Cardiac Arrest 공개
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A Big Heart is a podcast about living with heart disease. When Mike Papale was 17 years old he was seemingly healthy and being recruited to play basketball in college. On August 24, 2006, while working at a basketball camp, Mike slumped over and went into sudden cardiac arrest. There was no AED on site and doctors have said his chances of survival were one in a million. He was later diagnosed with Hypertrophic Cardiomyopathy (HCM). Mike is currently the President & CEO of In A Heartbeat, a n ...
 
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show series
 
Whether it is the pandemic or the heat, from doping to the hostility of some locals to the event, there’s plenty of issues and concerns about the Tokyo Olympics. Yet for all of those worries the Games are sure to provide extraordinary sporting drama as the world’s very best battle it out to become the elite of the elite. So will this be an Olympic …
 
With titanium drivers and high-tech modern balls, Bryson DeChambeau and golf's other big hitters are making older courses like St Andrews look like pitch and putts.So, does the combination of power and technology favoured by many modern players threaten the very ethos of golf or is this just the natural evolution of the sport?Sarah Mulkerrins and N…
 
In this month's EM Quick Hits podcast: Arun Sayal on the nuances of assessment for scaphoid fractures, Justin Morgenstern on the evidence for therapeutic hypothermia post-arrest and the TTM2 trial, Sarah Reid on HEADS-ED mental health screening tool for children, youth and young adults, Andrew Petrosoniak on pelvic trauma and pelvic binder tips and…
 
In this episode, we discuss my personal exercise journey after my sudden cardiac arrest at the age of 17. Exercise is an important conversation for heart disease patients and everyone is different. You might not have the same exercise journey as me, but I hope you can learn from some of the things I have experienced and allow them to have a positiv…
 
Goals galore, fans back in stadiums and England v Italy in the final at Wembley. What’s not to like about Euro 2020? Dig beneath the surface however and the legacy of the tournament becomes a little more problematic. The ban on LGBT+ rainbow symbols in certain host cities, players with head injuries returning to the field of play and the link betwe…
 
In this episode, we talk about the importance of advocating for your own health. This is an important topic for everyone, not just heart disease patients. It is important to take control of your health and your life. Your doctor should be your teammate and you should be working together so you can live a long and normal life!…
 
From Roger Federer and the Williams sisters to Cristiano Ronaldo and Phil Mickelson, it seems age is just a number for sport’s growing band of golden oldies.In this week’s podcast, Sarah, Dan and Nesta explore the reasons behind this remarkable trend with former Olympian and sports scientist Greg Whyte. We're joined by New York Times tennis writer …
 
With the help of a special guest, EBM guru Dr. Ken Milne of the The SGEM, Anton and Justin look at all the various potential indications for TXA and review the available evidence. Should we be using TXA for epistaxis, postpartum hemorrhage, hyphema or hemoptysis? Is it a miracle drug that stops all bleeding? Or has it been drastically overhyped? Wa…
 
With just one month to go until 11,000 athletes descend on Tokyo for the Olympic Games, we’ll be weighing up the risks and rewards of staging the world’s biggest sports event in the middle of a global pandemic. Japanese infectious diseases expert Kentaro Iwata voices his strong concerns about the wisdom of allowing fans at Olympic venues.British Ol…
 
The stage could not have been bigger – a moment seen by millions. A 29-year-old footballer suffered a cardiac arrest in the middle of a match at the European Championship. Doctors rushed to his side and – after a harrowing period when time seemed to stand still - shocked his heart back into life. But as Christian Eriksen recovers in hospital, other…
 
In this month's EM Quick Hits podcast: Anand Swaminathan on vasopressor failure, Brit Long and Michael Gottlieb on aspleic considerations, Sarah Reid on a bronchiolitis update and evolving patterns in the COVID era, Hans Rosenberg and Lindsay Cheskes on ICD electrical storm, Justin Morgenstern on night shift tips... The post EM Quick Hits 29 Vasopr…
 
Could England's Euros campaign be overshadowed by the controversy over the players taking the knee to highlight racial injustice?Sarah Mulkerrins, Dan Roan, Nesta McGregor and the Independent's chief football writer Miguel Delaney explore and explain the arguments around England's pre-match gesture.FA CEO Mark Bullingham condemns the booing as "inc…
 
There is a long list of rare neuromuscular diseases. Nonetheless, there are a few that you are likely to see in the ED, that are relevant to Emergency Medicine because they require timely diagnosis and treatment. In this Part 2 of our 2-part series on acute motor weakness with Roy Baskind and George Porfiris, we keep it short and simple by limiting…
 
