Podcasts about emergency departments

Reference:  Denninghoff KR et al. Azithromycin for Preschoolers with Wheezing in the Emergency Department. New England Journal of Medicine. May 2026 Date: July 14, 2026 Guest Skeptic: Dr. Zara Ibrahim is a pediatric emergency medicine fellow at Children's National Hospital in Washington DC where she also completed medical school, pediatric residency. Her research interests include […] The post SGEM#515: Now the Azithromycin Don't Work for Preschool Wheeze first appeared on The Skeptics Guide to Emergency Medicine.

It's probably not news to you that Emergency Departments across are overcrowded and under severe strain.Today on the show we unpack what's causing this with a look at geriatric and long-term care. We also talk about solutions for 'system-wide failures.'

Freestanding Emergency Department Entry and Market‐level Spending on Emergency Care by SAEM

A Clare health campaigner says what she witnessed at University Hospital Limerick this week shows the Mid-West's healthcare crisis is far from over.   Friends of Ennis Hospital spokesperson Deirdre Culligan shared a first-hand account from the Emergency Department, describing corridors full of patients, staff under immense pressure and a system she believes is simply not coping.   Deirdre joined Alan Morrissey to discuss the situation. Photo (c) MFA Studio via Canva

Health New Zealand has confirmed Waikato Hospital's Emergency Department was under some strain when a patient died. A man who couldn't be revived after being found unresponsive last week had been waiting for hours. A review's found he had an acute unexpected incident that wouldn't have been prevented by more monitoring. Health NZ Clinical Executive National Director Doctor Richard Sullivan says it was a busy day, with two wards closed to new patients because of a bug. "The third issue on that particular shift was that they were four doctors down from the 12 they had planned to have on that day, and that was because of sickness." LISTEN ABOVESee omnystudio.com/listener for privacy information.

Many people needing urgent psychological care have no choice but to attend a hospital emergency department. Dr Louise Rooney, Policy and Research Manager with Mental Health Reform, joined Rachael in studio.

Emergency departments have become the place where nearly every fracture in the healthcare system eventually shows up: behavioral health gaps, delayed primary care, staffing shortages, transfer disputes and inpatient bottlenecks. As demand rises and care becomes more complex, the ED is no longer just a clinical entry point — it is a pressure test for the entire hospital. Research has linked ED crowding to treatment delays, poorer patient outcomes, violence against staff, turnover and burnout, making emergency care a window into the broader strain on hospitals.So what happens when the system's safety net is treated less like a strategic entry point for care and more like a holding area for everything the rest of the hospital cannot absorb?That's the question at the heart of the latest episode of I Don't Care. Host Dr. Kevin Stevenson speaks with Dr. Jim Augustine, a renowned emergency department physician leader and medical director, about what is broken in emergency care, what can still be fixed, and why hospital leaders need to rethink the role of the ED. Their conversation covers emergency department overcrowding, boarding, benchmarking, EMTALA, behavioral health, post-COVID facility design and the future of hospital-at-home models.What you'll learn…Boarding is not just an ED problem. Dr. Augustine argues that when admitted patients remain in the emergency department because inpatient beds or processes are unavailable, the issue reflects whole-hospital flow, not ED failure.Low-acuity patients are not the real cause of emergency department dysfunction. He warns that blaming ED crowding on sprained ankles or minor complaints distracts from larger operational problems, including inpatient throughput and community care breakdowns.Emergency departments need new planning assumptions. Dr. Augustine says older design formulas no longer fit today's patient population, which is older, more medically complex, more behavioral-health intensive and more likely to require extended diagnostic workups or boarding.Dr. Jim Augustine is a longtime emergency physician and EMS medical director whose career spans emergency department leadership, fire and EMS operations, clinical governance, benchmarking and system design. He has held national leadership roles with the American College of Emergency Physicians, US Acute Care Solutions, the Emergency Department Benchmarking Alliance and the International Association of Fire Chiefs. A clinical professor, consultant, author and speaker, Dr. Augustine is widely recognized for his expertise in emergency care operations, ED data, department design and prehospital care.

It's a political Friday Faceoff this week with esteemed journalist and editor of Politick Richard Harman and NZ Herald Political editor Thomas Coughlan joining Nick Mills in the studio. Starting with the Moa Point plant review in the hands Minister Simon Watts desk, which has no timeline for public release. Harman and Coughlan discuss why the government could be withholding it and how are they feeling 150 days into the ecological disaster. The panel analyse Michael Laws candidacy for NZ First, can he make a difference in the party? And can Peters handle all these personalities? And the tragedy of the man who died after waiting 9 hours in the Emergency Department of Waikato Hospital. Our panel look at the problems that led our country here and how we need to improve so it never happens again. Have those at the top of the Ministry of Social Development considered the realities of emergency housing before imposing targets for managers? The panel faceoff over whether the government has influenced these and reflect on Minister Tama Potaka's fumbles recently around this and the conservation clause that blew up last week. Plus, Minister Casey Costello suggests decreasing excise tax for tobacco, being banned from a cafe for a MAGA hat and the panel share their hots and nots. LISTEN ABOVESee omnystudio.com/listener for privacy information.

A rapid clinical review has been launched to understand how a Waikato Hospital patient died, after ending up unresponsive in an Emergency Department toilet. They were found early this morning - reportedly after waiting nine hours to be seen. The Nurses' Organisation says the ED is dangerously understaffed, and struggling to keep up with patients walking in the door. Health NZ Chief Clinical Officer Dr Richard Sullivan says he doesn't know how long the patient was waiting - but it certainly was longer than it should have been. "This shouldn't've happened - but we don't know the cause, we don't know the details yet, and that is going to be part of our review." LISTEN ABOVESee omnystudio.com/listener for privacy information.

Tonight on The Huddle, Auckland Councillor Maurice Williamson and former Auckland mayor Phil Goff joined in on a discussion about the following issues of the day - and more! Brian Tamaki is on the defence after police revoked his licence and confiscated his weapons. The Destiny Church leader has made some incendiary comments about Hindus, Sikhs, and Muslims earlier this month. What do we think of all this? Were the police right to do this? Questions have been raised over how a patient ended up unresponsive in a toilet at Waikato Hospital's Emergency Department, then died. A review has been announced - what can we expect from this? Are there bigger issues here? More than 100 New Zealand restaurants have been recognised by the Michelin Restaurant guide. What did we make of tonight's event? LISTEN ABOVESee omnystudio.com/listener for privacy information.

