Podcasts about emergency departments

Doctors say hospital emergency departments are in crisis with more people presenting sicker than ever and patients regularly being accessed in corridors or ambulance bays. 

There are worries people are spending far too long waiting in Emergency Departments as demand surges. An Australasian College of Emergency Medicine report finds admissions around the country have risen 21% in the past decade, surging past our 13% population growth. It finds there are rising numbers of seriously unwell patients. Waikato Hospital Emergency Medicine Specialist John Bonning told Mike Hosking some patients are waiting 24 hours in EDs, with resources tight. He says this will be a result of things like a lack of in-patient beds, as well as inadequate staff numbers. Bonning says a range of things has added up – the population is aging, people are getting sicker, and there are unmet needs elsewhere in the sector, so people are ending up in EDs. LISTEN ABOVE See omnystudio.com/listener for privacy information.

A doctor says urgent action is needed to stop our Emergency Departments spiralling downwards. A report from the Australasian College of Emergency Medicine finds more money must be spent on building capacity and doctor numbers in EDs. Admissions rose 21 percent in the past decade, far exceeding the 13 percent population growth. Chair, Doctor Michael Connelly says things have been getting worse for years. "We're reaching that point where there's quite a bit of stress on the people that are working in the system, and it can have adverse effects on patients - and any loss of people working in the system can be detrimental." LISTEN ABOVESee omnystudio.com/listener for privacy information.

Health is one of those areas you can churn through cash. It's expensive to visit your GP, but also expensive to fund. The amount taxpayers spend on health has one up 100% over the past decade. It was around 15 billion in 20216. It's now up over 30. The population has not increased by that much. Only roughly 15%. But there are always better medicines to buy. Unions to settle pay negotiations with. New equipment to buy. Hospitals to replace. It's a money pit. Every election we get the same message, which is basically, let's put more money in the pit. And both Labour and National are saying they will do this. Hell, even ACT is saying the same. But are we missing a trick by always focussing on money in and patients out? Diabetes and obesity are massive problems for the health system. As is aging, though we can't do much about that. But where is the focus in this campaign, outside of New Zealand First's policy, on the food pyramid and keeping ourselves healthy and fit? You are what eat. That's not just an old saying. It's science. To his credit, Robert F. Kennedy Jr. is pushing this in the States. Why aren't we? If we want to keep the status quo and continue funding an ambulance at the bottom off the cliff then we're going the right way about it.See omnystudio.com/listener for privacy information.

Emergency Department and Critical Care Services are often incorrectly coded because the documentation lacks clarity. Terry discusses the elements necessary to have compliant ER documentation and also what CC services need to make sure they are supported for billing. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post ER and Critical Care Services Coding appeared first on Terry Fletcher Consulting, Inc..

Queensland emergency departments are facing a catastrophic collapse, with some patients enduring wait times of up to 70 hours due to chronic understaffing and bed bottlenecks. Former AMA Queensland President Dr. Maria Bolton joined Jason Matthews on 4BC Breakfast to warn that over 1,400 patients awaiting aged care or NDIS placement are trapped in hospital beds, leaving frontline health workers burned out and demanding long-term government solutions.See omnystudio.com/listener for privacy information.

Interview with Paul I. Musey Jr, MD, MS, author of Telehealth Treatment of Anxiety in Patients With Low-Risk Chest Pain in the Emergency Department: The PACER Randomized Clinical Trial, and Jeffrey A. Kline, MD, author of Anxiety and Chest Pain—Taming the Other Elephant. Hosted by Ilana Richman, MD MHS. Related Content: Telehealth Treatment of Anxiety in Patients With Low-Risk Chest Pain in the Emergency Department Anxiety and Chest Pain—Taming the Other Elephant

Interview with Paul I. Musey Jr, MD, MS, author of Telehealth Treatment of Anxiety in Patients With Low-Risk Chest Pain in the Emergency Department: The PACER Randomized Clinical Trial, and Jeffrey A. Kline, MD, author of Anxiety and Chest Pain—Taming the Other Elephant. Hosted by Ilana Richman, MD MHS. Related Content: Telehealth Treatment of Anxiety in Patients With Low-Risk Chest Pain in the Emergency Department Anxiety and Chest Pain—Taming the Other Elephant

This week I sit down with Zoe Welsh who shares the heartbreaking story of losing her dad to suicide.Zoe was just 16 when a situation involving inappropriate messages and comments from an older man known to the family changed the course of all of their lives. When her dad became aware of what was happening, his instinct was to protect his daughter but the events that followed ultimately resulted in him receiving a prison sentence, something completely at odds with the person Zoe knew her dad to be.Zoe speaks about the huge impact it had on her family, the shame her dad carried following his time in prison, and the devastating events that unfolded shortly after his release.This is a deeply emotional conversation about a father and daughter, the instinct to protect someone you love, shame, grief and the many complicated layers that can exist when someone dies by suicide.SUPPORT & SIGNPOSTINGThis episode discusses suicide and may be difficult for some listeners. Please listen with care.Samaritans — Call 116 123 free, 24 hours a day, 7 days a week.Pieta — For support with suicidal thoughts, self-harm or bereavement by suicide, call 1800 247 247 or text HELP to 51444.HUGG — Provides dedicated support for people bereaved by suicide. Visit HUGG.ie for information and support groups.If you or someone you know is in immediate danger, call 112 or 999 or attend your nearest Emergency Department.

Health New Zealand's confident the new target time for Police handing mental health patients over to ED is about right. The agencies had initially aimed to cut the handover time from an hour to 15 minutes as part of its phased response change plan. That's now been revised to 30 minutes. Specialist Mental Health and Addiction Director Karla Bergquist told Mike Hosking staff have been clear 15 minutes isn't enough time, and half an hour is more achievable. She says there will be places where it's not realistic to even meet that target, but there's flexibility built in for that. LISTEN ABOVE See omnystudio.com/listener for privacy information.

