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Episodes
Status Epilepticus
Dr Adam Michael Talks about Status Asthmaticus. The approach, the treatment, all in a 15 minute summary.
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5 Steps to Diagnose Diplopia
A patient walks into the Emergency Department with a complaint of Diplopia. "I'm seeing Double".How do you approach this situation?What are the causes?How do we tell the difference between Monocular and Binocular?Here...
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Guillain Barre Syndrome
This is a low frequency High stakes Disease we cannot miss.
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Atrial Flutter with a High degree Block
A patient presents feeling dizzy when standing. His ECG shows he is in Atrial Flutter with a variable block. The block is significant. In some places it is 8:1. His blood pressure is 130 mmHg systolic. He is normally...
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Oxygen Targets in Post Cardiac Arrest Patients with ROSC
We look at the unknown variables of ventilation and oxygenation both during cardiac arrest and post ROSC. We mention the EXACT Trial and the BOX Trial.
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Pericarditis
Pericarditis requires 2 of 4 criteria to make the diagnosis. It can however be difficult to do so, because criteria such as a pericardial rub are difficult to hear, the ECG changes may not be present and the chest...
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A Case of Electrical VT Storm
Electrical Storm can be difficult to manage. Repeated episodes of Ventricular tachycardia, with haemodynamic compromise, that do not respond to defibrillation and potentially to medication, are a significant...
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Hypertensive Emergencies
Is there such an entity as a Hypertensive Urgency? Probably not. Hypertensive Emergencies are a Clinical Diagnosis as they involve end-organ damage.Apart from Aortic Dissection and preeclampsia, we shouldn't decrease...
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Episode 11: Do steroids decrease mortality in severe community acquired pneumonia
Here is a controversial paper with mortality findings very different to what has been published before. The Community-Acquired Pneumonia: Evaluation of Corticosteroids (CAPE COD) Trial, was a double-blind, randomised,...
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Episode 10: Does using a small volume BVM affect ROSC?
Airway in Cardiac Arrest is still a bit of a mystery. We don't really know if we should intubate early. Contrary to prior studies showing no benefit of intubation over BVM or SGA, new evidence may be pointing in a...
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Cases in Shock: Choosing Inotropes and vasopressors.
How do you approach the patient in shock? Septic shock, Cardiogenic Shock, shock due to a massive pulmonary embolism?There is no perfect drug, however Noradrenaline may be as perfect as it gets.
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Episode 2: Shocking the Patient in Asystole
The patient in asystole during cardiac arrest, has a very poor prognosis. But is it really asystole? Is there benefit in giving one shock to the patient? Surely we need to look at all the leads and increase the...
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