EMRA*Cast

When it comes to the airway, roc rocks and succ sucks, right? You've heard it more than once. But EMRA*Cast host Peter Lorenz, MD, presents a nuanced argument in defense of succinylcholine, with guests Mike Perza, PharmD, and Patricia Simmer, MD.

In this episode of EMRA*Cast's “Vacation Gone Deadly: Toxins in Paradise,” hosts Maiya Smith, MD, and Lauren Rosenfeld, MD, speak with Kenneth Katz, MD, a toxicologist and practicing EM physician at Lehigh Valley Health, about toxins you might encounter while traveling, inspired by Season Three of The White Lotus. 

Mental health concerns drive a large number of emergency department visits in the United States. When a patient presents with an acute crisis, it's important for emergency medicine and psychiatry to work as a seamless team. Drs. D'Monte Farley and Caylon Pettis talk about how to ensure an effective psychiatry consult in the ED.

In this episode of EMRA*Cast's "Bridging Health and Humanity" series, host Natalie Hernandez, MD, MPH, speaks with Aslam Akhtar, MD, PhD, a fourth-year EM resident at Harbor UCLA, about his experience volunteering on a medical mission trip to Northern Gaza.

Navigating EM residency can be tricky and often difficult. EMRA*Cast host Nishant Gogna, DO, presents a group discussion navigating the tips, tricks, and pitfalls to watch out for in your EM residency, with Joanne Bethencourt, DO, PGY-3 and chief resident at UF Health Shands Hospital; Mario Hernandez, MD, PGY-3 at UF Health Shands Hospital; and Wade Chen, MD, PGY-3 at UF Health Shands Hospital. 

This episode of EMRA Cast features Dr. Jody Kieffer, a pediatric EM attending physician at Nemours Children's Hospital. Dr. Blythe Fiscella, EMRA*Cast host, gets expert advice on examination strategies for pediatric patients. Learn about newborn-specific exams, strategies, and holding techniques to conduct ear and throat exams in toddlers; the use of metered dose inhalers; the appropriate use of ibuprofen and acetaminophen; and guidelines for discharge counseling for bronchiolitic patients. 

In this bonus episode co-produced with Vital, we're talking patient satisfaction: how to create a meaningful connection in a short amount of time, and why it matters. (Spoiler alert: It's not all about metrics.) Join EMRA*Cast alumni Masood Mohammed and guest Gus Garmel for this practice-elevating conversation.

In this episode, @ucmax_show host and @embouncebacks author Dr. Michael Weinstock chats with EMRA*Cast's Dr. Lauren Rosenfeld, breaking down documentation to avoid litigation with a focus on a common presentation: chest pain. Learn how to use the HEART score and avoid a courtroom.

Refractory hypoxemia in the intubated patient is one of the scariest situations any emergency physician can face. In this episode of EMRA*Cast, Drs. Peter Lorenz and Steven Haywood discuss a stepwise approach to managing this worst-case scenario.

Mistakes are an unavoidable part of medical training. Yet, they're often under-discussed, contributing to feelings of burnout and isolation. In this episode, host Maiya Smith, MD, is joined by residents Lulu Weindruch, DO, Stephanie Michael, DO, and Jarred Millard, MD, as they share their personal experiences with errors and the strategies they've developed to grow from them.

EMRA*Cast's D'Monte Farley talks to social EM leader Italo Brown, MD, MPH, of Stanford University, about how and why to build doctor-patient trust and make care more accessible at the community level. In the spotlight: T.R.A.P. Medicine and a unique barbershop initiative.

Decision-making capacity is a key component of patient autonomy. In this episode, host Natalie Hernandez, MD, MPH, and guest Ilene Claudius, MD, discuss potential challenges to assessing capacity and obtaining consent - particularly among the pediatric population.

