Cardiac Transplant Patients in the ED
From Cardiac Transplant Patients in the ED, EEM 2019, N of One, Brue WorksWe should never trust the transplanted heart. Loss of innervation, no chest pain with MI's, infection, rejection, and vasculitis are just a few of the problems we can run up against. In this episode, ED intensivist Sam Wood gives us the tools for a rational approach to evaluation and treatment the …
36min 9Sam Wood, MD and Rob Orman, MD
Bits and Pieces
From Large Vessel Occlusion Strokes, STI Updates, N of 1, Kratom, Bits and PiecesOur bi-montly session where YOU take the helm with… A poetic ode to CT angiography, consenting stroke patients for thrombolysis, a Reuben Strayer rebuttal to our recent episode on first trimester vaginal bleeding, and Luz Silverio’s rebellion against penicillin allergy.
27min 14Luz Silverio MD and Rob Orman, 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
Open Fracture
From Propofol Procedural Sedation, Chest Pain Guideline, N of 1, Open Fracture, DVTTrauma orthopedic surgeon Dr. Derrek Woodbury gives the ins and outs on managing open fractures.
32min 47Derrek Woodbury, MD and Rob Orman, MD
EEM 2019: About That Cough
From Cathing Dudes, Cough, N of 1, Low Salt, Active Shooter, Bits and PiecesFrom Essentials of Emergency Medicine 2019, pediatric emergency Physician Ilene Claudius gives her rapid fire differential for cough in kids and strategies for treatment. Spoiler alert: over-the-counter cough medicines are deservedly maligned and the better option is honey! •
15min 48Rob Orman, MD and Ilene Claudius, MD
Myasthenia Gravis and Crisis
From First Trimester Bleeding, EEM, N of One, Myasthenia Gravis, FAST ExamA myasthenic patient rolls through the door in acute respiratory distress. You think this could be a myasthenic crisis. What’s the next step? Is there something we can do to turn around the situation? To answer these questions (and more), Brit Long returns to ERcast to break down key steps, and …
32min 21Rob Orman, MD and Britt Long, MD
First Trimester Bleeding Controversies
From First Trimester Bleeding, EEM, N of One, Myasthenia Gravis, FAST ExamOver the past few years, there have been challenges to many of the long held beliefs about evaluation and treatment of patients with first trimester vaginal bleeding: what is the ideal quantitative HCG discriminatory zone, should we give patients D-immune globulin, what are the next steps when we …
31min 43Cam Berg, MD and Rob Orman, MD
A Burn Surgeon on Burn Management
From Peds Fever 2019, Peds Head Injury, N of One: Errors, Burns, Bits and PiecesBurn surgeon Anne Wagner is back to talk burn management, from the most simple to the critically ill. In this episode: the unusual case of admitting sunburn, management of second degree burns, do all third degree burn patients need referral to a burn center, and a simple strategy for fluid resus in …
31min 4Rob Orman, MD and Anne Wagner, 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
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
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
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
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
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