Best case ever.

Best case ever.

Yes, this is EM amazing EM researcher, Dr. Catherine Varner, to EM cases.

Dr. Varner, welcome to EM cases cases and just tell us a little bit about your

professional background. Thanks, Anton. I'm excited to be here. And I am a clinician scientist at

the Schwartz-Risman Emergency Medicine Institute, also known as Shremi, at Mount Sinai Hospital, where I'm

also a practicing emergency physician,

and I'm an assistant professor in the Department of Family and Community Medicine at the University of Toronto.

At North York General, where I work, we see dozens of patients every day in their first trimester

with belly pain and or bleeding, and there seems to be quite a variation in practice when it comes to how to work these patients up.

We covered first trimester bleeds in episode 23,

but it's so common,

and the guidelines have changed a bit since then

that I thought it would be great to have Dr. Varner

tell her story of her best case ever

of a patient in their first trimester. So Dr. Varner,

let it rip. Let's hear your best case ever. So this is a case back from my training, and I think

it really exemplifies a lot of the pitfalls that we commonly encounter and diagnosing and managing

ectopic pregnancy. So at the time I was working as a trainee

at a hospital that did not have gynecology services available. And if we encountered a gynecologic

emergency, we were able to transfer fairly quickly to tertiary care hospital. And it was a busy evening

shift. Pretty typical of most evening shifts in emergency departments,

...