For this week's Tech Takeover, Jess Kelly, Newstalk's Technology Correspondent, joins Ciara to discuss why a technology upgrade is causing the children's emergency department in Tallaght Hospital to close for four days.

Nurses fear a shorter Police handover for mental health patients could compromise staff and patient safety at ED. The fourth stage of Police withdrawing from callouts involves cutting the handover time from an hour to 30 minutes after the initial 15 minute target was ruled unsafe. Nurses' Society National Director David Wills says Police stay in ED to offer support and restrain the patient when necessary. He told Ryan Bridge about 20% of the time, handovers exceed an hour. Wills says 30 minutes is potentially highly problematic as it puts a lot of extra pressure on health professionals and ED staff. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Fresh Episode Drop!This episode I have someone I've wanted to chat up for some time on my podcast, a wicked smart GenX badass, my cousin Cathy! (Yeah, I may be biased.) We are talking about women in IT, in IT security, hacking, mental health as a woman in a male-dominate field for many years, being diagnosed with ADHD as an adult, and managing anxiety and depression, and therapy. We had SO much to chat about, that a part two will be dropping in two weeks!PLEASE NOTE: there is discussion of suicidal ideation, anxiety, depression and post-partum issues during this episode.More info about my guest: Cathy Del Carlo is a Senior Information Security Engineer for her day gig, and "a creator of chaos, mother of dragons, slayer of vulnerabilities, and destroyer of systems" in her downtime.And as promised, The IT Crowd (on YouTube)*****If you need someone to talk to or you feel in crisis, please reach out to get support:Blackline: 800-604-5841 - provides a space for peer support, counseling, reporting of mistreatment, witnessing and affirming the lived experiences for folxs who are most impacted by systematic oppression with an LGBTQ+ Black Femme Lens. Call BlackLine® prioritizes BIPOC (Black, Indigenous, and People of Color)Trans Lifeline: 877-565-8860 - Trans Lifeline is a grassroots hotline and microgrants 501(c)(3) non-profit organization offering direct emotional and financial support to trans people in crisis – for the trans community, by the trans community.TrevorLifeline: 866-488-7386 - The Trevor Project's mission is to end suicide among LGBTQ+ young people.RAINN: 800-656-4673 - National Sexual Assault Hotline, RAINN's mission is to stop sexual violence by supporting survivors, holding perpetrators accountable, and creating safer communities.988: The 988 Lifeline is available 24/7/365. Your conversations are free and confidential. 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!More info can be found on the website, Fuck The Rules Podcast.***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, Illinois and a Licensed Mental Health Counselor, 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: 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 folx. When she's not busy with all that, as a GenX elder, she's usually busy annoying her adult children with 70's and 80's references.

As temporary rural emergency room closures become more common and the rural physician shortage continues, virtual physician support is increasingly important for keeping hospital doors open. The Rural Coordination Centre of BC has long been a leader in this area, offering a lifeline to rural emergency departments through its Virtual Emergency Room Rural Assistance program, or VERRa. In this interview, rural emergency physician Dr. Brydon Blacklaws shares the origins and evolution of VERRa, how the service works, where virtual support is most effective, and where its limits lie. We also explore the broader value of virtual support—from helping local physicians get much-needed rest, to providing an extra “virtual” pair of hands, to being present in the trauma room alongside rural doctors and nurses. Enjoy this heartfelt conversation as Brydon explains why providing virtual support can be just as rewarding as receiving it. Links:RCCbcCanadian Journal of Emergency Medicine Article about VERRaReal-Time Virtual Support (RTVS) VERRa

This episode is part of our comprehensive Decipher the Guidelines Series covering the 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes.  The following question refers to Section 3.2 of the 2025 ACS Guidelines. The question is asked by Thomas Jefferson medical student and CardioNerds Academy Intern Dr. Grace Qiu, answered first by Cleveland Clinic interventional and structural cardiology fellow and member of the CardioNerds Interventional Cardiology Council Dr. Eunice Dugan, and then by expert faculty Dr. Binita Shah. Dr. Binita Shah is an associate professor of medicine, interventional cardiologist, Director for research in Interventional Cardiology, and Director of the Department of Medicine Clinical Investigator Track at NYU. She is also an associate director of interventional cardiology and director of the transcatheter valve program at the VA New York Harbor Healthcare System. She was a member of the 2025 ACS Guidelines writing committee. Question #3 A 55-year-old woman is brought to the Emergency Department after an out-of-hospital cardiac arrest. She had a witnessed collapse with an initial shockable rhythm. Return of Spontaneous Circulation (ROSC) was achieved after 15 minutes of Advanced Cardiac Life Support (ACLS). Her post-resuscitation ECG shows diffuse ST-segment depression but no ST-segment elevation. She remains comatose. Which of the following is the most appropriate next step in her management regarding coronary angiography? A Immediate emergency coronary angiography (within 2 hours) should be performed. B Routine emergency coronary angiography is not recommended in the absence of ST-segment elevation or hemodynamic instability. C Coronary angiography should be delayed for at least 72 hours to allow for neurological recovery. D Fibrinolytic therapy should be administered immediately if the patient cannot reach a cath lab within 90 minutes. Answer #3 Explanation The correct answer is B. In resuscitated patients who are comatose after cardiac arrest, electrically and hemodynamically stable, and without evidence of STEMI, immediate angiography is not recommended due to lack of benefit (Class 3: No Benefit; LOE A) Patients who have been resuscitated after cardiac arrest and are noncomatose or who are comatose with favorable prognostic features and with evidence of STEMI, should undergo PPCI to improve survival. (Class 1; LOE B-NR). For patients such as this one, a delayed or selective approach should be taken once the patient is stabilized. Early angiography should not be denied solely based on a comatose state, but it should be deferred if there are clear non-cardiac causes for the arrest or if the patient’s overall prognosis is futile. A is incorrect because recent evidence shows no benefit to “emergency” PPCI for stable patients without ST-elevation. C is incorrect because while we wait for stability, we don’t necessarily have a fixed 72-hour “mandatory” delay for the heart if ischemia is suspected. D is incorrect, as fibrinolysis is generally not indicated for post-arrest patients without clear STEMI and carries risks in a post-CPR setting due to potential trauma. The MIRACLE2 Score is a tool for neuroprognostication. It helps clinicians estimate the likelihood of a poor neurological outcome at 6 months. A high score suggests that the benefit of an invasive procedure may be outweighed by the severity of the brain injury. Components of MIRACLE2: M – Missed (unwitnessed) arrest I – Initial non-shockable rhythm R – Reactive pupils at ROSC A – Age (points increase significantly at >60 and >80) C – Rhythm change (e.g., VF to PEA) L – Low pH (pH < 7.20) E – Epinephrine (any dose given) Clinical Threshold: A score of >5 indicates a high risk of poor neurological recovery, which may lead a Heart Team to favor stabilization over immediate emergency angiography in patients without ST-elevation. Early recognition of STEMI in resuscitated patients and direct transfer to a PCI-capable center is associated with improved survival. Survival-to-hospital discharge in the patient who is comatose with out-of-hospital cardiac arrest is

