Podcasts about emergency departments

Contributor: Aaron Lessen, MD Educational Pearls: Traumatic Brain Injuries are a frequent complaint in the Emergency Department and have increased in recent years. The American Association for Surgery of Trauma (AAST) has created Brain Injury Guidelines (BIG), in an attempt to categorize brain injuries and the level of treatment they require. They are… BIG 1 Normal neuro exam Not intoxicated Not on anticoagulation or antiplatelet medications Minimal findings on head CT No fracture 8 mm bleed (subdural, epidural, intraparenchymal (or more than 2 locations)) “Scattered” subarachnoid hemorrhage Intraventricular hemorrhage     Full treatment, admission to trauma center, neurosurgery evaluation References Joseph B, Friese RS, Sadoun M, Aziz H, Kulvatunyou N, Pandit V, Wynne J, Tang A, O'Keeffe T, Rhee P. The BIG (brain injury guidelines) project: defining the management of traumatic brain injury by acute care surgeons. J Trauma Acute Care Surg. 2014 Apr;76(4):965-9. doi: 10.1097/TA.0000000000000161. PMID: 24662858. Joseph B, Obaid O, Dultz L, Black G, Campbell M, Berndtson AE, Costantini T, Kerwin A, Skarupa D, Burruss S, Delgado L, Gomez M, Mederos DR, Winfield R, Cullinane D; AAST BIG Multi-institutional Study Group. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. Epub 2022 Mar 28. PMID: 35343931. Summarized by Jeffrey Olson, MS4 | Edited by Jeffrey Olson and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

Dr. Jeff Bohmer, Medical Director of the Emergency Department and Associate Chief Medical Officer at Northwestern Medicine Central DuPage Hospital, joins Wendy Snyder (in for Bob Sirott) to talk about how COVID-19 vaccines could have extra benefits for some cancer patients and the side effects caused by different antidepressant medications. He also shares details about […]

It has been revealed that a Melbourne hospital emergency department is fast-tracking the health needs of indigenous patients over non-indigenous patients. See omnystudio.com/listener for privacy information.

Are you ready to ramble?! Straight out of the gate, you got a reference to Star Trek red shirts…and it spirals out from there.This episode is following up to the first episode (prior to kicking off Season 5) with my cohost, No. 1 Child, and breaking my own rules for editing.It didn't yield what we thought it would, so…we cover a lot of things: television, movies*, music, actors, artists, AI, ChatGPT.So it's a rambling episode, put it on the background and feel free to laugh at us or with us!*The movie that the music video by Annie Lennox “Walking On Broken Glass” was inspired by the movie, “Dangerous Liaisons” with Glen Close and John Malkovich. Not Amadeus as discussed in this episode. Support the showWant more sweary goodness? There's now the availability of Premium Subscription for $3 a month! Click the "Support The Show" link and find out more info.* * *F*ck The Rules Podcast is produced by Evil Bambina Productions, LLC. You can find our podcast on Amazon Music/Podcasts, Apple Podcasts, Spotify and many more!***Social media/podcast episodes are not intended to replace therapy with a qualified mental health professional. All posts/episodes are for educational purposes only. *****Susan Roggendorf is a Licensed Clinical Professional Counselor in Illinois and a Licensed Mental Health Counselor in Iowa. In addition to hosting and producing her podcast, she's a volunteer mentor and a supervisor to new therapists, as well as running a private practice as an independent provider full-time. A National Certified Counselor through the NBCC as well as an Emergency Responder & Public Safety Certified Clinician through NERPSC and Certified Clinical Trauma Professional. Main populations Susan works with are folx living with anxiety and trauma experiences in the LGBTQIA community as well as First Responders, Law Enforcement, hospital staff, urgent care and Emergency Department personnel. When she's not busy with all those things, as a GenX elder, she's usually busy annoying her adult children with 70's and 80's pop culture references and music or she's busy in her garden.

Today's topics are what Obamacare has done to ERs, the drop in fuel prices, WaPo journalists who dare not speak “their” truth, what Google AI is alleged to have done to Robby Starbuck, and the fall of John Cleese, the avatar for all bad things from the “intellectual” left.

Dr Rosa McNamara, Consultant in Emergency Medicine, St Vincent's Hospital and Clinical Lead, HSE National Emergency Medicine Programme, highlights that people with non-urgent conditions could experience a long wait in Emergency departments this weekend.

