Lit Matters 1 - PCI vs no PCI for NSTEMI in the Elderly
From Hippo ERCast January 2021Elderly patients with NSTEMI may fare better if they get PCI.
9min 50Salim Rezaie, MD and Matt Delaney, MD
Amal Mattu Gets Peppered
From Hippo ERcast December 2020Amal Mattu breaks down his approach to using NTG in STEMI patients; LMWH in NSTEMI; and workup of PVCs.
28min 36Amal Mattu, MD and Rob Orman, MD
Weaponizing TPA studies, Mandibular Abscess, and Deeper into A-Fib
From Hippo ERcast December 2020Your emails, our answers, and digging deeper into previous conversations.
17minRob Orman, MD
Thromboprophylaxis after Cardioversion, BCVI, and MRI sensitivity in post
From Hippo ERcast October 2020Is there a role for thromboprophylaxis peri ED cardioversion? I used to think not, but maybe I was wrong. Also in this intro, universal screening for blunt cerebrovascular injury and some sobering info on the sensitivity of MRI for posterior circulation stroke.
18min 51Rob Orman, MD and Dan Mccollum, MD
An Unorthodox Approach to A-fib
From Hippo ERcast September 2020An outside the box look at managing atrial fibrillation in the ED.
37min 11Anna Nabel, MD, Rob Orman, MD, and Ran Ran, MD
Do You Need to Get a CXR on STEMI Patients Before the Cath Lab?
From Hippo ERcast July 2020ED intensivist Sam Wood breaks down the math for reconsidering routine chest x-rays in STEMI patients.
21min 29Rob Orman, MD and Sam Wood, MD
Lit Matters 3: Single Syringe Adenosine
From Hippo ERcast May 2020Is it better to use a single syringe when giving adenosine for SVT?
9min 27Matt Delaney, MD and Salim Rezaie, MD
Kawasaki Disease Update
From Hippo ERcast April 2020Kawasaki Disease can be hard to catch for so many reasons- findings may appear at staggered times, it can present atypically, and there's no gold standard test to clinch the diagnosis. To help mitigate some of the confusion, we review the recent Kawasaki guideline update and dissect some of the …
33min 57Lisa Patel, MD, Rob Orman, MD, Jason Woods, MD, and Andi Marmor, MD
Blunt Cerebrovascular Injury
From Hippo ERcast April 2020Trauma team leader Andrew Petrosoniak gives a streamlined approach to evaluating patients for blunt cerebrovascular injury.
27min 32Rob Orman, MD and Andrew Petrosoniak, MD
Bits and Pieces
From Hippo ERcast March 2020Your emails, comments, and an acappella ode to pediatric hip pain. New evidence supporting a 1000 d-dimer cutoff for low risk PE patients, Ran Ran demystifies electrolytes, Matt Delaney tackles skin tears and Nate Kuppermann on vomiting after head injury.
24min 5Rob Orman, MD
Troponinemia in Renal Disease
From Hippo ERcast March 2020From afar, this would seem like utter esoterica but from close up, in the heat of the ED, it’s anything but. Elevated troponin in renal disease is the gift of frustration that keeps on giving. Brit Long breaks down the evidence, areas of uncertainty, and structure of a rational approach to …
24min 3Rob Orman, MD and Britt Long, MD
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
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