The DVT That Is, But Isn’t, But Really Is
From Propofol Procedural Sedation, Chest Pain Guideline, N of 1, Open Fracture, DVTThere are gaps in our knowledge when it comes to DVT management. Simple cases are just that, simple. But the more complexity enters the situation, the more we enter into the unknown, yet still have to make a decision. In this episode, Salim Rezaie gives his approach to filling those gaps. •
33min 20Salim Rezaie, MD, MIzuho Morrison, DO, and Rob Orman, MD
EEM 2019: Amal Mattu is a Runner who Dislikes Treadmills
From Propofol Procedural Sedation, Chest Pain Guideline, N of 1, Open Fracture, DVTFrom Essentials of Emergency Medicine 2019, Amal Mattu reviews recent evidence on functional cardiac testing in the emergency department and how that fits in to ACEP’s new chest pain guideline •
21min 45Amal Mattu, MD and Rob Orman, MD
Propofol PAUSE, Incrementalization, and the Wine Glass Intubation
From Propofol Procedural Sedation, Chest Pain Guideline, N of 1, Open Fracture, DVTRich Levitan is known as an airway expert who breaks complex procedures into a series of doable micro steps. In the past, this has applied to things like intubation and cricothyrotomy. Now, Rich sets his sights on propofol procedural sedation. •
29min 5Richard Levitan, MD and Rob Orman, MD
Bits and Pieces
From Cathing Dudes, Cough, N of 1, Low Salt, Active Shooter, Bits and PiecesPseudogout, massive transfusion, hemarthrosis, syncope, PE, and much more are covered as Matt Delaney joins us to answer your emails, talk about some recent cases, and fill in the gaps on previous episodes. • 6.2.6
29min 52Rob Orman, MD and Matt Delaney, MD
Bits and Pieces
From Peds Fever 2019, Peds Head Injury, N of One: Errors, Burns, Bits and PiecesEmails, follow-ups, voicemails, and random stuff that has just come up in the past few months including: real world experience with high sensitivity troponin, who should be reading head CTs to rule out subarachnoid, making sense of a new lab test (anti Xa level), a new protocol for opiate …
29min 45Jeff Perry, MD, Hakkon Rosendahl, PA, Rob Orman, MD, Ken Starr, MD, and Thomas Deloughery, MD
Right Ventricular Failure
From Too Fake, EEM, N of One, Personality Disorders, Diabetes, RV FailureManaging acute left ventricular failure can seem like the nursemaids elbow of the resus room, but the failing RV is a different story. Intensivist Haney Mallemat argues why the RV is unique and how to treat it with respect (and not get burned) in the criticall in patient. •
31min 44Haney Mallemat, MD and Rob Orman, MD
Circling the Drain
From The Syncope Code, EEM: Sentinel Injuries, N of One, Circling the Drain, MailbagScott Weingart and Amal Mattu are our guests as we breakdown the critical decision points in a case of a patient with an acute anterior STEMI and cardiogenic shock. •
36min 52Scott Weingart, MD, Amal Mattu, MD, and Rob Orman, MD
Did Canada Crack the Syncope Code?
From The Syncope Code, EEM: Sentinel Injuries, N of One, Circling the Drain, MailbagFiguring out a decision tool or even consistent clinical approach to syncope has been like finding peace in the Middle East. Lots of people thought that they have had the answer but, let's face it, they haven't. Now, a research team from Canada may have found the right formula for emergency …
31min 20Rob Orman, MD and Clay Smith, MD
D-Dimer Confusion
From Nephrolithiasis, EMTALA Police, Breaks, PEEP Show, D-DimerIn this episode, we answer a listener question on utility of D-dimer in patients with intermediate risk, or intermediate Wells score, for pulmonary embolism. •
21min 2Rob Orman, MD, Cam Berg, MD, and Joe Habboushe, MD
Damage Control Resuscitation
From PEG Tube, Pulse Ox, N of One, Resuscitation, Chest Pain, AngioedemaCanadian trauma team leader Andrew Petrosoniak is back to break down strategies in trauma resus including: CPR and critical actions in trauma arrest, why we should show more love to fibrinogen, the importance of remembering calcium, prioritizing hemostasis over resuscitation, and how to simplify …
38min 11Andrew Petrosoniak, MD and Rob Orman, MD
EEM: Can You Fix Asystole?
From Frostbite, Asystole, Perfectionism, EQ, Middle Way, FluThere is a dearth of evidence guiding our management of asystole. At Essentials of emergency medicine 2018, Anand Swaminathan gave his approach to managing this rhythmless dysrhythmia, bridging the gap between acting just to act, and acting with intent to save. •
11min 24Anand Swaminathan, MD and Rob Orman, MD
The Chest Pain Summit
From Chest Pain, Chest Tube, Burnout, Debriefing INFO, Alcohol Withdrawal, PregnancyA consensus summit with world experts and primary researchers focused on the question, “After a negative ED evaluation for ACS, is an expedited outpatient evaluation a safe alternative to admission?” •
28min 10Colin Kaide, MD, Mike Palacci, MD, Barbara Backus, MD, Erik Hess, MD, Ezra Amsterdam, MD, Douglas Van Fossen, MD, Rob Orman, MD, Mike Weinstock, MD, and Cam Berg, MD
Lupus, Wegener’s, and a Weird Vasculitis
From Hyperkalemia Management, Lupus, Wegener’s, EM MIndset, Iron, Red AnusDiscuss emergency department evaluation and treatment of patients with lupus, Wegener's granulomatosis, and levamisole vasculitis.
24min 21Chris Hicks, MD and Rob Orman, MD
Why Epi Might (and might not) Work in Cardiac Arrest
From Epi and CA, Stab Wounds, Reframing, Ultrasound or CT, IV Fluids, MonoThe pendulum never seems to stop swinging when it comes to the efficacy of epi in cardiac arrest. •
22min 20Rob Orman, MD and Amal Mattu, MD
Should I Get a Second Troponin
From May 2018: GI Bleed, Extubation, Scribes,Troponin and Neonatal IntubationRob and Adam Rowh discuss what is the utility of a second (delta) troponin in a patient presenting with chest pain. •
29min 13Adam Rowh, MD and Rob Orman, MD