Emergency Medicine Cases – Where the Experts Keep You in the Know. For show notes, quizzes, videos and more learning tools please visit emergencymedicinecases.com
…
continue reading
Help me fill in the blanks of the practice of ED Critical Care. In this podcast, we discuss all things related to the crashing, critically ill patient in the Emergency Department. Find the show notes at emcrit.org.
…
continue reading
Meet 'em, greet 'em, treat 'em and street 'em
…
continue reading
1
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
Rob Orman, MD
We break down ideas, strategies, and tactics to help you improve your mindset, overcome burnout, excel in leadership, prioritize your well-being, get unstuck, de-stress, and thrive in your career. If you are a doctor, nurse, paramedic, medical student, physician assistant, nurse practitioner, administrator, or even tangentially related to healthcare, this show is made for you. Hosted by emergency physician and executive coach Rob Orman, MD. Don't just suck it up, think differently.
…
continue reading
Emergency Medicine podcasts based on evidence based medicine focussed on practice in and around the resus room.
…
continue reading
The aim of this podcast is to discuss and debate prehospital and retrieval medicine--its current practice and controversies. In many ways the philosophy espoused will be that of prehospital critical care. Whereas EMCrit brings upstairs care, downstairs; I aim to bring it out of the hospital. Many prehospital providers are doing this already.
…
continue reading
Your Boot Camp Guide to Emergency Medicine
…
continue reading
1
SGEM#446: Finding Pneumo…nia in Febrile Infants
35:52
35:52
Play later
Play later
Lists
Like
Liked
35:52
Reference: Florin TA, et al. Radiographic pneumonia in young febrile infants presenting to the emergency department: secondary analysis of a prospective cohort study. Emerg Med J. 2023 Date: May 29, 2024 Guest Skeptic: Dr. Christina Lindgren is a Pediatric Emergency Medicine Attending at Children’s National Hospital and Assistant Professor of Pedia…
…
continue reading
1
EMCrit 379 - Procedural Sedation Part IV - the Critically Ill Patient and MidaKet
15:12
15:12
Play later
Play later
Lists
Like
Liked
15:12
By Scott D. Weingart, MD FCCM
…
continue reading
1
Ep 196 Pediatric Meningitis Recognition, Workup and Management
1:28:57
1:28:57
Play later
Play later
Lists
Like
Liked
1:28:57
In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various age…
…
continue reading
1
SGEM#445: Why Can’t We Be Friends – Conflict in Emergency Medicine
46:53
46:53
Play later
Play later
Lists
Like
Liked
46:53
Reference: Tjan et al. Conflict in emergency medicine: A systematic review. AEM June 2024 Date: July 5, 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She co-founded FOAMcast and is a pulmonary embolism and implementation science re…
…
continue reading
1
EMCrit Wee - Don't be so Quick to Blow-Off New-Onset Atrial Fibrillation (A-Fib)
19:22
19:22
Play later
Play later
Lists
Like
Liked
19:22
By Scott D. Weingart, MD FCCM
…
continue reading
1
Impatience, Anger, and the Guilt of Abundance | Insights from the Dalai Lama’s Doctor
45:28
45:28
Play later
Play later
Lists
Like
Liked
45:28
It's natural to feel guilt or shame when living in abundance while much of the world faces hardship. In this episode, Dr. Barry Kerzin, the Dalai Lama's personal physician and a Buddhist monk, shares his approach to managing these emotions with a simple yet powerful tool. He also discusses his journey to becoming a monk, life within the Dalai Lama'…
…
continue reading
There's a huge paper to talk about this month in the PREOXI trial, a multi centre RCT looking at the pre oxygenation strategy in critically unwell patients undergoing RSI, with patients either getting high flow oxygen through a facemask or NIV. The results are pretty remarkable and may well be practice changing as we'll discuss in the podcast! Next…
…
continue reading
1
SGEM Xtra: When I’m 64 – Old Fashioned Doctors
22:11
22:11
Play later
Play later
Lists
Like
Liked
22:11
Date: June 29, 2024 Reference: Herbert L. Fred M.D. (1998) Old-Fashioned Doctors, Hospital Practice. This is an SGEM Xtra episode. I was honoured to be invited by Dr. Fernada Bellolio to the Mayo Clinic and present to the Department of Emergency Medicine. They were kind enough to allow me to speak about any topic. I […] The post SGEM Xtra: When I’m…
…
continue reading
1
EMCrit 378 - So NSTI - Necrotizing Fasciitis & Life Threatening Soft Tissue Infections
17:05
17:05
Play later
Play later
Lists
Like
Liked
17:05
By Scott D. Weingart, MD FCCM
…
continue reading
1
EMCrit Wee - Adaptive Support Ventilation (ASV)
39:22
39:22
Play later
Play later
Lists
Like
Liked
39:22
By Scott D. Weingart, MD FCCM
…
continue reading
1
SGEM#444: I Need Oxygen…But How Much Oxygen for Critically Ill Children
24:27
24:27
Play later
Play later
