Talking to Fear
From Talking to FearNon-CME: This episode is not accredited for CME. • Jason Brooks, PhD is a performance coach who works with physicians, athletes, and the military, helping them develop the cognitive skills not only to operate at the highest level, but to thrive no matter what the task. During the COVID-19 …
48min 7Rob Orman, MD and Jason Brooks, PhD
COVID-19: Weingart Q & A on Airway, Vents, Tubes, Lungs, ECMO, and CPAP
From COVID-19: Weingart Q & A on Airway, Vents, Tubes, Lungs, ECMO, and CPAPED-intensivist Scott Weingart has developed several protocols for airway management in COVID-19 patients, but each of those answers brings up more questions. In this episode: ‘Happy Hypoxemia’, the 4 types of COVID patients, Covid L vs H, is there a role for ECMO in severe disease, why intubation …
48min 16Rob Orman, MD and Scott Weingart, MD
COVID-19: Code Blue
From COVID-19: Code BlueIn this episode we speak with Chris Hicks, a Canadian emergency physician and trauma team leader who is a master of teaching the cognitive skills of resuscitation. Chris shares several protocols from his hospital regarding code blue and intubation in the era of COVID-19 including: the pre-brief …
30min 14Rob Orman, MD and Chris Hicks, MD
COVID-19: Fluids, Prone Position, and Your Emails
From COVID-19: Fluids, Prone Position, and Your EmailsIn today’s update: New York experience with fluid restriction in COVID ARDS, prone positioning for non-intubated hypoxic patients, resetting the intubation threshold, and using ABGs. Your questions for Reuben Strayer and Patrick Reinfried. For all the previous COVID podcasts plus a bunch of other …
21min 25Rob Orman, MD and Patrick Reinfried, MD
COVID-19: Triage Tent Logistics
From COVID-19: Triage Tent LogisticsTriage and treatment tents have become ubiquitous in the current pandemic, improving throughput and keeping infectious but relatively well patients outside of the hospital. In this episode, emergency physician Josh Bucher, assistant professor at the Robert Wood Johnson Medical School, breaks down …
27min 34Rob Orman, MD and Josh Bucher, MD
COVID-19: Inside New York City
From COVID-19: Inside New York CityIn this episode I speak with Dr. Reuben Strayer, emergency physician at Maimonides Medical Center in Brooklyn, NY. The news is rife with reports of New York’s escalating COVID-19 cases and there are lessons we can learn from how they are responding. • Discussion includes: Managing a Massive Surge …
50min 34Rob Orman, MD and Reuben Strayer, MD
COVID: Lessons Learned and First Hand Account From Kirkland, WA.
From Lessons Learned and First Hand Account From Kirkland, WAKirkland, Washington was the first U.S. city with reports of a large-scale COVID-19 outbreak. In this special edition of ERcast, Dr. Patrick Reinfried, an emergency physician practicing at Kirkland’s Evergreen Hospital, gives a first hand account of what happened in his community, how his hospital …
48min 21Patrick Reinfried, MD and Rob Orman, MD
COVID-19: Troponin, Abx, Chloroquine, X-rays, Rationing Tests, Public Health
From COVID-19: Troponin, Abx, Chloroquine, X-rays, Rationing Tests, Public HealthIn this episode I speak with Dr. Rick Pescatore, Chief Physician for Preparedness for the state of Delaware and a front-line emergency physician. While the general topic is the COVID-19 pandemic, specific issues discussed include: triage decisions, X-rays, troponin, what to do when there’s …
35min 19Rick Pescatore, DO and Rob Orman, MD
How to Save PPE and Reduce Exposure, HIPAA Relaxes
From How to Save PPE and Reduce Exposure, HIPAA RelaxesIn today's episode, emergency physicians Amy Cho and Jason Adler break down novel ways to limit use of PPE while at the same time minimizing contact with potentially infected patients. We also talk about how government regulations have obstructed our ability to provide intelligent care but now …
29min 20Amy Cho, MD, Rob Orman, MD, and Jason Adler, MD
It’s Critical Care Time!
From Mechanical Falls, EEM, N of One, Pneumonia Guidelines, Critical CareCoding and billing specialist Jason Adler says that most of us misunderstand 'critical care time'. He's here to set the record straight and help us on our path to becoming documentation blackbelts.
40min 22Jason Adler, MD and Rob Orman, MD
N of 1 -- The World’s Most Efficient ED?
From Cardiac Transplant Patients, EEM 2019, N of One, Brue Works, Bits and PiecesOnce a patient is placed in an ED room and bed, it can feel like time slows down. Unless they're dying, most systems don't have a rush order on getting things done. Florida emergency physician Michael White says things don't have to be that way. He has re-worked his ED's flow so that discharge …
33min 19Michael White, MD and Rob Orman, MD
N of 1: Should We Embrace Metrics?
From Propofol Procedural Sedation, Chest Pain Guideline, N of 1, Open Fracture, DVTIn the modern era of performance analysis and review, metrics are often seen as a tool to punish clinicians. Dr. Sean Dowling says that doesn't have to be the case. We can make metrics work for us and, if they are crafted in a thoughtful way, improve our quality of care. •
35min 51Shawn Dowling, MD and Rob Orman, MD
N of 1: Patient Experience
From Cathing Dudes, Cough, N of 1, Low Salt, Active Shooter, Bits and PiecesNone of us start the day hoping that our patients have a negative experience during the time we care for them. But the medical system, and even some of our habits, can lead to just that. Expert Justin Bright gives his thoughts on how to improve patient experience in the emergency department. His …
34minJustin Bright, MD and Rob Orman, MD
EEM: 5 Repeated Narratives That Are Not True
From First Trimester Bleeding, EEM, N of One, Myasthenia Gravis, FAST ExamFrom Essentials of Emergency Medicine 2019, Bouncebacks author Mike Weinstock addresses five things we say (or at least think) and asks, “Is that really true?” •
18min 49Mike Weinstock, MD and Rob Orman, MD
Debriefing INFO
From Chest Pain, Chest Tube, Burnout, Debriefing INFO, Alcohol Withdrawal, PregnancyThere’s no getting around it, finding time to debrief challenging or difficult cases can feel nearly impossible in the task saturated emergency department environment. In this episode, Dr. Stuart Rose discusses a novel approach to making debriefs more likely to happen in the ED as well as a tool to …
27min 54Stuart Rose, MD and Rob Orman, MD
N of One: Can Burnout Be a Good Thing?
From Chest Pain, Chest Tube, Burnout, Debriefing INFO, Alcohol Withdrawal, PregnancyDike Drummond from thehappymd.com is back to discuss: how burnout can end up being a good thing; how burnout can be a path to leadership but not necessarily in a good way, pitfalls to avoid when going from clinician to leader of clinicians; dealing with uncertainty in your career choice; why it’s …
29min 38Dike Drummond, MD and Rob Orman, MD
How To Be An Effective Leader
From The Dying Asthmatic, Button Batteries, Effective Leaders, Ischemic Bowel, APACDiscuss methods of effective (and ineffective) leadership.
36min 57Josh Bucher, MD, Jim Czarnik, MD, and Rob Orman, MD