ACEP Frontline - Emergency Medicine

Are you a fan of The PITT or medical shows? Then you will love this episode of the podcast in preparation for ACEP25 in Salt Lake City. With talk with co-executive producer, Dr. Joe Sachs, and medical expert and writer, Dr. Mel Herbert, about The PITT. We discuss what it got right, the 3(+1) things it got wrong, and some behind the camera discussion on making the show happen.

Riding high off The Ohio State football national championship, Dr. Jim Neuenschwander joins us in the #17 Chris Olave OSU football jersey with an appearance of the fight song near the end, talking about "situation rooms" and the use of case based group think learning for EM advancement.

In this panel from LAC, we talk about some of the steps and advocacy efforts to improve ED and hospital overcrowding.

In this episode, we talk with Dr. Deb Fletcher about ongoing battles against independent practice of non-physicians in emergency medicine. We also talk about some of the evolution and changing tactics being utilized. The key take home is that NPs and PAs play an important role in our system as a part of the physician led team. Resources: Hattiesburg Study www.akleg.gov/basis/get_documents.asp?session=33&docid=27553 ACEP https://www.acep.org/state-advocacy/state-advocacy-overview/combat-scope-of-practice-expansion

We bring more content from ACEP LAC with a discussion on shifting interpretations of EMTALA that may further blur the lines with the MSE and definition of fulfilling the EMTALA mandate. These changes may increase risk the physicians and potentially impact autonomy.

In this episode, we review the 2024 elections and what they may mean for the balance of power and future elections. We chat with DC insider, Nathan Gonzalez from Inside Politics, about the results, trends, and outlooks.

In this episode from Accelerate with the Pediatric Emergency Medicine Assembly, we talk with Dr. Emily Rose about the management of bronchiolitis in the pediatric patient. She was also featured on the podcast from PEM Assembly in 2019 as well.

In this episode, we talk with Drs. Abir(RAND) and Pettigrew(EMPI) about the 2025 RAND report that puts to print, the data that many of us in EM have felt, but few believed. It talks about funding, reimbursement, access, and recommendations to stabilize the primary care source for millions and the vast majority of acute episodes of care.

Emergency medicine has been the safety net for the medical system for years, but is the only access point for many across this country. We are also seeing rising incidence of diabetes in all ages. As a result, emergency medicine has the opportunity to play a role in screening and detection with the goal of risk and complication prevention. In this episode, we talk with Dr. James Paxton on our opportunities and some tools we can use to support our patients and improve their outcomes.

In this episode we discuss the partnership of ACEP and VisualDx with the member benefit and discount to assist with recognizing measles and other potential dermatologic issues.

In this episode, Dr. Kristen Nordenholz breaks down some of the causes and differential for right heart failure in EM. This ties in with the prior podcast from CoACEP with Dr. Tems talking about the indications for ECMO.

In this episode, we hear from two EM experts on billing and coding that can help ensure that EPs are appropriately capturing the work that is happening with our patients.

In this episode, we talk with Dr. Simone Lawson about the signs and differential of Non-Accidental Trauma in pediatric emergency medicine. We wrap with some pediatric ultrasound nuggets as well.

The new ACGME recommendations for EM program length as well as other adjustment to the EM specialty curriculum have caused quite the stir. We talk with the past-chair, chair, and incoming chair of the EM Review Committee about the changes, the thought process, and why it's important to the future of EM. We also hit them with some of the harder questions and assumptions from SoMe and let them tackle them head on.

In this episode, we talk with Dr. Jeffrey Kline about disposition and tools to help emergency physicians manage low risk pulmonary emboli. This is a diagnosis that we can send home in many cases. This episode is supported by a grant from the Bristol-Myers Squibb/Pfizer Alliance.

In this episode, we drop in on the Colorado ACEP Leadership Symposium with a talk by Dr. Chris Tems as he poses the question on whether ECMO is the future of EM cardiac arrest resuscitation.

In this episode from the Independent Group Master Class, we talk with Dr. Beth Griffin about building the business structure for small groups and retention strategies for your physician and NPP talent.