Lists
Like
Liked
24:27
Reference: Peters MJ, et al. Conservative versus liberal oxygenation targets in critically ill children (Oxy-picu): a UK multicentre, open, parallel-group, randomised clinical trial. Lancet. December 2023 Guest Skeptic: Dr. Anireddy Reddy is a pediatric intensive care attending physician in the Department of Anesthesiology and Critical Care Medicin…
…
continue reading
1
EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments
58:03
58:03
Play later
Play later
Lists
Like
Liked
58:03
In this month's EM Quick Hits podcast: Megan Landes on the importance of diagnosing HIV in the ED, Jesse McLaren on the failed paradigm of STEMI criteria and ECG tips to identify acute coronary occlusion, Anand Swaminathan on evidence for non-invasive airway management in the poisoned patient, Brit Long and Hans Rosenberg on the identification, wor…
…
continue reading
So this month we’re looking at major incidents and specifically the triage process that is now coming into play in the UK and further afield that you need to know about! We normally stick pretty strongly to clinical topics; they’re pretty easy to focus on because you can imagine how extra knowledge in a certain clinical area could make a difference…
…
continue reading
1
Are Non-Compete Clauses About To Be History? | And what to consider before accepting a signing bonus
38:43
38:43
Play later
Play later
Lists
Like
Liked
38:43
Non-compete clauses have plagued contracts for decades. It’s been analogous to asymmetric warfare, with employers holding the upper hand. All of that may soon be a thing of the past. In this episode, we explore the Federal Trade Commission's recent ruling to ban these clauses and its implications for doctors and the healthcare industry. We'll also …
…
continue reading
1
EMCrit Wee - Additional Thoughts on the PREOXI Trial
11:30
11:30
Play later
Play later
Lists
Like
Liked
11:30
By Scott D. Weingart, MD FCCM
…
continue reading
1
SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?
46:25
46:25
Play later
Play later
Lists
Like
Liked
46:25
Reference: Jansen et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. JAMA. 2023 Date: June 10, 2024 Guest Skeptic: Dr. Rob Leeper is an intensivist, trauma surgeon, and general surgeon at Western University where he also ser…
…
continue reading
1
EMCrit 377 - Break News - The PREOXI Trial changes everything about Preoxygenation for Intubations in the Critically Ill
52:12
52:12
Play later
Play later
Lists
Like
Liked
52:12
By Scott D. Weingart, MD FCCM
…
continue reading
1
SGEM#442: I’m on the Right Track Baby I Was Born This Way
39:05
39:05
Play later
Play later
Lists
Like
Liked
39:05
Reference: Kruse et al. Systematic Review, Quality Assessment, and Synthesis of Guidelines for Emergency Department Care of Transgender and Gender-diverse People Recommendations for Immediate Action to Improve Care. WJEM December 2023 Date: May 30, 2024 Guest Skeptic: Dr. Kay Dingwell is a rural emergency physician working in Prince County, PEI wit…
…
continue reading
1
EMCrit Wee - Controlled Automated Reperfusion of the Whole Body (CARL) ECPR / ECLS Yields Amazing Results
42:22
42:22
Play later
Play later
Lists
Like
Liked
42:22
By Scott D. Weingart, MD FCCM
…
continue reading
1
Why Cultural Context Matters in Patient Care and Clinician Burnout
48:30
48:30
Play later
Play later
Lists
Like
Liked
48:30
Understanding cultural context in healthcare can seem overwhelming, especially when time and resources are limited. Why should clinicians invest energy in learning about different cultures? In this pod, we break down the differences between cultural competence and cultural safety, explaining why the latter is essential for patient care. We share pr…
…
continue reading
1
SGEM#441: Searching Searching for the best Clinical Decision Rule to Detect Pediatric C-Spine Injury
26:08
26:08
Play later
Play later
Lists
Like
Liked
26:08
Reference: Tavender E, et al. Triage tools for detecting cervical spine injury in paediatric trauma patients. Cochrane Database Syst Rev. 2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washin…
…
continue reading
Welcome back to June's Papers of the month! We kick off this month looking at the work up of patients with a first episode of psychosis. With these patients there is a chance of a psychosis secondary to an underlying structural cause. Getting neuro-imaging to look for this prior to psychiatric assessment is tricky though, often with a need for seda…
…
continue reading
1
Ep 195 Management of Subarachnoid Hemorrhage
48:33
48:33
Play later
Play later
Lists
Like
Liked
48:33
Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Mortality in SAH patients can be up to 30% even without neurological deficit. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast s…
…
continue reading
1
EMCrit 376 - Do We Need ETCO2 (Capnography) for Procedural Sedation in the ED?
