Ep 188 Hemoptysis – ED Approach and Management

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 7 November 2023

⏱️ 71 minutes

🔗️ Recording | iTunes | RSS

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Summary

Key principles and approach to management of both non-massive and massive hemoptysis with Dr. Scott Weingart and Dr. Bourke Tillmann, who answer questions such as: What are the factors to consider in the decision to intubate patients with massive hemoptysis? How can one reliably distinguish hemoptysis from pseudohemoptysis? What is the evidence for tranexamic acid in patients with hemoptysis? What are the best strategies for suctioning blood from the airway to improve visualization during endotracheal intubation in crashing hemoptysis patients? What is the role of bronchoscopy and how should it be integrated into the hemoptysis management algorithm? How does one's hemorrhage control strategy change when pulmonary embolism is the underlying diagnosis? and many more... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

Transcript

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0:00.0	Welcome to the Emergency Medicine Cases podcast. I'm your host, Dr. Anton Hellman,
0:06.0	bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.
0:12.7	EM cases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization
0:17.6	dedicated to improving EM care through research and education. The opinions expressed on this podcast are intended for information and education purposes only
0:23.6	and should not be used to diagnose, treat, or prevent any medical condition, nor should they be used as a substitute for medical advice and qualified practice and physician.
0:27.6	This episode is brought to you by Easy Resus, your ultimate support for the first hour of resuscitation.
0:35.6	This amazing phone app has drug dosing treatment algorithms and procedural aids all in under
0:40.2	three clicks.
0:41.7	Rapid access to life-saving critical info in a user-friendly interface.
0:46.2	Try the app for free with the promo code EMCases or visit easy recess.com slash EM cases.
0:53.6	That's the letter is EZ Rescust.com slash EMCases.
1:01.4	All right, a few months ago, I was out for drinks after this awesome jazz concert in Toronto with my wife and some friends,
1:08.8	one of whom is a wonderful colleague who you may know from EM cases.
1:13.2	She's the head of emergency medicine at the DFCM at the University of Toronto, Dr. Megan Landis.
1:18.5	And we were chatting about some of the stresses of practicing emergency medicine.
1:22.2	And then one of our non-doctor friends asked what the scariest presentation is to the emergency department. I mean,
1:28.9	they didn't word it exactly like that, but they said like, what's the scariest thing in the
1:31.9	emerge? And Dr. Landis, without hesitation, said massive hemoptosis and explained what that was.
1:40.2	So that got me thinking that out of the 450 or so EM cases episodes we've published,
1:46.3	we haven't done a single one on hemopthesis, an oversight on my part for sure, I admit.
1:51.9	So who better to invite as guest experts to enlighten us on this potentially hair-raising topic
1:57.0	than two EMN-intensive medicine-trained master educators, Dr. Burke Tillman and Dr. Scott
	...

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