Podcasts about Emergency medicine

We've covered pre-oxygenation strategies and intubation alot on this podcast, mayber more than anyting else. We covered the definition of FPS in E74, the DEVICE trial on DL vs VL in E75, and the PREOXI trial of NIV vs Mask Pre-oxygenation in E86. Now we have another Preoxygenation paper, this one that reports no difference between preoxygenation with BVM and face mask. WTAF? Better listen, because it turns out words matter, definitions are... definitional, and we absolutely MUST read more than just the abstract.  Citations:1.     Gottlieb M, Alexander R, Love AK: Comparison of Preoxygenation Strategies for Intubation of Critically Ill Patients. Annals of Emergency Medicine. doi: 10.1016/j.annemergmed.2025.06.621 (Epub ahead of print).2.     Chou CD, Palakshappa JA, Haynie H, Garcia K, Long D, Gibbs KW, White HD, Ghamande S, Dagan A, Stempek S, et al.: Association of Two Preoxygenation Approaches With Hypoxemia During Tracheal Intubation: A Secondary Analysis. Annals of Emergency Medicine. doi: 10.1016/j.annemergmed.2025.06.003 (Epub ahead of print).3.     Pitre T, Liu W, Zeraatkar D, Casey JD, Dionne JC, Gibbs KW, Ginde AA, Needham-Nethercott N, Rice TW, Semler MW, et al.: Preoxygenation strategies for intubation of patients who are critically ill: a systematic review and network meta-analysis of randomised trials. The Lancet Respiratory Medicine. 2025;July;13(7):585–96.4.     Gibbs KW, Semler MW, Driver BE, Seitz KP, Stempek SB, Taylor C, Resnick-Ault D, White HD, Gandotra S, Doerschug KC, et al.: Noninvasive Ventilation for Preoxygenation during Emergency Intubation. N Engl J Med. doi: 10.1056/NEJMoa2313680 (Epub ahead of print).5.     Prekker ME, Driver BE, Trent SA, Resnick-Ault D, Seitz KP, Russell DW, Gaillard JP, Latimer AJ, Ghamande SA, Gibbs KW, et al.: Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. N Engl J Med. 2023;June 16;389(5):418–29.6.     Trent SA, Kaji AH, Carlson JN, McCormick T, Haukoos JS, Brown CA, National EARI: Video Laryngoscopy is Associated With First-Pass Success in Emergency Department Intubations for Trauma Patients: A Propensity Score Matched Analysis of the National Emergency Airway Registry. Ann Emerg Med. doi: 10.1016/j.annemergmed.2021.07.115 (Epub ahead of print).

In this episode of “Bridging Health and Humanity,” hosted by Dr. Natalie Hernandez, the focus is on the effects of current immigration policies and enforcement tactics on the health of vulnerable communities. The discussion features Dr. Rose Diaz and Dr. Sarah Lopez, both advocates for immigrant health, who share their insights on changes in immigration policy, including the revocation of “sensitive location” protections and adjustments to the public charge rule. They delve into the broader impact of these policies on patient trust and public health, including delayed care and increased health care costs. The segment also explores how health care teams can support immigrant communities through advocacy, education, and understanding legal protections. The episode concludes with hopeful reflections and practical advice for medical professionals committed to supporting these marginalized populations.  

This is August 10th's exhortation in which Larson Hicks parallels a faithful life to improv acting, which requires the "Yes, and..." mantra and full commitment. 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!

Dr. Michael McEnanyMichael McEnany attended Wake Forest University's School of Medicine and completed his residency training in Emergency Medicine at the University of New Mexico. He is currently an Emergency Medicine physician at Northern Inyo Hospital in Bishop, CA. His interests include connecting with the natural world and learning to play the fiddle. “The methods and goals of hospice and palliative care, to me, represent the core of medicine. Listening with patience, responding to vulnerability with compassion, addressing the origins and continuance of suffering, while openly and bravely discussing the existential nature and threat of illness are all aspects of medicine that I strive to embody.Abby is a holistic practitioner and an herbalist and although they acted like they we're just friends, I have a sneaky suspicion there's something bigger on the horizon for these two amazing humans!Thanks to Frankie and YO ROSCO! for joining us today also!Remember, you're not alone and you can always dial 988 24/7/365 and someone will be there. We truly hope you enjoyed today's episode everyone!

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 with Brit Long (@long_brit), we cover a difficult diagnosis: non-convulsive status epilepticus. 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 

About this Episode Episode 48 of “The 2 View” – Burn Tx, Marijuana & CV Risk, Ocular Syphilis, and HSV 1 & 2 Segment 1 – Thermal Burn Treatment Levin NJ, Erben Y, Li Y, et al. Edited by Muacevic A, Adler JR. A Systematic Review and Meta-Analysis Comparing Burn Healing Outcomes Between Silver Sulfadiazine and Aloe vera. Cureus. 2022;14(10):e30815. Accessed August 11, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC9621733/ Aziz Z, Abdul Rasool Hassan B. The effects of honey compared to silver sulfadiazine for the treatment of burns: A systematic review of randomized controlled trials. Burns. 2017;43(1):50-57. Accessed August 11, 2025. https://pubmed.ncbi.nlm.nih.gov/27576926/ Segment 2A – Marijuana and Cardiovascular Risk Mohammadi L, Navabzadeh M, Jimenez-Tellez N, et al. Association of Endothelial Dysfunction With Chronic Marijuana Smoking and THC-Edible Use. JAMA Cardiol. Published online May 28, 2025. doi:10.1001/jamacardio.2025.1399. Accessed August 11, 2025. https://jamanetwork.com/journals/jamacardiology/fullarticle/2834540 Storck W, Elbaz M, Vindis C, et al. Eifling KP, Gaudio FG, Dumke C, et al. Cardiovascular risk associated with the use of cannabis and cannabinoids: a systematic review and meta-analysis. Heart. Published online June 17, 2025. doi:10.1136/heartjnl-2024-325429. Accessed August 11, 2025. https://pubmed.ncbi.nlm.nih.gov/40527600/ Page II RL, Allen LA, Kloner RA, et al. Medical Marijuana, Recreational Cannabis, and Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation. 2020;142(10);e131-152. https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000883 Segment 2B – Ocular Syphilis Zhou LR, Kirupaharan N, Birkenstock MK. Incidence and Prevalence of Syphilitic Uveitis and Associated Ocular Complications in the TriNetX Database. Am J Ophthalmol. 2025;277:387-394. https://www.sciencedirect.com/science/article/pii/S0002939425002843 Segment 3 - HSV 1 & 2 Langenberg AGM, Corey L, Ashley RL, et al. A Prospective Study of New Infections with Herpes Simplex Virus Type 1 and Type 2. N Engl J Med. 1999;341:1432-1438. https://www.nejm.org/doi/full/10.1056/nejm199911043411904 Lebrun-Vignes B, Bouzamondo A, Dupuy A, et al. A meta-analysis to assess the efficacy of oral antiviral treatment to prevent genital herpes outbreaks. J Am Acad Dermatol. 2007;57(20):238-246. 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.

