How to Crush Your EM Sub I Webinar
In this webinar, we discuss helpful tips on how to succeed in your EM Sub I. How you perform on your Sub I is critical to obtaining strong letters of recommendation and setting up your chances of matching to your number 1 residency program. (6/26/20)
https://www.blog.numose.com/emed-basics/em-sub-i
Sick or Not Sick: Needle in the Haystack
It’s really easy to pick up on the sick patient that looks sick. It’s much harder to identify the sick patient if he or she looks well and is in a sea of well-looking patients. In this lecture, we aim to give you an approach to better identify these needles in the haystack. (3/22/20) https://www.blog.numose.com/emed-basics/sick-not-sick
Approach to the Drunk Patient
When someone is drunk and acting a fool it's easy to just want to throw them in the drunk tank. However, this can lead to disastrous consequences. In this EMEd lecture, we try to simplify the approach to these patients. It's important to stay systematic so that you don't miss a life threatening condition. We also review how long you have to watch your drunk patient before you can discharge them. (12/17/19) https://www.blog.numose.com/emed-cc/etoh
Intern Guide To A Code
In this EMEd lecture, we try to simplify the approach to a code. There are 5 actions that a med student or intern can perform to become an integral member of the code team. By simplifying the approach we hope that these actions will be remembered when there is a state of panic. (11/10/19) https://www.blog.numose.com/emed-basics/code
Approach to Vaginal Bleeding
Patients presenting with vaginal bleeding can be some of the sickest patients in the ED. They can also be some of the fastest dispos. In this lecture we approach the non-pregnant vaginal bleeder and how to efficiently work up and dispo these patients. We review the critical differential diagnoses and how each one presents. (7/5/19) http://www.blog.numose.com/emed-obgyn-uro/vaginal-bleeding
Welcome To Intern Year Webinar
In this webinar we discuss helpful tips to survive the transition from medical student to intern. We wish you all the best. (6/21/19) https://www.blog.numose.com/emed-basics/intern-webinar
Approach to Syncope: FA HE HE
In this lecture we go over the approach to a patient who presents with syncope. Dr. Grock reviews the three step approach to a patient presenting with syncope. Having this systematic approach will allow you to efficiently and safely evaluate patients presenting with syncope. (6/9/19) https://www.blog.numose.com/emed-cc/syncope
Approach to Blunt Abdominal Trauma
In this lecture we go over the approach to a patient who presents with Blunt Abdominal Trauma. The algorithm hinges on the hemodynamic stability of the patient. We review when the patient should be taken to straight to the OR, resuscitated/worked up, or observed. This lecture follows the Eastern Trauma Association Guidelines. (4/25/19) https://www.blog.numose.com/emed-cc/blunt-abdominal-trauma
Approach to First Trimester Vaginal Bleeding
In this lecture we go over an approach to a patient presenting with first trimester vaginal bleeding. We review the critical differential that will guide the history, physical exam, and work up. This is a common chief complaint seen in the ED. Having a framework for this chief complaint will allow you to see these patients efficiently.(4/25/19) https://www.blog.numose.com/emed-obgyn-uro/first-trimester-vb
Approach to Penetrating Abdominal Trauma
In this lecture we go over the approach to a patient who presents with Penetrating Abdominal Trauma. The algorithm hinges on the hemodynamic stability of the patient. We discuss how local wound exploration can be used to help determine whether the patient ends up at home or in the operating room. The algorithm follows the Eastern Trauma Association Guidelines. (4/18/19) https://www.blog.numose.com/emed-cc/penetrating-abdominal-trauma
Approach to the Eye
Patients presenting with ocular complaints can be some of the most intimidating patients in the Emergency Department. The eye is this mystical organ and the stakes are super high when dealing with it. When a patient presents with an ocular complaint it is important to have a systematic approach to make sure that you do not miss something critical (2/14/19). https://www.blog.numose.com/emed-cc/eye
Approach to Upper Respiratory Infections
Flu season. It's that magical time of year that brings an unrelenting wave of patients to the ED. In this EMEd lecture we review an algorithmic approach to these patients. It's important to always consider the life threatening infections before anchoring on a viral etiology. Be hyper vigilant if your patient has a wild card like immunosuppression. (12/20/18). http://www.blog.numose.com/emed-cc/uri
Biliary Problems: Stones and Sludge
Your patient presents with right upper quadrant abdominal pain. The Liver function tests, lipase, and right upper quadrant ultrasound have all be ordered. Be sure to have a clear understanding to do with the data when it comes back. In this EMEd lecture we review biliary problems. We review the diagnostic criteria and treatment strategy for symptomatic cholelithiasis, acute cholecystitis, choledocholithiasis, gallstone pancreatitis, and cholangitis. (12/11/18) https://www.blog.numose.com/emed-cc/biliary
Gross Hematuria: Just a bit of Kool Aid
In this lecture we review the approach to a patient with gross hematuria. Before you begin your evaluation think of the GU anatomy and build a differential of the possible causes of gross hematuria. From here figuring out what to ask on the history and what to look for on the physical will be easy. Consider your differential when ordering labs and be sure to always consider your wild cards. Use the algorithm in this lecture to understand when and when not to call urology. (10/18/18) https://www.blog.numose.com/emed-obgyn-uro/hematuria
The Transiently Hypotensive Patient: Who Cares?
