In this episode, Sam Ashoo, MD and T.R. Eckler, MD interview Reuben J. Strayer, MD, author of the May 2024 Emergency Medicine Practice article, Current Concepts in Ketamine Therapy in the Emergency Department* Diving Into Ketamine Use in Emergency Medicine* Understanding Ketamine: From Origins to Emergency Use* Exploring the Ketamine Brain Continuum* Ketamine Dosing and Administration Techniques* Combining Ketamine with Neuroleptic Medications* Practical Approaches to Ketamine for Pain...

In this episode, Sam Ashoo, MD interviews Ashley A. Foster, MD, Bijan Ketabchi, MD, MPH and Jennifer A. Hoffmann, MD, MS on the March 2024 Pediatric Emergency Medicine Practice article, Evaluation and Management of Suicidal Ideation and Self-Harm in Children in the Emergency Department (https://www.ebmedicine.net/topics/psychiatric-behavioral/pediatric-emergency-medicine-suicidal-ideation-and-self-harm)* Introduction* Understanding Suicidal Ideation and Self Harm in Youths* Screening Tools...

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2024 Pediatric Emergency Medicine Practice article, Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department (https://www.ebmedicine.net/topics/cardiovascular/pediatric-emergency-medicine-brief-resolved-unexplained-event)* Introduction* The Evolution of BRUE* Understanding BRUE Guidelines* The Importance of Pre-Hospital Care in BRUE Cases* Investigating the Event: Questions to Ask*...

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the March 2024 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Constipation (https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-constipation)Prevalence and ImpactUnderstanding the CausesMedications That Can Cause ConstipationDealing with Fecal ImpactionUnderstanding Stercoral ColitisPre-Hospital CareED History and Physical ExamDiagnostic Studies and Imaging* X-Ray* CT Scans*...

In this episode, Sam Ashoo, MD interviews Paul Aronson, MD, MHS, one of the authors of the February 2024 Pediatric Emergency Medicine Practice article, Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency Department (https://www.ebmedicine.net/topics/infectious-disease/pediatric-emergency-medicine-febrile-young-infant)Guideline ChangesPathophysiologyEtiology and DefinitionsPrehospital CareED History and Physical* Diagnostic StudiesAge 0-21 Days* Age 22-28 Days* Age...

In this episode, Sam Ashoo, MD, and T.R. Eckler MD interview Nick Harrison, MD and Daniel Brenner, MD, two of the authors of the February 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Right Heart Failure (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-right-heart-failure)* Pathophysiology* Presenting Symptoms* Differential Diagnosis* Specific Acute CausesPESepsisRVMIPPVARDSCOVID-19* Specific Chronic CausesCTEPHLeft Heart...

In this episode, Sam Ashoo, MD, interviews Vasisht Srinivasan, MD, FACEP one of the authors of the December 2023 Emergency Medicine Practice EXTRA article, Emergency Department Management of Stroke in Pregnant and Postpartum Patients (https://www.ebmedicine.net/topics/stroke/emergency-medicine-pregnancy-postpartum-stroke)* Epidemiology* Evidence* Causes* Risk Factors* Differential Diagnosis* Prehospital Care* ED History and Physical Exam* Labs* Imaging* ED BP Management* Specific Ischemic...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2024 Pediatric Emergency Medicine Practice article, Management of Pediatric Urinary Tract Infections in the Emergency Department (https://www.ebmedicine.net/topics/hepatic-renal-genitourinary/pediatric-emergency-medicine-UTI), and the January 2024 Evidence Based Urgent Care article on Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Urgent Care Setting...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2023 Pediatric Emergency Medicine Practice article, Management of Pediatric Toxic Ingestions in the Emergenc (https://www.ebmedicine.net/topics/trauma/pediatric-emergency-medicine-toxic-ingestion)y Department (https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes).Need help now? Call the Poison Help Line at: 1‑800‑222‑1222 (tel:18002221222)EpidemiologyPrehospital CareED History and Physical...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department (https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes) and some of the highlights from the other EB Medicine articles published in November.EpidemiologyDifferential diagnosisPrehospital careED history and physical examDiagnostic studies* Point of care testing* ...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the October 2023 Pediatric Emergency Medicine Practice article, Substance Use in Adolescents: Recognition and Management in the Emergency Department (https://www.ebmedicine.net/topics/trauma/pediatric-emergency-medicine-substance-use) and the October 2023 Emergency Medicine Practice article, Evidence-Based Emergency Department Management of Migraine and Other Primary Headaches...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the September 2023 Emergency Medicine Practice article, Emergency Department Management of Patients With Rectal Bleeding (https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-rectal-bleeding)Etiology/pathophysiologyRisk factorsDifferential diagnosisPrehospital careED history and physical examDiagnostic studies* Laboratory testing* Imaging studiesTreatment* Transfusion* Coagulation reversal* EmbolizationSpecial...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, interview Al Sacchetti, MD, about the August 2023 Emergency Medicine Practice article, Evidence-Based Management of Pulmonary Embolism in the Emergency Department (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-pulmonary-embolism)Etiology/pathophysiologyRisk factorsDifferential diagnosisPrehospital careED history and physical examDiagnostic scoring systemsPregnant patients Diagnostic studies* ECG* D-Dimer* Troponin &...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2023 Emergency Medicine Practice article, Diagnosing and Treating Pericarditis and Myocarditis in the Emergency Department (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-pericarditis-myocarditis)EpidemiologyNomenclatureEtiologyDifferential diagnosisPrehospital careED history and physicalDiagnostics* ECG* Labs* Imaging (X-ray, CT, US, MRI)Treatment Special populations* COVID-19* Athletes* MIS-C