Dr. Joel Turner is Chief of the Emergency Department at Jewish General Hospital University Health Centre

This year New Zealand has seen a particularly bad flu season, with multiple Emergency Departments across the country being overloaded with sick patients and running well above capacity. With an aging population the flu is becoming an increasingly serious illness for the country, but despite this only 58% of over 65 year olds, and a quarter of the total population have been vaccinated. To discuss the impacts of a low flu vaccination rate and how New Zealand can improve its numbers, producer Thomas talked to University of Auckland Associate Professor Helen Petousis-Harris.  

Ultrasound-guided nerve blocks are no longer just a niche skill for fellowship-trained ultrasound specialists—they are a core component of modern multimodal pain management in the ED. Endorsed by ACEP, nerve blocks can offer rapid, targeted pain relief without relying solely on systemic opioids, making everything from rest to imaging and procedural workups significantly more comfortable for patients. Today, Dr. Carlos Mikell, UC Davis Emergency Ultrasound Faculty and nerve block expert, joins us to share why every emergency physician should adopt nerve blocks as part of their practice. We'll break down the top ED blocks, explore innovative indications like genicular nerve blocks for knee pain, and discuss essential safety protocols and how to get started – or become more comfortable – with blocks in your ED. Why Nerve Blocks Belongs in the ED Targeted Relief: Delivers effective, localized pain management as part of a multi-modal pain control approach, sparing patients some of the systemic side effects of opioids. Facilitates ED Workup: Relieves movement-related pain, making imaging, patient transport, and local procedures far easier and more comfortable for the patient. ACEP Endorsement: ACEP's policy statement formalizes ultrasound-guided nerve blocks as an essential skill for all emergency physicians—not just ultrasound fellowship graduates. Analgesia, Not Complete Anesthesia: The goal in the ED is regional analgesia (taking pain down to a manageable, functional level safely) rather than dense, surgical anesthesia. The Most Common ED Nerve Blocks According to data from the National Ultrasound Guided Nerve Block Registry: Fascia Iliaca Plane / Femoral Nerve Block (~36%): Indications: Hip fractures, mid-shaft/distal femur fractures, hip dislocations, and severe thigh trauma. Safety Profile: Highly safe; target plane is centimeters away from the main neurovascular bundle in a easily compressible site. Erector Spinae Plane (ESP) Block: Indications: Back pain, renal colic, shingles, and rib fractures. Forearm Blocks (Median, Ulnar, Radial): Indications: Distal forearm fractures, complex lacerations, and hand procedures. Serratus Anterior Plane (SAP) Block (~7%): Indications: Rib fractures, pre/post-chest tube insertion pain, and chest wall abscesses. Tip: Hydro-dissect with normal saline first to identify the fascial plane before injecting local anesthetic, and consider adding dexamethasone to extend duration. Innovative Block Spotlight: Genicular Nerve Block Target: Three of the primary sensory branches of the sciatic/femoral nerves supplying the anterior knee. Indications: Acute knee trauma/fractures, acute-on-chronic knee pain, and severe osteoarthritic flare-ups. Safety & Execution: Low-volume block (~10 mL total). Pearl: Omit the inferior-lateral genicular injection to avoid unintentional peroneal nerve block and foot drop. Streamlining Nerve Blocks in Your Department To move nerve blocks from a rare procedure to a routine clinical tool: ED Infrastructure: Build standardized EMR order sets, procedure note templates, and dedicated nerve block supply carts/kits. Departmental Support: Designate a point person to coordinate credentialing, interdisciplinary pathways (e.g., trauma, orthopedics), and physician/nurse/tech education. Hands-on Training: Utilize cadaver labs, simulation, and scanning shifts to build faculty and resident confidence. Non-Negotiable Safety Guidelines & LAST Prevention Nerve blocks are generally low-risk, but vigilance is critical to avoid complications like Local Anesthetic Systemic Toxicity (LAST) or direct nerve injury: Patient Selection: Avoid in uncommunicative patients (who cannot report paresthesias or tinnitus), areas at high risk for compartment syndrome, or pre-existing severe nerve deficits. Monitoring: Keep patients on cardiac telemetry for 30–60 minutes post-block for central or high-volume blocks (>10 mL or above the elbow/knee). Dosing Buffer: Calculate maximum weight-based local anesthetic doses every time; stay within 60–70% of the maximum dose to maintain a safety buffer. Intralipid Availability: Ensure 20% Intralipid is immediately accessible in the ED pharmacy or brought directly to the bedside. Injection Technique: Never point the needle directly at a nerve. Inject into the fascial plane, stop immediately if you encounter resistance, and perform frequent aspirations every 3–5 mL. What is your favorite ultrasound-guided nerve block? What barriers do you encounter to doing blocks in the ED? We'd love to hear form you! Connect with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Carlos Mikell, Assistant Professor of Emergency Medicine and Ultrasound Faculty at UC Davis Resources: ACEP Policy Satement: Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine, June 2016 ACEP Now: How To Build an Ultrasound-Guided Nerve Block Program By Arun Nagdev, MD; Kaitlen Howell, MD; Akash Desai, MD; David Martin, MD; and Daniel Mantuani, MD, MPH | on January 6, 2023  ACEP Sonoguide: Nerve Blocks NURVE Block Registry Brown J, Milgrim F, Driver L, et al. Efficacy and Safety of Adjunct Medications in ED Ultrasound-Guided Nerve Blocks: A National Ultrasound-Guided NeRVE (NURVE) Block Registry Study. Acad Emerg Med. 2025 Dec;32(12):1299-1308. doi: 10.1111/acem.70128. Epub 2025 Aug 27. PMID: 40873157. Goldsmith A, Driver L, Duggan NM, et al. Complication Rates After Ultrasonography-Guided Nerve Blocks Performed in the Emergency Department. JAMA Netw Open. 2024 Nov 4;7(11):e2444742. doi: 10.1001/jamanetworkopen.2024.44742. Erratum in: JAMA Netw Open. 2024 Dec 2;7(12):e2455847. doi: 10.1001/jamanetworkopen.2024.55847. PMID: 39535792; PMCID: PMC11561692. *** 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. Disclaimer: The opinions expressed on this podcast are those of the hosts or guests and do not necessarily reflect the views of UC Davis Department of Emergency Medicine, UC Davis Health, or their parent organizations.