There's more to consider for your first EM job than just locations, hours, and pay. EMRA*Cast host Nishant Gogna, DO, presents a fireside chat about other things to consider on your first job hunt with Ryan Kirby, MD, market president for IES and former PD of John Peter Smith Hospital in Fort Worth Texas, and Marcus Nash, MD, chief resident at UF Health Shands Hospital, and currently on the job hunt. 

Every great resuscitationist needs to understand the fine points of keeping your patients breathing - not only by securing an airway, but also by understanding ongoing ventilation. In this episode, EMRA*Cast host Blythe Fiscella, MD, reviews pearls and pitfalls of NIPPV with critical care expert Colin McCloskey, MD.

Known for candid perspectives and sense of humor, pediatric emergency guru Dr. Richard Cantor shares how PEM reminds residents to be present with patients. The organic nature of PEM requires us to use all five senses, engage with patients and their families, and see past burdensome EMRs. Dr. Cantor recalls his transformation from day one as an intern to life as an attending, and he reminds new practitioners to always do what's best for patients and their families.

Food is routinely withheld from patients entering the emergency department in order to prevent the theoretical risk of aspiration should they require operative intervention or procedural sedation. This practice is not evidence-based and does more harm than good. EMRA*Cast host Peter Lorenz, MD, and guest Chris Reilly, MD, dig into the literature, best practices, and the humanity behind denying patients food or water in the emergency department.

We're seeing a LOT more medications like Ozempic in the emergency department nowadays. In fact, 12% of U.S. adults have used a GLP-1 drug! So, what do we need to know about these drugs? Dr. Megan Boysen Osborn, Professor of Emergency Medicine at the University of California Irvine, discusses these GLP-1 agonists with host Maiya Smith.

The transition from being a resident to an attending may be daunting for some. But have no fear, EMRA*Cast host Lizzii Le sits down with Gus Garmel, an Adjunct Clinical Professor of EM at Stanford University, author of multiple books on clinical education, to discuss this topic.

Students navigating the ERAS Application Cycle - or any residency application process - face a lot of stress and anxiety. Knowing the answer to every possible question is difficult, but having individuals with expertise in your corner is beneficial. Dr. Arlene Chung, current Vice Chair of Academic Affairs at the University of Vermont and previous Program Director at Maimonides Medical Center, joins host D'Monte Farley to provide valuable insight and helpful strategies to assist students while undergoing residency application season. 

Being a leader in emergency medicine, whether in the department or on the administrative side, is easier said than done. So, what are the skills a good leader should have, and what practices should they absolutely avoid? In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine physician Dr. Azita Hamedani (@ahamedani) as she discusses her own journey as founding chair of an emergency department and shares wisdom on how to develop and grow as a leader within EM.

Acetaminophen is widely available over the counter in the United States, increasing the risk of overdose (both acute and chronic). Several factors contribute to the complexity of managing this tricky condition in the emergency department, but until recently, there has been no true standardized approach. Guidance issued in 2023 aims to establish a helpful framework for managing acetaminophen overdose.  EMRA*Cast host Kyle Duke, MD, breaks it down with EMRA Toxicology Committee Chair Mason Jackson, MD.

Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it's even safe to treat. In this episode, Ray Isenburg and host Will Smith discuss the basics of AFib, how to treat it (both chemically and/or electrically), when is it safe to treat, and how to determine if this is something worth treating or if there is other pathology occurring that, once resolved, will resolve the heart rhythm.

Some pathologies are true can't-miss diagnoses. Get into one such condition with EMRA*Cast host Will Smith, MD, and EM guru Matthew DeLaney, MD. In this episode you will learn a very simple and comprehensive workup for mesenteric ischemia.

Let's hear it for the pharmacists who make every emergency medicine shift easier and safer. EMRA*Cast host Dustin Slagle, MD, picks up some pearls from Mike Perza, PharmD, BCPS.

A patient isn't breathing, 8 people are talking at once, alarms are alarming, and you have a whole roster of concerns and options running through your mind. How do you control your reaction, prioritize your response, and step up as a leader for your team and your patient?

