The Emergency Medicine Residents' Association (EMRA) is the voice of emergency medicine physicians-in-training and the future of our specialty. EMRA*Cast is created "for Residents, by Residents."
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This is a collaboration between the editors of Academic Emergency Medicine and the Brown University Emergency Medicine Residency Program. Each podcast offers a pre-publication look at a chosen article, with an interview with its corresponding author. Visit www.brownemblog.com (AEM Early Access section) to find the links to each article and other related educational materials.
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Acetaminophen is widely available over the counter in the United States, increasing the risk of overdose (both acute and chronic). Several factors contribute to the complexity of managing this tricky condition in the emergency department, but until recently, there has been no true standardized approach. Guidance issued in 2023 aims to establish a h…
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Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it’s even safe to treat. In this episode, Ray Isenburg and host Will Smith discuss the basics of AFib, how to treat it (both chemically and/or electrically), when is it safe to treat, and how to dete…
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Some pathologies are true can’t-miss diagnoses. Get into one such condition with EMRA*Cast host Will Smith, MD, and EM guru Matthew DeLaney, MD. In this episode you will learn a very simple and comprehensive workup for mesenteric ischemia.
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Let’s hear it for the pharmacists who make every emergency medicine shift easier and safer. EMRA*Cast host Dustin Slagle, MD, picks up some pearls from Mike Perza, PharmD, BCPS.
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Calm in Chaos: Managing Stress and Leading Resuscitations
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19:39
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A patient isn't breathing, 8 people are talking at once, alarms are alarming, and you have a whole roster of concerns and options running through your mind. How do you control your reaction, prioritize your response, and step up as a leader for your team and your patient?
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The Art of Managing Non-Physician Providers
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20:11
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Physician-led health care teams are a gold standard in emergency medicine. There’s an art to learning how to lead that team, especially in today’s climate. EMRA*Cast host Masood Mohammed, DO, MS, FAAEM, dives into the details with physician/attorney/national leader Ricky Dhaliwal, MD, JD.
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Let’s talk about the crashing intubated patient. What’s your strategy? What if the nearest ICU requires transport? EM/intensivist Andrew Phillips gives EMRA*Cast host Kyle Duke some high-yield tips that you’ll want to hear, too.
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Contract Negotiations: How to Negotiate Like a Boss!
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EMRA*Cast host Chris Reilly, MD, and NYU Grossman School of Medicine's Stacey Frisch, MD, MS-HPED, discuss effective strategies and key considerations for EM physicians during contract negotiations, with insights on preparation, priorities, and potential pitfalls.
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How many EKGs does an emergency doctor interpret per shift? How many seconds of undivided attention can be devoted to those readings? Let's go over 7 key findings you can't miss for occlusive myocardial infarctions, with EMRA*Cast host Will Smith, MD, and emergency physician Domenico Mastandrea, DO, of Nuvance Health.…
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Doctors deal with EMS providers on the daily, but do we really understand their world? Dr. Lizzii Le chats with Dr. Kelly Tillotson and Dr. Luke Wohlford, who worked as EMS providers before becoming emergency physicians, to give us a deeper dive into what exactly goes into the field.
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Prepare for trouble - and make it double!
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EMRA*Cast host Dustin Slagle, MD, and NYU critical care cardiology fellow James Ciancarelli, DO, revisit the topic of a prior episode – dual synchronous defibrillation – to further explore the theory, logistics, evidence, and indications for its use.
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A Conversation with Rep. Yadira Caraveo, MD
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As the first Latina physician in the United States Congress, Rep. Yadira Caraveo, MD, brings a unique voice to policymaking. Dr. Caraveo tells former EMRA President Jessica Adkins Murphy about how she decided to run for office, what she hopes to achieve, and how every doctor can impact patient care through advocacy.…
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Seizures are part of the bread and butter in emergency medicine. Most of the time when these patients arrive in the ED, the seizing has stopped and there isn’t much else for us to do. But in the cases where they seizures don’t stop or when the patient has multiple seizures, do you know what meds to give and how much? How about second line? Third? P…
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A crashing tox patient poses one of the most unique and challenging cases we face in the emergency department. Do you know all the tricks of the trade when it comes to managing them? In this episode, host Dr. Masood Mohammed (@DocMooseEM and MedSchoolMoose) sits down with toxicology expert Dr. Gillian Beauchamp (EMRA and ACMT Medical Toxicology Gui…
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AEM Early Access 82: Correlation of vital sign centiles with in-hospital outcomes among adults encountered by emergency medical services
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In this study, the authors first sought to empirically derive centiles for heart rate (HR), respiratory rate (RR), and systolic blood pressure (SBP) for adults with out-of-hospital emergencies who were transported to an ED. Second, they aimed to evaluate the impact of adjusting for age in the evaluation of centile curves for vital signs to identify…
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Palliative care can be difficult and confusing. How do we care for those at the end of their life, and how can we also care for their families? Today we discuss the conversational and medical sides of palliative care medicine with EMRA*Cast host Kyle Duke, MD, and Carrie Harvey, MD, an EM/intensivist at the University of Michigan.…
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AEM Early Access 81:Initial Treatment of Uninsured Patients with ST-Elevation Myocardial Infarction by Facility PCI Capabilities
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16:54
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Timely reperfusion is necessary to reduce morbidity and mortality in patients with ST-elevation myocardial infarction (STEMI). Initial care by facilities with percutaneous coronary intervention (PCI) capabilities reduces time to reperfusion. The authors sought to examine whether insurance status was associated with initial care at EDs with PCI capa…
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Social Media in Medicine with Dr. Adam Goodcoff
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In this episode, Dr. Chris Reilly and Dr. Lizzii Le co-host an interview with Dr. Adam Goodcoff to discuss the impact of social media in medical education. The conversation covers authenticity, transparency, professionalism, and the potential for social media to revolutionize medical education.
