Academic Life in Emergency Medicine (ALiEM) Podcast

Dr. Sara Krzyzaniak (Host, Stanford University) speaks with Dr. Tim Fallon (Maine Medical Center) and Dr. Liza Smith (UMass Baystate), both leaders of CORD's Application Process Improvement Committee, about the historic transition from ERAS to ResidencyCAS for emergency medicine residency applications in 2025-2026.  Sound Engineer: Dr. Kaitlin Bowers (Campbell University) https://www.ALiEM.com/em-match-advice-48-transitioning-from-eras-to-residencycas/  

The Emergency Medicine (EM) Match process continues to evolve, with the specialty experiencing significant shifts in recent years. In this 47th installment of the EM Match Advice podcast series, Dr. Sara Krzyzaniak (Stanford EM PD) hosts the annual program director reflection on the Match with Dr. Abra Fant (Northwestern EM PD), who returns for her fourth consecutive year to share insights on the NRMP Match trends and data.  Podcast sound engineer: Dr. Kaitlin Bowers https://www.ALiEM.com/em-match-advice-47-2025-em-match-by-the-numbers/

As interview season wraps up, medical students across the country are preparing their rank lists for the upcoming Match. EM Match Advice podcast host, Dr. Sara Krzyzaniak (Stanford EM Program Director) recently sat down with Dr. Melissa Parsons (University of Florida College of Medicine - Jacksonville EM Program Director), to discuss the match process from both program and applicant perspectives. https://www.ALiEM.com/em-match-advice-46-program-directors-share-match-season-insights/ Podcast sound engineer: Dr. Kaitlin Bowers

Dr. Sara Kryzyzaniak (EMMA Podcast Host and Stanford EM Program Director) gives an early heads-up for senior EM medical students who are applying to the 2025-26 residency match. There have been some key updates in the Electronic Residency Application Service (ERAS) rules for the MyERAS application form.  https://www.ALiEM.com/em-match-advice-45-2024-eras-updates/

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Jessica Bod (Yale EM Clerkship Director) who gives thoughtful and thought-provoking insights into the EM sub-intern clerkship. What if you decide to pivot into EM relatively late in your medical school career? What should I be thinking about after the clerkship?  https://www.ALiEM.com/em-match-advice-44-sub-internship-clerskhip/ 

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Abra Fant (Northwestern PD) to reflect on the 2024 Match, after last year's shockingly high number (554) of unfilled positions in the match. We discuss our updated table of match metrics and help provide some context, especially as we look to the future. https://www.ALiEM.com/em-match-advice-43-program-directors-reflect-2024-match/  

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of residency program directors. What does the ERAS data show so far? Have there been any surprises or changes during interview season? Has the program signaling option been working?  What should students think about in the post-interview stage?  Audio engineer: Kellen Vu EM Match Advice Series: https://www.aliem.com/em-match-advice-series/

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Alexis Pelletier-Bui (Cooper University Hospital Associate PD) and Dr. Elizabeth Werley (Penn State Hershey PD). Both serve as key representatives on behalf of the EM specialty on the AAMC ERAS Supplemental Application Working Group. We discuss the changes made, why they were done, and potential sticking points for medical students while completing the application. We also do a deeper dive on "program signaling". What is it, how many programs can EM applicants list, and nuanced decisions to consider. Audio engineer: Kellen Vu

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by the Dr. Abra Fant (Northwestern PD) and Dr. Richard Church (University of Massachusetts PD) to debrief each other and you with what went down with the unprecedented results from 2023 EM Match. There were 132 programs with a total of 554 (18.4%) positions that went unfilled. Contrast that to our usual unfilled rates of 0-30 positions in 2015-2021. We review "The Slide" with all the numbers from the National Resident Matching Program (NRMP) from the past few years. We propose reasons why there were so many unfilled positions in 2023. What does this mean for the upcoming 2024 Match? Show notes and tables at: https://www.ALiEM.com/em-match-advice-40-program-directors-reflect-2023-match/ Audio engineer: Kellen Vu

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by the always-wise Dr. Matt Pirotte (Vanderbilt University PD) to answer questions that YOU, the students, submitted to us regarding interview season. We tackle questions involving the nuances around: Preference signaling  Writing letters or emails of interest Meaningfully connecting with busy program directors Also we answer the perennial question of "Really, how important IS the interview in my overall application?" Audio engineer: Kellen Vu

