EMplify by EB Medicine Sam Ashoo, MD

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-hypertensive-emergencies)EpidemiologyEtiologyDifferential diagnosisPrehospital careHistory and physical DiagnosticsTreatment* Acute decompensated heart failure* Acute ischemic stroke* Acute coronary syndrome* Intracerebral hemorrhage* Subarachnoid hemorrhage* Aortic dissection* Hypertensive encephalopathy* Severe pre-eclampsia and eclampsiaControversies* Arterial line placement* Beta blockers and cocaineRisk management caveatsSummary

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the May 2023 Emergency Medicine Practice article on Emergency Department Management of Gastrointestinal Foreign Body Ingestion (https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-foreign-bodies)EpidemiologyEtiology - types of ingestionsAnatomy - common locations by age* Food impaction* Sharp objects* Button batteries* Magnets* Colorectal foreign bodiesPrehospital careHistory and PhysicalImagingExpectant managementEndoscopic removalNon-endoscopic techniquesBody PackingGlucagonGastric button batteriesSummary

In this episode, Sam Ashoo, MD, talks with Rob Orman, MD, founder of Orman Physician Coaching (https://roborman.com/), about longevity in emergency medicine.* Personal foundation * Regular check-ins* Becoming an expert in… * Job stress* Living beneath your means* Recharging and shift work* Bad outcomes* Physician lounge* Learning to say no* Set a reminderMore at Orman Physician Coaching (https://roborman.com/) 

Announcements: The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free! In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the March 2023 Emergency Medicine Practice article on Emergency Department Management of Infective Endocarditis-Associated Stroke (https://www.ebmedicine.net/topics/stroke/emergency-medicine-endocarditis-stroke)EpidemiologyPathophysiologyPopulations at RiskComplications* Intracranial hemorrhage* Aneurysms* Heart blockPrehospital CareED History and ExaminationImagingAntibiotic TherapySurgical TreatmentSpecial PopulationsSummary

Announcements:  The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free!  — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department (https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-electrolyte-emergencies) — History Point-of-care testing I/O lines Presentation, differential, and treatment of:* Hyponatremia* Hypernatremia* Hypokalemia* Hyperkalemia* Hypocalcemia* Hypercalcemia* Hypomagnesemia* Hypophosphatemia

Announcements: The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free! ___In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2023 Pediatric Emergency Medicine Practice article on the Responsible and Safe Use of Opioids in Children and Adolescents in the Emergency Department (https://www.ebmedicine.net/topics/pain-management/pediatric-emergency-medicine-responsible-use-of-opioids)DEA-X Waiver Repeal:* The Mainstreaming Addiction Act (https://www.congress.gov/bill/117th-congress/senate-bill/445)* The Medication Access and Training Expansion Act (MATE) (https://www.congress.gov/bill/117th-congress/house-bill/2067?q=%7B%22search%22%3A%5B%22MATE+Act+2021%22%2C%22MATE%22%2C%22Act%22%2C%222021%22%5D%7D&s=1&r=1)* FOAMed post (https://foamed.ebmedicine.net/general-emergency-medicine/news-updates/dea-x-waiver-ended/)Opioids in Children and Adolescents: Introduction* Epidemiology and Statistics Medication safety at homeEscalation of pain meds at homeNaloxone prescriptionsMedications in children* Codeine* Tramadol* NSAIDs* Local anesthetics and nerve blocks* Intranasal meds: Ketamine and fentanylOpioids and sedationRegional anesthesiaChronic pain