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Emergency Medicine Cases

Emergency Medicine Cases

By: Dr. Anton Helman
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Emergency Medicine Cases – Where the Experts Keep You in the Know. For show notes, quizzes, videos and more learning tools please visit emergencymedicinecases.comMedicine Cases Education Hygiene & Healthy Living Physical Illness & Disease Science
Episodes
  • Ep 220 Facial Injuries: Assessment, Management and Disposition

    Ep 220 Facial Injuries: Assessment, Management and Disposition
    Jun 30 2026
    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/
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    1 hr and 43 mins
  • Ep 219 Hip Emergencies: Recognition and Management

    Ep 219 Hip Emergencies: Recognition and Management
    Jun 16 2026
    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/
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    1 hr and 25 mins
  • Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

    Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions
    Jun 2 2026
    Antibiotics for strep throat seem like a simple decision—but the evidence is anything but simple. In this Journal Jam podcast with Dr. Casey Parker and Dr. Justin Morgenstern, we critically appraise the literature behind one of the most common infections seen in emergency medicine. Do antibiotics meaningfully improve symptoms? Do they prevent peritonsillar abscess, post-streptococcal glomerulonephritis, or rheumatic fever? How reliable are the studies informing our practice? We explore publication bias, limitations of the Centor score, antibiotic harms, and the importance of local epidemiology, helping clinicians move beyond dogma toward more nuanced, evidence-based decision-making... Please consider a donation to EM Cases to ensure ongoing high quality free open access medical education here: https://emergencymedicinecases.com/donation/
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    1 hr and 19 mins
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