EMplify by EB Medicine

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the September 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Acetaminophen or Salicylate Toxicity 1:13 — Welcome and topic introduction 3:50 — Key rules: check levels, call Poison Control 5:13 — Acetaminophen pathophysiology 8:16 — Salicylate pathophysiology 10:51 — Coingestions 11:11 — Differential diagnosis 12:19 — History & pre-hospital care 15:28 — Product confusion 17:08 — Toxic dose thresholds 18:26 — Physical exam & vital signs 20:16 — Acetaminophen toxicity stages (1-4) 22:35 — Salicylate exam findings 23:43 — Lab workup & testing 24:45 — Acetaminophen nomogram & levels 30:39 — Activated charcoal — when to give it 34:11 — NAC therapy — dosing & timing 37:22 — Hemodialysis for acetaminophen 38:40 — King's College Criteria 41:00 — Salicylate treatment 44:42 — Potassium management during alkalinization 47:28 — Hemodialysis for salicylate 48:05 — Intubation 50:00 — Pregnancy considerations 51:20 — Pediatric considerations 52:06 — Emerging: fomepizole as adjunct therapy 52:45 — Summary & wrap-up Subscribers, take the CME test here. Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD and Dr. Syeda Maria Muzammil, MD discuss the August 2026 Emergency Medicine Practice article, Emergency Department Management of Postthrombolysis Intracranial Hemorrhage. 0:25 – Intro & sponsor message 1:18 – Guest introduction: Dr. Maria Muzammil 2:24 – Timeframe for post-thrombolysis hemorrhage & ED/ICU boarding considerations 4:46 – Thrombolysis eligibility criteria & contraindications 5:46 – Incidence rates & symptomatic vs. asymptomatic hemorrhage 7:09 – Pathophysiology & risk factors for post-thrombolytic ICH 10:18 – Combining IV thrombolysis with endovascular thrombectomy 12:33 – Post-treatment monitoring protocols & neurological exam frequency 15:02 – Differentiating hemorrhage from other causes of neurological decline 18:34 – Initial ED steps 20:35 – Heidelberg classification of hemorrhage types 21:60 – Follow-up imaging 25:27 – Treatment of confirmed hemorrhage 30:10 – Platelet transfusion guidance 32:39 – Delayed hemorrhage & treatment timing considerations 34:21 – Blood pressure management goals post-hemorrhage 37:20 – Special populations 38:48 – Summary of ED management algorithm 40:48 – Closing remarks Subscribers, take the CME test here. Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the July 2026 Emergency Medicine Practice article, Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: Diagnosis and Management in the Emergency Department. 0:17 – Intro & sponsor promo 1:09 – Episode introduction 4:03 – Definitions: SJS vs. TEN vs. "overlap" by body surface area 6:12 – Pathophysiology 9:52 – Incidence and rarity of the disease 10:53 – Differential diagnosis & clinical presentation clues 12:08 – Prehospital care & fluid resuscitation considerations 13:47 – ED history-taking: medications, infections, rash progression 14:47 – Physical exam findings 16:46 – Diagnostic studies 18:12 – Scoring systems: SCORTEN and ABCD-10 20:50 – Treatment goals 23:57 – Wound care principles 24:43 – Mechanical ventilation risk factors 26:02 – Other possible therapies 27:50 – Specialty consults & special populations 29:06 – Ophthalmologic treatment 31:17 – HIV patients and elevated risk 31:55 – Emerging therapies & AI-based diagnostic tools 32:57 – Five key clinical takeaways 34:37 – Closing remarks & sponsor sign-off Subscribers, take the CME test here. Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the June 2026 Emergency Medicine Practice article, Diagnosis and Management of Heat Stroke and Other Heat-Related Illness in the Emergency Department 0:21 Intro & Promo 0:56 Episode Introduction 3:14 Spectrum of Heat-Related Illnesses 7:37 Differential Diagnosis 8:58 Pre-Hospital Management 11:54 Exertional Heat Stroke 13:50 Non-Exertional Heat Stroke 15:40 ED Evaluation 21:54 ED Treatment 27:15 Managing Complications 29:33 Special Populations 30:58 Disposition & J-ERATO Score 33:12 Risk Management Pearls 36:56 Wrap-Up & Promo Subscribers, take the CME test here. Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the May 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Serious and High-Risk Infections in the Febrile Returning Traveler. 0:16 — Podcast Introduction 1:08 — Episode Introduction 7:30 — Malaria 13:55 — Dengue 17:33 — Enteric Fever (Typhoid/Paratyphoid) 20:53 — Leptospirosis 22:43 — Clinical Presentations 26:33 — Diagnostic Testing 33:17 — Treatment 38:59 — Special Populations & Risk Pitfalls 43:05 — Closing Pearls & Outro Subscribers, take the CME test here. Emergency Medicine Residents, get your free subscription by writing [email protected]