EM Basic

Dr. Jordan Cramer joins Dan McCollum to discuss the management of hyperkalemia.   Learn key aspects of the history and physical Discuss the importance of an early ECG. Discover important details about a variety of treatment options.

Transcribed - Published: 3 February 2025

Join Dr. Mike Wallace and Dan McCollum as they discuss the management of patients with gastrointestinal hemorrhage. What is the initial management of these patients? Who requires blood transfusions? Which patients require admission to the floor or the ICU? Pearls and pitfalls in the management of these challenging patients are discussed.  Enjoy!

Published: 10 April 2023

Join Dr. Alex Koo as he discusses ear and nasal foreign bodies.  He'll give you a brief run-down of anatomy, history, and physical, before diving into comprehensive, key concepts of foreign body removal.  There will be some great tips and tricks shared! -Where do foreign bodies commonly get stuck in the ear and nose? -What important historical and physical examination features should you focus on for these foreign bodies?  What are considered dangerous objects that need immediate removal? -What equipment and techniques can you use for helping visualize the foreign bodies? -What techniques can you use for achieving a more cooperative patient? -What equipment and techniques are available to extract these foreign bodies? -What complications can happen from removal? -Who should be referred for immediate or urgent consultation with an ENT specialist?

Transcribed - Published: 27 March 2023

Join Jordan Nogle as she discusses how to deliver the very best care for possible victims of Human Trafficking. What are subtle signs that your patient may be a human trafficking victim? What is your initial approach? How can you give your patient multiple options on how to proceed? What resources can you use? Join Jordan as she discusses this and much more!

Published: 14 February 2022

Join Dr. Alex Koo as he discusses the management of crush injuries. What is crush syndrome? When should you be concerned about compartment syndrome? Why can you not wait for the 6 P's to develop before treating? How should you treat? Join us for this and more!

Transcribed - Published: 24 January 2022

Join Zac Hodges as he discusses MIS-C with two local experts. Dr. Pushpa Shivaram is a pediatric cardiologist and Dr. Julisa Patel is a pediatric rheumatologist.  They discuss What this syndrome is How to make this tough diagnosis Proper management of patients This is a brand new disease that we all need a refresher on.

Transcribed - Published: 12 July 2021

Join emergency physician Dan Dworkis as he discusses with Dan McCollum how to remain cool under pressure.  Dan and Dan discuss The importance of being cool under pressure The fallacy of believing experience equals the ability to handle pressure. Strategies for junior learners to build sangfroid This is a joint podcast between EM Basic and the Emergency Mind Podcast.  You can find dozens of other podcasts at https://www.emergencymind.com/ or pick up his excellent new book at https://www.amazon.com/dp/B094GY88RK/ .  Enjoy!

Transcribed - Published: 18 June 2021

Join Dr. Alex Koo, active duty Army emergency physician, as he discusses dental emergencies, a common emergency department complaint, but an uncommon educational topic.  We'll discuss an approach to collecting a focused history, physical, as well as formulating a thorough differential and treatments for common ED dental emergencies.  Some questions that we'll answer are:  What are the red flags we should be aware about for dental complaints?   What is the basic anatomy and nomenclature for numbering teeth?   What differential should be considered for traumatic and atraumatic dental complaints?  How should we treat dental pain?  How do I splint a tooth in the emergency department?  We answer these questions and more in this episode!

Transcribed - Published: 19 April 2021

Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline?  How common is hyponatremia in hospitalized patients and why does it matter to your practice?  What is SIADH and how does it contribute to hyponatremia in acutely ill children?  How can we prevent hyponatremia in our hospitalized patients?  What are the differences between hypotonic and isotonic fluids?  What are balanced solutions and why might they be preferred as compared to saline in some clinical settings?  All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode. Questions, comments, or feedback? Please email us at [email protected]  Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below. Feld LG,Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083  Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584  CuzzoB, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/  Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72  Peti-Peterdi J, Harris RC. Maculadensa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759  Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820 

Transcribed - Published: 5 April 2021

Join EM physicians Mike Samuels and Dan McCollum as they discuss different blood products that can be transfused.  Why don't we commonly use whole blood? Who needs to receive packed red blood cells? Are there any dangers to giving platelets? When is fresh frozen plasma needed?  Episode 100 discussed potential complications, while this episode will discuss why you should be using these products.  Enjoy!

