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EMplify by EB Medicine — 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:

Pediatric UTI and Pneumonia Jan 02, 2024

Show notes

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, and the January 2024 Evidence Based Urgent Care article on Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Urgent Care Setting.

UTI

Epidemiology and Nomenclature

Prehospital Care

ED History and Physical Exam

Infants Age <2 Months
Children Age 2 Months to 2 Years
Children >2 Years
Adolescents

Urinalysis

Clean Catch Protocol
Catheterization
Suprapubic Aspiration

Blood Cultures and CSF

Biomarkers (CRP and ESR)

Treatment

Community Acquired Pneumonia

Distinguishing Viral vs Bacterial Pneumonia

Imaging

Antibiotic Treatment

Vaccination

Steroids

Atypical Presentations

Check out the clinical pathways at https://www.ebmedicine.net/pathways

Pediatric Toxic Ingestions Dec 01, 2023

Show notes

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 y Department.

Need help now? Call the Poison Help Line at: 1‑800‑222‑1222

Epidemiology

Prehospital Care

ED History and Physical Exam

Diagnostic Studies

Labs
EKG
Imaging
Urine Toxicology Testing

Treatment

Hemodialysis
Activated Charcoal
Whole Bowel Irrigation
Gastric Lavage
Ipecac

Drug Specific Therapies

Acetaminophen
Alcohols
Anticholinergics
Beta Blockers
Calcium Channel Blockers
Cholinergic Agents
Digoxin
Iron
Opioids
Salicylates
Sedative Hypnotics
Sulfonylureas
Laundry Pods

Check out the clinical pathways at https://www.ebmedicine.net/pathways

Pediatric DKA and HHS Nov 01, 2023

Show notes

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 and some of the highlights from the other EB Medicine articles published in November.

Epidemiology

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic studies

Point of care testing
Labs
Imaging

Treatment

IV fluids, the 2-bag system
Mild DKA
Moderate to severe DKA
Potassium and phosphate supplementation
Magnesium and calcium
Sodium bicarbonate
Hypoglycemia
HHS
Monitoring

Complications

Cerebral edema
Intubation

Insulin pumps

Disposition

Summary

Highlights

EBUC - Management of Acute Asthma Exacerbations in Urgent Care
EMP - Evidence-Based Emergency Department Management of Methamphetamine Toxicity
PEMP - Trauma Extra - Blunt Thoracic Injuries (coming Nov. 15th)

Check out the clinical pathways at https://www.ebmedicine.net/pathways

Substance Use in Adolescents Oct 02, 2023

Show notes

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 and the October 2023 Emergency Medicine Practice article, Evidence-Based Emergency Department Management of Migraine and Other Primary Headaches

Substance Use In Adolescents

Epidemiology

Risk Factors

Differential Diagnosis

Prehospital Care

ED History and Physical Exam

Urine Drug Screen

Treatment

Marijuana
Alcohol
Methaphetamines
MDMA
Cocaine
Opioids

Disposition

Migraine and Other Primary Headaches

Epidemiology

Cluster Headaches

Medication Overuse Headache

Nerve Blocks

Greater Occipital
Sphenopalatine Ganglion

Pregnant Patients

Disposition

Check out the clinical pathway at https://clinicalpathways.ebmedicine.net

Rectal Bleeding Sep 01, 2023

Show notes

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

Etiology/pathophysiology

Risk factors

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic studies

Laboratory testing
Imaging studies

Treatment

Transfusion
Coagulation reversal
Embolization

Special Populations

Pediatrics
Pregnant patients
Elderly patients

Scoring systems

Disposition

Check out the clinical pathway at https://clinicalpathways.ebmedicine.net

Pulmonary Embolism with Al Sacchettii, MD Aug 01, 2023

Show notes

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

Etiology/pathophysiology

Risk factors

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic scoring systems

Pregnant patients

Diagnostic studies

ECG
D-Dimer
Troponin & BNP
Chest x-ray
CT
V/Q scans
MRI
US

Treatment

IV fluids
Anticoagulation
Vasopressors
Thrombolytics
Thrombectomy
ECMO

Disposition

Check out the clinical pathway at https://clinicalpathways.ebmedicine.net

Acute Pericarditis & Myocarditis Jul 05, 2023

Show notes

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

Epidemiology

Nomenclature

Etiology

Differential diagnosis

Prehospital care

ED history and physical

Diagnostics

ECG
Labs
Imaging (X-ray, CT, US, MRI)

Treatment

Special populations

COVID-19
Athletes
MIS-C

Hypertensive Emergencies Jun 01, 2023

Show notes

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

Epidemiology

Etiology

Differential diagnosis

Prehospital care

History and physical

Diagnostics

Treatment

Acute decompensated heart failure
Acute ischemic stroke
Acute coronary syndrome
Intracerebral hemorrhage
Subarachnoid hemorrhage
Aortic dissection
Hypertensive encephalopathy
Severe pre-eclampsia and eclampsia

Controversies

Arterial line placement
Beta blockers and cocaine

Risk management caveats

Summary

GI Foreign Body Ingestion May 03, 2023

Show notes

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

Epidemiology

Etiology - types of ingestions

Anatomy - common locations by age

Food impaction
Sharp objects
Button batteries
Magnets
Colorectal foreign bodies

Prehospital care

History and Physical

Imaging

Expectant management

Endoscopic removal

Non-endoscopic techniques

Body Packing

Glucagon

Gastric button batteries

Summary

Career Longevity Apr 13, 2023

Show notes

In this episode, Sam Ashoo, MD, talks with Rob Orman, MD, founder of Orman Physician Coaching, 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 reminder

More at Orman Physician Coaching

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