Contributor: Travis Barlock, MD Educational Pearls:   First-pass success is critical to limit complications from apnea, hypoxia, and airway trauma.  Complication rate for patients intubated on the first pass is 14% Complication rates increase to 47% after two attempts, 64% after three, and 71% after the fourth attempt   How to improve likelihood of first-pass success: Use Video laryngoscopy (VL). VL increases chance of first-pass success to 85% from 71% Use a bougie, especially in patients with anatomically difficult or otherwise obstructed airways. The BEAM study cites a success rate in these patients of 96% with a bougie, compared to 82% without Use a Checklist mnemonic (SOAPME) Suction – On, ready, and within reach Oxygen – Patient is preoxygenated Adjuncts – Oral/nasal adjuncts and BVM ready Positioning - Patient positioned properly; consider obesity, using semi-Fowler/head-up positioning Medications – Rapid sequence intubation (RSI), sedation, vasopressor, and other medications prepared as necessary Equipment – Laryngoscope (blade), tube, bougie/stylet, syringe, scalpel/cric kit, others ready as necessary References Sakles, J.C., Chiu, S., Mosier, J., Walker, C. and Stolz, U. (2013), The Importance of First Pass Success When Performing Orotracheal Intubation in the Emergency Department. Acad Emerg Med, 20: 71-78. https://doi.org/10.1111/acem.12055 Prekker ME, Driver BE, Trent SA, et al. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. New England Journal of Medicine. 2023;389(5). doi:https://doi.org/10.1056/nejmoa2301601 Driver BE, Prekker ME, Klein LR, et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA. 2018;319(21):2179–2189. doi:10.1001/jama.2018.6496 ‌Turner JS, Bucca AW, Propst SL, et al. Association of Checklist Use in Endotracheal Intubation With Clinically Important Outcomes: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020;3(7):e209278. doi:10.1001/jamanetworkopen.2020.9278 Turner, Joseph S et al. "Feasibility of  upright patient positioning and intubation success rates At two academic EDs." The American journal of emergency medicine vol. 35,7 (2017): 986-992. doi:10.1016/j.ajem.2017.02.011   Summarized by Sam Pahl | Edited by Sam Pahl & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf  

Emergency department overcrowding has become one of healthcare's most pressing operational challenges, yet many organizations continue to focus on symptoms rather than underlying causes. As patient acuity rises and hospital capacity constraints intensify, emergency departments are increasingly serving as the front door to complex care delivery.In this episode of Value-Based Care Insights, Daniel Marino speaks with Dr. Marty Lucenti, a nationally recognized emergency medicine physician and operational performance expert, about the evolving role of the emergency department and the factors driving persistent overcrowding. Marty discusses why today's emergency department functions more like an acute diagnostic center than a traditional emergency room, explores the impact of patient complexity and inpatient capacity limitations, and shares strategies healthcare leaders can use to improve patient flow, optimize capacity management, and better align care delivery with growing demand.

Emergency department overcrowding has become one of healthcare's most pressing operational challenges, yet many organizations continue to focus on symptoms rather than underlying causes. As patient acuity rises and hospital capacity constraints intensify, emergency departments are increasingly serving as the front door to complex care delivery. On this episode Dan speaks with Dr. Marty Lucenti, a nationally recognized emergency medicine physician and operational performance expert, about the evolving role of the emergency department and the factors driving persistent overcrowding. Marty discusses why today's emergency department functions more like an acute diagnostic center than a traditional emergency room, explores the impact of patient complexity and inpatient capacity limitations, and shares strategies healthcare leaders can use to improve patient flow, optimize capacity management, and better align care delivery with growing demand. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

The Health Minister says it's a complex task to unclog the issue of ED wait times. Progress is being made on the Government's health targets, with all five areas improving year on year in the March quarter. However some progress is incremental, with EDs seeing a 0.2% rise to 74.4% of patients being admitted, discharged, or transferred within six hours. Simeon Brown told Mike Hosking there's no single solution. He says it needs to be made easier to see a GP, which they've done with a big uplift in funding and more after hour care like the new centre in South Auckland. The Health Minister says they're looking to keep using private hospitals as much as they can to reduce wait times. Brown says Health New Zealand's looking at longer term contracts with providers to get more delivery and better value for money. LISTEN ABOVE See omnystudio.com/listener for privacy information.

In part two of this series, Dr. Stacey Clardy and Dr. John Ney discuss the primary limitation of using claims data to estimate wait times for neurology services, particularly in rural areas or for subspecialty neurology care.  Show citation: Laffargue EK, Van Der Goes DN, Wilson AM, Parziale SD, Sico JJ, Ney J. Neurology Wait Times After Primary Care or Emergency Department Visits Among the Commercially Insured Population in the United States: 2019-2023. Neurology. 2026;106(10):e218008. doi:10.1212/WNL.0000000000218008  

In part two of this series, Dr. Stacey Clardy and Dr. John Ney discuss the primary limitation of using claims data to estimate wait times for neurology services, particularly in rural areas or for subspecialty neurology care.  Show citation: Laffargue EK, Van Der Goes DN, Wilson AM, Parziale SD, Sico JJ, Ney J. Neurology Wait Times After Primary Care or Emergency Department Visits Among the Commercially Insured Population in the United States: 2019-2023. Neurology. 2026;106(10):e218008. doi:10.1212/WNL.0000000000218008  

Listen as hosts Tanner, John and Andy discuss their take on a recently published article in MedPage Today calling for the renaming of the Emergency Department and Emergency Medicine. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org today to learn more about an upcoming conference and how you can see your favorite EM Podcast LIVE and in person.