I'd like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience. You can reach him at dberrymd@hotmail.com Burnout and moral injury – how do we avoid these in dealing with the addicted and psychiatric patients? We can't control most factors involving their long term care but David says: “give these folks the best care I know how to give them.” We can control what WE do We talk about the best way to communicate between providers when passing on patients to the next shift Dr. Berry talks about a patient he advocated for that he felt needed in-patient psychiatric admission but had been initially turned down He talks about the importance of working patients up appropriately and not ignoring patient complaints, getting the emotion out of it What would you do objectively if the patient was not a frequent flyer? Dr. Berry talks about a substance use clinic he helped open in Western Colorado He talks about meth addiction and how recovery works in his clinic He tells a story about the devastating effects of meth on a young patient The danger of meth is not in the withdrawal but the effects of it on your body Dr. Berry talks about the limbic system, the reptilian part of our brain. People who struggle with addiction have a missed connection. Normally, when the average person drinks, a message gets relayed back from the brain saying slow down, you have responsibilities, you have work, you have a family. The addict's brain doesn't send this message back, they just get the message to drink more cause it feels good. This applies to any addiction Their decider is broken, that's why they need a sponsor, and their brain can eventually rewire and make the needed connections The anatomy problem of missed or failing brain neurons is what is going wrong in the addict's brain This helps us understand where the blame truly needs to be placed, not on the addict for poor moral character or poor self-control but on a brain that isn't wired correctly Winston Churchill said everyone has an addiction, the key is finding one that is socially acceptable Dr. Berry talks about Recovered on Purpose, an organization in Denver, CO that is working on new treatments for addictions and help market treatment centers and help get peoplSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Ethics in the field of infectious disease can be a delicate interplay between treating the individual patient and protecting the collective health of a society. Sometimes these two mandates go hand in hand; at other times they can appear to be in conflict. In this episode of Communicable, Dr. Angela Huttner invites Drs. Zeb Jamrozik (Melbourne, Australia) and Beenish Syed (Karachi, Pakistan), two members of ESCMID's Ethics Advisory Committee, to unpack different scenarios encountered in the field of infectious disease from an ethics standpoint: how one ethically allocates scarce resources like antimicrobials; whether there is ethical justification for coercive public-health measures like lockdowns; and whether the need to collect evidence to advance patient care could include other models besides opt-in informed consent. This episode was edited by Dr. Kathryn Hostettler and peer reviewed by Dr. Goulia Ohan of Yerevan State Medical University, Yerevan, Armenia.Further reading:Barosa M, et al. The Ethical Obligation for Research During Public Health Emergencies: Insights From the COVID-19 Pandemic. Med Health Care Philos 2024. DOI: 10.1007/s11019-023-10184-6Symons X, et al. Why should HCWs receive priority access to vaccines in a pandemic? BMC Med Ethics 2021. DOI: 10.1186/s12910-021-00650-2Thorsteinsdottir B and Madsen BE. Prioritizing health care workers and first responders for access to the COVID19 vaccine is not unethical, but both fair and effective – an ethical analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2021. DOI: 10.1186/s13049-021-00886-2Huttner A, Leibovici L, Theuretzbacher U, Huttner B, Paul M. Closing the evidence gap in infectious disease: point-of-care randomization and informed consent. Clin Microbiol Infect 2017;23(2):73-77. DOI: 10.1016/j.cmi.2016.07.029

 Date: July 10, 2025 Guest Skeptics: Professor Timothy Caulfield is a Canadian professor of law at the University of Alberta, the Research Director of its Health Law Institute. His area of expertise is in legal, policy and ethical issues in medical research and its commercialization. This is another SGEM Xtra book review. Tim was our guest skeptic a […] The post SGEM Xtra: Illusion – What you Don't Know and Why it Matters first appeared on The Skeptics Guide to Emergency Medicine.

When the gallbladder turns hostile, sometimes you must do more than just pause—you have to call in a senior partner for help. Join the Behind the Knife EGS team at Mizzou as we dive into the art and grit of open cholecystectomy. From fundus-first dissection to navigating the “barrier to happiness,” this episode is packed with surgical pearls, tough love, and the kind of wisdom only scars can teach. Participants: Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve  Dr. Jeffery Coughenour FACS (Surgical Attending) – Professor of Surgery and Emergency Medicine, Trauma Medical Director at the University of Missouri SOM Dr. Christopher Nelson FACS (Surgical Attending) – Associate Professor of Surgery, Medical Director of Emergency General Surgery at the University of Missouri SOM Dr. Micah Ancheta (ACS Fellow) – Major, United States Airforce  Dr. Desra Fletcher (3rd year general surgery resident) Learning Objectives:  ·      Recognize Indications for Conversion Identify clinical and intraoperative factors that necessitate conversion from laparoscopic to open cholecystectomy. ·      Apply Risk Stratification Tools Utilize grading systems (e.g., Parkland, Tokyo, AAST) to assess cholecystitis severity and predict surgical difficulty. ·      Implement Safe Cholecystectomy Techniques Describe the six steps of the SAGES Safe Cholecystectomy Program to minimize bile duct injury. ·      Understand Bailout Strategies Differentiate between fenestrating and reconstituting subtotal cholecystectomy techniques and their respective risks. ·      Master Key Operative Steps Outline the essential components of open cholecystectomy: positioning, incision, exposure, and dissection. ·      Navigate High-Risk Anatomy Recognize “zones of danger” and use the B-SAFE mnemonic to reorient and ensure safe progression. ·      Develop Intraoperative Judgment Demonstrate when to proceed with subtotal techniques, convert to open, or call for assistance. ·      Perform Technical Nuances Safely Identify proper dissection planes, manage gallbladder bed inflammation, and secure cystic structures with confidence. ·      Prevent and Manage Complications Understand the risks of bile leaks, bilomas, and subcostal hernias—and how to mitigate them through technique and closure. ·      Foster Surgical Maturity Emphasize humility, collaboration, and mentorship in difficult operations—knowing when to ask for help is a skill. References: 1.     Dhanasekara, C. S., Shrestha, K., Grossman, H., Garcia, L. M., Maqbool, B., Luppens, C., ... & Dissanaike, S. (2024). A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study. Surgery, 176(5), 605–613. https://doi.org/10.1016/j.surg.2024.03.057 2.     Motter, S. B., de Figueiredo, S. M. P., Marcolin, P., Trindade, B. O., Brandao, G. R., & Moffett, J. M. (2024). Fenestrating vs reconstituting laparoscopic subtotal cholecystectomy: A systematic review and meta-analysis. Surgical Endoscopy, 38, 7475–7485. https://doi.org/10.1007/s00464-024-11225-8 3.     Brunt, L. M., Deziel, D. J., Telem, D. A., Strasberg, S. M., Aggarwal, R., Asbun, H., ... & Stefanidis, D. (2020). Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy. Surgical Endoscopy.https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/ 4.     Elshaer, M., Gravante, G., Thomas, K., Sorge, R., Al-Hamali, S., & Ebdewi, H. (2015). Subtotal cholecystectomy for “difficult gallbladders”: Systematic review and meta-analysis. JAMA Surgery, 150(2), 159–168. https://doi.org/10.1001/jamasurg.2014.1219 5.     Koo, S. S. J., Krishnan, R. J., Ishikawa, K., Matsunaga, M., Ahn, H. J., Murayama, K. M., & Kitamura, R. K. (2024). Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis. The American Journal of Surgery, 229(1), 145–150. https://doi.org/10.1016/j.amjsurg.2023.12.022 6.     Strasberg, S. M., Pucci, M. J., Brunt, L. M., & Deziel, D. J. (2016). Subtotal cholecystectomy—“Fenestrating” vs “reconstituting” subtypes and the prevention of bile duct injury: Definition of the optimal procedure in difficult operative conditions. Journal of the American College of Surgeons, 222(1), 89–96. https://doi.org/10.1016/j.jamcollsurg.2015.09.019 7.     Ahmed, O., & Walsh, T. N. (2020). Surgical trainee experience with open cholecystectomy and the Dunning-Kruger effect. Journal of Surgical Education.https://doi.org/10.1016/j.jsurg.2020.03.025 8.     Seshadri, A., & Peitzman, A. B. (2024). The difficult cholecystectomy: What you need to know. The Journal of Trauma and Acute Care Surgery, 97(3), 325–336. https://doi.org/10.1097/TA.0000000000004156 9.     Invited commentary on “A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study”. (2024). Surgery, 176(5), 614–615. https://doi.org/10.1016/j.surg.2024.05.003 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