Transcribed - Published: 22 March 2021

Kawasaki: Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine. What exactly is Kawasaki disease and why is this topic so important? How do you make the diagnosis and what other diagnoses should you consider? How can you diagnosis incomplete Kawasaki when the classic features are not all present? What is the first-line treatment? When should you get an echocardiogram? When should you get your referral center involved? All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Reda Bassali, Dr. Leizl Domingo and Dr. Julisa Patel for providing peer review for this episode. Questions, comments, or feedback? Please email us at [email protected]  Further Reading? Check out the clinical practice guideline from the American Heart Association with citation below. McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association [published correction appears in Circulation. 2019 Jul 30;140(5):e181-e184]. Circulation. 2017;135(17):e927-e999. doi:10.1161/CIR.0000000000000484  

Transcribed - Published: 8 March 2021

Transfusion reactions are a dreaded complication in the ED.  Join emergency physicians Michael Samuels and Dan McCollum as they discuss the following and more! How do you recognize different types of transfusion reactions? How are different reactions managed? What infections can be seen with blood transfusion? Why is TRALI such a feared complication?

Transcribed - Published: 22 February 2021

Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine. What exactly is bronchiolitis and why is this topic so important? How do you make the diagnosis and what other diagnoses should you consider? What treatments work, and more importantly, which treatments do not? What patients can go home and who needs to be admitted? All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Kathryn McLeod for providing peer review for this episode. Citation: Hodges, Z. (Host). Bassali, R. (Host).  Mendel, G. (Host). McLeod, K. (Contributor). (2020, Nov 15). Bronchiolitis. (S1:18) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. Questions, comments, or feedback? Please email us at [email protected]  Links:  NoseFrida-- https://www.nosefrida.com 

Transcribed - Published: 8 February 2021

Join Dan McCollum and Michael Stephens as they discuss the new vaccines against COVID-19.   Are they studied well enough? How effective are they? What side effects occur, and are they serious? What do we NOT know about these vaccines? The approved vaccines are safe, effective, and highly recommended.  Listen to this to find out more about the data behind them. A special thanks goes to Michael Stephens for his invaluable help with recording and editing.

Published: 18 January 2021

Join ED clinical pharmacist Jimmy Pruitt and Dan McCollum as we discuss the reasons that the traditional "B52" cocktail of haloperidol, lorazepam, and diphenhydramine is badly in need of updating. Why this cocktail is slower than you think. Newer medications that are more effective. Smarter approaches to agitated patients. When ketamine should be used. This podcast is being cross published with the "Pharm So Hard" podcast, an excellent podcast discussing many excellent clinical pharmacology topics.  

Transcribed - Published: 23 November 2020

Join Dan McCollum and EM clinical pharmacist RJ LaCoursiere as they discuss the use of buprenorphine for the treatment of Opioid Use Disorder. Who should be considered for treatment with Medication-Assisted Treatment (MAT)? Why should it be avoided if the patient isn't in acute withdrawal? What is a DEA X waiver and why should you look into getting waivered? How can we reduce stigma for these patients? Free training can be found at https://nhsc.hrsa.gov/loan-repayment/receive-medication-assisted-treatment-training .  This podcast will be cross published with the Pharm So Hard podcast, so check them out for additional pharmacology pearls. A special thanks to student doctor Michael Stephens for editing this podcast.

Published: 21 September 2020

Respiratory Failure August 10, 2020 Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure. What is the structure of the initial evaluation of a critically-ill child?  What is exactly is respiratory failure?  What is the role of non-invasive respiratory support in pediatric patients?  What are the indications for emergency intubation?  What are the general concepts that learners need to understand about invasive mechanical ventilation?  All of this and more from the Department of Pediatrics from the Medical College of Georgia. Thanks to Dr. Smitha Mathew and Dr. Kathryn McLeod who also contributed to this discussion. Please subscribe, rate and review. Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Want further reading on this topic? Check out this Pediatrics in Review article on respiratory failure https://pedsinreview.aappublications.org/content/35/11/476 

Transcribed - Published: 31 August 2020

Join doctors Smitha Mathew, Kaitlin Verdone, Zac Hodges, and Dan McCollum as they navigate the difficult waters of pediatric sepsis.  What exactly is sepsis?  Are there any differences in the treatment of pediatric sepsis compared to adult sepsis?  What should I do if I see a septic child at a small community Emergency Department?  We discuss this and more in this episode!