BRUE, Brief Resolved Unexplained Events, are a common and anxiety-provoking condition that presents to the Emergency Department. In this episode we explore the definition of BRUE, contrast it with ALTE, and walk through evidence-based approaches to risk stratification. We'll explore the original AAP framework and two subsequent prediction models to see where the recommendations stand today. This is a classic example of scary event / well child that you will see in the Emergency Department. Learning Objectives By the end of this episode, you will be able to: Define BRUE and contrast it with the older concept of ALTE. Recognize evolving risk stratification criteria Apply evidence-based strategies for evaluation and counseling of infants with BRUE, including safe discharge decisions and the role of home monitoring. References Tieder JS, Bonkowsky JL, Etzel RA, et al. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants: Executive summary. Pediatrics. 2016;137(5):e20160591. doi:10.1542/peds.2016-0591 Carroll AE, Bonkowsky JL. Acute events in infancy including brief resolved unexplained event (BRUE). In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE, Bonkowsky JL. Use of home cardiorespiratory monitors in infants. In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE, Bonkowsky JL. Sudden infant death syndrome: Risk factors and risk reduction strategies. In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE. Patient education: Brief resolved unexplained event (BRUE) in babies (The Basics). In: UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Nama N, Neuman MI, Finkel MA, et al. Risk prediction after a brief resolved unexplained event. JAMA Pediatr. 2023;177(12):1263–1272. doi:10.1001/jamapediatrics.2023.4197 Nama N, Neuman MI, Finkel MA, et al. External validation of brief resolved unexplained events prediction rules for serious underlying diagnosis. JAMA Pediatr. 2024;178(4):398–407. doi:10.1001/jamapediatrics.2024.0114    

Dr Luke Phillips, Mater Hospital, discusses the levels of knife crime presenting at the Emergency Department.

Rapid MRI is transforming pediatric emergency care. Rama Ayyala, MD, joins host Raisa Amiruddin, MBBS, to discuss how rapid MRI, incorporating a limited number of sequences to answer specific clinical questions, maintains diagnostic accuracy while improving workflow speed and efficiency in the pediatric emergency department.

AEM Podcast host Ken Milne, MD, and guest skeptic Lauren Westafer, DO, MPH, MS, interview lead author Karalynn Otterness, MD. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

AEM Podcast host Ken Milne, MD, and guest skeptic Neil Dasgupta, MD, interview lead author Stephanie K. Doupnik, MD, MSHP. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

Joe is joined by Fine Gael Senator Maria Byrne to discuss a meeting of Mid-West political figures following the HIQA report on UHL's emergency department.(Via Getty Images) Hosted on Acast. See acast.com/privacy for more information.

In this episode of Caring Greatly, Sarah-Marie Baumgartner, RN, talks about ways nurses can protect themselves in the emergency department (ED )and other healthcare settings and how organizations can reduce the likelihood of both physical and verbal assault on care team members. She shares a pragmatic approach to zero tolerance that focuses not on zero-incidences of violence, but on zero tolerance for a lack of communication, training, resources, policies and procedures to help decrease workplace violence. In all of her work, Sarah Marie encourages innovation, collaboration and outside-the-box thinking.  With almost 20 years of experience and leadership in various nursing departments, Sarah-Marie currently works as a bedside nurse in the ED. She is also a member of her hospital's Workplace Violence Committee, AONL and the International Association of Healthcare Security and Safety, serving on the Board of Directors for the Association's Great Lakes Chapter. As the host of The Security Nurse Podcast, she amplifies important conversations about workplace violence prevention, de-escalation strategies and advocacy for holistic healthcare. Sarah-Marie is passionate about fostering a safer and more supportive environment for both patients and care team members, ensuring that compassion and trauma-informed leadership and care extend beyond the bedside. An instructor of the SPEAR self-defense system, Sarah-Marie is an educator first and foremost. Throughout her work, she shares insights, knowledge, research and captivating stories that connect the dots between safety, health and human connection in healthcare.   Sarah-Marie Baumgartner is a leader who cares greatly.

Cancer survival rates in New Zealand are falling behind other similar countries. Too many people are being diagonosed with late stage cancer in Emergency Departments or through accute hospital admissions according the Cancer Control Agency. It says that's a symptom of poor access to primary care. Cancer Control Agency chief executive Rami Rahal spoke to Lisa Owen.

AEM Podcast host Ken Milne, MD, and guest skeptic Kirsty Challen, PhD, interview lead author Samaa Kemal, MD, MPH. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

Staffing shortages continue to take a toll on B.C. emergency rooms, with the Delta ER forced to close last weekend. Delta Mayor George Harvie said his municipality plans to pursue opening its own urgent and primary care centres. He joins the show. Colleen Anderson, the Mayor of Sicamous, discusses how her city operates its own medical clinic.

Joe is joined by Alan Kelly, TD for Tipperary North, to discuss the HIQA report into UHL's emergency department.(Image via Labour) Hosted on Acast. See acast.com/privacy for more information.

Pyelonephritis is a commonly treated diagnosis in the emergency department. With resistance rates climbing to the first-line recommended fluoroquinolones and Bactrim, are other antibiotics appropriate in treating pyelonephritis? Join Dr Gabor as she discusses this article and its treatment recommendations for outpatient pyelonephritis with cephalosporins and how it compares to treatment with the more traditional fluoroquinolones / bactrim route.