Speakers: Arianna Campbell, PA-C (Marshall Medical Center) Aimee Moulin, MD FACEP (Professor of Emergency Medicine at University of California Davis, Chief of the Division of Addiction Medicine) Host: Jason Woods, MD (Assistant Professor of Pediatrics - Emergency Medicine, University of Colorado) Audio engineer: Kellen Vu (Stanford University)

In this episode of EM Match Advice, our new host, Dr. Sara Krzyzaniak (Stanford University), already has her finger on the pulse on the 2022-23 EM residency application season. Hot off the presses, the Council of EM Residency Directors just released its Standardized Letter of Evaluation (SLOE). We are honored to have CDEM president, Dr. Sharon Bord (Johns Hopkins University) and Dr. Doug Franzen (University of Washington), walk us through the document and the behind-the-scenes thought processes. Co-host: Dr. Michelle Lin (UCSF); sound Engineer: Kellen Vu https://www.ALiEM.com/em-match-advice-38-our-2-cents-sloe-standardized-letter-of-evaluation

Guest: Edward Jauch MD, MS (Chief of System Research, Mission Health System, Asheville, NC) Host: Jason Woods MD References: Jauch EC, Cucchiara B, Adeoye O, Meurer W, Brice J, Chan YY, Gentile N, Hazinski MF. Part 11: adult stroke: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S818-28. doi: 10.1161/CIRCULATIONAHA.110.971044. Erratum in: Circulation. 2011 Oct 11;124(15):e404. PMID: 20956227. Dall TM, Storm MV, Chakrabarti R, Drogan O, Keran CM, Donofrio PD, Henderson VW, Kaminski HJ, Stevens JC, Vidic TR. Supply and demand analysis of the current and future US neurology workforce. Neurology. 2013 Jul 30;81(5):470-8. doi: 10.1212/WNL.0b013e318294b1cf. Epub 2013 Apr 17. PMID: 23596071; PMCID: PMC3776531. Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, Cabanas JG, Cone DC, Diercks DB, Foster JJ, Meeks RA, Travers AH, Welsford M. Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S397-413. doi: 10.1161/CIR.0000000000000258. PMID: 26472992. Adeoye O, Nyström KV, Yavagal DR, Luciano J, Nogueira RG, Zorowitz RD, Khalessi AA, Bushnell C, Barsan WG, Panagos P, Alberts MJ, Tiner AC, Schwamm LH, Jauch EC. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update. Stroke. 2019 Jul;50(7):e187-e210. doi: 10.1161/STR.0000000000000173. Epub 2019 May 20. Erratum in: Stroke. 2020 Apr;51(4):e70. PMID: 31104615.

This episode is a rapid fire review of litigation issues surrounding the provision of (or lack of provision of) tPA for stroke. Guests: Latha Ganti, MD, MS, MBA Professor of Emergency Medicine & Neurology ,University of Central Florida College of Medicine Joshua N. Goldstein MD, PhD Professor of Emergency Medicine, Harvard Medical School Host: Jason Woods MD References: Chernyshev OY, Martin-Schild S, Albright KC, Barreto A, Misra V, Acosta I, Grotta JC, Savitz SI. Safety of tPA in stroke mimics and neuroimaging-negative cerebral ischemia. Neurology. 2010 Apr 27;74(17):1340-5. doi: 10.1212/WNL.0b013e3181dad5a6. Epub 2010 Mar 24. PMID: 20335564; PMCID: PMC2875935. Gebel JM, Sila CA, Sloan MA, Granger CB, Mahaffey KW, Weisenberger J, Green CL, White HD, Gore JM, Weaver WD, Califf RM, Topol EJ. Thrombolysis-related intracranial hemorrhage: a radiographic analysis of 244 cases from the GUSTO-1 trial with clinical correlation. Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries. Stroke. 1998 Mar;29(3):563-9. doi: 10.1161/01.str.29.3.563. PMID: 9506593. Kass J et al. CONTINUUM (MINNEAP MINN) 2020;26(2, CEREBROvascular disease): 499-505  

