Feature Film - Is There Evidence Behind the Mangement of Spontaneous Intracerebral Hemorrhage?

Feature Film - Is There Evidence Behind the Mangement of  Spontaneous Intracerebral Hemorrhage?

Spontaneous intracerebral hemorrhage (ICH) accounts for 10-15% of all strokes and affects ~65,000 patients annually in the US. The diagnosis may not be complicated, but the optimal treatment strategy can be a moving target. What is the current recommended blood pressure to limit hematoma expansion? Should we reverse anti-platelet medications? How about seizure prophylaxis? In this feature film, Dr. Siket reviews the evidence behind the optimal management of spontaneous ICH.

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Feature Film(s) - Pediatric Point of Care Ultrasound in the Emergency Department

Feature Film(s) - Pediatric Point of Care Ultrasound in the Emergency Department

Dr. Rachel Rempell is a pediatric emergency medicine physician in Boston, Massachusetts and is affiliated with Boston Children's Hospital. She is board certified in pediatrics, pediatric emergency medicine and completed an ultrasound fellowship with a focus on pediatrics.  We were fortunate to have her as a guest speaker for our grand rounds where she gave us a tour of the current landscape of pediatric point of care ultrasound in emergency medicine. 

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Feature Film - Wound Care Pitfalls in the Emergency Department

Feature Film - Wound Care Pitfalls in the Emergency Department

Matthew Delaney is an emergency physician who also helps run a wound care clinic.  With these dual roles, he has gained a unique perspective on both acute and chronic wounds that present to the emergency department.  In this feature film, he discusses some pearls and pitfalls of wound care in the emergency department. 

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Feature Film - Could There Be Light At The End Of The Behavioral Health Tunnel?

Feature Film - Could There Be Light At The End Of The Behavioral Health Tunnel?

Tomorrow, countless acute mental health patients will present to their local emergency department asking for help.  Our typical response?  Detain them for days until definitive resources are available.  Ironic for a specialty whose defining characteristic is timely diagnosis and treatment.  Door to balloon time for STEMI?   t-PA for stroke within the window?  Most emergency departments have complex operations, funding and resources to meet these goals.  How about a door to psychiatric bed time?  Not so much.  Sadly, the behavioral health care crisis in this country is only getting worse. While the demands on emergency providers to treat these patients continues to rise, resources continue to decline.  In this feature film, Dr. Kivela, current ACEP president, proposes some novel solutions to improve the care, cost and boarding times for this vulnerable population.  

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Feature Film - Myths and Misconceptions about Testicular Torsion

Feature Film - Myths and Misconceptions about Testicular Torsion

Testicular torsion is present in approximately 3 – 17% of children brought to the ED with scrotal pain.  It has a bimodal incidence in the first year of life and at puberty, when the rapid increase in testicular volume predisposes the testis to torsion. While not as common, it can also occur late into adult hood. Because the testicular salvage rate is time dependent, prompt recognition and diagnosis is an essential skill of the emergency provider.  In this month's feature film, Dr. Jacob Avila busts some myths and misconceptions about testicular torsion. 

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Feature Film: D-dimer, Wells, PERC... Pitfalls of Pulmonary Embolism Diagnosis

Feature Film:  D-dimer, Wells, PERC... Pitfalls of Pulmonary Embolism Diagnosis

Dr. Ali Raja is the co-author for American College of Emergency Physicians and the American College of Physicians guidelines committee for pulmonary embolism.  He was also voted the most outstanding speaker for our 2017 Maine Medical Center Winter Symposium.  We chose to highlight his lecture - "D-dimer, Wells, PERC rule - Pearls and Pitfalls of Pulmonary Embolism Diagnosis" as our next feature film.  In this lecture, Dr. Raja shares some pearls and pitfalls on the various tools at our fingertips for the diagnosis of pulmonary embolism. 

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Feature Film: Strep Throat - To Treat or Not to Treat? That is the question...

Feature Film:  Strep Throat - To Treat or Not to Treat?  That is the question...

Our very own Irish George Clooney shares some pediatric pearls as he discusses the pros and cons of testing for and treating streptococcal pharyngitis including: using the centor criteria in children, test characteristics of the rapid antigen detection test, risks, complications and potential benefits of treating versus not treating and how to discuss these issues with parents. 

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