In this high-yield two part episode, we dive into the evolving world of resuscitation with Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis. From the shift in priorities from ABC (Airway-Breathing-Circulation) to CAB (Circulation first) to the practical use of peripheral vasopressors and rapid infusion catheters, this episode breaks down how frontline ED care is adapting to sicker patients, longer ICU boarding times, and limited resources. Tune in for insights on advanced access strategies, pre-hospital blood products, and why old tools, like whole blood and vasopressin, are making a powerful comeback. What do you think of Dr. Leon's tips? Are you using these tools in your practice? We'd love to hear from you. 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: Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis Resources: American Heart Association (AHA) Algorithms Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18. PMID: 38108133. **** 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.

In the July 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss cardiovascular disorders in the emergency department observation unit and ectopic pregnancy presentations. As always, you'll also hear about the hot topics covered in the regular features, including chest pain in a health young adult in The Critical ECG, periosteal reaction in a newborn in Clinical Pediatrics, lunate dislocation in Critical Cases in Orthopedics and Trauma, intrapleural anesthesia in The Critical Procedure, phenobarbital for alcohol withdrawal syndrome in The LLSA Literature Review, a patient with acute renal failure in The Critical Image, suzetrigine in The Drug Box, and metaldehyde toxicity in The Tox Box.

In this series, we are bringing blog posts to life by interviewing the authors. Also, by generating AI audio conversations of the blog to make them accessible in audio format. I then summarise the audio in conclusion. We begin this episode by interviewing Dr. Sarah Spelsberg to add context and personal insight behind an AI‑generated adaptation of her latest RogueMed post, “Emergency Medicine and PTSD.” Through her reflections, we explore how repeated exposure to trauma profoundly affects emergency clinicians.Dr. Spelsberg describes how witnessing death, severe injury, suicides, resuscitations, violence, and patient suffering can lead to chronic stress and PTSD. She highlights that up to 14.6 % of emergency personnel experience PTSD symptoms, higher than rates in police or firefighters. The pressure of balancing life-or-death decision-making with systemic constraints crowded EDs, insufficient staffing, and administrative burdens amplifies emotional strain.Our discussion focuses on the emotional toll of moral injury, guilt, burnout, hypervigilance, flashbacks, insomnia, and emotional exhaustion that haunt providers long after their shifts end. Dr. Spelsberg emphasises that PTSD in emergency medicine isn't rare it's predictable under these circumstances and requires culturally appropriate recognition and care.We explore evidence-backed strategies: trauma-informed debriefs, peer support networks, access to psychological therapies like cognitive behavioural therapy and EMDR, and cultivating a culture that normalises seeking help. Dr. Spelsberg underscores that organisational change revamping shift patterns, enhancing supervision, and providing mental health resources is as crucial as individual resilience.By sharing lived experience and actionable solutions, this episode reframes PTSD not as a weakness but as an expected response needing compassion, systemic support, and meaningful action. You can access the blog this podcast is based on here: https://roguemed.medium.com/emergency-medicine-and-ptsd-e0841f945d55My thanks to Sarah Spelsberg for this interview as a co-host of The World Extreme Medicine podcast. This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at pax-bags.com

Podcast summary of articles from the June 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include Artificial Intelligence in X ray interpretation, metoclopramide, antipsychotics, stroke treatment, carbon monoxide toxicity, and organophosphate toxicity.  Guest speaker is Dr. John Bennison.

 Ever wonder why healthcare policy feels like a maze? Or how one doctor can spark systemic change? In this episode of Heartline: Changemaking in Healthcare, Dr. Andrea Austin talks with Dr. Scott Pasichow, an assistant professor of emergency medicine at Rutgers New Jersey Medical School and a passionate advocate for equity and reform.Scott's advocacy journey began with a personal realization: the inequities in family leave policies for residents. His push for fairer policies led to incremental changes at the ACGME and ABEM, ensuring better support for new parents. From testifying on EMS bills to representing ACEP in the AMA House of Delegates, Scott's work spans mental health, burnout, and student loan burdens.You'll hear how he:Turned a personal experience into a fight for equitable family leave policiesBuilds mission-driven teams by listening for dissent and fostering collaborationUses storytelling to make policy issues resonate with lawmakers and the publicFinds hope in the growing energy of physicians pushing for progressIf you're frustrated by healthcare's challenges or curious about advocacy, this episode offers practical insights and inspiration.About the Guest“The arc of history bends toward justice—but it takes people to pull on it.” – Dr. Scott PasichowDr. Scott Pasichow is an emergency physician, assistant professor at Rutgers New Jersey Medical School, and a relentless advocate for healthcare reform. A former board member of the Emergency Medicine Residents' Association (EMRA) and current representative for ACEP in the AMA House of Delegates, Scott has testified on EMS and emergency medicine bills in multiple states. His work focuses on family leave equity, physician wellness, and protecting access to care. He lives in Maplewood, NJ, with his wife, two kids, two pit-mix dogs, and a growing New York Rangers collection.

As a Trauma Surgeon and Critical Care Specialist at Rapid City Hospital, Leslie Van Dyne, M.D. shares her unique perspective on caring for patients in a rural area known for outdoor adventure and seasonal risks. Dr. Van Dyne explains the differences between trauma surgery and emergency medicine, discusses caring for critical patients in the ICU and relates how activities like ATV riding, horseback riding and summer tourism impact the trauma cases she sees. Hosted on Acast. See acast.com/privacy for more information.

I'd like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience. You can reach him at dberrymd@hotmail.com We must remember, when working up these patients with addiction, they can have poor health baseline anyway, so they are at higher risk for something emergent to be going on Dr. Berry talks about this approach to opiate OD We have a small window between the ED and definitive care to help addicted patients move forward with treatment – a warm handoff to a treatment center or primary care that can monitor recovery is key We have specific rules for most emergencies but often psychiatry is not on a set system Holds may not always accomplish what we hope they will, it will not force someone to changeBut there is certainly a role for the patient who is genuinely suicidal  We talk about good structure of evaluation and treatment of the psychiatric emergencies  David talks about some patients he has been able to help with addiction recovery from his experience Don't underestimate the difference we can and do make with patients just because we don't always see the result Dr. Berry talks about the message he has for clinicians:We deal with a lot of emergencies, people actively dying, so when we hear a psych complaint or substance abuse complaint, we tend to mentally shuffle them into a lower priority. We need to remember to have empathy and take their complaints seriously, slow down with these patients We talk about the balance between empathy and detachment and burnout David talks about some methods of humanizing the experience for your patients and getting them to open up more We talk about anchor bias and how to protect from it David talks about conformation bias and how it relates in piloting an aircraft and emergency medicine A key question to ask before you leave a patient room is “Do you have any questions?” – This can be hard to ask because we often want to move on but it's so important to the patientSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Reference: Kemal et al. Emergency department utilization by youth before and after firearm injury. AEM July 2025 Date: July 28, 2025 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She’s a seasoned knowledge translator with her wonderful PaperinaPic infographics.   Case: Your non-US emergency […] The post SGEM#481: Shot Through the Chart And You're to Blame – But Can We Intervene? first appeared on The Skeptics Guide to Emergency Medicine.

