Emergency Medicine Cases – Where the Experts Keep You in the Know. For show notes, quizzes, videos and more learning tools please visit emergencymedicinecases.com
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ECO SPEAKS CLE is where the eco-curious explore Northeast Ohio's unique and thriving environmental community. Each episode delivers thoughtful and informative interviews with local sustainability leaders and offers tips to help listeners connect, learn, and live with the community and planet in mind. ECO SPEAKS CLE is hosted by Diane Bickett and produced by her son-in-law, Greg Rotuno. Diane draws on experiences and relationships developed during her 31-year environmental career to showcase ...
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EM Quick Hits 62 Optimizing RSI Medication Timing, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, Nutrition Tips for Shift Workers
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1:26:10On this month's EM Quick Hits podcast: Anand Swaminathan on optimizing RSI medication timing, Brittany Ellis on ED boarding challenges in older patients and solutions to ED crowding and flow, Dave Jerome on managing prolonged tourniquet application, Nour Khatib and Phil Gillick on a rural peer support case, Jesse McLaren on ECG reciprocal changes i…
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Sustainability and the CAVS with Danielle Doza
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39:06Send us a text In our first episode of 2025, we discuss sports and sustainability with Danielle Doza, the Cleveland Cavaliers' Vice President of Sustainability and Environmental Services. As the first executive-level professional in the NBA, Danielle shares how the CAVS organization integrates award-winning eco-friendly practices in fresh and excit…
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Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience
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1:23:26In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we…
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How EM Experts Think: Strategies for Pre-Shift, Arrival Ritual, Staying Focused, Managing Interruptions, Cognitive Load & Negative Emotions, Resuscitation Mindset, Post-Resuscitation Recovery
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1:22:15Which elements of your current pre-shift preparation contribute most to your mental clarity and performance, and what new practices might further optimize your readiness? With interruptions shown to increase task errors and decision fatigue, how can you strike a balance between being approachable to colleagues and safeguarding your focus for patien…
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Sara Continenza and Food Strong's Big Project, The Superior Farm
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35:22Send us a text Join us as we wrap up 2024 with community leader and food sovereignty advocate Sara Continenza. Sara is the founder and executive director of Food Strong, a non-profit connecting kids with food since 2016. Sara and her staff work with the Cleveland Municipal School District and other inner-city schools to provide hands-on learning ex…
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EM Quick Hits 61 TEE in Cardiac Arrest, Nebulized Ketamine, Cellulitis Update, SQ Insulin for DKA, Medicolegal DDx Documentation Tips
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59:53On this month's EM Quick Hits podcast: Ross Prager on TEE in cardiac arrest, Justin Morgenstern on nebulized ketamine for analgesia in the ED, Hans Rosenberg & Krishin Yadav on standardizing cellulitis management, Mathew McArther on latest studies on subcutaneous insulin protocols in DKA, Jennifer C. Tang on documenting differential diagnoses medic…
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Send us a text Eco Meet CLE is a gathering of Cleveland's environmental community, organized by the Eco Speaks CLE podcast and friends, to share a beer, have fun, and connect the people and the threads of the exciting work happening in our region. We recorded this episode during our seventh Eco Meet held recently at our favorite watering hole, Grea…
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Ep 199 Trauma Airway and Airway Trauma
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1:44:20In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify …
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The Making of "Ripples of Plastic" with Filmmaker Chris Langer
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36:14Send us a text In this episode, Cleveland filmmaker Chris Langer speaks with us speak about his new documentary, Ripples of Plastic, which premiered this year at the Wild and Scenic Film Festival and locally at the Chagrin Falls Documentary Film Fest. Chris is a director, producer, and cinematographer and owns Wonderhouse Films in Cleveland. Ripple…
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EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How
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52:10On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures,…
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Come Along for a Ride with Slow Roll Cleveland
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20:10Send us a text If you need a reason to love Mondays, Slow Roll Cleveland is it. In this episode, Greg and I join Slow Roll Cleveland and several hundred other cyclists for a leisurely-paced bike parade through our urban streets. Slow Roll Cleveland hosts these ten-mile Monday evening rides during warmer months to highlight Cleveland neighborhoods a…