Joe is joined by Fine Gael senator Maria Byrne and Independent Ireland TD Richard O'Donoghue to react to the HIQA report.(Image via Oireachtas and Fine Gael) Hosted on Acast. See acast.com/privacy for more information.

To celebrate Rural Generalism becoming a recognised medical speciality, we've reached into the archive and are replaying our most popular RG episode of all time. Dr Teena Downton's specialisation is a great example of the diversity you can have in your work, as a GP, based in the country. You may have heard of the term ‘Rural Generalist' but what does it mean and what pathway do you take to be one? In this episode of Destination Medicine get ready to be motivated as Teena speaks about the many hats she wears from working at the local Emergency Department to being involved in the delivery of 150 babies!See omnystudio.com/listener for privacy information.

Sinn Fein TD Maurice Quinlivan joins Joe to give his thoughts on the HIQA report into the UHL emergency department.(Image via Maurice Quinlivan) Hosted on Acast. See acast.com/privacy for more information.

IMO President Dr Anne Dee joins Joe to react to the HIQA report into UHL's emergency department.(Image via Getty) Hosted on Acast. See acast.com/privacy for more information.

Joe is joined by Fine Gael TD for Clare, Joe Cooney, to continue discussions on the HIQA report into UHL's emergency department.(Image via Fine Gael) Hosted on Acast. See acast.com/privacy for more information.

Joe is joined by Fianna Fáil TD Willie O'Dea and Fine Gael TD Kieran O'Donnell to continue discussions on the HIQA report.(Image via Fine Gael and Fianna Fail) Hosted on Acast. See acast.com/privacy for more information.

This month we've got three really interesting papers that shine a light on aspects of cardiac arrest management that many of us will recognise from clinical practice. First up, we look at the feasibility of arterial line placement during ongoing cardiac arrest in the Emergency Department. In our SPEAR episode we talked about the balance between securing invasive monitoring versus the potential distraction from other essential parts of resuscitation. This paper takes a pragmatic look at whether arterial access is achievable in that critical period in the Emergency Department, the success rate and the time required.  Next up, we look at a paper that helps to give us a more accurate feel for the rate and predictors of high-risk adverse events for Emergency Department paediatric ketamine sedation. Our final paper looks at ultrasound during cardiac arrest. Specifically, whether the hands-off time during the pulse check are longer with traditional manual checks or with ultrasound. This systematic review and meta-analysis puts some numbers to the best way to minimising hands-off time. So whether you're a regular on the arrest team, sedating children, or supporting resuscitation from the periphery, these papers provide some useful food for thought on where our focus should be in those critical minutes. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Nurses at Thames Hospital say they're still facing understaffing and under resourcing within the wards, Emergency Department and District Nursing team. Last year Thames Hospital nurses picketed for 21 full-time nurses and ten were approved. But the New Zealand Nurses Organisation says Thames Hospital is still a minimum of 26 full-time nurses short. It's prompted calls for better resourcing, especially as the summer months approach, and patients travel to Thames to avoid long wait times in their own regions. Bella Craig reports from Thames.

A landmark report to determine if another Emergency Department is needed in the MidWest is due today. HIQA is expected to publish its review of urgent and emergency capacity across Clare, Limerick and North Tipperary at 3pm. The review was announced last May amid persistent gross overcrowding at University Hospital Limerick and after inquests into the deaths of Clare patients Aoife Johnston and Martin Abbott at UHL both returned verdicts of medical misadventure. Friends of Ennis Hospital Chairperson Angela Coll says the people of the MidWest can't wait any longer.

