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Clinical reviews of how to approach and take care of patients with the most serious and common ED and Urgent care complaints.

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C3 - Atrial Fibrillation ArtworkOctober 2017

C3 - Atrial Fibrillation

Atrial fibrillation (AF) is the most common tachyarrhythmia. As such, AF is bread and butter for the emergency provider. We need to really understand and be comfortable with this rhythm.

1hr 4min
C3 - Seizures in Pediatric Patients ArtworkSeptember 2017

C3 - Seizures in Pediatric Patients

How should we approach seizures in pediatric patients? How different is this from adults with seizures? We will discuss.

1hr 7min
C3 - Seizures ArtworkAugust 2017

C3 - Seizures

Seizures frighten everybody. They can be distressing not only for patients but also for their families, public bystanders and even emergency providers. Because the convulsions associated with seizures can be so dramatic, we tend to lose our ability to think in a logical manner when a patient is actively seizing. In this episode of C3, we cover the initial approach to the seizing patient, how to manage status epilepticus and how to disposition these patients from the emergency department.

1hr 3min
C3 - Bradycardia ArtworkJuly 2017

C3 - Bradycardia

In last month’s C3, we discussed the concept of primacy of rate. Simply stated, the more abnormal the heart rate, the more likely that it is responsible for the patient’s symptoms. In most cases (but not all - e.g. not in hypothermia and myxedema coma) intervening to correct the rate is a high priority in the resuscitation.

53min
C3 - Tachyarrhythmias ArtworkJune 2017

C3 - Tachyarrhythmias

Managing patients with tachycardia is as central to emergency medicine as airway, breathing, and circulation. In many cases, a rapid heart rate is the most prominent and obvious part of a patient’s presentation – and in some cases it demands immediate action from the treatment team. In this episode of C3, we have attempted to make the approach to patients with tachyarrhythmias simple “but not too simple”, as a great man (Albert Einstein!) once said.

1hr 9min
C3 - Epistaxis ArtworkMay 2017

C3 - Epistaxis

Epistaxis, or nosebleed, is among the commonest presentations to the emergency department. Although epistaxis occurs in the majority of people at some point during their lives, most are minor and self-limited. Those patients who arrive to the ED represent a specific subset of nosebleeds - ones that won’t stop. These patients may be quite anxious and fearful. In some cases there are underlying reasons why the bleeding won’t stop. Fortunately, we have a wealth of tools, tips, and procedures to stop the bleeding.

59min
C3 - Dizziness ArtworkApril 2017

C3 - Dizziness

Dizziness is a poorly defined symptom that plagues both patients and clinicians. It is one of the most common chief complaints in both emergency and outpatient settings, accounting for millions of visits to each annually in the U.S. alone. There is often uncertainty surrounding the clinical approach to the dizzy patient and the wide variation in practices is what makes it particularly difficult for new and seasoned practitioners alike.

1hr 30min
C3 - Chest Pain ArtworkMarch 2017

C3 - Chest Pain

Chest pain is the second most common chief complaint in the ED, with over 8 million visits annually in the U.S. alone. Chest pain evaluation is challenging but very manageable with the current systems and protocols in place in many hospitals

1hr 35min
C3 - Pediatric Abdominal Pain ArtworkFebruary 2017

C3 - Pediatric Abdominal Pain

As with the elderly, children with abdominal pain are special and require a different diagnostic approach. In this episode of C3, we will consider the general approach to abdominal pain in children.

1hr 31min
C3 - Elderly Abdominal Pain ArtworkJanuary 2017

C3 - Elderly Abdominal Pain

Elderly patients with abdominal pain represent a special population that is much more likely to have a serious life-threatening cause than almost any other presenting complaint.

1hr 10min