In this Part 1 of our 2-part podcast on Acute Motor Weakness we introduce a five step approach to acute motor weakness with Dr. Roy Baskind Dr. George Porfiris: 1. Does the complaint of weakness represent a true loss of motor power? 2. The geography of weakness - patterns of motor power loss 3. Timing, course and fatigability of acute motor weaknes…
 
In this episode, we learn the lifelong heart journey of Bob Smith. Bob was born with severe Aortic Stenosis and needed an emergency valvuloplasty when he was two weeks old. In 2016, he had his Aortic Valve and Ascending Aorta replaced which required an intense open heart surgery. Bob is an avid rock climber and is currently in some of the best shap…
 
In this month's EM Quick Hits podcast: Anand Swaminathan on the approach to cardiogenic shock, Hania Bielawska on the myths of radiation dose in pregnant patients, Hans Rosenberg & Michael Gottlieb on PoCUS in airway management, Menaka Pai on VIPIT following AstraZeneca COVID-19 vaccination, Brit Long & Michael Gottlieb on Angiotensin II for emerge…
 
In this episode we talk to Denise Redeker about her heart disease journey which started at a young age and ended up resulting in a heart transplant. Denise talks about all of the obstacles she has faced and her incredible recovery which has brought her to being an avid runner and hiker! Denise is also the founder of Heartfelt Help Foundation, a non…
 
In this episode we talk with Betty Neal, a cardiac arrest survivor, and Alan Himelfarb, the Chairman & CEO of Starting Hearts, a nonprofit organization based in Colorado. We hear about Betty's incredible cardiac arrest survival story and her road to recovery. We also learn about how sudden cardiac arrest has had a profound impact on Alan's life and…
 
In Part 1 of our 2-part series on bradycardia and bradydysrhythmias we discussed a practical approach with electrophysiologist Paul Dorian and EM doc Tarlan Hedayati. In this, part 2, we discuss details of treatment. We answer questions such as: When should pacing be prioritized over medications and vice versa? What are the latest recommendations a…
 
In this episode we talk to Brian Simpson. A few years ago, Brian survived a heart attack and he talks about his physical and mental journey to recovery. A great athlete, Brian has gotten himself back into great physical shape. What is more important though, is his mindset! Click here to learn more about Brian's work as a Life Coach. Click here to f…
 
How do we figure out when bradycardia is due to a medical illness and when it is a primary cardiac problem? What are the 4 immediate life threatening diagnosis that we have to entertain and address in the first few minutes of the sick bradycardic patients? What are some key ECG patterns that are sometimes missed by ED docs that can have devastating…
 
In this month's EM Quick Hits podcast: Justin Morgenstern on colchicine for COVID pneumonia, Victoria Myers on sodium bicarbonate in cardiac arrest, Brit Long on troponin in chronic kidney disease, Michelle Klaiman on GHB overdose, Ian Walker on iloprost for frostbite, Sarah Reid on tips on avoiding patient and parent complaints.... The post EM Qui…
 
Recent literature suggests that pediatric patients take longer to recover from mild traumatic brain injury compared to adults, and persistent post-concussive symptoms (PPCS) after 1 month occur in up to 30% of children after minor head injury. These children can and should be identified in the ED based on the PPCS clinical risk score. In this EM Ca…
 
In this episode I talk about how I struggled with weight gain following my cardiac arrest at age 17. I went from eating whatever I wanted and staying fit because of the amount of training I was doing, to eating whatever I wanted and not exercising at all. This led to me gaining a lot of weight and losing a lot of self confidence. I will discuss how…
 
In this episode, we discuss losing a sport, activity, hobby, or anything else we are passionate about because of a heart disease diagnosis or a sudden cardiac arrest. My dream in life was to be a college basketball player. It was about to come true before my cardiac arrest and diagnosis when I was told I will never play basketball again. I discuss …
 
Anand Swaminathan on LAST prevention, recognition and management, Emily Austin on sodium nitrite suicide kit poisoning, methemoglobinemia and methylene blue, Hans & Erin Rosenberg on post-intubation analgesia and sedation, Salim Rezaie on short-term tetracaine for corneal abrasions new evidence, Jesse MacLaren on differentiating ST deviation in occ…
 
Dr. Jeannie Callum, Dr. Andrew Petrosoniak and Dr. Barbara Haas join Anton in answering the questions: How do you decide when to activate the MHP? How do you know when it is safe to terminate the MHP? What lab tests need to be done, how often, and how should the results be shared with the clinical team? Once the dust settles, what do we need to tel…
 
