This is EMKases, EM Quick Hits podcast.

Quick, let's get on with it.

EMKAS is brought to you by Shremi, the Schwartz-Riesman Emergency Medicine Institute.

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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 a 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. We just announced a few days before this podcast was published that we've opened up

150 free-tube. are made in their individual capacity, not on behalf of the Institute nor Medicine Cases. We just announced a few days before this podcast was published that we've opened up

150 free tickets to the online international EM cases summit to physicians who are currently

practicing in a low-income country.

We're doing this to help bring together the worldwide EM community in the spirit of equity

and inclusion.

If you're one of these physicians,

you'll need to submit proof of current employment. Please head over to emkases Summit.com to

register for the main event on a first come, first serve basis. On this month's EM quick hits

as part of our best of University of Toronto series. We have a special guest,

the chief of the ED at North York General Hospital where I work, Dr. Kevin Wascoe. Welcome to EM cases,

Dr. Wascoe. Thank you, Anton. It's great to be here. All right, I'm not going to give away the topic

up front. Instead, let's just present a quick case. It's 4 a.m. on a Saturday night at rural Janus General and an otherwise

healthy 32-year-old woman comes in and she's day 13 post uncomplicated tonsillectomy for

recurrent tonsillitis with peritonsular abscess. She tells you that she woke up at 1130 p.m. coughing up a bit of blood.

She feels a constant trickling of blood down the back of her throat since then. On exam, her vitals are

normal except for a heart rate of 115, and when you take a look at her pharynx,

you see exactly what she described, a trickling of bright red blood from the left tonsler

...