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-hypertensive-emergencies)EpidemiologyEtiologyDifferential diagnosisPrehospital careHistory and physical DiagnosticsTreatment* Acute decompensated heart failure* Acute ischemic stroke* Acute coronary syndrome* Intracerebral hemorrhage* Subarachnoid...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the May 2023 Emergency Medicine Practice article on Emergency Department Management of Gastrointestinal Foreign Body Ingestion (https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-foreign-bodies)EpidemiologyEtiology - types of ingestionsAnatomy - common locations by age* Food impaction* Sharp objects* Button batteries* Magnets* Colorectal foreign bodiesPrehospital careHistory and PhysicalImagingExpectant...

In this episode, Sam Ashoo, MD, talks with Rob Orman, MD, founder of Orman Physician Coaching (https://roborman.com/), about longevity in emergency medicine.* Personal foundation * Regular check-ins* Becoming an expert in… * Job stress* Living beneath your means* Recharging and shift work* Bad outcomes* Physician lounge* Learning to say no* Set a reminderMore at Orman Physician Coaching (https://roborman.com/) 

Announcements: The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free! In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the March 2023 Emergency Medicine Practice article on Emergency Department Management of Infective Endocarditis-Associated Stroke (https://www.ebmedicine.net/topics/stroke/emergency-medicine-endocarditis-stroke)EpidemiologyPathophysiologyPopulations at RiskComplications* Intracranial hemorrhage*...

Announcements:  The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free!  — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department (https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-electrolyte-emergencies) — History Point-of-care testing I/O...

Announcements: The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free! ___In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2023 Pediatric Emergency Medicine Practice article on the Responsible and Safe Use of Opioids in Children and Adolescents in the Emergency Department (https://www.ebmedicine.net/topics/pain-management/pediatric-emergency-medicine-responsible-use-of-opioids)DEA-X Waiver Repeal:*...

Announcements: The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department (https://www.ebmedicine.net/topics/allergic-immunologic-inflammatory/emergency-medicine-allergy-anaphylaxis).  Intro* The number of ED visits and hospitalizations*...

Announcements: 1) The interactive Clinical Pathways (https://clinicalpathways.ebmedicine.net/) have launched and they are available for free! 2) 2023 E/M coding guidelines are in effect. See the summary here (https://foamed.ebmedicine.net/rapid-reference/2023-e-m-coding-guidelines/). ___ In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2022 Evidence-Based Urgent Care article on Influenza in Urgent Care.Epidemiology* Historical data* Since COVID, tracking "influenza-like illness" has been complicated* Influenza deaths and age* Annual mortality OutbreaksTransmissionClassification* Influenza A, B, and C* Hemagglutinin and neuraminidase subgroups* Antigenic drift and shiftPathophysiology* Transmission* Incubation * Secondary infection* H3N2Vaccines*...

In this episode, Sam Ashoo, MD, interviews Prayag Mehta, MD, and Nikola Milanko, MD, two of the authors of the October 2022 Emergency Medicine Practice article on Angioedema in the Emergency Department (https://www.ebmedicine.net/topics/allergic-immunologic-inflammatory/emergency-medicine-angioedema) Pathophysiology: Non-pitting edema of respiratory or GI tract* Histamine meditated, bradykinin mediated, or idiopathic* Acquired, inherited, or idiopathic* Do they present differently?...