EM Quick Hits 12 AFib Early vs Delayed Cardioversion, Snake Bites, Ovarian Torsion Myths, Crystal Meth, Aortic Dissection, Severe Asthma Meds

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 14 January 2020

⏱️ 50 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this EM Quick Hits podcast we have Paul Dorion on immediate cardioversion vs rate control/delayed cardioversion for atrial fibrillation, Justin Morgenstern & Justin Hensley on emergency management of snake bites, Brit Long on reliability of clinical features in the diagnosis of ovarian torsion, Michelle Klaiman on emergency management of crystal methamphetamine use disorder, Hans Rosenberg & Rob Ohle on workup of suspected aortic dissection, and Anand Swaminathan on epinephrine and magnesium sulphate in severe asthma...

Transcript

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0:00.0	This is EM cases, EM Quick Hits podcast, where our team of experts and educators bring
0:16.5	a clear, concise, and condensed, practice-changing knowledge on all those EM topics you
0:20.6	may not be totally comfortable with. Cases, the latest evidence, concise, and condensed practice-changing knowledge on all those EM topics you may not
0:20.9	be totally comfortable with.
0:22.7	Cases, the latest evidence, procedural tips, and tricks, pitfalls to avoid, and the key
0:26.7	take-home points and references on the EM cases website.
0:30.5	Quick, let's get on with it.
0:32.8	First up, we've got Dr. Paul Dorian, world-famous cardiologist and electrophysiologist, prominent
0:37.0	researcher in AFib and cardiac arrests, who you might remember from our main episode podcast with up we've got Dr. Paul Dorian, world famous cardiologist and electrophysiologist, prominent researcher
0:37.5	in AFib and cardiac arrests, who you might remember from our main episode podcast with him
0:41.8	and Alma Matu on tachydis arrhytmias. He's going to give us his take on the controversial
0:48.2	topic of immediate electrical or chemical cardioversion of AFib versus rate control in the ED with delayed
0:57.3	cardioversion within a couple of days. He has a very different point of view than Ian Steele,
1:03.4	who is big on immediate cardioversion, which Dr. Steele explained in EM Quick Hits number seven.
1:09.3	It's probably best to listen to both of these brilliant
1:11.8	docs and then make up your mind on what you think is best for your patient.
1:17.6	We're going to talk about the risks and the benefits and how to think about chemical and
1:23.9	electrical cardioversion for acute atrial fibrillation in the emergency setting.
1:28.6	This is a pretty controversial subject, since there are many practitioners who feel strongly
1:33.3	that the most effective, most prompt therapy, and therefore the most useful therapy of acute
1:39.9	symptomatic atrial fibrillation is an electrical cardioversion. Other practitioners feel that since atrial fibrillation is electrical cardioversion. Other practitioners feel that
1:45.9	since atrial fibrillation often spontaneously converts to sinus rhythm within hours of its onset,
	...

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