UC Max

Listen now: emrap.org/episode/ucmax2…

What do you do with a 5-month-old who presents with a suspicious bruise? Ilene and Mike chat in this segment about NAT and review how findings like ear bruising or unexplained extremity ecchymosis should prompt further evaluation.

This FREE chapter of UC Max is a must-listen for anyone working in an acute-care environment. emrap.org/episode/ucmax2…

What is your first thought if presented with a patient who has chest pain and vomiting after a choking incident that was resolved with a Heimlich maneuver? Gita, Drew, and Mike walk-and-talk us through this mystery case that you just need to hear as it unfolds.

Listen now: emrap.org/urgent-care/ep…

Can you spot the difference between juvenile T-waves and ischemic T-waves? Mike and Ben walk you through an interesting presentation and teach us all the importance of obtaining a thorough history in these patients.

Listen now: emrap.org/urgent-care/ep…

In this clip, Gita and Jessie Werner review when tissue adhesive is not just acceptable, but likely ideal. Octyl-based adhesive (Dermabond) offers high tensile strength and works best for well-approximated, low-tension, superficial wounds. #WoundClosure #LacerationRepair

Listen now: emrap.org/urgent-care/ep…

What happens when the people judging your clinical decisions don’t understand medicine? 📜⚖️ Gita and Mike explain the role of expert witnesses in malpractice litigation. When you’re the expert, your allegiance isn’t to the plaintiff or the defense—it’s to medicine itself🩺

Listen for FREE! emrap.org/episode/ucmax2…

Are you setting yourself up for success before you attempt a reduction? 💪🦴 Good analgesia, patient positioning, and muscle relaxation turn a wrestling match into a controlled maneuver. Matt and Mike focus on the fingers and wrist in this segment. #AcuteCare

Listen now: emrap.org/episode/ucmax2…

Missed the 48-hour window after flu exposure? Then prophylaxis won’t help. When started on time, antivirals can reduce symptomatic flu, but they’re not backed by a ton of data and there is no data on the reduction of serious complications.

Listen now: emrap.org/episode/ucmax2…

What diagnoses should you consider when vomiting is the only symptom? DKA before classic findings, intracranial hemorrhage from a warning leak, occult head trauma, or carbon monoxide exposure can all present without diarrhea. Labs and imaging follow the history. #AcuteCare

Listen now: emrap.org/episode/ucmax2…

When is it safe to discharge after exertional syncope? Matt and Mike focus on the critical historical details that help separate high-risk exertional syncope from more benign causes: prodromal symptoms, chest pain, dyspnea, palpitations, neurologic complaints, & volume status.

Check out the full segment (for FREE!) to journey into the nuances of this test and how you can decide when and if to add it to your practice. emrap.org/episode/ucmax2…

Have you reconsidered ordering orthostatic vital signs? Mike and Justin discuss the high rates of false positives and negatives, which patient populations are most affected, and why orthostatic is best considered part of the history, not a stand-alone diagnostic test. #acutecare