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emDOCs Podcast – Episode 147: Multiple Myeloma Part 1

Today on the emDOCs cast Brit Long covers part 1 of multiple myeloma: initial presentation and hematologic, renal, and calcium issues.

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    Articles

    • practice updates

    Concussion Update

    • 3 Comments
    Concussion is a type of mild traumatic brain injury (TBI) that classically occurs in sports-related incidents but can be due to any traumatic force to the brain. The term concussion stems from the Latin word, concussus, which means “to shake violently." While sport is the most common cause of concussion
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    • practice updates

    The Sick Neonate

    • 2 Comments
    Rapid evaluation and management of the sick neonate is a required skill for the emergency physician. Here we present a brief but comprehensive strategy for resuscitating and stabilizing the critically ill neonate as well as some mnemonics for help remembering the differential diagnosis.
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    • practice updates

    Amiodarone vs Procainamide for Stable VT

    • 5 Comments
    Case Scenario: A 38-year-old male with a history of hypertension and an unknown heart defect status post repair in infancy presents to the Emergency Department with acute onset chest pain, dyspnea, and diaphoresis. He had a similar episode at another hospital 1 month prior that resolved after "some medication." He
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    • From @EMSwami

    Cardiogenic Shock

    • 6 Comments
    Click here to view Tintinalli's chapter on Cardiogenic Shock via Access Emergency Medicine!A 55-year-old man arrives via ambulance in respiratory distress. Paramedics attempted to start an intravenous line but the patient is altered and pulled it out. They were also unable to keep an NRB mask on him. His
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    Spinal Epidural Abscess

    • One Comment
    "Once the classic symptoms appear and a definitive diagnosis is made, the very symptoms we look for have often become irreversible"
    • Spinal epidural abscess is an extremely rare diagnosis but a potentially devastating one.
    • It has proven to be a difficult ER diagnosis.
    • Unfortunately, once the classic symptoms appear
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    • Ask Me Anything

    Ask Me Anything with Steve Carroll, DO (@embasic)

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    Live Blog Ask Me Anything - Steve Carroll, DO
     
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    Acute heart failure exacerbation disposition

    Not all patients require admission

     

    Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

     

    Elevated troponin and serum Cr associated with worse outcomes

     

    Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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