This week on Health Matters, we're sharing an episode of NewYork-Presbyterian's Advances in Care, a show for listeners who want to stay at the forefront of the latest medical innovations and research. On this episode of Advances in Care, host Erin Welsh hears from two emergency department chiefs at NewYork-Presbyterian about how they optimize operations in their uniquely high-intensity, high-volume EDs.Dr. Angela Mills, chief of emergency medicine at NewYork-Presbyterian and Columbia, and Dr. Brenna Farmer, chief of emergency medicine at NewYork-Presbyterian Brooklyn Methodist, both lead large medical teams in high-volume, New York City emergency departments. They discuss what makes New York City such a unique environment for emergency care, from its massive population and cultural complexity, to the severity and array of traumas that can come through the ED doors each day. Then, they share stories behind the life-saving care they provide, and explain why the collaborative spirit and excitement of the emergency room keeps them coming back to work every day.Dr. Mills and Dr. Farmer also describe some of the ways that they continuously optimize operations in their departments, including addressing language barriers and providing specialized care for patients with complex cardiac needs. Their goal is to ensure that their staff can navigate the organized intensity of the emergency medicine environment without missing a beat.___Dr. Angela M. Mills is a nationally recognized leader and expert in emergency medicine. She serves as the inaugural chair of the newly designated Department of Emergency Medicine at Columbia University Irving Medical Center and chief of Emergency Medicine Services at NewYork-Presbyterian. Dr. Brenna M. Farmer is Chief of Emergency Medicine at NewYork-Presbyterian Brooklyn Methodist Hospital and vice chair for the Department of Emergency Medicine at Weill Cornell Medicine. She is also an associate professor of clinical emergency medicine at Weill Cornell Medicine. Dr. Farmer is a nationally recognized medical toxicology expert and frequent keynote speaker on quality improvement, patient safety, and medication safety.For more information visit: nyp.org/Advances___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Is that penicillin or amoxicillin allergy real? Probably not. In this episode, we explore how to assess risk, talk to parents, and refer for delabeling. You'll also learn what happens in the allergy clinic, why the label matters, and how to be a better antimicrobial steward. Learning Objectives Describe the mechanisms and clinical manifestations of immediate and delayed hypersensitivity reactions to penicillin, including diagnostic criteria and risk stratification tools such as the PEN-FAST score. Differentiate between low-, moderate-, and high-risk penicillin allergy histories in pediatric patients and identify appropriate candidates for direct oral challenge or allergy referral based on current evidence and guidelines. Formulate an evidence-based approach for evaluating and counseling families in the Emergency Department about reported penicillin allergies, including when to recommend outpatient referral for formal delabeling. Connect with Brad Sobolewski PEMBlog: PEMBlog.com Blue Sky: @bradsobo X (Twitter): @PEMTweets Instagram: Brad Sobolewski References Khan DA, Banerji A, Blumenthal KG, et al. Drug Allergy: A 2022 Practice Parameter Update. J Allergy Clin Immunol. 2022;150(6):1333-1393. doi:10.1016/j.jaci.2022.08.028 Moral L, Toral T, Muñoz C, et al. Direct Oral Challenge for Immediate and Non-Immediate Beta-Lactam Allergy in Children. Pediatr Allergy Immunol. 2024;35(3):e14096. doi:10.1111/pai.14096 Castells M, Khan DA, Phillips EJ. Penicillin Allergy. N Engl J Med. 2019;381(24):2338-2351. doi:10.1056/NEJMra1807761 Shenoy ES, Macy E, Rowe T, Blumenthal KG. Evaluation and Management of Penicillin Allergy: A Review.JAMA. 2019;321(2):188–199. doi:10.1001/jama.2018.19283 Transcript Note: This transcript was partially completed with the use of the Descript AI and the Chat GPT 5 AI  Welcome to PEM Currents, the Pediatric Emergency Medicine podcast. As always, I'm your host, Brad Sobolewski, and today we are taking on a label that's misleading, persistent. Far too common penicillin allergy, it's often based on incomplete or inaccurate information, and it may end up limiting safe and effective treatment, especially for the kids that we see in the emergency department. I think you've all seen a patient where you're like. I don't think this kid's really allergic to amoxicillin, but what do you do about it? In this episode, we're gonna break down the evidence, walk through what actually happens during de labeling and dedicated allergy clinics. Highlight some validated tools like the pen FAST score, which I'd never heard of before. Preparing for this episode and discuss the current and future role of ED based penicillin allergy testing. Okay, so about 10% of patients carry a penicillin allergy label, but more than 90% are not truly allergic. And this label can be really problematic in kids. It limits first line treatment choices like amoxicillin, otitis media, or penicillin for strep throat, and instead. Kids get prescribed second line agents that are less effective, broader spectrum, maybe more toxic or poorly tolerated and associated with a higher risk of antimicrobial resistance. So it's not just an EMR checkbox, it's a label with some real clinical consequences. And it's one, we have a role in removing. And so let's understand what allergy really means. And most patients with a reported penicillin allergy, especially kids, aren't true allergies in the immunologic sense. Common misinterpretations include a delayed rash, a maculopapular, or viral exum, or benign, delayed hypersensitivity, side effects, nausea, vomiting, and diarrhea. And unverified childhood reactions that are undocumented and nonspecific. Most of these are not true allergies. Only a very small subset of patients actually have IgE mediated hypersensitivity, such as urticaria, angioedema, wheezing, and anaphylaxis. These are super rare, and even then they may resolve over time without treatment. If a parent or sibling has a history of a penicillin allergy, remember that patient might actually not be allergic, and that is certainly not a reason to label a child as allergic just because one of their first degree relatives has an allergy. So right now, in 2025, as I'm recording this episode, there are clinics like the Pats Clinic or the Penicillin Allergy Testing Services at Cincinnati Children's and in a lot of our peer institutions that are at the forefront of modern de labeling. Their approach reflects the standard of care as outlined by the. Quad ai or the American Academy of Allergy, asthma and Immunology and supported by large trials like Palace. And you know, you have a great trial if you have a great acronym. So here's what happens step by step. So first you stratify the risk. How likely is this to be a true allergy? And that's where a tool like the pen fast comes. And so pen fast scores, a