Core EM

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Episode 211: Granulomatosis with Polyangiitis

Core EM

Granulomatosis with Polyangiitis (GPA) – Recognition and Management in the ED Hosts: Phoebe Draper, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Rheumatology Show Notes Background A vasculitis affecting small blood vessels causing inflammation and necrosis Affects upper respiratory tract (sinusitis, otitis media, saddle nose deformity), lungs (nodules, alveolar hemorrhage), and kidneys (rapidly progressive glomerulonephritis) Can lead to multi-organ failure, pulmonary hemorrhage,

Plasma 130
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Something not quite Right?

Core EM

The Case A 33 year old male with a PMH of AICD presents with palpitations and shortness of breath that began abruptly 30 minutes prior to arrival while working out at the gym. The patient was found to be in a wide complex tachycardia suspected to be ventricular tachycardia. Following lack of response to anti-arrhythmic medication, the patient was successfully electrically cardioverted with 200J.

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Episode 210: Capacity Assessment

Core EM

We discuss capacity assessment, patient autonomy, safety, and documentation. Hosts: Anne Levine, MD Brian Gilberti, MD [link] Download Leave a Comment Show Notes The Importance of Capacity Assessment Arises frequently in the ED, even when not formally recognized Carries both legal implications and ethical weight Failure to appropriately assess capacity can result in: Forced treatment without justification Missed opportunities to respect autonomy Increased risk of litigation and poor patient outc

ED 130
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Episode 209: Blast Crisis

Core EM

We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Hematology , Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow.

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Classic EM: High-Velocity Nasal Insufflation versus Non-Invasive Positive Pressure Ventilation for Moderate Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Core EM

High-velocity nasal insufflation versus non-invasive positive pressure ventilation for moderate acute exacerbation of chronic obstructive pulmonary disease in the emergency department: A randomized clinical trial. Academic Emergency Medicine, 2024 Background Non-invasive positive pressure ventilation (NIPPV) is commonly used to assist with respiration in exacerbations of chronic obstructive pulmonary disease (COPD) by offering support in both oxygenation and ventilation.

ICU 100
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Dual Sequential Defibrillation

Core EM

Definition: Refractory Ventricular Arrhythmias Persistent ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) despite 3 shocks, appropriate CPR, vasopressors, and anti-arrhythmics. Epidemiology Refractory VF occurs in roughly 1025% of out-of-hospital cardiac arrest (OHCA) cases. Linked with extremely poor outcomes: survival to discharge ~212%.

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Episode 208: Geriatric Emergency Medicine

Core EM

We explore the expanding field of Geriatric Emergency Medicine. Hosts: Ula Hwang, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Geriatric Show Notes Key Topics Discussed Importance and impact of geriatric emergency departments. Optimizing care strategies for geriatric patients in ED settings. Practical approaches for non-geriatric-specific EDs.