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In this month's EM Quick Hits podcast: Zafar Qasim & Andrew Petrosoniak on whole blood transfusion in trauma, Justin Morgenstern on calcium pre-treatment to prevent diltiazem-induced hypotension, Kiran Rikhraj on dynamic LV outflow tract obstruction, Anand Swaminathan on resuscitative thoracotomy, Andrew Tagg on uterine casts, and Jesse McLaren on scale & proportionality in occlusion MI ECG interpretation. **Please support EM Cases to continue to be free open access by making a donation: https://emergencymedicinecases.com/donation/
On this month's EM Quick Hits podcast: Anand Swaminathan on optimizing RSI medication timing, Brittany Ellis on ED boarding challenges in older patients and solutions to ED crowding and flow, Dave Jerome on managing prolonged tourniquet application, Nour Khatib and Phil Gillick on a rural peer support case, Jesse McLaren on ECG reciprocal changes in acute coronary occlusion, and Melody Ng on practical nutrition tips for shift workers...
2024 was a great year for AI awareness building. Infosys EVP Anand Swaminathan, Infosys EVP, believes 2025 will be a pivotal year for organizations to unlock the true potential of AI to drive meaningful impact. Host Patrick Moorhead gets his thoughts on this and more on The View From Davos. Tune in as they discuss ⤵️ AI driving product reimagination and process simplification across industries Infosys's approach to innovation and how it's shaping the future of business Small Language Models (SLMs) are gaining traction for business-specific purposes Creating a culture of innovation and embracing AI within large organizations Utilizing AI to drive tangible revenue growth Learn more at Infosys. Watch the video, and be sure to subscribe to our YouTube channel, so you never miss an episode.
On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures, Andrew Petrosoniak on debriefing after cases: why, when and how... Do you learn a lot from EM Cases? Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/
What happened when the Rooney Rule made its way from pro football to corporate America? Some progress, some backsliding, and a lot of controversy. (Second in a two-part series.) SOURCES:Tynesia Boyea-Robinson, president and C.E.O. of CapEQ.N. Jeremi Duru, professor of law at American University.Herm Edwards, former N.F.L. player and head coach.Christopher Rider, professor of entrepreneurial studies at the University of Michigan.Jim Rooney, author and co-partner of Rooney Consulting.Scott Shephard, general counsel at the National Center for Public Policy Research. RESOURCES:The Social Impact Advantage: Win Customers and Talent By Harnessing Your Business For Good, by Tynesia Boyea-Robinson (2022).A Different Way to Win: Dan Rooney's Story from the Super Bowl to the Rooney Rule, by Jim Rooney (2019)."If There's Only One Woman in Your Candidate Pool, There's Statistically No Chance She'll Be Hired," by Stefanie K. Johnson, David R. Hekman and Elsa T. Chan (Harvard Business Review, 2016)."Racial Disparity in Leadership: Performance-Reward Bias in Promotions of National Football League Coaches," by Christopher I. Rider, James Wade, Anand Swaminathan, and Andreas Schwab (SSRN, 2016).Advancing the Ball: Race, Reformation, and the Quest for Equal Coaching Opportunity in the NFL, by N. Jeremi Duru (2010). EXTRAS:"Did the N.F.L. Solve Diversity Hiring? (Part 1)," by Freakonomics Radio (2024).“When Is a Superstar Just Another Employee?” by Freakonomics Radio (2023).“How Much Does Discrimination Hurt the Economy? (Replay),” by Freakonomics Radio (2023).
On this month's EM Quick Hits podcast: Ian Chernoff on the often elusive diagnosis of traumatic coronary artery dissection, Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia, Brit Long and Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management, Dave Jerome on recognition and management exercise-associated hyponatremia and heat illness and Jesse McLaren on the Queen of Hearts AI model in helping identify occlusion MI on ECG... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/
In this month's EM Quick Hits podcast: Megan Landes on the importance of diagnosing HIV in the ED, Jesse McLaren on the failed paradigm of STEMI criteria and ECG tips to identify acute coronary occlusion, Anand Swaminathan on evidence for non-invasive airway management in the poisoned patient, Brit Long and Hans Rosenberg on the identification, workup and management of spontaneous bacterial peritonitis, Matt Poyner on the most lucrative side-gig, DIY investing. To support EM Cases, please consider a donation here: https://emergencymedicinecases.com/donation/
Anand Swaminathan on an update on the appropriate selection of induction agents. Hans Rosenberg on when to use gabapentinoids for pain control in the ED. Katie Lin on pearls for neuroprotective intubation. Nour Khatib and Hamza Jalal on an approach to paresthesias in the ED. Eric Wortmann on preventing burnout in emergency medicine. Please support EM Cases with a donation https://emergencymedicinecases.com/donation/ The post EM Quick Hits 55 – Induction Agents, Gabapentinoids, Neuroprotective Intubation, Approach to Paresthesias, Preventing Burnout appeared first on Emergency Medicine Cases.
On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine immobilization controversies and techniques, Navpreet Sahsi on the difference between humanitarian and development work The post EM Quick Hits 53 Postpartum Hemorrhage, Serotonin Syndrome, TBI Herniation Syndromes, Ulcerative Colitis, Pediatric C-Spine Immobilization, Global EM appeared first on Emergency Medicine Cases.
On this month's EM Quick Hits podcast: Anand Swaminathan on the role of methylene blue in septic shock, Nour Khatib on jaw dislocation reduction techniques, Hans Rosenberg on a phenotypic approach to Crohn's disease emergencies, Gil Yehudaiff on evidence based analgesics in renal colic, Brit Long on the importance of inhaled steroids for asthma, and Andrew Petrosoniak on the "lethal diamond" in polytrauma patients and the current state of hypocalcemia in bleeding trauma patients... The post EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn's Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients appeared first on Emergency Medicine Cases.