In part one of this series, Dr. Stacey Clardy and Dr. John Ney break down the difference between mean and median wait times for new neurology appointments.  Show citation: Laffargue EK, Van Der Goes DN, Wilson AM, Parziale SD, Sico JJ, Ney J. Neurology Wait Times After Primary Care or Emergency Department Visits Among the Commercially Insured Population in the United States: 2019-2023. Neurology. 2026;106(10):e218008. doi:10.1212/WNL.0000000000218008  

Send us Fan MailHeidi Linhoff, a registered nurse, spoke with Liz Collin about how young patients assault hospital staff without consequences. Heidi Linhoff, a registered nurse at Fairview Riverside Children's Emergency Department in Minneapolis, joined Liz Collin on her podcast. Linhoff spoke about some of the harrowing stories of young patients assaulting nurses and hospital staff without consequences. She explained how some staff members have had their jobs ended due to the injuries they suffered—and how others have chosen to leave out of fear.She detailed stories of nurses and other staff suffering concussions, broken bones, and taking punches from patients. “The injuries have forced a lot of people to leave because they're scared,” she said. “And I was literally dumbfounded that we do nothing, that it seems to be acceptable to, you know, to assault a healthcare worker.”Support the show

Send us Fan MailThere are people in the hospital who walk into the room when everything is falling apart.Not to fix it or rush through, but simply to be there.Today's guest, Mark Wilson, lives in that space—right in the emergency room, where life can change in a single moment. Where nurses are moving fast, families are trying to make sense of the unthinkable, and patients are meeting some of the hardest moments of their lives.But what makes his story different… is that he's been on the other side of the bed.After a severe bicycle accident, Mark suffered a traumatic brain injury and spent months in a rehabilitation hospital, learning how to walk again, relearning his body, his independence—his life. And somewhere in that process, something shifted.What started as survival… became a calling.Now, he shows up for patients and families in crisis as an emergency room chaplain, bringing a kind of presence that only comes from someone who truly understands what it feels like to be vulnerable, uncertain, and afraid.His experience as a former EMT, firefighter and lead pastor, gives him a unique lens on faith, meaning, and what people actually need in moments of crisis—whether they consider themselves spiritual or not.This conversation is for those on the frontlines of healthcare—the nurses and others who journey through the tough times and often carry unprocessed burdens. It's for anyone seeking insight into what truly matters when life hangs in the balance. Mark offers a message of comfort and compassion, encouraging us to embrace the uncertain and the deep insights that occur in moments of crisis.In the five-minute snippet: a shop teacher with a messy garage? Find Mark Wilson here:pastormarkwilson@sbcglobal.netmwilson@kaweahhealth.orgSierra Baptist ChurchContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

Rachel Oblath, Ph.D., joins Dr. Dixon and Dr. Berezin, with guest host Dr. Matt Hirschtritt, to discuss repeated utilization of emergency psychiatric services among youths in both emergency department and alternative settings. Transcript 01:10   Emergency psychiatric services utilization 03:57   Previous studies and unanswered questions 07:01   Emergency room and urgent care 08:39   BEST program 10:53   Findings and considerations 13:46   Results 15:56   Repeat utilization 19:03   Effectiveness of inpatient care 20:06   Non-ED settings 21:46   Implications 25:52   If you could change one thing … 27:56   Stones left unturned 29:12   Variables Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Dr. Stacey Clardy talks with Dr. John Ney about wait times for new neurology office visits among commercially insured persons in the United States.  Read the related article in Neurology®.  Disclosures can be found at Neurology.org.  

The Pitt enjoyed an outstanding first season run. It was critically acclaimed, scooped up a number of significant accolades, and also amassed a passionate fan base that came to care deeply for the characters. It's an undeniably wonderful opportunity to get the chance to join the cast of a proven hit, but it also comes with a significant amount of pressure. Not only are you jumping aboard a fast-moving train on set, but you're also challenged to craft a character that fans will come to love just as much as their Season 1 favorites. Laëtitia Hollard managed to do just that as nurse Emma in The Pitt Season 2.The Pitt enjoyed an outstanding first season run. It was critically acclaimed, scooped up a number of significant accolades, and also amassed a passionate fan base that came to care deeply for the characters. It's an undeniably wonderful opportunity to get the chance to join the cast of a proven hit, but it also comes with a significant amount of pressure. Not only are you jumping aboard a fast-moving train on set, but you're also challenged to craft a character that fans will come to love just as much as their Season 1 favorites. Laëtitia Hollard managed to do just that as nurse Emma in The Pitt Season 2.Emma Nolan (Hollard) is fresh out of nursing school and is assigned to shadow the nurses at Pittsburgh Trauma Medical Center's Emergency Department. Emma is essentially thrown into the deep end on July 4. Her first day on the job throws a vast array of challenges her way, including the task of preparing Louie (Ernest Harden Jr.) to be laid to rest, caring for a sexual assault victim, being attacked by a patient herself, and then some, and Emma navigates it all with a staggering amount of grace and kindness. Hollard turned Emma into an impossibly lovable character, leaving many with fingers crossed tight that she'll return for Season 3.While attending the 2026 Overlook Film Festival in New Orleans for her feature film debut, Larry Fessenden's Trauma or, Monsters All, she took the time to sit down for a Collider Ladies Night interview to discuss the remarkable things she accomplished a mere year after graduating from the Juilliard School, Emma's biggest moments in The Pitt Season 2, and her hopes for the character's Season 3 storyline. Hosted on Acast. See acast.com/privacy for more information.

In this episode of The Visible Voices Podcast, I sit down with Dr. Scott Weiner, emergency physician, associate professor at Harvard Medical School, and founder of system-wide substance use disorder programming.  Dr. Weiner shares the patient cases that set his life's work in motion, including a fatal overdose on Boston Common that changed how he understood both medicine and advocacy.  Scott addresses the troubling gap in opioid education in American schools, the promise of wearable technology for monitoring patients in recovery, and the real reasons overdose deaths are finally starting to decline. Opioid use disorder is not a moral failure — it is a public health crisis. ▶ Subscribe on YouTube @resaelewissmd — new Visible Voices episodes Wednesdays.

In this episode, Lisa Kafer, MD, FAAP, discusses nonemergency acute care delivered outside of the medical home. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Lara McKenzie, PhD, MA, FAAHB, about cleaning product-related injuries treated in U.S. emergency departments. For resources go to aap.org/podcast.

