LitMatters: Peripheral Pressors are your Frenemy
From Hippo ERcast April 2020Peripheral pressors were once persona non grata in the resus room, but that has changed over the past few years as mounting evidence has purported their safety. But are they as safe as we've been led to believe?
9min 28Matt Delaney, MD and Salim Rezaie, MD
Lit Matters: Roc vs Sux. Clash of the Titans?
From Hippo ERcast April 2020A prehospital study comparing Roc and Sux for first pass intubation success.
6min 10Matt Delaney, MD and Salim Rezaie, MD
The Intensivist Strikes Back (at Potassium)
From Patellar Dislocation, EEM 2019, N of 1, LRINEC - Accidental D-dimer, CricED intensivist Ran Ran is aggressive when it comes to treating Hyper K. In response to our November 2018 episode 'Evidence Based Hyperkalemia Management', Ran breaks down his steps when the K is high and the patient is deteriorating.
28min 10Ran Ran, MD and Rob Orman, MD
Myasthenia Gravis and Crisis
From First Trimester Bleeding, EEM, N of One, Myasthenia Gravis, FAST ExamA myasthenic patient rolls through the door in acute respiratory distress. You think this could be a myasthenic crisis. What’s the next step? Is there something we can do to turn around the situation? To answer these questions (and more), Brit Long returns to ERcast to break down key steps, and …
32min 21Rob Orman, MD and Britt Long, MD
EEM: Should We Reverse Antiplatelet Agents?
From Too Fake, EEM, N of One, Personality Disorders, Diabetes, RV FailureA patient with an acute brain bleed is also on aspirin and clopidogrel - should we infuse platelets to reverse the effects of these agents? From Essentials of Emergency Medicine 2017, Scott Weingart reviews the evidence and gives a simple algorithm.
18min 4Rob Orman, MD, Scott Weingart, MD, and Thomas Deloughery, MD
Circling the Drain
From The Syncope Code, EEM: Sentinel Injuries, N of One, Circling the Drain, MailbagScott Weingart and Amal Mattu are our guests as we breakdown the critical decision points in a case of a patient with an acute anterior STEMI and cardiogenic shock. •
36min 52Scott Weingart, MD, Amal Mattu, MD, and Rob Orman, MD
The PEEP Show
From Nephrolithiasis, EMTALA Police, Breaks, PEEP Show, D-DimerED intensivist Dr. Ran Ran walks us through what PEEP is, what PEEP isn't, and how to apply that to the critically ill. •
28min 42Rob Orman, MD and Ran Ran, MD
N of One: Bouncing Back After a Tough Case
From PEG Tube, Pulse Ox, N of One, Resuscitation, Chest Pain, AngioedemaThe nature of emergency medicine dictates that we will have tough cases. Patients will die, we will have to deliver bad news, and we will, at some point, make mistakes. We have high expectations of ourselves so when we get figuratively knocked down, how do we get back up? In this episode …
36min 14Jason Brooks, PhD and Rob Orman, MD
Adrenal Crisis
From The PE Bounceback, EEM, N of One, Adrenal Crisis, Stab WoundsThe adrenal glands do a lot of important jobs including production of cortisol, aldosterone, epinephrine, and norepinephrine. But how well do you really understand these tiny glandular powerhouses? Emergency physician Bob Zemple walks us through some adrenal basics as well as how to recognize and …
34min 29Bob Zemple, MD and Rob Orman, MD
EEM: Can You Fix Asystole?
From Frostbite, Asystole, Perfectionism, EQ, Middle Way, FluThere is a dearth of evidence guiding our management of asystole. At Essentials of emergency medicine 2018, Anand Swaminathan gave his approach to managing this rhythmless dysrhythmia, bridging the gap between acting just to act, and acting with intent to save. •
11min 24Anand Swaminathan, MD and Rob Orman, MD
The Zen of EM: The Emergency Medicine Mindset
From Hyperkalemia Management, Lupus, Wegener’s, EM MIndset, Iron, Red AnusDiscuss a mindset conducive to successful emergency medicine practice.
25min 16Reuben Strayer, MD and Rob Orman, MD
Lupus, Wegener’s, and a Weird Vasculitis
From Hyperkalemia Management, Lupus, Wegener’s, EM MIndset, Iron, Red AnusDiscuss emergency department evaluation and treatment of patients with lupus, Wegener's granulomatosis, and levamisole vasculitis.
24min 21Chris Hicks, MD and Rob Orman, MD
What Would Weingart Do (WWWD)? Septic Shock: Oxygen, Airway, and the Vent
From Cirrhosis, Topical Steroids, Skill Decay, Antibiotics, Diarrhea, WWWDDiscuss any magnet in hemodynamically and fragile patients with significant pulmonary insult.
31min 15Scott Weingart, MD and Rob Orman, MD
Emergency Complications of Cirrhosis
From Cirrhosis, Topical Steroids, Skill Decay, Antibiotics, Diarrhea, WWWDDiscuss emergency department management of patients with complications of cirrhosis. •
30min 11Britt Long, MD and Rob Orman, MD
The Dying Asthmatic
From The Dying Asthmatic, Button Batteries, Effective Leaders, Ischemic Bowel, APACDiscuss airway and ventilatory management of the asthma patient in extremis who is recalcitrant to standard therapy.
31min 16Rob Orman, MD and Scott Weingart, MD
Massive GI Bleed on Anticoagulants
From May 2018: GI Bleed, Extubation, Scribes,Troponin and Neonatal IntubationRob and Tom Deloughery discuss management of actively bleeding patients who have been prescribed anticoagulation medications.
28min 53Rob Orman, MD and Thomas Deloughery, MD
Neonatal Intubation
From May 2018: GI Bleed, Extubation, Scribes,Troponin and Neonatal IntubationRob and Andy Sloas, DO discuss Neonatal Intubation. •
38min 58Andy Sloas, DO and Rob Orman, MD
Essentials of EM Segment - Extubation in the ED
From May 2018: GI Bleed, Extubation, Scribes,Troponin and Neonatal IntubationRecorded at Essentials of Emergency Medicine 2016, Scott Weingart walks us through the whys and hows of extubating patients in the emergency department.
17min 37Scott Weingart, MD and Rob Orman, MD
How to master CPR
From December 2017: White coat investing, finding joy, CPR masteryEMS director and CPR aficionado Bill Reed gives a primer on High Performance CPR.
41min 27Rob Orman
Gunshot to the Groin with Kenji Inaba
From November 2017: Autistic patients, gunshots to the groin and omg the stressIn today’s episode, we discuss junctional bleeding with Dr. Kenju Inaba. Junctional bleeding is bleeding from an area that is a junction of an extremity and the torso (and neck) that is not amenable to hemorrhage control by tourniquet.
23min 44
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