Podcasts about Emergency medicine

Medical specialty concerned with care for patients who require immediate medical attention

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Best podcasts about Emergency medicine

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Latest podcast episodes about Emergency medicine

Plant Medicine Podcast with Dr. Lynn Marie Morski
Is Psilocybin Safe for Me? with Seth Mehr, MD

Plant Medicine Podcast with Dr. Lynn Marie Morski

Play Episode Listen Later Jul 9, 2025 52:41


In this episode, Seth Mehr, MD joins to share his expertise on safety planning prior to a patient undergoing psilocybin therapy. After a 20 year career as an Emergency Medicine physician, Seth founded Cascade Psychedelic Medicine in 2021, treating clients with depression, anxiety and PTSD with psychedelic ketamine therapy. He also serves as the Health & Safety Director and a state licensed psilocybin facilitator at the Innertrek service center in Portland, Oregon. In this conversation, Dr. Mehr outlines key risk categories for psilocybin therapy: medical conditions, medication interactions, and mental health history. He emphasizes the importance of individualized safety planning over binary yes/no decisions. Dr. Mehr discusses specific considerations such as cardiovascular issues, diabetes, serotonergic medications, substance use disorders, suicidal ideation, and family history of psychosis. The conversation also covers strategies for mitigating risk, including delaying treatment, contingency plans, improving support systems, and ensuring informed consent. Throughout, Dr. Mehr stresses a collaborative, nuanced approach that balances potential benefits with careful preparation and personalized care.   In this episode, you'll hear: Stories from Dr. Mehr's practice of helping patients with different conditions and histories ensure safe psilocybin experiences Interactions between GLP-1 agonists and psilocybin How Dr. Mehr works with patients who have family histories of psychosis Harm reduction practices which leverage other psychedelics or non-psychedelic interventions to help prepare a client for a psilocybin session Why insulin dependent diabetes can be a contraindication for psychedelic therapy What medication combinations can increase the risk of serotonin toxicity with psilocybin  Supporting clients experiencing spiritual emergency following psilocybin therapy Safety considerations when working with clients who have a history of seizures The importance of having contingency plans if medical emergencies arise during psilocybin therapy The intricacies of providing fully informed consent for psychedelic therapy   Quotes: “There is some evidence now that taking a single serotonergic agent—say, taking Lexapro—and no other medications that increase the risk of serotonin toxicity seems safe where I am not at this point recommending that people stop, skip, or taper a single SSRI in preparation for a psilocybin session due to safety.” [12:20] “One of the difficulties with making these decisions or speaking with some confidence or authority on the matter is that the clinical trials that have been done largely exclude people with lots of conditions—family history and specifically first degree relatives with history of psychosis and bipolar disorder… So we have anecdotal evidence, we have population based surveys to go by. And so when I talk to clients about this, I speak from a place of humility.” [27:30] “I always emphasize to clients that while we're talking about a specific safety issue like serotonin toxicity, we don't want to trade that for psychological instability and crisis and declare success because we've helped somebody taper off of a medication that seems less safe and now they aren't sleeping, they're agitated, they're depression is worse, their suicidality is worse. So we have to take a holistic approach to this and consider the totality of what's happening with that client.”  [36:45] “There are so many different components to trying to set somebody up for success rather than a yes/no, black and white approach [to psilocybin therapy].” [48:44]   Links: Cascade Psychedelic Medicine website InnerTrek website Managing Medical Risk In Patients Seeking Psilocybin Therapy CME/CE Course Psychedelic Medicine Association Porangui  

The EMS Lighthouse Project
Ep 99 - Adenosine or Diltiazem for SVT?

The EMS Lighthouse Project

Play Episode Listen Later Jul 8, 2025 35:15


We just got a new paper that compares initial treatment with adenosine compared with diltiazem for the treatment of adults with SVT in the ED. Wouldn't it be great if it turned out that diltiazem was just as effective, if not more effective, as adenosine without the crappy feeling? Yeah, that'd be great, but what do we do with statistically insignificant results. Is there, perhaps, a way to save this “insignificant” paper? Fear not, Bayes is here! Yes, that's right, Dr. Jarvis is grabbing this new paper and diving straight back into that deep dark rabbit hole of Bayesian analysis. Citation:1.     Lee CA, Morrissey B, Chao K, Healy J, Ku K, Khan M, Kinteh E, Shedd A, Garrett J, Chou EH: Adenosine Versus Fixed-Dose Intravenous Bolus Diltiazem on Reversing Supraventricular Tachycardia in The Emergency Department: A Multi-Center Cohort Study. The Journal of Emergency Medicine. 2025;August 1;75:55–64. FAST25 | May 19-21, 2025 | Lexington, KY

The Dirt: an eKonomics podKast
Investing in Safer Farms and Fields

The Dirt: an eKonomics podKast

Play Episode Listen Later Jul 8, 2025 32:54


When it comes to safety on the farm, a little bit of preparation goes a long way.   In this episode of The Dirt, we sit down with Dr. Thomas Bowden, a practicing ER doctor with firsthand insight into the health and safety risks faced by farmers every day. From the basics of first aid to the most life-saving measures on the farm, Dr. Bowden shares what every farmer should know about caring for yourself and others in the field.   Discover what to do – and what not to do – during common farm incidents, why every farm needs a well-stocked first aid kit, how to respond to a broken bone, how to respond while waiting for EMS to arrive, what to do in the event of a snake bite, how to recognize and address heat stress and more on this exciting episode.   Looking for the latest in crop nutrition research? Visit nutrien-ekonomics.com   Subscribe to our YouTube channel: https://www.youtube.com/@NutrieneKonomics

Money Talk For ER Docs™
Ep #246: Caught in the Middle: Practicing Medicine During Corporate Uncertainty

Money Talk For ER Docs™

Play Episode Listen Later Jul 8, 2025 12:06


If you're an ER doc, there's a lot happening behind the scenes in healthcare finance that could directly impact your day-to-day. A recent story caught our attention that ties into some of the broader trends we've discussed in the past — and it's worth unpacking.  It involves ownership models, shifting priorities, and what it all means for the future of emergency medicine. Let's get into it.

emDOCs.net Emergency Medicine (EM) Podcast
Episode 122: Performing Under Pressure

emDOCs.net Emergency Medicine (EM) Podcast

Play Episode Listen Later Jul 7, 2025 27:52


Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast Brit Long interviews Zachary Aust on a performing under pressure. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play 

The Skeptics Guide to Emergency Medicine
SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma?