Dr. Danya Khoujah joins GEMCast host Dr. Christina to dive into the first clinical practice guideline in the Geriatric Emergency Department (GED) Guidelines 2.0, which is dedicated to delirium. Delirium is a clinical syndrome characterised by acute and fluctuating disturbances of attention, awareness, perception or consciousness and it commonly affects older adults presenting to the ED. However, it is often missed, which has significant impacts on mortality and functional status of older patients. Khoujah is an attending physician in the Department of Emergency Medicine at AdventHealth Tampa in Florida, and host of GEDC's expert-panel webinars. She is part of the multidisciplinary team that created this GRADE-based clinical guideline, and in this episode, she talks through the development and recommendations arising from the guideline. The group aimed to assess the quality and applicability of direct and indirect evidence, with the goal of providing ED clinicians a patient-centred approach to delirium. To do so they asked 3 key questions: Which older patients in the ED are at higher risk of delirium? Which diagnostic tests are effective at identifying ED delirium? Do older ED patients with delirium need a CT head? Tune in to today's episode to hear more about screening, diagnosing and brain imaging for delirium in the ED, and keep an eye out for upcoming clinical guidelines in the GED Guidelines 2.0 series including medication safety, fall prevention, Find more information about this topic at https://gedcollaborative.com/resource/delirium/delirium-clinical-practice-guidelines-what-do-we-know-and-what-should-we-do/ GEMCAST is a Geriatric Emergency Medicine Podcast created to help clinicians, nurses, or paramedics who take care of older adults, particularly in the Emergency Department setting. GEMCast episodes, show notes and recommended resources can be found on the GEDC website at gedcollaborative.com/resources/?type=podcast.

Contributor: Aaron Lessen, MD Educational Pearls:   UTIs are commonly seen in older women We often see them taking long-term prophylactic antibiotics because of common recurrence. Around 20-30% of older women who develop a UTI have a recurrence due to either diagnostic failure, treatment failure or non-compliance with treatment.  UTI signs and symptoms Burning sensation when urinating Strong urge to urinate Urinating often and passing small amounts of urine.  Pelvic pain    There are currently more guidelines and studies on treatments to prevent these recurrent UTIs in women that we can start in the Emergency Department. Vaginal estrogen has been shown to significantly reduce this issue of recurrence. Very simple prescriptions can be prescribed in the ED It has little systemic absorption and is generally very safe and effective.   References Wells BA, De EJB, Visingardi J, Feustel PJ. IP15-36 IMPACT OF VAGINAL ESTROGEN ON SERIOUS ADVERSE OUTCOMES IN POSTMENOPAUSAL WOMEN WITH RECURRENT URINARY TRACT INFECTIONS: A RETROSPECTIVE STUDY. Journal of Urology [Internet]. 2025 May 1;213(5S):e778. Available from: https://doi.org/10.1097/01.JU.0001109984.67114.74.36 Ackerman AL, Bradley M, D'Anci KE, Hickling D, Kim SK, Kirkby E. Updates to Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2025). J Urol. 0(0). doi: 10.1097/JU.0000000000004723 Kaufman MR, Ackerman LA, Amin KA, et al. The AUA/SUFU/AUGS Guideline on Genitourinary Syndrome of Menopause. J Urol. 0(0). doi:10.1097/JU.0000000000004589 Meister MR, Wang C, Lowder JL, Mysorekar IU. Vaginal Estrogen Therapy Is Associated With Decreased Inflammatory Response in Postmenopausal Women With Recurrent Urinary Tract Infections. Female Pelvic Med Reconstr Surg. 2021 Jan 1;27(1):e39-e44. doi: 10.1097/SPV.0000000000000790. PMID: 31725016; PMCID: PMC7737516. Nazarko L. Recurrent lower urinary tract infection in older women [Internet]. Urology & Continence Care Today. Available from: https://www.ucc-today.com/journals/issue/launch-edition/article/recurrent-lower-urinary-tract-infection-in-older-women-ucct   Summarized by Aaryn David & Ahmed Abdel-Hafiz | Edited by Aaryn David & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

Listener discretion is advised!!! References: Gabayan, G. Z., Gould, M. K., Weiss, R. E., Patel, N., Donkor, K. A., Chiu, V. Y., Yiu, S. C., Jones, J. P., Hoffman, J. R., & Sarkisian, C. A. (2016). Poor Outcomes After Emergency Department Discharge of the Elderly: A Case-Control Study. Annals of Emergency Medicine, 68(1), 43–51.e2. Ganetsky M, Lopez G, Coreanu T, Novack V, Horng S, Shapiro NI, Bauer KA. Risk of Intracranial Hemorrhage in Ground-level Fall With Antiplatelet or Anticoagulant Agents. Acad Emerg Med. 2017 Oct;24(10):1258-1266. Gokhroo, R. K., Ranwa, B. L., Kishor, K., et al. (2015). Sweating: A Specific Predictor of ST‐Segment Elevation Myocardial Infarction Among the Symptoms of Acute Coronary Syndrome: Sweating In Myocardial Infarction (SWIMI) Study Group. Clinical Cardiology, 39, 90–95. Knack SKS, Scott N, Driver BE, Prekker ME, Black LP, Hopson C, Maruggi E, Kaus O, Tordsen W, Puskarich MA. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med. 2024 Sep;84(3) Koo, A. (Oct 29, 2024). Putting Clinical Gestalt to Work in the Emergency Department. Available: https://www.acepnow.com/article/putting-clinical-gestalt-to-work-in-the-emergency-department/5/?singlepage=1 Long, B., Keim, S. M., Gottlieb, M., Carlson, J., Bedolla, J., & Reisdorff, E. J. (2024). Can I Discharge This Adult Patient with Abnormal Vital Signs From the Emergency Department? The Journal of Emergency Medicine, 67(4), e487–e493. Milner, K. A., Funk, M., Arnold, A., & Vaccarino, V. (2002). Typical symptoms are predictive of acute coronary syndromes in women. American Heart Journal, 143, 283–288.

Back in June 2024, we highlighted surprising data from JAMA Network Open regarding adolescent care in the ED. Because many adolescents use the ED as their primary care provider, it's a good opportunity for them to have contraception addressed regardless of why they presented. But that's not what was happening. That publication from two years ago showed significant gaps in addressing contraception in the ED to pregnancy vulnerable young women, mainly teens. We covered those results back then and said that that would be a wonderful QI project for any resident or medical students to work with their hospital ED to improve that. Well, now a similar publication, looking at a different target- STI empiric treatment among pregnant women in the ED, has been published with that same vibe. Yep, there are BIG discrepancies in what pregnant women are given- or in this case, NOT GIVEN, in the ED compared to their nonpregnant peers. This was published in mid-April 2026. Two big questions remain unanswered in this data. Listen in for details. 1. Gottlieb M, Moyer E, Slocum GW, et al. Sexually Transmitted Infection Treatment Rates Among Pregnant vs Nonpregnant Patients in Emergency Departments. JAMA Network Open. 2026. 2. Canter H, Reed J, Palmer C, et al. Contraception Use and Pregnancy Risk Among Adolescents in Pediatric Emergency Departments. JAMA Netw Open. 2024;7(6):e2418213. doi:10.1001/jamanetworkopen.2024.18213

Dr Peter Allely from the Australasian College of Emergency Medicine told 3AW Breakfast hosts Ross and Russel EDs were being overwhelmed by people who should be treated elsewhere in the system.See omnystudio.com/listener for privacy information.