In this episode of "Coaching Healthcare Leaders," Dr. Lisa interviews Dr. Katrina Gipson, Assistant Professor of Emergency Medicine at Emory University and president of the Academy for Diversity and Inclusion in Emergency Medicine. Dr. Gibson shares her leadership journey, commitment to health equity, and efforts to advance diversity and inclusion in medicine. The conversation explores challenges like provider burnout, healthcare access, and systemic inequities. Dr. Gibson offers practical advice on advocacy, self-care, and boundary-setting, emphasizing the importance of rest and community support. Listeners are encouraged to pursue sustainable leadership and explore Dr. Gibson's work on health equity. You can follow more of Dr. Gipson's work by listening to her podcast Culture Shock Therapy Your Health Equity Prescription. Introduction to the Podcast (00:00:02) Dr. Lisa introduces the podcast, its mission, and previews the episode's guest and topics. Dr. Gipson's Background and Leadership Journey (00:01:30) Dr. Lisa reads Dr. Gipson's bio; Dr. Gipson shares her path into medicine and influences on her leadership. Commitment to Health Equity and Social Justice (00:03:28) Dr. Gipson discusses her motivation for pursuing health equity, her experiences as a Black woman in STEM, and resilience. Current Leadership Roles and Day-to-Day Work (00:07:37) Dr. Gipson describes her roles, especially in the Academy for Diversity and Inclusion in Emergency Medicine, and balancing clinical and academic duties. Mentorship and Building the Healthcare Pipeline (00:08:57) Focus on mentorship programs, supporting underrepresented groups, and the importance of diverse healthcare providers. Retention and Promotion in Academic Medicine (00:10:53) Challenges and strategies for retaining and promoting diverse faculty in medicine, and the importance of DEI work. Research, Education, and Advocacy in DEI (00:11:52) The role of research, education, and advocacy in reducing health inequities and empowering communities. Direct Impact on Patients and Communities (00:14:53) How Dr. Gipson's work addresses mistrust, cultural humility, and implicit bias to improve patient care and build trust. Barriers to Care: Mistrust and Social Determinants (00:15:53) Historical and ongoing reasons for mistrust in healthcare among marginalized communities and the impact on care. Suggestions for Improving Healthcare Delivery (00:19:11) Dr. Gipson's ideas for addressing burnout, staffing, and making healthcare more accessible and attractive to providers. Access Challenges and Healthcare Deserts (00:22:54) Discussion of insurance not equaling access, provider shortages, and the impact on patient outcomes. Affordability and Student Loan Forgiveness (00:24:32) The threat to public service loan forgiveness and its impact on diversity in the physician workforce. Advice for Thriving in Advocacy and Leadership (00:26:57) Dr. Gipson's tips for self-care, setting boundaries, and building supportive communities for those in advocacy roles. Closing Thoughts and Resources (00:30:06) Dr. Gipson shares information about her podcast and website; Dr. Lisa thanks her and closes the episode.

Podcast summary of articles from the May 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include HEART score for chest pain, narcotic overdose, airway quality, ED imaging studies, POCUS for soft tissue abscess, and hyperosmolar hyperglycemic state.  Guest speaker is Dr. John Bennison.

This is Part 4 of July's Sunday school series "Digital Parenting" in which Larson Hicks proposes some internet accountability and screen limit tools to help guide your family toward using technology for good only. 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!

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

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

AEM E&T Podcast host Resa E. Lewiss, MD, interviews author Carl Preiksaitis, MD

Are we closer to overcoming Alzheimer's disease than most people think?Harvard-trained physician Dr. Joshua Helman exposes how dementia and Alzheimer's stem from multiple interconnected triggers: environmental toxins, chronic stress, inflammation, infections, poor sleep, and even thyroid imbalances.Today, cognitive symptoms are appearing in younger populations at unprecedented rates. Dr. Helman explains how cutting-edge brain imaging and comprehensive functional testing can identify the true mechanisms driving memory loss.You'll also hear about practical, science-backed strategies that can halt or even reverse cognitive decline.Listen now and know that there's hope for you or loved ones suffering from Alzheimer's.Episode Timeline: 00:00 – Episode Overview01:12 – Podcast Intro01:46 – Meet Dr. Joshua Helman03:24 – Why He Focuses on Alzheimer's04:54 – Dementia vs. Alzheimer's06:21 – Can Alzheimer's Be Reversed?07:49 – Deep Sleep: Top Risk Factor08:44 – Early-Onset Alzheimer's in 40s/50s09:25 – How Alzheimer's Is Diagnosed Today10:29 – Thyroid Problems & Brain Health11:37 – Inflammation as an Umbrella Cause13:19 – Brain Damage & Autoimmune Testing14:18 – Diet and Brain Vessel Damage15:11 – Plant-Based Eating & DHA Sources16:57 – Stress as a Major Trigger18:08 – Stress Relief & Social Connection20:26 – Fasting for Brain Health23:48 – Gut Inflammation & Refeeding After Fasting27:24 – Toxins & Plastics in the Brain30:11 – Aluminum, Heavy Metals & Alzheimer's31:32 – Hope for Advanced Cases33:08 – Personalized Treatments & Plasma Exchange34:33 – Functional Testing for Toxins & Infections36:21 – Viruses, Lyme & Dementia Risk38:16 – Multi-Therapy Approach for Alzheimer's39:23 – Oxygen Therapy & BDNF Benefits40:55 – How to Connect with Dr. Helman42:22 – Podcast Outro42:47 –Post-Episode Takeaways About Dr. Joshua Helman:Dr. Joshua Helman, MD is a Harvard-trained physician licensed in 14 states. He holds two degrees in biochemistry, a bachelor's degree (magna cum laude) from Harvard and a master's degree from the University of Cambridge, UK. His medical degree is from Harvard Medical School and MIT. He is board certified by the American Board of Emergency Medicine and the American Board of Lifestyle Medicine. He is the former and current medical director of Hippocrates Health Institute, as well as Chief Medical Officer of 2 different Alzheimer's Reversal Centers: BrainPower Clinics and Alzheimer's Treatment Centers of America. He has worked at the TrueNorth Health Center with a focus on fasting.He recently launched a weekly podcast called Alzheimer's Breakthrough, and his areas of interest span longevity, regeneration, vitality, toxins, mold, Lyme disease, energy medicine and breathwork. With a passion for applying biochemical knowledge to r Do You Want Help Saving Your Thyroid? Click Here to access hundreds of free articles and blog posts. Click Here for Dr. Eric's YouTube channel Click Here to join Dr. Eric's Graves' disease and Hashimoto's group Click Here to take the Thyroid Saving Score Quiz Click Here to get all of Dr. Eric's published booksClick Here to work with Dr. Eric