Date: July 6, 2023 Reference: Hanula R et al. Evaluation of oseltamivir used to prevent hospitalization in outpatients with influenza: a systematic review and meta-analysis. JAMA Int Med 2023. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Managing editor of EM:RAP and Associate Editor at REBEL EM. Case: A 57-year-old woman with hypertension, […] The post SGEM#409: Same as it Ever Was – Tamiflu for Influenza? first appeared on The Skeptics Guide to Emergency Medicine.
On this month's EM Quick HIts podcast: Anand Swaminathan on EVT for large vessel occlusion strokes, Sarah Reid on picking up intussusception, Andrew Petrosoniak on 5 Penetrating Trauma Tips, Peter Toth on using a slit lamp to manage skin foreign body hack, Nour Khatib and Jonathan Wallace on CT Radiation Risk and Matt Poyner on setting up an emergency fund... The post EM Quick Hits 49 Stroke Management Update, Intussusception, 5 Penetrating Trauma Tips, Skin Foreign Body Hack, CT Radiation Risk, Emergency Fund appeared first on Emergency Medicine Cases.
In this month's EM Quick Hits podcast: Anand Swaminathan on 3-pronged approach to aortic dissection management, Jonathan Wallace on rural practice tips for glue removal and ESP block for renal colic, Sara Gray on everything you need to know about High Flow Nasal Cannula but were afraid to ask, Maria Ivankovic on reducing the duration of antibiotic therapy for uncomplicated common bacterial infections, Tahara Bhate on handover and learner oversight on QI corner and Kerstin De Wit on the ADJUST-UNLIKELY tool for pulmonary embolism... The post EM Quick Hits 47 HFNC, Dissection Drugs, ADJUST-UNLIKELY for PE, Antibiotic Course Duration, Skin Glue Hacks, ESP Block, Learner Oversight appeared first on Emergency Medicine Cases.
In this episode of The Venture, we share a conversation with Moritz Hartmann, global head of Roche Information Solutions for Roche Diagnostics, one of the Swiss multinational's two divisions. Adapting to constant technological change and disrupting via science has fueled the 125-year-old company's longevity, which now uses digital tools and data science to provide insights, drive outcomes, and deliver personalized healthcare. Hartmann sat down with McKinsey's Anand Swaminathan to explain his mission to innovate the company's diagnostic solutions through the adoption of new technology, giving product teams the freedom to operate without interference from above, and never forgetting to let patient needs guide the business.See www.mckinsey.com/privacy-policy for privacy information
In this EM Quick Hits podcast: Salim Rezaie on venous thromboembolism recurrence in subsegmental pulmonary embolism, Andrew Petrosoniak on pain management in the polytrauma, Nour Khatib on a rural EM case on management of near-drowning patient, Sara Reid delivers a polio primer, Anand Swaminathan on head-up CPR... The post EM Quick Hits 42 – Subsegmental PE, Trauma Analgesia, Near-Drowning, Polio, Head-up CPR appeared first on Emergency Medicine Cases.
In this EM Quick Hits podcast: Anand Swaminathan on limitations and practical tips on intraosseus access,Tahara Bhate QI corner on missed ectopic pregnancy, Sarah Reid from EM Cases Summit on oxygen saturation monitoring in bronchiolitis and management of infant gastro-esophageal reflux, Brit Long on the value of rectal exam in diagnosis of cauda equina syndrome, Hans Rosenberg & Ariel Hendin on withdrawal of life-sustaining care in the ED... The post EM Quick Hits 41 – IO Limitations, Missed Ectopic Pregnancy, Bronchiolitis O2 Monitoring, DRE in Cauda Equina Syndrome, Withdrawal of Life Sustaining Care appeared first on Emergency Medicine Cases.
In this month's EM Quick Hits podcast: Anand Swaminathan on GI balloon tamponade preparation and indications, Jesse McLaren on why troponin is rarely useful in SVT, Christina Shenvi on why we should not use the term "mechanical fall" in older patients, Nour Khatib & Jonathan Wallace on rural vertical vertigo case and Reuben Strayer on VAFEI - Video-Assisted Flexible Endoscopic Intubation for the anatomically challenging airway... The post EM Quick Hits 40 – GI Balloon Tamponade, SVT and Troponin, Falls in Older Patients, Vertical Vertigo, VAFEI Airway appeared first on Emergency Medicine Cases.
On today's podcast, we're going to talk with EBB Childbirth Class Parents, Lisa Mangini and Anand Swaminathan about their high-intervention birth story! So many people have negative associations with interventions— but Lisa and Anand's story shows how you can still experience a joyful, empowering birth, even in the midst of complications! Lisa Mangini is a writer living in Central Pennsylvania with her husband, Anand and young son. She teaches English and creative writing at a university and is in the early stages of writing a book about becoming a parent. I think Lisa is the first person I've heard of who found the EBB Childbirth Class through a neurologist! During her first pregnancy (which ended in a miscarriage), Lisa had her first tonic-clonic seizure. Lisa had to dive into a journey to manage her seizure disorder and several other health conditions, all while trying to conceive and then eventually getting pregnant. Lisa and Anand's story is perfect for anyone who is facing a high-risk pregnancy or supporting clients who are high-risk! Lisa talks about dealing with prenatal anxiety, switching hospitals and providers, deciding to hire a doula, and how a calm, experienced midwife can be a huge asset during a high-risk birth situation. Content warning: We mention miscarriage, prenatal anxiety, high levels of medical intervention, seizures, and fear of dying during childbirth Resources: Follow Lisa at @lisaquarius and Lisamangini.com Find an EBB Childbirth Class at https://evidencebasedbirth.com/childbirthclass EBB Signature Article on doulas at https://evidencebasedbirth.com/doulas EBB Podcast episode 175 on the evidence on midwives https://evidencebasedbirth.com/evidence-on-midwives/ EBB Podcast episode 186 on a high-risk pregnancy with Angela Jones https://evidencebasedbirth.com/a-positive-pregnancy-and-birth-outcome-with-multiple-high-risk-labels-with-ebb-childbirth-class-parent-angela-jones/
In this month's EM Quick Hits podcast Justin Morgenstern & Eddy Lang discuss the problem of overdiagnosis in EM, Anand Swaminathan's approach to indications and dosing of thrombolytics for submassive (intermediate risk) pulmonary embolism, Tahara Bhate's QI Corner on a patient with unexplained shortness of breath, Brit Long on emergency treatment of the bleeding hemophilia patient... The post EM Quick Hits 39 Overdiagnosis, Lytics for Submassive PE, Pericardial Effusion, Hemophilia Treatment appeared first on Emergency Medicine Cases.