Guest: Adam Oostema, MD MS FACEP (Associate Professor of EM, Michigan State University College of Human Medicine) Host: Jason Woods MD Select References: National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995 Dec 14;333(24):1581-7. doi: 10.1056/NEJM199512143332401. PMID: 7477192. Saver JL, Gornbein J, Starkman S. Graphic reanalysis of the two NINDS-tPA trials confirms substantial treatment benefit. Stroke. 2010 Oct;41(10):2381-90. doi: 10.1161/STROKEAHA.110.583807. Epub 2010 Sep 9. PMID: 20829518; PMCID: PMC2949055. Kwiatkowski TG et al. Effects of tissue plasminogen activator for acute ischemic stroke at one year. National Institute of Neurological Disorders and Stroke Recombinant Tissue Plasminogen Activator Stroke Study Group. N Engl J Med. 1999 Jun 10;340(23):1781-7. doi: 10.1056/NEJM199906103402302. PMID: 10362821. Ingall TJ et al. Findings from the reanalysis of the NINDS tissue plasminogen activator for acute ischemic stroke treatment trial. Stroke. 2004 Oct;35(10):2418-24. doi: 10.1161/01.STR.0000140891.70547.56. Epub 2004 Sep 2. PMID: 15345796. Emberson J et al. Stroke Thrombolysis Trialists' Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet. 2014 Nov 29;384(9958):1929-35. doi: 10.1016/S0140-6736(14)60584-5. Epub 2014 Aug 5. PMID: 25106063; PMCID: PMC4441266. Hacke W et al. ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008 Sep 25;359(13):1317-29. doi: 10.1056/NEJMoa0804656. PMID: 18815396. Alper BS et al. Thrombolysis with alteplase 3-4.5 hours after acute ischaemic stroke: trial reanalysis adjusted for baseline imbalances. BMJ Evid Based Med. 2020 Oct;25(5):168-171. doi: 10.1136/bmjebm-2020-111386. Epub 2020 May 19. PMID: 32430395; PMCID: PMC7548536. Powers WJ et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2019 Dec;50(12):e344-e418. doi: 10.1161/STR.0000000000000211. Epub 2019 Oct 30. Erratum in: Stroke. 2019 Dec;50(12):e440-e441. PMID: 31662037.

In this episode of EM Match Advice, our panel tackles the hot topic of making your rank list for residency match, which includes the shocking news of so many SOAP positions this year (over 200!) as well as the upcoming preference signaling being employed in the 2022-23 Match season. In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an all-star panel of 3 program directors, Dr. Sara Krzyzaniak (Stanford University), Dr. Abra Fant (Northwestern University), and Dr. Bonnie Kaplan (Denver Health). Sound Engineer: Kellen Vu Go to the EM Match Advice blog posts on ALiEM.

Join us in the sixth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is New Rules of Work: The Muse Playbook for Navigating the Modern Workplace by Alexandra Cavoulacos and Kathryn Minshew. Come sign up! https://www.aliem.com/leaders-library-new-rules-of-work-sign-up-book-club/

In this episode from ACEP E-QUAL, we feature Dr. Jeanmarie Perrone (@JMPerroneMD), Professor of Emergency Medicine and the Director of the Center for Addiction Medicine and Policy at the University of Pennsylvania.  Host: Jason Woods, MD Sound Engineer: Kellen Vu

In this episode from ACEP E-QUAL, Dr. Bill Soares is an Associate Professor of EM and Director of Harm Reduction Services in the Deptartment of Emergency Medicine at Bay State Medical Center. He also serves as a Fellow at the Institute of Health Care Delivery and Population Science at the University of Massachusetts Chan School of Medicine.  Host: Jason Woods, MD Sound Engineer: Kellen Vu

In this episode of EM Match Advice, our panel tackles the hot topic of making your rank list for residency match, which includes "love letters" to programs and second look visits. In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Emily Fisher (University of Oklahoma), Dr. William Paolo (SUNY Upstate), and Dr. Michael Van Meter (University of Texas Health Science Center at Houston).

In this episode from ACEP E-QUAL, Dr. Elizabeth Samuels discusses a social emergency medicine approach to opioid use disorder. Guest: Elizabeth A. Samuels, MD MPH MHS, Brown Emergency Medicine Host: Jason Woods MD   Select references: Weiner SG, Baker O, Bernson D, Schuur JD. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Ann Emerg Med. 2020 Jan;75(1):13-17. doi: 10.1016/j.annemergmed.2019.04.020. Epub 2019 Jun 20. PMID: 31229387; PMCID: PMC6920606. Wakeman SE, Larochelle MR, Ameli O, et al. Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder. JAMA Netw Open. 2020;3(2):e1920622. doi:10.1001/jamanetworkopen.2019.20622 Larochelle MR, Bernson D, Land T, Stopka TJ, Wang N, Xuan Z, Bagley SM, Liebschutz JM, Walley AY. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study. Ann Intern Med. 2018 Aug 7;169(3):137-145. doi: 10.7326/M17-3107. Epub 2018 Jun 19. PMID: 29913516; PMCID: PMC6387681. Kilaru AS, Xiong A, Lowenstein M, et al. Incidence of Treatment for Opioid Use Disorder Following Nonfatal Overdose in Commercially Insured Patients. JAMA Netw Open. 2020;3(5):e205852. Published 2020 May 1. doi:10.1001/jamanetworkopen.2020.5852 D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA. Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA. 2015 Apr 28;313(16):1636-44. doi: 10.1001/jama.2015.3474. PMID: 25919527; PMCID: PMC4527523. Hawk KF, D'Onofrio G, Chawarski MC, et al. Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine. JAMA Netw Open. 2020;3(5):e204561. doi:10.1001/jamanetworkopen.2020.4561