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Jul 5, 2025 24:12


Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025 Date: May 7, 2025 Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust. She is passionate about […] The post SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma? first appeared on The Skeptics Guide to Emergency Medicine.

Trinity Reformed Church Podcast
Delayed Obedience is Disobedience - Larson Hicks [Exhortation]

Trinity Reformed Church Podcast

Play Episode Listen Later Jul 2, 2025 7:31


This is June 29th's exhortation in which Larson Hicks recognizes that true obedience requires immediate, complete, and joyful submission to instruction. Larson and his wife, Bethany, have 8 children. They were high school sweethearts in Texas and spent the first 10 years of their marriage in Moscow, ID, where Larson graduated from New St. Andrew's College and Bethany from Washington State University.  Larson is the CEO of Sycamore Independent Physicians – a healthcare staffing company focused on Emergency Medicine. Trinity Reformed Church is a CREC church in Huntsville, AL seeking to extend and unite the Kingdom in the Huntsville area. Check out our website, Facebook or YouTube!

2 View: Emergency Medicine PAs & NPs
47 - Mastering Emergency Radiology with Robert Tubbs, MD | The 2 View

2 View: Emergency Medicine PAs & NPs

Play Episode Listen Later Jul 1, 2025 63:03


Welcome to Episode 47 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! New CCME Courses: Mastering Emergency Imaging with Dr. Robert Tubbs and Dr. Adam Janicki https://courses.ccme.org/education/mastering-emergency-imaging American Academy of Radiology Appropriateness https://www.acr.org/Clinical-Resources/Clinical-Tools-and-Reference/Appropriateness-Criteria Dr. David Schwartz: Emergency Radiology Textbook https://www.amazon.com/Emergency-Radiology-David-T-Schwartz/dp/0071409173 The Usual Links CCME www.ccme.org SGEM: www.thesgem.com The Proceduralist: www.theproceduralist.org Old Procedural Pause videos: https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx

EMRA*Cast
Gun Violence: From Practice to Policy, with Dr. Cedric Dark

EMRA*Cast

Play Episode Listen Later Jul 1, 2025 27:27


It was the tweet heard far and wide: When the NRA claimed doctors "should stay in their lane," physicians took aim at firearm safety as a matter of public health, policy, advocacy, and patient care. EMRA*Cast host Lauren Rosenfeld, MD, dives into this issue with author and policy guru Cedric Dark, MD, MPH, FACEP.

EM Pulse Podcast™
Life Balance: an Inside Job

EM Pulse Podcast™

Play Episode Listen Later Jun 30, 2025 26:27


In this episode, we welcome back Dr. John Rose as cohost for a conversation with Dr. Gary Tamkin—Emergency Physician and Vice President of Provider Development at US Acute Care Solutions. Together, they explore what it really takes to find happiness and fulfillment in the high-stakes world of emergency medicine. From the trap of the arrival fallacy to the pressure of always chasing the next milestone, Dr. Tamkin shares personal insights and practical strategies tailored to the unique challenges EM clinicians face. You'll come away with two actionable tools to help build more meaning, balance, and joy—both on shift and off. What are your tips for avoiding burnout and finding balance? Share them 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 Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Medical Director at UC Davis Guest: Dr. Gary Tamkin, Emergency Physician and Vice President of Provider Development and US Acute Care Solutions Resources: Podcast: 10% Happier with Dan Harris Podcast: Hidden Brain with Shankar Vedantam Transitions by William Bridges, PhD with Susan Bridges The Happiness Advantage by Shawn Achor **** 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.

ACEP Critical Decisions in Emergency Medicine
May 2025: Managing Protest Injuries and Xylazine Overdose

ACEP Critical Decisions in Emergency Medicine

Play Episode Listen Later Jun 30, 2025 34:46


In the May 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing protest injuries and xylazine overdose. As always, you'll also hear about the hot topics covered in the regular features, including a man with chest pain and irregular wide-complex tachycardia in The Critical ECG, a child with seizures and tachycardia in Clinical Pediatrics, occult radial head fracture in Orthopedics and Trauma, tracheal suctioning in The Critical Procedure, digital nerve blocks in The LLSA Literature Review, and a patient with abdominal pain and hematemesis in The Critical Image.

The Skeptics Guide to Emergency Medicine
SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Jun 28, 2025 38:50


Reference: Solnick et al. Sex Disparities in Chlamydia and Gonorrhea Treatment in US Adult Emergency Departments: A Systematic Review and Meta-analysis. AEM June 2025 Date: June 24, 2025 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital […] The post SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs first appeared on The Skeptics Guide to Emergency Medicine.

EM Pulse Podcast™
Push Dose Pearls: Hypoglycemia

EM Pulse Podcast™

Play Episode Listen Later Jun 25, 2025 22:03


Hypoglycemia can be subtle—or dangerously obvious—and knowing when and how to treat it is critical. In her first episode as our new Push Dose Pearls expert, Emergency Medicine Clinical Pharmacist, Haley Burhans, joins us to break it down. We discuss glucose thresholds by age, when to draw critical labs, and how to choose the right treatment—whether it's oral glucose, IV dextrose, or IM or intranasal glucagon. From neonates to older adults, Haley delivers practical, evidence-based pearls to help you manage low blood sugar safely and effectively in the ED. Was this episode helpful? What other medications would you like to learn more about? Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis Resources: Gandhi K. Approach to hypoglycemia in infants and children. Transl Pediatr. 2017 Oct;6(4):408-420. doi: 10.21037/tp.2017.10.05. PMID: 29184821; PMCID: PMC5682370. Rickels MR, Ruedy KJ, Foster NC, Piché CA, Dulude H, Sherr JL, Tamborlane WV, Bethin KE, DiMeglio LA, Wadwa RP, Ahmann AJ, Haller MJ, Nathan BM, Marcovina SM, Rampakakis E, Meng L, Beck RW; T1D Exchange Intranasal Glucagon Investigators. Intranasal Glucagon for Treatment of Insulin-Induced Hypoglycemia in Adults With Type 1 Diabetes: A Randomized Crossover Noninferiority Study. Diabetes Care. 2016 Feb;39(2):264-70. doi: 10.2337/dc15-1498. Epub 2015 Dec 17. PMID: 26681725; PMCID: PMC4722945.. MD Calc GIR (Glucose Infusion Rate) Calculator **** 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.