Transcribed - Published: 27 July 2020

Dr. Tony Zitek drops some knowledge on you about the deceptively complex topic of sore throats.  What diagnoses are important other than strep and viral pharyngitis?  Why should assess neck mobility during your physical examination?  How should you treat common causes of sore throat?  Join us for this and more on this episode! 

Transcribed - Published: 13 July 2020

Join Christopher Watson, Zac Hodges, and Dan McCollum as they discuss the management of pediatric traumatic brain injury.  What should you look for on exam? When is intubation appropriate? How can you treat increased intracranial pressure? Where should you send your patient if you are at a community emergency department? We go beyond the basics here, discussing a very challenging topic.  

Transcribed - Published: 4 May 2020

Join emergency physician Tony Zitek as he guides you through the diagnosis and management of urinary tract infections.  Which elements of the history and physical exam are key?  What are the pearls and pitfalls in the diagnosis of UTI?  When is a culture needed?  How do I obtain a disposition?  Join us for this and more as Dr. Zitek guides us through the surprisingly tricky management of this common disease.

Transcribed - Published: 20 April 2020

Join Dan McCollum as he discusses COVID-19, the disease caused by the novel coronavirus. What are the symptoms of this disease? How is it spread? What personal protective equipment is needed? What are key elements of the history and physical exam? Are there any treatments that help? This is a rapidly evolving topic, so please use multiple sources, stay informed, and follow your local hospital's guidance as this disease develops.

Transcribed - Published: 30 March 2020

Join Zac Hodges and Dan McCollum as they have a conversation about neonatal fevers with Dr. Kathryn McLeod, an experienced pediatrician at the Children's Hospital of Georgia.  We discuss the general approach to taking the history and physical exam of a patient with a fever under the age of 90 days.  Where did prior guidelines on the initial workup come from?  How did immunizations change the risk of serious bacterial infection?  What are some recent new approaches to the febrile neonate?  Join us as we discuss this and more!

Transcribed - Published: 24 February 2020

Join physicians Eric Ring, Zac Hodges, and Dan McCollum as they discuss how to properly care for the pediatric patient with sickle cell disease.  Dr. Eric Ring is a pediatric specialist in Hematology and Oncology at the Children's Hospital of Georgia in Augusta, GA.  What are the critical elements of a history of present illness?  What red flags should you look for on physical exam?  What are the dreaded complications of sickle cell disease that you should be wary of?  Join us for these questions and more!

Transcribed - Published: 27 January 2020

Join Zac Hodges, Chris Watson, and Dan McCollum as they discuss the management of pediatric diabetic ketoacidosis, or DKA.  What are key findings on the history and physical exam that point to DKA?  What is the initial management of these patients?  How is the management similar and different than the management of DKA in adults?  Join us for the answer to this and more.

Transcribed - Published: 9 December 2019

Today's episode of the podcast is a myth busting on all the media reports about first responders overdosing by being exposed to fentanyl in the field by incidental contact. This is physically impossible and the misinformation out there has scared a lot of people, cost us lots of money in the form of hazmat responses and shutting down hospitals, and prevented overdose patients from getting the timely care they need in an emergency. This episode will systematically go through every argument why fentanyl is NOT harmful via incidental exposure and debunk these myths to give first responders one less thing to worry about while they do their frequently dangerous yet vital work.

Transcribed - Published: 18 March 2019

EM Basic is finally back with a new episode. Today's episode will discuss neonatal resuscitation with Dr. Azif Safarulla, a neonatologist at Augusta University. Dr. Dan McCollum and Dr. Jessica Gancar interview Dr. Safarulla on the nuts and bolts of running a successful neonatal resuscitation in the ED. These can be one of the scariest populations we have in the ED so it's important to have a rational and logical approach to quickly assess and intervene on our smallest and youngest patient population.

Transcribed - Published: 6 March 2019

Just a few days after the new EM interns start, today's episode will talk about my advice to new EM interns.  Think of this as the "big picture advice" or a 30,000 foot view of how to approach EM residency.  I'll talk about 4 major big picture points to keep in mind as you start your residency.  This will go way beyond arrive early, stay late, and always keep learning and expand on some big picture ideas of how to function well as a new intern.

Transcribed - Published: 5 July 2017

Today’s episode is on the evaluation and management of sickle cell anemia in the Emergency Department. Dr Jared Walker, a third year EM resident at the University of Florida Jacksonville, has written and recorded this excellent review of sickle cell disease. This episode will discuss how to properly assess patients with sickle cell, how to order the right labs and imaging, what red flags to look out for, how to control sickle cell pain, how to catch the various complications of sickle cell, and proper patient disposition.