In this month's episode of ACEP Nowcast, Dr. Cedric Dark speaks with Dr. Anand Swaminathan about his...
In this month's episode of ACEP Nowcast, Dr. Cedric Dark speaks with Dr. Anand Swaminathan about his...
Tahara Bhate's new QI corner Quick Hits series, Hans Rosenberg & Michael Gottlieb on the evidence around ED diagnosis and management of skin abscesses using PoCUS, Anand Swaminathan on what the oxygen saturation monitor can tell you besides oxygen saturation, Sarah Reid on how to pick up infantile spasms and prevent poor neurologic outcomes, Elisha Targonsky on battle of the ED rate control medications for rapid atrial fibrillation... The post EM Quick Hits 37 Introducing QI Corner, Skin Abscess, O2 Sat Monitor Pearls, Infantile Spasms, Atrial Fibrillation Rate Control appeared first on Emergency Medicine Cases.
In this months EM Quick Hits podcast: Ken Milne expertly walks us through the 10 biggest EM papers of 2021, Brit Long on a careful structured approach to Febrile Neutropenia to improve outcomes, Catherine Varner on how not to miss Peripartum Cardiomyopathy, Joe Nemeth on Anaphylaxis update and Anand Swaminathan gives us his approach to the Crashing Asthmatic... The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.
In this episode of REBEL Cast, Anand Swaminathan and I sit down to discuss the utility of thrombolysis prior to Endovascular therapy for LVO acute ischemic stroke. The discussion is broken up into two potential scenarios: Not all facilities are comprehensive stroke centers In comprehensive stroke center, time from door to groin puncture will be ... Read more The post REBEL Cast Ep 105: Thrombolysis Before Endovascular Therapy for LVO Acute Ischemic Stroke appeared first on REBEL EM - Emergency Medicine Blog.
In this months EM Quick Hits podcast: The mighty return of Carr's Cases! Sarah Reid on differentiating septic arthritis from transient synovitis in pediatric limp, Anand Swaminathan on managing tracheostomy complications in the ED, Nour Khatib on rural medicine and ethylene glycol poisoning, Justin Morgenstern on RCTs for ketamine in patients with severe agitation... The post EM Quick Hits 34 Carr's Case, Septic Arthritis vs Transient Synovitis, Managing Tracheostomies, Ethylene Glycol Poisoning, Ketamine for Agitation appeared first on Emergency Medicine Cases.
In this month's EM Quick Hits podcast, Anand Swaminathan on tips and tricks in polytrauma, Rohit Mohindra on diagnosis and management of toxic megacolon, Jesse McLaren on ECG in pulmonary embolism, Victoria Myers on approach to the patch call for cardiac arrest, Brit Long on when to do a CT head before LP, Salim Rezaie on nebulized ketamine - the ketaBAN study... The post EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine appeared first on Emergency Medicine Cases.
In this EM Quick Hits: Walter Himmel on new diseases associated with immune checkpoint inhibitors, Leeor Sommer on the evolution of epiglottitis - adult epiglottitis clinical pearls, Sarah Reid on how to pick up HSP, Anand Swaminathan on an approach to management of heat stroke, Justin Morgenstern on the association between pediatric Bell's palsy and leukemia... The post EM Quick Hits 32 Checkpoint Inhibitors, Adult Epiglotitits, HSP, Heat Stroke, Bell's Palsy and Leukemia appeared first on Emergency Medicine Cases.
Cloud has become a great enabler in advancing organizations' business priorities across Asia. The growing importance of cloud technology is now being realized all over the region but challenges remain. What are the best practices when thinking about leveraging cloud technology? How do leaders attract and retain talent that can take their organizations to the next level? In this episode, we shine a light on the challenges and offer ways for leaders to think about integrating cloud tech that is fit-for-purpose. Join the conversation with Paul Macpherson, Chief Information Officer of Consumer, Private and Business Banking at Standard Chartered Bank; Garrett Ilg, President of Oracle for Japan and Asia Pacific; Anand Swaminathan, McKinsey Senior Partner, Singapore; and Brant Carson, Partner, Sydney.See www.mckinsey.com/privacy-policy for privacy information
Cloud has become a great enabler in advancing organizations' business priorities across Asia. The growing importance of cloud technology is now being realized all over the region but challenges remain. What are the best practices when thinking about leveraging cloud technology? How do leaders attract and retain talent that can take their organizations to the next level? In this episode, we shine a light on the challenges and offer ways for leaders to think about integrating cloud tech that is fit-for-purpose. Join the conversation with Paul Macpherson, Chief Information Officer of Consumer, Private and Business Banking at Standard Chartered Bank; Garrett Ilg, President of Oracle for Japan and Asia Pacific; Anand Swaminathan, McKinsey Senior Partner, Singapore; and Brant Carson, Partner, Sydney. Read more > Listen to the podcast (duration: 30:27) >
In this month's EM Quick Hits podcast: Arun Sayal on the nuances of assessment for scaphoid fractures, Justin Morgenstern on the evidence for therapeutic hypothermia post-arrest and the TTM2 trial, Sarah Reid on HEADS-ED mental health screening tool for children, youth and young adults, Andrew Petrosoniak on pelvic trauma and pelvic binder tips and pitfalls, Michelle Klaiman on what we need to know about Kratom and Anand Swaminathan on why femoral lines are often a great central line choice... The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.
