Podcasts about emergency departments

//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.

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.

This interview first aired on Friday the 7th of August, 2026 on ONE FM 98.5 Shepparton. One FM announcer Josh Revens chats to Nurse Unit Manager of the Emergency Department Geoffrey Devine at GV Health as part of their campaign to introduce members of the Emergency Department. To learn more about GV Health's campaign go to https://www.gvhealth.org.au/ or like GV Health on facebook at https://www.facebook.com/GoulburnValleyHealth Listen to One FM Regional Voice 12:00 - 12:30pm weekdays on One FM Shepparton. The ONE FM 98.5 Community Radio podcast page operates under the license of Goulburn Valley Community Radio Inc. (ONE FM) Number 1385226/1. Contact the station on admin@fm985.com.au or (+613) 58313131 PRA AMCOS (Australasian Performing Right Association Limited and Australasian Mechanical Copyright Owners Society) that covers Simulcasting and Online content including podcasts with musical content, that we pay every year. This licence number is 1385226/1

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

No. 1 Child and I discuss how we're trying to maintain some distance from all the news inundating us this year. This means movies, music and books.And I have a bit of a passionate outburst about how Mary, Queen of Scots is portrayed in films and shows. A little bit.Shows:California LawSecrets of Spanish FloridaKanopy - streaming service available through public librariesBooks:The Buffalo Hunter Hunter, Author: Stephen Graham JonesThe Djinn Waits One Hundred Years: A Novel, Author: Shubnum KhanHow I Accidentally Became a Global Stock Photo, Author: Shubnum Khan 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 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'...

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.

A new report from the Central Statistics Office has highlighted the healthcare access challenges facing west Clare, finding that Kilrush is the furthest town in Ireland from an emergency department. The report also shows residents of the Kilrush and Ennistymon areas are among those with the longest journeys to emergency, maternity and primary care services. To discuss what these findings mean for people living in rural Clare, Alan Morrissey was joined by Ennis Fine Gael Councillor and member of the HSE Regional Health Forum West, Mary Howard, and former Loop Head Fianna Fáil Councillor, Cillian Murphy.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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