🧭 REBEL Rundown 🔑 Key Points 🧩 Human Factors: The unseen behaviors, distractions and considerations critical in emergency medicine and the ICU, influencing patient care beyond just medical knowledge.🎯 System Design: Effective system design directly impacts team performance by creating environments that facilitate optimal decision-making. 🏥 Real-world Application: The application of human factors in healthcare leads to better team dynamics, reduced stress, and improved patient outcomes. 👷🏽‍️It’s Everyone’s Job: Building a culture of adaptability and openness to change can lead to better healthcare delivery, communication and interprofessional relationships🛠️ Practical Solutions: Start the conversation in departments for actionable and pragmatic changes to current healthcare environments to enhance practitioner efficiency and patient care quality. Click here for Direct Download of the Podcast. 👀Previously Covered and Related Content: REBEL EM: Titles Don’t Make LeadersREBEL MIND: Moving from Junior to Senior Leadership in Emergency CareREBEL MIND: The Dunning-Kruger EffectREBEL MIND: Growth vs Fixed Mindset 📝 Introduction Welcome back to Rebel MIND, the podcast where we sharpen the person behind the practitioner. MIND stands for Mastering Internal Negativity during Difficulty. This series emphasizes productivity, provider performance, and team optimization to ensure we are at our best during high-pressure situations. In this episode, host Dr. Mark Ramzy chats with special guests and master educators about the concept of human factors.Dr. Chris Hicks is an emergency physician and trauma team leader at St. Michael’s Hospital in Toronto, Assistant Professor in the Department of Medicine at the University of Toronto, and co-founder of Advanced Performance Healthcare Design, a physician-led simulation and design group. Dr. Andrew Petrosoniak is an emergency physician and trauma team leader at St. Michael’s Hospital, and Medical Director of the Unity Health Toronto Simulation Program. He’s an Assistant Professor at the University of Toronto where his research focuses on simulation for systems and design improvement and optimizing the care of the bleeding patient. Along with Dr. Hicks, he’s also President of Advanced Performance Healthcare Design, a consulting firm that works with high-performance teams and uses simulation to enhance and design better healthcare spaces Cognitive Question How can the integration of human factors improve decision-making and performance in emergency medicine and critical care environments? ️What are Human Factors? In the context of healthcare, human factors encompass the interplay between humans, the systems they work within, and the effectiveness of their interactions. It includes elements like communication, system design, environmental conditions, and behavioral patterns affecting individual and team decision-making processes. It’s the collective impact of individual behaviors, team dynamics, and the physical environment on performance and outcomes. The aim is to eliminate issues arising from human error by creating systems and environments that naturally guide and support optimal performance. 🏥How This Applies to the Emergency Department or ICU? Efficient integration of human factors in high-pressure settings like the Emergency Department (ED) or Intensive Care Unit (ICU) helps mitigate the risks associated with stressful and chaotic environments. By focusing on system designs that account for human behavior, healthcare professionals can reduce errors, enhance team coordination, and ultimately improve patient care. This is crucial as teams are often required to make rapid, life-saving decisions in these environmentsThe design of clinical spaces can either hinder or help efficient care. Poorly arranged equipment or cluttered workspaces increase stress and impede decision-making. Implementing structured design principles, such as dedicated equipment zones and clear visual cues, can streamline workflows and enhance team coordinationIt actually helps pave the way for more efficiency because you end up “working smarter instead of harder”.It speaks directly to the Daniel Kahneman’s theory of Type 2 Thinking – which is a slow, analytical cognitive process requiring deliberate thoughtWe’ll likely create a whole dedicated episode to this but if you want to read more ahead of time on it, check out his book Thinking, Fast and Slow ⏩Immediate Action Steps for Your Next Shift **Assess Your Environment**: Take note of any clutter, noise, or layout issues in your workspace that could hinder optimal performance. Identify problem areas that could be optimized.**Recognizable Hard-Stop** – Implement a “Stop-Point” Check for areas or issues that involve more than just patient safety (ie. workflow inefficiencies, sign-out, throughput, etc). Use predefined benchmarks during procedures to ensure clarity and efficiency.**Foster Open Communication** – Encourage an environment where every team member feels comfortable discussing their thoughts and decisions without fear of judgment.**Prototype Solutions** – Work with colleagues to identify problems and brainstorm quick, cost-effective solutions that could be tested in your department.**Role Clarity and Preparation** – Ensure roles are clearly defined and team members are prepared with necessary resources readily available during high-stakes scenarios.**Test and Refine** – Conduct quick pilot tests of new setups or processes during quieter times and gather feedback from your team. Conclusion Human factors play a critical role in shaping healthcare outcomes. Through structured system designs and attention to team dynamics, it is possible to reduce inefficiencies and enhance both patient care and provider well-being. It requires a shift in perspective from seeing design and systems as separate from human behaviors, to seeing them as intricately linked. By incorporating these principles, healthcare professionals can create environments that inherently support better, safer, and more effective patient care. 🚨 Clinical Bottom Line Incorporating human factors into healthcare isn’t just about preventing errors—it’s about creating an ecosystem where the healthcare team is empowered to perform at their best, even under the most challenging conditions. Implementing small, iterative changes can create a meaningful impact, paving the way for improved systems and processes. This starts by redesigning systems and environments with human factors in mind, which can significantly improve both the efficiency of care delivery and the safety of the healthcare environment. Further Reading Petrosoniak A, Hicks C. M&M rounds 2.0: the future of performance improvement. CJEM. Feb 2025PMID: 39979684Petrosoniak A, Hicks CDesign, build, train, excel: Using simulation to create elite trauma systems. International Anesthesiology Clinics. Publish Ahead of Print.Request the Article herePetrosoniak A, Hicks C, et al. Design Thinking-Informed Simulation: An Innovative Framework to Test, Evaluate, and Modify New Clinical Infrastructure. Simul Healthc. 2020 Jun 2020.PMID: 32039946Bleetman A, et al.Human factors and error prevention in emergency medicine. Emerg Med J. May 2012PMID: 21565880Hayden EM, et al.Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018 Feb 2018PMID: 28925571 Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief Cardiothoracic Intensivist and EM Attending RWJBH / Rutgers Health, Newark, NJ Chris Hicks, MD, Med Co-Founder of Advanced Performance Assistant Professor of Emergency Medicine, University of Toronto, Canada Andrew Petrosoniak, MD, MSc Co-Founder and President of Advanced Performance Medical Director of Unity Health Toronto Simulation Program Showing Slide 1 of 3 The post REBEL MIND – Human Factors: The Hidden Architecture of Emergency & Critical Care Medicine appeared first on REBEL EM - Emergency Medicine Blog.