Dr. Flora Waples, a board-certified physician, received double majors in Chemistry and Biochemistry from the University of Chicago in 2000 and graduated from Cornell Medical School at Weill Cornell Medical College in New York City in 2006. After receiving her MD from this Ivy League institution, she completed her residency in Emergency Medicine and Trauma care at the University of Chicago—a training program consistently ranked among the top three in the nation. Dr. Waples began to study and perform aesthetic procedures in 2010 – and in 2011, she founded RESTOR with her sister Dominique. Together – they have grown RESTOR from a single location with one provider into a regionally known center of excellence with three locations and counting. Dr. Waples has always had the dream of growing RESTOR into a complete wellness and aesthetics practice that can help patients feel as good as they look and look as good as they feel. In 2021, Dr. Waples had the opportunity to begin a fellowship in Hormone Replacement Therapy and Longevity medicine, which she completed in 2022. Today she practices cutting-edge aesthetic, regenerative, and longevity medicine at RESTOR Medical Spa, teaches at RESTOR Academy, and works full-time as the Medical Director for RESTOR Medical Spa. In this episode, we discuss thinning skin and bruising in later life, what optimal levels of estrogen and testosterone look like in women, future medspa treatments on the horizon, and more!   Time Stamps:   (1:19) My Guest Today (6:50) Why A Medspa Practice? (8:45) The Reality of Entrepreneurship (11:25) Services Offered (16:10) Thinning Skin and Bruising (17:55) Why Testosterone Is Important For Women (22:45) Optimal Levels (33:10) Perimenopause (37:50) Too Much Estrogen? (39:55) Collagen Supplementation (51:35) Treatments On The Horizon (1:01:52) Where To Find Dr. Waples -------------------- https://www.restormedicalspa.com/   https://www.instagram.com/restormedicalspa/ -------------------- Instagram: https://www.instagram.com/carolcovinofitness/ -------------------- My YouTube Channel: http://youtube.com/@carolcovinofitness -------------------- My Book:  FINDING PURPOSE IN THE PAUSE

I'd like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience. You can reach him at dberrymd@hotmail.com He has an incredible story. He was conceived following a one-night stand and was almost aborted before being put up for adoption to a loving family. He had his first child and felt the gift of knowing his first genetically related family member for the first time.Tragically, his first daughter was diagnosed with spinal muscular atrophy, a diagnosis not compatible with life and she later died around 9 months of age.This led David to turn to alcohol to help deal with the pain. His family took notice of this, so he transitioned to opiates instead of alcohol, something that he could hide more easily. He was eventually found out and spent some time in jail and tried some treatment centers. He lost his medical license, his family left him and he became homeless.His rock bottom was when he found himself homeless living under a bridge with no ID and realized that no one would even realize if he had died. With the help of another doctor, David started taking Suboxone, which helped him to overcome opiate addiction.This opened a path to Dr. Berry getting his medical license back and eventually led to a role as chief of staff of his hospital as well as opening up a rehab clinic in Colorado. Hearing David's story helps put in perspective the fact that none of us are that far removed from the homeless, drug addicted patient we care for in the ER. He talks about his new appreciation for his life and his family We talk about techniques to get patients to open up to us despite our short time with them: “Do you mind if I examine you?” gives the patient some control in the situation Some of our biggest misconceptions about these addicted patients is “They are trying to game the system,” maybe they are, but maybe they are totally out of options or are having a real emergency. “What can I do to help you?” may open up a conversation about what they feel they need Small, short conversations can make a big difference over time We often don't have enough time with patients to label them with anxiety disorder or opiate use disorder, so avoiding labels is probably best in the ED Have a way to work up patients that avoids your biasSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Reference: Bourke EM, et al. PEAChY-O: Pharmacological Emergency Management of Agitation in Children and Young People: A Randomized Controlled Trial of Oral Medication. Annals of Emergency Medicine. Feb 2025 Date: April 29, 2025 Guest Skeptic: Dr. Brad Sobolewski, is a pediatric emergency medicine physician at Cincinnati Children's Hospital and Professor of Pediatrics at the University […] The post SGEM#480: In the End It Doesn't Even Matter: Oral Olanzapine or Diazepam for Pediatric Agitation first appeared on The Skeptics Guide to Emergency Medicine.

This week, Dr. Slaven Bajic we have another presentation from our Medicine in the Mediterreanean conference from January 2025. In this lecture, Slaven discusses the importance of ultrasound in pre-hospital settings, its advantages, limitations, and a case study demonstrating its application in trauma care. The discussion emphasises the need for clinical judgment alongside ultrasound findings and the growing role of ultrasound in modern emergency medicine.TakeawaysFocused ultrasound is revolutionising emergency medicine.The FAST protocol is essential for trauma assessment.Ultrasound can be more effective than traditional methods.Rapid identification of unstable patients is critical.FAST exams must be repeated to ensure accuracy.Ultrasound is a non-invasive and portable technology suitable for field use.Clinical judgment is crucial when interpreting FAST results.Ultrasound can facilitate prompt decision-making in emergency situations.Training and practice are vital for effective ultrasound use.Ultrasound technology is becoming indispensable in emergency settings.Chapters00:00 Introduction to Focused Ultrasound in Emergency Medicine02:27 Understanding the FAST Protocol04:40 Advantages of FAST in Pre-Hospital Settings07:28 Limitations and Challenges of FAST09:49 Case Study: Application of FAST in Trauma17:32 Conclusion and Future of Ultrasound in Emergency Medicine

In this episode of The Visible Voices Podcast, Dr. Resa Lewiss explores AI in healthcare with Andrew Taylor MD MHS, a Professor and Vice Chair of Research and Innovation in Emergency Medicine at the University of Virginia.  Dr. Taylor shares insights from his work on AI-informed triage systems, discusses the challenges of implementing AI in hospital settings, and explains how artificial intelligence can reduce diagnostic errors while promoting fairness in emergency care. Healthcare lags behind other industries in adopting AI tools, facing unique challenges around hospital infrastructure and personnel requirements. Large language models require substantial computational resources that most traditional hospital systems lack. The persistent problem of closed electronic health record systems further complicates implementation. Healthcare typically can take 15 years to adopt new technologies, even those with proven efficacy and safety records. Publications we discuss: —Impact of Artificial Intelligence-Based Triage Decision Support on Emergency Department Care (NEJM AI) —Leveraging Artificial Intelligence to Reduce Diagnostic Errors in Emergency Medicine: Challenges, Opportunities, and Future Directions (AEM) —Enhancing Emergency Department Triage Equity With Artificial Intelligence: Outcomes From a Multisite Implementation (Annals of EM) If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

This is Part 3 of July's Sunday school series "Digital Parenting" in which Larson Hicks offers some practical wisdom on raising teenage boys in the age of powerful phones. 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!