decision rule developed to help assess the likelihood of a true penicillin allergy based on the patient's history. The pen in pen fast is whether or not the patient has a self-reported history of penicillin allergy. They get two points if the reaction occurred in the past five years. Two points if the reaction is anaphylaxis or angioedema. One point if the reaction required treatment, and one point if the reaction was not due to testing. And so you can get a total score of. Up to six points. If you have a score of less than three. This is a low risk patient and they can be eligible for direct oral challenge. A score greater than three means they're higher risk and they may require skin testing. First validation studies show that the PEN FFA score of less than three had a negative predictive value of 96.3%. Meaning a very, very low chance of a true allergy. And this tool has been studied more extensively in adults, but pediatric specific adaptations are emerging, and they do inform current allergy clinic protocols. But I would not use this score in the emergency department just to give a kid a dose of amoxicillin. So. For low risk patients, a pen fast score of less than three or equivalent clinical judgment clinics proceed with direct oral challenge with no skin testing required. The protocol is they administer one dose of oral amoxicillin and they observe for 62 120 minutes monitoring for signs of reaction Urticaria. Respiratory symptoms or GI upset. This approach is safe and effective. There was a trial called Palace back in 2022, which validated this in over 300 children. In adolescents. There were no serious events that occurred. De labeling was successful in greater than 95% of patients. And skin tested added no benefit in low risk patients. So if the child tolerates this dose, then you can remove that allergy immediately from the chart. Parents and primary care doctors will receive a summary letter noting that the challenge was successful and that there's new guidance. Children and families are told they can safely receive all penicillins going forward. And providers are encouraged to document this clearly in the allergy section of the EMR. So you're wondering, can we actually do this in the emergency department? Technically, yes, you can do what you want, but practically we're not quite there yet. So we'd need clearer risk stratification tools like the Pen fast, a safe place for monitoring, post challenge, clinical pathways and documentation support. You know, a clear way to update EMR allergy labels across the board and involvement or allergy or infectious disease oversight. But it's pretty enticing, right? See a kid you diagnose otitis media. You think that their penicillin allergy is wrong, you just give 'em a dose of amox and watch 'em for an hour. That seems like a pretty cool thing that we might be able to do. So some centers, especially in Canada and Australia, do have some protocols for ED or inpatient based de labeling, but they rely on that structured implementation. So until then, our role in the pediatric emergency department is to identify low risk patients, avoid over document. Unconfirmed reactions and refer to allergy ideally to a clinic like the pets. So who should be referred and good candidates Include a child with a rash only, especially one that's remote over a year ago. Isolated GI symptoms. Parents unsure of the details at all. No history of anaphylaxis wheezing her hives, and no recent serious cutaneous reactions. I would avoid referring and presume that this allergy is true. If they've had recent anaphylaxis, they've had something like Stevens Johnson syndrome dress, or toxic epidermolysis necrosis. Fortunately, those are very, very rare with penicillins and there's a need for penicillin during the ED visit without allergy backup. So even though we don't have an ED based protocol yet. De labeling amoxicillin or penicillin allergy can start with good questions in the emergency department. So here's one way to talk to patients and families. You can say, thanks for letting me know about the amoxicillin allergy. Can I ask you a few questions to better understand what happened? This is gonna help us decide the safest and most effective treatment for your child today, and then possibly go through a process to remove a label for this allergy that might not be accurate. You wanna ask good, open-ended questions. What exactly happened when your child took penicillin or amoxicillin? You know, look for rash, hives, swelling, trouble breathing, or anaphylaxis. Many families just say, allergic, when the reaction was just GI upset, diarrhea or vomiting, which is not an allergy. How old was your child when this happened? Reactions that occurred before age of three are more likely to be falsely attributed. How soon after taking the medicine did the reaction start? Less than one hour is an immediate reaction, but one hour to days later is delayed. Usually mild and probably not a true allergy. Did they have a fever, cold or virus at that time? Viral rashes are often misattributed to antibiotics, and we shouldn't be treating viruses with antibiotics anyway, so get good at looking at ears and know what you're seeing. And have they taken similar antibiotics since then? Like. Different penicillins, Augmentin, or cephalexin. So if they said that they were allergic to amoxicillin, but then somehow tolerated Augmentin. They're not allergic. If a patient had rash only, but no hive swelling or difficulty breathing, no reaction within the first hour. It occurred more than five years ago or before the kid was three. And especially if they tolerated beta-lactam antibiotics. Since then, they're a great candidate for de labeling and I would refer that kid to the allergy clinic. Generally, they can get them in pretty darn quick. Alright, we're gonna wrap up this episode. Most kids labeled penicillin allergic or amoxicillin allergic, or not actually allergic to the medication. There are some scores like pen fasts that are validated tools to assess risk and support de labeling. Direct oral challenge for most patients is safe, efficient, and increasingly the standard of care. There are allergy clinics like the Pats at Cincinnati Children's that can dela children in a single visit with oral challenges alone, needing no skin testing, and emergency departments can play a key role in identifying and referring these patients and possibly de labeling ourselves in the future. Well, that's all for this episode on Penicillin Allergy. I hope you learn something new, especially how to assess whether an allergy label is real, how to ask the right questions and when to refer to an allergy testing clinic. If you have feedback, send it my way. Email, comment on the blog, a message on social media. I always appreciate hearing from you all, and if you like this episode, please leave a review on your favorite podcast app. Really helps more people find the show and that's great 'cause I like to teach people stuff. Thanks for listening for PEM Currents, the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.

