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Gross Hematuria: Just a bit of Kool Aid

In this lecture we review the approach to a patient with gross hematuria. Before you begin your evaluation think of the GU anatomy and build a differential of the possible causes of gross hematuria. From here figuring out what to ask on the history and what to look for on the physical will be easy. Consider your differential when ordering labs and be sure to always consider your wild cards. Use the algorithm in this lecture to understand when and when not to call urology. (10/18/18) https://www.blog.numose.com/emed-obgyn-uro/hematuria

The Transiently Hypotensive Patient: Who Cares?

So your patient said they were hypotensive but now their bp is fine. What are you supposed to do now? Do you just anchor on his or her bp meds as the cause of the hypotension? In this EMEd lecture we review a systematic approach for these patients. We develop a critical differential based on the causes of shock and then we walk through the work up and the conundrum of whether to admit or dispo these patients. (10/18/18) https://www.blog.numose.com/emed-cc/transient-hypotension

Approach to the Undifferentiated Hypotensive Patient

Getting called to a hypotensive patient can be terrifying. In this lecture we review the algorithm for the patient with undifferentiated hypotension. We go over the stepwise approach to these patients focused on what interventions you should consider. (9/29/18) http://www.blog.numose.com/emed-cc/hypotension

EM Mindset: Approaching ALL Undifferentiated Patients

In this EM Ed lecture we discuss the mindset that is needed when approaching an undifferentiated patient. It is important to start with the default mindset that all patients in the emergency department are critical. Understand that you have limited data when determining whether your patient is sick or not sick. You are a detective trying to figure out what is going on. Rule out badness first. (8/17/18) https://www.blog.numose.com/emed-basics/mindset

Dizziness: The Ultimate BS Chief Complaint Part 2

In this EM Ed lecture we complete our two part series on Dizziness. In this lecture we discuss how to drill down if your patient is having vertigo. We review the general approach, work-up and management of patients with central and peripheral vertigo. (7/31/18) http://www.blog.numose.com/emed-cc/dizziness-2

Chest Pain: It's Giving Me Angina

Dr. Celedon updated the Chest Pain lecture. In this lecture he once again reviews the critical differential diagnosis for chest pain and how to safely and effectively work up patient's with this challenging chief complaint. (7/31/18) http://www.blog.numose.com/emed-cc/chestpain

Headache: It's Giving Me One

In this EM Ed lecture we review the approach to the patient with a chief complaint of headache. We review the critical differential diagnosis and treatment strategy. (7/25/18) http://www.blog.numose.com/emed-cc/headache

Calling Admissions and Consults

In this EM Ed lecture we present an approach to calling admissions and consults. Push back often occurs when there is a failure to communicate what is going on with the patient. We present a focused approach and strategy which will hopefully make sign-outs easier. (7/25/18) http://www.blog.numose.com/emed-basics/consult

Back Pain: Bulbocavernosus Reflex?!?!

In this EM Ed lecture we review the approach to the patient presenting with a chief complaint of back pain. We review the critical differential diagnosis and treatment strategy. (7/25/18) http://www.blog.numose.com/emed-cc/back-pain

Approach to EKG Interpretation

In this EM Ed lecture we present an alternative approach to EKG interpretation. We focus on the indications for ordering an EKG and how that guides the reading of an EKG. (6/25/18) http://www.blog.numose.com/emed-cardiology/ekg

Chest Pain: It's Giving Me Angina

In this EM Ed lecture we present a practical approach to chest pain. What's the critical differential diagnosis? How does that guide your work up and treatment? (6/25/18) http://www.blog.numose.com/emed-cc/chestpain

Shortness of Breath: She Looked Fine A Second Ago

In this lecture we discuss the approach to a patient with a chief complaint of shortness of breath. We review the critical differential diagnosis and the management strategy necessary to assess and stabilize these patients. (6/25/18) http://www.blog.numose.com/emed-cc/sob

 

Dizziness: The Ultimate BS Chief Complaint Part 1

In this EM Ed lecture we share why Dizziness is one of our least favorite chief complaint. The trick is to determine if the patient is having a vertigo vs near syncope. After that it's a matter of working up your critical differential diagnosis. (6/25/18)http://www.blog.numose.com/emed-cc/dizziness

Approach to CHF Exacerbation

In this lecture we go over the approach to a patient with CHF Exacerbation. We discuss reassessing the differential diagnosis to ensure that you are not early anchoring. We also discuss how to assess your patient's respiratory status and how that will influence your initial resuscitative efforts. (6/25/18) http://www.blog.numose.com/emed-cardiology/chf

Approach to Narrow Complex Tachycardia

One of the scariest things to face is a patient with a runaway heart rate. In this EM Ed lecture we discuss an approach to the patient with tachycardia. Learn the algorithm needed to confidently work-up and treat this abnormal vital sign. (6/25/18) http://www.blog.numose.com/emed-cardiology/svt

Approach to Wide Complex Tachycardia

In this lecture we discuss the approach to a patient with wide complex tachycardia with a pulse. The first step is to determine if the patient is stable or unstable. Once you have determined the patient's status you can then initiate the appropriate therapy. (6/25/18) http://www.blog.numose.com/emed-cardiology/wct

ED Work Flow: An Efficient Approach to Working Up Patients

In this EM Ed lecture we discuss an efficient approach to working up a patient. The approach hinges on creating a critical differential diagnosis after the chief complaint. (6/25/18) http://www.blog.numose.com/emed-basics/workflow

Wild Cards: Avoiding Land Mines

In this lecture we discuss wild cards. These are features in the history and pmh that tip the provider off that the patient may not present the same way as other patients with badness. As a result the provider should lower his/her threshold to perform a more thorough history, physical, and work up. (6/25/18) http://www.blog.numose.com/emed-basics/wild

Approach to the Bradycardic Patient

What do you do if your patient has a heart rate of 50? Better yet what will you do if your patient's heart rate drops to 30? In this EM Ed lecture we discuss the approach to the bradycardic patient. We review how to make the call if your patient is stable or unstable and the interventions that are needed to stabilize both populations of patients. (6/25/18) http://www.blog.numose.com/emed-cardiology/bradycardia

 

The Pulseless Patient

In this lecture we review what to do when your patient is pulseless. We go over the essential steps and strategies needed to get ROSC.  (6/25/18)http://www.blog.numose.com/emed-basics/pulseless