ACEP Critical Decisions in Emergency Medicine

In this episode of the Critical Decisions in Emergency Medicine podcast, Dr. Danya Khoujah and Dr. Wendy Chang discuss the December 2018 lessons from ACEP’s premier CME publication. This issue covers two lessons, “Trade Secrets”, a lesson on human sex trafficking and, “Critical Loss” a lesson about resuscitation in the patient in hemorrhagic shock. They also review the critical EKG, critical image, tox box, and of course the LLSA review, which offers pearls for managing mechanical ventilation. If you are not a Critical Decisions in Emergency Medicine subscriber and would like learn more about how to earn up to 175 AMA PRA Category 1TM Credits just by reading these articles, please visit: https://acep.org/cdem/Products/

In this episode of the "Critical Decisions in Emergency Medicine" podcast, your hosts, Dr. Danya Khoujah and Dr. Wendy Chang talk with all three authors of “Shake Rattle and Roll”, a lesson that focuses on afebrile seizures in children. There is no doubt, seizures in kids are scary for everyone. How do you determine who needs a work up and what should you look for? What do you tell worried parents if you send them home? The authors share their vast expertise about caring for these little patients that can give you big anxiety. Also, in this episode, “Dangerous Curve, Pediatric Sickle Cell Crisis". Dr. Khoujah and Dr. Chang chat with one of the authors from this lesson as well, and he shares some background information on the disease and what to look for when this patient presents to your ED. Finally, they review the Tox Box, Critical Image and of course, the LLSA review! You don’t want to miss this special one-year anniversary episode! If you have suggestions or comments, we'd love to hear from you! Twitter: @DanyaKhoujah, @EM_NCC and @DrChrisBaugh If you are interested in subscribing to Critical Decisions in Emergency Medicine, please visit: webapps.acep.org/criticaldecision…ubscription.aspx

In this month’s episode of Critical Decisions in Emergency Medicine Dr. Danya Khoujah and Dr. Wendy Chang discuss Volume 32, Issue 10 which was published in October. While recording this episode in San Diego for ACEP18, Dr. Khoujah and Dr. Chang were able to talk with the one of the first article’s author, Dr. Herman Kalsi, about C-Spine injuries in the athlete. Find about appropriate initial assessments and when you should image. Also in this episode, learn about conflict resolution with your patients. Compassion fatigue is real, and it leads to physician burn out. Dr. Khoujah and Dr. Chang talk about communication tools to help you the next time you encounter the patient who just wants their way. There is also the Critical EKG, Critical Image and the Tox Box! You don’t want to miss this informative and fun discussion about Critical Decisions in Emergency Medicine.

In this episode of Critical Decisions in Emergency Medicine, hosts Dr. Danya Khoujah and Dr. Wendy Chang discuss the September 2018 issue. Joining the discussion is guest Dr. Nicole E. Cimino-Fiallos. Dr. Khoujah and Dr. Cimino-Fiallos co-authored the first lesson, “The Geriatric Emergency Department: A New Approach to Older Patients”. They share their insights on why it is so important to understand unique challenges facing geriatric patients in the emergency department. The second lesson in this issue is, “In Too Deep”. This lesson looks at pediatric drowning and submersion injuries. Drowning can happen anywhere and anytime of the year. Make sure you know what to do for this pediatric patient. Also, in this episode, our hosts discuss the Critical Procedure, LLSA Review and the Critical Image. This is a jam-packed episode that you don’t want to miss!

In this episode, Dr. Danya Khouja and Dr. Wendy Chang discuss the August 2018, issue of Critical Decisions in Emergency Medicine. First up, “Tourist Trap: Fever in the Returned Traveler.” Find out what questions you need to ask your febrile patient when they tell you they’ve been traveling. Also, sedating patients for procedures in the ED is becoming a more common practice. Is your patient a candidate? Which medication should you use? Listen in and learn about “Feeling No Pain: Procedural Sedation.” If you are interested in subscribing to Critical Decisions in Emergency Medicine, please visit: https://webapps.acep.org/criticaldecisionstesting/subscription.aspx

