Send us a text🎙️ Podcast Episode Intro – DDX:SCAPE | Picklesburgh Pulmonary PanicWhat happens when a 50-year-old man suddenly can’t breathe—right in the middle of the Picklesburgh festival? 🥒😯Join Dr. Hagahmed and Dr. Addy as they walk through a high-stakes emergency case of acute dyspnea in a patient with a history of hypertension, hyperlipidemia, and diabetes. From scene safety and rapid assessment to high-flow oxygen, CPAP, and beyond, they break down the critical steps in recognizing and managing SCAPE—Sympathetic Crashing Acute Pulmonary Edema—a diagnosis that goes beyond your typical CHF flare.You’ll hear key insights into:How to prioritize ABCs under pressureWhen to think SCAPE vs. CHFThe role of nitroglycerin and non-invasive ventilationWhy early recognition saves livesBy the end, the patient stabilizes—but not before offering powerful teaching points for every emergency provider.🎥 Want to see the case play out?Watch the full video on our YouTube channel: EMERGE in EM👉 https://youtube.com/@emergeinem?si=27-MFKEHQKRXGVhHSubscribe, listen, and always be ready to ask:What would you do?
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E10: Measles deep dive
Send us a textUnderstanding Measles: Recognition, Pathophysiology, and Management in Emergency SettingsJoin Dr. Mohamed Hagahmed and Dr. Sylvia Owusu-Ansah in this essential discussion on measles. They cover critical topics such as recognizing measles in emergency settings, understanding its presentation and pathophysiology, and the latest strategies in treatment and prevention. This episode is packed with vital information for healthcare providers, especially in the context of a resurgence in measles cases due to declining immunization rates. Learn about the role of vaccinations, complications like ADEM and SSPE, and the importance of PPE in practice. This conversation is recorded live from the SNMA AMEC conference, addressing both clinical knowledge and public health awareness.Find pictures of measles rash and how it looks in dark skin individuals in my social media post: https://www.instagram.com/reel/DHLaF4Lxjef/?igsh=Y205enNpeDJzbTM400:00 Introduction to Measles00:41 Current Measles Outbreaks and Concerns02:03 Understanding Measles Pathophysiology06:05 Recognizing Measles Symptoms09:56 Treatment and Prevention Strategies11:22 Pre-Hospital Care for Measles16:27 Prophylaxis and Final Thoughts
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E9: EtCO2 vs PCO2 in critically ill prehospital patients
Send us a textIn this episode, I'm joined by Dr. Chris Martin-Gill to discuss the critical evaluation of the correlation between end-tidal CO2 and partial pressure of CO2 (PCO2) in acutely ill patients. The episode covers the importance of end-tidal CO2 in the prehospital setting, primarily for verifying airway placement and assessing ventilation adequacy. Dr. Martin-Gill discusses a significant study that he co-authored that analyzed data from over 6,400 patients, finding large discrepancies between end-tidal CO2 and PCO2, particularly in critically ill patients. The discussion highlights the implications of these findings on EMS protocols and the importance of considering patient subpopulations. The episode concludes with recommendations for EMS agencies on how to use end-tidal CO2 readings effectively and the need for further research.Paper reference: PMID: 39546437 DOI: 10.1080/10903127.2024.2430394
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E8: Submerge-Paper Deep Dive: NIPPV for COPD exacerbation (HAPPEN Trial)
Send us a text🚑 PICO Breakdown: The HAPPEN Trial on NPPV for COPD 🫁P - Population:Patients with acute exacerbation of COPD and persistent hypercapnia (PaCO₂ > 45 mmHg) after 6 hours of low-intensity NPPV.👥 300 patients (Mean Age: 73 years, 68% Male)I - Intervention:High-Intensity NPPV - Tidal volume of 10-15 mL/kg using higher inspiratory positive airway pressure (IPAP).C - Comparison:Low-Intensity NPPV - Tidal volume of 6-10 mL/kg using lower IPAP.O - Outcome:🌟 65% ↓ Risk of meeting criteria for intubation (4.8% vs. 13.7%, p=0.004)❌ No significant difference in actual intubation rates (3.4% vs. 3.9%)🤢 More abdominal distension with high-intensity NPPV (37% vs. 25%)💡 Clinical Pearl:High-intensity NPPV may delay progression to severe respiratory failure but requires careful monitoring of side effects.Reference: Luo Z, Li Y, Li W, et al. Effect of High-Intensity vs Low-Intensity Noninvasive Positive Pressure Ventilation on the Need for Endotracheal Intubation in Patients With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease: The HAPPEN Randomized Clinical Trial. JAMA. 2024;332(20):1709-1722. doi:10.1001/jama.2024.15815.
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E7: Prehospital trauma care
Send us a textIn this episode of EMERGE, I am joined by Dr. Frank Guyette, an emergency physician and EMS expert from the University of Pittsburgh and the medical director of STAT Medevac. Dr. Guyette offers insights into pre-hospital trauma care, discussing critical topics such as the trauma triad and diamond of death, the complexities of hypocalcemia in trauma patients, and evolving practices in fluid management. He also delves into the latest research and protocols, including the controversial use of TXA and the challenges of resuscitating trauma patients with advanced techniques. Looking towards the future, Dr. Guyette explores the promising role of artificial intelligence and cutting-edge medical devices like REBOA in advancing trauma care. This episode is packed with vital information for EMS providers, medical professionals, and anyone interested in the latest trends in emergency care.
Emerge in EM is a dynamic podcast dedicated to exploring the cutting edge of Emergency Medicine Education, Resuscitation, and Global health Empowerment. Each episode brings together leading experts, frontline healthcare professionals, and change-makers from around the world to discuss the latest advancements, case studies, and innovations shaping the field of EM. Whether you're a seasoned emergency physician, an aspiring medical student, or a global health enthusiast, Emerge in EM delivers insightful conversations and practical knowledge to elevate your skills and broaden your understanding of life-saving care. Tune in for in-depth discussions that not only address clinical excellence but also emphasize the global movement towards equity and empowerment in emergency medicine.
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