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Emergency Medicine Cases

EM Quick Hits 34 Carr’s Case, Septic Arthritis vs Transient Synovitis, Managing Tracheostomies, Ethylene Glycol Poisoning, Ketamine for Agitation

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 30 November 2021

⏱️ 58 minutes

🧾️ Download transcript

Summary

In this months EM Quick Hits podcast: The mighty return of Carr's Cases! Sarah Reid on differentiating septic arthritis from transient synovitis in pediatric limp, Anand Swaminathan on managing tracheostomy complications in the ED, Nour Khatib on rural medicine and ethylene glycol poisoning, Justin Morgenstern on RCTs for ketamine in patients with severe agitation...

Transcript

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0:00.0

This is EMKases, EM Quick Hits podcast.

0:12.6

Quick. Let's get on with it.

0:15.2

EM cases is part of Shremie, the Schwartz-Riseman Emergency Medicine Institute.

0:19.6

That's the nonprofit organization dedicated

0:21.2

to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the Institute nor Medicine Cases.

0:43.2

All right, it's been way too long since we've had David Carr on the podcast.

0:49.4

We were so fortunate to have him give his amazing talk on syncope at the EM cases summit in November.

0:59.0

After the summit, we got talking a bit about a great case that made him stop and reflect on his own practice as a seasoned master clinician.

1:03.2

So Dr. Carr, we're just so happy to have you back on the podcast.

1:04.6

Let's hear it, man.

1:05.4

Yeah.

1:12.7

You know, before we even start talking cases, I just have to say the summit was unbelievable. Like what an incredible,

1:19.1

what an epic, what a high summit. And after doing that summit and seeing all those speakers,

1:24.9

you know, I just was like, we got to do another car's cases because I just got to stay part of this. Because what an awesome program you put on. Really amazing work.

1:28.8

Thanks, buddy. Yeah. I think it was an incredible team effort and it really did kind of make me

1:35.2

proud of REM community. Like there's so many good, bright, amazing people that made it happen.

1:42.4

Cool. So I hear you had this case smack in the middle of the pandemic

1:46.9

that really made you think carefully about some principles of practicing medicine. So let's hear it.

1:54.7

Yeah, I didn't want to tell you the case beforehand. I want this to be a surprise. And maybe we can

1:58.8

go through this case the way it evolved. And you can

2:01.2

kind of pitch in your thoughts. And I'll tell you how I was thinking. And I thought it was really just a very

2:06.2

straightforward case. And as unlike a lot of the cars cases, zebras, this isn't a zebra, actually.

...

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