Transcribed - Published: 22 May 2017

Today's episode will discuss North American poisonous reptile bites with a focus on snake bites.  This episode was written and recorded by Dr. David Hansen, an active duty physician with the US Army.  It will review common presentations of snake bites, the relevant history and exam findings, the labs to order, how to decide when to use anti-venom and properly administer it.  There is also a bonus section on how to avoid snake bites in the wilderness and what to do if you are bitten by a poisonous snake.

Transcribed - Published: 8 May 2017

This episode is on hyperthermia- just in time for the warmer weather.  However, hyperthermia has many different causes so this episode will review them all.  Dr. Andrea Sarchi wrote this script which was recorded by Jacob Schriner, MS-3 at Emory University School of Medicine.  This episode will review the necessary history and physical exam findings, ordering the right labs and tests, and how to treat this condition to ensure the best patient outcomes.  

Transcribed - Published: 10 April 2017

Today's episode is a quick review of Thyroid emergencies by Dr. Patrick Ng, a 3rd year EM resident in San Antonio, recorded by Jacob Schriner MS-3.  Thyroid emergencies can be difficult to recognize in the ED because they present in so many different ways.  Today's episode will review how to recognize these emergencies, order the right tests, and provide the correct critical treatments.

Transcribed - Published: 20 March 2017

This episode is a re-broadcast of the first sepsis episode in February 2012.  I am republishing the part of that episode that deals with the definitions of sepsis.  I think the new sepsis guidelines rely too much on clinician judgment and gestalt in identifying septic patients so this will be helpful to learners.  To be clear- the term severe sepsis is not in use any more- we only have sepsis and septic shock.  However, learning this stepwise progression (even if patient's don't follow it) will help you better understand how to recognize sepsis in the ED.

Transcribed - Published: 6 March 2017

This episode is a total revamp of the previous episode on sepsis.  A lot has changed with sepsis management since I published the sepsis episode in February 2012 so it was time for a complete overhaul.  The new sepsis guidelines have been out for about a year and I finally got around to updating the episode.  This episode will discuss the recognition of sepsis, how to do a good physical exam and ask the right history questions, order the right tests, and aggressively resuscitate these very sick patients.  There is a separate episode that discusses the old sepsis definitions and how you can use that framework to recognize sepsis.

Transcribed - Published: 6 March 2017

Today's episode is on Croup- just in time for the middle of the croup season.  Your ED may even be filled with kids with a barking cough as we speak.  Today's episode was written by Taylor Fischer and Stewart Harsant, two physician assistants who have done an excellent job of summarizing this common pediatric disease process.  This episode will review the diagnosis of croup, how to risk stratify kids with croup, and how to treat and disposition them properly.  Most of the time, kids with croup do just fine with a little cold night air and some steroids but this episode will also help you figure out which kids are sicker and need much more attention and care.

Transcribed - Published: 13 February 2017

This is Ortho Inservice Review Part 3 which covers injuries to the Pelvis, Lower Extremities, and Pediatric Ortho conditions.  This screencast originally appeared on the Emergency Board Review Podcast in 2012.

Transcribed - Published: 30 January 2017

This is Ortho Inservice Review Part 2 which will cover injuries to the wrist and hand.  This screencast originally appeared on the Emergency Board Review Podcast in 2012.

Transcribed - Published: 30 January 2017

In Part 1 of this 3 part series for Orthopedics inservice review we'll review orthopedic injuries to the Thorax and Upper Extremities.  This is a screencast that was originally broadcasted on the Emergency Board Review website and podcast in 2012.

Published: 30 January 2017

Just in time for the midway point of the winter season, this is a podcast on management of hypothermia in the ED.  Dr. Andrea Sarchi wrote the script which was recorded by Jacob Schriner, a second year medical student at Emory University School of Medicine.  In this episode we'll review the basics of hypothermia diagnosis, history and physical exam pearls, treatment and disposition of these patients.  As always we'll start with the "not sick" patient and then work our way up to the critically ill patients.

Transcribed - Published: 16 January 2017

In part 2, Dr Sheyna Gifford will discuss the how to differentiate opioid overdose from other causes of altered mental status, some special disposition situations (especially with methadone), and how we can quickly screen for opioid abuse and provide patients compassionate care, treatment, and referral.