In this episode from the Independent Group Masterclass hosted by ACEP and EMBC, we talk with Dr. Gary Katz about his experience starting, maintaining, and managing a physician owned small group with multiple small rural hospitals in Ohio.

In this episode, we talk with Dr. Keri Gardner from Accelerate25 about malpractice and litigation risk with some tips for emergency physicians on how to avoid this unfortunate reality of EM. You can also check out the video interview on the ACEP YouTube channel.

In this episode from PEM Assembly at Accelerate 25, we talk with conference organizer and Peds EM guru, Dr. Sean Fox, about the dreaded post-tonsillectomy hemorrhage presentations in the emergency department.

Non-accidental trauma is a difficult topic in EM and requires a level of suspicion and awareness for a diagnosis that is often unclear and often not the reason for the ED visit, yet we can make a difference. In this episode, we talk with Dr. Simone Lawson with steps that EPs can use to keep NAT on the differential and then wrap with some bonus material on critical care ultrasound for the pediatric EM patient.

In this episode, I take 20 minutes with Dr. Henry Pitzele about the importance of open minds, open ears, and understanding the realities of politics in emergency medicine.

Many don't associate emergency medicine with public health opportunities, but the emergency department is often the only access point for many in our society, especially those at higher risk. In this episode, we talk about the UK HCV screening and treatment program with Dr. Daniel Moore. Not only can this make a significant positive impact in your community, but could be a business strategy for your group/facility...making money while saving (more) money. https://medicine.uky.edu/sites/research/hcv https://pubmed.ncbi.nlm.nih.gov/34381848/ https://uknow.uky.edu/uk-healthcare/hepatitis-c-screenings-show-benefits-patient-care

In this track, we talk with the Gilead FOCUS team and their effort to improve blood borne pathogen screening in the emergency department. https://www.gilead.com/responsibility/global-health-and-access/focus

In this episode from KACEP24, Dr. Gabe Kelen from the Johns Hopkins Department of Emergency Medicine talks about the issue, impact, and steps towards resolutions.

In this episode, we talk with Dr. Brigham Temple about the proper utilization and education of non-physician practitioners in the emergency department. It is still the physician led team and every emergency patient should have access to emergency physicians, but we discuss how that team integrates non-physician care to ensure patient access and quality.

In this episode from ACEP24 in Las Vegas, we talk about a group of physicians that chose to unionize after they felt all other avenues had been exhausted to address patient safety and workplace concerns. Unions won't be the solution for everyone or every situation, but it may be the only option is certain settings.

In this episode from ACEP24, we talk about efforts towards physician wellness and longevity.

Emergency Medicine lost a pioneer and great on November 26th when Dr. Greg Henry passed away. He was a true leader in the speciality and had a style that was all his own. In this episode, I talk with some of his close EM friends, Drs. Gillian Schmitz, Roya Caloia, Kurtis Mayz, and Rick Bukata about his history, personality, and legacy.

The NES story has been a tragic one that has left many physicians in very difficult and costly positions. In this episode, I talk with two former NES employees, with the signs, experience, and cautionary tales to other physicians.

In this episode, we talk about the airway in the middle...the moderate respiratory distress patient that is on the struggle bus, but not ready for definitive airway management.

What happens when insurance tries to police physicians and report them to the National Practitioner Database? We talk to a physician who experienced just that when Humana tried to police this Virginia EP. https://journals.lww.com/em-news/fulltext/2024/04000/insurance_corrective_action_poses_danger_to_ebm.2.aspx

In this episode, we talk with one of the pioneers in migraine medicine, Dr. David Sklar, and returning guest and Ohio State champion, Dr. James "Big Jim" Neuenschwander about headaches, migraines, evaluations, and the new ACEP POC tool to support physicians and staff in the ED.

In this segment, we talk with Dr. Anil Menon who is an emergency physician with NASA, currently training for upcoming missions. We talk with him about his life progression and what it potentially means for emergency physicians.

Colorado ACEP has their 3rd annual meeting coming up next week and we present a reimbursement primer with Dr. Jamie Dhaliwal and Dr. Jason Adler. We talk through what has changed, why it matters, and what you can do about it.