Physician-led health care teams are a gold standard in emergency medicine. There's an art to learning how to lead that team, especially in today's climate. EMRA*Cast host Masood Mohammed, DO, MS, FAAEM, dives into the details with physician/attorney/national leader Ricky Dhaliwal, MD, JD.

Let's talk about the crashing intubated patient. What's your strategy? What if the nearest ICU requires transport? EM/intensivist Andrew Phillips gives EMRA*Cast host Kyle Duke some high-yield tips that you'll want to hear, too.

EMRA*Cast host Chris Reilly, MD, and NYU Grossman School of Medicine's Stacey Frisch, MD, MS-HPED, discuss effective strategies and key considerations for EM physicians during contract negotiations, with insights on preparation, priorities, and potential pitfalls.

How many EKGs does an emergency doctor interpret per shift? How many seconds of undivided attention can be devoted to those readings? Let's go over 7 key findings you can't miss for occlusive myocardial infarctions, with EMRA*Cast host Will Smith, MD, and emergency physician Domenico Mastandrea, DO, of Nuvance Health.

Doctors deal with EMS providers on the daily, but do we really understand their world? Dr. Lizzii Le chats with Dr. Kelly Tillotson and Dr. Luke Wohlford, who worked as EMS providers before becoming emergency physicians, to give us a deeper dive into what exactly goes into the field.

EMRA*Cast host Dustin Slagle, MD, and NYU critical care cardiology fellow James Ciancarelli, DO, revisit the topic of a prior episode – dual synchronous defibrillation – to further explore the theory, logistics, evidence, and indications for its use.

As the first Latina physician in the United States Congress, Rep. Yadira Caraveo, MD, brings a unique voice to policymaking. Dr. Caraveo tells former EMRA President Jessica Adkins Murphy about how she decided to run for office, what she hopes to achieve, and how every doctor can impact patient care through advocacy.

Seizures are part of the bread and butter in emergency medicine. Most of the time when these patients arrive in the ED, the seizing has stopped and there isn't much else for us to do. But in the cases where they seizures don't stop or when the patient has multiple seizures, do you know what meds to give and how much? How about second line? Third? Perhaps, even fourth line? In this episode Dr. Rod Fontenette goes over the latest in seizure management when first line benzos don't work, the appropriate dosing of those meds, and what to do in certain patient populations.

A crashing tox patient poses one of the most unique and challenging cases we face in the emergency department. Do you know all the tricks of the trade when it comes to managing them? In this episode, host Dr. Masood Mohammed (@DocMooseEM and MedSchoolMoose) sits down with toxicology expert Dr. Gillian Beauchamp (EMRA and ACMT Medical Toxicology Guide senior editor) to break down some of the key points when it comes to navigating the unstable tox patient.

Palliative care can be difficult and confusing. How do we care for those at the end of their life, and how can we also care for their families? Today we discuss the conversational and medical sides of palliative care medicine with EMRA*Cast host Kyle Duke, MD, and Carrie Harvey, MD, an EM/intensivist at the University of Michigan.

In this episode, Dr. Chris Reilly and Dr. Lizzii Le co-host an interview with Dr. Adam Goodcoff to discuss the impact of social media in medical education. The conversation covers authenticity, transparency, professionalism, and the potential for social media to revolutionize medical education.

Orthopedic injuries might seem more straightforward than your average undifferentiated weak-and-dizzy presentation in the emergency department. But don't be fooled! Learn some key sports medicine tips from Washington Capitals physician Landon Mueller, MD, and EMRA*Cast's Will Smith, MD.

Medical errors are an unfortunate, but nearly unavoidable, part of medical training and practice. The key is knowing how to turn an honest mistake into wisdom. EM educators Laura Welsh, MD, and Ivan Zvonar, MD, have some tips you can put into practice today. Join EMRA*Cast hosts Dustin Slagle, MD, and Lizzii Le, MD, for this conversation.