2GB Mornings listener Zoran spent at least 20 hours in St George Hospital's Emergency Department, waiting for a bed for his daughter. As Zoran waited, the NSW Health Minister Ryan Park was giving a press conference outside that very facility. The State Government says our hosptials are full, due to wait times for NDIS and Aged Care services funded by their federal counterparts.See omnystudio.com/listener for privacy information.

Activity ObjectivesRecall information about youth experiencing acute mental health symptoms and their caregivers.Examine the integral role of caregivers of youth with acute mental health symptoms linkage to community-based mental health services.Discuss the clinical trajectory for youth with acute mental health symptoms and what this means for caregivers.Claim CME Credit Here!

With over 80% of nurses facing workplace violence and 70,000 registered professionals out of work, union chief Sarah Beaman warned that unsafe conditions are driving vital expertise out of our hospitals. See omnystudio.com/listener for privacy information.

If you've ever visited a hospital emergency department, chances are you've experienced one of its most persistent challenges: waiting. For hospitals, reducing those wait times can seem like a capacity problem. More patients require more beds, more staff or more space, right? But what if one of the solutions is simply making better decisions about how the resources already available are used? Joining me today is Agni Orfanoudaki, Oxford University, to share new research on a data-driven approach to determining which patients actually need a traditional emergency department bed and who can be treated in alternate locations. Ultimately, this reduced emergency room stays by 11 minutes, all without adding staff, beds or technology, and without compromising patient safety.

This week I sit down with Evan Gearns, who shares the heartbreaking story of loosing his brother Andrew to suicide following a struggle with addiction and his mental health.Evan speaks openly about Andrew's life, the circumstances surrounding his death while in custody, and his family's difficult search for answers afterwards.He also shares how the loss of his brother changed the course of his own life, leading him down a path of addiction and to an incredibly dark place himself.But this is also a story of recovery and hope. Evan talks about finally reaching out for help, the support that helped him turn his life around, and where he is today, nine months clean and rebuilding his life.A powerful conversation about brotherhood, grief, addiction, survival and finding your way back.CONTENT WARNING & SUPPORTThis episode discusses drug addiction, mental health difficulties, suicidal thoughts and suicide. Please listen with care.If you are struggling with suicidal thoughts or self-harm, Pieta provides a 24-hour crisis service. Call 1800 247 247 or text HELP to 51444.Samaritans can be contacted free, 24 hours a day, on 116 123.If you have been bereaved by suicide, HUGG provides dedicated suicide-bereavement support and peer-support groups. Call 01 513 4048 or visit HUGG.ie.For support with drug or alcohol use, the HSE Drugs and Alcohol Helpline is a free and confidential service. Call 1800 459 459, Monday to Friday, 9.30am–5.30pm.Coolmine provides drug and alcohol treatment and recovery services, including community, day and residential programmes. Visit Coolmine.ie for information about accessing support.If you or someone else is in immediate danger, call 112 or 999 or attend your nearest Emergency Department.