Transcribed - Published: 9 January 2017

It's no secret that we have a major opioid problem in the United States.  The number of people addicted to opioids has reached epidemic proportions and we are certainly seeing this everyday in the Emergency Department.  In this episode Dr. Sheyna Gifford discusses a few facts about the scope of this epidemic,  the basics of recognizing opioid overdose, and initial stabilization and treatment.  She'll discuss the many different ways of using naloxone (aka Narcan) that we can utilize to wake up patients safely and without precipitating acute withdrawal.

Transcribed - Published: 2 January 2017

EM Basic is back with a re-broadcast from the awesome podcast Pediatric Emergency Playbook by Dr. Tim Horeczko.  Tim is a double boarded in EM and Peds EM and works at Harbor-UCLA hospital.  This was the first episode he published at the beginning of September and it is pure gold.  Tim goes beyond the febrile neonate and talks about how to consider all possible causes for a sick infant- not just anchoring on sepsis the whole time!  Tim presents a rational and systematic approach on how to deal with these young sick patients that get our anxiety and our adrenaline levels through the roof.

Transcribed - Published: 25 January 2016

This is part 2 of the Heme Onc Emergencies series.  This episode will talk about common hematology emergencies that we see in the ED.  Sickle cell disease will be its own episode but this episode will talk about the approach to anemia in the ED, as well as the approach to hemophilias, ITP and TTP.  While you will see lots of anemic patients in the ED, the other diseases are rare but we have to be on the look out for them and know what to do.

Transcribed - Published: 5 October 2015

This is the first of a two part series on Heme-Onc Emergencies.  In this episode, we'll discuss oncology emergencies to include neutropenic fever, tumor lysis syndrome, malignant spinal cord compression and malignant pericardial effusion.  Neutropenic fever is a common chief complaint for patients on chemotherapy so we have to be good at this chief complaint.

Transcribed - Published: 5 October 2015

Today's episode is another installment of the EM Basic Project.  Dr. Sheyna Gifford and Dr. Chrisanna Mink will talk about measles.  This is a disease that we thought we had stamped out long ago with vaccination but the rise of the anti-vaccine movement has caused several small outbreaks so we need to be ready and on the lookout.  They will discuss how to recgonize measles, how to order the right testing and treatment, how to properly disposition these patients and the importance of getting your public health colleagues involved.

Transcribed - Published: 3 August 2015

Today marks the 4th anniversary of the EM Basic podcast.  To celebrate this occasion, we are going to do a screencast on aortic dissection.  This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose.  We'll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.

Transcribed - Published: 27 July 2015

Today marks the 4th anniversary of the EM Basic podcast.  To celebrate this occasion, we are going to do a screencast on aortic dissection.  This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose.  We'll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.

Published: 27 July 2015

Today's episode of EM Basic will review vaginal bleeding in patients who are not pregnant.  This is a much different workup from pregnant patients with vaginal bleeding so we have to know how to effectively manage this chief complaint. This episode was written and recorded by Dr. Adaira Landry, an EM senior resident at NYU/Bellevue and Joe Kennedy, a 4th year medical student at Mayo who matched into EM just after this episode was recorded.  They'll review what vital signs to look out for, the important parts of this history and physical, what labs and imaging to order (if any), and the proper disposition of patients with this chief complaint.

Transcribed - Published: 24 April 2015

Today's episode will cover Tactical Combat Casualty Care (TCCC), aka Care Under Fire, aka Care in the Immediately Unsafe Environment.  Dr. Andy Bohn, a residency colleague, recorded today's episode to talk about the basics of taking care of any patient in an unsafe environment.  While the military connotations of this may make you uncomfortable, the techniques and protocols he discusses can be directly translated into any civilian mass casualty scenario such as the Boston Marathon bombing or the fertilizer plant explosion in West, Texas.  Andy will discuss how to stay safe in these hostile environments, how to perform the right interventions that will save lives while elimintating the useless interventions that won't (I'm looking at you- c-collars...), and how to get the casualty to the next level of care safely.

Transcribed - Published: 16 March 2015

EM Basic is back with a brand new episode.  Today's episode was done by Dylan Norton and David Murphy, both 4th year medical students at the University of Colorado Medical School.  We see epistaxis a lot in the ED and while most of it is mild and self limiting, there are frequently cases that take a lot of skill to manage.  They'll talk about the basics of the history and physical with epistaxis, how to order the necessary lab tests, how to manage any case of epistaxis in a step-wise manner, and some newer areas of research.

Transcribed - Published: 2 March 2015