencing out-of-hospital cardiac arrest (OHCA) undergo aortic valve (AV) compression (rather than LV compression), obstructing blood flow. Absence of aortic valve compression during OHCA resuscitation is associated with an increased chance of ROSC and survival to ICU. * Minimizes chest compression interruptions in cardiac arrest * Allows identification of reversible causes of cardiac arrest - identification of obstructive pathologies including tension pneumothorax, cardiac tamponade, deep vein thrombosis with RV dilation suggesting pulmonary embolism, as well as filling status suggesting hypovolemia, pericardial tamponade, intracardiac thrombus, fine ventricular fibrillation, and to characterize the type of cardiac activity such as cardiac standstill or pseudo-PEA * Provides prognostic information in cardiac arrest - LVOT opening as identified by TEE during CPR was associated with successful resuscitation in retrospective study * For operators who are already experienced at using POCUS, Resus-TEE skills can be acquired rapidly. * Procedural guidance: * placement of an intravenous temporary pacemaker * placement of extracorporeal life support cannulae * Risks of TEE in cardiac arrest * The risks of TEE are generally related to sedation & airway management. Critically ill patients who undergo resus-TEE are already intubated and sedated, thus these risks are minimized. There are risks of esophageal trauma with insertion, however these are probably comparable to the risks of gastric tube placement. * Major complications such as serious oropharyngeal trauma, esophageal perforation, and major bleeding are rare with incidence rates between 0.01% and 0.08% * Unclear if placement of the TEE in an emergent scenario or use during electrical defibrillations and chest compressions increase risk of damage to the transducer.

    1 hr
  8. 11/12/2024

    Ep 199 Trauma Airway and Airway Trauma

    In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma? Dr. George Kovacs and Dr. Andrew Petrosoniak answer this and other questions such as: how should we re-sequence the trauma resuscitation depending on immediate life-threats? When is immediate vs delayed intubation recommended? How useful are the Zones of the neck in penetrating neck trauma? What is the optimal dosing of airway medications in the sick trauma patient? How should we modify our airway strategy for the severely head injured patient and/or agitated patient? When should we consider ketamine facilitated fiberoptic intubation in the trauma patient? and many more... Podcast production, sound design & editing by Anton Helman; Voice editing by Braedon Paul Written Summary and blog post by Sara Brade, edited by Anton Helman November, 2024 Cite this podcast as: Helman, A. Petrosoniak, A. Kovacs, G. Trauma Airway & Airway Trauma. Emergency Medicine Cases. November, 2024. https://emergencymedicinecases.com/trauma-airway. Accessed April 12, 2025 Résumés EM Cases Case study: Penetrating neck trauma Consider a 25-year-old woman who presents with a stab wound to the anterior neck. She arrives with a heart rate of 145, oxygen saturation at 90%, and audible gurgling sounds, indicating potential airway compromise. This is a high-stakes scenario where every decision, especially regarding airway management, could have life-altering consequences. The injury, located just off the midline in the anterior neck, immediately raises concerns about airway obstruction, major vascular injury, or both. Re-sequencing the trauma airway: A paradigm shift While working through the standard ATLS approach of A then B then C can be a helpful memory tool, our trauma resuscitations often require simultaneous assessment and management of all three or a total re-ordering of priorities. Some traumas may require a CAB approach or a CBA approach. Intubation is not always the first priority in trauma and, in fact, it may worsen outcomes if done prior to adequate resuscitation. Instead of focusing on letters, we should be focusing on identifying and managing the most immediate threat to life for each patient. Look for and immediately manage the following: * Massive hemorrhage: For example, a spurting artery that needs immediate management/compression or an unstable pelvis that needs binding. * Severe airway compromise: * Dynamic airway: If you wait even minutes, you may miss the opportunity to secure an airway. For example, expanding neck hematoma. * Critical hypoxia: Despite maximum noninvasive ventilation, O2 saturation is still 90%. * Obstructive shock: * Tension pneumothorax/ hemothorax: Consider bilateral finger thoracostomies/ chest tube before airway management. * Cardiac tamponade: Very high-risk intubations, should likely be done in the OR if patient still has a BP. If cardiac arrest, consider thoracotomy if your resources allow. The decision to intubate the trauma patient

    1h 44m

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    About

    In-depth round table discussions with North America's brightest minds in Emergency Medicine on practical practice-changing EM topics since 2010, plus our EM Quick Hit series for a variety of short EM knowledge nuggets, and our Journal Jam series for EBM deep dives. World class Free Open Access Medical Education (FOAMed). For archived podcast episodes, show notes, quizzes, videos, discussions and an entire EM learning system, visit emergencymedicinecases.com. For donations, please visit https://emergencymedicinecases.com/donation/

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