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Post-Intubation Sedation and Analgesia

  Background: The immediate post intubation period in the ED is a critical time for continued patient stabilization. While physical adjuncts like securing the tube, in line suctioning, and head...

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ED Management of Minor Thermal Burns

Written By: Kaitlynn Tracy, MD Edited By: Sean Schnarr, MD and Gregg Chesney, MD Definition/Background: Burns are classified as being major, moderate, or minor in severity. The American Burn...

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Thrombotic Thrombocytopenic Purpura (TTP)

Written by: Samantha Kerester, MD Naillid Felipe, MD Edited by: Gregg Chesney, MD Jonathan Kobles, MD Background: Thrombotic thrombocytopenic purpura (TTP) is a hematologic disorder caused by platelet...

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Classic EM:

The SQuID Protocol (Subcutaneous Insulin in Diabetic Ketoacidosis): Impacts on ED Operational Metrics. Academic Emergency Medicine, 2023 Background Diabetic ketoacidosis (DKA) is an endocrine...

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Episode 187: Septic Joint in Children

We discuss the diagnosis and management of septic arthritis in the pediatric population. Hosts: Brian Gilberti, MD Ellen Duncan, MD...

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Ultrasound Guided Lower Extremity Nerve Blocks

Written by: Sadakat Chowdhury MD Edited by: Mak Sarich MD, Jay Lin MD, Jonathan Kobles MD Background: Ultrasound (US) guided nerve blocks offer an applicable option for achieving analgesia in the...

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Wide Complex Tachycardia

The Case A 41-year-old male presents to the ED with constant palpitations for one day. The patient's medical history is notable for a congenital bicuspid aortic valve, four months post aortic valve...

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Episode 188: Vasopressors

We go over the essential and complex topic of vasopressors in the ED. Hosts: Brian Gilberti, MD Catherine Jamin, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Vasopressors.mp3...

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Classic EM: GRACE – 3 Guidelines

Diagnostic accuracy of the physical examination in emergency department patients with acute vertigo or dizziness: A systematic review and meta-analysis for GRACE-3 Academic Emergency Medicine, 2023...

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Episode 189: Hyperkalemia 2.0

We revisit the topic of Hyperkelamia to update our prior episode from 2015 (pre-Lokelma) Hosts: Brian Gilberti, MD Jonathan Kobles, MD...

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The Intervals Aren’t Alright!

The Case An elderly male with a past medical history of hypertension and diabetes presents to the emergency department with a chief complaint of diarrhea and shortness of breath. His vital signs are:...

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Episode 193: Threatened Abortion

We review threatened abortion and the complexities in its care. Hosts: Stacey Frisch, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Threatened_Abortion.mp3 Download...

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Classic EM: Early adjunctive methylene blue in patients with septic shock: a...

Early adjunctive methylene blue in patients with septic shock: a randomized controlled trial. PubMed, 2023 Background Methylene blue is a potential last-line treatment for patients experiencing...

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Better Watch Your Back… Finding the Needle in the Haystack.

The Case A 71-year-old male with a history of chronic obstructive pulmonary disease, hyperlipidemia, and peptic ulcer disease presents to the emergency department with substernal chest pain radiating...

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Episode 194: Nitrous Oxide Toxicity

We review Nitrous Oxide Toxicity: Symptoms, diagnosis, and treatment overview Hosts: Stefanie Biondi, MD Brian Gilberti, MD...

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Classic EM: High risk and low prevalence diseases: Blast injuries

High risk and low prevalence diseases: Blast injuries American Journal of Emergency Medicine, 2023 Background Blast injuries stem from the instantaneous transformation of a substance from solid or...

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Acute Radiation Exposure

Author: Mallika Singh, MD Editor: Jonathan Kobles, MD Background Unintentional or intentional exposure to radiological material represents a potential threat to human health on the individual to...

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Episode 195: ARDS

We review Acute Respiratory Distress Syndrome Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/ARDS.mp3 Download Leave a Comment Tags:...

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Naloxone Masterclass

Written by: Eunice Armato-Barone, MD Edited by: Jonathan Kobles, MD   Background and Epidemiology Drug overdose is the leading cause of unintentional death in the United States, and in 2021, 75% of...

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Episode 196: The Critically Ill Infant

We discuss an approach to the critically ill infant. Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/The_Critically_Ill_Infant.mp3 Download...

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