Shows
Emerge in EME12: Medetomidine toxicity and withdrawalSend us a textThis episode of the EMERGE, join me and Dr. Mike Lynch, an expert in emergency medicine, medical toxicology, and addiction medicine. The discussion delves into the public health emergency of medetomidine-related toxicity and withdrawal. Dr. Lynch shares insights from real cases, emphasizing the clinical red flags and management strategies for medetomidine withdrawal. We discuss the transition from Xylazine to medetomidine in the drug supply, the role of naloxone, and the risks of misidentifying opioid-related cases. Key points include the need for extended observation in the ED, the potential requirement for ICU care, and...2025-07-0741 minEmerge in EME11: DDX- SCAPESend us a text🎙️ Podcast Episode Intro – DDX:SCAPE | Picklesburgh Pulmonary PanicWhat happens when a 50-year-old man suddenly can’t breathe—right in the middle of the Picklesburgh festival? 🥒😯Join Dr. Hagahmed and Dr. Addy as they walk through a high-stakes emergency case of acute dyspnea in a patient with a history of hypertension, hyperlipidemia, and diabetes. From scene safety and rapid assessment to high-flow oxygen, CPAP, and beyond, they break down the critical steps in recognizing and managing SCAPE—Sympathetic Crashing Acute Pulmonary Edema—a diagnosis t...2025-06-2333 minEmerge in EME10: Measles deep diveSend us a textUnderstanding Measles: Recognition, Pathophysiology, and Management in Emergency SettingsJoin Dr. Mohamed Hagahmed and Dr. Sylvia Owusu-Ansah in this essential discussion on measles. They cover critical topics such as recognizing measles in emergency settings, understanding its presentation and pathophysiology, and the latest strategies in treatment and prevention. This episode is packed with vital information for healthcare providers, especially in the context of a resurgence in measles cases due to declining immunization rates. Learn about the role of vaccinations, complications like ADEM and SSPE, and the importance of PPE in practice. This...2025-05-0319 minEmerge in EME9: EtCO2 vs PCO2 in critically ill prehospital patientsSend us a textIn this episode, I'm joined by Dr. Chris Martin-Gill to discuss the critical evaluation of the correlation between end-tidal CO2 and partial pressure of CO2 (PCO2) in acutely ill patients. The episode covers the importance of end-tidal CO2 in the prehospital setting, primarily for verifying airway placement and assessing ventilation adequacy. Dr. Martin-Gill discusses a significant study that he co-authored that analyzed data from over 6,400 patients, finding large discrepancies between end-tidal CO2 and PCO2, particularly in critically ill patients. The discussion highlights the implications of these findings on EMS protocols and the importance o...2025-04-0222 minEmerge in EME8: Submerge-Paper Deep Dive: NIPPV for COPD exacerbation (HAPPEN Trial)Send us a text🚑 PICO Breakdown: The HAPPEN Trial on NPPV for COPD 🫁P - Population:Patients with acute exacerbation of COPD and persistent hypercapnia (PaCO₂ > 45 mmHg) after 6 hours of low-intensity NPPV.👥 300 patients (Mean Age: 73 years, 68% Male)I - Intervention:High-Intensity NPPV - Tidal volume of 10-15 mL/kg using higher inspiratory positive airway pressure (IPAP).C - Comparison:Low-Intensity NPPV - Tidal volume of 2025-02-0424 minEmerge in EMSubmerge-Paper Deep Dive: NIPPV for COPD (The HAPPEN Trial)Send us a text2025-02-0424 minEmerge in EME7: Prehospital trauma careSend us a textIn this episode of EMERGE, I am joined by Dr. Frank Guyette, an emergency physician and EMS expert from the University of Pittsburgh and the medical director of STAT Medevac. Dr. Guyette offers insights into pre-hospital trauma care, discussing critical topics such as the trauma triad and diamond of death, the complexities of hypocalcemia in trauma patients, and evolving practices in fluid management. He also delves into the latest research and protocols, including the controversial use of TXA and the challenges of resuscitating trauma patients with advanced techniques. Looking towards the future, Dr...2025-01-2238 minEmerge in EME6: Submerge-Paper Deep Dive: Prehospital stroke severity scales and Door-To-Puncture timesSend us a textIn this episode of the EMERGE Podcast, I'm joined by Dr. Jon McMahon, an EMS fellow, to discuss the significance of a paper analyzing the impact of prehospital stroke severity scales in stroke patients. Dr. McMahon shares his background and highlights the importance of EMS in improving door-to-puncture times for stroke patients. We delve into the details of the study, which uses the Cincinnati Prehospital Stroke Scale and MRACE score to assess stroke severity and prioritize treatment. The discussion emphasizes the importance of rapid intervention to save neurons in stroke patients, the challenges...2025-01-0316 minEmerge in EME5: Urologic emergenciesSend us a textCritical Urologic Emergencies Explained: Insights with Dr. Joseph AcquayeIn this insightful episode of EMERGE, I'm honored to host Dr. Joseph Acquaye as he delves into common urologic emergencies encountered in the emergency department and ICU. Dr. Acquaye shares his journey into urology, the significance of men's health, and the importance of addressing healthcare disparities. The discussion covers detailed protocols and techniques for managing acute urinary retention, kidney stones, penile emergencies, priapism, and testicular torsion. Tune in for actionable tips, clinical pearls, and practical advice to enhance patient care in urgent...2024-12-2144 min