The New South Wales Department of Education has announced restrictions on take-home assessment tasks for Year 11 and 12 students starting later this year in response to the rise of generative AI use to complete assessment tasks. But is this change going to help, and what does the presence of AI mean for education at large? We hear from producer James de Fraine-Murphy, who spoke with Dr Matthew Hill to gain further insight on the topic. It’s music festival season, and we’re looking into the New South Wales government’s plans to make drug checking a permanent scheme in music festivals across the state. CEO of Unharm, Dr Will Tregoning, joins us to talk about the scheme, and why community-based drug testing could be the next step. New South Wales hospitals have been pushed to their limits this winter surge, with a record breaking number of patients admitted this year. We’re joined by Dr Fred Betros, the Australian Medical Association’s NSW branch president, to talk about where our hospital systems are failing to address the yearly surge. The Sydney Fringe Festival started this week, and while the festival has historically played an important role for up-and-coming artists working outside the mainstream and in queer-focused spaces, cost-of-living struggles have transformed it into a space where young Sydneysiders can access entertainment for a reasonable price. Producer Birdie Rinaldi is joined by Georgia Gray-Spencer and Scott Whitmont to talk about the festival and its growing viewerbase. This episode of Backchat was hosted by Holly Payne and Ella Hosty-Snelgrove. Produced by James de Fraine-Murphy, Holly Payne, Maya Sathi, Euan Keilly, and Birdie Rinaldi. Aired 5 September 2026 on Gadigal Land.See omnystudio.com/listener for privacy information.

What does "safe staffing" actually mean? We talk about safe staffing all the time, but is it simply a nurse-to-patient ratio? In the emergency department, where volume, acuity, and workload can change in minutes, the answer is so much more complicated. In this episode, Kevin and Dr. Wolf dig into the science of ED staffing and Lisa's latest research, on safe staffing in the emergency department. The conversation takes on one of the most common assumptions about staffing: that safety comes down to counting how many nurses are on the schedule. We all know two shifts can have the same numbers and go completely differently depending on experience, skill mix, teamwork, patient acuity, workload, and the systems backing up the team. Dr. Wolf's study asked more than 1,000 emergency nurses what actually makes an ED safe. Nurses identified 14 indicators of safety, but only eight were considered measurable, and what is worse is only three were routinely being measured in most emergency departments. So how can we claim to be "staffing safely" if we aren't measuring safety? Safe staffing is more complicated than filling holes on a schedule, but it may also be much more measurable and solvable than we think. Links to the staffing studies.  1. Educational Levels of Hospital Nurses and Surgical Patient Mortality https://pmc.ncbi.nlm.nih.gov/articles/PMC3077115/ Free full text — PubMed Central 2. Implications of the California Nurse Staffing Mandate for Other States https://pmc.ncbi.nlm.nih.gov/articles/PMC2908200/ Free full text — PubMed Central 3. Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments (Medical Care, 2011) https://pmc.ncbi.nlm.nih.gov/articles/PMC3217062/ Free full text — PubMed Central 4. Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes https://pmc.ncbi.nlm.nih.gov/articles/PMC2586978/ Free full text — PubMed Central 5. Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments (JONA, 2012) https://pmc.ncbi.nlm.nih.gov/articles/PMC6764437/ Free full text — PubMed Central 6. On the Threshold of Safety: A Qualitative Exploration of Nurses' Perceptions of Factors Involved in Safe Staffing Levels in Emergency Departments https://www.sciencedirect.com/science/article/pii/S0099176716302136 Journal of Emergency Nursing — ScienceDirect 7. Perceived Relationships Between Emergency Department Staffing Patterns and Missed Care, Missed Decompensation, and Delays in Care https://www.sciencedirect.com/science/article/pii/S0099176725002843Complimentary access — ScienceDirect 8. The Meaning of Safety in the Emergency Department: A Survey Study https://www.sciencedirect.com/science/article/pii/S0099176726001650Journal of Emergency Nursing — ScienceDirect   Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/  YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber  Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/  To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode.

A new pair of designer heels has the internet completely divided, with some calling them fashion-forward and others wondering what on earth they were thinking and it is BOOK WEEK but things did not quite go to plan for us – one of the team ended up in the emergency room! We also talk pick pockets and the things you need to look out for when you are in the crowd, including fake bird poo!See omnystudio.com/listener for privacy information.

Program notes:0:35 Devices to do CPR versus manual1:37 About 60% of U.S. population2:32 8-9% survive with favorable neurologic status3:15 Ventilated patients and reduction of mucous secretions4:15 Duration of ventilation unchanged5:15 Regulate or expectorate5:40 Boarding ED patients6:45 Adults admitted to general medicine service7:45 More common in older patients8:45 Can initiate inpatient management9:24 Cold stored platelets versus room temp10:24 Hemostatic efficiency score11:30 Historically used in cancer patients12:45 End

New figures from Health NZ show the full scale of wait times at one of the country's busiest emergency departments. Last year on average Auckland Hospital ED breached its own thresholds for some patient wait-times 77 per cent of the time. Keiller MacDuff reports.

