EMplify by EB Medicine

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 o...

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...

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 Spe...

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 T...

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

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 Subarach...

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...

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  

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 P...

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, different...

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 Acce...

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 reaction...

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: Ho...

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 drif...

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, s...

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) Pr...

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 P...

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?  ...

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...

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 Chi...

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 c...

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...

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 art...

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 health...

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...