EMplify by EB Medicine

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Education
**EMplify by EB Medicine**

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

Latest Episodes:

Episode 52 - Rhabdomyolysis: Evidence- Based Management in the Emergency Department Dec 08, 2020

Show notes

EMplify December 2020

Rhabdomyolysis: Evidence- Based Management in the Emergency Department

Authors:

Gi Xiang Lee, MD

David Duong MD, MS, FACEP

Topics:

Evidence Review

Biology & Pathophysiology

Differential Diagnosis

Pre-hospital care

Emergency Department Evaluation

History
Physical Examination
Labs

Treatment

Special Populations

Disposition

Have questions or comments on the podcast? Write us at emplify@ebmedicine.net .

Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20.

Use code AMAZON20

Episode 51 - Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department Nov 17, 2020

Show notes

EMplify November 2020

An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department

Authors:

Christopher Pitotti, MD, FACEP

Jason David, MD

Topics:

The Lethal Triad

Prehospital Care

Tourniquets - Placement and Pitfalls
Stop The Bleed
Hemostatic Dressings
TXA
Temperature Management

ED Assessment

Shock Recognition
Predictors of Massive Transfusion
Imaging
Ultrasound - eFAST
CT
Labs
Viscoelastic Clot Testing
Treatment
REBOA- Resuscitative Endovascular Balloon Occlusion of the Aorta
CPR
Resuscitative Thoracotomy
Airway - Intubation
Breathing
Circulation
Massive Transfusion
Crystalloid
Blood Products

Special Populaations

Have questions or comments on the podcast? Write us at emplify@ebmedicine.net .

Episode 50 - Management of Deep Vein Thrombosis in the Emergency Department Oct 08, 2020

Show notes

EMplify October 2020

Management of Deep Vein Thrombosis in the Emergency Department

Authors:

Shane R. Sergent, DO, FAAEM, FACOEP, FAWM, RDMS

Michael Galuska, MD, FACEP, FAAEM

John Ashurst, DO, MSc, FACEP, FACOEP

Topics:

Epidemiology

Causes:

• Unprovoked

• Provoked

Risk Factors

Testing

• D-dimer

• Ultrasound

Anticoagulation

• Heparins

• DOACs

• Warfarin

• Other

Special Populations

• Malignancy

• Pregnancy

• Elderly

• Distal Calf DVT

Have questions or comments on the podcast? Write us at emplify@ebmedicine.net .

Episode 49 - Emergency Care for Transgender and Gender-Diverse Children and Adolescents - An Interview With Dr. Hannah Janeway and Dr. Clinton Coil Sep 16, 2020

Show notes

Emergency Care for Transgender and Gender-Diverse Children and Adolescents - An Interview With Dr. Hannah Janeway and Dr. Clinton Coil

This issue of Pediatric Emergency Medicine Practice is available at no cost here:

https://www.ebmedicine.net/topics/ethics/trasnsgender-gender-diverse-children

Topics:

What is the difference between gender and sexual orientation?
What are some of the terms we may encounter (current or retired)?
How does a lack of knowledge / competency regarding care for transgender and gender diverse (TGD) youth create barriers to effective care? Or negatively affect the quality of care these patients receive?
What is the best way to approach a transgender patient in the ER?
There are a number of ways transgender patient may alter their appearance. Why are these methods relevant (complications) and how do I ask about them?
- Tucking
- Packing
- Binding
What medical gender-affirming therapies are currently available? And what complications can they cause?
- Pubertal suppression
- Feminizing or masculinizing hormones
- Contraception
Is gender-affirming surgery used in this population ? What types (chest, genital) ?
STI’s and Pregnancy are still considerations, correct?
What are some of the problems that transgender youth have an increased risk of?
- Substance abuse
- Suicide
- Self harm
- Anxiety
- Depression
- Eating disorders
- Physicians and sexual violence
- Family rejection
- Homelessness
- Food insecurity
- Poverty
What are some helpful resources if I want to learn more?
- UCSF Center for Excellence for Transgender Health (https://prevention.ucsf.edu/transhealth)
- PFLAG (https://pflag.org/)

Learn more about EBMedicine and subscribe to Emergency Medicine Practice or Pediatric Emergency Medicine Practice here: https://www.ebmedicine.net/

Episode 48 - Infective Endocarditis Sep 05, 2020

Show notes

EMplify September 2020 – Infective Endocarditis

Topics:

Definition and new classification methods.
Changes in at-risk patients in the U.S.
History and Examination
Imaging
- Chest Xray
- Trans-throacic Echocardiography (TTE)
- Trans-esophagel Echocardiography (TEE)
- CT Angiography
- MRI
Bacteriology
Antibiotics
Summary

