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Arizona EMCast

Aaron Leetch, MD

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AZEMCast is THE competitive emergency medicine podcast. The host, Dr. Aaron Leetch, moderates a panel of emergency physicians who will go head to head navigating a clinical case from the Ring Down to the Work Up to the Dispo. Panelists are awarded points for their approach to the case and their clinical application of evidence-based medicine. However, points are deducted for weak arguments or reliance on experience-based medicine. The panelist with the most point at the end of the case will ...
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Hi all, Unbeknownst to me, last month was our 100th episode! And after 100 episodes of mid-quality, EM goodness, we’re gonna take a semi-deserved vacation and hiatus from the podcast. We’re hoping to regroup and come back with bigger and better content for your eager EM ears. Happy Holidays all! AaronThe AZEMCast Team Email: aleetch@aemrc.arizona.e…
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Happy October everyone! This month we take a pause from the competitive format to ponder the question: to PanScan or not to PanScan? Recently we had an exceptional conference lecture by Dr. Garrett Pacheco and Dr. Adam Nelson addressing all of the reasons why and why not. Such an excellent talk need sot be spread broadly. No points this time around…
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Happy September everyone! This month we explore the Ring Down of a 23 year old male coming in by EMS with abdominal pain and vomiting. T 37.0 HR 108 BP 136/94 RR 18 O2 sat 97% on room air The PanelDr. Rachel MunnDr. Vivienne NgDr. Brian Drummond Who will win this month’s half-baked episode with the best evidence-based approach to the cannabinoid hy…
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Happy August everyone! This month your favorite pharmacists are BACK as we review the Ring Down of a 53 year old male coming in by EMS unconscious/unresponsive after a motorcycle collision. T 36.4 HR 140 BP 95/65 RR 10 O2 sat 95% on 15L NRB The PanelDr. Christopher EdwardsDr. Daniel JarrellDr. Kate Morizio Who will win this month’s TXA-infused, cit…
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Happy July everyone! Welcome to the new interns. You’re gonna get quite familiar with all the nuances of the electronic medical record system but none quite as much as sepsis alerts. We dig deep into those questions you want to know about sepsis alerts like: Q: Are they good or bad for your patient? A: Yes. Q: Are we overcalling the disease or fina…
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Happy June everyone! This month it's an all-start, all-pharmacy cast as we review the Ring Down of a 64 year old male coming in by EMS in cardiac arrest. Code 3, No vitals given The PanelDr. Christopher EdwardsDr. Daniel JarrellDr. KAte Morizio Who will win this month’s appropriately-dosed episode with the best evidence-based approach to the cardia…
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Happy May and Happy Memorial Day everyone! This month it's we’ve got a new crew and the Ring Down of a 64 year old male coming in by EMS in cardiac arrest. Code 3, No vitals given The PanelDr. Allie MinDr. Rachel MunnDr. Chris Williams Who will win this month’s epinephrine-soaked episode with the best evidence-based approach to the cardiac arrest? …
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Happy April everyone! This month it's we’re back with the attendings with the Ring Down of a 24 year old female coming in by EMS with shortness of breath (eerily familiar to last month’s) T 37.0 HR 128 BP 96/68 RR 28 O2 sat 92% on room air The PanelDr. Vivenne NgDr. Jenny PlittDr. Brian Drummond Who will win this month’s adrenaline filled episode w…
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Happy March everyone! This month it's Resident vs Resident with the Ring Down of a 24 year old female coming in by EMS with shortness of breath.T 37.2 HR 119 BP 126/92 RR 30 O2 sat 91% on room air The PanelDr. Michael RussoDr. Patrick MullettDr. Jonathon Campbell Who will win this month’s beta-agonizing episode with the best evidence-based approach…
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Happy February everyone! This month we are taking break from the competitive format (and not because of hurt feelings or gloating). Brian, Chris and I have simple discussion of vascular limb injuries and the treatment of VIP patients in the great equalizer that is the emergency department. We’ll be back next month with more competition in a special…
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Happy January everyone! This month, the Ring Down is a 59 year old male with difficulty breathing and hypoxia. T 35.6 HR 116 BP 166/100 RR 40 O2 sat 45% on room air The PanelDr. Brian DrummondDr. Matt BerkmanDr. Jenny Plitt Who will win this month’s air hungry episode with the best evidence-based approach to Critical Aortic Stenosis? The AZEMCast T…
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Happy December everyone! This month, the Ring Down is an 8 month male brought in by mom for difficulty breathing and cough. T 38.2 HR 178 BP 135/93 RR 20 O2 sat 90% on room air The PanelDr. Brian DrummondDr. Vivienne NgDr. Jenny Mendelson Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to bronchio…
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Happy November everyone! This month, the Ring Down is a 35 year old female coming in by EMS with back pain.T 37.6 HR 118 BP 170/90 RR 22 O2 sat 98% on room air The PanelDr. Brian DrummondDr. Vivienne NgDr. Jenny Plitt Who will win this month’s heat-pounding, pulse-racing episode with the best evidence-based approach to renal colic? The AZEMCast Tea…
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Happy October everyone! This month, the Ring Down is a 56 year old male coming in by EMS with chest pain and palpitations.T 37.0 HR 147 BP 168/98 RR 18 O2 sat 96% on room air The PanelDr. Brian “Candyman” DrummondDr. Chris “Things that go bump in the nightshift” Williams Dr. “Lord" David Horn Who will win this month’s heat-pounding, pulse-racing ep…
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Happy September everyone! This month the Ring Down is a 73-year-old female coming in by EMS with abdominal pain. She comes in vomiting.Temp 37.4, HR 62, BP 175/103 RR 20 O2 sat 94% How do you approach elderly abdominal paint? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. Elaine Situ-LaCasse square off to see who can best manage t…
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Happy August everyone! This month the Ring Down is a 53-year-old male coming in by EMS after an ejected motor vehicle collision. He is unconscious and unresponsive. Temp 36.4, HR 85, BP 195/115 RR 10 O2 sat 95% on 2L nasal cannula. How do you approach the unconscious trauma patient? This month listen to Dr. Brian Drummond, Dr. Jenny Plitt and Dr. A…
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Happy July everyone! This season we are trying something brand new for your listening pleasure. It’s a unique approach to your education that is case-based, evidence-based and most importantly … competitive! The panelists you know and love will go head to head demonstrating the necessary skills you need to be a top notch emergency physician. Paneli…
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Happy June everyone! First, a huge shout out to our graduating seniors who need as much praise and admiration as possible to show our appreciation. It’s a new world and you are all ready for it! Also a big welcome to our new interns who have traveled from all over to now be a part of the COVID battle in AZ. July 1st is always nerve wracking but I’m…
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Happy May everyone! At least I hope so. Things seems to be settling into the new normal and I hope you and yours are well. ED volumes are coming and with it, the typical ED complaints are coming back. And nothing says the ED is returning back to normal like the headache patient. Once the patient gets to us, how do we approach them? With evidence-ba…
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Hey all you cats and kittens, happy April, I hope you all are finding some rest and balance during this uncertain time. Please know that what you do is greatly appreciated by those around you. This month continues with the awesome peer review by Drs. Clay Josephy and Mike McLaughlin. If you didn’t listen to last month’s episode, you need to so you …
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