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Emergency Medicine Cases

Best Case Ever 24: COPD, Baggging and Vent Settings

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 27 May 2014

⏱️ 18 minutes

🧾️ Download transcript

Summary

In anticipation of the Highlights from North York General's Emergency Medicine Update Conference 2014 we have the master educator himself, Dr. Amal Mattu's Best Case ever of a patient who presented with a COPD exacerbation, that we recorded at the conference in Toronto just a couple of weeks ago. Dr. Mattu gives you a string of pearls and pitfalls when it comes to management of COPD, bagging & vent settings that you will never forget. In the upcoming episode Dr. Mattu will review his favorite papers from the cardiology literature of the past year and Dr. Stuart Swadron will give you his approach to the challenges of the patient with vertigo. This will the first of two parts of the highlights from the conference - the largest and best EM conference in Canada.

Transcript

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0:00.0

For the first time in the history of emergency medicine cases,

0:05.0

which normally brings Canada's

0:24.4

brightest minds in emergency medicine to you, we have with us a man who needs no introduction,

0:31.1

Dr. Amal Matu from Baltimore. He's going to be our very first non-Canadian guest expert on emergency medicine cases.

0:40.0

We're recording this from the Emergency Medicine Update Conference in Toronto.

0:45.7

Dr. Matu, it's a pleasure and an honor. Welcome.

0:49.4

Well, thanks. It's an honor for me to be here.

0:52.8

And this is really a great podcast that you've put together

0:56.4

over the years. I'm happy to share what you call a best case. I call actually probably a worst

1:03.0

case. So, but I think there's some great teaching points that we can talk about from this.

1:08.0

All right, Alma, let it rip. Let's hear your worst case ever, which I'm sure is

1:12.0

the best case ever. It was an awful case, actually. It's one that I still think about oftentimes.

1:18.5

It was from residency. I was a second year resident in Philadelphia, and I was rotating through

1:24.6

Methodist Hospital, which is in South Philadelphia, which

1:28.0

for people that know Philadelphia, this South Philly is probably the, maybe the Chi

1:33.2

State Capitol of the country, and there's a lot of heart disease.

1:36.8

So it was a great place to rotate, but a lot of heart disease, a lot of lung disease, and

1:40.9

a lot of older patients living in South Philly.

1:49.3

And we had a pretty routine patient dropped off what we call a pop drop,

1:52.8

and that's when the family comes by and drops off pop and says,

1:55.3

he's not acting right, and we're heading to the mall.

1:57.5

Literally, that's what happened.

...

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