Emergency Medicine Cases
Ep 205 Leading from the Inside Out: Building Teams, Trust and Purpose in Emergency Medicine

Emergency Medicine Cases

Play Episode Listen Later Jun 24, 2025 98:05


In this podcast, with Dr. Thom Mayer, Dr. Carolyn Snider and Dr. Howard Ovens, on leading from the inside out, we cover foundational principles, practical habits, and transformative insights that can make any member of an ED team a more effective, compassionate, and adaptive leader. Here, you'll find tools, philosophy, and stories that just might transform how you think about your role in the ED to make your work more satisfying, make your teams work together better and improve patient outcomes... Please consider a donation to EM Cases to help ensure we continue to provide high quality Free Open Access medical education into the future https://emergencymedicinecases.com/donation/

Money Talk For ER Docs™
Ep #244: Emergency Medicine Meets Early Retirement: The Social Security Playbook

Money Talk For ER Docs™

Play Episode Listen Later Jun 24, 2025 14:37


Social Security might be the most universally recognized piece of the retirement puzzle, but that doesn't make the decision around it any easier. Whether you're planning to claim early or wait it out for a bigger monthly check, the debate is louder than ever—especially for high-income ER docs who might not “need” the benefit right away. Is there a universal answer to taking SS early or late? We'll discuss that today.

emDOCs.net Emergency Medicine (EM) Podcast
PECARN STELAR Podcast - Episode 4: How Researchers Conduct Implementation Science Research

emDOCs.net Emergency Medicine (EM) Podcast

Play Episode Listen Later Jun 23, 2025 12:15


The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Dr. Fishe focused on implementation science in EMS care particularly with regards to asthma.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

Highlights from The Hard Shoulder
Should Minimum Unit Pricing be scrapped?

Highlights from The Hard Shoulder

Play Episode Listen Later Jun 20, 2025 14:07


According to Eurostat figures, in 2024, the price level for alcohol and tobacco was 3 times higher in Ireland than in the likes of Bulgaria.And the price is actually over 200% above the EU average.So, we want to talk about Minimum Unit Pricing – something that was brought into Ireland three and a half years ago.Joining guest host Seán Defoe to discuss whether or not MUP should be scrapped is Dan O'Brien, Chief Economist with the Institute of International and European Affairs and Chris Luke, retired Consultant in Emergency Medicine and host of the Irish Medical Lives podcast.

Money Talk For ER Docs™
Ep #243: The Financial Personalities Of Emergency Physicians 2.0

Money Talk For ER Docs™

Play Episode Listen Later Jun 17, 2025 16:31


Ever wonder why some people obsess over every financial detail while others just want someone to handle it all for them? Money isn't just about math — it's deeply tied to how we're wired.  In this episode, we're diving into how your personality shapes your financial decisions — and why knowing yourself might be the key to getting (and staying) ahead. It's less about spreadsheets and more about self-awareness.

The EMS Lighthouse Project
Ep 98 - Does the Sequence of RSI Medications Matter

The EMS Lighthouse Project

Play Episode Listen Later Jun 15, 2025 33:42


Train the Best. Change EMS.Howdy, y'all, I'm Dr Jeff Jarvis, and I'm the host of the EMS lighthouse project podcast, but I'm also the medical director for the new EMS system we're building in Fort Worth Texas. We are looking for an experienced critical care paramedic who is an effective and inspiring educator to lead the initial and continuing training and credentialing of a new team of Critical Care Paramedics who will be responding to our highest acuity calls. The salary is negotiable but starts between $65,000 and $80,000 a year for this office position. Whether y'all wear cowboy boots or Birkenstocks, Fort Worth can be a great place to live and work. So if you're ready to create a world-class EMS system and change the EMS world with us, give us a call at 817-953-3083, take care y'all.The next time you go to intubate a patient, should you give the sedation before the paralytic or the paralytic before the sedative? Does it matter? And what the hell does Bayes have to do with any of this? Dr Jarvis reviews a paper that uses Bayesian statistics to calculate the association between drug sequence and first attempt failure. Then he returns to Nerd Valley to talk about how to interpret 95% confidence intervals derived from frequentists statistics compared to 95% credible intervals that come from Bayesian statistics. Citations:1.     Catoire P, Driver B, Prekker ME, Freund Y: Effect of administration sequence of induction agents on first‐attempt failure during emergency intubation: A Bayesian analysis of a prospective cohort. Academic Emergency Medicine. 2025;February;32(2):123–9. 2.     Casey JD, Janz DR, Russell DW, Vonderhaar DJ, Joffe AM, Dischert KM, Brown RM, Zouk AN, Gulati S, Heideman BE, et al.: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. N Engl J Med. 2019;February 28;380(9):811–21.3.     Greer A, Hewitt M, Khazaneh PT, Ergan B, Burry L, Semler MW, Rochwerg B, Sharif S: Ketamine Versus Etomidate for Rapid Sequence Intubation: A Systematic Review and Meta-Analysis of Randomized Trials. Critical Care Medicine. 2025;February;53(2):e374–83.

The Skeptics Guide to Emergency Medicine
SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Jun 15, 2025 32:36


Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontiers in Medicine. 2025 Feb Date: June 12, 2025 Guest Skeptic:  Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. She is the former president of the Washington chapter […] The post SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy first appeared on The Skeptics Guide to Emergency Medicine.

Dean Richards
Dr. Jeremy Silver: Medical issues men should be aware of

Dean Richards

Play Episode Listen Later Jun 15, 2025


Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean for this week's health update. This week, Dr. Silver shares medical issues men should be aware of. Some pertaining to heart health, prostate health and more. Then Dr. Silver answers listener questions.

EMRA*Cast
In Defense of Succinylcholine

EMRA*Cast

Play Episode Listen Later Jun 15, 2025 45:53


When it comes to the airway, roc rocks and succ sucks, right? You've heard it more than once. But EMRA*Cast host Peter Lorenz, MD, presents a nuanced argument in defense of succinylcholine, with guests Mike Perza, PharmD, and Patricia Simmer, MD.