Ever been Coached in Real-time during a shift? Has it been a good experience? Listen as we discuss how to make it productive and positive! Don't forget as the OFFICIAL podcast of the ACOEP, be sure to check out the ACOEP by visiting aceop.org to learn more and to sign up for one of their many CME offerings.
Making a medical diagnosis with limited information is at the heart of emergency medicine. Emergency physicians often have to make decisions without all of the information. Dr Anand Swaminathan shares a case where EMS rolled into emergency with a patient who was short of breath, hypotensive, tachycardic and hypoxic. She had syncopized at a rehabilitation centre and by the time she got to emergency, she was seriously unwell and unable to provide much information. Dr Swaminathan shares the steps he took in diagnosing a patient who was too sick to go for a CT scan. His first piece of advice? Ultrasound is key. Ideally, we all want to have diagnostic closure before prescribing medication which could be harmful, however this isn't always possible if a patient is too sick. So how do we make the call without a definitive diagnosis? Think about the exclusions, weigh up all the options and do what is right for the patient. For more head to: codachange.org/podcasts
In this month's EM Quick Hits podcast: Anand Swaminathan on vasopressor failure, Brit Long and Michael Gottlieb on aspleic considerations, Sarah Reid on a bronchiolitis update and evolving patterns in the COVID era, Hans Rosenberg and Lindsay Cheskes on ICD electrical storm, Justin Morgenstern on night shift tips... The post EM Quick Hits 29 Vasopressor Failure, Asplenic Considerations, Bronchiolitis Update, ICD Electrical Storm, Night Shift Tips appeared first on Emergency Medicine Cases.
In this month's EM Quick Hits podcast: Anand Swaminathan on the approach to cardiogenic shock, Hania Bielawska on the myths of radiation dose in pregnant patients, Hans Rosenberg & Michael Gottlieb on PoCUS in airway management, Menaka Pai on VIPIT following AstraZeneca COVID-19 vaccination, Brit Long & Michael Gottlieb on Angiotensin II for emergency clinicians, Michael Schull on tips on the safety of short-term steroid use.... The post EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety appeared first on Emergency Medicine Cases.
Procrastination is simply put, a voluntary delay of tasks that we intend to do. In this REBEL Core Cast, Anand Swaminathan, MD and Marco Propersi,... The post REBEL Core Cast 52.0 – Procrastination appeared first on REBEL EM - Emergency Medicine Blog.
In medicine, one thing you cannot avoid is giving presentations. It is both exciting and nerve-wracking to present to colleagues, attendings, and friends. Yet some doctors are extremely talented at holding captive audiences. Host Dr. Ranjita Raghavan chats with the incomparable Dr. Anand Swaminathan (aka Swami) to give us the scoop on how to make an excellent, engaging lecture in person and on Zoom.
Anand Swaminathan on LAST prevention, recognition and management, Emily Austin on sodium nitrite suicide kit poisoning, methemoglobinemia and methylene blue, Hans & Erin Rosenberg on post-intubation analgesia and sedation, Salim Rezaie on short-term tetracaine for corneal abrasions new evidence, Jesse MacLaren on differentiating ST deviation in occlusion MI from other causes, Robert Maunder on a 3 step approach to coping and building resilience during the COVID pandemic... The post EM Quick Hits 26 LAST, Sodium Nitrite Poisoning, Post-intubation Care, Tetracaine for Corneal Abrasion, ST Segment in Occlusion MI, Coping with COVID appeared first on Emergency Medicine Cases.
In this month's EM Quick Hits podcast: Justin Morgenstern on which patients to consider cerebral venous thrombosis in, Maria Ivankovic on diphenhydramine alternatives, Brit Long on abdominal compartment syndrome, Sarah Reid on neonatal "constipation" - when to worry, and Anand Swaminathan on intubating the patient with metabolic acidosis... The post EM Quick Hits 25 Cerebral Venous Thrombosis, Diphenhydramine Alternatives, Abdominal Compartment Syndrome, Neonatal Constipation, Intubating Metabolic Acidosis appeared first on Emergency Medicine Cases.
In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR... The post EM Quick Hits 24 Lateral Canthotomy, Cannabis Poisoning, Hyperthermia, Malignant Otitis Externa, BBB in Occlusion MI, Prone CPR appeared first on Emergency Medicine Cases.
This week Anand Swaminathan (of EM:RAP and RebelEM fame) and I talk about medical education for the...more mature clinician. Check it out! Virtual Castlefest 2020 will be Nov 9-10 this year. For more info, click here: https://www.castlefest2020.com
As the attending you’re job is to organize the chaos and all of a sudden out of the corner of your eye, you see the other attending (your double coverage) come in and stand in the corner quietly. How do you react? Will this be a positive experience? Listen as our hosts discuss this topic with guest Anand Swaminathan and Miguel Reyes, during this episode that was recorded at the St Joe's Grand Rounds in September.
In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiac arrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS... The post EM Quick Hits 22 Postpartum Hemorrhage, Phenobarbital in Status Epilepticus, Managed Alcohol Programs, Traumatic Cardiac Arrest, Cholangitis, ED Approach to ARDS appeared first on Emergency Medicine Cases.
Justin Morgenstern on imaging choices in renal colic, Hanni Stoklosa on recognition and management of human trafficking, Rohit Mohindra on management of atrial fibrillation during COVID-19, Anand Swaminathan on transvenous pacemaker placement, Rob Simard on COVID-19 lung POCUS, Brit Long on COVID-19 dermatology and Sarah Foohey & Paul Koblic on virtual simulation... The post EM Quick Hits 20 Imaging Renal Colic, Human Trafficking, Atrial Fibrillation During COVID, Transvenous Pacemaker Placement, COVID Lung POCUS, COVID Derm, Virtual Simulation appeared first on Emergency Medicine Cases.
