61 episodes

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine’s peer-reviewed journals educate and arm you for life in the ED.

EMplify by EB Medicine Sam Ashoo, MD

    • Health & Fitness
    • 4.7 • 31 Ratings

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine’s peer-reviewed journals educate and arm you for life in the ED.

    Episode 58 - Syncope - An Interview With Dr. James Morris

    Episode 58 - Syncope - An Interview With Dr. James Morris

    EMplify - June 2021
    Announcements:

    * The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: https://clinicaldecisionmaking.com
    * Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this summer !!

    Syncope- An Interview With Dr. James Morris
    See the EB Medicine Article @ https://www.ebmedicine.net/topics/cardiovascular/syncope

    * Why syncope? Prevalence, hospitalizations, etc.
    * Etiology: figure 1 is fantastic. Physiologic basis of syncope
    * Neurally mediated
    * Orthostatic - are we still doing orthostatic vitals in the ED?
    * Cardiac

    * Differentiating syncope from seizure
    * Features that point to seizure
    * Urinary incontinence
    * Number of jerks
    * Age?

    * Prehospital care is all about details
    * What did bystanders see?
    * What do paramedics see?
    * Any trauma?
    * Any neuro deficits ?
    * Glucose
    * ECG

    * ED  History - table 4
    * History of similar
    * Prodrome
    * Associated symptoms (chest pain, neuro symptoms, etc)
    * Falls
    * Pre-syncope ?

    * ED exam
    * Vitals, vitals, vitals
    * Orthostatic vitals ?
    * Carotid sinus massage, why this? Do we do in the ED?

    * ECG
    * Brugada, blocks, VT, ST changes, etc

    * Labs
    * BNP, delta bnp ?
    * Trop
    * Lactic acid
    * Pregnancy test
    * CBC
    * lutes
    * Bun/Cr

    * Echo - any role in the ED?
    * CT
    * Head
    * PE- get this on everyone ? Is it high prevalence?

    * Risk stratification tools- the bad and the worse
    * Table 7, amazing
    * Controversies
    * Admitting the elderly
    * Orthostatic vitals (we discussed already)

    * Disposition

    • 51 min
    Episode 57 - Atrial Fibrillation : An Approach To Diagnosis And Management In The Emergency Department

    Episode 57 - Atrial Fibrillation : An Approach To Diagnosis And Management In The Emergency Department

    EMplify - May 2021
    Announcements:

    * The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: https://clinicaldecisionmaking.com
    * Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this summer !!

    Atrial Fibrillation : An Approach To Diagnosis And Management In The Emergency Department - An Interview with Dr Brian Millman
    Epidemiology
    Causes
    Prehospital treatment - careful with causes of the A Fib.
    ED Evaluation

    * History - beware the causes
    * Physical
    * ECG
    * Labs
    * Imaging
    * Echocardiography

    Treatment
    Rate control

    * Calcium channel blockers
    * Beta blockers
    * Esmolol
    * Magnesium

    Rhythm control

    * Amiodarone
    * Procainamide
    * Cardioversion

    Watch and Wait
    Anticoagulation
    Disoposition
     

    • 59 min
    Episode 56 - Management of Suspected Rabies Exposure in the Emergency Department

    Episode 56 - Management of Suspected Rabies Exposure in the Emergency Department

    EMplify - April 2021
    Announcements

    * Traumatic Hemorrhage in the ED- with Dr Scott Weingart - April 13th, 8pm EST Free ! Register now: https://www.crowdcast.io/e/traumatic-hemorrhagic/register
    * Pandemic Preparedness publication is coming soon.
    * Mt Sinai COVID-19 Treatment Protocols have been updated and are available for free here: https://www.ebmedicine.net/topics/COVID-19/Protocols
    * The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: https://clinicaldecisionmaking.com

     
    Management of Suspected Rabies Exposure in the Emergency Department - An Interview with Dr. Bess Storch
    Epidemiology:

    * Fatality rate of over 99%
    * Half of cases occur in children
    * 95% of cases are in resource limited countries, 35% in India
    * 99% caused by infected dogs (worldwide)
    * In the US, cases are predominantly bat variant

    Why this topic?

    * "In a recent survey of licensed physicians, less than half could identify rabies transmission routes, the correct PEP schedule, and the correct anatomic administration sites."

    Pathophysiology:

    * What causes it? The RNA virus Lyssavirus
    * How is it transmitted?
    * How does it reach the brain?