We're back with another episode of Push Dose Pearls with ED Clinical Pharacist, Haley Burhans! In this episode, we break down the essentials of managing agitation in the ED—starting with why you should avoid diphenhydramine in the elderly and benzodiazepines in the 3 D's: drunk, delirium, and dementia. We discuss how to quickly assess the cause, choose the right medication, and decide between IM and IV routes. And Haley offers some key safety tips and considerations for special populations, including kids and the elderly.  Was this episode helpful? What other medications would you like to learn more about? Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis Resources: ACEP's New Clinical Policy on Severe Agitation. By Molly E.W. Thiessen, MD, FACEP | on February 12, 2024 Pediatric Education and Advocacy Kit (PEAK): Agitation Hoffmann JA, Pergjika A, Konicek CE, Reynolds SL. Pharmacologic Management of Acute Agitation in Youth in the Emergency Department. Pediatr Emerg Care. 2021 Aug 1;37(8):417-422. doi: 10.1097/PEC.0000000000002510. PMID: 34397677; PMCID: PMC8383287. Gerson R, Malas N, Feuer V, Silver GH, Prasad R, Mroczkowski MM. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. 2019 Mar;20(2):409-418. doi: 10.5811/westjem.2019.1.41344. Epub 2019 Feb 19. Erratum in: West J Emerg Med. 2019 May;20(3):537. doi: 10.5811/westjem.2019.4.43550. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. doi: 10.5811/westjem.2019.4.44160. PMID: 30881565; PMCID: PMC6404720.. **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

It's time to put a ring on it. And I mean an erectile fitness ring. I had never even considered the importance of my erection data until having this fascinating conversation with Dr Elliot Justin. Because it's about much more than sexual health and performance. Erection data and rings is about your cardiovascular health, and how likely you are to have a heart attack within the next two years. Dr Justin predicts erection data will become the standard of care for cardiovascular health in just a matter of years.Start collecting your erection data and improve your cardiovascular and sexual health with a 15% DISCOUNT of any FirmTech orders using my code stevestavs15.https://myfirmtech.comDr. Elliot Justin, MD, FACEP, is the CEO and founder of FirmTech, the world's first sex tech company focused on enhancing men's erectile and cardiovascular health. He developed the Tech Ring and Performance Ring, innovative tools designed to optimize erectile fitness and prevent or potentially reverse erectile dysfunction (ED). With a background in Emergency Medicine and as a healthcare technology consultant, Dr. Justin has a proven track record as a serial entrepreneur, having founded Pegasus Emergency Group and Swift MD.  FirmTech's upcoming expansion will include similar innovations for women's health.Join us as we explore:The erection masterclass - why erections are about neuromodulation, the healthy number of nocturnal erections, what is actually at the core of “erectile disappointment”, firmness and why the penis is the canary in the cardiovascular disease coal mine.Why nocturnal erections will become the standard of care for cardiovascular health Why the majority of men are dealing with erectile disappointment, not dysfunctionHow a ring provides the opportunity to manage ED and take back your sexual health and confidence without medication.Why FirmTech is developing a clitoral ring for women, and how a mechanical solution to sexual health and pleasure is as effective and less harmful than chronic medication.Normalizing the use of sexual enhancement technology and tools for men.Contact: Website: https://myfirmtech.comInstagram: @doctorelliotjustinFacebook: www.facebook.com/DoctorElliotJustinMentions: Research - Firmtech, https://myfirmtech.com/pages/scienceSupport the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/

The 2017 NEJM study, ALPS, compared amiodarone, lidocaine, and placebo for refractory shockable rhythms in adults with out of hospital cardiac arrest. They found no significant difference in survival to hospital discharge or functional survival between any of the arms. If that study has left you confused, you're not alone. And you're in luck. Tanner Smida joins us again to discuss his latest paper using something called target trial emulation to assess the difference in ROSC and survival to discharge between amiodarone and lidocaine. This is a great discussion of his paper, the methodology, and how we can put his results into the context of ALPS.Citations:1.Smida T, Crowe R, Price BS, Scheidler J, Martin PS, Shukis M, Bardes J: A retrospective ‘target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Resuscitation. 2025;March;208:110515.2. Kudenchuk PJ, Brown SP, Daya M, Rea T, Nichol G, Morrison LJ, Leroux B, Vaillancourt C, Wittwer L, Callaway CW, et al.: Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2016;May 5;374(18):1711–22.3.Hernán MA, Robins JM: Using Big Data to Emulate a Target Trial When a Randomized Trial Is Not Available: Table 1. Am J Epidemiol. 2016;April 15;183(8):758–64.

Imagine calling an ambulance because someone you love is dying. You need urgent medical help—but instead of paramedics, The police shows up at your door. No medical training, no emergency equipment just the police vehicle. Hard to imagine, but this was real life for Black communities throughout America just 60 years ago.This is the true story of everyday people from Pittsburgh's historic Hill District ended up inventing emergency medical care as we know it.Audio Onemichistory.comFollow me on Instagram: @onemic_historyFollow me on Substack: https://onemicblackhistorypodcast.substack.com/Follow me on Threads: https://www.threads.net/@onemic_historyPlease support our Patreon: https://www.patreon.com/user?u=25697914Buy me a Coffee https://www.buymeacoffee.com/Countryboi2mSourceshttps://en.wikipedia.org/wiki/Freedom_House_Ambulance_Service https://www.pbs.org/show/freedom-house-ambulance-the-first-responders/American Sirens by Kevin Hazzardhttps://teamrubiconusa.org/news-and-stories/freedom-house-ambulance-service-a-legacy-of-life-saving-care/Become a supporter of this podcast: https://www.spreaker.com/podcast/one-mic-black-history--4557850/support.

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 with Brit Long, MD (@long_brit), we cover sympathetic crashing acute pulmonary edema (SCAPE). 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 

What happens when women show up at the ER with symptoms that are often misunderstood, minimized, or misdiagnosed? In this episode, Dr. Sarah Jamison, an emergency room physician, joins us to break down key women's health issues in the ER — from severe pelvic pain and ovarian torsion to heart attack symptoms that don't always “look typical.” We're talking about: How to spot signs of ovarian torsion or a ruptured ovarian cyst What women need to know about heart attack and stroke symptoms What an ER can (and can't) do during an endometriosis flare How to advocate for yourself in urgent, high-pressure moments Whether you're living with a chronic condition or just want to feel more prepared, this conversation will leave you informed, empowered, and ready to speak up when it matters most. LISTEN UP!!! About Dr. Sarah Jamison Dr. Sarah G. Jamison is a board-certified Emergency Medicine physician who has been in clinical practice for over a decade. She is a native New Yorker and a proud alumna of Spelman College in Atlanta, GA. After finishing medical school at SUNY Downstate Medical Center in Brooklyn, NY, she went on to complete her residency training in Emergency Medicine at Jacobi and Montefiore Medical Centers. She served as Chief Resident during her final year of residency. As an emergentologist working on the front of the frontlines of the COVID-19 pandemic, Dr. Sarah was humbled to win the Essential Heroes Award by Essence Magazine. When she isn't in the ER, Dr. Jamison is very active as a freelance medical news correspondent as well as a “Medfluencer” on social media. She uses her social platforms to promote health education and medical literacy to an audience of over 120,000 followers. In her personal time, Dr. Jamison loves traveling, spending time with her family, and is the proud aunt to 7-year-old Zion, 4-year-old Shiloh, and 1-year-old Arielle. Connect with Dr. Jamison: IG: @dr.sarah_jam  Website: https://drsarahsaidso.com/ Youtube: https://www.youtube.com/@Dr.Sarah_Jam   Stay Connected: Is there a topic you'd like covered on the podcast? Submit it to hello@flourishheights.com Subscribe to our quarterly newsletters: Flourish Heights Newsletter Visit our website + nutrition blog: www.flourishheights.com Follow us on social media: Instagram: @flourishheights / Women's Health Hub: @flourishvulva / @valerieagyeman Facebook: @flourishheights Twitter: @flourishheights Want to support this podcast? Leave a rating, write a review and share! Thank you!