Health Affairs' Rob Lott interviews Aimee Moulin of the University of California Davis about her recent paper exploring a model for low-barrier treatment of opioid use disorder that could increase emergency department patient navigation and Buprenorphine use.Order the September 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast

Dr. Jeff Bohmer, Medical Director of the Emergency Department at Northwestern Medicine Central DuPage Hospital, joins Bob Sirott to talk about who can get the COVID vaccine, why nearly half of people with diabetes are undiagnosed, and why more elderly people are dying after falls. He also shares details about a rise in rat-linked illnesses, […]

In this episode of SuperPsyched, Dr. Adam Dorsay interviews Dr. Sara Krzyzaniak, a clinical associate professor in the Department of Emergency Medicine at Stanford University. Dr. Krzyzaniak shares her journey into emergency medicine, influenced by her childhood fascination with first responders and simulation games. She discusses the critical role of human interaction in emergency care, emphasizing the limitations of AI in providing compassionate and empathetic care during crises. The conversation covers her experiences, the importance of vulnerability, and strategies for maintaining mental and physical well-being in high-stress environments. Dr. Krzyzaniak also highlights the significance of compassion, both for oneself and for others, as a key insight that could dramatically improve lives.00:00 Welcome to SuperPsyched00:28 Remembering 9/11 and Honoring Frontline Heroes01:00 Introducing Dr. Sara Krzyzaniak02:51 Sara's Journey to Emergency Medicine09:46 The Role of AI in Emergency Medicine15:28 Navigating End-of-Life Decisions19:41 Balancing Technical Skills and Human Connection23:11 Navigating Medical Decisions with Emotional Baggage24:41 The Complexity of Emergency Medicine Procedures26:52 Maintaining Physical and Mental Health in High-Stress Jobs30:22 The Importance of Vulnerability and Self-Care37:23 Appreciating Life's Fragility and Practicing Compassion39:43 Final Thoughts and ReflectionsHelpful Links:Dr. Sara KrzyzaniakDr. Sara Krzyzaniak TedX TalkDr. Sara Krzyzaniak LinkedIn

How are infection preventionists gearing up for IIPW 2025? In this episode, co-hosts Lerenza Howard and Kelly Holmes welcome guests from APIC's Communications Committee Michelle Swetky and Tammy Cunningham who share creative tools, engaging activities, and superhero-inspired themes to unite and empower IPs. Join us and Stand UPPP — Unite, Prevent, Protect, Prevail — for infection prevention! Hosted by: Kelly Holmes, MS, CIC, FAPIC and Lerenza Howard, MHA, CIC, LSSGB About our Guests: Tammy Cunningham, MBA, BSN RN, CIC Tammy Cunningham, MBA, BSN RN, CIC, is the Infection Prevention Manager at AdventHealth Kansas City Region, overseeing the Infection Prevention programs at three acute care hospitals and two free standing Emergency Departments. She worked as an Intensive Care nurse and Neonatal Intensive Care nurse until 2019 when she began her career in infection prevention, just in time for the worldwide pandemic. Tammy is active in the Greater Kansas City APIC chapter, having served two terms as the chapter Treasurer, and is currently a member of the APIC Communications Committee. Tammy is board certified in infection control, and is passionate about preventing infections in patients, especially CAUTIs, CLABSIs, and C. difficile infections. Michelle Swetky, MPH, CIC, FAPIC Michelle Swetky, MPH, CIC, FAPIC, is an Infection Preventionist at Fred Hutchinson Cancer Center in Seattle, WA. Michelle has a decade of infection prevention experience in acute and ambulatory care, with extensive experience in an oncology setting. She is passionate about expanding the field of infection prevention into the ambulatory setting and across the continuum of care. Michelle has served as the Chairman of Comprehensive Cancer Center's Infection Prevention & Control group (C3IC) from 2021-2023 and is a current member on the APIC Communications Committee. Michelle received her Master's in Public Health from the University of Michigan. She has been certified in infection prevention and control (CIC) since 2016 and became an APIC Fellow (FAPIC) in 2023.

