Rephonic
Artwork for Case Files: CPC Edition
Sepsis
Ards
Meningitis
Hypertensive Encephalopathy
Trauma Care Uganda
Kigali Modification
Resource-Limited Settings
Oxygen Delivery
Ventilation Strategies
Pediatric Emergency Medicine
Pediatric Sepsis
Diagnostics Limitations
Hypertensive Crisis
Emergency Medicine
Mulago National Referral Hospital
CPC
Surviving Sepsis Campaign
QSOFA

Welcome to the CPC Emergency Medicine podcast, where we go beyond the diagnosis. Each episode, we revisit and dissect complex cases previously presented in our (CPC) EM case discussion series.

Listen in as we break down real cases, compare Global vs. Local management strategies, and provide specific, actionable recommendations for practicing emergency medicine anywhere in the world.

Hosted by Dr. ... more

PublishesMonthlyEpisodes5Founded4 months ago
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MedicineEducationHealth & Fitness

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Artwork for Case Files: CPC Edition

Latest Episodes

Description:

Experts: Dr. Bernard Mwesigye & Dr. Umarashid Guloba

In this episode

A young type 1 diabetic patient arrives with: Restlessness, agitation, confusion (GCS 9/15)·

Vital signs: HR 146, RR 30, SpO₂ 89%, BP 186/89·

Key finding: Vitil... more

Description:

In this episode, an 11-year-old boy arrives unconscious, seizing, with a temperature of 40°C and tea-coloured urine. He was treated for malaria for four days. Now his kidneys are failing, his pressure is dropping, and the clock is runni... more

Description:

In this episode, an 11-year-old boy arrives unconscious, seizing, with a temperature of 40°C and tea-coloured urine. He was treated for malaria for four days. Now his kidneys are failing, his pressure is dropping, and the clock is runni... more

In this episode, we walk through a high-stakes emergency: a 53-year-old woman with known hypertension who collapses at home, seizes, and arrives at the ED with a GCS of 8 and a blood pressure of 209/120 mmHg.

Join your hosts Dr Daniel Olinga and Dr ... more

In this episode, we tackle this exact nightmare scenario, breaking down a recent CPC case of

a polytrauma patient who develops ARDS. Join your hosts Dr Daniel Olinga and Dr

Emmanuel David Okumu, along with special guests Dr. Ambrose Okello and Dr. ... more

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Accepts Guests
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Find out how many people listen to this podcast per episode and each month.

Recent Guests

Dr. Anna
Physician guiding management of the patient
Episode: Burning up (PART B)
Dr. Kenneth
Physician shaping discussion on guidelines and supportive care
Episode: Burning up (PART B)
Kenneth Lange
Dr. Kenneth
Unknown (mentioned with Mulago context)
Episode: Burning up - Brain Hustle (PART A)
Brian Twinemastiko
Emergency physician, ED physician in Mbara
Mbara Regional Hospital
Episode: The Unresponsive Patient: Altered Mental Status
Ruzige Bashir
Emergency physician
Antoandegeno Hospital
Episode: The Unresponsive Patient: Altered Mental Status
Umar Rashid
EM physician leading offsite health center project and pre-hospital/disaster medicine advocate
Oil and gas sector medical lead, Western Uganda
Episode: ARDS in Trauma
Ambrose Okello
Emergency Medicine physician at Mulago National Referral Hospital; educator
Mulago National Referral Hospital; Temple International University
Episode: ARDS in Trauma

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Talking Points

Recent interactions between the hosts and their guests.

The Unresponsive Patient: Altered Mental Status
Q: Which medications are highlighted as key in this scenario?
Labetalol is the first-line agent, with alternatives including IV nitroprusside, IV nitroglycerin, IV nicardipine, IV hydralazine, and diuretics like furosemide, chosen based on the patient's hemodynamic profile and resource availability.
The Unresponsive Patient: Altered Mental Status
Q: What are the BP targets in the first hours versus the next 24 hours?
Reduce BP by about 20-25% in the first 1-2 hours, then gradually continue over the next 24 hours with targets around 160-180 systolic for ischemic patterns and 140-159 for hemorrhagic patterns, adjusting per clinical context and imaging findings.
The Unresponsive Patient: Altered Mental Status
Q: What is the initial assessment approach for an unconscious patient with extreme hypertension?
Deliver airway protection if needed, monitor vital signs, establish IV access, begin oxygenation if hypoxic, perform rapid primary survey, and prepare for potential intubation while initiating differential diagnosis focused on hypertensive encephalopathy and other CNS etiologies.

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Case Files: CPC Edition launched 4 months ago and published 5 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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Recent guests on Case Files: CPC Edition include:

1. Dr. Anna
2. Dr. Kenneth
3. Kenneth Lange
4. Brian Twinemastiko
5. Ruzige Bashir
6. Umar Rashid
7. Ambrose Okello

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