Dr. Uche Blackstock is the founder and CEO of Advancing Health Equity (AHE), appears regularly on MSNBC and NBC News, and is a former associate professor in the Department of Emergency Medicine and the former faculty director for recruitment, retention, and inclusion in the Office of Diversity Affairs at NYU School of Medicine.In 2019, Dr. Blackstock founded AHE which partners with organizations to drive measurable change in health outcomes by embedding equity into leadership, strategy, and clinical practice. In its five years of existence, AHE has helped major companies, hospitals, and health systems create strategic plans for promoting equitable health care moving for Dr. Blackstock's writing, including numerous OpEds, has been featured in the Chicago Tribune, Scientific American, the Washington Post and New York Magazine. She was recognized by Forbes magazine, in 2019, as one of “10 Diversity and Inclusion Trailblazers You Need to Get Familiar With", in 2023 by Fortune Magazine as one of & Innovators Shaping the Future of Health”, and in 2024, as one of TIME 100 Most influential People in Health.Dr. Blackstock received both undergraduate and medical degrees from Harvard University, making her and her twin sister, Oni, the first Black mother-daughter legacy graduates from Harvard Medical School. Dr. Blackstocks generational memoir, LEGACY: A Black Physician Reckons with Racism in Medicine was published by Viking Books on January 23, 2024 and became an instant New York Times best-seller.Dr. Blackstock currently lives in her hometown of Brooklyn, New York, with her two school-age children. How to advocate for your healthcare? How to cope with structural racism? What is bias in medicine? What healthcare disparaties? How are mental healthcare outcomes different across BIPOC populatons? How to feel supported as a Black physician? How to cope with burnout as a Black Physician. How to Cope with High Functioning Depression.Follow Dr. Uche Blackstock MD Dr. Uche Blackstock's Instagram https://www.instagram.com/ucheblackstockmd/ Dr. Uche Blackstock's Website https://ucheblackstock.com/ Dr. Uche Blackstock's LinkedIn https://www.linkedin.com/in/uche-blackstock-md/ Dr. Uche Blackstock's Book https://ucheblackstock.com/book/ Advancing Equity Website https://advancinghealthequity.com/Follow Dr. Judith:Instagram: https://instagram.com/drjudithjoseph TikTok: https://www.tiktok.com/@drjudithjoseph Facebook: https://www.facebook.com/drjudithjoseph Website: https://www.drjudithjoseph.com/Sign up for my newsletter here: https://www.drjudithjoseph.com/newsletter-sign-upDisclaimer: You may want to consider your individual mental health needs with a licensed medical professional. This page is not medical advice.

In this episode, Dr. Mike Hart engages in a comprehensive conversation with Dr. Ira Price, an emergency room physician from Hamilton, who recently took over as the Chief of Emergency Medicine. The discussion covers Dr. Price's career journey, his perspectives on managing chaotic environments, and the importance of continuous personal growth. They delve into the significant sociopolitical issues faced by Jewish people in Canada, drawing parallels to historic persecution. The latter part of the conversation focuses on critical challenges in the Canadian healthcare system, including the shortage of family doctors, the impact of 'Safe Supply' programs on opioid use, and the controversial topic of Medical Assistance in Dying (MAID).   Guest Bio and Links Dr. Ira Price is a board-certified emergency and pain medicine physician, Chief of Emergency Medicine at a major Canadian hospital, and a long-time advocate for innovation in healthcare delivery. With over 15 years of front-line ER experience, Dr. Price is known for thriving in chaotic, high-stakes environments and for his unflinching honesty on issues affecting modern medicine. In addition to his work in emergency medicine, Dr. Price is an entrepreneur, educator, and creator of FentaKnow—a fentanyl test kit designed to reduce harm in the opioid crisis. He is passionate about empowering physicians to speak the truth, reform broken systems, and serve patients with clarity, courage, and compassion. Dr. Price is active on social media, where he shares bold insights on medicine, politics, and social ethics. Follow him on Instagram @dr.iraprice, Facebook, LinkedIn, YouTube.   Show Notes: (00:00) –  Introduction and Guest Background (00:30) –  New Role and Thriving in Chaos (01:30) –  Personal Growth and Staying Busy (04:30) –  Being Jewish in Canada (17:00) –  Healthcare System Challenges (34:30) –  The Challenge of Addressing Obesity (36:00) –  The Breakdown of Medicine and Society (36:30) –  Issues with Family Doctors and Patient Selection (37:00) –  Regional Family Medicine Proposal (38:00) – Challenges in Pediatric and Prenatal Care (40:00) –  The Importance of Speaking Up Against Injustice (41:30) –  The Rise of Anti-Semitism and Its Impact (44:00) – "We need to stand for humanity—and I know exactly where that line is." (48:00) –  Personal Experiences with Anti-Semitism (59:00) –  Safe Supply and Its Impact on the ER (01:02:30) –  Medically Assisted Induced Death (MAID) (01:07:30) –  Closing Thoughts and Social Media Presence   --- Dr. Mike Hart is a Cannabis Physician and Lifestyle Strategist. In April 2014, Dr. Hart became the first physician in London, Ontario to open a cannabis clinic. While Dr. Hart continues to treat patients at his clinic, his primary focus has shifted to correcting the medical cannabis educational gap that exists in the medical community.  Connect on social with Dr. Mike Hart: Social Links: Instagram: @drmikehart Twitter: @drmikehart Facebook: @drmikehart  

This week on Health Matters, we're joined by Dr. Brenna Farmer of NewYork-Presbyterian and Weill Cornell Medicine to talk through what you need to do to be prepared for emergencies. From the supplies you need in case of summer storms and power outages to the simple safety tips to prevent trips to the emergency room during summer fun, Dr. Farmer offers listeners the basics of emergency preparedness.___Brenna Farmer, MD is the chief of emergency medicine at NewYork-Presbyterian Brooklyn Methodist Hospital and vice chair for the Department of Emergency Medicine at Weill Cornell Medicine. She is also an associate professor of clinical emergency medicine at Weill Cornell Medicine. Dr. Farmer has previously served as an assistant residency program director for NewYork-Presbyterian Hospital's Emergency Medicine Residency program. Dr. Farmer is board certified in both emergency medicine and toxicology. She is active nationally in several organizations and is a fellow of the American College of Emergency Physicians, American Academy of Emergency Medicine, and the American College of Medical Toxicology. Her primary areas of focus are quality improvement, patient safety, and medication safety.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

In this conversation, Dr. Ryan Keay discusses the Zero Point Survey, a framework for improving pre-hospital care by emphasizing self-check, team dynamics, and environmental awareness before patient assessment. The discussion highlights the importance of mental readiness, effective communication, and emotional resilience in emergency medical services (EMS). Dr. Keay shares practical insights on how to implement these concepts in real-world scenarios, aiming to enhance the quality of care provided to patients.  