    ED Evaluation:

    * What does it look like clinically?
    * 5 stages- incubation, prodrome, acute neurologic phase, coma death
    * Why doesn’t everyone just get vaccinated?
    * What patient medical history is important ? Steroids, chloroquine
    * What animals are high risk?
    * What about pets and quarantine?
    * What about rodents ?
    * Is there any role for labs or imaging ?
    * What is the treatment regimen for those who are unvaccinated? And vaccinated?
    * What about people who are immunosuppressed?
    * Children?
    * Pregnant?
    * Recently traveled?

     

    • 32 min
    Episode 55 -Management of Acute Urinary Retention in the Emergency Department

    Episode 55 -Management of Acute Urinary Retention in the Emergency Department

    EMplify - March 2021
    Management of Acute Urinary Retention in the Emergency Department

    * An algorithmic approach to urinary retention.
    * Relieve the obstruction 

    * Foley
    * Cudet cather
    * Silicone catheter
    * Suprapubic catheter


    * Determine the cause - 

    * Structural
    * Medications / Toxicologic
    * Neurologic
    * Infectious


    * Alpha blockers
    * Antibiotics
    * Slow vs rapid bladder decompression
    * Admit or discharge
    * Phimosis and Paraphimosis

    Announcements:

    * New Airway Course Available: Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19 (https://www.ebmedicine.net/store.php?paction=showProdSeg&sid=140)
    * Upcoming Live Course: Dr. Scott Weingart - Traumatic Hemorrhage (https://www.crowdcast.io/e/traumatic-hemorrhagic/register)- April 13th., 8-9pm, EST
    * Look for the "Key Points And Pearls From 2020" coming to your inbox or mailbox next month !

    • 22 min
    Episode 54 - Community-Acquired Pneumonia in the Emergency Department - Interview with Matthew DeLaney, MD

    Episode 54 - Community-Acquired Pneumonia in the Emergency Department - Interview with Matthew DeLaney, MD

    EMplify - February 2021
    Community Acquired Pneumonia - An Interview with Dr. Matthew DeLaney, FACEP
    1. Pneumonia and nomenclature : healthcare associated vs hospital associated2. COVID-19 and antibiotics3. Bacteriology - Strep is only 10-15% of hospitalized pneumonia, Viral pneumonia is about 20% (pre covid)4. Conditions that predispose to pneumonia

    * chronic lung disease (chronic obstructive pulmonary disease, bronchiectasis)
    * smoking
    * older age
    * immuno-compromise
    * proton-pump inhibitors, H2 blockers, and antipsychotic agents

    5. Is there a historical or exam item most likely to be indicative of pneumonia?6. How good is a CXR?7. When should I consider a CT if the CXR is normal?8. Procalcitonin9. Blood cultures, sputum cultures, urine antigens- are these helpful?10. CURB-65 vs PSI11. Antibiotics- table 3 major and minor, history of prior infection, and doxy for everyone !12. Duration - 5 days works13. A walk through the pathway

    • 46 min
    Episode 53- Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department

    Episode 53- Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department

    EMplify January 2021
    Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department (https://www.ebmedicine.net/topics/cardiovascular/STEMI)
    Authors
    Marshall Frank, DO, MPH, FACEP
    Carson Sanders, BS, NRP, CCEMT-P
    Bryan P. Berry, MD, BCEM, FACEP
     
    Topics
    Epidemiology
    Pathophysiology
    Prehospital care
    Emergency Dept Evaluation

    * History
    * Physical

    Imaging
    Labs
    Electrocardiogram

    * aVR
    * Posterior Leads
    * LBBB
    * Serial ECGs
    * Reciprocal Changes
    * Pericarditis vs STEMI

    Treatment

    * Oxygen
    * Opioids
    * Antiplatelet Agents
    * Nitroglycerin
    * Beta Blockers
    * Reperfusion

    * PCI
    * Thrombolytics
    * Dysrhythmias


    * Anticoagulants

    Transfers
    Special Circumstances

    * Gender
    * Age
    * Cocaine

    Have questions or comments on the podcast? Write us at emplify@ebmedicine.net .

    • 35 min

Customer Reviews

4.7 out of 5
31 Ratings

31 Ratings

UglyAllyBelle ,

Great podcast!

This podcast is great review for us long-standing lovers of emergency medicine ❤️ Thank you for sharing your wisdom ! 🙏🏻

Ally Fields

Stephanie8511 ,

Excellent content!

Great summaries of the evidence in emergency medicine. Enjoying listening every month!

interpol987 ,

Good content a bit dry

The content is great but I wish they presented it in a more interesting way. It sounds like someone reading off PowerPoint slides.

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