Core EM Emergency Medicine Podcast
Emergency department management of diarrhea centers on distinguishing self-limiting cases from those requiring intervention. Most patients with acute, non-bloody diarrhea benefit from supportive care and oral rehydration rather than extensive diagnostic testing or antibiotics. Clinicians should reserve stool studies fo...
This podcast addresses Local Anesthetic Systemic Toxicity (LAST), a rare but critical emergency for emergency medicine physicians. Dr. Elaine Jonas defines LAST as a condition where the plasma concentration of local anesthetics exceeds toxic levels, leading to neurotoxicity and cardiovascular collapse. The discussion e...
High-output heart failure, a physiological paradox where a patient is drowning in fluid yet their heart is pumping vigorously, is explored. Dr. Nico Gonzalez joins the discussion to explain how this condition differs from typical heart failure, focusing on the normal cardiac function coupled with decreased systemic vas...
Post-ROSC care within the first hour is critical due to high rates of re-arrest and profound shock. Dr. Jonathan Elmer, an expert in post-arrest care, highlights the importance of immediate stabilization through monitoring, vascular access, and preparation for deterioration. He advocates for placing a femoral arterial ...
Meningitis, particularly its high morbidity and mortality, is the central topic, explored through a case presented by Dr. Sarah Fetterolf. The discussion begins with a 36-year-old man exhibiting generalized weakness, fevers, and altered mental status, eventually diagnosed with strep pneumo meningitis. Key insights incl...
This podcast episode of Core EM, co-hosted by Ellen Duncan and Dr. Noumi Chowdhury, discusses Brief Resolved Unexplained Events (BRUE) in pediatric emergency medicine. They define BRUE as a brief, resolved, and unexplained event affecting infants under one year, characterized by cyanosis/pallor, irregular breathing, al...
Pulmonary embolism (PE) in the emergency department is examined, emphasizing risk stratification and precise resuscitation. The discussion covers the origins and incidence of PE, noting that it often presents with varied symptoms, from shortness of breath to collapse. Risk factors such as age, inherited conditions, and...
Pneumothorax management in the emergency department requires a high index of suspicion, especially when differentiating from asthma, COPD, ACS, or pulmonary embolism. Clinical assessment relies on identifying decreased breath sounds and potential trauma history, while point-of-care ultrasound (POCUS) provides rapid, se...
Blast crisis represents a critical oncologic emergency characterized by a rapid proliferation of immature white blood cells exceeding 20% in the blood or bone marrow, most commonly occurring in patients with Chronic Myeloid Leukemia (CML). Dr. Sadakat Chowdhury, an emergency medicine expert, identifies key clinical tri...
Geriatric emergency medicine requires a shift from singular acute diagnosis toward a comprehensive approach that addresses the complex needs of older patients. Dr. Ula Hwang, a pioneer in the field and medical director of geriatric emergency medicine, emphasizes integrating the "4/5 M's"—mentation, medications, mobilit...
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