Primum Non Nocere (First, Do No Harm)
Discuss application of the principle of ‘First Do No Harm’ in modern day medical practice.
TIA Evaluation and Disposition
Rob and Cam Berg discuss TIA Evaluation and Disposition.
Las Vegas Mass Casualty: How One ED Made Order Out of Chaos
A first hand account of the emergency department response to the 2017 Las Vegas strip shooting that left 59 dead and over 800 wounded. Discussion of preparation with 20 minutes warning, how to keep patients flowing as they enter the hospital as well as once they’re in the treatment area, effective triage, critical steps to simultaneously resuscitating large numbers of trauma patients.
What Would Weingart Do (WWWD)? Septic Shock: Oxygen, Airway, and the Vent
Discuss any magnet in hemodynamically and fragile patients with significant pulmonary insult.
What Would Weingart Do (WWWD)? Septic Shock: Fluid, Pressors and Bug Juice
Discuss management of refractory Type 1 respiratory failure and borderline hypotension in patients in septic shock.
Should I give antibiotics to a patient with diarrhea?
Discuss pros and cons of different antibiotics choices for acute cystitis.
Skill Decay
Discuss methods to combat skill decay in emergency medicine practice.
Essentials of EM Segment: Topical Steroids
Discuss classification and use of topical steroids in the acute care setting.
Emergency Complications of Cirrhosis
Discuss emergency department management of patients with complications of cirrhosis.
Is There a Role for a Two Hour APAP Level?
Discuss utility of obtaining an acetaminophen level before four hours post ingestion in overdose patients.
Ischemic Bowel
Discuss diagnosis and treatment of mesenteric ischemia.
How To Be An Effective Leader
Discuss methods of effective (and ineffective) leadership.
Button Battery Ingestion and Removal
Discuss evaluation and treatment of children who have ingested a button battery.
The Dying Asthmatic
Discuss airway and ventilatory management of the asthma patient in extremis who is recalcitrant to standard therapy.
Mononucleosis
How long is mono shed in saliva?
What’s The Best IV Fluid?
Clay Smith from Journal Feed gives the ins and outs of recent data comparing normal saline to balanced crystalloids.
Should I Get an Ultrasound or CT?
Mike Mallin from the Ultrasound Podcast breaks down when we should start with ultrasound versus go straight to CT.
Reframing
Discuss use of cognitive reframing in the emergency department setting.
Essentials of Emergency Medicine: Extremity Stab Wounds
Kenji Inaba breaks down management of stab wounds - irrigation, wound repair, and vascular evaluation.
Why Epi Might (and might not) Work in Cardiac Arrest
The pendulum never seems to stop swinging when it comes to the efficacy of epi in cardiac arrest.
IM in the ED
Internist Neda Frayha sprinkles some IM in the ED - how to interpret TSH levels and why aspirin is no longer recommended for a-fib thromboprophylaxis.
Henoch Schonlein Purpura
Sometimes HSP is no big deal and sometimes it’s catastrophic. Emily Rose walks us through diagnosis, treatment, and when we should worry.
Influencing Patient Behavior
ERcast’s resident philosopher Dan McCollum walks us through simple techniques and strategies to influence positive behavior in our patients.
Suboxone for Opiate Withdrawal
Addiction medicine specialist Ken Starr argues in favor of buprenorphine in the acute treatment of opiate withdrawal.
Resuscitation Resequenced
Trauma team leader Andrew Petrosoniak explains why when providers rigidly follow ATLS, patients may suffer.
Massive GI Bleed on Anticoagulants
Rob and Tom Deloughery discuss management of actively bleeding patients who have been prescribed anticoagulation medications.
Essentials of EM Segment - Extubation in the ED
Recorded at Essentials of Emergency Medicine 2016, Scott Weingart walks us through the whys and hows of extubating patients in the emergency department.
Are Scribes Worth It?
While scribes clearly can be helpful in adding to the efficiency of the ED workflow, they have understandable challenges when it comes to documenting critical parts of the medical record.
Should I Get a Second Troponin
Rob and Adam Rowh discuss what is the utility of a second (delta) troponin in a patient presenting with chest pain.
Neonatal Intubation
Rob and Andy Sloas, DO discuss Neonatal Intubation.
Contrast Associated Nephropathy
Rob Orman, Clay Smith and Dave Hollander discuss current radiology guidelines regarding GFR cutoffs for administration of contrast media.
C Diff Treatment Changes
A few weeks ago, a post on Clay Smith’s Journal Feed about the new IDSA C diff guidelines caught my attention (specifically, that metronidazole is no longer recommended as first line therapy). Whuut? I tweeted this and @medquestioning tweeted back, “Need to dig to see why they dropped metro in the bucket.” Yes, @medquestioning, my thoughts exactly.
ZdoggMD
Zubin Damania (ZDoggMD) is an internist and founder of Turntable Health, an innovative healthcare startup that was part of an urban revitalization movement in Las Vegas. During a decade-long hospitalist career at Stanford, he experienced our dysfunctional health care system firsthand leading to burnout and depression. He created videos under the pseudonym ZDoggMD as an outlet to find his voice. This launched a grassroots movement — half a billion youtube views and a passionate tribe dedicated to improving health care for everyone.
Mind of an Addict
Our guest today is Joe Polish. Unlike most guests on this show, Joe is not involved in medicine- he is one of the best known marketing minds on the planet. He is the creator of the Genius Network which is the place high level entrepreneurs go to get their next big breakthrough with access to connection, contribution, and collaboration. Joe is also a best selling author and renown podcaster with I Love Marketing, genius network, Rich Cleaner and 10x Talk. But none of those things are why Joe is on the show today. Joe is also an addict, but deeper than that, he’s turning his experience with addiction into a force for change with Genius Recovery and Artists for Addicts.
Pseudoseizures (PNES)
Walker Foland, an emergency physician practicing in Michigan, breaks down why pseudoseizures, now termed PNES (Psychogenic Nonepileptic Seizures), are a real disease.
What Canada Can Teach Everyone About CAT Scans
Joe Habbousche is the CEO of MDCalc, the worlds most used online medical calculator. Chances are, you’ve used it yourself. Joe is a passionate advocate for the practice of evidence based medicine and the proper use of clinical decision tools. In this episode, we dissect one of his favorites: the Canadian CT Head Injury/Trauma Rule
Anorexia Nervosa may not scare you but it should
Anorexia is often viewed as a chronic condition that doesn’t really warrant emergency care, but that’s not the case. Mortality with anorexia nervosa is high (on the order of 10-20%) and patients can present really sick.
When Consultants Give Bad Advice
In this episode, Dr. Sam Ashoo gives his strategies on what to do when the consultant on the other end of the phone call is giving questionable advice.
Haloperidol for Pain
One of the stress points when a patient taking chronic opioids presents with acute pain is that we feel we have little to offer them.
Should I give bicarbonate in DKA?
Should I give bicarbonate to DKA patients with severe acidemia?
Performance Coach Jason Brooks. Always Gratified, Never Satisfied
Jason Brooks PhD is a performance coach helping health care providers, athletes, and other high level performers live better, work better, and be better.
Cellulitis
Dr. Greg Moran reviews current thinking on cellulitis diagnosis and management.