Anand Swaminathan on airway management in angioedema, Jeff Perry on Ottawa subarachnoid hemorrhage rule and 6hr CT rule, Hania Bielawska on ED breastfeeding myths and misconceptions, Brit Long on neurologic associations with COVID-19, Justin Hensley on management of spider bites and Hans Rosenberg & Heather Murray on management of skin abscesses... The post EM Quick Hits 19 Angioedema, SAH Decision Tool, Breastfeeding Myths, COVID-19 Neurology, Spider Bites, Skin Abscess Management appeared first on Emergency Medicine Cases.
Mission Log welcomes an extended interview by our partner podcast, Shabam!, with Dr. Anand Swaminathan discussing the complicated issues around coronavirus. Logically, it's Trek-related too! Hear how The Wrath of Khan ties in and stick around for Dr. Swami's fun Leonard Nimoy story. Roddenberry Podcasts: Mission Log: Shabam!: Support us on Patreon:
Mission Log welcomes an extended interview by our partner podcast, Shabam!, with Dr. Anand Swaminathan discussing the complicated issues around coronavirus. Logically, it's Trek-related too! Hear how The Wrath of Khan ties in and stick around for Dr. Swami's fun Leonard Nimoy story. Roddenberry Podcasts: podcasts.roddenberry.com Mission Log: missionlogpodcast.com Shabam!: shabamshow.com Support us on Patreon: patreon.com/missionlog
Mission Log welcomes an extended interview by our partner podcast, Shabam!, with Dr. Anand Swaminathan discussing the complicated issues around coronavirus. Logically, it's Trek-related too! Hear how The Wrath of Khan ties in and stick around for Dr. Swami's fun Leonard Nimoy story. Roddenberry Podcasts: Mission Log: Shabam!: Support us on Patreon:
Mission Log welcomes an extended interview by our partner podcast, Shabam!, with Dr. Anand Swaminathan discussing the complicated issues around coronavirus. Logically, it's Trek-related too! Hear how The Wrath of Khan ties in and stick around for Dr. Swami's fun Leonard Nimoy story. Roddenberry Podcasts: Mission Log: Shabam!: Support us on Patreon:
Anand Swaminathan on recognition and ED management of adrenal crisis, Maria Ivankovic on indications for antibiotics in strep throat from EM Cases Course 2020, Jesse McLaren on recognition of posterior MI from ECG Cases, Justin Yan & Hans Rosenberg on just the facts of approach to DKA, Brit Long on ovarian torsion imaging myths, Walter Himmel on how to use the HINTS exam properly, and Ian Stiell on how to use Canadian CT head rules properly... The post EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule appeared first on Emergency Medicine Cases.
Anand Swaminathan on oxygenation strategies for COVID-19 learned from the New York experience, Andrew Petrosoniak on trauma care modifications in the COVID-19 era, Michelle Klaiman on addiction medicine considerations, Brit Long & Michael Gottlieb on cardiac complications of COVID-19 and Leeor Sommer on physician compassion and preserving patients' humanity... The post EM Quick Hits 16 COVID-19 Oxygenation Strategies, Trauma Care, Addictions Considerations, Cardiovascular Complications and Compassionate Care appeared first on Emergency Medicine Cases.
In this special edition EM Quick Hits podcast, Drs. Eddy Lang, Salim Rezaie, Anand Swaminathan, Jonathan Sherbino and Reuben Strayer share their experience with the COVID-19 pandemic and offer some practical tips... The post EM Quick Hits 14 – COVID-19 Your Colleagues’ Experiences and Practical Tips appeared first on Emergency Medicine Cases.
In this EM Quick Hits podcast we have Paul Dorion on immediate cardioversion vs rate control/delayed cardioversion for atrial fibrillation, Justin Morgenstern & Justin Hensley on emergency management of snake bites, Brit Long on reliability of clinical features in the diagnosis of ovarian torsion, Michelle Klaiman on emergency management of crystal methamphetamine use disorder, Hans Rosenberg & Rob Ohle on workup of suspected aortic dissection, and Anand Swaminathan on epinephrine and magnesium sulphate in severe asthma... The post EM Quick Hits 12 AFib Early vs Delayed Cardioversion, Snake Bites, Ovarian Torsion Myths, Crystal Meth, Aortic Dissection, Severe Asthma Meds appeared first on Emergency Medicine Cases.
In Part Two of 'Experts and Testiliars' we continue to explore the world of unethical medical expert witnesses and their impact on defendants and the litigation system. You'll hear a presentation of Dr. Pensa's own malpractice case, as well as verbatim expert witness testimony from her second trial (acted out brilliantly by Dr. Anand Swaminathan as the plaintiff's expert). We also discuss what physicians can do to help attorneys identify and disempower 'testiliars' during litigation, what 'standard of care' actually means, and what recourse physicians can take after their case is completed if they feel they have been wronged by an unethical expert. Louise Andrew MD JD, Greg Henry MD, and Jeff Segal MD JD add their expertise.
Sarah Reid on pediatric appendicitis risk calculator, Sheldon Cheskes & Mark Ramzy on double defibrillation for refractory ventricular fibrillation, Hans Rosenberg & Krishan Yadav on cellulitis clinical pearls, Anand Swaminathan on serratus anterior block, Brit Long on recognition of toxic shock syndrome, Justin Morgenstern on tranexamic acid in head injury and CRASH-3... The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.
Anand Swaminathan on Lemierre's syndrome, Emily Austin on clonidine toxicity, Brit Long on myths of routine coagulation panel testing, Hans Rosenberg and Michael Ho on reversal of anticoagulation, Sheldon Cheskes on mechanical CPR... The post EM Quick Hits 8 Lemierre’s Syndrome, Clonidine Toxicity, Routine Coag Panel, Anticoagulation Reversal, Mechanical CPR appeared first on Emergency Medicine Cases.
