Did I Just Diagnose Diabetes?
From Too Fake, EEM, N of One, Personality Disorders, Diabetes, RV FailureIt’s rare for a shift to pass without seeing a lab value return with hyperglycemia (in a non-diabetic). So, does that patient actually have diabetes? Our guest, internist Neda Frayha, dissects what happens next when the patient leaves the ED and that question is answered. There are also tips on …
30min 53Neda Frayha, MD and Rob Orman, MD
EEM: Should We Reverse Antiplatelet Agents?
From Too Fake, EEM, N of One, Personality Disorders, Diabetes, RV FailureA patient with an acute brain bleed is also on aspirin and clopidogrel - should we infuse platelets to reverse the effects of these agents? From Essentials of Emergency Medicine 2017, Scott Weingart reviews the evidence and gives a simple algorithm.
18min 4Rob Orman, MD, Scott Weingart, MD, and Thomas Deloughery, MD
Infected and Obstructing Nephrolithiasis
From Nephrolithiasis, EMTALA Police, Breaks, PEEP Show, D-DimerPatients with infected ureteral stones present a true medical emergency. I very well may be obvious what's going on but, often, it's not so clear. Maybe the patient has no fever but a few white cells in the urine, or maybe they look sick but have a negative UA. In this wide-ranging discussion, we …
30min 57Nora Takla, MD and Rob Orman, MD
A Child With Acute Airway Swelling
From PEG Tube, Pulse Ox, N of One, Resuscitation, Chest Pain, AngioedemaA child presents with acute airway swelling and is heading toward extremis. What’s the next step? In this case based episode, we break down evaluation and management of pediatric and adult patients with acute angioedema.
33min 8MIzuho Morrison, DO and Rob Orman, MD
The PE Bounceback
From The PE Bounceback, EEM, N of One, Adrenal Crisis, Stab WoundsWhen a patient with a known and treated pulmonary embolism returns to the ED with increased pain or shortness of breath, what’s the next step? There is no textbook answer for this one, so we reached out to the PE expert, Jeff Kline, to give his approach.
30min 50Jeff Kline, MD and Rob Orman, MD
Flu: Test and Treat. Or Not.
From Frostbite, Asystole, Perfectionism, EQ, Middle Way, FluHow one approaches and manages influenza is part science and part preferred practice style. Today’s podcast presents AK’s interpretation of the literature and how she manages patients during a shift. As you will see, AK is a testing and treatment minimalist.
29min 16AK Kalantari DO and Rob Orman, MD
Neurologic Emergencies in Pregnancy
From Chest Pain, Chest Tube, Burnout, Debriefing INFO, Alcohol Withdrawal, PregnancyNeurological complaints can be a challenge even when they’re straightforward. Add pregnancy the equation and the complexity can increase exponentially. Luz Silverio breaks down a case of altered mental status, very high BP, and looks at lytics in pregnant patients.
34min 37Rob Orman, MD
Alcohol Withdrawal Made Simple
From Chest Pain, Chest Tube, Burnout, Debriefing INFO, Alcohol Withdrawal, PregnancyIn this episode, Cam Berg presents a standardized, cohesive, and evidence-based pathway for the management of alcohol withdrawal that was developed for North Memorial Health Hospital.
36min 15Cam Berg, MD and Rob Orman, MD
The Case of the Red Anus
From Hyperkalemia Management, Lupus, Wegener’s, EM MIndset, Iron, Red AnusDiscuss Evaluation and treatment of pediatric patients with perianal streptococcal infection.
18min 8Walker Foland, MD and Rob Orman, MD
IV Iron - The Bloodless Transfusion
From Hyperkalemia Management, Lupus, Wegener’s, EM MIndset, Iron, Red AnusDiscuss management of anemic patients with intravenous iron infusion.
36min 22Thomas Deloughery, MD and Rob Orman, MD
Evidence Based Hyperkalemia Management
From Hyperkalemia Management, Lupus, Wegener’s, EM MIndset, Iron, Red AnusHyperkalemia is one of, if not the most, common electrolyte abnormalities we see. But much of what we do in treatment is what someone told us to do when we were young learners. In this episode we debunk hyperkalemia myths and discuss an evidence based approach to management
33min 55Rob Orman, MD and Britt Long, MD
Rhabdo: Sick vs Not, How to Treat, Who Needs Admission
From Las Vegas Mass Casualty, TIA, Primum Non Nocere, UTI, RhabdoDiscuss the evaluation, treatment, and disposition for patients with rhabdomyolysis.
25min 42Rob Orman, MD and Matt Delaney, MD
UTI Treatment Made (sort of) Easy
From Las Vegas Mass Casualty, TIA, Primum Non Nocere, UTI, RhabdoRob and Adam Rowh discuss treatment options for UTI's.
40min 35Rob Orman, MD and Adam Rowh, MD
TIA Evaluation and Disposition
From Las Vegas Mass Casualty, TIA, Primum Non Nocere, UTI, RhabdoRob and Cam Berg discuss TIA Evaluation and Disposition.
24min 37Cam Berg, MD and Rob Orman, MD
Should I give antibiotics to a patient with diarrhea?
From Cirrhosis, Topical Steroids, Skill Decay, Antibiotics, Diarrhea, WWWDDiscuss pros and cons of different antibiotics choices for acute cystitis.
31min 43Rob Orman, MD and Adam Rowh, MD
Essentials of EM Segment: Topical Steroids
From Cirrhosis, Topical Steroids, Skill Decay, Antibiotics, Diarrhea, WWWDDiscuss classification and use of topical steroids in the acute care setting.
23min 39Brittney Declerck MD and Rob Orman, MD
Is There a Role for a Two Hour APAP Level?
From The Dying Asthmatic, Button Batteries, Effective Leaders, Ischemic Bowel, APACDiscuss utility of obtaining an acetaminophen level before four hours post ingestion in overdose patients. •
29min 20Rich Hamilton, 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
Neonatal Intubation
From May 2018: GI Bleed, Extubation, Scribes,Troponin and Neonatal IntubationRob and Andy Sloas, DO discuss Neonatal Intubation. •
38min 58Andy Sloas, DO and Rob Orman, MD
Massive GI Bleed on Anticoagulants
From May 2018: GI Bleed, Extubation, Scribes,Troponin and Neonatal IntubationRob and Tom Deloughery discuss management of actively bleeding patients who have been prescribed anticoagulation medications.
28min 53Rob Orman, MD and Thomas Deloughery, MD
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