Podcasts about emergency departments

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.

Much has happened this week, so National's Hamish Campbell and Labour's Tracey McLellan joined John MacDonald to delve into the biggest issues. They discussed whether the Government should underwrite power prices to reduce bills, the viability of Treasury's solutions to the financial crunch, and the results of the Herald's annual Mood of the Boardroom survey. Plus, the ever-hot topic that is the state of Christchurch Hospital's overwhelmed emergency department. LISTEN ABOVE See omnystudio.com/listener for privacy information.

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.

Episode 79 and I'm joined by Brodie. Brodie enlisted in the Australian Army in September 2008. Following initial training he was posted to B Squadron, 3rd/4th Cavalry Regiment, B Squadron and deployed to Afghanistan as part of MTF-3. During the deployment, he operated in various roles including driver, rear gunner, and support within HQ MSS and 2 Troop MSS across multiple FOBs. Post-deployment, he was posted to the 2nd/14th Light Horse Regiment (QMI) in Brisbane, serving in both C and B Squadrons until 2015. He then transferred to the Royal Australian Army Medical Corps and undertook 18–21 months of combat medic training at Latchford Barracks. Upon qualification, he was posted to the 2nd General Health Battalion, 1 Surgical Company, working in the nursing department and later in the Emergency Department as an evacuation medic. In 2018, he deployed on TAJI 8 as an ED medic, evacuation medic, and PMV driver. Following this, he supported domestic operations during the bushfire crisis and COVID-19 pandemic as part of Operation Corona, including deployments to Christmas Island and Howard Springs.He later discharged from the Army in 2021. He has worked for various paramedic companies, DVA and Open Arms as a mental health intake clinician. He is now an actor and stay at home Dad. Find us on Instagram and Facebook. @5withadiggerpodcastThis podcast proudly sponsored by Gravel Empire. Cuzkell Contractors. Elite Boxing Club Adelaide.Use "5WITHADIGGER" at checkout for 15% off on Savvy Touch Products.Merch available at www.crewapparelprint.com.auLike. Subscribe. Tell your mates.YOU'RE NEVER ALONE! Hosted on Acast. See acast.com/privacy for more information.

Is it good enough? When you hear a doctor at Christchurch Hospital say that patients are dying in the waiting room and car park because the place is so overloaded, is it good enough? I've been talking to someone who was there at the weekend and saw first-hand how overloaded it actually is, which I'll tell you about shortly. But is it good enough that we have Dr Dominic Fleischer saying that patients are dying in the waiting room and car park because the place is so overloaded? It's not good enough in my book. But what's the solution? I honestly think the only genuine solution would be a second general hospital in the greater Christchurch area. What chance of that happening, do you reckon? I was talking this morning with someone who wasn't shocked to hear what Dr Fleischer is saying. Because this person was at Christchurch Hospital at the weekend and saw first-hand what it's like. They went to the emergency department with a family member on Sunday afternoon. So it wasn't Friday night or Saturday night, when the ED is, typically, its busiest. The person they were supporting was “fast tracked”, but still had to wait six hours to be seen. There were other patients being told that the wait for them was going to be eight-to-nine hours. It was standing room only in the waiting area. Support people had to stand and there were people squeezed-in together. Some vomiting. There were people bleeding, with blood running to the floor. A guy arrived with his wife after he'd been lying on the floor at Bunnings for five hours waiting for an ambulance that never came. He had some sort of back injury. Then, when the person I spoke to and the family member they were supporting eventually got through to the ED ward, every cubicle was occupied and the corridors were lined with people in seats, wheelchairs, stretchers and beds The family member they were with had to have a consultation in a resuscitation room, where they were told not to put their bags down - in case they had to leave in a hurry. Another so-called “private” consultation had to be done in the nurses tea room - because there was no other space available. There was even a doctor wearing a backpack the whole time because he was being moved from ward-to-ward and didn't know where he was going to be working next. So he kept his backpack on and his personal belongings with him the whole time People having invasive tests - like blood cultures taken - in the corridor. They struggled to even find a wheelchair with a hook to carry IV medication. This person who spoke to me about their experience said they couldn't fault the doctors, nurses and security. Everyone was doing their best. But it did occur to them, what if there was some sort of mass casualty event? Would the hospital be able to cope? And this person said, based on what they went through, they couldn't see how it could cope. Which brings me back to the question I asked right at the start: Is this good enough? Is it good enough that some patients are waiting 24 hours to be seen? Is it good enough that patients have died in the waiting room and carpark? Is it good enough? And what would you do to fix it? LISTEN ABOVESee omnystudio.com/listener for privacy information.