AEM E&T Podcast host Resa E. Lewiss, MD, interviews author Jazmyn Shaw, MD.

What does good care actually look like for adults living with sickle cell disease? In this episode of our What Good Care Looks Like for Adults with Sickle Cell series, lifespan sickle cell expert Dr. Julie Kanter breaks it down. She covers establishing a medical home, working with a sickle cell specialist, navigating the Emergency Department, and building an Individualized Care Plan that works for you.Dr. Julie Kanter is the Co-Director of the Lifespan Comprehensive Sickle Cell Center at the University of Alabama at Birmingham and President of the National Alliance of Sickle Cell Centers (NASCC).This episode is part of Sickle Cell 101's Care and Treatment 101 Educational Initiative, a community resource dedicated to making care information accessible and actionable for the sickle cell community.Thank you to our Care and Treatment 101 sponsors: Vertex, Chiesi, Pfizer, and Medunik.

In Part Two of this TCRN Roundtable, our discussion shifts to the ethical, professional, and personal complexities of trauma nursing. We explore challenging scenarios, pediatric readiness in adult trauma centers, the evolving role of the TCRN, and the experiences that shape leadership, growth, and resilience within trauma systems. Let's dive right back in with Merideth, Ashley and Jamin. Merideth Gradowski is an experienced nursing leader with over 15 years in the field and a strong focus on trauma care. She holds a BSN from Arizona State University and an MSN in nursing administration from Queens University of Charlotte. Currently serving as a Trauma Program Manager, she leads system development and quality initiatives to improve patient outcomes. She is especially passionate about advancing pediatric trauma care within adult trauma centers. Ashley Metcalf began her nursing career in the Emergency Department and has spent more than 20 years dedicated to trauma care. She currently serves as a Trauma Program Performance Improvement Coordinator at a Level I Trauma Center, where she focuses on advancing quality and outcomes. Ashley is also the President of the Trauma Association of South Carolina and co-chairs the Advanced Trauma Care for Nurses Committee through the Society of Trauma Nurses. She brings both deep clinical experience and strong leadership to the trauma nursing community. Jamin Rankin is a dynamic nursing leader with more than a decade of experience spanning emergency, trauma, and air-medical care. He currently serves as Trauma Program Manager and Stroke Program Manager at Ochsner LSU Health, where he leads accreditation, education, and systemwide quality initiatives. His background includes frontline work as a flight nurse and emergency clinician in both rural and Level I trauma settings. Jamin is widely recognized for his leadership and contributions to trauma systems, earning honors such as ENA's 20 Under 40 and BCEN's Distinguished TCRN designation. This episode is titled “TCRN Roundtable: Code Red Activated (Part Two).” Our TCRN Roundtable guests can be contacted on LinkedIn @MeridethGradowski, @AshleyMetcalf, and @JaminRankin BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io

Everyone's juggling a lot in The Pitt Season 2, but Isa Briones' storyline as Trinity Santos feels especially full. Not only is being a second-year resident at Pittsburgh Trauma Medical Center's Emergency Department especially taxing, but on this particular day, she also faces the return of Dr. Langdon (Patrick Ball), Dr. Robby's (Noah Wyle) pending exit for his sabbatical, and the realization that she might not get precisely what she wants out of her relationship with Dr. Garcia (Alexandra Metz). As is very often the case with The Pitt, the writers do an exceptional job of blending workplace challenges with personal concerns to craft stories about fully realized people giving everything they've got to others, while trying to figure out how to care for themselves in the process.With The Pitt closing in on its Season 2 finale, Briones carved out the time to swing by the Collider Ladies Night studio to discuss everything that's happened through Episode 13, “7:00 PM,” before jetting off to New York City for her run in Just in Time on Broadway. We covered lessons learned from her father, Jon Jon Briones, takeaways from Star Trek: Picard, what it was like joining the cast of The Pitt, and, of course, everything Santos is trying to power through on July 4th. Hosted on Acast. See acast.com/privacy for more information.

Host Aimee Faith Ho, MD, MPH, FACEP, welcomes Dr. Utsha Khatri to discuss the clinical and ethical nuances of caring for incarcerated patients, as also explored in the ACEP Now article, “Carceral Health and the Emergency Department.” Dr. Khatri, an assistant professor of emergency medicine and health services researcher, shares pearls for navigating the presence of correctional officers while re-centering the patient through dignity and medical autonomy. Additional highlights from this episode include coverage of the emergency medicine residency match, preparations for the FIFA World Cup, and updates on Medicaid work requirement changes. Dr. Ho also previews clinical features on endometriosis management, forensic training in the ED, and new guidelines for asymptomatic hypertension.

Host Trevor DaRin is joined by Sg2 experts Ivy Zhu and Tori Richie to explore the evolving role of freestanding EDs, hybrid ED–urgent care models and micro hospitals in health system strategy. Together, they discuss how these sites can improve access, relieve pressure on traditional EDs and support more efficient care delivery—when deployed with clear intent. The conversation also looks ahead to how virtual care, digital transparency, payer pressure and specialty urgent care models may shape the future of emergency and ambulatory access.   We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