ACEP Critical Decisions in Emergency Medicine
April 2025: Acute Psychosis Evaluation and Treating Lithium Toxicity

ACEP Critical Decisions in Emergency Medicine

Play Episode Listen Later Jun 12, 2025 40:12


In the April 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute psychosis and lithium toxicity. As always, you'll also hear about the hot topics covered in the regular features, including pelvic inflammatory disease in a non–sexually active teen in Clinical Pediatrics, joint capsule foreign bodies in Critical Cases in Orthopedics and Trauma, male urethral catheterization in The Critical Procedure, high-dose nitroglycerin for SCAPE in The LLSA Literature Review, and a patient with recurrent chest pain in The Critical Image.In the April 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute psychosis and lithium toxicity. As always, you'll also hear about the hot topics covered in the regular features, including pelvic inflammatory disease in a non–sexually active teen in Clinical Pediatrics, joint capsule foreign bodies in Critical Cases in Orthopedics and Trauma, male urethral catheterization in The Critical Procedure, high-dose nitroglycerin for SCAPE in The LLSA Literature Review, and a patient with recurrent chest pain in The Critical Image.

Highlights from Moncrieff
How to prepare your kids for the 6th year holiday

Highlights from Moncrieff

Play Episode Listen Later Jun 12, 2025 11:39


Many kids are preparing to head off on a 6th year holiday once the Leaving Cert comes to an end. But, how can parents prepare their sons and daughters to ensure a happy and safe experience on, for what will be for many, their first experience of going abroad independently, while keeping their own anxiety levels at bay in the process?Joining Seán to discuss is Dr Chris Luke, retired Consultant in Emergency Medicine and host of the Irish Medical Lives podcast, who has been writing about this in the Journal…

Duke Theology, Medicine, and Culture initiative
"The Science of the Good Samaritan" with Emily R. Smith, PhD

Duke Theology, Medicine, and Culture initiative

Play Episode Listen Later Jun 12, 2025 55:49


Dr. Emily Smith, Assistant Professor in Emergency Medicine and Assistant Research Professor of Global Health at Duke University, explores the intersection of faith, science, and global health through the lens of the parable of the Good Samaritan. Dr. Smith reflects on her experience during the COVID-19 pandemic as the voice behind 'Friendly Neighbor Epidemiologist,' advocating for compassionate public health. Her presentation weaves data with a call to ethical action from a posture of solidarity and neighborly love rooted in both scientific and faith-based principles. This podcast aired in November, 2022.

2 View: Emergency Medicine PAs & NPs
46 - Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges | The 2 View

2 View: Emergency Medicine PAs & NPs

Play Episode Listen Later Jun 11, 2025 85:49


About this Episode Episode 46 of “The 2 View” – Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges Segment 1A – Music Therapy In the ED Edited by Chaphalkar A. Music therapy eases pain and anxiety in the ED. Medscape. May 2, 2025. https://www.medscape.com/viewarticle/music-therapy-eases-pain-and-anxiety-emergency-department-2025a1000apm Episode 1. The 2 View. 2view.fireside.fm. Published January 11, 202. https://2view.fireside.fm/1 Segment 1B – Heat Stroke Guidelines Barletta JF, Palimeri TL, Toomy SA, et al. Society of Critical Care Medicine Guidelines for the Treatment of Heat Stroke. Crit Care Med. 2025; 53(2):p e490-e500. https://journals.lww.com/ccmjournal/fulltext/2025/02000/societyofcriticalcaremedicineguidelinesfor.22.aspx Eifling KP, Gaudio FG, Dumke C, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update. Wildness Environ Med. 2024;35(1_suppl):112S-127S. https://journals.sagepub.com/doi/10.1177/10806032241227924 Hawkins SC, David F. An Evidence-Based Guide to Heat Stress. Image. Raw Medicine. https://rawmedicine.org/episodes/f/episode-6-heat-emergencies-with-tod-schimelpfenig-and-tim-durkin Published July 1, 2018. Segment 2A – Cephalosporins for Outpatient Treatment of Pyelonephritis Gupta K, Hooton TM, Naber, KG, et al. International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Inf Dis. 2011;52(5):e103-120. https://academic.oup.com/cid/article/52/5/e103/388285 Koehl J, Spolsdoff D, Negaard B, et al. Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study. Ann Emerg Med. 2025;85(3):240-248. https://www.annemergmed.com/article/S0196-0644(24)01140-5/abstract Segment 2B - Ouropouche Virus Clinical Overview of Oropouche Virus Disease. Centers for Disease Control and Prevention. May 8, 2025. https://www.cdc.gov/oropouche/hcp/clinical-overview/index.html Glatter RD, Sader Neves Ferreira J. Why Is Oropouche Spreading so Fast? Medscape. May 19, 2025. https://www.medscape.com/viewarticle/why-oropouche-spreading-so-fast-2025a1000cgb Segment 3 - Discharging Patients Safe Discharge From The Emergency Department. Ann Emerg Med. 2019;74(5):e95. https://www.annemergmed.com/article/S0196-0644(19)30622-5/abstract Ward, M. When And How Should Clinicians View Discharge Planning as Part of a Patient's Care Continuum? AMA J Ethics. 2023;25(12):e866-872. https://journalofethics.ama-assn.org/article/when-and-how-should-clinicians-view-discharge-planning-part-patients-care-continuum/2023-12 Some Points to Consider Before Discharging a Patient, from Mike and Martha: History / Physical • Abnormal vital signs – treated/explained • Timely repeat vital signs relative to discharge • Addressed all concerns raised in your history-taking and nursing notes • Pertinent history & exam positives/negatives Diagnostics / Decision-Making • Reviewed all diagnostics ordered • Documented abnormalities, explained their significance, & directed follow-up • Adequately considered differential diagnosis • Even in a non-acute setting, adequately ruled out life/limb/organ threats • Appropriately documented communication with staff, consultants, pt's family • Documented patient declining any diagnostics/treatment and their reasons • Documented any reasonable attempts at an alternative plan • Documented assessment of pt's capacity to make informed medical decisions General Documentation • Reviewed “smart phrases” word-for-word to ensure they apply to this pt • Documented use of language services in accordance with institution policies • Documented all appropriate diagnoses (including abnormal vital signs and abnormal diagnostics as appropriate) Discharge Plan • A discharge plan that make sense for this patient, including taking social determinants of health into consideration • Patient can reasonably attend follow-up visits • Follow-up timeframe is appropriate for patient • Patient can afford or obtain essential medications and treatments • Discharge instructions and return precautions, especially for high-risk issues (chest/abdo pain, wounds, infections, fx, splints/casts, controlleds)? Recurring Sources Center for Medical Education. http://ccme.org The Proceduralist. http://www.theproceduralist.org The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. http://www.thesgem.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

PEM Rules
Episode 114: Family Medicine Physician Practicing PEM

PEM Rules

Play Episode Listen Later Jun 9, 2025 32:27


What happens when you are a "general practitioner" but are passionate about Emergency Medicine or PEM. Listen to Dr. Allen Herman's story on practicing Emergency Medicine despite completing his training in Family Medicine. 