Since the beginning of time, storytelling is how we would pass along information and learn new things. So why are doctors bad at it? EMRA*Cast host Kyle Duke, MD, joins  Avir Mitra, MD, an EM doc who also has created stories for Vice, NPR, Radiolab, and more. We talk about what makes a good story and why storytelling is still relevant in medicine.

Performing a good neuro exam is arguably one of the trickiest areas of emergency medicine, but it's need-to-know and doesn't have to be such a headache! In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine physician Dr. Rahul Bhat (@bhatgtown of @GtownEM) to discuss how to perform a higher quality neuro exam on your next shift.

The culture of medical training historically has not supported an easy pregnancy experience. But is that culture changing? CAN you start your family before you finish residency?  EMRA*Cast host Lizzii Le, MD, talks to Melissa Nelson-Perron, MD, and Paige Reinfeld, DO, of Nuvance Health about the changing way the program approaches residents who are pregnant or planning family during training.

When Mark Cuban realized the "rebates" he was getting from his companies' PBM were actually paid for by his sickest employees, he couldn't opt out of the broken system fast enough. Now Mark Cuban Cost Plus Drug Co. is changing the game. What's next? And how can emergency medicine be part of this revolution? Find out with EMRA*Cast and EM Over Easy.

In this conversation with Dr. Anthony Mazarelli, co-author of “Wonder Drug: 7 Scientifically Proven Ways That Serving Others Is the Best Medicine For Yourself,” EMRACast host Dr. Chris Reilly dives deep into the idea of finding (and protecting) happiness through serving others. Tune in for a whole new approach to a healthy, happy attitude.

Many patients come and go through our trauma bays, but the goal never changes: Stabilize them, figure out what they need, then make that happen. In this episode, EMRA*Cast host Will Smith, MD, and Kyle Weant, PharmD, BCPS, BCCCP, FCCP, discuss the evidence (or lack thereof) behind some of the most commonly used resuscitation medications.

If you've ever thought critical care medicine might be an interesting career path, pull up a chair and join this conversation between EMRA*Cast host Dustin Slagle, MD, and three EMRA crit-care leaders who have reached various milestones in their critical care medicine journey: Jenelle Badulak, MD; Mark Ramzy, DO, EMT-P; and Brian Sumner, MD.

“I think we need better on-shift teaching.” This is a common quote from residents and med students alike in the emergency department. EMRA*Cast host Chris Reilly, MD, MS, talks with EM:RAP Deputy Director and EM educator Jessica Mason, MD, about different ways residents can take learning into their own hands and get the most out of their on-shift education. It's as easy as a SNAPPS (punny if you listen).

The management of several common pediatric emergency medicine complaints have changed in recent years. Are you up to date on the new guidelines? In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine and pediatric emergency medicine physician Dr. Kristy Schwartz (@SchwartziEMPEM) to break down some need-to-know updates when it comes to taking care of kids.

Join Brittany Ladson, DO, and host Kyle Duke, MD, for some ToxTalk fun, talking about the differences between and the risks and dangers of tetrahydrocannabinol, Delta-9 THC, and Delta-8 THC. Be sure to check out Dr. Ladson's article in EM Resident for a deeper dive.

Creating and maintaining a Curriculum Vitae (CV) can sometimes seem like a daunting task, but EMRA*Cast host Chris Reilly, MD, sits down with CV guru Dr. Saadia Akhtar to try to lessen the confusion and give you high-yield tips and tricks to make your CV stand out. 

Imposter syndrome robs you of confidence - and it can imperil your team, especially in a moment of crisis. Learn how to down-regulate yourself and the whole team, with host Will Smith, MD, and physician/coach Rob Orman, MD. (Pro tip: Tune in to Part 1 first to learn how to recognize that inner critic.) 

In this 2-part series, physician and coach Rob Orman, MD, explains how to deal with our inner critic so that we can be at our clinical best. He also touches on imposter syndrome and shares tips for dealing with the anxiety that sometimes comes with the territory for emergency physicians. Join host Will Smith, MD, to gain valuable insight from Dr. Orman.