Anand Swaminathan on a simple approach to status epilepticus, David Juurlink on codeine and tramadol interactions: nasty drugs with nastier drug interactions, Brit Long on DOACS in patients with malignancy: which patient's with cancer can be safely prescribed DOACs? Ian Stiell on atrial fibrillation rate vs rhythm control controversy, Justin Morgenstern on peripheral vasopressors: safe or unsafe? Michelle Klaiman, Taryn Lloyd on motivational interviewing that makes a difference to patient's lives... The post EM Quick Hits 7 Approach to Status Epilepticus, Codeine Interactions, Anticoagulation in Malignancy, Atrial Fibrillation Rate vs Rhythm Control, Peripheral Vasopressors, Motivational Interviewing appeared first on Emergency Medicine Cases.
In this EM Quick Hits episode: Andrew Petrosoniak on diagnosis and risk stratification of blunt cardiac trauma, Clare Atzema on latest guidelines for anticoagulation in atrial fibrillation, Maria Ivankovic on hydromorphone vs morphine for acute pain, Brit Long on clinical pearls in the diagnosis of myasthenia gravis, Anand Swaminathan on venous access tips and tricks, and bonus material from EM Cases Course June 2018 with Walter Himmel and Barbara Tatham on Physician Compassion and tools to prevent burnout... The post EM Quick Hits 6 Blunt Cardiac Trauma, Atrial Fibrillation Anticoagulation, Hydromorphone vs Morphine, Myasthenia Gravis, Venous Access appeared first on Emergency Medicine Cases.
Listen as Drew and Andy sit down with guests and friends of the podcast Anand Swaminathan and tiffany Profit as they discuss their #LookingBack Moments about who were some of their pre-medicine influencers. Music: Bensound
During Castlefest we had the honor of sitting down with Anand Swaminathan to hear his thoughts on learning and utilizing ultrasound even if you didn’t necessarily learn it in residency. Check it out! If you want to come hang out with us in Bend, Oregon, go to Bendfest19.com. Want to come free of charge courtesy of G.E.? Email us to tell us why you think you deserve it. Want to participate in a year long online fellowship? Go to Ultrasoundleadershipacademy.com.
Voir Dire: Conversations from the Criminal Justice Policy Program at Harvard Law School
This week we talk to Anand Swaminathan, an attorney at Loevy and Loevy—a national firm that does civil rights work adjacent to the criminal legal system. We discuss the role of civil litigators in changing the criminal legal system.
On this EM Quick Hits podcast we have Natalie May on Kawasaki disease clues to diagnosis, Justin Morgenstern on suturing dog bites: the evidence, Anand Swaminathan on BVM prior to laryngoscopy, Michelle Klaiman on anticraving medications for alcohol use disorder and special guest Howard Ovens on managing ED violence with compassionate care... The post EM Quick Hits 3 – Kawasaki Disease, Suturing Dog Bites, BVM in RSI, Anticraving Meds for Alcohol Misuse, ED Violence appeared first on Emergency Medicine Cases.
On this EM Quick Hits podcast we have Emily Austin on organophosphate poisoning, Arun Sayal on malrotation of metacarpal fractures, Andrew Petrosoniak on pitfalls in abdominal stab wound management, Anand Swaminathan on tranexamic acid for non-massive hemoptysis, and Natalie May on pediatric IV cannulation tips and tricks... The post EM Quick Hits 2 Organophosphate Poisoning, TXA for Hemoptysis, Metacarpal Fracture Rotation, Abdominal Stab Wounds, Pediatric IV Cannulation appeared first on Emergency Medicine Cases.
EM Quick Hits is a brand new EM Cases podcast that contains 5 minute segments chosen from 10 specific topics by 10 different experts and educators. These topics are ones that either are not taught very well in training and/or that physicians tend to be not completely comfortable with. They include toxicology, trauma, ophthalmology, orthopaedics, resuscitation, human factors, addiction and pediatric emergencies. The EM Quick Hits Team is: Emily Austin, Peter Brindley, Chris Hicks, Michelle Klaiman, Anna MacDonald, Natalie May, Justin Morgenstern, Andrew Petrosoniak, Hans Rosenberg, Arun Sayal and Anand Swaminathan... The post EM Quick Hits 1 Massive PE, Gabapentin for Alcohol Withdrawal, Dental Avulsions, Pediatric Eye Exam, Best Resuscitation Fluid appeared first on Emergency Medicine Cases.
Last podcast Mike and Jacob gave you their tips on how to be an effective lecturer. This week our mentors (Haney Mallemat, Resa Lewiss, Alyson McGregor, Victoria Brazil, Matt Dawson, and Anand Swaminathan) give us their top tips for how to be a rockstar on the stage. Check it out! Wanna learn from us in person? Well, we have good news. There are 2 conferences coming up, one in Bend, Oregon, and the other in Lexington, Ky. Click the links to learn more!
We always lecture about ultrasound, but we’ve never lectured on how to lecture about ultrasound. In our latest episode, Mike Mallin and Jacob Avila discuss the finer points of how to produce a good lecture. Also, stay tuned for our next episode where we get tips from the experts: Haney Mallemat, Anand Swaminathan, Resa Lewiss, Vic Brazil, Ashley Shreeves and Matt Dawson. Wanna learn from us in person? Well, we have good news. There are 2 conferences coming up, one in Bend, Oregon, and the other in Lexington, Ky. Click the links to learn more!