In this episode of EM Match Advice, our panel takes on the tough issues of 2021. Specifically we discuss the American College of Emergency Physicians (ACEP) Workforce Study that projects fewer jobs for emergency physicians and the hot-off-the-press ERAS data showing a drop in the number of EM residency applicants, compared to 2 years ago. Did one cause the other? In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Cassandra Bradby (East Carolina University), Dr. Adam Kellogg (Baystate Health), and Dr. Craig Krausz (Saint Louis University).

This session for the INFODEMIC Conference features speakers, Dr. Seema Yasmin and Dr. Yvonne Maldonado. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speaker, Dr. Heidi Larson. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Drs. Agnes Binagwaho, Aida Habtezion, and Gloria Giraldo, and moderated by Dr. Seema Yasmin. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Dr. Italo Brown. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Danielle Pacia, Lisa Menning, and Tom Bollyky, and moderated by William Haseltine. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Dr. Anne Merritt, Aaron Berman, and Brian Clarke, and moderated by Dr. Renee DiResta. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speaker, Dr. Vin Gupta. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Jessica Malaty Rivera and Dr. Sanjay Juneja, and moderated by Dr. Cedric "James" Rutland. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Mayor Adrian Perkins and Rev. Dr. Gabriel Salguero, and moderated by Dr. Matthew Strehlow. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Drs. Travis Rieder, Nancy Berlinger, and Arthur Caplan. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

The conclusion session for the INFODEMIC Conference features speaker, Dr. Seema Yasmin. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions

We survived the 2021 Emergency Medicine residency match season in the pandemic era! Listen to the sage advice and reflections of program directors Dr. Jacob Ufberg (Temple), Dr. Amita Sudhir (University of Virgina), and Dr. William Caputo (Staten Island Medical Center). Hosts: Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF/ALiEM). Read more: https://www.aliem.com/em-match-advice-program-directors-reflect-2021-match/

Listen about the concepts of gaming and gamification in volume 1 of Education Theory Made Practical (chapter 10) with host Dr. Daniel Harper. E-book chapter written by Dr. Will Sanderson and Dr. Samantha L. Wood.

Listen about the theory of dual-process reasoning in volume 1 of Education Theory Made Practical (chapter 9) with host Dr. Daniel Harper. E-book chapter written by Dr. Antonia Quinn, Dr. Daniel Robinson, and Dr. Adam Tobias.

Listen about the theory of Bloom's Taxonomy in volume 1 of Education Theory Made Practical (chapter 8) with host Dr. Daniel Harper. E-book chapter written by Dr. Aaron Brown, Dr. Nicolas Pineda, and Dr. Christopher Sampson.

Listen about the theory of self-directed learning in volume 1 of Education Theory Made Practical (chapter 7) with host Dr. Daniel Harper. E-book chapter written by Dr. Jenna Fredette, Dr. Cathy Grossman, and Dr. Joe Walter.

Listen about the theory called reflective practice in volume 1 of Education Theory Made Practical (chapter 6) with host Dr. Daniel Harper. E-book chapter written by Dr. Jordan Spector, Dr. Sara Krzyzaniak, and Dr. Lauren Wendell.

Listen about the theory of social constructivism in volume 1 of Education Theory Made Practical (chapter 5) with host Dr. Daniel Harper. E-book chapter written by Dr. Eric Cioè Peña, Dr. Abra Fant, and Dr. Anne Messman.

Listen about the principles of emotional intelligence in volume 1 of Education Theory Made Practical (chapter 4) with host Dr. Daniel Harper. E-book chapter written by Dr. Lauren Conlon, Dr. Kory London, and Dr. Michael Pasirstein.

