Case Files: CPC Edition
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Podcast Overview
<p>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.</p><p>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.</p><p>Hosted by Dr. Daniel Olinga and Dr. Emmanuel David Okumu</p><p>Mastering Emergency Care</p>
Language
🇺🇲
Publishing Since
3/5/2026
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Recent Episodes
June 22, 2026
Diabetic Ketoacidosis: The storm inside
<p><strong>Description:</strong></p><p><strong>Experts: Dr. Bernard Mwesigye & Dr. Umarashid Guloba</strong></p><p>In this episode </p><p>A young type 1 diabetic patient arrives with: Restlessness, agitation, confusion (GCS 9/15)· </p><p><strong>Vital signs:</strong> HR 146, RR 30, SpO₂ 89%, BP 186/89· </p><p><strong>Key finding:</strong> Vitiligo patches on skin — signaling autoimmune disease (type 1 diabetes)·</p><p><strong>History:</strong> Several days of vomiting/diarrhoea → couldn't keep food or insulin down</p><p>· <strong>Labs: </strong>Glucose 19 mmol/L, HbA1c 14%, ketonuria 3+· Diagnosis: DKA precipitated by gastroenteritis.</p><p></p><p><strong>KEY DISCUSSION POINTS</strong></p><p><strong>1. Diagnosis & Differentials</strong> </p><p>· DKA confirmed (hyperglycaemia + ketones + acidosis)</p><p>· HHS ruled out (significant ketones present)</p><p>· Hypertension = symptom of metabolic crisis, not primary problem</p><p>· Sepsis considered — gastroenteritis = trigger; antibiotics started</p><p></p><p><strong>2. The "Golden Rule" of DKA Management</strong></p><p>NEVER give insulin if potassium < 3.5 mmol/L</p><p>· Insulin drives potassium into cells → can cause fatal arrhythmias</p><p>· Sequence: Check K⁺ → Replace if low → THEN start insulin</p><p></p><p><strong>3. Four Treatment Pillars</strong></p><p>Fluids 5–6L deficit; switch to dextrose when glucose < 14</p><p>Glucose Insulin 0.1 U/kg loading + infusion; reduce gradually</p><p>Electrolytes Potassium first; monitor every 2–4 hours</p><p>Acidosis Insulin stops ketones; bicarbonate almost never</p><p></p><p><strong>4. Critical Pitfalls to Avoid</strong></p><p>· Giving insulin before checking potassium</p><p>· Dropping glucose too fast → cerebral oedema</p><p>· Not treating the underlying trigger (infection)</p><p>· Stopping monitoring too early — patients can deteriorate rapidly</p><p></p><p><strong>5. Euglycaemic DKA (Emerging Danger)</strong></p><p>· Seen with SGLT-2 inhibitors (empagliflozin, etc.)</p><p>· Glucose may be normal despite full DKA</p><p>· Always check ketones in sick patients on these drugs</p><p></p><p><strong>6. Uganda Context</strong></p><p>· Insulin access, cost, and cold chain are major challenges</p><p>· Diagnosis possible with minimal resources: glucometer + urine dipstick + clinical exam</p><p>· Family education on warning signs and adherence is essential to prevent recurrence</p><p></p><p><strong>Five Takeaways</strong></p><p>1. Examine the whole patient — vitiligo signaled autoimmune type 1 diabetes</p><p>2. Four goals: Fluids → Glucose → Potassium → Acidosis</p><p>3. Potassium rule: Replace if < 3.5 BEFORE insulin</p><p>4. Find and treat the trigger — infections are the commonest cause5. Educate family — prevents the next admission</p><p></p><p>Listen to learn. Share to save lives. Mastering Emergency Care</p><p>Disclaimer: For Educational Purposes only, refer to guidelines for definitive management</p><p></p><p><strong>Show Notes & Resources:</strong></p><p>· Watch the Full Case Video: <a target="_blank" rel="noopener noreferrer nofollow" href="https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V">https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V</a></p>
May 19, 2026
Burning up (PART B)
<p><strong>Description:</strong></p><p>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 running out.</p><p>In this real-life case review, <strong>Dr. Ann Kaguna Imelda</strong> (who managed the case) and <strong>Dr. Kenneth Bagonza</strong> (EM expert) walk through every critical decision—what worked, what didn’t, and why the child was unfortunate in the end.</p><p>special credit: <strong>Dr Daniel Oriba Longoya</strong></p><p></p><p><strong>Key points of discussion</strong>:</p><p>· The red flag triad</p><p>· Primary survey findings: threatened airway, shock, GCS 6</p><p>· Why dextrose has no role in septic shock resuscitation</p><p>· CSF Gram-positive diplococci = pneumococcal meningitis – treat immediately</p><p>· Managing hyperkalemia + AKI in a crashing child</p><p>· The 1-hour sepsis bundle (2026 guidelines)</p><p>· qSOFA at the bedside: RR ≥22, altered mental state, SBP ≤100 – no equipment needed</p><p>· Why “malaria not improving in 48 hours” demands a rethink</p><p>· Final reflection: system failures, early recognition, and what we owe the next child</p><p></p><p>Listen to learn. Share to save lives. Mastering Emergency Care</p><p>Disclaimer: For Educational Purposes only, refer to guidelines for definitive management</p><p></p><p><strong>Show Notes & Resources:</strong></p><p>· Watch the Full Case Video: <a target="_blank" rel="noopener noreferrer nofollow" href="https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V">https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V</a></p><p>· Rosen’s Emergency Medicine</p><p>· Tintinalli’s Emergency Medicine</p><p>· SSC 2026</p>
May 1, 2026
Burning up - Brain Hustle (PART A)
<p><strong>Description:</strong></p><p>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 running out.</p><p>In this real-life case review, <strong>Dr. Ann Kaguna Imelda</strong> (who managed the case) and <strong>Dr. Kenneth Bagonza</strong> (EM expert) walk through every critical decision—what worked, what didn’t, and why the child was unfortunate in the end.</p><p>special credit: <strong>Dr Daniel Oriba Longoya</strong></p><p></p><p><strong>Key points of discussion</strong>:</p><p>· The red flag triad</p><p>· Primary survey findings: threatened airway, shock, GCS 6</p><p>· Why dextrose has no role in septic shock resuscitation</p><p>· CSF Gram-positive diplococci = pneumococcal meningitis – treat immediately</p><p>· Managing hyperkalemia + AKI in a crashing child</p><p>· The 1-hour sepsis bundle (2026 guidelines)</p><p>· qSOFA at the bedside: RR ≥22, altered mental state, SBP ≤100 – no equipment needed</p><p>· Why “malaria not improving in 48 hours” demands a rethink</p><p>· Final reflection: system failures, early recognition, and what we owe the next child</p><p></p><p>Listen to learn. Share to save lives. Mastering Emergency Care</p><p>Disclaimer: For Educational Purposes only, refer to guidelines for definitive management</p><p></p><p><strong>Show Notes & Resources:</strong></p><p>· Watch the Full Case Video: <a target="_blank" rel="noopener noreferrer nofollow" href="https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V">https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V</a></p><p>· Rosen’s Emergency Medicine</p><p>· Tintinalli’s Emergency Medicine</p><p>· SSC 2026</p>
5 total episodes available
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- What is Case Files: CPC Edition?
<p>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.</p><p>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.</p><p>Hosted by Dr. Daniel Olinga and Dr. Emmanuel David Okumu</p><p>Mastering Emergency Care</p> - How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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