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Ep 198 Understanding and Improving Culture in Emergency Medicine: Key Insights
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1:28:32In this EM Cases podcast Anton chats with Dr. Peter Brindley and Dr. Leon Byker who have a deep interest in the Culture of Medicine to explore what culture in medicine is, why culture is so important, and then drive home 10 strategies to improving the culture in our departments emphasizing the importance of human connection, empathy, open communica…
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Choosing a Renewable Energy Supplier with Jenn McMillin of SOPEC
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36:27Send us a text Are you curious about making smarter, greener choices for your electricity supply? In this episode, we speak with Jennifer McMillin with the Sustainable Ohio Public Energy Council (SOPEC). Jenn is SOPEC's Regional Director for Northeast Ohio and provides tips and insights for choosing a 100% renewable energy supplier for your electri…
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EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI
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58:46On this month's EM Quick Hits podcast: Ian Chernoff on the often elusive diagnosis of traumatic coronary artery dissection, Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia, Brit Long and Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management, Dave Jerome on recognition and management exercise-ass…
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Send us a text In this bonus to our conversation with Maria Paparella, Maria shares a personal story of one of the young adults she deeply connected with through her organization Chair-ity. This young adult faced several challenges as she aged out of the foster care system and started life on her own. But with her perseverance, strength, intelligen…
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Chair-ity: Furnishing a Helping Hand for Youth Graduating Foster Care
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34:02Send us a text "Adulting' is hard, but it's exponentially harder if you are 18 years old and aging out of foster care, alone and without a support system. Here in Cleveland, there's an organization helping to ease the transition by providing donated furniture and household goods to young people who have graduated from foster care and moved into a p…
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Send us a text Meet our fellow Cleveland podcaster, Maci Nelson. Maci is a landscape architect, the creator of The Land+Scape Nerd podcast, and a project manager for LAND Studio, a non-profit that connects communities through art and public spaces. In this episode, Maci shares what it's like to design for urban outdoor spaces and the importance of …
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Ep 197 Acute Heart Failure Risk Stratification and Disposition
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1:14:44We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognosticatio…
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When Life Gives You Styrofoam™... Recycle with Edgewater Surf
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34:13Send us a text Jeff McNaught owns Edgewater Surf, a surf shop in Rocky River, where he sells a variety of new and used paddleboards, surfboards, and windsurfing gear. The shop also serves as an informal community hub for styrofoam™ recycling. Jeff started this program to provide a local recycling option for the bulky EPS (expanded polystyrene) foun…
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EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma
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1:11:42In this month's EM Quick Hits podcast: Andrew Petrosoniak on the role of vasopressors in the hemorrhaging trauma patient, Megan Landes on providing HIV PEP and PrEP in the ED, Justin Morgenstern & George Kovacs on the PREOXI trial and evidence for pre-oxygenation with NIPPV before intubation in RSI, Brit Long on recognition and management of blast …
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Hiking Together since 1919 - The Cleveland Hiking Club
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26:17Send us a text For this episode, I hit the trails with The Cleveland Hiking Club to discover what drives this all-volunteer-run organization with over 1,200 members. The answer? Cool people who are passionate about encouraging and promoting outdoor recreation and making it accessible to anyone who wants to join in. In my interview with the club's C…
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Ep 196 Pediatric Meningitis Recognition, Workup and Management
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1:28:57In 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…
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EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments
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58:03In 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…
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Seeding our Forested Future: The Holden Seed Bank
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26:30Send us a text Holden Forest & Gardens is seeding Ohio's forested future through the Holden Seed Bank at the Holden Arboretum, which will soon celebrate its first anniversary. In this episode, we speak with Seed Bank Manager Kim Lessman about how this "restoration" seed bank works, how she became its manager, and how her work forms the core of new …
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Greenspace: Supporting Health and Resilience in NEO