Dean Richards
Does coffee intake influence aging?

Dean Richards

Play Episode Listen Later Jun 8, 2025


Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean for this week's health update. This week, Dr. Silver talks about how your coffee intake influences aging. Then Dr. Silver answers listener questions.

Dean Richards
Dean Richards' Sunday Morning | June 8

Dean Richards

Play Episode Listen Later Jun 8, 2025


Dean Richards, Dave Schwan, and Andy Masur start off this Tony Award Sunday by talking what Dean is looking forward to the most during the 78th Tony Awards. For today's Far Flung Forecast, Dave takes us to Clark, Missouri. Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean […]

The Skeptics Guide to Emergency Medicine
SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Jun 7, 2025 24:21


Date: June 2, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don't Forget the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV […] The post SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc first appeared on The Skeptics Guide to Emergency Medicine.

The Mark Thompson Show
Musk Goes Nuclear: Says He Got Trump Elected, Torches Him & “Big Beautiful Bill” as Bloated 6/6/25

The Mark Thompson Show

Play Episode Listen Later Jun 6, 2025 142:38


The Musk/Trump bromance imploded spectacularly yesterday. What started with Musk criticizing Trump‘s so-called “Big Beautiful Bill”devolved into Trump threatening to pull Musk's government contracts and Musk claiming Trump would not have won the election without him and making allegations that Trump is listed in the Epstein files and that's why they haven't been released. Musk called for Trump‘s impeachment! The public breakup played out in comments made in the Oval Office during a press conference with the leader of Germany, on Trump's Truth Social and on Musk's X. We will ask journalist Michael Shure about this ugly public feud and more with “This Week in Politics.” There are some changes when it comes to recommendations on who should get Covid vaccines and boosters. We'll check in with our doctor, Emergency Medicine specialist, Dr. Michael Daignault. Friday Fabulous Florida is upon us once again and it does not disappoint Culture Blaster Michael Snyder will join us to talk movies and streaming as summer break begins.

EM Pulse Podcast™
Packing for the Unexpected

EM Pulse Podcast™

Play Episode Listen Later Jun 5, 2025 28:32


Summer travel is in full swing and, for physicians, that means more than just packing swimsuits and sunscreen. In this episode of EM Pulse, we sit down with wilderness medicine expert, Dr. Mary Bing, to unpack the real-world essentials of travel medical kits. From duct tape and whistles to epinephrine and steroids, you'll learn what to bring, how to tailor your supplies based on destination and group, and why your role as a physician—formal or not—comes with extra responsibilities. Whether you're headed to the Alps or the backyard, this episode is your go-to guide for staying medically prepared on the move. Don't just travel light—travel smart. What's in your first aid kit? Hit us op on 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 Emergency Medicine at UC Davis Guests: Dr. Mary Bing, Professor of Emergency Medicine and Assistant EM Residency Program Director at UC Davis Resources: Surviving a Wilderness Emergency by Peter Kummerfeldt ACEP: First Aid Kit U.S. Customs and Border Protection: Traveling with medication ***  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.

The Visible Voices
Front Lines to Policy Lines: Cedric Dark on Gun Violence Prevention

The Visible Voices

Play Episode Listen Later Jun 5, 2025 19:36


In this episode I speak with Cedric Dark MD MPH, an emergency medicine physician and healthcare policy expert, about gun violence in America. June is Gun Violence Awareness month. Our conversation focuses on prevention, advocacy, and content from his book Under the Gun: An ER Doctor's Cure for America's Gun Epidemic Cedric is an Associate Professor in the Henry J. N. Taub Department of Emergency Medicine at Baylor College of Medicine. He currently is on the Board of Trustees for Semester at Sea and is the Medical Editor-in-Chief for the monthly publication ACEP Now. From 2019 to 2024 he served on the Board of Directors for Doctors for America. Cedric argues that gun violence is a public health issue that healthcare workers are uniquely positioned to address. He explains how mental health factors into gun violence discussions and why access to firearms increases suicide risk. The conversation touches on how advocacy work can help healthcare workers deal with burnout and how organizations like Doctors for America approach health policy change.  If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

Trinity Reformed Church Podcast
Wise Planning & Trusting God - Larson Hicks [Exhortation]

Trinity Reformed Church Podcast

Play Episode Listen Later Jun 4, 2025 9:23


This is June 1st's exhortation by Larson Hicks identifying two ditches we commonly fall into when planning: overconfidence and faithless inaction. Larson and his wife, Bethany, have 7 children. They were high school sweethearts in Texas and spent the first 10 years of their marriage in Moscow, ID, where Larson graduated from New St. Andrew's College and Bethany from Washington State University.  Larson is the CEO of Sycamore Independent Physicians – a healthcare staffing company focused on Emergency Medicine. Trinity Reformed Church is a CREC church in Huntsville, AL seeking to extend and unite the Kingdom in the Huntsville area. Check out our website, Facebook or YouTube!