Imposter Syndrome is common among physicians and significant impact on our wellness and longevity. In this episode, we chat with Dr. Amanda Dinsmore about her presentation at #ACEP24 and steps we can take to fight off the "imposter in the mirror".

In this episode as we approach the 2024 election, we talk with Dr. Nicholas Cozzi who worked with stakeholders throughout Chicago to plan for the DNC. Our discussion revolves around preparations, considerations, challenges, and how emergency medicine plays a key role in these high profile events.

In this episode from ACEP24, we talk with Dr. Saleh Fares Al-Ali, President of IFEM about the challenges emergency medicine is facing on the world stage and they sound very familiar. We also talk about the challenges and opportunities of organizing emergency medicine on the global scale. https://www.ifem.cc/

With emergency medicine being the safety net of the US healthcare system, access for many can be lacking do to the locations and proximity to a hospital based emergency department. In this episode, we chat with Dr. Leon Adelman on the expansion of free-standing, walk-in, and microhospital based emergency settings and how they may impact the EM workforce landscape.

In this episode we talk about the ACEP AI task force which will dive into the evolving technology and how it can advance the practice of medicine. https://www.acep.org/telehealth/resources/webinars/january-2024---artificial-intelligence-to-improve-performance-in-emergency-medicine-aiipem-program

We talk with Dr. Robert Leach, current President-Elect and soon to be President of EUSEM. We chat about similarities, challenges, and opportunities within the landscape of European EM. https://eusem.org/about-us/staff/105-dr-robert-leach

In this special episode from the Ohio ACEP Resident's Assembly, we talk about "Entering Orbit: Considerations After the Training Boosters Fall Off" with Dr. Sanjay Shewakramani from UC in Cincinnati. Great speaker and topic for early career emergency physicians...and the rest of us!

In this episode, we talk with Dr. Sandy Schneider and Dr. Penny Lema about the presentation of ruptured abdominal aortic aneurysms in the emergency department. We talk about some of the advancements that allow for emergency physicians to make more efficient and accurate diagnosis. Funding for this podcast is provided by a grant from the Council of Medical Specialty Societies(CMSS) as well as the Gordon and Betty Moore Foundation(GBMF).

In this episode, we talk with ACEP Past-President, Dr. Paul Kivela, about career fulfillment, resilience, and opportunities in and outside EM. We also talk about his adventures in speed golf. This is the Greg Henry Lecture from MEMA24 in Michigan.

The discussion of patient experience does not always bring a welcome or warm response, but in this episode, Dr. Nick Dyc discusses how you can win at it and advance your career/group.

In this episode, we talk with Dr. Frank Peacock and Dr. Jame Neuenschwander about the current statue of VTE, DVT, PE, and AFib management, as well as the approach to anticoagulation reversal. Great podcast on a common EM presentation and opportunities in EM. ACEP POC Tools - https://poctools.acep.org/

This episode features the new steps and CMS requirements on the "age friendly ED" initiative. We are joined by Dr. Biese who breaks down the new requirements and opportunities within EM.

In this special #ACEP24 primer, we talk with keynote opening speaker, Heather Mcgowan, about healthcare, workforce, efficiency, and wellness. We focus on the changes in generations, technology, and a look towards the future. ACEP24 Promo Code for Registration - A481646 https://heathermcgowan.com/

Fresh episode from #MEMA24 in Harbor Springs, MI, talking with Dr. Henry Moss, discussing whippit abuse and smoking cessation. Two topics, one podcast!

Here is a special education track from FCEP Symposium by the Sea in Miami Beach, FL. Great collection of speakers and educators discussing the business of emergency medicine with regard to documentation, billing, reimbursement, advocacy, and communication.

In this episode, we talk with Dr. Sean Michael, Regional Chief Medical Officer for the Centers for Medicare and Medicaid Services. We discuss EMTALA as a tool for emergency departments and EM physicians to facilitate the management, acceptance, and transfer of behavioral health patients. We often see EMTALA as a barrier, but we discuss how it can be used to better serve your patients.