Review Of Critical Care & Emergency Medicine

The Best of EM

Best OF EM

In almost 20 days from now and on March 5th, 2016, the “The Best Practices in Emergency Medicine” conference or better known as “Best of EM” conference!will launch.


When Dr. AlAska (@Yass_ER_), approached me with the idea of creating this conference months back, I had no choice but to say, Yes! and it was for good a reason, as the core principle was to offer the community of EM in Saudi Arabia and the region something different, new and relevant. We strived to provide the latest knowledge in an upbeat, contemporary fashion, and we have worked along with the rest of the team tirelessly over the past few months to bring you what we promise to be a never before seen extravaganza of all EM goodness!

We have worked so hard at selecting the best local speakers out there, and we have asked them to deliver a variety of cutting edge EM topics. As this, won’t be your typical EM board review nor your usual EM departmental academic day!, this will be your gateway into the future of EM.

And of course, #FOAMed! is at the heart of it, because we understand that knowledge is timeless, borderless and should be global, we will be streaming all of that goodness as it happens on different media platforms, so that every body can watch, contribute, ask questions and interact with us, as it happens.

I’m sorry folks but the registration has closed! matter of fact, all it took is less than a week to reach our 500 registrants limit, but you shall not despair, as we do have a waiting list and you might win the lottery!

The final schedule is coming out soon, but a taste of what we will be offering can be found on (Best of EM Talks), and the conference will be held at the main auditorium at the college of medicine at King Saud Univeristy (@_KSU), Riyadh, Saudi Arabia.

Over the coming days, we will be releasing updates about the conference, so stay tuned and hopefully will see you’ll on March 5th, 2016.


I hit my head!

Question 1: What is the definition of concussion?

Question 2: When to return to play/activity post minor head trauma?

Question 3: What are some of the life threatening complications post head traumas?





To help answer these questions check the following resources:

1) LITFL:Minor Injuries 002.

2) WikEM: EBQ: PECARN Pediatric Head CT Rule.

3) Ontario Neurotrauma Foundation: Guidelines for Pediatric Concussion.

4) American Academy of Paediatrics: CONCUSSIONS.


Suspecious Boo Boo’s!


Question 1:What are the definitions & types of child maltreatment/abuse?

Question 2: Whats are the current stats in Saudi Arabia? A reality check!

Question 3: What’s your approach?




To help answer these questions check the following resources:

(1) PEM ED Podcast.

(2) Arch Dis Child Educ Pract Ed.

(3) NICE.

(4) Adverse childhood experiences, chronic diseases, and risky health behaviors in Saudi Arabian adults: a pilot study. 

(5) The National Family Safety Program.

(6) Child abuse and neglect in Saudi Arabia: journey of recognition to implementation of national prevention strategies.

(7) Determining child maltreatment incidence in Saudi Arabia using the ICAST-CH: A pilot study.



 Question 1: Hey pal, do you really need to know PALS?!

 Question 2: Sudden Infant Death Syndrome (SIDS), What’s the role of community   advocacy?!

 Question 3: Basic Life Support (BLS) community advocacy, what is the evidence?!



To help answer these questions check the following resources:

1) Circulation

2) E-learning in pediatric basic life support: A randomized controlled non-inferiority study.

3) ALiEM: Patwari Academy videos: PALS

4) Resuscitation Council (UK).

5) Draft recommendations to tackle Sudden Infant Death Syndrome published for consultation.



Question 1: What is the definition of “Thunderclap” Headache?

Question 2: What are the differential diagnoses?

Question 3: What are the basics of ED management of SAH?

Question 4: Are there any clinical decision rules that can help?


To help answer these questions check the following resources:

(1) Emergency Medicine Cases:Episode 14 Part 1: Migraine Headache and Subarachnoid Hemorrhage

(2) Emergency Medicine Cases :Episode 14 Part 2: Thunderclap Headache – Cerebral Venous Thrombosis and Cervical Artery Dissection

(3) LITFL: Subarachnoid Haemorrhage: Initial Management

(4) LITFL: Subarachnoid Haemorrhage – The ED perspective

(5) JAMA: Clinical Decision Rules to Rule Out Subarachnoid Hemorrhage for Acute Headache

Skin & Soft Tissue Infections (SSTI’s)



Question 1: What are some the most common Skin & Soft Tissue Infections encountered in the ED. What are the treatment options?

Question 2: Would you admit every patient with cellulitis?

Question 3: Drain’em, When not to?



To help answer these questions check the following resources:




ROCCEM Echo Intro.







We are glad to publish the first podcast in collaboration with Dr. Aref Malabarey (@3aaref), focusing on how and why should every emergency physician start incorporating echocardiography into his/her clinical assessments.

It is an invaluable tool that will change your way of thinking about so many clinical presentation and will definitely have great implications on managing some of your sickest patients.

So, stay tuned and remember: You will “ROCC’EM’!


Direct download:



P.S. We’ll be publishing our podcasts on iTunes soon.


Something is “in the air”!

The past few months since we’ve started this project were just AMAZING!, we have learnt a lot and faced many challenges, some of which we managed to overcome and many are yet to be tackled, and with out a question my trainees are to be credited for the success and I’m to be held responsible for the shortcomings!

We think It is time for ROCCEM to move forward, and we are excited to announce that we have few updates coming up and new awesome additions, which we’ll start rolling out starting tomorrow night!

Over the next weeks and months, you’ll notice that the #FCR – “The Flip Side” – will have a different feel to it, as we’ll tackle even more challenging topics and start creating in addition to aggregating, curating and collating information!

We’ll also start rolling out a bi-weekly Q&A posts to highlight important key clinical points in Emergency Medicine led by Dr. Fahad Samarkandy, SBEM (@changingtehgame). But perhaps the most exciting addition is going to be a series of casts on the utilization of Echocardiography in EM & CCM made by the one and only Dr. Aref Malabarey, FRCPC, ABEM (@3aaref )!

So stay tuned for some real juicy goodness!



Lipid Emulsion!

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