Ditch The Labcoat
From Fentanyl to the Frontlines with Dr. Dov Gebien

Ditch The Labcoat

Play Episode Listen Later Jun 4, 2025 49:40


In this episode of Ditch the Lab Coat, Dr. Mark Bonta sits down with Dr. Dov Gebien for a deeply personal and raw conversation about addiction, stigma, and redemption within the medical profession. Dr. Gebien, an emergency physician, shares his courageous story of opioid addiction—tracing his journey from the initial dependency that crept in after multiple back surgeries, through the devastating fallout of withdrawal, arrest, and prison, to his eventual recovery and fight to reclaim both his medical license and sense of self.The episode explores the culture of medicine and the harsh judgment often faced by healthcare professionals struggling with substance use. Dr. Gebien opens up about the profound shame and isolation that accompany addiction, explaining how secrecy and fear of exposure perpetuate suffering. He discusses how his turning point came when he finally “came clean,” recounting the unexpected compassion from some colleagues, but also the widespread mistreatment and lack of understanding he encountered—especially compared to how the system treats those with alcohol use disorder or physical illness.Dr. Gebien and Dr. Bonta delve into how the medical system, historically complicit in the opioid crisis, continues to stigmatize opioid addiction in its ranks, and they candidly address the punitive versus rehabilitative paths offered to healthcare workers in crisis. Dr. Gebien reflects on how recovery transformed his approach to medicine, fostering empathy and changing the way he relates to patients facing addiction.Now a community physician, public speaker, and researcher with published work on Sudden Infant Death Syndrome, Dr. Gebien unpacks his reinvention and the ongoing challenges of regaining trust and credibility within his field. The episode is a powerful meditation on perseverance, accountability, and hope—the “hard-won kind” forged through adversity.Episode Highlights1. The Power of Honesty : Telling the truth about addiction, even when it's painful, is the starting point for recovery and lightens the emotional burden.2. Compassion Over Judgment : Healthcare needs more compassion and less stigma toward addiction—judgment only deepens isolation and suffering for both patients and clinicians.3. Addiction Knows No Boundaries : Opioid addiction can affect anyone—doctors, professionals, or neighbors—not just the stereotypical “skid row” population.4. Burnout Breeds Judgment : Compassion fatigue and harsh attitudes in emergency medicine can lead to diminished empathy for those with addiction struggles.5. Redefining Professional Redemption : Recovery and return to practice after addiction require perseverance, transparency, and a willingness to rebuild credibility from scratch.6. Forgiveness and Second Chances Reintegration into medicine is possible, but it demands humility, hard work, and meeting rigorous requirements to ensure public safety.7. Continuous Recovery Accountability Structured support systems—therapy groups, monitoring, and regular check-ins—are vital in maintaining long-term recovery and reducing relapse risk.8. Experience Builds Better Doctors Personal hardship, including addiction and recovery, can foster stronger empathy, better listening skills, and more effective patient care.Episode Timestamps3:32 – Resilient Hope Amid Adversity9:32 – Addiction's Story: A Broader Insight10:54 – Opioid Dependency Misunderstanding17:12 – Compassion in Addiction Treatment21:07 – Forgiveness and Reintegration in Healthcare23:39 – Challenges Reveal True Character27:13 – Recovery: Holistic Approaches Versus Cure29:38 – Expressing Myself Through Recovery33:20 – Challenges of Reintegration for Felons37:01 – Healthcare Workers' Untreated Disorders Insight39:10 – Diaphragm Cramp Research Breakthrough42:33 – Rediscovering Purpose in Medicine45:00 – Secrets, Addiction, and Consequences48:44 – Finding Hope After DisgraceDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Emergency Medical Minute
Episode 959: The KLM Flight Disaster and Lessons in Healthcare Communication

Emergency Medical Minute

Play Episode Listen Later Jun 2, 2025 6:05


Contributor: Taylor Lynch, MD Educational Pearls: The KLM Flight Disaster, also known as the Tenerife Airport Disaster, occurred on 27 March 1977. It involved the collision of two Boeing 747 passenger jets from KLM and Pan Am Airlines, resulting in 583 fatalities.  What fell through the cracks to cause this incident? The captain of the KLM flight believed he had received clearance from air traffic control to take off, when in fact he had not. This captain was one of the most senior pilots in the organization, and the culture often saw senior pilots as infallible and not to be questioned. The co-pilot, who noticed improper communication resulting from power dynamics, did not assertively speak up.  What lessons can be taken from the tragedy and applied to healthcare?  Aviation and healthcare are both high-stakes industries that require extensive communication for the safety of passengers and patients. Within medicine, an inherent hierarchy exists, and it is crucial not to let this hierarchy and perceived power imbalance prevent people from speaking up. In healthcare, providers such as nurses, paramedics, and technicians may spend more time with patients and thus may notice warning signs earlier. It is imperative to foster a culture where they can speak up freely and without hesitation if something concerning is caught in a patient.  When might mistakes happen most often? Hanna et al. found that radiological interpretation errors were more likely to occur later in shifts, peaking around the 10-to-12-hour mark. Leviatan et al. found that medication prescription errors were more likely to occur by physicians working on 2nd and 3rd consecutive shifts. Hendey et al. found medication ordering errors were higher on overnight and post-call shifts. Gatz et al. found that surgical procedural complication rates are higher during the last 4 hours of a 12-hour shift. In Short, Ends of shifts are when mistakes are most likely to occur.  Overall takeaway? In a healthcare team, it is critical to look after each other regardless of years of experience or post-nominal letters, and speak up for patient safety. Making a special note that we may need to do so more towards the end of shifts, where we might not be at our sharpest.    References Gatz JD, Gingold DB, Lemkin DL, Wilkerson RG. Association of Resident Shift Length with Procedural Complications. Journal of Emergency Medicine. 2021 Aug 1;61(2):189–97. Hanna TN, Lamoureux C, Krupinski EA, Weber S, Johnson JO. Effect of Shift, Schedule, and Volume on Interpretive Accuracy: A Retrospective Analysis of 2.9 Million Radiologic Examinations. Radiology. 2018 Apr;287(1):205–12. Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005 Jul;12(7):629–34. Leviatan I, Oberman B, Zimlichman E, Stein GY. Associations of physicians' prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021 Jun 12;28(6):1074–80. Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

emDOCs.net Emergency Medicine (EM) Podcast
Episode 121: Ebola Virus Disease

emDOCs.net Emergency Medicine (EM) Podcast

Play Episode Listen Later Jun 2, 2025 18:45


Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast, we discuss Ebola.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play 

The Skeptics Guide to Emergency Medicine
SGEM Xtra: Ten Lessons They Don't Teach in Medical School (But Should)

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Jun 1, 2025 37:22


Date: May 14, 2025 Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is an SGEM Xtra episode. The inspiration was a […] The post SGEM Xtra: Ten Lessons They Don't Teach in Medical School (But Should) first appeared on The Skeptics Guide to Emergency Medicine.

Dean Richards
Dr. Silver discusses the latest COVID vaccine news

Dean Richards

Play Episode Listen Later Jun 1, 2025


Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean for this week's health update. This week, Dr. Silver talks about COVID-19 vaccine news from the week and then talks about the new COVID variant. Then Dr. Silver answers listener questions.