In this episode, we talk with Hannah Keime, a Hypertrophic Cardiomyopathy patient and the co-founder of HeartCharged, an incredible organization based out of Florida. Hannah discusses her HCM diagnosis, living with an ICD, the obstacles she has overcome, and more! To learn more about HeartCharged, click here. To follow HeartCharged on Instagram, cl…
 
In this episode, we talk with Angela Hartley from Healthy Hearties about exercising after being diagnosed with heart disease. Angela is a cardiac nurse, personal trainer, and the founder of Healthy Hearties. Click here to learn more about Healthy Hearties. Click here to follow Healthy Hearties on Instagram.…
 
In this month's EM Quick Hits podcast: Justin Morgenstern on which patients to consider cerebral venous thrombosis in, Maria Ivankovic on diphenhydramine alternatives, Brit Long on abdominal compartment syndrome, Sarah Reid on neonatal "constipation" - when to worry, and Anand Swaminathan on intubating the patient with metabolic acidosis... The pos…
 
What are the indications for steroids in patients with pneumonia besides those with concurrent COPD exacerbations, ARDS or adrenal shock? What is the evidence for benefit for steroids in CAP, the flu and COVID pneumonia? And if there is benefit, do those benefits outweigh the potential harms? To help us sort this out, Justin and Anton have the migh…
 
In this Part 2 of our AKI series we discuss the timing, volume and IV crystalloid of choice in AKI patients as well as dialysis indications and timing in light of the recent STARRT-AKI trial. We answer the questions: are piperacillin and vancomycin in combination contraindicated in patients with severe AKI? Is vasopressin preferred over norepinephr…
 
Welcome to A Big Heart, a podcast about living with heart disease. In this episode we will discuss: The inspiration: The goal of this podcast is to help inspire heart disease patients, cardiac arrest survivors, and patients living with an implanted defibrillator live a long and normal life. I will tell you my story about surviving cardiac arrest at…
 
It goes without saying that 2020 presented many challenges for the worldwide EM community. We all know what those challenges were, so I’m not going to list them here. As we enter 2021 I thought it important to reflect on what we did well in 2020, what made us proud to be EM docs, so that we keep this perspective and keep on growing as a community g…
 
In this first part of our 2 part podcast series on AKI we answer questions such as: Is there any value in the BUN:Cr ratio in distinguishing prerenal from intrarenal disease? Why is nephritic syndrome one of the most important intrarenal causes to pick up in the ED? Is there any value in urine electrolytes for the ED workup of AKI? Is there a role …
 
In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR... The pos…
 
In this part 2 of our 2 part series on Liver Emergencies we clear up the confusing balance between thrombosis and bleeding in liver patients, the elusive diagnosis of portal vein thrombosis, spontaneous bacterial peritonitis diagnosis and treatment and some tips and tricks on paracentesis with Walter Himmel and Brian Steinhart.... The post Ep 149 L…
 
In this 1st part of our 2 part series on Liver Emergencies Walter Himmel, Brian Steinhart and Anton discuss: What are the most important causes of acute liver failure that we need to identify in the ED so we can initiate timely treatment? What are some of the common medications we use in the ED that we should avoid in the liver patient? How should …
 
In this month's EM Quick Hits podcast we have Salim Rezaie on clinical probability adjusted D-dimer for pulmonary embolism, Bourke Tillmann on ARDS for the ED Part 2, Brit Long & Michael Gottlieb on pharyngitis mimics, Justin Hensley on the many faces of barotrauma, Hans Rosenberg & Peter Johns on assessment of continuous vertigo and Justin Morgens…
 
In this podcast, Part 2 of our diabetic emergencies series with Melanie Baimel, Bourke Tillmann and Leeor Sommer, we dive into the recognition and ED management of Hyperglycemic Hyperosmolar State (HHS). We answer questions such as: how does one differentiate DKA from HHS clinically? How do patients with HHS become hyperglycemic, dry and altered? W…
 
In this first part of our 2-part podcast on DKA and HHS, Drs Melanie Baimel, Bourke Tillman and Leeor Sommer discuss the importance of identifying the underlying cause or trigger in DKA patients, the pitfall of ruling out DKA in patients with normal pH or normal serum glucose, how to close the gap effectively, why stopping the insulin infusion is a…
 
In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiac arrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS... The post EM Qu…
 
Dr. Barbara Tatham, EM colleague and educator, died of metastatic sarcoma at the age of 32 in October 2019. During her last year of life, in between surgeries, ICU stays and rounds of chemotherapy and radiation, she gave lectures on compassionate care inspired by her journey as a patient. In August 2019 we met at my summer cottage to record this po…
 
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