Anand Swaminathan, a senior partner at McKinsey and Stephen W. Maye continue their conversation about what digital transformation means today, and why it’s important to almost every organization’s future. Real-world business examples of digital transformation enlighten part two of our conversation with Anand, as we dive more deeply into the role of cross-functional teams and discuss the culture challenges that must be addressed. Anand Swaminathan is also one of the authors of Digital @ Scale: The Playbook You Need to Transform Your Company. Anand covers some of topics in the book such as the changes in strategy that happen as part of the digital transformation, changes in culture, the organization model and operating model, as well as the changes in fundamental capabilities. For an easy way to stay up-to-date on Projectified with PMI, follow the podcast at: Apple Podcasts, Google Play Music, SoundCloud, Stitcher, or pmi.org/podcast. Key Takeaways: [04:35] Breaking down silos with cross-functional teams [07:05] Examples of digital transformation in healthcare [10:05] Culture change and reinvention are mandatory [12:15] Emerging roles to build bridges, drive transformation [14:08] 'Intentionally temporary' jobs, processes and models [17:00] Preparing for your digital work future Links: McKinsey & Company Digital @ Scale: The Playbook You Need to Transform Your Company, by Anand Swaminathan and Jürgen Meffert
Anand Swaminathan, a senior partner at McKinsey and Stephen W. Maye talk about what digital transformation means today, why it’s important to almost every organization’s future, the role of project management and realising its benefits, the risks and challenges it introduces, and the changes it can bring to your work culture, teams and customer experiences. Anand Swaminathan is also one of the authors of Digital @ Scale: The Playbook You Need to Transform Your Company. Anand covers some of topics in the book such as the changes in strategy that happen as part of the digital transformation, changes in culture, the organization model and operating model, as well as the changes in fundamental capabilities. For an easy way to stay up-to-date on Projectified with PMI, follow the podcast at: Itunes, Stitcher, Google Play or pmi.org/podcast. Key Takeaways: [1:27] What ‘Digital Transformation’ represents [3:22] What is different today in digitizing processes and the capabilities in technology [5:33] The fundamental difference between ‘strategy’ vs. ‘execution’ [7:07] The breadth of relevance of digital transformation as a modern movement [7:38] Where we should look today to see the most significant impact from an industry perspective [10:01] Going Digital: Embracing the capabilities (John Deere serving as an example) [13:47] Connection to Culture: The culture shift from digital transformation [15:22] The big red flags in digital transformation initiatives [19:36] Tailoring your digital transformation to better suit your customers [21:02] Infusing and not replacing talent; Putting together the organization ‘puzzle’ [22:11] Planning a major digital transformation program vs. Planning a large technology implementation Links: McKinsey & Company Digital @ Scale: The Playbook You Need to Transform Your Company, by Anand Swaminathan and Jürgen Meffert
Listen as Drew, Tanner and Andy sit down with Mr #FOAMed himself Anand Swaminathan and discuss how he got his start in the world of medical education. Music: BenSound
t’s sunday SuNdaY SUNDAY! That means its time for Swamithon! What do you know about leadership? Probably something… but not enough because you haven’t heard this podcast! Dr. Anand Swaminathan is the cohost and assistant editor of EM:RAP, Editor in chief for Core EM, and a Dad! He is here today to take his four wheels of leadership fury and run the gauntlet of preconceived notions of leadership! He’ll take you for a ride around the track that has only been traveled by the most experienced leaders! Get your popcorn, find your seat, and get ready to have your ears and brains rattled! Podcast Editor: Dr. Aron Slear
Anand Swaminathan - PRO - PE is a spectrum of disease and patients on different parts of the spectrum should be treated differently. Subsegmental PE may need no treatment at all whereas massive PE is unlikely to improve without lytics. Between these ends of the spectrum lies the submassive PE - hemodynamically stable but with signs of RV strain portending worse long-term functional outcomes for patients and possible early deterioration. These patients should all be considered for systemic thrombolysis to improve outcomes. Iain Beardsell - CON - Some of the most difficult topics in medicine attract considerable debate, The use of thrombolysis for submassive PE is one of these. In this "Con" argument I attempt to highlight some of the most pertinent evidence against the use of thrombolysis.
In this podcast, we discussion burnout. With emergency medicine having one of the highest burnout specialties in medicine, it is crucial that we bring these conversations to the forefront. This episode features Dr. Rob Orman and Dr. Anand Swaminathan talking on the ever elusive work-life balancing act. These podcasts are a lead-up to the Essentials of Emergency Medicine preday event (May 15, 2017) co-hosted with ALiEM and EMRA: Resident Wellness Consensus Summit
This week we feature a lecture from Anand Swaminathan at our weekly conference on the ED management of acute pulmonary edema https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_71_0_Final_Cut.m4a Download 9 Comments Tags: Acute Decompensated Heart Failure, Acute Pulmonary Edema, ADHF, APE, Cardiovascular Show Notes Read More Core EM: Acute Pulmonary Edema EMCrit: Podcast 1 – Sympathetic Crashing Acute Pulmonary Edema REBEL EM: Morphine Kills in Acute Decompensated Heart Failure
This week we feature a lecture from Anand Swaminathan at our weekly conference on the ED management of acute pulmonary edema https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_71_0_Final_Cut.m4a Download 9 Comments Tags: Acute Decompensated Heart Failure, Acute Pulmonary Edema, ADHF, APE, Cardiovascular Show Notes Read More Core EM: Acute Pulmonary Edema EMCrit: Podcast 1 – Sympathetic Crashing Acute Pulmonary Edema REBEL EM: Morphine Kills in Acute Decompensated Heart Failure emDocs:
This week we feature a lecture from Anand Swaminathan at our weekly conference on the ED management of acute pulmonary edema https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_71_0_Final_Cut.m4a Download 7 Comments Tags: Acute Decompensated Heart Failure, Acute Pulmonary Edema, ADHF, APE, Cardiovascular Show Notes Read More Core EM: Acute Pulmonary Edema EMCrit: Podcast 1 – Sympathetic Crashing Acute Pulmonary Edema REBEL EM: Morphine Kills in Acute Decompensated Heart Failure emDocs: ...
In anticipation of EM Cases Episode 87 on Alcohol Withdrawal Dr. Sara Gray describes her Best Case Ever of severe alcohol withdrawal and Delirium Tremens from Janus General. Also on this podcast Dr. Anand Swaminathan reacts to Episode 86 Emergency Management of Hyperkalemia and discusses the use of calcium in the setting of digoxin toxicity. Early recognition and treatment of Delirium Tremens - a rapid onset of severe alcohol withdrawal accompanied by delirium and autonomic instability about 3-10 days after the appearance of withdrawal symptoms - is key to preventing long term morbidity and mortality... The post Best Case Ever 50 – Delirium Tremens appeared first on Emergency Medicine Cases.
