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...
Dec 01, 2023•1 hr 7 min
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 Po...
Nov 01, 2023•1 hr 6 min
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 Treat...
Oct 02, 2023•52 min
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...
Sep 01, 2023•49 min
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 Thr...
Aug 01, 2023•55 min
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...
Jul 05, 2023•59 min
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 Cont...
Jun 01, 2023•1 hr 9 min
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 batteri...
May 03, 2023•53 min
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...
Apr 13, 2023•54 min
Announcements: The interactive Clinical Pathways 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 Epidemiology Pathophysiology Populations at Risk Complications Intracranial hemorrhage Aneurysms Heart block Prehospital Care ED History and Examination Imaging Antibiotic Therapy Surgical Treatment Special Populati...
Apr 03, 2023•43 min
Announcements: The interactive Clinical Pathways 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 — History Point-of-care testing I/O lines Presentation, differential, and treatment of: Hyponatremia Hypernatremia Hypokalemia Hyperkalemia Hypocalcemia Hypercalcemia Hypomagnesemia Hypo...
Mar 02, 2023•53 min
Announcements: The interactive Clinical Pathways 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 DEA-X Waiver Repeal: The Mainstreaming Addiction Act The Medication Access and Training Expansion Act (MATE) FOAMed post Opioids in Children and Adolescents: Introduction Epidemio...
Feb 02, 2023•45 min
Announcements: The interactive Clinical Pathways 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 . Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases. Criteria 2006 Second Nationa...
Jan 17, 2023•51 min
Announcements: 1) The interactive Clinical Pathways have launched and they are available for free! 2) 2023 E/M coding guidelines are in effect. See the summary here . ___ 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 Introduction: How common is sepsis in kids and what is the mortality rate in the US? Definitions Septic shock Sepsis associate...
Jan 03, 2023•1 hr 4 min
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 Outbreaks Transmission Classification Influenza A, B, and C Hemagglutinin and neuraminidase subgroups Antigenic drift and shift Pathophysiology Transmission Incubation Secondary infection H3N2 Vaccines Egg-based, cell-b...
Dec 12, 2022•46 min
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 Pathophysiology: Non-pitting edema of respiratory or GI tract Histamine meditated, bradykinin mediated, or idiopathic Acquired, inherited, or idiopathic Do they present differently? (Urticaria, speed of onset) Histamine Mediated Most common form: 40%-70% Can be triggered by NSAIDs Can be induced b...
Dec 01, 2022•48 min
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 injur...
Nov 03, 2022•1 hr 11 min
In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Rob Orman, MD, founder of Orman Physician Coaching , 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 goals More at Orman Physician Coaching ....
Oct 18, 2022•49 min
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 . Episode Outline: How common are pediatric firearm injuries? What is the most common location of these injuries? Is there much literature published on this topic? Epidemiology What’s been the trend in pediatric firearm injuries over the past 10 years? Do we have any i...
Oct 02, 2022•46 min
In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Andrew Phillips, MD, MEd, founder of EM Coach , 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 it How and where to access EM Coach...
Sep 08, 2022•26 min
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 . Listen to the discussion to hear more about the emergency medicine approach to human trafficking. Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department EMplify - Sept 2022 Episo...
Sep 01, 2022•1 hr 4 min
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 project...
Aug 15, 2022•49 min
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 . Listen to the discussion to hear more about the emergency medicine approach to valvular emergencies. Managing Acute Cardiac Valvular Emergencies in the Emergency Department EMplify - August 2022 Episode Outline: Why Valvular disease? How common is it? How often do we see it in the ED? Which valve...
Aug 06, 2022•45 min
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 HHS COVID Therapeutics Locator Monkeypox Cases increasing Vaccination Testing FOAMED post on Diagnosis and Treatment PPE Science Direct article on Monkeypox 3I Tool Medication Shortages Benzodiazepines FOAMED post on benzodiazepine equival...
Jul 21, 2022•18 min
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 AN, ...
Jun 28, 2022•17 min
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 does one nega...
Jun 21, 2022•28 min
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 c...
Jun 13, 2022•45 min
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 EMplify – June 2022 Episode Outline: 1.Procedural sedation and analgesia (PSA): terminology 2.Levels of sedation Minimal Moder...
Jun 08, 2022•57 min
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....
Jun 03, 2022•24 min
Epidemiology Caused by double stranded DNA virus, genus orthopoxvirus, closely related to smallpox and cowpox. Discovered in 1958 in monkeys with first human case recorded in 1970 in the Democratic Republic of Congo. ( CDC ) It is a zoonotic disease , meaning it is transmitted from animal to humans, with primary reservoir in squirrels, Gambian poached rats, dormice, different species of monkeys and others. First reported in the U.S. in 2003. Cases were related to pet prairie dogs that had been h...
May 23, 2022•15 min