Listen about the concept of communities of practice in volume 1 of Education Theory Made Practical (chapter 1) with host Dr. Daniel Harper. E-book chapter written by Dr. Andrew King, Dr. Michael Abraham, and Dr. Kevin Scott.

Listen about the theory of naturalistic decision making in volume 1 of Education Theory Made Practical (chapter 2) with host Dr. Daniel Harper. E-book chapter written by Dr. Clare Desmond, Dr. Josh Kornegay, and Dr. Jillian Mongelluzzo.

Listen about the theory called modal model of memory in volume 1 of Education Theory Made Practical (chapter 1) with host Dr. Daniel Harper. E-book chapter written by Dr. Sylvia Alden, Dr. Rachel Dahms, and Dr. Emily Rose.

Join us in the fifth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is KEEP GOING by Austin Kleon. Come sign up! https://www.aliem.com/leaders-library-keep-going-sign-up-book-club/

ALiEM podcast host, Dr. Dina Wallin, chats with author Dr. Jacqueline Grupp-Phelan about her recent PECARN publication "Prospective Development and Validation of the Computerized Adaptive Screen for Suicidal Youth" In JAMA Psychiatry 2021. Read more: https://ALiEM.com/computerized-adaptive-screen-for-suicidal-youth-cassy-study Edited by Podcast Engineer: Kellen Vu

The 2020-21 residency interview season has required rapid innovation and adaptability for both medical student applicants and residency programs given COVID-19's physical distancing restrictions. Listen to how it started and how it is going thus far with podcast co-hosts Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF). PD Panelists: * Dr. Camiron Pfennig - Prisma Health University of South Carolina Greenville * Dr. Ryan Bodkin - University of Rochester * Dr. Michael Kiemeney - Loma Linda University

A major development in curbing the opioid epidemic is the introduction of the medication buprenorphine to address opioid addiction. Being able to prescribe this medication requires a DEA-X Waiver. Dr. Alister Martin, the Founder of the Get Waivered initiative, has reduced the barriers for clinicians to obtain the necessary training and paperwork. https://getwaivered.com/remote/ Disclosure: ALiEM is a proud collaborator with the Get Waivered Initiative, which is funded by the Foundation for Opioid Response Efforts (FORE) Foundation.

In this episode from the ACEP-EQUAL series, guest Dr. Houman Khosravani discusses the concept of a "protected code stroke", how to operationalize the concepts, and how this system can be applied in your local circumstances. Guests: Houman Khosravani, MD PhD Medical Director, Inpatient Stroke Unit Assistant Professor, Division of Neurology, Department of Medicine, University of Toronto Sunnybrook Health Sciences Center Staff Intensivist, Critical Care Medicine, Southlake Regional Health Center Host: Jason Woods, MD Audio Editor: Kellen Vu www.acep.org/equal References 1. Rajendram, P., Notario, L., Reid, C., Wira, C. R., Suarez, J. I., Weingart, S. D., & Khosravani, H. (2020). Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care. Neurocritical care, 33(2), 338–346. https://doi.org/10.1007/s12028-020-01057-4 2. Codestroke.net