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Dr Asif Iqbal, a Pakistani Doctor, was attacked on his way to his shift in the Emergency Department - being told to “go back home”...He joins Andrea to discuss what happened.

Pediatric Gastroenterological Chief Complaints is something we do in the Pediatric Emergency Department a considerable part of our time. That is why I invited Howard Baron to come on the show and talk about his advice for investigating and treating common GI conditions.

Send us a textAlexis Abate is a Licensed Professional Counselor, National Board-Certified Counselor, Psychiatric Clinician in the Emergency Department, and Adjunct Professor of Psychology.Following a profound spiritual awakening and a healing journey through autoimmune illness and mold toxicity, Alexis developed a powerful, integrative approach that blends evidence-based science with spiritual wisdom.Her work centers on helping others uncover the root causes of suffering and reconnect with the deeper intelligence of the soul through mind-body healing. Drawing from ancient wisdom and modern knowledge, Alexis guides people to reclaim their authenticity, purpose, and inner strength.With a strong in symbolism, soul psychology, and the deeper layers of spiritual experiences, she offers a unique perspective that bridges emotion and logic. Alexis goes beyond traditional healing by revealing hidden patterns behind life's challenges and supporting others through the mental and spiritual shifts that lead to true renewal.Her research on generational trauma and the link between birth control and female depression has been accepted at conferences nationwide. She has also been featured in Fox News articles for her expertise in mental health.Find Alexis AbateInstagramhttps://www.instagram.com/psychlextures/Find The Suffering PodcastThe Suffering Podcast InstagramKevin Donaldson InstagramTom Flynn InstagramApple PodcastSpotifyYouTubeThe Suffering Podcast FamilySherri AllsupSupport the showThe Suffering Podcast Instagram Kevin Donaldson Instagram TikTok YouTube

Join our trauma injury prevention team as we hit the tail with two fellow healthcare pros who like to ride. From gear checks to crash prevention, we cover key safety tips for mountain biking Utah's unique terrain. Whether you're a weekend warrior or just getting started, this episode is packed with ways to stay out of the Emergency Department and keep enjoying the ride. Here are the links to some of the resources we discuss in the Podcasthttps://www.visitutah.com/articles/top-mtb-trails-utah https://utahmountainbiking.com/ https://www.helmet.beam.vt.edu/https://healthcare.utah.edu/healthfeed/2024/08/mountain-biking-safety-every-trailhttps://nationalmtb.org/https://www.wildawareutah.org/https://le.utah.gov/xcode/Title41/Chapter6A/41-6a-S1115.5.htmlhttps://mipsprotection.com/bike/

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Dr. Chris Buresh from Seattle Children's Hospital joins us to discuss addressing Substance Use Disorder in children and adolescents and he impactful role of the Emergency Department.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

In this episode with Lucy Butler, we discuss the temporomandibular joint and temporomandibular dysfunction. We explore: Assessment of TMJ DysfunctionIntra-articular dysfunction vs muscular based dysfunctionWhich subgroups may respond best to manual therapyThe key elements of an effective rehab plan Botox and it's role in treatment within TMDWant to learn more about temporomandibular dysfunction? Lucy Butler recently did a brilliant Masterclass with us called “Mastering the TMJ: Assessment and Management of Orofacial Pain” where they go into further depth on this topic. 

Learn how to ask for medical help when in an emergency department. - در این قسمت یاد بگیرید که چگونه در اورژانس بیمارستان کمک بگیرید.

Security guards in hospital emergency departments are increasingly being confronted by people carrying knives and say they want powers to deal with the rising violence. Head of the Security Association Gary Morrison spoke to Ingrid Hipkiss.

Hepatitis C is a worldwide problem, with millions of people infected who don't even know it. We do have effective treatment and untreated infection can result in liver failure and death, so a new study attempted to implement free testing … What are the barriers to testing for hepatitis C in emergency departments? Elizabeth Tracey reports Read More »

AEM Podcast host Ken Milne, MD, and guest skeptic Kirsty Challen, PhD, interview lead author Hashim Kareemi, MD. Learn more in the accompanying article available in The Skeptics' Guide to Emergency Medicine.