In this episode, we're joined by three exceptional Trauma Certified Nurse Leaders for an in-depth roundtable discussion. Merideth Gradowski is an experienced nursing leader with over 15 years in the field and a strong focus on trauma care. She holds a BSN from Arizona State University and an MSN in nursing administration from Queens University of Charlotte. Currently serving as a Trauma Program Manager, she leads system development and quality initiatives to improve patient outcomes. She is especially passionate about advancing pediatric trauma care within adult trauma centers. Ashley Metcalf began her nursing career in the Emergency Department and has spent more than 20 years dedicated to trauma care. She currently serves as a Trauma Program Performance Improvement Coordinator at a Level I Trauma Center, where she focuses on advancing quality and outcomes. Ashley is also the President of the Trauma Association of South Carolina and co-chairs the Advanced Trauma Care for Nurses Committee through the Society of Trauma Nurses. She brings both deep clinical experience and strong leadership to the trauma nursing community. Jamin Rankin is a dynamic nursing leader with more than a decade of experience spanning emergency, trauma, and air-medical care. He currently serves as Trauma Program Manager and Stroke Program Manager at Ochsner LSU Health, where he leads accreditation, education, and systemwide quality initiatives. His background includes frontline work as a flight nurse and emergency clinician in both rural and Level I trauma settings. Jamin is widely recognized for his leadership and contributions to trauma systems, earning honors such as ENA's 20 Under 40 and BCEN's Distinguished TCRN designation. Trauma nursing lives at the intersection of standards, systems, and bedside decision-making, and in Part One we explore regulatory expectations, performance improvement, trauma program structure, and gaps across the trauma care continuum. This episode is titled “TCRN Roundtable: Code Red Activated (Part One).” Our TCRN Roundtable guests can be contacted on LinkedIn @MeridethGradowski, @AshleyMetcalf, and @JaminRankin BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io

It's one of the most common—and most frustrating—complaints in the Emergency Department: the patient covered head-to-toe in hives, miserable, itching, and desperate for relief. In this episode of EM Pulse, we welcome back ED Clinical Pharmacist Haley Burhans to tackle the “uncomfortable” topic of urticaria. We move past the myths of one-and-done doses and explore why your standard allergy dosing might be leaving your patients itching for more. The Power of Second-Generation Antihistamines Haley explains why second-generation antihistamines (cetirizine, levocetirizine, fexofenadine) should be your first-line ED therapy, rather than the old school standard, diphenhydramine (Benadryl). Xyzal vs. Zyrtec: We break down the L-enantiomer (levocetirizine) and whether it actually beats its predecessor in preventing drowsiness. The “Double Dose” Pearl: For acute urticaria in the ED, 10mg of cetirizine isn’t enough. Haley recommends starting with 20mg for adults (or doubling the weight-based dose for kids) to see relief within 20–60 minutes. The 4x Rule: Guidelines now support up to four times the standard daily dose for refractory cases (usually split BID). We discuss the safety data behind these higher regimens and why they are tolerated so well. The Steroid Trap and the Rebound Effect Patients often come in requesting steroids but they are NOT the primary cure for urticaria. The Antihistamine Backbone: Steroids treat inflammation, but the antihistamine treats the underlying stimulus. If a patient stops their antihistamines and only takes a steroid burst, they are set up for a miserable rebound. Dosing Strategies: If you do use steroids, keep it to a burst or taper of 10 days or less. We discuss the utility of methylprednisolone (Medrol Dosepak) versus a simple prednisone burst/taper or a course of longer-acting dexamethasone. Beyond the Basics: Benadryl and the MABs The Danger of “Dirty” Drugs: Why diphenhydramine has fallen out of favor due to its sodium channel blocking side effects, anticholinergic toxicity, and psychiatric risks. The Future of Itch: A look at emerging biologics like omalizumab. While these IgE-blockers shouldn't be started in the ED, it's important to know about them to treat patients who are taking them, or who present with rebound urticaria after recently stopping them. Key Takeaways Go Big on Second Generation Antihistamines: Start with a double dose of cetirizine in the ED. It's safe, effective, and less sedating than first-generation alternatives. Discharge patients on that double dose twice a day. Think Long-Term: Urticaria pathways need time to “cool down.” Advise patients to stay on the prescribed meds/doses for 1–2 months, not 1–2 days. Steroids are Adjuncts: Use a short burst (

🧭 REBEL Rundown 📌 Key Points Parallel Tasking: Transitioning from junior to senior roles in medicine involves both personal growth and the development of leadership skills, often simultaneously. Psychological safety: Creating this within teams is critical for fostering an environment where all members feel empowered to speak up and share insights. Big and Small Picture View: Effective leadership requires the ability to zoom in on specific tasks and zoom out to manage the big picture, ensuring comprehensive patient care. Timing is Everything: The act of asking the right questions at the right time can significantly enhance team dynamics and patient outcomes in high-pressure situations. Talk the Talk: Creating and practicing clear, structured communication strategies can assist in smooth transitions and effective leadership during medical emergencies. Click here for Direct Download of the Podcast. 👀Previously Covered and Related Content: REBEL EM: Titles Don’t Make LeadersEM Cases: Four Key Learnings from a Career in Emergency Medicine Leadership 📝 Introduction Welcome back to REBEL MIND, where MIND stands for Mastering Internal Negativity during Difficulty. Here we sharpen the person behind the practitioner by focusing on things that improve our performance, optimizing team dynamics and the human behavior that embodies the hidden curriculum of medicine. Hosted by Dr. Mark Ramzy, with special guest Dr. Dan Dworkis, an emergency physician and author of “The Emergency Mind,” this episode dives into the complex journey from junior to senior leadership in medical settings.You can learn more about Dan’s work and the Emergency Mind Project hereHe has a phenomenal book called “The Emergency Mind: Rewiring Your Brain for Performance Under Pressure“ that you can purchase here! Cognitive Question How do medical professionals effectively transition from junior to senior roles, and what mental shifts are necessary to manage these evolving responsibilities? 🏥How This Applies to the Emergency Department or ICU? Transitioning from a junior to a senior role in the emergency department or ICU is akin to stepping onto a new stage where the performance demands are higher, and the stakes significantly greater. While juniors focus on learning their craft and understanding themselves, seniors are expected to manage and lead entire teams, often making life-saving decisions under pressure. This transition challenges not only their clinical skills but also their ability to lead effectively and maintain psychological safety within their teams.By fostering an environment where every team member feels valued and heard, senior leaders can harness the collective intelligence of the group, ensuring better patient outcomes and a more effective response to emergencies. ⏩Immediate Action Steps for Your Next Shift **Exercise Intentional Questioning**: Start your next shift by focusing on how you ask questions. Aim to frame queries in a way that invites discourse and challenges assumptions.**Develop Peripheral Awareness**: As you conclude critical tasks, practice expanding your focus from the immediate to the wider context, considering broader departmental needs. **Promote Inclusive Participation**: Encourage junior team members to share their observations and insights by specifically inviting their input during debriefs and planning.**Conduct Leadership Experiments**: On your next shift, try altering your leadership approach—whether it’s how you communicate or delegate—and reflect on its effectiveness with colleagues. **Create Psychological Safety**: Work towards fostering a safe environment for open communication, ensuring that all team members feel comfortable speaking up without fear of retribution. Conclusion Transitioning from a junior to a senior leadership role in the medical field is not just about honing your clinical skills but also about growing as a leader who can guide a team under intense pressure. By focusing on intentional communication, fostering psychological safety, and keeping an eye on both the details and the bigger picture, you can enhance your effectiveness as a leader. Continuous reflection and feedback are essential to mastering these skills, ensuring that both you and your team provide the highest level of care for your patients. 🚨 Clinical Bottom Line Leadership in medicine is about more than making decisions—it’s about creating an atmosphere where every voice is heard, ensuring optimal functioning of the team. As you grow into your senior role, remember that fostering psychological safety and practicing strategic communication can make all the difference in patient outcomes and team dynamics. Further Reading Collins-Nakai R. Leadership in medicine. Mcgill J Med. 2006 Jan;9(1):68-73. PMID: 19529813Chen TY. Medical leadership: An important and required competency for medical students. Tzu Chi Med J. 2018 Apr-Jun. PMID: 29875585 Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief Cardiothoracic Intensivist and EM Attending RWJBH / Rutgers Health, Newark, NJ Dan Dworkis, MD, PhD Founder of Emergency Mind Project Assistant Professor at Keck School of Medicine at USC and Chief Medical Officer at Mission Critical Team Institute Showing Slide 1 of 2 The post REBEL MIND – The Mental Jump: Moving from Junior to Senior Leadership in Emergency Care appeared first on REBEL EM - Emergency Medicine Blog.