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

I've chosen five of my favorite episodes (out of so many!) to share with listeners. This is the fifth and final one that brought another one of my favorite people together with me to chat about how life can be for women in various professions.* * *This episode, I have the pleasure of hosting one of my favorite professionals, friend and mentor, Dr. Christina Keszler. She is the Owner, and Chiropractic physician of Synergy Wellness Centers, LLC.We have a great time sharing laughs, but also discussing serious subjects as trying to be a professional who is female in male dominated fields, how to be the best in your profession for best client/patient care, and being badass means just being your genuine self.***** 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.

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, […]

On Politics Thursday, Nick was joined by Labour's Health spokesperson Ayesha Verrall and National's Otaki MP Tim Costley. They discussed the new Government proposal for a new infringement offence for shoplifting, the annual net migration continuing to fall, and some harrowing statistics around care in Wellington Hospital's Emergency Department. LISTEN ABOVESee omnystudio.com/listener for privacy information.

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.

I've chosen five of my favorite episodes (out of so many!) to share with listeners. This is the fourth one that brought one of my favorite people together with me to chat about things we find important.* * *I have one of my favorite people, Veronica Green, chatting with me. As with most of the people that I know, and definitely among my friends group, she is incredibly passionate about service to/for/with others. And this means for her, using her voice to advocate for those who are unable to speak up and advocate for themselves - her students.We cover everything from how we first met, to Veronica's adventures in teaching, people trying to find the meaning of their human existence, to her new podcast. We get sweary, we laugh a lot, and at the end of the episode, curse motorcycles interrupting our discussions.Veronica Green is a Midwest Mama with a K-12 license in ESL (English as a Second Language) in the state of Minnesota. Bilingual in Spanish and a language nerd at heart, she holds a Master's in TESOL (Teaching English to Speakers of Other Languages) and a Master's in Conflict Resolution. She has a background in case management, business, music, and has homemade soup and baked goods game.Veronica is the host and producer of her brand new podcast focusing on student and teacher advocacy called “Use Your Teacher Voice.”She lives in St. Paul with her partner, two daughters, old puppy, young kitty, trees and garden.* * * 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.

>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠ ⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠

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.

In this podcast, emergency medicine physician Taylor Brown, MD, of Harvard Medical School breaks down how trauma-informed care can transform interactions in high-pressure emergency settings. She discusses practical strategies to empower patients, reduce retraumatization, and enhance outcomes, even in the most acute clinical encounters.

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.

Michelle Eliot speaks to Paul Adams from the BC Rural Health Network and New Brunswick ER doctor Fraser Mackay about what can be done to end persistent ER closures after the Delta Hospital ER was closed again when a physician called in sick

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 »

The Bank Holiday weekend always brings an increase in attendances to our Emergency Departments and Hospitals, so where do you go if you need care? We get advice from the HSE with Grace Rothwell, National Director for HSE Access and Integration with all options available to you over the weekend and JJ Clarke Columnist with the Irish Independent brings us ‘festivalling' advice ahead of All Together Now.

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

Tonight, on The Panel, Wallace Chapman is joined by panellists Allan Blackman and Cindy Mitchener. Starting off, the Panel hears from a kiwi living in Japan and their experience after tsunami warnings followed a massive Russian earthquake, They also talk to an Emergency Department nurse who along with their colleagues are striking over safer working conditions today, and a true blue GIRL racer responds to new anti "boy racer" legislation.

As a born and raised local and, now a Physician, Joy Mueller, M.D., Family Medicine and Primary Care Monument Health Sturgis Clinic, has seen more than a few Sturgis Motorcycle Rallies. In this episode of Doc Talk, Dr. Mueller describes the different ways the staff in Sturgis prepares in advance for the influx of cases at their Emergency Department, Same Day Clinic and Hospital. She reveals some common injuries she treats and how she still manages to enjoy the Rally, despite her busy caseload as a doctor. Hosted on Acast. See acast.com/privacy for more information.

Paramedic and author Tim Booth reveals the wildest sturies coming from the emergency department.Subscribe on LiSTNR: https://play.listnr.com/podcast/fifi-fev-and-nickSee omnystudio.com/listener for privacy information.

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 […]

Dr. Jeff Bohmer, Medical Director of the Emergency Department at Northwestern Medicine Central DuPage Hospital, joins Bob Sirott to talk about why you shouldn’t drink while flying on an airplane and the best supplements to take for heart health. He also discusses which ultra processed food could be good for you and the worst time […]

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.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Multisite Validation of a Strategy to Identify Very Low Risk Emergency Department Patients Without Troponin.

