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EM Cases

EM Cases: Commonly Missed Ankle Injuries

With the help of Canada’s leading ED-ortho educator Arun Sayal, the brains behind The CASTED Course, and Hossein Mehdian, an Orthopedic surgeon at North York General, we cover a general way of thinking about ankle injuries, the limitations of the Ottawa Ankle Rules, a simplified approach to the ankle x-ray, the importance of identifying an external rotation mechanism of injury and much more…

EM Cases

EM Cases: ED Stroke Management in the Age of Endovascular Therapy

Which patients need what type of scanning? Where should that scanning be done – at the stroke center or at the peripheral center? Which patients should get systemic thrombolytics? Which patients should get endovascular therapy? In this EM Cases main episode podcast, a follow up to our episode on TIA released in November 2018 with Walter Himmel and David Dushenski, we try to simplify the confusing time-based and brain tissue-based options for stroke management…

EM Cases

EM Cases: Oncologic Emergencies

In this episode on Oncologic Emergencies Dr. John Foote (University of Toronto’s CCFP(EM) residency program director) and Dr. Joel Yaphe (the director of the University of Toronto’s Annual Update in Emergency Medicine conference in Whistler), review 5 important presentations in the patient with cancer: fever, shortness of breath, altered mental status, back pain and acute renal failure; with specific attention to key cancer-related emergencies such as febrile neutropenia, hypercalcemia, superior vena cava syndrome, hyperviscosity syndrome and tumor lysis syndrome.

EM Cases

EM Cases: Skin and Soft Tissue Infections – Myths and Misperceptions

Why do EM physicians spend so little time talking about the things we see the most often? You may not be as energized for cellulitis as you are for an ED thoracotomy, but skin and soft tissue infections are encountered on nearly every shift – and you can do a lot more good for a lot more patients by recognizing and treating these common infections the right way.

EM Cases

EM Cases: Pediatric DKA

Learn the key historical and examination pearls to help pick up this sometimes elusive diagnosis, what the value of serum ketones are in the diagnosis of DKA, how to assess the severity of DKA to guide management, how to avoid the dreaded cerebral edema that all too often complicates DKA, how to best adjust fluids and insulin during treatment, which kids can go home, which kids can go to the floor and which kids need to be transferred to a Pediatric ICU.

EM Cases

EM Cases: Blunt Ocular Trauma

EM Cases discusses the most important diagnoses to consider, describe how physical exam in queen while CT can misguide you, explain a simple approach to orbital compartment syndrome with retrobulbar hematoma, give you tips on lateral canthotomy, how to pick up subtle hyphemas, why sickle cell patients are high risk, describe the key clinical clues to subtle globe rupture, the role of tranexamic acid in eye bleeds and much more…

EM Cases

EM Cases: Fever in the Returning Traveler

You might be thinking that it’s impossible to learn all the thousands of details of the dozens of different tropical diseases – true. However, in the ED, while we don’t need to know every detail of every tropical disease, and don’t necessarily need to make the exact diagnosis right away, we do need to have a rational, organized approach to diagnosing and managing fever in the returning traveler, so that we can identify some of the more common serious illnesses like Malaria, Dengue and Typhoid fever, and start timely treatment in the ED.