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Orthopedic injuries might seem more straightforward than your average undifferentiated weak-and-dizzy presentation in the emergency department. But don't be fooled! Learn some key sports medicine tips from Washington Capitals physician Landon Mueller, MD, and EMRA*Cast's Will Smith, MD.
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AEM Education and Training 54: Our responsibility to patients: Maintain competency or stop practicing
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20:59
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Dr. Sally Santen and Dr. Martin Pusic discuss their team's new commentary and perspective piece in AEM Education and Training entitled, "Our responsibility to patients: Maintain competency or ... stop practicing."By Gita Pensa MD
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AEM Education and Training 53: Brain versus bot: Distinguishing letters of recommendation authored by humans compared with artificial intelligence
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The use of generative artificial intelligence (AI) tools, such as ChatGPT, are gaining popularity for a variety of academic writing tasks and offer an innovative solution to relieve the burden of letter writing. The authors conducted a study aimed at determining whether academic physicians can distinguish between AI and human-generated letters of r…
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Experience Is Simply the Name We Give Our Mistakes
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Medical errors are an unfortunate, but nearly unavoidable, part of medical training and practice. The key is knowing how to turn an honest mistake into wisdom. EM educators Laura Welsh, MD, and Ivan Zvonar, MD, have some tips you can put into practice today. Join EMRA*Cast hosts Dustin Slagle, MD, and Lizzii Le, MD, for this conversation.…
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Since the beginning of time, storytelling is how we would pass along information and learn new things. So why are doctors bad at it? EMRA*Cast host Kyle Duke, MD, joins Avir Mitra, MD, an EM doc who also has created stories for Vice, NPR, Radiolab, and more. We talk about what makes a good story and why storytelling is still relevant in medicine.…
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AEM Early Access 80: The differences in code status conversation approaches reported by emergency medicine and palliative care clinicians: a mixed method study
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Conversations about code status in seriously ill patients at end of life is unfortunately a frequent event in the emergency department. Today we are discussing a paper in AEM entitled The differences in code status conversation approaches reported by emergency medicine and palliative care clinicians: a mixed method study. Lead author Dr. Kei Ouchi …
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Performing a good neuro exam is arguably one of the trickiest areas of emergency medicine, but it’s need-to-know and doesn’t have to be such a headache! In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine physician Dr. Rahul Bhat (@bhatgtown of @GtownEM) to discuss how to perform a higher quality neuro exam on your…
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The culture of medical training historically has not supported an easy pregnancy experience. But is that culture changing? CAN you start your family before you finish residency? EMRA*Cast host Lizzii Le, MD, talks to Melissa Nelson-Perron, MD, and Paige Reinfeld, DO, of Nuvance Health about the changing way the program approaches residents who are …
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AEM Early Access 79: A Qualitative Analysis of Patients’ Experiences with an ED Diagnosis of GI Cancer
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We discuss this new article, A Qualitative Analysis of Patients’ Experiences with an ED Diagnosis of GI Cancer, with senior author Dr. Haejin In.
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AEM Education and Training 52: Making decisions “in the dark”: Learning through uncertainty in clinical practice during Covid-19
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Today we are speaking to senior author Dr. Dmitri Papanagnou about his team’s new paper in AEM Education and Training entitled Making decisions “in the dark”: Learning through uncertainty in clinical practice during Covid-19.
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When Mark Cuban realized the "rebates" he was getting from his companies' PBM were actually paid for by his sickest employees, he couldn't opt out of the broken system fast enough. Now Mark Cuban Cost Plus Drug Co. is changing the game. What's next? And how can emergency medicine be part of this revolution? Find out with EMRA*Cast and EM Over Easy.…
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