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In this part 2 of our 2 part series on Liver Emergencies we clear up the confusing balance between thrombosis and bleeding in liver patients, the elusive diagnosis of portal vein thrombosis, spontaneous bacterial peritonitis diagnosis and treatment and some tips and tricks on paracentesis with Walter Himmel and Brain Steinhart.... The post Ep 149 L…
 
We review the false negative rates of different COVID tests (PCR and rapid antigen), the known knowns and known unknowns of the Moderna vaccine. Listen on: iTunes Spotify Stitcher We discuss: Why the lack of a legitimate gold standard is a challenge when comparing different tests for COVID-19 [01:45]; RT-PCR: why we shouldn't be reassured by a nega…
 
Effective (and ineffective) leadership comes in many flavors, but there is an underlying quality to any good leadership that you know when you see it. In this episode, Colonel Jim Czarnik, MD and Josh Bucher, MD break down the lessons they’ve learned leading in both the military and civilian worlds of medicine and crisis situations. My favorite quo…
 
In this 1st part of our 2 part series on Liver Emergencies Walter Himmel, Brian Steinhart and Anton discuss: What are the most important causes of acute liver failure that we need to identify in the ED so we can initiate timely treatment? What are some of the common medications we use in the ED that we should avoid in the liver patient? How should …
 
In this Stimulus Thump: Should we be worried about COVID on surfaces? Tools to manage the third wave. A new study suggests there might be benefits from aspirin. Having flu and COVID at the same time increases odds of mortality. Listen on: iTunes Spotify Stitcher This episode is sponsored by Wild Health. Wild Health provides personalized medicine th…
 
When things are going well, you may not notice how your mind is working. But sometimes, you are overtaken by events and it can feel like the gears are grinding in the worst possible way in both life and work. In this episode, physician coach Gail Gazelle, MD, walks us through the mental processes that happen in those gear grinding moments and how t…
 
In this month's EM Quick Hits podcast we have Salim Rezaie on clinical probability adjusted D-dimer for pulmonary embolism, Bourke Tillmann on ARDS for the ED Part 2, Brit Long & Michael Gottlieb on pharyngitis mimics, Justin Hensley on the many faces of barotrauma, Hans Rosenberg & Peter Johns on assessment of continuous vertigo and Justin Morgens…
 
In this Thursday Thump: Is there a role for aspirin in COVID? Does vitamin D reduce the chance of getting COVID or being sicker once you have it? Association between going to a restaurant and testing positive. Cardiac injury in athletes after mild and asymptomatic infection. Listen on: iTunes Spotify Stitcher We Discuss: Is there a role for aspirin…
 
In this podcast, Part 2 of our diabetic emergencies series with Melanie Baimel, Bourke Tillmann and Leeor Sommer, we dive into the recognition and ED management of Hyperglycemic Hyperosmolar State (HHS). We answer questions such as: how does one differentiate DKA from HHS clinically? How do patients with HHS become hyperglycemic, dry and altered? W…
 
NY Times bestselling author Michele Harper, MD on setting boundaries, pre-shift routines, guarding the vulnerable, microaggressions, racism in the emergency department, and why inaction is just as much a choice as action. Guest Bio: Dr. Michele Harper, is an emergency physician and author of The New York Times best selling memoir, The Beauty in Bre…
 
In this first part of our 2-part podcast on DKA and HHS, Drs Melanie Baimel, Bourke Tillman and Leeor Sommer discuss the importance of identifying the underlying cause or trigger in DKA patients, the pitfall of ruling out DKA in patients with normal pH or normal serum glucose, how to close the gap effectively, why stopping the insulin infusion is a…
 
Who teaches doctors how to speak to patients (or each other)? It’s usually something that’s picked up as you go. Let’s be honest though, some clinicians are much better at clear and empathetic communication than others. It’s an under taught skill that’s way more important than the attention it gets. In this episode we take a look into the mind and …
 
In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiac arrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS... The post EM Qu…
 
When you react in anger, what is your intent? Often it's to lash out; the reflective and thoughtful part of your brain is taken out of picture. But if you think of a really clever and biting response, what do you hope will be the result of those words? It’s unlikely to persuade. More likely it’s a quasi-cognitive-orgasmic release of F*&k You. We Di…
 
Convalescent plasma has been a hot button news story over the past few weeks since the FDA approved its use in COVID patients. In this episode, hematologist Tom DeLoughery (@Bloodman) breaks down what it is, what it purportedly does, the evidence (or lack thereof) supporting its use, at what point in disease it might work, and potential dangers of …
 
Gender and racial bias are pervasive across all aspects of society, medicine notwithstanding. In this episode, Esther Choo MD, MPH (@choo_ek), a titan for the cause of gender and racial equity discusses: a rubric for deciding 'yes or no', single payer healthcare, why confining medical practice to the bedside can be an exercise in futility, sexism a…
 
A fishing boat out of Seattle gives clues as to what COVID immunity looks like; an emergency department pulse ox study gives insight into the clinical course of patients discharged home who later develop low oxygen levels; and some staggering statistics on cardiac injury following COVID infection. We Discuss: The impact of neutralizing antibodies o…
 
Dr. Barbara Tatham, EM colleague and educator, died of metastatic sarcoma at the age of 32 in October 2019. During her last year of life, in between surgeries, ICU stays and rounds of chemotherapy and radiation, she gave lectures on compassionate care inspired by her journey as a patient. In August 2019 we met at my summer cottage to record this po…
 
Salim Rezaie on HALT-IT trial for TXA in unstable GI bleed, Sarah Reid on pediatric DKA update in fluid management and cerebral edema, Hans Rosenberg on POCUS in shoulder dislocations via CJEM, Arun Sayal on Lisfranc injury pearls and pitfalls, Justin Morgenstern on RECOVERY Trial for Dexamethasone in COVID pneumonia, Walter Himmel on getting what …
 
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