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43:18Send us a text In this episode, we share the recording from our recent May networking event at Great Lakes Brewing Company. This event featured a discussion about greenspace with three local leaders working on expanding greenspace in our urban core and increasing access and opportunities to experience nature through outdoor recreation, especially f…
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Ep 195 Management of Subarachnoid Hemorrhage
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48:33Once 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…
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Cleveland Vegan Society Presents VegFest 2024
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28:29Send us a text In this episode, Sunny Simon, President of The Cleveland Vegan Society, joins us to talk about veganism and VegFest 2024, coming to Cleveland's Huntington Convention Center on Saturday, June 22. It's the largest Vegan festival in the Midwest, and it will be delicious, fun, and informative for vegans and non-vegans alike. The Clevelan…
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Ep 194 Subarachnoid Hemorrhage – Recognition, Workup and Diagnosis Deep Dive
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1:21:50Anton 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…
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Mycelia and Mycotecture with Chris Maurer - Redhouse Studio
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41:43Send us a text Can you build a house with mushrooms? You can if you are Chris Maurer, an architect, a mycologist, and a visionary. Chris is the Principal Architect at Redhouse Studio, an architecture firm based in Cleveland, Ohio. Chris and his partners are working to revolutionize how we house ourselves, not with bricks and mortar but with bio-bri…
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EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality
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1:04:36In 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…
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Changing Our Perception of the Cuyahoga River with Jim Ridge
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39:04Send us a text Jim Ridge is the founder and executive director of Share the River, a non-profit that promotes Cleveland as a waterfront city and sharing everything that makes it a vibrant and engaging space for residents and visitors. In this episode, Jim talks about his upcoming Blazing Paddles Paddlefest on June 22, where hundreds of recreational…
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Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma
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56:04In 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…
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Earth Month in Action with the Cleveland Heights Green Team
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30:07Send us a text In this episode, we celebrate Earth Month and the power of local environmental action with the Cleveland Heights Green Team, its co-founder Catalina Wagers, and volunteer Suzanne Zilber. The Cleveland Heights Green Team was founded in 2021 and is very active, with over 300 volunteers. They have a full calendar of events planned for E…
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Ep 192 ED Adult Asthma Management Strategies For Improved Prognosis – A Stepwise Approach
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53:35In this part 1 of our 2-part podcast series on Asthma Management we explore a systematic approach to managing patients presenting to the ED with asthma exacerbations. Our discussion will emphasize the critical role of a thorough history and physical examination in effectively stratifying patient risk and guiding treatment/disposition decisions. Add…
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Cultivating Community with Re:Source Cleveland
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38:14Send us a text In this episode, we welcome returning guests Patrick Kearns with Re:Source Cleveland (formerly Refugee Response) and Michael Bartunek with Ohio City Farm to update us on the exciting developments at Ohio City Farm and with its operator, Re:Source Cleveland. Rachel Ramos, who manages CSA sales for the farm, also joins us to tell us ab…
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Eco Meet CLE: Weaving a Sustainable and Local Textile Economy
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41:26Send us a text In this episode, we bring you the conversation from Eco Meet CLE, a Cleveland sustainability event on February 20 featuring local innovators reinventing northeast Ohio textile production. Rather than today's exploitive and resource-intensive system, we can grow a regional, circular system that fosters economic integrity, ecological s…
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EM Quick Hits 55 – Induction Agents, Gabapentinoids, Neuroprotective Intubation, Approach to Paresthesias, Preventing Burnout
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58:02Anand Swaminathan on an update on the appropriate selection of induction agents. Hans Rosenberg on when to use gabapentinoids for pain control in the ED. Katie Lin on pearls for neuroprotective intubation. Nour Khatib and Hamza Jalal on an approach to paresthesias in the ED. Eric Wortmann on preventing burnout in emergency medicine. Please support …
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Stormwater Starts at Home: Watershed Stewardship Center
