Core EM - Emergency Medicine Podcast
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Core EM - Emergency Medicine Podcast
2M ago
We review threatened abortion and the complexities in its care.
Hosts:
Stacey Frisch, MD
Brian Gilberti, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Threatened_Abortion.mp3
Download Leave a Comment Tags: OBGYN
Show Notes
Background
Defined as vaginal bleeding during early pregnancy (before 20 weeks) with a closed cervical os, no passage of fetal tissue, and IUP on ultrasound
Occurs in 20-25% of all pregnancies.
Initial Assessment and Management
Priority is to assess patient stability, establish good IV access, FAST may be helpful in identifying some ruptured ectopic ..read more
Core EM - Emergency Medicine Podcast
3M ago
We review a general approach to syncope in children.
Hosts:
Brian Gilberti, MD
Ellen Duncan, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Syncope_in_Children.mp3
Download Leave a Comment Tags: Cardiology, Pediatrics
Show Notes
Initial Evaluation and Management:
Similar initial workup for children and adults: checking glucose levels for hypoglycemia and conducting an EKG.
The history and physical exam are crucial.
Dextrose Administration in Children:
Explanation of the ‘rule of 50s’ for determining the appropriate dextrose solution and dosage for children.
ECG Ana ..read more
Core EM
4M ago
We go over the treatment of rapid atrial fibrillation (afib with RVR).
Hosts:
Brian Gilberti, MD
Jonathan Kobles, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Rapid_Atrial_Fibrillation.mp3
Download Leave a Comment Tags: Cardiology
Show Notes
Understanding AF with RVR Categories
General AF with RVR: Definition and basic understanding.
Rapid AF with Pre-excitation: Characteristics and complications.
Chronic AF in Critical Illness: Identification and special considerations.
Stability Assessment in AF with RVR
ACLS Protocols: Distinction between unstable and stable patie ..read more
Core EM - Emergency Medicine Podcast
5M ago
We discuss Electrical Storm (VT storm) and how to care for the very irritable heart.
Hosts:
Brian Gilberti, MD
Reed Colling, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Electrical_Storm.mp3
Download Leave a Comment Tags: Cardiology
Show Notes
Background/Overview of VT:
Definition: What makes it a storm
Three or more sustained episodes of VF, VT, or appropriate ICD shocks in a 24-hour period
Pathophysiology: Understanding the origin and mechanism
Sympathetic drive/adrenergic surge
Underlying pathology: Sodium channelopathies, infiltrative disease like cardiac ..read more
Core EM - Emergency Medicine Podcast
6M ago
We revisit the topic of Hyperkelamia to update our prior episode from 2015 (pre-Lokelma)
Hosts:
Brian Gilberti, MD
Jonathan Kobles, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Hyperkalemia.mp3
Download Leave a Comment Tags: Renal Colic
Show Notes
Introduction
Background
Physiology:
Normal range and the significance of deviations (>5.5 mEq/L)
Epidemiology:
Prevalence of hyperkalemia in the ER
ESRD missed HD → ECG, monitor
Causes / Risk Factors
Causes
Kidney Dysfunction, Medications, Cellular Destruction, Endocrine Causes, Pseudohyperkalemia ..read more
Core EM - Emergency Medicine Podcast
7M ago
We go over the essential and complex topic of vasopressors in the ED.
Hosts:
Brian Gilberti, MD
Catherine Jamin, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Vasopressors.mp3
Download Leave a Comment Tags: Critical Care
Show Notes
Introduction
Host: Brian Gilberti, MD
Guest: Catherine Jamin, MD
Associate professor of Emergency Medicine at NYU Langone Health
Vice Chair of Operations
Triple-boarded in Emergency Medicine, Internal Medicine, and Critical Care Medicine
Topic: Vasopressors: Essential agents for supporting critically ill patients in the ED
What Are Vasopr ..read more
Core EM
7M ago
We discuss the diagnosis and management of septic arthritis in the pediatric population.
Hosts:
Brian Gilberti, MD
Ellen Duncan, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Septic_Joint_in_Children.mp3
Download Leave a Comment Tags: Infectious Diseases, Pediatrics
Show Notes
General
Pain in joint for pediatric patient has a broad differential, including transient synovitis and septic arthritis
Transient synovitis, also known as toxic synovitis, is a common condition affecting kids aged 3-10 and often occurs after a viral infection. It is typically self-limiting a ..read more
Core EM - Emergency Medicine Podcast
2y ago
A quick primer on hypocalcemia in the ED.
Hosts:
Joseph Offenbacher, MD
Audrey Bree Tse, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/hypocalcemia.mp3
Download Leave a Comment Tags: calcium, Critical Care, Endocrine
Show Notes
Swami’s CoreEM Post
Hypocalcemia Repletion:
IV calcium supplementation with 100-300 mg Ca2+ raises serum Ca2+ by 0.5 – 1.5 mEq
For acute but mild symptomatic hypocalcemia: 200-1000mg calcium chloride IV or 1-2g IV calcium gluconate over 2 hours
For severe hypocalcemia: 1g calcium chloride IV or 1-2g IV calcium gluconate IV over 10 minutes ..read more
Core EM - Emergency Medicine Podcast
2y ago
How and when to reverse anticoagulation in the bleeding EM patient.
Hosts:
Joe Offenbacher, MD
Audrey Bree Tse, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/AC_reversal.mp3
Download Leave a Comment Tags: Anticoagulation, Critical Care, Resuscitation
Show Notes
Coagulation Cascade:
Algorithm for Anticoagulated Bleeding Patient in the ED:
Indications for Anticoagulation Reversal:
References:
Baugh CW, Levine M, Cornutt D, et al. Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplina ..read more
Core EM - Emergency Medicine Podcast
2y ago
A primer on this airway/ ID/ ENT emergency.
Hosts: Joe Offenbacher MD, A Bree Tse, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/ludwigs_2.mp3
Download Leave a Comment Tags: Airway, ENT, Infectious Diseases
Show Notes
References:
Botha A, Jacobs F, Postma C. Retrospective analysis of etiology and comorbid diseases associated with Ludwig’s Angina. Ann Maxillofac Surg 2015; 5:168.
Boscolo-Rizzo P, Da Mosto MC. Submandibular space infection: a potentially lethal infection. Int J Infect Dis 2009; 13:327.
Brook I. Microbiology and principles of antimicrobial therapy for h ..read more