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.

July is the most exciting time of the year in the hospital - especially in the Emergency Department, when all of the new interns show up! Get 12 pieces of advice for interns reporting for their first shifts, courtesy of EMRA*Cast host Blythe Fiscella, MD, and guests Andrew Toron, MD (chief resident), Brielle Grote, DO, and Emerson Trimble, DO.  

Disparities in Treatment and Referral After an Opioid Overdose Among Emergency Department Patients  JAMA Network Open This cohort study of 1,683 patients assessed if there are racial and ethnic disparities in treatment referral rates among patients in the emergency department (ED) with opioid overdose.  It found a statistically significant difference in the proportion of Black patients who received an outpatient treatment referral (5.7%) compared with White patients (9.6%). These findings suggest that Black patients presenting to the ED with opioid overdose may be less likely to receive outpatient treatment referrals, underscoring the need for targeted intervention and enhanced referral processes.   Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM

Visiting the emergency department with a sick or injured child can overwhelm parents due to long wait times and stress. Understanding what to expect can help. This episode explores when to go to children's hospital emergency departments in Australia and what to expect upon arrival. - Hasta veya yaralı bir çocukla acil servise gitmek, uzun bekleme süreleri ve stres nedeniyle ebeveynleri bunaltabilir. Acilde ne bekleyeceğinizi anlamak biraz yardımcı olabilir. Bu bölüm, Avustralya'daki çocuk hastanesi acil servislerine ne zaman gidileceğini ve varınca da ne beklemeniz gerektiğini anlatıyor.

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

In today's episode, the union representing midwives says Wellington Hospital cutting beds from its gynaecology and maternity wards in a trial aimed at making more room for patients from the overcrowded Emergency Department is a bad move, Health NZ says gynaecology has 12 "resourced" (staffed) beds, with capacity to flex to 14, and 26 resourced maternity beds, with the ability to flex to 37 beds (11 unresourced) in response, the Finance Minister says several thousand more families will benefit from the changes to FamilyBoost, monitoring potential dangers, such as intruders or eavesdroppers, is the focus of the country's new space squadron, and it has been a huge weekend of music in the United Kingdom - with Black Sabbath performing a farewell show in Birmingham, and Oasis back on stage together to kick off their high-anticipated reunion tour in Cardiff in Wales.

A leaked memo shows Wellington Hospital is cutting beds from its gynaecology and maternity wards in a trial aimed at making room for patients from the over-crowded Emergency Department. Ruth Hill reports.

The union representing midwives says Wellington Hospital cutting beds from its gynaecology and maternity wards in a trial aimed at making more room for patients from the overcrowded Emergency Department is a bad move. Midwifery Representation and Advisory Service's Caroline Conroy spoke to Melissa Chan-Green.

Health NZ has said gynaecology had 12 "resourced" (staffed) beds, with capacity to flex to 14, and 26 resourced maternity beds, with the ability to flex to 37 beds (11 unresourced) in response to Wellington Hospital's trial aimed at making more room for patients from the overcrowded Emergency Department. Health NZ's group director of operations Jamie Duncan spoke to Ingrid Hipkiss.

Welcome back to Papers of the Month! Three more papers to both inform and challenge our practice across the spectrum of emergency care. First up we look at a systematic review and meta-analysis on noradrenaline vs adrenaline for our medical post-ROSC patients; what evidence exists out there and should we all be delivering noradrenaline as our first line treatment for those with shock? Next up a paper to really challenge the treatment algorithm for status epilepticus in paediatrics, with an RCT of midazolam and ketamine versus midazolam alone. There are some huge differences here in the form of termination rates and some great discussion to be had around the specifics of the paper and how that might translate into future practice. Finally we look at a paper assessing the impact of i.m. versus i.v. metoclopramide for migraines and acute severe headaches. The paper looks at the impact of length of stay within the Emergency Department and also the efficacy of the treatment. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Interview with Adrian D. Haimovich, MD, PhD, author of National Trends in Prolonged Emergency Department Length of Stay Among Older Adults: 2017-2024 and Maura Kennedy, MD, MPH author of Addressing the Hospital Boarding Crisis in the US—Time to Act: Addressing the Hospital Boarding Crisis in the US. Hosted by Eve Rittenberg, MD. Related Content: Addressing the Hospital Boarding Crisis in the US—Time to Act Prolonged Emergency Department Stays for Older US Adults