EMplify by EB Medicine

EB Medicine
EMplify by EB Medicine

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD 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!

  1. Sodium Disorders

    18 AVR.

    Sodium Disorders

    In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2025 Emergency Medicine Practice article, Sodium Disorders in the Emergency Department: A Review of Hypernatremia and HyponatremiaHypernatremia (High Sodium Levels)* Definition: Sodium level greater than 145 mEq/L* Breakdown into three categories based on total body water statusHypovolemic HypernatremiaEuvolemic HypernatremiaHypervolemic Hypernatremia* Common causes and conditions associatedHyponatremia (Low Sodium Levels)* Definitions: Mild (130-135 mEq/L), Moderate (125-129 mEq/L), Profound ( 125 mEq/L)* Breakdown into three categoriesPseudo HyponatremiaHypovolemic HyponatremiaEuvolemic HyponatremiaHypervolemic Hyponatremia* Common causes and conditions associatedTreatment Guidelines and Strategies* Emphasizing slow correction to avoid complications like cerebral edema and osmotic demyelination syndrome* Suggested treatment rates for acute and chronic conditionsSpecial Considerations* Addressing severe cases and the importance of proper diagnostics* Pre-hospital care considerations and scenarios* Pediatrics and consideration of child abuse in sodium disordersFive Things That Will Change Your Practice* Central lab sodium values over point-of-care for accuracy* Rectal temperature checks in endurance athletes* Loop diuretics for hypervolemic hyponatremia (e.g., CHF patients)* Enteral treatment for hypernatremia, if possible* Considering COVID-19 as a possible cause for new onset SIADH

    27 min
  2. Rural EM and Traumatic ICH – An Interview with Ashley Weisman, MD

    18 FÉVR.

    Rural EM and Traumatic ICH – An Interview with Ashley Weisman, MD

    In this episode, Sam Ashoo, MD interviews Ashley Weisman, MD about her career in rural emergency medicine, and the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Interview with Dr. Ashley Wiseman* Introduction of Dr. Wiseman: Emergency physician specializing in rural ER.* Dr. Wiseman’s Background: Overview of her work and responsibilities in rural hospitals and academia.* Experience in Rural Medicine: Contrast with urban and academic practice.Stories of practical challenges and learning experiences in remote areas like Kotzebue, Alaska.Practicing Skills in Rural Medicine* Discussion of skill retention: Importance of continuously applying and practicing critical skills.* Resources and Training: Role of fellowship, networking, and practical experiences for skill enhancement.Advocacy for Rural Emergency Medicine* Work with ACEP: Dr. Wiseman’s efforts in advocating for rural EM at the national level.* Collaboration Between Rural and Academic Centers: Importance of knowledge exchange and mutual support.Focus on Traumatic Intracranial Hemorrhage (ICH)* Introduction to the February Article: Traumatic ICH in rural settings.* Key Points from the Article:Importance of basic neurocritical care practices.Practical adjustments and simplified approaches in care.* Dr. Wiseman’s Contribution: How her experiences shaped the content and practical advice for rural medicine.Conclusion* Upcoming Contributions: Announcing more contributions and resources from Dr. Wiseman.* Access the In Rural Life (IRrL*) content here (https://www.ebmedicine.net/traumatic-ICH-in-rural-settings).* Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.netManaging Traumatic Intracranial Hemorrhage in the Rural Setting: EMP: IRrL* If you practice in a rural environment, you know that managing a patient with traumatic ICH can present challenges with diagnostic and treatment resources, personnel, training, and transport. Dr. Weisman has created resources for emergency clinicians, IRrL* (In Rural Life*) that EB Medicine is proud to share with subscribers.   Resources for emergency clinicians managing patients with traumatic ICH in rural settings include: * Checklist for Managing Traumatic Intracranial Hemorrhage in Rural Life (IRrL): 7 steps to providing neurocritical care in resource-limited settings.* Simulation for Critical Access Neurocritical Care: Saving Brain Hours from Tertiary Care: A customizable simulation designed for you and your team to practice managing patients with brain injury.

    10 min
  3. Alkali Exposure

    25 JANV.

    Alkali Exposure

    In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment* Patient Demographics and Case Scenarios:Types of patients prone to alkali exposureCauses and scenarios leading to alkali exposure (e.g., accidental, intentional, social media challenges) Poison control reports and statistics* Types and Effects of Exposure: Different types of exposure: ingestion, ocular, dermalEffects of ingestion, particularly in children and young adults* Pre-hospital Care and First Response:Importance of decontaminationSafety measures for EMS personnelSteps to take in pre-hospital care* History and Physical Examination: Key points to focus on during history takingImportant signs and symptoms to check* Laboratory and Diagnostic Testing: Overview of useful lab tests and imagingRole of EKG and chest x-rayImportance of early consultation with poison control* Endoscopy and CT Imaging: Use of endoscopy to classify injuries and guide treatment Role of CT imaging Complementary use of endoscopy and CT* Treatment Approaches:Initial resuscitation and airway managementUse of steroids and other medications like antibiotics, H2 antagonists, and topical mitomycin CWhen and how to use NG tubes* Special Populations and Long-term Considerations: Special considerations for childrenRisks associated with laundry detergent podsLong-term complications, including strictures and increased risk of esophageal cancer* Conclusion: Summary of major points discussedReminder for continued vigilance and the importance of early consultationEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

    21 min
    4,7
    sur 5
    44 notes

    À propos

    Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD 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!

    Vous aimeriez peut‑être aussi

    Contenu faisant l’objet d’une restriction

    Impossible de lire cet épisode sur le Web dans votre pays ou région.

    Pour écouter des épisodes au contenu explicite, connectez‑vous.

    Recevez les dernières actualités sur cette émission

    Connectez‑vous ou inscrivez‑vous pour suivre des émissions, enregistrer des épisodes et recevoir les dernières actualités.

    Choisissez un pays ou une région

    Afrique, Moyen‑Orient et Inde

    Asie‑Pacifique

    Europe

    Amérique latine et Caraïbes

    États‑Unis et Canada