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36:13Send us a text Cleveland Metroparks has always been a preserver and protector of our valleys and the waters that run through them. In 2013, it opened the Watershed Stewardship Center in Parma's West Creek Reservation with a mission to enhance and protect our urban watersheds through scientific discovery, education, and sustainable actions. In this …
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Ep 191 The Future of EM – Systems Thinking
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1:12:52In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. They discuss solutions for how to f…
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Poop Jokes and the Art of Connecting: John Gonzalez, NEORSD
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45:35Send us a text Northeast Ohio can be proud of its sewer district, not only for the skill with which it manages our wastewater and protects our water resources but also for the skill with which it connects with the public, especially its Twitter followers. How did the Northeast Ohio Regional Sewer District amass more than 60,000 die-hard Twitter fol…
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EM Quick Hits 54 Button Battery Ingestion, C. difficile, ECG in Tox, Bed Bugs, Fibrinogen in Trauma, Cold Air for Croup
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57:52Olivia Ostrow on the management of button battery ingestions, Brit Long on C difficile infection, Jesse McLaren on an approach to ECG's in the tox patient, Joe Mullally on the identification and treatment of bed bug bites, Andrew Petrosoniak on fibrinogen replacement in bleeding trauma patients, Justin Morganstern on Cold Air for Croup... https://e…
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Send us a text Meet Victoria Avi, owner of Venture Forward Strategies. Victoria has many rich stories and insights from her 17-year sustainability career and her personal life. Victoria immigrated to Cleveland from Azerbaijan when she was just 16 and navigated language, high school, and finally college, where she found her passions for graphic desi…
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Ep 190 Carpal Bone Injuries – The Big 4
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1:07:09Triquetrum chip fractures, scapholunate injuries, hook of the hamate fractures, and of course, scaphoid fractures can be easily missed with serious consequences for our patients. In this part 2 of our 2-part podcast series on wrist injuries we highlight the "Big 4" most commonly missed and mismanaged carpal bone injuries, elucidating the key histor…
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Send us a text On December 21, 2021, Greg and I launched the first episode of Eco Speaks CLE to elevate and connect the greater Cleveland environmental community by speaking with those doing inspiring and impactful work. Forty-seven episodes later, as we celebrate two years of Eco Speaks CLE, we are grateful to each guest and each listener. You hav…
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Ep 189 Commonly Missed and Mismanaged Wrist Injuries
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1:09:02In this part 1 or our 2-part podcast series on wrist injuries Dr. Arun Sayal and Dr. Matt DiStefano answer such questions as:when should we suspect a DRUJ injury, why is it important to pick up DRUJ injuries in the ED, and how does it change our management? Why is the lateral x-ray view so important in picking up commonly missed wrist injuries? Whe…
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Behind the Scenes at MedWish International with Britta Latz
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30:56Send us a text Medwish International in Cleveland, Ohio, has been making a world of difference since 1993 by recovering, repurposing, and redistributing surplus medical supplies around the globe. This urgently needed humanitarian aid also helps the environment by keeping life-saving resources out of landfills. In this episode, we speak with Executi…
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EM Quick Hits 53 Postpartum Hemorrhage, Serotonin Syndrome, TBI Herniation Syndromes, Ulcerative Colitis, Pediatric C-Spine Immobilization, Global EM
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53:18On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-sp…
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Send us a text We all love a good find at a vintage store and have done our fair share of donating or selling stuff we no longer want. These sustainable actions fuel a booming industry called the secondary market for consumer goods. But how much do we know about the consumer resale market? How can we make good decisions about where we donate, and h…
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Ep 188 Hemoptysis – ED Approach and Management
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1:11:04Key principles and approach to management of both non-massive and massive hemoptysis with Dr. Scott Weingart and Dr. Bourke Tillmann, who answer questions such as: What are the factors to consider in the decision to intubate patients with massive hemoptysis? How can one reliably distinguish hemoptysis from pseudohemoptysis? What is the evidence for…
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Send us a text In this episode, we bring you the conversation from Eco Meet CLE, a sustainability event held this October at Great Lakes Brewing Company. The theme of the evening was local food. Over 100 people joined us for food, beer, and a conversation about our local food system with a panel of guests that helped us explore the meaning of the t…
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