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EMCORE

EMCORE

Peter Kas

Remember how it felt when you saw that really difficult patient and knew exactly what to do? What if you had the knowledge to do that with all of your patients? What would that look like? What would it sound like? How would you feel? We take care of people. They come to us because they need our expertise. The EM SHOW is about the latest evidence and deconstructing the performance of the best clinical specialists, to bring you knowledge that can take you to the level of 'Outstanding'. "The Knowledge you take into Your Shift, DOES Matter".

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Top 10 EMCORE Episodes

Goodpods has curated a list of the 10 best EMCORE episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to EMCORE for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite EMCORE episode by adding your comments to the episode page.

The Clinical Cases Podcast, also called The EM Show. Coming to EM Mastery Soon

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EMCORE - Episode 12: Guillain Barre Syndrome
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02/23/24 • 11 min

This is a low frequency High stakes Disease we cannot miss.

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Here is a controversial paper with mortality findings very different to what has been published before.
The Community-Acquired Pneumonia: Evaluation of Corticosteroids (CAPE COD) Trial, was a double-blind, randomised, controlled, superiority trial, conducted in 31 French ICUs.
Intravenous hydrocortisone, 200mg, was given within 24 hours of onset of severity criteria (median time < 15 hours). The results were very different to the previous study conducted in 42 ICU centres.

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Airway in Cardiac Arrest is still a bit of a mystery. We don't really know if we should intubate early. Contrary to prior studies showing no benefit of intubation over BVM or SGA, new evidence may be pointing in a different direction. We don't know the correct rate of breaths or volume of breaths or FiO2. Small animal studies and 'expert' opinion restrict our delivery of breaths to a maximum of 10 per minute and the volume of each breath to about 500 mL.

This has resulted in some centres now using paediatric BVMs for adult resuscitation. Do these work? Previous studies may have shown no inferiority, but here is a new study, that suggests that traditional BVMs may be better.

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EMCORE - Episode 13: Diplopia
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07/24/24 • 8 min

A patient walks into the Emergency Department with a complaint of Diplopia. "I'm seeing Double".
How do you approach this situation?
What are the causes?
How do we tell the difference between Monocular and Binocular?
Here are 5 things I do.

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A patient presents feeling dizzy when standing. His ECG shows he is in Atrial Flutter with a variable block. The block is significant. In some places it is 8:1. His blood pressure is 130 mmHg systolic. He is normally on Diltiazem. What should we do?

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How do you approach the patient in shock? Septic shock, Cardiogenic Shock, shock due to a massive pulmonary embolism?
There is no perfect drug, however Noradrenaline may be as perfect as it gets.

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EMCORE - Episode 6: Hypertensive Emergencies
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11/21/23 • 18 min

Is there such an entity as a Hypertensive Urgency? Probably not. Hypertensive Emergencies are a Clinical Diagnosis as they involve end-organ damage.
Apart from Aortic Dissection and preeclampsia, we shouldn't decrease systolic Blood pressure by more than 20-25% in the first hour. What STEMI, or ICH, or stroke?What is the best medication to use? We look at that in this episode, taken from a lecture I gave in 2023.

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Electrical Storm can be difficult to manage. Repeated episodes of Ventricular tachycardia, with haemodynamic compromise, that do not respond to defibrillation and potentially to medication, are a significant challenge. We discuss a recent case of just this scenario and it was approached as well as an approach to the Electrical VT Storm Patient.

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We look at the unknown variables of ventilation and oxygenation both during cardiac arrest and post ROSC. We mention the EXACT Trial and the BOX Trial.

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FAQ

How many episodes does EMCORE have?

EMCORE currently has 13 episodes available.

What topics does EMCORE cover?

The podcast is about Medical, Medicine, Podcasts, Melbourne and Education.

What is the most popular episode on EMCORE?

The episode title 'Episode 13: Diplopia' is the most popular.

What is the average episode length on EMCORE?

The average episode length on EMCORE is 10 minutes.

How often are episodes of EMCORE released?

Episodes of EMCORE are typically released every 7 days, 7 hours.

When was the first episode of EMCORE?

The first episode of EMCORE was released on Nov 1, 2023.

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