17:56
17:56
Play later
Play later
Lists
Like
Liked
17:56
By Scott D. Weingart, MD FCCM
…
continue reading
By Scott D. Weingart, MD FCCM
…
continue reading
1
SGEM#440: I’m Gonna Need Someone To Help Me – GRACE4 AUD and CHS Management in the ED
54:53
54:53
Play later
Play later
Lists
Like
Liked
54:53
Reference: Borgundvaag et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. AEM May 2024 Date: May 22, 2024 Guest Skeptic: Dr. Bjug Borgundvaag is the Founding Director of the Schwartz/Reisman Emergency Medicine …
…
continue reading
1
Kicking The Can Down The Road | How to break up with deciding not to decide
31:01
31:01
Play later
Play later
Lists
Like
Liked
31:01
"Kicking the can down the road" is a common behavior that manifests in various ways, from delaying difficult patient decisions to avoiding complex tasks. We explore the reasons behind on-shift procrastination and strategies for overcoming it. Our discussion includes practical steps to recognize and address decision deferral, techniques for managing…
…
continue reading
1
SGEM Xtra: Yeah, Might Be All that You Get – How Ted Lasso Made Us Better
46:42
46:42
Play later
Play later
Lists
Like
Liked
46:42
Date: May 13, 2024 Guest Skeptics: Dr. Rebecca Szabo is an obstetrician/gynecologist and medical educator specializing in simulation from Melbourne, Australia working at The Royal Women’s Hospital and The University of Melbourne. This is her first time as a guest skeptic on the SGEM, she has created FOAMed content through various media, including t…
…
continue reading
1
EMCrit 375 - Vasopressors for Early Hemorrhage?
14:57
14:57
Play later
Play later
Lists
Like
Liked
14:57
By Scott D. Weingart, MD FCCM
…
continue reading
1
Cardiac Arrest, Start With The End In Mind; Roadside to Resus
56:36
56:36
Play later
Play later
Lists
Like
Liked
56:36
We’ve covered Cardiac Arrest management (as in the medical delivery of it) in a previous Roadside to Resusepsiode. Since then we've had some updates with Paramedic-2, Refractory VF, Airways-2 and a whole host of other papers. But what we haven't talked much about is the art of creating the environment, space & workflow to deliver the best medical c…
…
continue reading
1
Ep 194 Subarachnoid Hemorrhage – Recognition, Workup and Diagnosis Deep Dive
1:21:50
1:21:50
Play later
Play later
Lists
Like
Liked
1:21:50
Anton is joined by the world's leading EM researcher in subarachnoid hemorrhage diagnosis Dr. Jeff Perry and EM-Stroke team clinician Dr. Katie Lin for a deep dive into why we still miss this life-threatening diagnosis, the key clinical clues, proper use of decision tools, indications for CT, indications for CTA, indications for LP and CSF interpre…
…
continue reading
1
EMCrit Wee - Intraosseous Device Burr Holes (Craniotomy) with Marc Grossman
19:50
19:50
Play later
Play later
Lists
Like
Liked
19:50
By Scott D. Weingart, MD FCCM
…
continue reading
1
SGEM #439: Go Ninja Go Ninja Go…Home without Replacing the Fingernail
21:11
21:11
Play later
Play later
Lists
Like
Liked
21:11
Reference: Jain A, et al. Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial. Br J Surg. March 2023 Date: May 7, 2024 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hospital of Philadelphia and Assistant Professor of Pediatric…
…
continue reading
1
EMCrit 374 - ShadowBoxing - An AMAXimally Sick Patient
52:10
52:10
Play later
Play later
Lists
Like
Liked
52:10
By Scott D. Weingart, MD FCCM
…
continue reading
Welcome back to the podcast and three great papers for May's episode! First up we take a pretty deep look into refractory VF. This follows on from our our review of DOSE-VF in December '22's papers of the month and our recent Roadside to Resus on the topic. In that we discussed the possibility that many of the cases we see at pulse checks as being …
…
continue reading
1
SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?