In this episode from the ACEP-EQUAL series, guest Dr. William Meurer discuss how to protocolize of transferring stroke patients, how to identify and appropriately chose transfer destinations, and how to better align patient needs with the resources of the receiving sites. Guests: William J. Meurer MD MS Associate Professor of Emergency Medicine and Neurology University of Michigan Host: Jason Woods, MD Audio Editor: Kellen Vu www.acep.org/equal References 1. Saver JL, Goyal M, van der Lugt A, Menon BK, Majoie CB, Dippel DW, Campbell BC, Nogueira RG, Demchuk AM, Tomasello A, Cardona P, Devlin TG, Frei DF, du Mesnil de Rochemont R, Berkhemer OA, Jovin TG, Siddiqui AH, van Zwam WH, Davis SM, Castaño C, Sapkota BL, Fransen PS, Molina C, van Oostenbrugge RJ, Chamorro Á, Lingsma H, Silver FL, Donnan GA, Shuaib A, Brown S, Stouch B, Mitchell PJ, Davalos A, Roos YB, Hill MD; HERMES Collaborators. Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis. JAMA. 2016 Sep 27;316(12):1279-88. doi: 10.1001/jama.2016.13647. PMID: 27673305. 2. Campbell BCV, Mitchell PJ, Churilov L, Yassi N, Kleinig TJ, Dowling RJ, Yan B, Bush SJ, Thijs V, Scroop R, Simpson M, Brooks M, Asadi H, Wu TY, Shah DG, Wijeratne T, Zhao H, Alemseged F, Ng F, Bailey P, Rice H, de Villiers L, Dewey HM, Choi PMC, Brown H, Redmond K, Leggett D, Fink JN, Collecutt W, Kraemer T, Krause M, Cordato D, Field D, Ma H, O'Brien B, Clissold B, Miteff F, Clissold A, Cloud GC, Bolitho LE, Bonavia L, Bhattacharya A, Wright A, Mamun A, O'Rourke F, Worthington J, Wong AA, Levi CR, Bladin CF, Sharma G, Desmond PM, Parsons MW, Donnan GA, Davis SM; EXTEND-IA TNK Part 2 investigators. Effect of Intravenous Tenecteplase Dose on Cerebral Reperfusion Before Thrombectomy in Patients With Large Vessel Occlusion Ischemic Stroke: The EXTEND-IA TNK Part 2 Randomized Clinical Trial. JAMA. 2020 Apr 7;323(13):1257-1265. doi: 10.1001/jama.2020.1511. PMID: 32078683; PMCID: PMC7139271. 3. Prabhakaran S, O'Neill K, Stein-Spencer L, Walter J, Alberts MJ. Prehospital triage to primary stroke centers and rate of stroke thrombolysis. JAMA Neurol. 2013 Sep 1;70(9):1126-32. doi: 10.1001/jamaneurol.2013.293. PMID: 23817961.

In this episode from the ACEP-EQUAL series, guest Dr. Bruce Lo reviews several common intracerebral hemorrhage scoring systems, the components, and tips on how to use them in real world practice. Guests: Bruce Lo, MD, MBA, FACEP Chief, Department of Emergency Medicine, Sentara Norfolk General Hospital Professor of Emergency Medicine, Eastern Virginia Medical School Host: Jason Woods, MD Audio Editor: Kellen Vu www.acep.org/equal References Hemphill JC 3rd, Bonovich DC, Besmertis L, Manley GT, Johnston SC. The ICH score: a simple, reliable grading scale for intracerebral hemorrhage. Stroke. 2001 Apr;32(4):891-7. doi: 10.1161/01.str.32.4.891. PMID: 11283388. Clarke JL, Johnston SC, Farrant M, Bernstein R, Tong D, Hemphill JC 3rd. External validation of the ICH score. Neurocrit Care. 2004;1(1):53-60. doi: 10.1385/NCC:1:1:53. PMID: 16174898. Gregório T, Pipa S, Cavaleiro P, Atanásio G, Albuquerque I, Chaves PC, Azevedo L. Assessment and Comparison of the Four Most Extensively Validated Prognostic Scales for Intracerebral Hemorrhage: Systematic Review with Meta-analysis. Neurocrit Care. 2019 Apr;30(2):449-466. doi: 10.1007/s12028-018-0633-6. PMID: 30426449. Pinho J, Costa AS, Araújo JM, Amorim JM, Ferreira C. Intracerebral hemorrhage outcome: A comprehensive update. J Neurol Sci. 2019 Mar 15;398:54-66. doi: 10.1016/j.jns.2019.01.013. Epub 2019 Jan 14. PMID: 30682522. Øie LR, Madsbu MA, Solheim O, Jakola AS, Giannadakis C, Vorhaug A, Padayachy L, Jensberg H, Dodick D, Salvesen Ø, Gulati S. Functional outcome and survival following spontaneous intracerebral hemorrhage: A retrospective population-based study. Brain Behav. 2018 Oct;8(10):e01113. doi: 10.1002/brb3.1113. Epub 2018 Sep 21. PMID: 30240164; PMCID: PMC6192392. Hemphill JC 3rd, Greenberg SM, Anderson CS, Becker K, Bendok BR, Cushman M, Fung GL, Goldstein JN, Macdonald RL, Mitchell PH, Scott PA, Selim MH, Woo D; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2015 Jul;46(7):2032-60. doi: 10.1161/STR.0000000000000069. Epub 2015 May 28. PMID: 26022637. Houben R, Schreuder FHBM, Bekelaar KJ, Claessens D, van Oostenbrugge RJ, Staals J. Predicting Prognosis of Intracerebral Hemorrhage (ICH): Performance of ICH Score Is Not Improved by Adding Oral Anticoagulant Use. Front Neurol. 2018 Feb 28;9:100. doi: 10.3389/fneur.2018.00100. PMID: 29541054; PMCID: PMC5836590.