So your patient said they were hypotensive but now their bp is fine. What are you supposed to do now? Do you just anchor on his or her bp meds as the cause of the hypotension? In this EMEd lecture we review a systematic approach for these patients. We develop a critical differential based on the causes of shock and then we walk through the work up and the conundrum of whether to admit or dispo these patients. (10/18/18) https://www.blog.numose.com/emed-cc/transient-hypotension
Approach to the Undifferentiated Hypotensive Patient
Getting called to a hypotensive patient can be terrifying. In this lecture we review the algorithm for the patient with undifferentiated hypotension. We go over the stepwise approach to these patients focused on what interventions you should consider. (9/29/18) http://www.blog.numose.com/emed-cc/hypotension
EM Mindset: Approaching ALL Undifferentiated Patients
In this EM Ed lecture we discuss the mindset that is needed when approaching an undifferentiated patient. It is important to start with the default mindset that all patients in the emergency department are critical. Understand that you have limited data when determining whether your patient is sick or not sick. You are a detective trying to figure out what is going on. Rule out badness first. (8/17/18) https://www.blog.numose.com/emed-basics/mindset
Dizziness: The Ultimate BS Chief Complaint Part 2
In this EM Ed lecture we complete our two part series on Dizziness. In this lecture we discuss how to drill down if your patient is having vertigo. We review the general approach, work-up and management of patients with central and peripheral vertigo. (7/31/18) http://www.blog.numose.com/emed-cc/dizziness-2
Chest Pain: It's Giving Me Angina
Dr. Celedon updated the Chest Pain lecture. In this lecture he once again reviews the critical differential diagnosis for chest pain and how to safely and effectively work up patient's with this challenging chief complaint. (7/31/18) http://www.blog.numose.com/emed-cc/chestpain
Headache: It's Giving Me One
In this EM Ed lecture we review the approach to the patient with a chief complaint of headache. We review the critical differential diagnosis and treatment strategy. (7/25/18) http://www.blog.numose.com/emed-cc/headache
Calling Admissions and Consults
In this EM Ed lecture we present an approach to calling admissions and consults. Push back often occurs when there is a failure to communicate what is going on with the patient. We present a focused approach and strategy which will hopefully make sign-outs easier. (7/25/18) http://www.blog.numose.com/emed-basics/consult
Back Pain: Bulbocavernosus Reflex?!?!
In this EM Ed lecture we review the approach to the patient presenting with a chief complaint of back pain. We review the critical differential diagnosis and treatment strategy. (7/25/18) http://www.blog.numose.com/emed-cc/back-pain
Approach to EKG Interpretation
In this EM Ed lecture we present an alternative approach to EKG interpretation. We focus on the indications for ordering an EKG and how that guides the reading of an EKG. (6/25/18) http://www.blog.numose.com/emed-cardiology/ekg
Chest Pain: It's Giving Me Angina
In this EM Ed lecture we present a practical approach to chest pain. What's the critical differential diagnosis? How does that guide your work up and treatment? (6/25/18) http://www.blog.numose.com/emed-cc/chestpain
Shortness of Breath: She Looked Fine A Second Ago
In this lecture we discuss the approach to a patient with a chief complaint of shortness of breath. We review the critical differential diagnosis and the management strategy necessary to assess and stabilize these patients. (6/25/18) http://www.blog.numose.com/emed-cc/sob
Dizziness: The Ultimate BS Chief Complaint Part 1
In this EM Ed lecture we share why Dizziness is one of our least favorite chief complaint. The trick is to determine if the patient is having a vertigo vs near syncope. After that it's a matter of working up your critical differential diagnosis. (6/25/18)http://www.blog.numose.com/emed-cc/dizziness
Approach to CHF Exacerbation
In this lecture we go over the approach to a patient with CHF Exacerbation. We discuss reassessing the differential diagnosis to ensure that you are not early anchoring. We also discuss how to assess your patient's respiratory status and how that will influence your initial resuscitative efforts. (6/25/18) http://www.blog.numose.com/emed-cardiology/chf
Approach to Narrow Complex Tachycardia
One of the scariest things to face is a patient with a runaway heart rate. In this EM Ed lecture we discuss an approach to the patient with tachycardia. Learn the algorithm needed to confidently work-up and treat this abnormal vital sign. (6/25/18) http://www.blog.numose.com/emed-cardiology/svt
Approach to Wide Complex Tachycardia
In this lecture we discuss the approach to a patient with wide complex tachycardia with a pulse. The first step is to determine if the patient is stable or unstable. Once you have determined the patient's status you can then initiate the appropriate therapy. (6/25/18) http://www.blog.numose.com/emed-cardiology/wct
ED Work Flow: An Efficient Approach to Working Up Patients
In this EM Ed lecture we discuss an efficient approach to working up a patient. The approach hinges on creating a critical differential diagnosis after the chief complaint. (6/25/18) http://www.blog.numose.com/emed-basics/workflow
Wild Cards: Avoiding Land Mines
In this lecture we discuss wild cards. These are features in the history and pmh that tip the provider off that the patient may not present the same way as other patients with badness. As a result the provider should lower his/her threshold to perform a more thorough history, physical, and work up. (6/25/18) http://www.blog.numose.com/emed-basics/wild
Approach to the Bradycardic Patient
What do you do if your patient has a heart rate of 50? Better yet what will you do if your patient's heart rate drops to 30? In this EM Ed lecture we discuss the approach to the bradycardic patient. We review how to make the call if your patient is stable or unstable and the interventions that are needed to stabilize both populations of patients. (6/25/18) http://www.blog.numose.com/emed-cardiology/bradycardia
The Pulseless Patient
In this lecture we review what to do when your patient is pulseless. We go over the essential steps and strategies needed to get ROSC. (6/25/18)http://www.blog.numose.com/emed-basics/pulseless