65 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 62 - Cervical Spine Injuries- An Interview with Dr. Jara-Alamonte

    Episode 62 - Cervical Spine Injuries- An Interview with Dr. Jara-Alamonte

    EMplify - October 2021Announcements: * The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,* Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net Emergency Dept. Management of Cervical Spine Injuries (https://www.ebmedicine.net/topics/musculoskeletal/cervical-spine)Authors: Geoffrey Jara-Alamonte, MDChandni Pawar, MDEpidemiologyAnatomy (Figure 2 +3)Spinal Cord Injury Injury (Table1)* Primary* SecondaryDifferential DiagnosisPrehospital Care - selective immobilizationED evaluations* History* Physical Exam (Table 6)* Imaging* Vascular Injury - Modified Denver Criteria (table 9)* Treatment* Special PopulationsPediatrics

    • 54 min
    Episode 61 - Abnormal Uterine Bleeding

    Episode 61 - Abnormal Uterine Bleeding

    EMplify - September 2021
    Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net !

    Abnormal Uterine Bleeding in the Emergency Department (https://www.ebmedicine.net/topics/gynecologic-obstetric/bleeding)
    Authors:
    Tazeen Abbas, MD
    Abbas Husain, MD, FACEP


    * Physiology review
    * Terminology
    * Differentiating Causes: PALM-COEIN

    * Structural: Polyp, Adenomyosis, Leiomyoma, Malignancy/Hyperplasia
    * Non-structural: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise specified
    * Other causes: thyroid disease, hyperprolactinemia, stress, weight loss and anorexia, heavy exercise


    * Age Based Differential

    * 12-18

    * Immaturity of the hypothalamic-pituitary- ovarian axis
    * Sexually transmitted infections
    * Coagulopathies, and bleeding disorders (von Willibrand disease)


    * 19-39

    * polyps
    * fibroids
    * malignancy
    * PCOS


    * Age 40 and older

    * endometrial atrophy
    * malignancy




    * History
    * Physical Exam
    * Diagnostic Studies
    * Treatment

    * Unstable
    * Stable


    * Special Cases

    * DOACs
    * Prepubescent girls
    * genital injuries





     

    • 37 min
    Episode 60 - Less Lethal Law Enforcement Weapons

    Episode 60 - Less Lethal Law Enforcement Weapons

    EMplify - August 2021
    Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !!


    August 2021 Pediatric Emergency Medicine Practice

    Less Lethal Law Enforcement Weapons (https://www.ebmedicine.net/topics/trauma/less-lethal-weapon-injuries)
    Authors: Jessica Osterman, MD , Cara Buchanan, MD


    What kinds of less-lethal weapons are law enforcement using?

    * Pepper spray
    * Conducted Electrical Weapons (CEWs)
    * K-9s
    * Beanbag guns
    * Rubber bullets
    * Stingballs


    Differential Diagnosis
    Prehospital Care
    Trauma Informed Care
    Conductive Electrical Weapons - Taser
    Chemical Irritants- Pepper Spray, Tear Gas
    K9 Injuries
    Kinetic Impact Projectiles- Rubber Bullets, Beanbags, Sting Balls/Grenades



    Sounds:
    Police Siren https://freesound.org/people/MultiMax2121/sounds/156869/ (https://freesound.org/people/MultiMax2121/sounds/156869/)
    Ambulance https://freesound.org/people/sofialomba/sounds/469413/ (https://freesound.org/people/sofialomba/sounds/469413/)
    Angry Man https://freesound.org/people/ebcrosby/sounds/334439/ (https://freesound.org/people/ebcrosby/sounds/334439/)
    Taser https://freesound.org/people/The_Chemical_Workshop/sounds/403252/ (https://freesound.org/people/The_Chemical_Workshop/sounds/403252/)
    Taser https://freesound.org/people/Greub/sounds/402636 (https://freesound.org/people/Greub/sounds/402636/)
    Coughs https://freesound.org/people/freesound/sounds/25301/ (https://freesound.org/people/freesound/sounds/25301/)
    Dog Bark https://freesound.org/people/ivolipa/sounds/337101/ (https://freesound.org/people/ivolipa/sounds/337101/)
    Grenade https://freesound.org/people/superfreq/sounds/268101/ (https://freesound.org/people/superfreq/sounds/268101/)

    • 40 min
    Episode 59 - HIV - An Interview With Dr. Daniel Egan

    Episode 59 - HIV - An Interview With Dr. Daniel Egan

    EMplify - July 2021
    Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !!


    HIV- An Interview With Dr. Daniel Egan

    See the EB Medicine Article @ https://www.ebmedicine.net/topics/infectious-disease/HIV

    * Why HIV? 

    * 2018 , 1,2 million people living with HIV, almost 40k new infections
    * People living with HIV visit the ED 3 x per year on average
    * HIV infected patients accounted for 6 in 1000 ED visits in 2017
    * New Transmission of HIV, Figure 1


    * What does acute infection look like ?
    * What about chronic infection ?The chronic phase can last 10 years or more and be asymptomatic.
    * Are people with HIV more likely to develop: CAD, COPD, DVT and why?

    * What if they are on medication for HIV?


    * Screening in the ED, everyone? Do they have to have symptoms or risks?

    * What does universal screening mean?
    * What does risk based screening mean?


    * What are the risk factors? What if I see someone on PrEP who is in the ED for an unrelated complaint?
    * History

    * Ask about cd4 and viral load and last test
    * Ask about he of opportunistic infections
    * Ask about medication side effects
    * What else?


    * Exam
    * Labs - rapid testing, 4th gen, viral load and cd4, etc
    * Imaging
    * Treatment

    * Table 1
    * Highly effective and reduces transmission


    * Medication side effects (we don’t have to dwell on each Med and side effect and just reference the charts)
    * hep B virus deactivation
    * System Based Disease

    * Heart Failure and CAD
    * PCP (role of LDH)
    * TB
    * COPD
    * Renal Disease - stones , radiolucent
    * Neurologic- CVA, cryptococcal meningitis, toxo, progressive multi focal leukoencephalopathy, HAND
    * GI - diarrhea causes, c diff, hep C
    * Heme- cytopenia
    * Endocrine - metabolic syndrome
    * Musculoskeletal
    * Psychiatric table 3
    * Derm


    * Special Circumstances

    * PEP
    * PrEP



     

    • 55 min
    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

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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