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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 - 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. View chapters…

59min / 7 chapters
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. View chapters…

1hr 30min / 3 chapters
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 View chapters…

1hr 35min / 3 chapters
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. View chapters…

1hr 31min / 5 chapters
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. View chapters…

1hr 10min / 6 chapters
C3 - Back Pain ArtworkDecember 2016

C3 - Back Pain

Most patients with back pain do not require extensive diagnostic evaluation in the ED. The role of the emergency provider is twofold – to help alleviate pain and to consider the life-threatening diagnoses that may present with back pain. View chapters…

59min / 3 chapters
C3 - Syncope ArtworkNovember 2016

C3 - Syncope

The majority of patients who present after a syncopal episode are safe for discharge from the ED after a focused history, physical examination and ECG. In some cases, a life-threatening cause will be found in the ED. In others, such as those with other cardiac symptoms and implantable cardiac devices, the risk for adverse events is too high and patients are admitted to a monitored setting for further evaluation. The C3 team discuss a practical step-by-step approach to the patient with syncope. View chapters…

48min / 4 chapters
Bonus ShortC3 October 2016 Letters Comments and Rants Artwork

C3 October 2016 Letters Comments and Rants

Mel discusses some important questions from the C3 audience on vag bleeding in the pregnant and non-pregnant patient and the use of TXA, bed and pelvic rest. He also discusses reversing beta-blockers in the asthma patient and goes deep philosophical about C3 vs EMRAP main show. Enjoy.

C3 - Non Pregnant Vaginal Bleeding ArtworkOctober 2016

C3 - Non Pregnant Vaginal Bleeding

After pregnancy has been ruled out, the differential diagnosis of patients with abnormal vaginal bleeding can be divided into structural and non-structural causes. Most are stable and can be managed safely as outpatients. The C3 team discuss a practical step-by-step approach to the non-pregnant patient with vaginal bleeding. View chapters…

49min / 4 chapters
C3 - First Trimester Vaginal Bleeding ArtworkSeptember 2016

C3 - First Trimester Vaginal Bleeding

The C3 gang discusses management of both the stable and unstable patient who presents with vaginal bleeding in the first trimester. View chapters…

1hr 24min / 4 chapters
C3 - Asthma ArtworkAugust 2016

C3 - Asthma

This month Mel & Stuart discuss the "Crashing" & "Stable" asthmatic. View chapters…

1hr 9min / 2 chapters
C3 - Dyspnea Part II ArtworkJuly 2016

C3 - Dyspnea Part II

Most patients with dyspnea will have a common cardiopulmonary cause (i.e.: pneumonia, CHF, pulmonary embolism, MI, asthma, COPD etc.). The C3 team discusses a practical step-by-step approach to your patient with dyspnea, to help you determine what is their underlying cause of shortness of breath and what to do about it. View chapters…

1hr 57min / 5 chapters
C3 - Dyspnea - Part1 ArtworkJune 2016

C3 - Dyspnea - Part1

Most patients with dyspnea will have a common cardiopulmonary cause (i.e.: pneumonia, CHF, pulmonary embolism, MI, asthma, COPD etc.). For the sake of our learning, in Part 1 we are going to deal with all of the other major causes of dyspnea that are often missed when we assume a cause in the heart and lungs. View chapters…

51min / one chapter
C3 - Minor/Stable GI Bleeding ArtworkMay 2016

C3 - Minor/Stable GI Bleeding

In last month’s episode, we dealt with patients who were obviously bleeding to death. Most patients with GI bleeding present with far less drama. The stakes here are high because the mortality of patients with GI bleeding are substantial. View chapters…

51min / one chapter
C3 - Massive GI Bleed ArtworkApril 2016

C3 - Massive GI Bleed

The unstable patient with massive gastrointestinal (GI) bleeding is one of the most dramatic things we will encounter in the ED. View chapters…

42min / one chapter
C3 - Altered Mental Status - Part 2 ArtworkMarch 2016

C3 - Altered Mental Status - Part 2

Stuart and Mizuho continue their discussion about AMS, and discuss less common but interesting causes of AMS, including clinical findings, workup and management of these various diagnoses. View chapters…

57min / one chapter
C3 - Altered Mental Status - Part 1 ArtworkFebruary 2016

C3 - Altered Mental Status - Part 1

The differential diagnosis for altered mental status is extremely broad. Stuart Swadron MD and Mizuho Spangler DO discuss the most common causes of AMS and review a practical approach to initially assessing a patient with undifferentiated AMS. View chapters…

43min / one chapter
C3 - Headache ArtworkJanuary 2016

C3 - Headache

A unique approach to the patient with headache with an emphasis on “Red Flag” symptoms and signs View chapters…

36min / one chapter · Free Episode