Video for Diagnosing Posterior Stroke

This is the video for cerebellar stroke diagnosis. Listen to the podcast first.

Continue reading...

EMCrit Podcast 33 – Diagnosis of Posterior Stroke

cereb-small

What if I told you that I think that patient you just sent home with vertigo may have been a missed cerebellar stroke? Would you be dialing risk management or could you tell me all of the reasons why I’m wrong? Isolated vertigo without other neurological findings can’t be a stroke, right? That is true, if you are doing the right exam, but if you are just doing your standard ED neuro screening exam then you might be missing serious pathology. In this episode of the EMCrit podcast, I discuss how to perform the tests that will differentiate a peripheral cause of continuous vertigo from a cerebellar stroke.

Continue reading...

Additional Resources for ACEP 2010 Lectures

sciassem-small

If you have just attended one of my two lectures at ACEP 2010, here are the promised additional resources:

Continue reading...

EMCrit Podcast 32 – Treatment of Severe Hyperkalemia

hyperkalemia-management

Hey folks. As I get ready for ACEP, I just wanted to get a quick podcast put up. One of the listeners requested an episode on the treatment of hyperkalemia in the ED.

Continue reading...

EMCrit Podcast 31 – Intra-Arrest Management

arrest-my

This week we talk about managing the intra-arrest period of cardiac arrest. My paradigm has changed dramatically over the past few years. In the past, I viewed the arrest as a period to teach my residents how to place a subclavian central line, how to intubate when the patient is moving, and how to cram as many drugs as possible into a patient in a short period of time. Looking at how I manage an arrest today, so much has changed.

Continue reading...

Product Review: Optyse Ophthalmoscope

optyse-my

After the meningitis episode, one of the listeners, David Thomas, recommended I check out a new opthalmoscope from a UK company.

Continue reading...

ACEP Preview – Hemostasis: Stopping the bleeding in a crashing trauma patient

I’m lecturing at ACEP in Las Vegas this year. This is one of two lectures I’m giving there. If you are going to the conference and plan on coming to my lecture, don’t listen to this lecture; I’d rather you here the real one in person.

Continue reading...

EMCrit Podcast 30 – Hemorrhagic Shock Resuscitation

chest-tube-my

This week we discuss the resuscitation of the hemorrhagic shock patient with Dr. Richard Dutton, MD.

Continue reading...

EMCrit Podcast 29 – Procedural Sedation, Part II

It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation to allow maximal comfort and safety for our patients. This continues the discussion started in Part I.

Continue reading...

Procedural Sedation Guidelines Update

Here is a piece I wrote for EMPGU

Continue reading...