Learn the knowledge of toxic alcohol poisoning recognition, clinical and lab clues, limitations of the osmolar gap, goals of management, time sensitive treatments and more…
EM Cases: Toxic Alcohols – Minding the Gap Read More »
Not only are obese patients at higher risk for morbidity and mortality, but obesity emergency management is complicated by the patient’s altered cardiopulmonary physiology and drug metabolism. This can make their acute management much more challenging and dangerous.
EM Cases: Obesity Emergency Management Read More »
So, with the help of ‘the walking encyclopedia of EM’ Dr. Walter Himmel and North York General’s Deputy Chief of Radiology Dr. Ryan Margau, we’ll discuss a few emergency radiology controversies, pearls and pitfalls!
EM Cases: Emergency Radiology Controversies Read More »
Disaster medicine is the “universal subspecialty”. Why? Because all physicians could be called upon to help their communities in times of crisis, and because disaster medicine is the ultimate team sport. Emergency Medicine is particularly well suited to take a lead in disaster medicine. We own this.
EM Cases: Disaster Medicine Read More »
There are a whole slew of very important occult knee injuries – those that have a normal or near normal x-ray – that can cause serious morbidity if you miss them, and for the catchall soft tissue injuries there are some subtleties in diagnosis and management that will make a real difference to our patients.
EM Cases: Occult Knee Injuries Pearls and Pitfalls Read More »
Dr. Leeor Sommer, who runs ENT hands-on workshops, and Dr. Maria Ivankovic, lecturer extraordinaire on ENT emergencies, discuss ENT Emergencies Pearls, Pitfalls, Tips & Tricks
EM Cases: ENT Emergencies Pearls, Pitfalls, Tips and Tricks Read More »
This week’s toxcard is on treatments used for beta blocker and calcium channel blocker toxicity.
TOXCARD: BB & CCB Treatments Read More »
Alcohol use is extremely widespread throughout developed countries. It is estimated that 8 million people in the US are alcohol dependent. Approximately 20% of men and 10% of women will at some point in their lives have an alcohol-use disorder. About half of people with alcohol-use disorders will have symptoms of withdrawal when they cut down or stop their alcohol consumption. Extreme complications, including seizures and/or delirium tremens, will occur in 3-5% of these people.
Alcohol Withdrawal: Pearls and Pitfalls Read More »
A 59 year-old male presented to the emergency department with a chief complaint of difficulty concentrating and loss of vision. He had presented to the same facility the day prior for chest pain, chills, and a cough. During his prior visit, the patient underwent a chest x-ray which demonstrated a consolidation suggestive of a lobar pneumonia and was subsequently discharged home with a prescription for Azithromycin as well as instructions to follow-up with his primary care doctor. However, he was unable to fill his prescription. Upon attempting to drive home, the patient was pulled over by law enforcement because he was acting “delirious.” Despite the traffic incident, he was allowed to return home. The patient reported that once he arrived at home he began bumping into furniture, experiencing difficulty with concentration, and suffered vision loss. In addition, he continued to experience chills, chest pain, and shortness of breath.
A Case of Non-bacterial Thromboembolic Endocarditis Read More »
Your overnight junior calls for your help with his decompensating intubated patient. The patient is a 54 year-old male with a history of COPD who was intubated ten minutes ago. The ventilator is alarming due to high pressures. The patient’s current vitals are HR 140, BP 80/50, SpO2 82%. The ventilator settings are VCV rate 12, tidal volume 450, PEEP 15, FiO2 100%. You quickly disconnect the circuit but the patient is not improving. What do you do next?
Taking Ownership of the Ventilator – How to Manage and Troubleshoot Read More »