Write us at emplify@ebmedicine.net

Episode 47 - Racism In Medicine with Dr. Maurice Selby Aug 12, 2020

Show notes

EMplify August 2020 – Racism In Medicine with Dr. Maurice Selby, Assistant Professor, Emergency Medicine, Emory School of Medicine

Host- Health In Harlem radio show (WHCR 90.3 FM)and podcast

Topics:

History of racism in medicine
- Niggerology
- Experimentation on Women
- Pain thresholds, endurance to harsh environments, food and water
Institutional Review Boards (IRBs) and their role in racism
Non-compliant patients
Believing your patient
Poor outcomes in medicine due to racial bias
Bereaving families
Racism among physicians and providers
- Micro agressions
- What it’s like to experience racism as a physician.
Next steps.

Leave us a voicemail at 678-336-8466, ext 128

Write us at emplify@ebmedicine.net

Episode 46 - (Part 2) Ventilator Management of Adult Patients in the ED: An Interview with Dr. Ryan Pedigo Jul 20, 2020

Show notes

EMplify July 2020 – Ventilator Management Of Adult Patients with Dr. Ryan Pedigo, Part 2

Topics:

ARDS
COVD-19
- Lung Compliance
- Prone Positioning
Metabolic Derangements
- DKA
Capnography and Waveform Analysis

Leave us a voicemail at 678-336-8466, ext 128

Write us at emplify@ebmedicine.net

Episode 45 - (Part 1) Ventilator Management of Adult Patients in the ED: An Interview with Dr. Ryan Pedigo Jul 12, 2020

Show notes

EMplify July 2020 – Ventilator Management Of Adult Patients with Dr. Ryan Pedigo, Part 1

Topics:

Ventilator Modes
- Volume Assist vs Pressure Support
Tidal Volumes
- Tidal Volume Measurement Tables
Inspiratory / Expiratory Ration
FiO2: How much oxygen do we need?
COPD Patients
- Permissive Hypercapnia
- Volume vs Respiratory Rate Adjustments
Asthma Patients
- Respiratory Rate Adjustments

Leave us a voicemail at 678-336-8466, ext 128

Write us at emplify@ebmedicine.net

Episode 44 - Multi-system Inflammatory Syndrome in Children (MIS-C): An Interview with Dr. Ilene Claudius and Dr. Mohsen Saidinejad Jun 18, 2020

Show notes

EMplify June 2020

Multi-system Inflammatory Syndrome in Children (MIS-C) with COVID-19: An Interview with Dr. Ilene Claudius and Dr. Mohsen Saidinejad.

What is it and when did we discover it as an entity?
Have either of you treated anyone with the disease?
Discussion of different cohorts of patients with MIS-C.
Definition of MIS-C.
Shock: cardiogenic and distributive shock presentations.
Fever, is 4 days required?
Discussion of where in the COVID-19 illness MIS-C occurs.
Is clinical shock a requirement?
Screening criteria (labs) and the Children’s Hospital Of Philadelphia pathway.
What is available as treatment?
- A discussion of IVIG
- Steroids
- Cytokine blockers
- Remdesivir
Why IVIG?
Complications of the disease.
Why are there more cases in New York?
How has MIS-C changed your practice of testing children?
Is there utility in testing for COVID-19 infection or antibodies in these cases?

Resources:EB Medicine Novel 2019 Coronavirus SARS-CoV-2 (COVID-19): An Updated Overview for Emergency Clinicians

EB Medicine COVID-19: The Impact on Pediatric Emergency Care

Children’s Hospital of Philadelphia Clinical Pathway for MIS-C.

Have questions or comments on the podcast? Leave us a voicemail at 678-336-8466, ext 128 or write us at emplify@ebmedicine.net .

Episode 43 - Rural EM and COVID-19: An Interview with Dr. Harry Wingate and Dr. Ken Gramyk Jun 13, 2020

Show notes

EMplify June 2020

Rural Emergency Medicine and COVID-19: An Interview with Dr. Harry Wingate and Dr. Ken Gramyk.

The rural experience in Georgia and Idaho.
Covering both the ED and inpatient areas.
Transfers.
Schedule and ED operation changes.
Practicing in a resource limited environment.
Volume changes during the pandemic.
Employee furloughs and staffing changes.
EMS availability and transfers.
Telemedicine.

Have questions or comments on the podcast? Leave us a voicemail at 678-336-8466, ext 128 or write us at emplify@ebmedicine.net .

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