Emergency Medicine Cases

In this month’s EM Quick Hits Podcast, Amal Mattu discusses non-obstructive and non-thrombotic causes of ACS, Andrew Tagg reviews how to diagnose and treat threadworms (pinworms), and Justin Morgenstern implores us to let our ED patients eat and drink. Plus, Hans Rosenberg shares practical pearls for managing vaso-occlusive episodes and complications of sickle cell disease in the ED, and Sara Gray and Katie Lin return for Part 4 of “Coaching the EM Mind,” with strategies for addressing imposter syndrome and shame. Please consider a donation to EM Cases here: https://emergencymedicinecases.com/donation/

Vertigo is one of the most dreaded chief complaints in Emergency Medicine – for good reason! Symptoms can be vague, the assessment can be nuanced, and there are so many potential pitfalls along the way for accurately investigating and diagnosing dizzy patients. What do we actually need to know about risk stratifying these patients at the bedside? What red flags are most helpful to screen for? How do we tease out the useful parts of the history and physical exam to guide our diagnostic strategy? In this Vertigo Part 1 episode, Katie is joined by emergency physicians and vertigo gurus Dr. Peter Johns and Dr. Elisha Targonsky to outline a practical 4-step approach to assessing patients with EPISODIC vertigo and key clinical pearls to make your next vertigo assessment so much easier. Stay tuned for the upcoming paired Vertigo Part 2 episode that will cover an approach to continuous vertigo… If you find EM Cases content helpful for your practice, please consider contributing a donation to help us continue producing free, high-quality, and open-access emergency medicine educational content here: https://emergencymedicinecases.com/donation/

Epistaxis is usually straightforward—until it isn’t. How can you distinguish an anterior bleed from a dangerous posterior bleed? What’s the best sequence for compression, vasoconstrictors, TXA, cautery and packing? When should you reach for an anterior balloon tampon or posterior dual balloon? And how do you manage the airway when torrential bleeding fills the oropharynx? In this Epistaxis Management Deep Dive, Anton is joined by emergency physician Dr. Leeor Sommer and otolaryngologist Dr. Doron Sommer for a practical step-wise approach to everything from the routine nosebleed to life-threatening hemorrhage... If you find EM Cases useful in your practice, please consider making a donation to help us keep producing free, open-access emergency medicine education here: https://emergencymedicinecases.com/donation/

In this month’s EM Quick Hits Podcast, Mike Weinstock dissects a pediatric headache medical malpractice case, Zoe Polsky reviews the use of phenobarbital for alcohol withdrawal, and Kylie Booth and Nour Khatib discuss how a Peer-to-Peer program can support emergency clinicians. Plus, Matthew McArther clarifies when to treat asymptomatic bacteriuria in older adults, Shawn Segeren shares practical approaches to mechanical ventilation in the emergency department, and Sara Gray and Katie Lin return for Part 3 of “Coaching the EM Mind,” with strategies for building strong teams and support networks... Please consider a donation to EM Cases here: https://emergencymedicinecases.com/donation/

When to image, when to wait, and what to do when the ideal test isn’t available are often far more nuanced than they appear. In this EM Cases episode, Dr. Amit Shah joins Anton to tackle some of the toughest everyday imaging decisions: How much should cumulative radiation exposure influence our decision to order another CT? In suspected appendicitis, when is it safe to wait for ultrasound rather than obtain CT overnight? Can the emerging traumatic brain injury biomarkers GFAP and UCH-L1 help avoid CT, particularly in rural and remote settings? And in suspected cauda equina syndrome, how can PVR and CT lumbar spine be combined to risk-stratify patients when MRI isn’t immediately available—and when should a reassuring PVR or CT not reassure us? Plus, practical shared decision-making strategies, the role of the “tincture of time,” and much more...
Please consider a donation to EM Cases to support ongoing high-quality Free Open Access Medical Education: https://emergencymedicinecases.com/donation/