Vaso-occlusive pain episodes are the most common reason children and adolescents with sickle cell disease present to the Emergency Department. Prompt, protocol-driven management is essential starting with early administration of IV opioids, reassessment at 15–30 minute intervals, and judicious hydration. Understanding the patient's typical pain pattern, opioid history, and psychosocial context can guide more effective […]

In this episode of The Visible Voices Podcast, Dr. Resa Lewiss explores AI in healthcare with Andrew Taylor MD MHS, a Professor and Vice Chair of Research and Innovation in Emergency Medicine at the University of Virginia.  Dr. Taylor shares insights from his work on AI-informed triage systems, discusses the challenges of implementing AI in hospital settings, and explains how artificial intelligence can reduce diagnostic errors while promoting fairness in emergency care. Healthcare lags behind other industries in adopting AI tools, facing unique challenges around hospital infrastructure and personnel requirements. Large language models require substantial computational resources that most traditional hospital systems lack. The persistent problem of closed electronic health record systems further complicates implementation. Healthcare typically can take 15 years to adopt new technologies, even those with proven efficacy and safety records. Publications we discuss: —Impact of Artificial Intelligence-Based Triage Decision Support on Emergency Department Care (NEJM AI) —Leveraging Artificial Intelligence to Reduce Diagnostic Errors in Emergency Medicine: Challenges, Opportunities, and Future Directions (AEM) —Enhancing Emergency Department Triage Equity With Artificial Intelligence: Outcomes From a Multisite Implementation (Annals of EM) If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

We're back with another episode of Push Dose Pearls with ED Clinical Pharacist, Haley Burhans! In this episode, we break down the essentials of managing agitation in the ED—starting with why you should avoid diphenhydramine in the elderly and benzodiazepines in the 3 D's: drunk, delirium, and dementia. We discuss how to quickly assess the cause, choose the right medication, and decide between IM and IV routes. And Haley offers some key safety tips and considerations for special populations, including kids and the elderly.  Was this episode helpful? What other medications would you like to learn more about? Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis Resources: ACEP's New Clinical Policy on Severe Agitation. By Molly E.W. Thiessen, MD, FACEP | on February 12, 2024 Pediatric Education and Advocacy Kit (PEAK): Agitation Hoffmann JA, Pergjika A, Konicek CE, Reynolds SL. Pharmacologic Management of Acute Agitation in Youth in the Emergency Department. Pediatr Emerg Care. 2021 Aug 1;37(8):417-422. doi: 10.1097/PEC.0000000000002510. PMID: 34397677; PMCID: PMC8383287. Gerson R, Malas N, Feuer V, Silver GH, Prasad R, Mroczkowski MM. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. 2019 Mar;20(2):409-418. doi: 10.5811/westjem.2019.1.41344. Epub 2019 Feb 19. Erratum in: West J Emerg Med. 2019 May;20(3):537. doi: 10.5811/westjem.2019.4.43550. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. doi: 10.5811/westjem.2019.4.44160. PMID: 30881565; PMCID: PMC6404720.. **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Nearly one-quarter of emergency department visits among patients 60-and-older nationally resulted in a hospital stay. A Rutland man, worried about his widowed father, made an emergency hospital go-bag for his dad, and experts say more of us should have them. Plus, budget cuts have prompted layoffs at the Vermont Foodbank, areas of Montreal are recovering from flooding, and people who work with refugees and asylum seekers in Vermont are struggling to keep up with recent changes to federal immigration laws.

Colton gets real about the rising anxiety over world events, nurse draft rumors, and why everyone on TikTok is spiraling (again). He breaks down the actual history of nurses in the military, shares his own COVID-era trauma, and offers a much-needed reality check: you're probably not getting drafted, but you are overdue for a screen break. With equal parts sass and sincerity, this episode is your reminder to log off, breathe, and take care of the only thing you can control—yourself.>>Nurses and the Medical Draft: What Would Really Happen?Jump Ahead to Listen:[00:02:06] Hard times throughout history. [00:04:02] Managing anxiety in a chaotic world. [00:08:13] Nurses and the draft. [00:09:36] Military nursing and trauma. [00:12:58] Nurses and potential draft concerns. [00:17:44] Honoring military nurses' service.Connect with Colton on social media: Instagram: @coltonalanlord, @nursedaddies TikTok: @nursedaddiesFor more information, full transcript and videos visit Nurse.org/podcastJoin our newsletter at nurse.org/joinInstagram: @nurse_orgTikTok: @nurse.orgFacebook: @nurse.orgYouTube: Nurse.org

Emergency physicians Resa E. Lewiss and Courtney M. Smalley discuss their article, "Why point-of-care ultrasound belongs in emergency department triage." Amid the crisis of overcrowded waiting rooms and long wait times, they argue for the immediate integration of a powerful, underutilized tool: point-of-care ultrasound (POCUS). Resa and Courtney use compelling clinical examples, like identifying a collapsed lung or a ruptured ectopic pregnancy in under two minutes, to show how POCUS can dramatically improve risk stratification and save lives before a patient even leaves the triage area. They counter potential objections by explaining that emergency physicians are already highly trained in POCUS, the technology fits existing workflows, and it is a billable procedure that can generate revenue. The conversation serves as a direct call to action for hospital leaders to redesign triage spaces and protocols, making POCUS a standard of care to ensure the sickest patients are identified and treated without delay. Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended