Podcast appearances and mentions of ashley shreves

Cure sometimes, treat often, comfort always Hospice care is compassionate comfort care (as opposed to curative care) for people facing a terminal illness with a prognosis of six months or less, based on their physician's estimate if the disease runs its course as expected. Palliative care is compassionate comfort care that provides relief from the symptoms and physical and mental stress of a serious or life-limiting illness. Palliative care can be pursued at diagnosis, during curative treatment and follow-up, and at the end of life. Marie-Carmelle Elie, M.D., has been named chair of the Department of Emergency Medicine at the University of Alabama at Birmingham School of Medicine. Carmelle obtained her undergraduate degree from Columbia University and her medical degree from the State University of New York in Brooklyn with a distinction in research. Since then, she has continued to identify herself as a scholar and clinical investigator. Following her emergency medicine residency at Mount Sinai Medical Center in New York, she completed a Critical Care/Trauma Fellowship at the R. Adam Cowley Shock Trauma Center at the University of Maryland. She is triple board-certified in emergency medicine, critical care, as well as hospice and palliative care medicine. Dr. Ashley Shreves earned a Bachelor of Arts degree in Biology and Chemistry from Washington and Lee University in Lexington, VA. She went on to receive a doctor of Medicine degree from Louisiana State University School of Medicine located in New Orleans, LA.  Ashley completed a residency in Emergency Medicine with St. Luke's-Roosevelt Hospital in New York City.  She then completed a Palliative Medicine Fellowship at Mount Sinai School of Medicine. Dr. Ashley Shreves is board-certified in emergency medicine and palliative care and splits her clinical time between the two specialties.

EMplify May 2020 – The New Orleans Experience and Palliative Care : An Interview with Dr. Ashley Shreves EBMedicine Live Webinars: Thursday, June 4th - Life-threatening Headaches + current considerations due to COVID-19 Wednesday, June 17th – A New Timing-and-Triggers Approach to Diagnosing Causes of Acute Dizziness Click the link to register: https://www.crowdcast.io/e/20200606/register Leave us a voicemail at 678-336-8466, ext 128 Write us at emplify@ebmedicine.net

EMplify May 2020 – The New Orleans Experience and Palliative Care : An Interview with Dr. Ashley Shreves EBMedicine Live Webinars: Thursday, June 4th - Life-threatening Headaches + current considerations due to COVID-19 Wednesday, June 17th – A New Timing-and-Triggers Approach to Diagnosing Causes of Acute Dizziness Click the link to register: https://www.crowdcast.io/e/20200606/register Leave us a voicemail at 678-336-8466, ext 128 Write us at emplify@ebmedicine.net

Host Ryan Stanton, MD, FACEP talks to Ashley Shreves, MD on-site at SMACC Dub about about palliative care and the "EM Year in Review"

There are nearly 100 billion stars in the Milky Way – and almost that many articles published every year. Luckily for you, we read them all – or, at least, the ones in the domain of EM (Emergency Medicine). Catch up with where the new literature is leading you, leading you astray, or just plain bonkers. Sit back and let us inspire you to take your own deep dive into all the great foundational science. We'll swing through new stroke treatments, the ketamine blow-dart, the best medications for reanimating the dead, and many more! Ryan Radecki: It has been exciting and surprising year in the EM literature. We'll be hitting all the highlights and letting you know what's hot and what's not. Topics to be addressed include, but are not limited to, abscess management, medications for renal colic, imaging for subarachnoid, new anticoagulant reversal agents, use of opiates, and the diagnosis of PE

As our population ages, the complexity of patients seeking care in the emergency department will increase dramatically. Chronic and terminal diseases will be ever-present but increasingly in patients also negotiating challenges like functional and cognitive decline. While their needs are different, in many hospitals, it is business as usual. A highly skilled and well-intentioned staff stands ready to deploy a limitless supply of diagnostic and therapeutic options designed to help patients live longer, not necessarily better. Relying on default pathways that prioritize life-prolongation at the mercy of comfort and dignity has already left many patients and doctors feeling unsatisfied, while wasting precious healthcare resources. The future should not be more of the same. If a new and better clinical road is to be paved in the future, it will be with the aid of palliative care, a specialty, philosophy and movement in medicine. Getting patients better access to palliative care should be a priority for our specialty. For some, this will mean partnering with existing palliative care specialists and hospices. Unfortunately, for most of us, the palliative care workforce will never be able to match the increasing demand created by our patients. This means that we must all do the hard, but incredibly rewarding work of learning a basic palliative care skillset. No pressure but the future of healthcare depends on it!

#smaccDUB day 2 Dr. Reuben Strayer - “Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient."   Dr. Strayer presented a brilliant talk on dealing with the quintessential Emergency Medicine patient - the undifferentiated acutely agitated patient. These patients are high risk and require emergent stabilization and resuscitation. Dr. Haney Mallemat - "The PEA Paradox" The typical way we think about PEA, the "H's and T's," is overly complicated. Further, we are horrendous at pulse palpation (see this for more), and so what we think is PEA may not actually be PEA.  Dr. Mallemat proposed QRS duration as one way to think about PEA, although this has limitations. Dr. Michele Dominico - "How Usual Resuscitative Maneuvers Can Kill Paediatric Cardiac Patients" Interventions we jump to in sick patients - oxygenation, ventilation, vasopressors - these can kill pediatric patients with cardiac pathology. She gave examples of some high yield pearls in these already terrifying patients. EM Literature update by Drs. Ashley Shreves and Ryan Radecki Antibiotics for uncomplicated diverticulitis? May not be necessary Antibiotics for appendicitis? Maybe an option for some, but it may just be delaying an appendectomy. Tamsulosin for ureteral stones? Not necessarily indicated unless there are large (>5mm), distal stones. Interesting and Ridiculous Research Pearls from Drs. Ashley Shreves and Ryan Radecki Perception of dyspnea and pulmonary function tests change with stress - and rollercoaster rides.  Rietveld S, van Beest I. Rollercoaster asthma: when positive emotional stress interferes with dyspnea perception. Behaviour research and therapy. 45(5):977-87. 2007. [pubmed] Cured pork for epistaxis? Possibly. Researchers will try everything, especially if it involves bacon. Humphreys I, Saraiya S, Belenky W, Dworkin J. Nasal packing with strips of cured pork as treatment for uncontrollable epistaxis in a patient with Glanzmann thrombasthenia. The Annals of otology, rhinology, and laryngology. 120(11):732-6. 2011. [pubmed]

How to Diagnose Dying A patient's death maybe certain but the timing isn’t. Ashley Shreves talk is on the difficult subject of dying, and how best to understand and help diagnose when the battle is lost.  Shreves discusses the correlating patterns present in the functional decline in end of life patients, with particular reference to the type of disease a patient is suffering from. Shreves suggests, that understanding these patterns is paramount to understanding the care and medical intervention require, at certain points of a patients disease lifecycle.

We cover an EMcrit episode on Semantics of End of Life Discussions with Dr. Ashley Shreves as well as pearls from another favorite episode with her, Episode 93 - Critical Care Palliation.  We can't do these episodes justice summarizing them so listen to them. Key Pearls on moving away from "DNAR" and moving towards "AND" - Allow Natural Death, how to have the conversation, and with whom to have the end of life discussion. Then we delve into core content on vertigo using Rosen’s Medicine (8e) electronic chapter, "End of Life,"  and Tintinalli’s Emergency Medicine: A Comprehensive Study Guide  (7e) Chapter 297 “Death and Dying.” Thanks for listening!Jeremy Faust and Lauren Westafer

How to have an end of life conversation in the ED

This week's podcast is a full length recording of Ashley Shreves' Grand Rounds talk at Bellevue Hospital on dying in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a Download Leave a Comment Tags: Palliative Care Show Notes All NYC EM Podcast: Ashley Shreves – Pathway to a Peaceful Death Read More

This week's podcast is a full length recording of Ashley Shreves' Grand Rounds talk at Bellevue Hospital on dying in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a Download Leave a Comment Tags: Palliative Care Show Notes All NYC EM Podcast: Ashley Shreves – Pathway to a Peaceful Death Read More

This week's podcast is a full length recording of Ashley Shreves' Grand Rounds talk at Bellevue Hospital on dying in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a Download Leave a Comment Tags: Palliative Care Show Notes All NYC EM Podcast: Ashley Shreves – Pathway to a Peaceful Death Read More

Shreves shows palliative care providers how to re-align with their patients and provide the highest quality end-of-life experience.

Dr. Ashley Shreves is an EM and PalCare Physician at Mount Sinai Hospital. Here she discusses DNR/DNI and the pathway to a peaceful death. Download Episode

Ashley Shreves is an Assistant Professor of Emergency Medicine at Mount Sinai. She's also fellowship trained in Palliative Care. In this lecture she discusses palliative care in the emergency department.  Download Episode

Welcome to the All NYC EM Podcast! The All NYC EM Conference was started in 2011 by Kaushal Shah, then Associate Program Director at Elmhurst Hospital. The All NYC EM committee was subsequently formed from APDs around the city. The goal of the group was to bring high-quality conferences to the EM residents in New York City and encourage residents to collaborate and form professional relationships. With the All NYC EM Podcast, we endeavor to bring the amazing talks from our conferences to Emergency Physicians across the globe. Our conferences have featured world-renowned speakers including Judd Hollander, Haney Mallemat, Ashley Shreves, Scott Weingart, Bob Hoffman and David Newman. The podcast will feature some local NYC names as well. We’ll also be supplementing the podcast with talks from our respective residency conferences.Alright, enough introduction. Let’s get to the podcasts! Download Episode