//The Wire//2300Z August 18, 2026// //ROUTINE// //BLUF: KINETIC TARGETING CONTINUES WITHIN MIDDLE EAST AS HOUTHIS LAUNCH MISSILES TOWARD DUBAI. TONGAN CRIP THREAT REMAINS SIGNIFICANT IN SALT LAKE CITY.// -----BEGIN TEARLINE------International Events-Middle East: Iran struck two more ships in the Strait of Hormuz last night, continuing the trend of the past couple of weeks. This morning, the UKMTO retroactively admitted to a merchant vessel being struck on August 15th, with the ship sustaining damage and one crew casualty. This afternoon, Houthi forces conducted a ballistic missile strike on the UAE, with missile warnings being issued in Dubai, for the first time since May. No locals reported witnessing any interception, and government officials stated that one missile splashed down in the Gulf, and another landed outside their territory.Analyst Comment: On the rhetoric front, this morning President Trump continued claiming control of the Strait of Hormuz, posting a graphic which claims the Strait is now U.S. territory. Even though waterways traditionally can't be claimed as land territory, and while this may just be a more lighthearted meme, at the other end of the spectrum this could be more serious. If the White House is indeed serious about making a territorial declaration of some kind, this could be an effort to move the goalposts to allow for the use of more substantial weapons. If Hormuz is America, then the US can claim that Iran is attacking the homeland. Of course, this logic is a stretch at best, but it's exactly the kind of reasoning that would make sense for the White House to rely on at this stage in the war.-HomeFront-Utah: One suspect has been arrested in conjunction with yesterday's events in Salt Lake City. Afuhia Masiu Manatau was arrested for his role in yesterday's shooting at the Tongan funeral in Kearns. During the funeral, a fight broke out among the congregation, between his 17-year-old son, and several others. During the fight, Manatau gave a firearm to his son, which resulted in the son attempting to murder the others. Manatau's son (the shooter) was shot in the chest during the engagement, and Manatau himself has been arrested.Analyst Comment: Concerning casualties, so far one fatality was reported as a result of the funeral shooting. The victim has been identified as Vilisoni (Soni) Angilau, a confirmed Tongan Crip who was recently released from prison after murdering a member of a rival gang in 2013. Soni Angilau's immediate relative, Naisa Angilau, was also recently released from prison for a completely different shooting as well, after he attempted to kill a gas station clerk in 2009. Of note, Soni's brother Siale also met a violent end as he was also shot and killed during a high-profile shooting that took place inside the courtroom during his trial. Siale Angilau was shot and killed by federal Marshals after attempting to stab a witness to death during his trial for racketeering back in 2014. All of these family members have an extensive presence on social media, and all self-identify as Tongan Crips.-----END TEARLINE-----Analyst Comments: In Utah, additional details are helpful for understanding how serious yesterday's shooting actually was, especially considering the long history of similar murders. Despite assurances to the contrary, Intermountain Medical Center remained locked down throughout the evening last night, as the threats to the hospital remained constant. Many non-essential employees were escorted out of the hospital by SWAT, and patients' medical procedures were canceled due to the security threat. Intermountain Public Relations officials issued statements claiming that everything was fine and that there was no threat to the hospital, however employees within the hospital confirmed that these statements were not true.Intercepted radio traffic from 911 dispatch also confirms that the reason for the overwhelming police response at the hospital, was due to the Tongan Crip Gang attempting to breach the entrance to the Emergency department. At least one employee was assaulted and wounded in the ER, and a large crowd of Tongans also attempted to break through the Emergency Room entrance on the south side of Unit 4. After this breach attempt, local authorities responded in force, with SWAT officers responding immediately to reinforce the hospital and prevent the facility from being overrun. Snipers were deployed to the rooftops, and at least two Bearcat armored vehicles were posted at the Emergency Department to secure a perimeter around the facility.Concerning future threats, the circumstances of yesterday's funeral shooting are still unclear, with much of the eyewitness testimony being verifiably false as gang members seek to cover up the crime. The main question is whether or not this will result in a wider gang war, and right now the answer to that question is not so clear. The Tongan Crip Gang is known to engage in mutual combat within the gang itself, as rival factions settle internal disputes with violence and murder. Funerals are a common way for hostile TCG factions to meet up, and tensions flare. However, the Tongans also have many rivals locally which might also be inclined to stoke up a gang war. The TCG originally had a foothold in Inglewood, California, where the gang achieved it's extremely brutal reputation. After expanding this foothold to Salt Lake City, the TCG became one of the most legendarily violent gangs in the entire nation. Though small in numbers, they make up for their lack of footsoldiers with sheer violence. Even so, many locals prefer to call them "nice" and ignore this brutality, due to the affiliation this gang has within facilities owned by the LDS Church. This gang is known to murder people randomly without a second thought, and despite Tongans being less than one percent of the population of Utah, they make up over 13% of all gang member affiliation in the region. For those who want to make the argument that "not all Tongans" are causing problems, unfortunately in Salt Lake City specifically, this does not appear to be the case based on the case history and preponderance of evidence. During the Tongan Crip funeral murder at an LDS Ward back in January...not a single churchgoer came forward to name the killer. 100% of the congregants at the Ward where the murder took place, refused to speak to the police or provide a statement regarding what they saw. Police set up an anonymous hotline to protect witnesses, but among the hundreds of Tongans that witnessed that shooting, not a single person came forward to testify and the shooters were eventually charged based on evidence of the murder plans being found on their phones.Even the small handful of Tongans who are not documented gang members are extremely loyal to tribal allegiances; quite literally every single Tongan with a social media presence in Salt Lake County has expressed support for their guy who attempted to murder a gas station clerk with a shotgun. No one within this diaspora has condemned the actions of the man who's funeral even resulted in further bloodshed. The Tongan community has not tried to distance themselves from the frequent murders that are conducted within their areas, and most of the Tongan Wards within Salt Lake close ranks around those who commit violent murders.Concerning yesterday's shootings, posts on social media indicate that other family members of yesterday's deceased have been observed flashing Tongan Crip Gang signs and generally confirming their gang affiliation, specifically within the Tongan Wards. On Facebook, most of the Salt Lake Tongans don't wish each other a "Happy B-Day"...they change it to "C-Day" because the letter "B" is too closely affiliated with their arch rivals...the Bloods. This is a callback to their Inglewood origins...many of the TCG's rivals are much the same as in California. The Rose Park Bloods are their main external adversary within Salt Lake, as both gangs have been expanding into each other's turf. In the same area, the Rose Park Taliban (a gang formed from the children of refugees from the Middle East) also maintains some presence, and is allied with the Bloods. Back in March, a Rose Park Taliban member tried to murder a liquor store employee in Taylorsville (near Tongan Crip territory), so gang violence in southwest Salt Lake specifically from these gangs is a constant. As yesterday's "victim" had previously killed a member of the Baby Regulators gang, it's possible that this was a revenge killing that was unrelated to the other Angilau who's funeral was being held at the time.As a result of this complicated web of alliances and relationships between extremely violent gangs, more violence is expected. Despite the grass skirts, barbeques, and disarming smiles, most of these people are killers, and the killing is only likely to escalate. Since one person was killed during the funeral shooting, the funeral for that person will undoubtedly be another opportunity for another shooting, as the cycle of violence and vengeance continues.Analyst: S2A1 Research: https://publish.obsidian.md/s2underground NomadNet: 5fa68c88be727a0e1a250a75e5e79269 Disclaimer: No LLMs were used in the writing of this report. //END REPORT//

