Invictus Reviews

Coming Soon: Invictus. Reviews YouTube Version We reframe “drowning” as submersion incidents and lay out a simple path from shore to safe disposition. Hypoxia drives arrest, observation prevents misses, and ECMO has a clear role when ventilation fails or hypothermia persists. • replacing drowning with submersion incidents • hypoxia as the primary cause of arrest • selective C‑spine precautions bas...

YouTube Link Dr. Sean Nordt delivers a comprehensive pharmacology lecture on antidepressants, their mechanisms, and the management of toxicity cases in emergency settings. The board-certified emergency physician, pharmacologist, and toxicologist walks through the complex pharmacology of psychiatric medications, focusing on their potentially deadly complications and how to recognize and treat them....

YouTube Link Updates on the Invictus medical review courses with "baby Invictus" for oral exams coming soon and a comprehensive border review course in development. Dr. Sean Nort shares vital insights on common household ingestions, challenging assumptions about what substances actually pose dangers to children. • Household bleach (3% sodium hypochlorite) ingestion typically requires onl...

YouTube Link Dr. Mel Herbert provides a crucial update on the Invictus Board Review program alongside critical pearls for identifying and managing deadly necrotizing infections. These rapidly progressing infections require immediate recognition, prompt treatment, and surgical intervention to prevent death from these tissue-destroying processes. • Necrotizing infections include necrotizing fasciiti...

YouTube Link Tracheostomy and laryngectomy emergencies demand specific knowledge and immediate action to prevent devastating complications. Jess Mason delivers critical pearls on managing occluded, dislodged, and bleeding tracheostomies that are essential for both board exams and clinical practice. • Cuffed tracheostomies have a pilot balloon and are required for positive pressure ventilation • Un...

YouTube Link Status epilepticus has been redefined from 30 minutes to just 5 minutes of continuous seizure activity, aligning better with current treatment approaches that emphasize early intervention. This includes recognizing non-convulsive status, which often presents as a prolonged postictal state with subtle eye movements or gaze deviation. • Systematic assessment includes history of seizures...

YouTube Link Staph Scalded Skin Syndrome presents with terrifying skin desquamation but typically heals without scarring within two weeks. This case demonstrates the classic presentation in a three-year-old child with recent URI, highlighting the typical appearance, clinical course, and management principles. • Staph Scalded Skin Syndrome results from staphylococcal toxins that cleave the epidermi...

YouTube Link Try and guess before reading the summary. Stevens-Johnson Syndrome presents a critical dermatological emergency characterized by mucosal lesions and diffuse rash with high mortality if untreated. Recognizing this condition requires understanding its presentation, pathophysiology, and immediate management strategies to improve patient outcomes. • Case presentation of 20-year-old female...

YouTube Link Britt Guest's lecture on pregnancy complications with expert emphasis from Matt Delaney. This preview focuses on differentiating normal pregnancy nausea from hyperemesis gravidarum while demonstrating effective board exam question strategies. • Normal pregnancy nausea can be managed with pyridoxine (B6), doxalamine, ondansetron, ginger, and eating smaller frequent meals • Hyperem...

Link to CXR Fundamentals Series on EM:RAP We explore Rubella (German measles or three-day measles), a disease that remains clinically relevant despite being considered nearly eradicated in the US due to vaccination. • Congenital rubella syndrome can cause severe complications including cataracts, cardiac abnormalities, growth restriction, and hearing loss • Rubella typically presents with cephaloc...

YouTube Link The Invictus curriculum continues to expand with new lectures, emphasized content, transcripts, and multiple-choice questions, with Matt Delaney now helping with development. We explore pneumomediastinum and pneumopericardium through a simple balloon analogy: two lungs squishing around the heart where air can leak into potential spaces, sometimes tracking into the neck or even dissect...

Link to YouTube Video We explore the essential techniques for accurately interpreting elbow X-rays, focusing on key lines, fat pad signs, and common fracture patterns that help reveal hidden injuries. • Standard elbow series includes AP, lateral, and oblique views, with the lateral being the most critical "money shot" • Two essential lines to draw: anterior humeral line (should pass thro...

Link to Scott Course:  https://guidewirecoaching.com/unburnable/ Scott Weingart discusses his journey into physician executive coaching, focusing on helping emergency medicine physicians overcome burnout through mindset shifts and practical skills development.  • Burnout often stems from inner voice negativity that physicians mistake as their core identity • Cognitive distancing teaches docs to se...

YouTube Link We explore the clinical management of foodborne and waterborne illnesses, focusing on key differences between viral and bacterial causes that determine treatment approaches. Understanding when to use supportive care versus antimicrobial therapy helps clinicians provide appropriate management for this common presentation. • The vast majority of diarrheal illnesses are viral, self-limit...

Links: YouTube Version Dirty White Coat The Pitt Necrotizing soft tissue infections demand immediate recognition and aggressive treatment to prevent devastating outcomes and death. Dr. Mellick reviews critical diagnostic features, treatment protocols, and exam-relevant information about these life-threatening conditions through a series of board-style questions. • Necrotizing infections in IV drug...

YouTube Link We share exciting updates from our clinical experiences in Kenya and celebrate the authentic portrayal of emergency medicine in the television show "The Pit," which features emergency physician Joe Sachs as a key writer and producer. • Emergency medicine residency match rates have recovered to 97.9%, approaching the traditional 98-99% fill rate after dropping to 80% during C...

YouTube link Measles and chickenpox are often confused despite having significant differences in symptoms, severity, and treatment options. We break down the key distinctions between these two infectious diseases, highlighting why measles is significantly more dangerous and why vaccination remains critical for public health. • Measles starts on head and neck, spreads downward through the body • Me...

Quick note on a travel pause then we will be back at it!

YouTube Link Pediatric emergency medicine is highlighted through a detailed discussion on torus fractures, their management, and the implications for treatment approaches. Ilene Claudius provides valuable insights into pediatric care, emphasizing the importance of community feedback and ongoing education for healthcare professionals. • Ilene Claudius is our expert  • Overview of torus fractures an...

Mel presents a case of weakness. Don't read on or you will get the spoiler. YouTube Link Eaton-Lambert syndrome presents a unique clinical challenge, especially when linked to underlying malignancies. In this episode, we delve into the connections between muscle weakness, potential cancer diagnoses, and the importance of early recognition in enhancing patient care.  • Case study of a 60-year-...

Ok - this is a simple one - a great talk with a link to YouTube - we need your feedback.  Go watch the lecture and give you you feedback here on on the YouTube channel please :). Feedback can also go to: mel@emrap.org YouTube Link here

Mel does some MCQs to highlight the diseases affecting bulbar muscles we have been covering the last few weeks. YouTube Link

This episode explores the intersections of emergency medicine and media representation, highlighting the successes of 'The Pit' and the new Invictus board review initiative. We discuss the importance of medical accuracy in shows, the decline in board exam scores, and the vital role of ongoing education.  • Effect of 'The Pitt' on public perception of emergency medicine • Collab...

Discover the secrets behind mastering medical board exams with Mac Brown, a core faculty member at John Peter Smith Emergency Department. We promise you'll come away with innovative strategies that maximize your limited study time without sacrificing your well-being. Mac introduces his unique "candle making method," a study technique that focuses on building a solid foundation throu...