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?...

In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population.  Why ocular injuries? Why did you pick this topic? What kind of injuries are included and at what age are they most common? Injury zones and terminology Differential Diagnosis* What should we keep in mind when we are confronted with an ocular injury? (Table 3)Prehospital Care* What do our EMS colleagues need to keep in mind when transporting a child with an ocular...

In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Rob Orman, MD, founder of Orman Physician Coaching (https://roborman.com/), about career disillusionment.* Career Disillusionment: What is it? How do we combat it? Should we combat it? * A frog in boiling water... * Burnout* Two questions to ask yourself* How coaching can help* The advice trap* A framework to explore your career and life goalsMore at Orman Physician Coaching (https://roborman.com/). 

In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department (https://www.ebmedicine.net/topics/trauma/pediatric-emergency-medicine-extremity-firearm-injuries).Episode Outline:How common are pediatric firearm injuries? What is the most common location of these injuries? Is there much literature published on this...

In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Andrew Phillips, MD, MEd, founder of EM Coach (https://www.emcoach.org), about artificial intelligence and emergency medicine education.EM/Critical care practice - what’s that like? EM Coach - what is it? Artificial Intelligence -* What is it and how does EM Coach use it? * The algorithm* How did you create it? * What does it do? * The evidence behind itHow and where to access EM Coach (https://www.emcoach.org)

In this episode, Sam Ashoo, MD interviews Lela Bachrach, MD, MS, Larissa Truschel, MD, MPH, and Makini Chisolm-Straker, MD, MPH - the authors of the July 2022 PEMP article on Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department (https://www.ebmedicine.net/topics/social/pediatric-emergency-medicine-human-trafficking). Listen to the discussion to hear more about the emergency medicine approach to human trafficking. Human Trafficking of Children and...

In this episode of EMplify: Conversation – Sam Ashoo, MD, and TR Eckler, MD, speak with John Roberts, MD, MPH, about his work with the International Medical Corps and his efforts in Ukraine.Topics include:* What is the International Medical Corps (IMC) and what does it do?* What has IMC been doing in the U.S.?* What is involved in disaster response?* What has IMC been doing in Ukraine?* What are the conditions like in Ukraine now?* How does bombing of civilian areas affect Ukraine and the IMC...

In this episode, Sam Ashoo, MD interviews Adam Sigal, MD and Stephanie Costa, MD - the authors of the August 2022 EMP article on Managing Acute Cardiac Valvular Emergencies in the Emergency Department (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-cardiac-valves). Listen to the discussion to hear more about the emergency medicine approach to valvular emergencies. Managing Acute Cardiac Valvular Emergencies in the Emergency DepartmentEMplify - August 2022Episode...

In this episode of EMplify, Sam Ashoo, MD reviews recent updates on the following topics: COVID-19* Public health emergency extended* Cases increasing* Medications and Vaccinations available* Pharmacists prescribing COVID medications* CDC COVID Therapeutics website (https://www.cdc.gov/coronavirus/2019-ncov/your-health/treatments-for-severe-illness.html)* HHS COVID Therapeutics Locator (https://covid-19-therapeutics-locator-dhhs.hub.arcgis.com)Monkeypox* Cases increasing* Vaccination*...

In this episode of EMplify: Conversation, Sam Ashoo, MD and TR Eckler, MD discuss meningococcal meningitis and the recent outbreak in Florida.Topics discussed include:* Which vaccines are currently approved by the FDA and recommended by the CDC.* The difference between the MEN ACWY vaccine and the meningococcal B vaccine.* What the current recommendations are for those exposed.* Challenges for healthcare providers treating patients who have been exposed or have symptoms.Further reading:Hogan...

In this episode of EMplify: Conversation, Sam Ashoo, MD and TR Eckler, MD discuss high sensitivity troponin testing and clinical pathways.Topics discussed include: * Which troponin assay are you currently using and what are its limits of detection? * Do delta troponin results only count if they increase? * If the test result is indeterminate, then what? repeat in 1 hr (European standard), repeat in 3 hours (depending on chest pain onset), or just admit if the HEAR(T) score is high? * What...

In this episode of EMplify: Conversation, Sam Ashoo, MD and Rob Orman, MD discuss cognitive reframing.What is cognitive reframing you ask? It is a tool for dealing with a particularly difficult event. In our case, we discuss the “near miss” medical case and how it impacted a physician. Then we discuss how the use of cognitive reframing can help improve our perception of these “near miss” events in medicine. We also discuss what this tool can do for our longevity in medicine, regardless of our...

In this episode, Sam Ashoo, MD interviews Prayag Mehta, MD and Joshua Kern, MD - two of the authors of the June, 2022 EMP article on Procedural Sedation and Analgesia in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to sedation in adults and pediatrics ! Procedural Sedation and Analgesia in the Emergency Department https://www.ebmedicine.net/topics/emergency-procedures/emergency-medicine-procedural-sedation EMplify - June...

In this episode, Sam Ashoo, MD interviews Prayag Mehta, MD and Joshua Kern, MD – two of the authors of the June, 2022 EMP article on Procedural Sedation and Analgesia in the Emergency Department (https://www.ebmedicine.net/topics/emergency-procedures/emergency-medicine-procedural-sedation). Listen to the discussion to hear more about the emergency medicine approach to sedation in adults and pediatrics !Procedural Sedation and Analgesia in the Emergency DepartmentEMplify – June 2022Episode...

The war in Ukraine has now been ongoing for 100 days. In today's episode of EMplify: Conversations we hear from Dr. J.P. McBryde about his experience as an emergency physician volunteering in Ukraine. You can read more about Med Global and their efforts in Ukraine, on their home page: https://medglobal.org/ukraine/ We would love to have your feedback. Please take the listener survey: https://www.surveymonkey.com/r/ZQRWQFW Thanks for being a listener.