Another lesson Hard Learned episode. This week I am joined by Dr Anand Swaminathan from Bellevue Hospital in NYC. Anand shares a tricky case involving the treatment of a VIP patient in his ED. We discuss a few strategies to help keep both you and the patient safe when we are treating VIPs. Casey
This is the first of our Mentorship series from the 2016-17 ALiEM Chief Resident Incubator. This podcast is an edited version of the private Google Hangout that some of the chief residents had with Dr. Anand Swaminathan, APD at NYU. Moderator: Dr. Maggie Sheehy (COO) Panelists: Drs. Andrew Ketterer, Logan Weygandt, and Bill Burns
I caught up with Dr. Anand Swaminathan, otherwise known as EM Swami, at The Teaching Course in NYC where he told his Best Case Ever from Janus General of his heroic and collaborative attempts at saving the life of a gentleman who presented to the ED with a classic story for a ruptured AAA. As William Olser famously said, "There is no disease more conducive to clinical humility than aneurysm of the aorta." The post Best Case Ever 43 Ruptured AAA appeared first on Emergency Medicine Cases.
I caught up with Dr. Anand Swaminathan, otherwise known as EM Swami, at The Teaching Course in NYC where he told his Best Case Ever from Janus General of his heroic and collaborative attempts at saving the life of a gentleman who presented to the ED with a classic story for a ruptured AAA. As William Olser famously said, "There is no disease more conducive to clinical humility than aneurysm of the aorta." The post Best Case Ever 43 Ruptured AAA appeared first on Emergency Medicine Cases.
ACEP published the clinical policy on the use of tPA for acute ischemic stroke in June. We covered the draft in January in a FOAMcastini. Given some significant changes, we wanted to update y'all to ensure we deliver accurate information. We review the changes and then tap our tPA brain trust, Drs. Anand Swaminathan, Ken Milne, Ryan Radecki, and David Newman for expert opinion.
For Episode 9, we were lucky enough to sit down with Anand Swaminathan and get his top 3 Emergency Medicine myths for med students. They are listed below along with links to some of ther...
Anand Swaminathan is the assistant residency director at NYC/Bellevue as well as a founding member of the ALLNYCEM conference committee. Here he discusses building a personal network. Download Episode
You’re just now coming down from your nerve block high off of SCP and Tibial block goodness, but we’ve got another for you! It’s a block that isn’t super common, but it’s got some really nice potential in the right patient. Obviously we’ve got the nerve block man, Mike Stone, on to talk about this one. Who else would, right?!? At the end stay tuned to hear a special announcement about an incredible course with Scott Weingart, Haney Mallemat, Rich Levitan, Andy Sloas, Anand Swaminathan, and Rob Orman. And see you next time when we talk about DVT ultrasound and whether what we’ve been teaching for several years is total crap…… Follow us: @ultrasoundpod Learn with us: www.ultrasoundleadershipacademy.com Register: Yellowstone Course, DevelopingEM Cuba Course, Atlantis CME Bahamas Course FREE Introduction to Bedside Ultrasound eBook: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android
In this first ever episode of the Journal Jam podcast, a collaboration between EM Cases, Academic Life in EM and The Annals of Emergency Medicine's Global Emergency Medicine Journal Club, Teresa Chan and I, along with Jeff Kline, Jonathan Kirschner, Anand Swaminathan, Salim Rezaie and Sam Shaikh from ALiEM, discuss the potential for Age Adjusted D-dimer to rule out pulmonary embolism in low risk patients over the age of 50. We discuss 4 key questions about the ADJUST-PE Study from JAMA in March 2014 including: Would you order a CTPA on a 60 year old woman with an age adjusted D-dimer of 590 ng/L? The problem until now has been that the older the patient, the more likely the D-dimer is to be positive whether they have a PE or not, so many of us have thrown the D-dimer out the window in older patients and go straight to CTPA, even in low risk patients. If you are a risk averse doc, this strategy will lead to over-utilization of resources, huge costs, length of stay, radiation effects etc; and if you're not so risk averse, then you might decide not to work up the low risk older patient at all and miss clinically important PEs. expert peer reviewFor all the questions discussed on this podcast, the original Google Hangout interview from which this podcast was based, and the crowd sourced opinions from around world, visit the ALiEM website. Many thanks to all the talented people who made this podcast possible. Together, we're smarter! The post Journal Jam 1: Age Adjusted D-dimer with Jeff Kline and Jonathan Kirschner appeared first on Emergency Medicine Cases.
In this first ever episode of the Journal Jam podcast, a collaboration between EM Cases, Academic Life in EM and The Annals of Emergency Medicine's Global Emergency Medicine Journal Club, Teresa Chan and I, along with Jeff Kline, Jonathan Kirschner, Anand Swaminathan, Salim Rezaie and Sam Shaikh from ALiEM, discuss the potential for Age Adjusted D-dimer to rule out pulmonary embolism in low risk patients over the age of 50. We discuss 4 key questions about the ADJUST-PE Study from JAMA in March 2014 including: Would you order a CTPA on a 60 year old woman with an age adjusted D-dimer of 590 ng/L? The problem until now has been that the older the patient, the more likely the D-dimer is to be positive whether they have a PE or not, so many of us have thrown the D-dimer out the window in older patients and go straight to CTPA, even in low risk patients. If you are a risk averse doc, this strategy will lead to over-utilization of resources, huge costs, length of stay, radiation effects etc; and if you’re not so risk averse, then you might decide not to work up the low risk older patient at all and miss clinically important PEs. expert peer reviewFor all the questions discussed on this podcast, the original Google Hangout interview from which this podcast was based, and the crowd sourced opinions from around world, visit the ALiEM website. Many thanks to all the talented people who made this podcast possible. Together, we're smarter! The post Journal Jam 1: Age Adjusted D-dimer with Jeff Kline and Jonathan Kirschner appeared first on Emergency Medicine Cases.
Dr. Andy Jagoda debates my friend Dr. Anand Swaminathan on the use of tPA for Ischemic Stroke in the Emergency Department