Chad Roach

27 Flips | 2 Magazines | 2 Likes | @croachmd | Keep up with Chad Roach on Flipboard, a place to see the stories, photos, and updates that matter to you. Flipboard creates a personalized magazine full of everything, from world news to life’s great moments. Download Flipboard for free and search for “Chad Roach”

Core EM: Infections in Pregnancy

Originally published at CoreEM.net, who are dedicated to bringing Emergency Providers all things core content Emergency Medicine available to anyone, …

A ‘sensitive’ blood test can now rule out heart attacks | health and fitness

Good news for overcrowded hospitals. A team of researchers has come up with a new test that can identify patients who are at very low risk of heart …

LITFL Review 201

Welcome to the 201st LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the …

Emergency Department Visits for Adverse Events Related to Dietary Supplements

Herbals (botanical products), complementary nutritionals (e.g., amino acids), and micronutrients (vitamins and minerals) are all considered to be …

Migraine Headache & Subarachnoid Hemorrhage | EM Cases

<i>MIGRAINE HEADACHE</i><p><b>POUND</b> <b>mnemonic</b> <b>for diagnosis of migraine</b>: <i>P</i>ulsatile quality, 4‐72 h<i>O</i>urs, <i>U</i>nilateral pain, <i>N</i>ausea, and <i>D</i>isabling intensity – 4 out of 5 …

Best Case Ever | Mike Betzner on Chloral Hydrate & Cardiac Arrest

<b>This podcast is featured on Life in The Fast Lane’s Review of the Best of Emergency Medicine FOAM here.</b><p>For an excellent review of the many aspects of …

Emergency Airway Controversies

In this episode on Emergency Airway Controversies, <b>Dr. Sherbino, Dr. Healy and Dr. Mensour</b> answer questions like: Does Delayed Sequence Intubation …

Episode 34: Geriatric Emergency Medicine

In this episode Dr. Don Melady, Canada's leading educator in Geriatric Emergency Medicine (Geri-EM) & Dr. Jaques Lee, one of Canada's leading …

Oncologic Emergencies | Emeregency Medicine Cases

<i>FEBRILE NEUTROPENIA</i><p>The majority of cancer patients with febrile neutropenia will have a bacterial infection. While the priority is to identifying and …

Best Case Ever 32 Carr’s Cases – Endocarditis and Blood Culture Interpretation

David Carr discusses his top 10 pearls on endocarditis and blood culture interpretation in this Carr's Cases Best Case Ever on EM Cases - …

Episode 59b: Amy Plint on the Management of Bronchiolitis

In response to Episode 59 with Dr. Sanjay Mehta and Dr. Dennis Scolnik on the emergency department diagnosis and management of Bronchiolitis, Dr. Amy …

Episode 61 Whistler’s Update in EM Conference 2015 Highlights Part 1

This EM Cases episode is Part 1 of The Highlights of The University of Toronto, Divisions of Emergency Medicine, Update in EM Conference from …

Episode 62 Diagnostic Decision Making in Emergency Medicine

This is Part 1 of EM Cases' series on Diagnostic Decision Making with Walter Himmel, Chris Hicks and David Dushenski discussing the intersection of …

Episode 65 – IV Iron for Anemia in Emergency Medicine

For years we’ve been transfusing red cells in the ED to patients who don’t actually need them. A study looking at trends in transfusion practice in …

Every once in a while, a patient breaks all clinical rules

Every once in a while, a patient breaks all clinical rules. Our patient had a hCT which was + for fx and blood.<p>The patient is negative for the Canadian hCT rule. There are no signs of fracture, he is not vomiting, and his age is <65. In addition, he had a gcs of 15, it was not a dangerous mechanism, and he did not have amnesia. Similarly, he escapes the Nexus 2 (age<65, no fx, no vomiting, no hematoma, no neuro deficit, normal behavior, no coagulopathy), although it may be arguable whether he …

A 50s F with htn, a rheum disorder (?mctd, being worked up) cc sob

A 50s F with htn, a rheum disorder (?mctd, being worked up) cc sob. The sob has been for three days, and is largely dyspnea on exertion. There is no chest pain, orthopnea, pnd, or leg swelling. She has a dry cough x 3 days and feels generally weak. About a week ago, she had a zoster outbreak on her R chest wall for which she is finishing a week’s valtrex. Her meds include plaquenil and low-dose prednisone. She has no allergies.<p>On exam, HR 114, RR 20, BP 122/84, T 98.9. Her RA O2 sat is 93. She …

A 22 yo F presents to the ED with 2 days of L face pain

A 22 yo F presents to the ED with 2 days of L face pain. The pain is over the pre-auricular area. She denies uri sym or trauma. On exam, she has a fever. The remainder of her VS are fine and she appears well. She has tenderness over the L pre-auricular area without swelling or redness. Her TMs, ear canals, sinuses, teeth, and TMJ are all normal on exam.<p>What is the likely dx?<p>What shall we do in the ED?<p>Answer to 7/26 posted

A 22 yo F cc bloody diarrhea x 1 day

A 22 yo F cc bloody diarrhea x 1 day. She has some lower abd cramping with the diarrhea without nausea or vomiting. She has no recent travel or medication use. She does not remember eating anything that would make her sick and she has no sick contacts. The diarrhea is loose stools mixed with brb. She has no pmh; her grandmother has a hx of colon ca, her mother has a hx of inflammatory bowel disease. Her VS are normal except for a temp of 102. Her general and abdominal exam are normal.<p>What shall …

Episode 70 End of Life Care in Emergency Medicine

Most of us in North America live in cultures that almost never talk about death and dying. And medical progress has led the way to a shift in the …

Furosemide in the Treatment of Acute Pulmonary Edema - emDOCs.net - Emergency Medicine Education

Anand Swaminathan, MD, MPH (@EMSwami) is an assistant professor and assistant program director at the NYU/Bellevue Department of Emergency Medicine …

R.E.B.E.L. EM - Emergency Medicine Blog - Rational Evidence-Based Evaluation of Literature

August 23, 2018<p>The use of heated and humidified high flow nasal cannula has become increasing popular in the treatment of patients with acute …

Medicine

Is Kayexalate Useful in the Treatment of Hyperkalemia in the Emergency Department? - R.E.B.E.L. EM - Emergency Medicine Blog

<b>Background:</b> Hyperkalemia is the most common electrolyte disorder seen in the Emergency Department and treatment of hyperkalemia is core knowledge of …

Pay out for doctor still alive only because she diagnosed herself

Exclusive: NHS consultant paid hundreds of thousands in compensation after colleagues discharged her from hospital dangerously early and then failed to react properly to her life-threatening symptoms<p>Watching the sun to rise over the pretty Northamptonshire valley where she lived it suddenly dawned …