Dean Richards
Dean Richards' Sunday Morning | June 1

Dean Richards

Play Episode Listen Later Jun 1, 2025


Dean Richards, Dave Schwan, and Andy Masur start by welcoming former producer Jack Heinrich back. Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean for this week's health update. This week, Dr. Silver talks about COVID-19 vaccine news from the week and then talks about the new COVID variant. […]

The Lifeguard Project
Andrew Schmidt: A Deeper Understanding Of Drowning | Ep.12

The Lifeguard Project

Play Episode Listen Later May 31, 2025 98:43


Welcome to this episode of The Lifeguard Project Podcast, where today we interview Dr. Andrew Schmidt. Dr. Schmidt started as a junior lifeguard and progressed through the professional lifeguard ranks at Jacksonville Beach, Florida. He currently serves as an assistant professor in the Department of Emergency Medicine at the University of Florida College of Medicine Jacksonville.He's a medical director of Jacksonville Beach Ocean Rescue, deputy Medical Director of University of Florida Health's Trauma one Flight program, and co-founder of Lifeguards Without Borders, a nonprofit dedicated to international drowning prevention. He's also a board member of the Surfers Medical Association and a lead instructor with Surfing Medicine International.Dr. Schmidt has over a decade of experience on the front lines of emergency care and water safety. He has also authored key drowning treatment guidelines and helped shape national and international policy and trained lifeguards, medics and physicians around the world. From academic research to ocean rescue operation, he brings a spectrum of unique experience, making him a well-respected professional at the intersection of medicine, rescue, and public health.In this episode, we explore the medical and physiological realities of drowning along with some of its core principles. We'll go into the crucial role that lifeguards and pre-hospital responders have, and how cohesive emergency care protocols can be the difference in these life-saving measures. We'll also dig deep into the importance of education, prevention, and public policy.We'll take you through the process and specific treatment considerations of drowning from the rescue phase with lifeguards on the beach to the back of the ambulance, into the emergency room, and all the way to the ICU. So stay tuned and enjoy the conversation. And thanks as always for supporting the Lifeguard project.00:00 Introduction to Dr. Andrew Schmidt02:38 Dr. Schmidt's Lifeguard Journey04:38 Balancing Medicine and Lifeguarding06:52 Impact of Baywatch on Lifeguarding12:08 The Critical Role of Lifeguards in Drowning Prevention21:45 Challenges in Drowning Data Collection34:33 Hypoxia in Drowning36:39 Reversing Hypoxia38:25 Challenges in Drowning Protocols56:11 The Role of Surfers in Rescue Operations01:07:17 Challenges of Public Access Buoy Programs01:08:29 Training and Real-Life Rescue Simulations01:10:19 Respect and Training for Lifeguards01:12:44 Funding and Support for Lifeguard Programs01:18:30 Drowning Research and Public Awareness01:23:27 Medical Protocols and Pre-Hospital Care01:34:30 Final ThoughtsAndrews Youtube:https://www.youtube.com/@jaxems/videosDrowning Facts Website:https://www.notoutofthewater.com/Andrew's Site:https://surfemergency.com/Presented by The Ben Carlson Foundation:https://www.bencarlsonfoundation.org/https://www.instagram.com/bencarlson_foundation/Watch the Podcast on YouTube Here:https://youtu.be/kM2_7KuS6rUSubscribe to the Podcast Here:https://podcasts.apple.com/us/podcast/the-lifeguard-project/id1748861682https://open.spotify.com/show/7EoZTDiET6jJ6XJ1g5X54thttps://www.instagram.com/thelifeguardproject/https://thelifeguardproject.org/Host, Drasko Bogdanovic:https://www.bogdogphoto.com/https://www.instagram.com/bogdogphoto/#TheLifeguardProjectPodcast #BenCarlsonFoundation #LifeguardPodcastSupport this podcast at — https://redcircle.com/the-lifeguard-project/donations

The EMS Lighthouse Project
E97 - Bayes and Calcium Before Diltiazem in Atrial Fibrillation

The EMS Lighthouse Project

Play Episode Listen Later May 30, 2025 39:27


We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But it also drops BP a bit. Could pretreating these patients with calcium lower the risk of hypotension? Dr Jarvis puts on his nerd hat and uses Bayesian analysis to assess a new randomized, placebo-controlled study that looked at just this thing. Why is he going off on this Bayes thing? Because he's been reading a couple of book on it and wanted to take it for a spin.  Tables:  Charts: Bayesian Distributions: Citation: 1.     Az A, Sogut O, Dogan Y, Akdemir T, Ergenc H, Umit TB, Celik AF, Armagan BN, Bilici E, Cakmak S: Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. The American Journal of Emergency Medicine. 2025;February;88:23–8.2.     Fornage LB, O'Neil C, Dowker SR, Wanta ER, Lewis RS, Brown LH: Prehospital Intervention Improves Outcomes for Patients Presenting in Atrial Fibrillation with Rapid Ventricular Response. Prehospital Emergency Care. doi: 10.1080/10903127.2023.2283885 (Epub ahead of print).3.     Kolkebeck T, Abbrescia K, Pfaff J, Glynn T, Ward JA: Calcium chloride before i.v. diltiazem in the management of atrial fibrillation. The Journal of Emergency Medicine. 2004;May 1;26(4):395–400.4.     Chivers T: Everything Is Predictable: How Bayes' Remarkable Theorem Explains the World. Weidenfeld & Nicolson, 2024.5.     McGrayne SB: The Theory That Would Not Die. how Bayes' Rule Cracked The Enigma Code, Hunted Down Russian Submarines & Emerged Triumphant From Two Centuries of Controversy. New Haven, CT, Yale University Press, 2011. FAST25 | May 19-21, 2025 | Lexington, KY

The Psychology of Self-Injury: Exploring Self-Harm & Mental Health
Self-Harm in Older Adults, with Dr. Lisa Van Hove