AEM Podcast host Ken Milne, MD, and guest skeptic Christina Shenvi, MD, PhD, MBA. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

Heather Bartlett, BSN, RN, CEN, CNML, is a nurse educator and supervisor in the Emergency Department at MyMichigan Medical Center Midland in Midland, Michigan. She is the person responsible for orienting every nurse, ED tech, and unit assistant who joins their team, equipping each one with the confidence, competence, and humanity to show up for patients on their worst days. Her mission is deeply personal. When Heather was 15, her father died of a massive heart attack at age 42. In the immediate aftermath, an emergency department nurse was her rock and her ally. That nurse's compassionate, honest, and unshakeable presence planted the seed for everything that followed.  Heather reflects on what it means to truly see your patients: to hear what they're saying, to notice what they aren't, and to stand with them in the hard spaces as their bridge, their advocate, and their confidant.    For more information on the podcast bundles, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/education. Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: hello@seeyounowpodcast.com.

Thank you Joseph 'The Hitman Jones' Davenport, OMS III, for developing this podcast! Thank you Katie 'The Voice' Werman, OMS III, MS for being a great sidekick. This podcast contains personal anecdotes about the benefit of spaced repetition. The podcast then discusses the challenges of mental health treatment in ED settings and possible solutions. We enjoyed our discussion and hope you do too!Thank you to the medical students physicians that have blazed the podcast pathway over the last half decade. Thank you to the new students that carry the torch! Thank you to the immortal Jordan Turner for creating the perfect bumper music! Most of all, thank you to everybody that listens and learns with us.

Thank you Katie 'The Voice' Werman, OMS III, MS for developing this podcast! Thank you Joseph 'The Hitman Jones' Davenport, OMS III, for being a great sidekick. This podcast contains high yield content regarding emergency room aspects of the shelf exam. The podcast then discusses the the management of patients with schizophrenia in the ED with respect to agitation and suicide. This is an update on a distant podcasts! We enjoyed our discussion and hope you do too!Thank you to the medical students physicians that have blazed the podcast pathway over the last half decade. Thank you to the new students that carry the torch! Thank you to the immortal Jordan Turner for creating the perfect bumper music! Most of all, thank you to everybody that listens and learns with us.

Pediatric agitation in the Emergency Department is one of those presentations that can escalate quickly and leave even experienced clinicians feeling on edge. It is high-risk, resource-intensive, and often unfolds in an already overstimulating environment where small missteps can make things worse. At the same time, agitation is not a diagnosis, it is a clinical presentation that may reflect anything from psychiatric illness to delirium, intoxication, trauma, or simply a child overwhelmed by the ED itself. So how do we approach these patients in a way that is safe, systematic, and effective? In this episode with guest experts, Dr. Susan Duffy and Dr. Thomas Chun, we tackle the questions that come up at the bedside: How do we rapidly distinguish mild, moderate, and severe agitation in a way that actually changes what we do next? Which patients are most likely to escalate, and how can we intervene early to prevent that? When should we be worried about a medical or toxicologic cause rather than assuming this is “behavioural”? What does effective verbal de-escalation actually look like in a busy ED, and why does it so often fail? When is a "code white" for emergency security measures truly indicated, and how do we avoid turning it into an escalation trigger? How should we be thinking about medications: what to choose, when to give them, and how to avoid over-sedation? And once the patient is finally calm, how do we make sure we aren't missing the underlying diagnosis? and many more... Please consider a donation to EM Cases to support ongoing high quality Free Open Access Medical Education https://emergencymedicinecases.com/donation/

Dr. Andy Southerland and Dr. Layne Dylla discuss the trends in head CT use in US emergency departments from 2007 to 2022, highlighting disparities, regional variations, and the potential role of AI in optimizing imaging decisions.  Show citations:  Dylla L, Krothapalli N, Tu L, et al. Trends in Head CT Use in US Emergency Department Patients From 2007 to 2022: A Nationwide Analysis. Neurology. 2025;105(12):e214347. doi:10.1212/WNL.0000000000214347

Dr. Andy Southerland talks with Dr. Layne Dylla about the trends in head CT use in US emergency departments from 2007 to 2022, highlighting disparities, regional variations, and the potential role of AI in optimizing imaging decisions.  Read the related article in Neurology®.  Disclosures can be found at Neurology.org. 

In this episode, Kate Remick, MD, FAAP, discusses pediatric readiness in the emergency department. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Joseph Wright, MD, MPH, FAAP, and Elyse Portillo, MD, MPH, FAAP, about operationalizing equity in clinical guidance. For resources go to aap.org/podcast.