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Table of Contents

• ↓ EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2
• ↓ Ep 220 Facial Injuries: Assessment, Management and Disposition
• ↓ Ep 219 Hip Emergencies: Recognition and Management
• ↓ ECG Cases 62 – ACLS Arrhythmia Pitfalls, Part 5: Stable Narrow Complex Tachycardias
• ↓ Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions
• ↓ Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change
• ↓ Top Alternatives to emergencymedicinecases.com

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"In this month’s EM Quick Hits Podcast, Amna Karabegovic joins us for an EMC² case of pediatric altered LOA and neurocritical care, Anand Swaminathan simplifies the high-risk management of pulmonary hypertension and right ventricular failure, and Brit Long reviews how to recognize and treat Cytokine Release Syndrome. Plus, Andrew Tagg on whether uncomplicated pediatric distal radius fractures need reduction, Jesse McLaren on a systematic approach to ECG interpretation in the bradycardic patient, and Sara Gray and Katie Lin return for Part 2 of “Coaching the EM Mind,” with practical strategies for managing stress and optimizing psychological safety on shift… Please consider a donation to ensure EM Cases continues to be high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/"

"Facial trauma is common in emergency medicine, but the biggest pitfalls are often not the fractures themselves—they're the threatened airway, vision-threatening ocular injuries, missed septal hematomas, and subtle soft tissue injuries hiding beneath the skin. Which facial fracture is most likely to cause delayed airway obstruction? Why does the physical examination often matter more than the CT scan? Which injuries require urgent consultation or transfer, and which can safely go home? In this episode of EM Cases, Anton is joined by Dr. Jeff Fialkov and Dr. Andrew Petrosoniak for a practical, top-down approach to facial trauma covering airway, bleeding, vision-threatening injuries, fracture assessment, soft tissue injuries, and disposition. Please consider a donation to EM Cases to ensure ongoing high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/"

"Hip complaints are bread-and-butter emergency medicine—but every so often they are anything but straightforward. The obvious shortened, externally rotated leg after a fall is one thing; the patient with acute hip pain, a normal x-ray, unremarkable blood work, and no clear diagnosis is another. Hip fractures are also far from benign, carrying a 30-day mortality of 6–7% and a 1-year mortality of about 20%, often triggering a cascade of pain, immobility, delirium, deconditioning, and death. But hip fractures are only the tip of the iceberg. In this EM Cases episode, Dr. Arun Sayal and Dr. Matt DiStefano go beyond “get an x-ray and call ortho” to tackle hip fractures, occult injuries, atraumatic hip pain, and hip dislocations. We answer questions like: Why do so many patients never return to baseline after a hip fracture? What can we do in the ED to avoid delaying surgery? What are the best pain management and delirium prevention strategies? Which physical exam findings help diagnose an occult hip fracture? How do we distinguish hip from pelvic fractures clinically? When is a normal x-ray not enough, and when should we proceed to CT or MRI? What is POCUS useful for in the painful hip? How should hip fractures be classified to change ED management? How should we approach atraumatic hip pain? How do native and prosthetic hip dislocations differ? What clinical position suggests posterior versus anterior dislocation? Which reduction technique should we choose? What is the Whistler technique? What are the nuances of post-reduction management? And much more. Please consider a donation to EM Cases to support ongoing high-quality Free Open Access Medical Education: https://emergencymedicinecases.com/donation/"

Key Topics & Focus Areas for emergencymedicinecases.com:

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

Ep 220 Facial Injuries: Assessment, Management and Disposition

Ep 219 Hip Emergencies: Recognition and Management

ECG Cases 62 – ACLS Arrhythmia Pitfalls, Part 5: Stable Narrow Complex Tachycardias

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change