The Psychology of Self-Injury: Exploring Self-Harm & Mental Health

Play Episode Listen Later May 30, 2025 57:26


Just how prevalent is self-injury among older adults, specifically those ages 60 and over?  Do the types and methods they use differ from those who self-injure at other ages? What about the reasons they give for self-injuring? In this episode, Dr. Lisa Van Hove from Vrije Universiteit Brussel (Brussels University) is the first to reveal the prevalence of self-injury and self-harm among older adults.To see Dr. Van Hove's publications, including those about self-injury among older adults, click here. Connect with Dr. Van Hove on LinkedIn here. Below is some of her research and that of others referenced in this episode:Van Hove, L., Baetens, I., Hamza, C., Dierckx, E., Haekens, A., Fieremans, L., & Vanderstichelen, S. (2023). NSSI in older adults. In E.E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 572-592). Oxford University Press.Van Hove, L., Baetens, I., & Vanderstichelen, S. (2025). Psychogeriatric experts' experiences with risk factors of suicidal and non-suicidal self-injury in older adults: A qualitative study. Qualitative Research in Medicine and Healthcare, 8(1). Van Hove, L., Baetens, I., & Vanderstichelen, S. (2024). Conceptualizing self-harm through the experiences of psychogeriatric experts. Psychopathology, 57(4), 277-285.Van Hove, L., Nieuwenhuijs, B. M., Vanderstichelen, S., De Witte, N., Gorus, E., Stas, L., & Baetens, I. (2025). Biopsychosocial profile of community-dwelling older adults at risk for direct and indirect self-harm. Clinical Gerontologist, 1–12.Van Hove, L., Facon M., Baetens, I., Vanderstichelen, S., Dierckx, E., Van Alphen, S.P.J., Stas, L., & Rossi, G. (in press). Development of an at-risk personality profile for (in)direct self-harm engagement in older age. Journal of Personality Disorders.Murphy, E., Kapur, N., Webb, R., Purandare, N., Hawton, K., Bergen, H., Waters, K., & Cooper, J. (2012). Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study. British Journal of Psychiatry, 200(5), 399-404.Martin, G., & Swannell, S. (2016). Non-suicidal self-injury in the over 40s: Results from a large national epidemiological survey. Epidemiology (Sunnyvale), 6(5), 266.Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2016). Nonsuicidal self-injury and suicide attempts among ED patients older than 50 years: comparison of risk factors and ED visit outcomes. The American Journal of Emergency Medicine, 34(6), 1016-1021.Ose, S. O., Tveit, T., & Mehlum, L. (2021). Non-suicidal self-injury (NSSI) in adult psychiatric outpatients – A nationwide study. Journal of Psychiatric Research, 133, 1-9.Wiktorsson, S., Strömsten, L., Renberg, E. S., Runeson, B., & Waern, M. (2022). Clinical characteristics in older, middle-aged and young adults who present with suicide attempts at psychiatric emergency departments: A multisite study. The American Journal of Geriatric Psychiatry, 30(3), 342-351.Gratz, K. L., & Tull, M. T. (2025). Acceptance-based emotion regulation therapy: A clinician's guide to treating emotion dysregulation & self-destructive behaviors using an evidence-based therapy drawn from ACT & DBT. Context Press.Want to have a bigger role on the podcast?:Should you or someone you know be interviewed on the podcast? We want to know! Please fill out this Google doc form, and we will be in touch with more details if it's a good fit.Want to hear your question and have it answered on the podcast? Please send an audio clip of your question (60 seconds or less) to @DocWesters on Instagram or Twitter/X, or email us at thepsychologyofselfinjury@gmail.comWant to be involved in research? Send us a message at thepsychologyofselfinjury@gmail.com and we will see if we can match you to an active study.Want to interact with us through comments and polls? You can on Spotify!Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot  and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."

Stimulus.
An Insider's Look at Addiction Medicine

Stimulus.

Play Episode Listen Later May 26, 2025 69:39


What if addiction isn't about drugs, but about pain? Beneath compulsive behaviors often lie histories of trauma, anxiety, and unmet emotional needs, hidden behind layers of stigma and misunderstanding. In medicine, addiction is still often mischaracterized as a moral failing rather than a treatable illness with deep psychological roots. In this episode, we explore the personal and professional evolution of Dr. Casey Grover, an addiction medicine physician who reframed both his own struggles and the way he cares for patients. Finally, we uncover how shifting mindset and language can transform both clinical outcomes and clinician well-being.

The Skeptics Guide to Emergency Medicine
SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later May 24, 2025 45:06


Reference:  St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Children's Hospital where she is the Head of Department. She is also on the […] The post SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis first appeared on The Skeptics Guide to Emergency Medicine.

emDOCs.net Emergency Medicine (EM) Podcast
Episode 120: Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis

emDOCs.net Emergency Medicine (EM) Podcast

Play Episode Listen Later May 19, 2025 17:28


Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast Brit Long covers SJS/TEN. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

Dean Richards
When to go to the ER vs. urgent care

Dean Richards

Play Episode Listen Later May 18, 2025


Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean for this week's health update. This week, Dr. Silver talks about the differences between urgent care and the emergency room.

EM Pulse Podcast™
AI After Hours: Tools for medical educators and lifelong learners

EM Pulse Podcast™

Play Episode Listen Later May 17, 2025 19:27


In this follow-up to our artificial intelligence in EM series, we're diving into how AI can enhance your professional life outside of clinical shifts. Joined by Dr. Jaymin Patel—Assistant Residency Program Director and tech-savvy educator—we explore three practical AI tools that can streamline teaching, content creation, communication, and even how you consume literature on your commute. From ChatGPT to DALL·E to NotebookLM, we break down what each tool does, how to use it effectively, what pitfalls to avoid, and how even non-educators can leverage them. Tune in to learn how to use AI intentionally, efficiently, and ethically in your day-to-day professional life.  Are you using AI in your professional life? What's your favorite tool? Share your experience 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 Emergency Medicine at UC Davis Guests: Dr. Jaymin Patel, Assistant Professor of Emergency Medicine and Assistant EM Residency Program Director at UC Davis Resources: Nivritti Gajanan Patil, Nga Lok Kou, Daniel T. Baptista-Hon, Olivia Monteiro. Artificial Intelligence in Medical Education: A Practical Guide for Educators. MedComm – Future MedicineVolume 4, Issue 2 e70018. First published: 02 April 2025 https://doi.org/10.1002/mef2.70018 ChatGPT DALL•E NotebookLM **** 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.

The Skeptics Guide to Emergency Medicine
SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later May 17, 2025 25:46


Reference: Cohen et al; SUSPECT study group. Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial. J Orthop Traumatol. 2025 Date: May 1, 2025 Guest Skeptic: Dr. Matt Schmitz is an orthopedic surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. He practices at the Rady Children's Hospital in […] The post SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures first appeared on The Skeptics Guide to Emergency Medicine.