In this edition of the Critical Decisions in Emergency Medicine podcast, Dr. Danya Khoujah and Dr. Wendy Chang discuss the July 2018 publication. The lessons included in this issue are “Compartment Syndrome in the Athlete” and “Emergency Department Observation for Patients with Atrial Fibrillation, Venous Thromboembolism, and Congestive Heart Failure”. First, Drs. Khoujah and Chang talk about Compartment Syndrome in the athlete. Compartment syndrome in the athlete is divided into two major categories: acute compartment syndrome (ACS) and chronic exertional compartment syndrome (CECS). CECS often goes undiagnosed – have you missed it? Also, in this episode, Drs. Khoujah and Chang discuss which patients presenting with AF, VTE, and CHF will succeed in the EDOU, and which can potentially go home. We'd love to hear from you! Twitter: @DanyaKhoujah, @EM_NCC and @DrChrisBaugh If you are interested in subscribing to Critical Decisions in Emergency Medicine, please visit: https://webapps.acep.org/criticaldecisionstesting/subscription.aspx

In this episode of the Critical Decisions in Emergency Medicine podcast hosts Dr. Danya Khoujah and Dr. Wendy Chang discuss air medical transport and electronic health records. First, learn about flight physiology and what it means for the patient and also important considerations for the transport team. Also in this episode, find out more about how electronic health records can help improve patient safety. To subscribe to Critical Decisions in Emergency Medicine, please visit: https://webapps.acep.org/criticaldecisionstesting/subscription.aspx

In this edition of Critical Decisions in Emergency Medicine, Dr. Danya Khoujah and Dr. Wendy Chang discuss the limping child and the elderly patient with adverse drug reactions. First, knowing that the young child’s bones are more flexible, how do you go about diagnosing the limping child? What is normal on a physical exam? Should you x-ray? What about the febrile vs. non-febrile patient? Also, learn about adverse drug events in the geriatric patient. The elderly body metabolizes drugs differently. The geriatric patient is also more likely to take more than one medication. Patients may be confused about what they are taking, may have difficulties reading small prescription labels, and may forget when they take their medications. Are you missing something with these patients? Find out in this episode of Critical Decisions in Emergency Medicine. If you are interested in receiving the Critical Decisions in Emergency Medicine publication, you can subscribe here: www.acep.org/cdem/

In this edition of Critical Decisions in Emergency Medicine, Dr. Danya Khoujah and Dr. Wendy Chang discuss the two lessons from the April issue of Critical Decisions in Emergency Medicine. They share insights from “Doubling the Stakes”, when the trauma patient is pregnant. Are you prepared to address the unique challenges of this patient? Also, Dr. Wendy Chang nails the explanation of Transesophageal echocardiogram (TEE) and how valuable it can be as a “View From the Top”. If you are interested in receiving the Critical Decisions in Emergency Medicine publication, you can subscribe here: www.acep.org/cdem/

In this episode of ACEP’s Critical Decisions in Emergency Medicine, Dr. Danya Khoujah and Dr. Wendy Chang discuss intimate partner violence. Because most patients will not readily admit to being victims of intimate partner violence, clinicians must be prepared to recognize subtle clues and understand what it takes to help their patient with a plan for safety. Also in this episode, the gender gap in medicine. Find out how disease manifests itself differently depending on the patient’s sex and potential disparities in care. If you are interested in receiving Critical Decisions in Emergency Medicine, you can subscribe here: www.acep.org/cdem/

In this episode of ACEP’s Critical Decisions in Emergency Medicine, Dr. Danya Khoujah and Dr. Wendy Chang talk about cold weather injuries. Also, they take a gut check and investigate using ultrasound to quickly and reliably diagnose intrabdominal pathologies at the patient’s bedside. If you are interested in receiving Critical Decisions in Emergency Medicine, you can subscribe here: https://www.acep.org/cdem/

In this episode of ACEP’s Critical Decisions in Emergency Medicine, Dr. Danya Khoujah and Dr. Wendy Chang talk about just what it takes to maintain your certificate. Is being "Well Maintained" high maintenance? Also, how do you determine if your patient needs to be admitted or just held for observation? They’ll share the insights from the experts! If you are interested in receiving Critical Decisions in Emergency Medicine, you can subscribe here: https://www.acep.org/cdem/products/

Today Drs. Khoujah and Chang discuss the changing landscape of sepsis recognition and management. How much do you know about Sepsis-3 and SOFA? They also have some clinical pearls about what to do when little bodies encounter foreign bodies. Find out what the risk factors are for the pediatric patient presenting with foreign body aspiration.

Hosts Danya Khoujah, MD and Wendy Chang, MD discuss the hot topics and clinical pearls and pitfalls highlighted in each monthly issue of Critical Decisions in Emergency Medicine. Get entertained and informed by expert insights, real-life cases, and new clinical approaches to managing everything from foot injuries to drug withdrawal.