Acclaimed poet Rita Ann Higgins reads a new poem “Odyssey Round the A&E” inspired by her husband Christy's recent visit to the Emergency Department. See omnystudio.com/listener for privacy information.

Acclaimed poet Rita Ann Higgins reads a new poem “Odyssey Round the A&E” inspired by her husband Christy's recent visit to the Emergency Department.

A Palmerston North Emergency Department doctor has put out a plea for help to Health New Zealand after an extraordinarily busy day. Patients contacted Checkpoint to say they had been waiting 17 hours, but when Checkpoint spoke to Doctor Dusty Bratton he said others had been waiting even longer than that. Bratton spoke to Melissa Chan-Green.

Jayson Luma, Section Chief of the Pediatric Emergency Department at Valleywise Health, joined Arizona's Morning News to talk about how you can keep your children safe during extreme heat.

Emergency Departments already facing their busiest time of the year have been under even more pressure than usual. This week, Wellington ED recorded its busiest day in almost a year, and North Shore Hospital was too full to take some patients, diverting ambulances to Whangarei Hospital. Christchurch has been warning they are at 'critical overload'. Ongoing challenges like this have led nurse Keziah Jones to hand in her resignation at the hospital where she has worked for 20 years. She joined Melissa Chan Green to share her story.

Regional Victorians are facing far longer wait times than Melburnians when they go to an emergency department, government hospital data shows.

Sponsored by the Institute for Functional Nursing. Learn more about our programs at www.fxnursing.com. In this episode of the Functional Nurse Podcast, Samantha Hamilton sits down with Jessica Spradley, RN, a former Navy corpsman, emergency department nurse, and Functional Nursing Program student who recently began working in a functional medicine clinic. Jessica shares how a simple curiosity about nutrition sparked a journey into functional medicine and ultimately transformed both her personal health and nursing career. Jessica discusses how she integrates functional nursing principles into the fast-paced emergency department by meeting patients where they are, providing practical nutrition education, recognizing root-cause patterns, and empowering patients with small, meaningful lifestyle changes. She also shares her personal experience with functional lab testing, the GI-MAP, and the elimination diet, along with how these tools changed her own health perspective. Whether you're an RN, nurse practitioner, military veteran, or healthcare professional wondering how functional nursing fits into traditional healthcare, this episode offers practical examples, career inspiration, and hope for a more fulfilling future in nursing.

Police took a 15-year old into custody in connection to a mass shooting at the Seattle Center that left three dead and several others injured. Police later said that 15-year old had a “ghost gun." This refers to a type of firearm that’s often assembled at home and manufactured without a serial number. In charging documents, prosecutors allege the teenager fired into the crowd. Police say the gun doesn’t appear to be involved the deaths of two bystanders from last week. Washington is a leader in trying to prohibit ghost guns. Back in 2022, the state passed a law to ban them. Earlier this year, lawmakers prohibited the unlawful manufacture of guns using 3-D printers or CNC milling machines. And yet, ghost guns continue to be a concern here in the state. Guest: Garen Wintemute is the founding director of the Centers for Violence Prevention at UC Davis in California. He's also an emergency department attending physician. Related links: 15-year-old Seattle Center shooting suspect charged with first-degree assault; prosecutors seek adult trial | KUOW Ghost gun used in Seattle Center shooting, police say | The Seattle Times Ghost guns explained—how they are made, used? | FOX 13 Seattle Bullets from 15-year-old's gun did not kill 2 Seattle Center victims, according to early findings | KUOW Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to donate.kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

