Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join host Dr. Sam Ashoo for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!
Conversation- Ep. 2- Airway Management
This is the second episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine.
This episode is a conversation between Dr. T.R. Eckler and Dr. Sam Ashoo about airway management and how it has changed in their practice over the last decade. This podcast makes reference to the EB Medicine course - Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19, which can be found here:
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Episode 69 – Cellulitis and Other Skin and Soft Tissue Infections
In this episode, Sam Ashoo, MD interviews Kyle Howarth, MD and Joby Thoppil, MD, PhD - two of the authors of the May, 2022 EMP article on Cellulitis and Skin and Soft Tissue Infections. Listen to the discussion to hear more about the emergency department management of cellulitis and necrotizing skin infections.
Episode 69 – Emergency Department Management of Cellulitis and Other Skin and Soft-Tissue Infections (https://www.ebmedicine.net/topics/infectious-disease/emergency-medicine-skin)
EMplify – May 2022
1. Why cellulitis/skin infections?
Erysipelas vs cellulitis vs fasciitis
3. Most common pathogens
4. Special situations
5. Necrotizing infection classification system – is this helpful in the ED, and if so, why?
6. Differential – unilateral vs bilateral presentation
7. Prehospital care
8. ED evaluation
History – what should we be asking?
Examination: SSTI vs NSTI
POCUS: “cobblestoning” and fluid collection
Xray: subcutaneous gas
CT: when is this helpful?
Blood cultures – if given the option, are they helpful?
Wound cultures – any role for these?
Routine labs (CBC, BMP, etc) – are they helpful?
LRINEC score – what is it and should we be using it?
12. Special populations
IV drug users
13. Wound irrigation and loop drainage
Conversation – Dr. Lorna Breen Legislation
The first episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine.
This episode is a conversation between Dr. T.R. Eckler and Dr. Sam Ashoo about the recently passed federal Dr. Lorna Breen Legislation and its significance on the field of Emergency Medicine.
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More on the Dr. Lorna Breen Legislation here.
Episode 68 — Meningitis and Encephalitis – An Interview with Dr. Andrew Hogan
Episode 68 -- Emergency Department Management of Adults With Infectious Meningitis and Encephalitis – An Interview with Dr. Andrew Hogan
EMplify -- April 2022
Interview with the Author: Andrew N. Hogan, MD
1.Meningitis vs encephalitis
Why this topic?
What do the words mean? What's the difference?
How common is it in the US? Is it more common in third world countries?
Mortality rate in the US
Causes – if Neisseria and H influenzae improved post vaccination, why not S pneumoniae disease ? (Table 1)
How common is it in the US?
What are the common causes? (Table 2)
Same prognosis as viral meningitis?
Same organisms as viral meningitis? (Table 2)
Does COVID-19 cause this illness?
Who gets these?
60% die? 1 million cases a year, 600K deaths?
What does EMS need to know?
How do they protect themselves from being exposed?
How can they help us make the diagnosis?
EMS is giving antibiotics in some areas?
7.ED evaluation: History
8.ED evaluation: Physical exam
What's large volume? Is it safe?
Cell counts on tubes 1+4, all the time or only if traumatic and obviously bloody?
Is opening pressure helpful?
CSF lactate level – can this be run in a normal lactic acid analyzer?
What is helpful?
Serum cryptococcal antigen
Is CT imaging before LP still necessary? Can we be selective?
Is MRI helpful in the ED, or is there a role in encephalitis?
Steroids: Who gets them? When? Are there downsides of giving them?
Lacking childhood vaccines
Healthcare associated infections
Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai
Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi DesaiEMplify – March 2022Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DOEpisode Outline:1.Why is this an important topic in EM? 2.Hemorrhage etiologies and definition3.Headache etiologies, both common and the more dangerous (ICH)4.Fever and infectionMastitisEndometritis5.Preeclampsia/eclampsia Definition, diagnosis, risk factors (Table 1)6.HELLP syndromeDefinition, diagnosis (Table 2)7.Peripartum cardiomyopathyTime of onset, how to make the diagnosis, risks (Table 3)8.Prehospital careIV fluidsTXAAMS evaluationChest painFever/hypotension 9.ED evaluation History (what kind of things should we remember to ask?) Physical exam (what should we be paying attention to?) 10.Diagnostic studiesHemorrhage (exam, vitals, labs, US)Headache (labs, imaging – what type?)Fever and infection (labs, imaging – US or CT, antibiotics)Cardiopulmonary complaints (labs, imaging, ECG)11.TreatmentHemorrhage Headache (CVT)Infection (mastitis, endometritis, wound Infection)Preeclampsia, eclampsia, HELLP, seizuresCardiomyopathy12.What about breastfeeding mothers? 13.Controversies and cutting edgeEndovascular therapyThromboelastography
Episode 66 – Acute Asthma
Episode 66 – Acute Asthma Exacerbations – An Interview with Dr. Steven Hochman and Dr. Brandon SomwaruEMplify – February 2022Emergency Department Management of Acute Asthma ExacerbationsInterview with the authors: Steven M. Hochman, MD, and Brandon Somwaru, DO Episode Outline:EpidemiologyRisk factors for death from asthma (Table 1)Triggers for asthma attacksVariants of asthma (Table 2)Differential diagnosis (Table 3)Can PE be a trigger for an acute asthma attack? Prehospital careED care: history (what should we ask?)ED care: physical exam (what are we looking for?)Classifying mild/moderate/severe asthma Lab studiesPOCUS (Table 5 and Figure 3)Peak expiratory flowETCO2 capnography and capnometryChest x-rayTreatment (Table 6)MedicationsOxygenSABA vs LABAWhat about MDIs?Continuous nebs?AnticholinergicsSteroids (IV, oral, inhaled; prednisone vs dexamethasone)Magnesium sulfateEpinephrineTerbutalineKetamineNIPPVIntubation pearls and pitfalls (Table 8)Special populationsPediatrics PregnancyCOVID-19 Controversies and cutting edgeBiologicsFractional exhaled nitric oxideHeliox High flow nasal cannulaDelayed sequence intubationECMODisposition
This podcast is great review for us long-standing lovers of emergency medicine ❤️ Thank you for sharing your wisdom ! 🙏🏻
Great summaries of the evidence in emergency medicine. Enjoying listening every month!
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.