20:35
20:35
Play later
Play later
Lists
Like
Liked
20:35
Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care. February 2024. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community Col…
…
continue reading
1
EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality
1:04:36
1:04:36
Play later
Play later
Lists
Like
Liked
1:04:36
In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnosti…
…
continue reading
1
SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures
41:10
41:10
Play later
Play later
Lists
Like
Liked
41:10
Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant…
…
continue reading
1
EMCrit 373 - Mike Weinstock with another Critical Care Bounceback: "Asymptomatic Hypertension"
57:28
57:28
Play later
Play later
Lists
Like
Liked
57:28
By Scott D. Weingart, MD FCCM
…
continue reading
Lower back pain is a really common cause for patients to present to primary care, urgent care and emergency care. Thankfully many of these cases are self limiting, but somewhere in the region of 1:300 patients with back pain in the ED will have Cauda Equina Syndrome. Cauda Equina Syndrome is something that is challenging for all clinicians because …
…
continue reading
1
EMCrit Wee - Ross Prager on 10 Heuristics for the New ICU Attending
33:51
33:51
Play later
Play later
Lists
Like
Liked
33:51
By Scott D. Weingart, MD FCCM
…
continue reading
1
SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke
32:47
32:47
Play later
Play later
Lists
Like
Liked
32:47
Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. NEJM Feb 2024 Date: April 12, 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assis…
…
continue reading
1
SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV
27:20
27:20
Play later
Play later
Lists
Like
Liked
27:20
Reference: Drysdale SB et al. Nirsevimab for Prevention of Hospitalizations due to RSV in Infants. N Engl J Med. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the […] The pos…
…
continue reading
By Scott D. Weingart, MD FCCM
…
continue reading
1
Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma
56:04
56:04
Play later
Play later
Lists
Like
Liked
56:04
In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? Wha…
…
continue reading
1
How to Create a Team in 10 Seconds | Why time is not linear and every second not worth the same
1:02:59
1:02:59
Play later
Play later
Lists
Like
Liked
1:02:59
How do you build a team in the critical first moments of a crisis? The balance between rapid response and thoughtful planning is delicate, especially when understanding what defines a crisis and acknowledging when you're in the midst of one. This conversation delves into the complexity of emergency team dynamics, emphasizing that the composition an…
…
continue reading
Welcome back to the podcast! Three more papers covering topics that are relevant to all of our practice. The importance of removing wet clothes from patients is often discussed, both to prevent hypothermia and increase patient comfort. But how important is it to get wet clothes off and is it something we can defer to a different point? We start off…
…
continue reading
1
SGEM#434: It’s (Un) Happy Hour Again – Mortality in Younger Patients with Alcohol-Related ED Attendances
26:56
26:56
Play later
Play later
Lists
Like
Liked
26:56
Reference: Harrison et al. Mortality in adolescents and young adults following a first presentation to the emergency department for alcohol. AEM March 2024. Date: March 27, 2024 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It’s a Friday evening at the end of the academic year in the…
…
continue reading
1
Thinking Outside Your Retirement Account | working harder vs creating value
37:37
37:37
Play later
Play later
Lists
Like
Liked
37:37
Will you have enough money to retire? What does that even mean? In this pod, our guest physician financial coach, Elisa Chiang, M.D. Ph.D. breaks down Trading time for money and money for time Working harder vs creating value The FIRE (Financial Independence Retire Early) movement and why it doesn't always mean living by austerity rules The risk of…
…
continue reading
1
EMCrit 371 - Iodinated Contrast Issues: Part 2 - Contrast Reactions
14:29
14:29
Play later
Play later
Lists
Like
Liked
14:29
By Scott D. Weingart, MD FCCM
…
continue reading