Key Points Gamification in medical education can deeply engage learners and improve clinical skills. Rapid Sequence alternates between game blocks, where learners act in clinical scenarios, and teaching blocks, where insights are shared. True expertise is about developing effective cognitive strategies, not just accumulating knowledge. Building mental models involves not just learning, but practicing decision-making in complex environments. The learning environment should foster psychological safety and encourage growth through reflection and feedback. REBEL Rundown 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, we introduce an innovative teaching tool called Rapid Sequence, aimed at revolutionizing how clinicians learn critical care through gamified experiences. With host Dr. Mark Ramzy, we invite Drs. Sarah Crager, and Ryan Ernst, to explore what it takes to become an expert and how gamification can transform learning in the medical field. Cognitive Question What does it truly mean to be an expert in emergency and critical care medicine? What Is Rapid Sequence?? It’s a gamified clinical case simulation tool consisting of different “blocks” where you have individual learners that can work through cases in non-multiple choice format. You’re basically working on shifts, seeing multiple patients with your team.There’s a cast of characters, interruptions, distractions, and you enter orders just like you would as if you were on shift, and then the cases advance to see the outcome of your decisions, good or badFor more information check it out the Rapid Sequence website here. Use the following Promo Code: REBEL2026 at checkout page to receive a 20% off couponFigure 1: Screenshot from Rapid Sequence showing the initial dashboard Learning Must Be An Active Not Passive Process An important part of the process when acquiring new skills or information is making it an active processIt is not just passively listening, but actively participating, providing answers that aren’t multiple choice, and then responding to the outcomeThis provides the engagement, and increases both the comprehension and retainability of new conceptsWhen you then apply those same concepts in future times of questioning (or in Rapid Sequence's case “Blocks”) it helps expedite active recall through spaced repetition How This Applies to the Emergency Department or ICU? In high-stakes environments like the ED or ICU, clinicians must make fast, informed decisions often without complete data. Rapid Sequence provides a simulated space where clinicians can make mistakes without risk to real patients, receive feedback, and build the cognitive resilience needed for actual shifts, mirroring the chaotic nature of these departments. Immediate Action Steps for Your Next Shift **Embrace Gamified Learning**: Engage with or seek out platforms like Rapid Sequence that offer a practice ground for real-world medical scenarios.**Develop Mental Models**: Start by breaking down complex cases into mental models that you can refer back to during your shift. **Prioritize Feedback and Reflection**: After each shift, allocate time to reflect on decisions and seek peer feedback to refine your cognitive strategies.**Foster a Safe Learning Environment**: Encourage open discussions in your team where all members can express uncertainties and learn from one another. Conclusion Embracing innovative teaching methodologies such as gamification can lead to significant improvements in clinical education and practice. By integrating tools like Rapid Sequence in training, healthcare professionals can not only enhance their skills but also foster a culture of continuous learning and psychological safety. Clinical Bottom Line Effective medical education isn’t about rote memorization—it’s about developing the ability to think critically and adapt rapidly in ever-changing environments. Gamified tools offer an engaging path to achieve true expertise, ensuring clinicians are well-equipped to provide the best patient care possible. Meet the Authors Sara Crager, MD Associate Professor, Critical Care and Emergency Medicine UCLA, Los Angeles, CA Ryan Ernst, MD Assistant Professor of Emergency Medicine, Section Chief of Global EM University of Utah, Salt Lake City, UT Showing Slide 1 of 2 The post REBEL MIND – Teaching Towards Expertise with Gamification appeared first on REBEL EM - Emergency Medicine Blog.

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the July 2026 Emergency Medicine Practice article, Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: Diagnosis and Management in the Emergency Department.0:17 – Intro & sponsor promo1:09 – Episode introduction4:03 – Definitions: SJS vs. TEN vs. "overlap" by body surface area6:12 – Pathophysiology9:52 – Incidence and rarity of the disease10:53 – Differential diagnosis & clinical presentation clues12:08 – Prehospital care & fluid resuscitation considerations13:47 – ED history-taking: medications, infections, rash progression14:47 – Physical exam findings16:46 – Diagnostic studies18:12 – Scoring systems: SCORTEN and ABCD-1020:50 – Treatment goals23:57 – Wound care principles24:43 – Mechanical ventilation risk factors26:02 – Other possible therapies27:50 – Specialty consults & special populations29:06 – Ophthalmologic treatment31:17 – HIV patients and elevated risk31:55 – Emerging therapies & AI-based diagnostic tools32:57 – Five key clinical takeaways34:37 – Closing remarks & sponsor sign-offSubscribers, take the CME test here.Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

In this episode of *Pediatric Critical Care Insights*, Dr. Monica Gray and Dr. Pradip Kamat chat about how capnography, specifically end-tidal CO2 monitoring, is used in the pediatric ICU. They walk through a real-life case of a 9-year-old with respiratory failure from influenza A, showing how ETCO2 monitoring helps confirm endotracheal tube placement, guides ventilation, spots cardiac arrest, and even helps assess the quality of CPR. Along the way, they break down how to interpret capnography waveforms, discuss different types of devices, and explain the key physiological concepts. The episode is packed with practical, bedside tips for intensivists caring for critically ill kids.Show Highlights:Importance of capnography (end-tidal CO2 monitoring) in the pediatric intensive care unit (PICU)Clinical case study of a 9-year-old boy with respiratory failure due to influenza AUse of capnography for confirming endotracheal tube placement and assessing ventilation statusDetection of cardiac arrest and guidance for CPR quality through ETCO2 monitoringOverview of capnography physics and physiology, including terminology distinctionsTypes of capnography: mainstream vs. sidestream, and their applications in pediatric patientsAssumptions for accurate ETCO2 approximation of arterial CO2 and conditions affecting this relationshipAnalysis of capnography waveform phases and their clinical significancePrognostic value of ETCO2 during cardiac arrest and its correlation with patient outcomesPractical applications of ETCO2 monitoring in critical care, focusing on airway, breathing, and circulation managementReferences:Noninvasive respiratory monitoring and assessment of gas exchange. David F. Butler; Kenneth A. Schenkman. Fuhrman and Zimmerman's Pediatric Critical Care, 43, 483-491.e3Humphreys S, Schibler A, von Ungern-Sternberg BS. Carbon dioxide monitoring in children—A narrative review of physiology, value, and pitfalls in clinical practice. Pediatr Anaesth. 2021;31:839–845. https://doi.org/10.1111/pan.14208Lasa JJ, Dhillon GS, Duff JP, et al. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics. 2026;157(1):e2025074351O'Flaherty. Capnography: principles and practice. London: BMJ Publishing Group; 1994.Aminiahidashti H, Shafiee S, Zamani Kiasari A, Sazgar M. Applications of End-Tidal Carbon Dioxide (ETCO2) Monitoring in Emergency Department; a Narrative Review. Emerg (Tehran). 2018;6(1):e5. Epub 2018 Jan 15. PMID: 29503830; PMCID: PMC5827051.

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.

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

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  

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  

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

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.