Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience

Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience

Author: Dr. Anton Helman January 7, 2025 Duration: 1:23:26
In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we best streamline thorough data gathering for each case so that we don't miss key data points? How do the master EM clinicians perform an efficient and targeted history and physical exam? How can the concept of heuristic cycling help you avoid outdated or faulty thinking? How can we document our clinical encounter in a way that considers a differential diagnosis that prioritizes dangerous conditions and improve our thinking around cases? How can we use the 2-10% rule for pre-test probabilities and the concept of preferred error to guide our decision making for tests and treatments in the ED? What strategies can we use to avoid anchoring bias and keep your mind open to all possibilities? What’s the role of shared decision-making when navigating diagnostic uncertainty? How does understanding the vigilance pendulum help us assess our risk tolerance better? How can post-shift decision journaling, conducting pre-mortems and meditation improve our decision making and boost our emotional resilience on shift? and many more...The accompanying blog An EM Expert Mindset - A Female Perspective is recommended reading with this podcast https://emergencymedicinecases.com/the-em-expert-mindset-a-female-perspective/ Please consider a small donation to EM Cases to ensure ongoing high quality FOAMed: https://emergencymedicinecases.com/donation/

Hosted by Canadian emergency physician Dr. Anton Helman, Emergency Medicine Cases is a trusted audio resource that feels like having a seasoned colleague by your side during a complex shift. Each episode dives deep into the nuanced, high-stakes decisions that define emergency care, moving beyond textbook summaries to explore the real-world application of the latest evidence and clinical wisdom. You’ll hear detailed discussions with leading specialists, breaking down challenging presentations, diagnostic pitfalls, and cutting-edge treatments. This podcast is designed for the practicing clinician who wants to refine their approach, whether they’re managing a critical trauma, an ambiguous abdominal pain, or a puzzling pediatric fever. The conversations are thorough and grounded, offering practical takeaways you can use immediately. For those who want to engage further, extensive show notes, quizzes, and supplementary videos are available online to solidify your learning. Tune in to stay sharp, confident, and current in the fast-paced world of emergency medicine.
Author: Language: en-ca Episodes: 100

Emergency Medicine Cases
Podcast Episodes
Ep 197 Acute Heart Failure Risk Stratification and Disposition [not-audio_url] [/not-audio_url]

Duration: 1:14:44
We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for…
Ep 196 Pediatric Meningitis Recognition, Workup and Management [not-audio_url] [/not-audio_url]

Duration: 1:28:57
In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis…
Ep 195 Management of Subarachnoid Hemorrhage [not-audio_url] [/not-audio_url]

Duration: 48:33
Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Mortality in SAH patients can be up to 30% even without neurological deficit. Paying attention to the time-sensitive de…