Episodes

In this episode, Sam Ashoo, MD interviews Paul Aronson, MD, MHS, one of the authors of the February 2024 Pediatric Emergency Medicine Practice article, Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency Department Guideline Changes Pathophysiology Etiology and Definitions Prehospital Care ED History and Physical Diagnostic StudiesAge 0-21 Days Age 22-28 Days Age 29-60 Days Lumbar Puncture Viral Testing Urinalysis Shared Decision Making Disposition

In this episode, Sam Ashoo, MD, and T.R. Eckler MD interview Nick Harrison, MD and Daniel Brenner, MD, two of the authors of the February 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Right Heart Failure Pathophysiology Presenting Symptoms Differential Diagnosis Specific Acute Causes PE Sepsis RVMI PPV ARDS COVID-19 Specific Chronic Causes CTEPH Left Heart Failure Congenital Heart Disease LVAD Lung Disease Group 3 Pulmonary Hypertensio...

In this episode, Sam Ashoo, MD, interviews Vasisht Srinivasan, MD, FACEP one of the authors of the December 2023 Emergency Medicine Practice EXTRA article, Emergency Department Management of Stroke in Pregnant and Postpartum Patients  Epidemiology Evidence Causes Risk Factors Differential Diagnosis Prehospital Care ED History and Physical Exam Labs Imaging ED BP Management Specific Ischemic Stroke Therapies Specific Hemorrhagic Stroke Therapies

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2024 Pediatric Emergency Medicine Practice article, Management of Pediatric Urinary Tract Infections in the Emergency Department, and the January 2024 Evidence Based Urgent Care article on Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Urgent Care Setting. UTI Epidemiology and Nomenclature Prehospital Care ED History and Physical Exam Infants Age <2 Months Children Age 2 Months to 2 Years Childr...

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2023 Pediatric Emergency Medicine Practice article, Management of Pediatric Toxic Ingestions in the Emergency Department. Need help now? Call the Poison Help Line at: 1‑800‑222‑1222 Epidemiology Prehospital Care ED History and Physical Exam Diagnostic Studies Labs EKG Imaging Urine Toxicology Testing Treatment Hemodialysis Activated Charcoal Whole Bowel Irrigation Gastric Lavage Ipecac Drug Specific Therapies ...

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 of care testing Labs Imaging Treatment IV fluids, the 2-bag system Mild DKA Moderate to s...

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 Factors Differential Diagnosis Prehospital Care ED History and Physical Exam Urine Drug Scree...

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 Special Populations Pediatrics Pregnant patients Elderly patients Scoring systems Dis...

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 Troponin & BNP Chest x-ray CT V/Q scans MRI US Treatment IV fluids Anticoagulation ...

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 Subarachnoid hemorrhage Aortic dissection Hypertensive encephalopathy Severe pre-eclampsia and...

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 management Endoscopic removal Non-endoscopic techniques Body Packing Glucagon Gastr...

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 Prehospital Care ED History and Examination Imaging Antibiotic Therapy Surgical Treatment S...

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, differential, and treatment of: Hyponatremia Hypernatremia Hypokalemia Hyperkalemia Hypocalcemia Hypercalcemia Hypo...

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 Access and Training Expansion Act (MATE) FOAMed post Opioids in Children and Adolescents: Introduction ...

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 reactions are not recognized, and epinephrine is not administered in up to 80% of cases. Criteria 2006 Second ...

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: How common is sepsis in kids and what is the mortality rate in the US? Definitions Septic shock Sepsis as...

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 drift and shift Pathophysiology Transmission Incubation Secondary infection H3N2 Vaccines ...

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, speed of onset) Histamine Mediated Most common form: 40%-70% Can be triggered by NSAIDs Can be i...

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) Prehospital Care What do our EMS colleagues need to keep in mind when transporting a child with an ocula...

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 Physician Coaching.

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? Epidemiology What’s been the trend in pediatric firearm injuries over the past 10 years? Do we have...

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 and where to access EM Coach