What if the reset you've been craving doesn't come from a new planner or perfectly aligned schedule… but from a plane ticket? In this episode, I'm joined by Dr. Courtney Downes, a full-time ER doc and the founder of Prescription to Travel MD. We talk about something a little different than our usual programming—travel, especially solo travel. If you're a high-achieving woman who's been putting off rest or waiting for the “right time” to go on that dream trip, this conversation is for you. We're diving into what holds so many of us back from traveling (hint: it's not just logistics), and how creating intentional pauses in your life can be one of the most powerful things you do—not just for yourself, but for everyone around you. Dr. Courtney Downes is an Emergency Medicine physician, avid traveler, and the founder of Prescription to Travel MD. Through her podcast, platform, and personalized strategy sessions, she helps physicians and busy professionals—maximize rewards, prevent burnout, and make meaningful travel more accessible. When she's not working in the ER or traveling with her family, she's teaching others how to stop leaving points on the table and start booking luxury travel without the luxury price tag.   Resources:  Get full show notes and more information here: https://www.burnstressloseweight.com/171 Dr. Courtney Downes's Links: Website: https://prescriptiontotravelmd.com/  Instagram: https://www.instagram.com/prescriptiontotravelmd/  Join us at The Unstoppable Retreat: https://www.burnstressloseweight.com/retreat Learn more: https://www.burnstressloseweight.com/group 

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

Rhodesia, now Zimbabwe since 1980, is a landlocked country in Southeast Africa. From 1978-1980, Rhodesia experienced one of the largest anthrax epidemics in recorded history. This led to the deaths of hundreds and caused significant economic devastation. The epidemic happened during the Rhodesian Bush War. To this day, the origins of this devastating outbreak remain highly controversial- was it the result of an endemic outbreak or a case of biological warfare? Today I'm going to look at the history of the epidemic and the possible causes with Matthew Turner, MD. Dr Turner is with the Department of Emergency Medicine at Penn State Health Milton S. Hershey Medical Center in Hershey Pennsylvania. He is also the author of an article on the topic published in the Cureus Journal of Medical Science.     The Rhodesian Anthrax Epidemic: A Case of Biological Warfare?

  Today with us on the Incite Change Podcast, Coach Mauro sits down with Dr. Anne Aspler.   Dr. Aspler is an emergency physician, professor, and mother, and her mission is to inspire others to reclaim their voice and spark the movement to end private violence. She is also a sought-after speaker and has recently started recording her talks, which you can subscribe to on YouTube.   Her commentary has been featured in The Huffington Post and The Globe and Mail, and she has authored over 20 peer-reviewed articles, with work featured in prestigious journals such as the British Medical Journal, Canadian Journal of Emergency Medicine, and Canadian Journal of Public Health.   But of all these accolades, the hardest thing was finding a path forward after complex grief from intergenerational family violence. She's written a book that interweaves her personal story with experiences treating patients in the ER, with the hope of breaking the silence around complex family dynamics, private violence, and recovery.   She shares with us her fitness journey and why fitness is important to your physical and mental health.    Episode Timestamps ●        [01:27] Dr. Anne Aspler ●        [04:36] Health Care ●        [11:02] Be Your Own Change ●        [20:24] Physical Movement ●        [28:08] GLP-1 ●        [34:02] Rise After Silence ●        [45:34] Self Care ●        [55:08] Change is Awkward but Good   Resources Mentioned ●        Dr. Anne Aspler ●        Instagram: @dr.anneaspler ●        Facebook: Anne Aspler ●        YouTube: Anne Aspler ●        Subscribe Now! Rise After Silence ●        OUTLIVE The Science & Art of Longevity by Peter Attia, MD ●        The Body Keeps the Score by Bessel van der Kolk M.D.    Quotes [Dr. Anne] “You don't come into this life with shit, but shit happens to everyone.”   [Mauro] “You are the captain of your ship.”   Thanks so much for tuning in. Join us again next week for another episode! Contact us! If you would like to get in touch, leave us a comment! Visit our website - www.healthyincite.com Follow us on Instagram - https://www.instagram.com/incitecoaching/?hl=en Like us on Facebook - https://www.facebook.com/incitecoaching/   

After a brief hiatus, during which the team from Failure - the Podcast/Innovation Blab/5-Minute Update contemplated their umbilici (think, M.C. Escher), we found ourselves at the Yale University School of Medicine to continue our exploration of the health care system. Our intent was to learn about urban health care from an emergency room perspective, and we had an outstanding guide: Dr. Arjun Venkatesh. He is the Chair of the Department of Emergency Medicine at Yale and a practitioner, as well.Mark and Jeff, avid fans of HBO Max's “The Pitt,” quickly lost the journalist's sense and overwhelmed the good doctor with questions: What is the most realistic TV medical drama? (Yes, The Pitt). Why is actor Noah Wyle an honorary MD? (He isn't, he just plays one on TV). Is The Pitt filmed before a studio audience? (Surprisingly, no). Did Grey's Anatomy use real patients? (Are you kidding?)Finally back on track, the team had a serious discussion with Dr. Venkatesh about health care delivery. “We're not failing like we did in the 1970s,” he said. “But we're not getting what we pay for.” Still, he had a hopeful prognosis of the American healthcare system, albeit one requiring longer-term thinking, centralized coordination, and political will.From Dr. Venkatesh's perspective, the current system is overwhelmed by well-intentioned but disjointed efforts. At his own emergency department, for example, 47 separate quality improvement initiatives were active on a single day—each addressing a different problem, but few seeing completion.One of Dr. Venkatesh's most provocative proposals was a shift from annual insurance cycles to 10- or 30-year health plans. “Right now, insurers only care about your health for three to five years,” he said. “If they had to manage your care for a decade, they'd invest in prevention and long-term outcomes.” He also saw promise in Germany's hybrid model: centralized financing with decentralized delivery.Though Mark and Jeff remained a bit distracted — hoping to get Dr. Venkatesh to offer a second opinion on the diagnosis central to season #1, episode 7 of The Pitt — the good doctor returned to a central theme of our discussion: healthcare is a political decision. From Medicaid expansion to vaccine access, he argued that the system reflects the values and priorities of policymakers. “We made a political choice last week to reduce Medicaid coverage,” he said. “That's not a technical failure. That's a choice.”Join the team from Failure - the Podcast/Innovation Blab/5-Minute Update as we resuscitate ourselves with the kind assistance of a top ER doctor. Listen to the full episode and you'll be ready for this listener challenge: is excreting “blue pee” ever a good thing?

Date: July 9, 2025 Guest Skeptics: Dr. Cindy Bitter is an Associate Professor in the Division of Emergency Medicine at Saint Louis University. She has a Master's in Bioethics, and she is passionate about EM capacity building and physician resilience, especially improving wellness through time in nature.    Dr. Amy Bi is a graduate from […] The post SGEM Xtra: Career Advice from Buffy the Vampire Slayer first appeared on The Skeptics Guide to Emergency Medicine.

I speak with with Jackie Cummings Koski and Bill Yount from the "Catching Up to FI" podcast to explore why starting your financial independence journey later in life might actually be your secret weapon. The "Catching Up to FI" podcast recently hit 1 million downloads across 150+ episodes. Their audience represents the "silent majority" of FI seekers: 72% aged 41-60 and 76% women. The conversation explores how trauma and loss often catalyze financial awakening, and why the cognitive dissonance between knowing you need financial security while believing it's impossible creates toxic stress. The guests share insights on overcoming the "too late" mindset and leveraging the unique advantages that come with starting later. Jackie Cummings Koski, MSPFP, CFP, AFC, is a personal finance educator and consultant who reached F.I.R.E. (Financial Independence Retire Early) in her 40s after growing her wealth to over $1 million. Her personal finance tips have been featured on media platforms like CNBC, Forbes, and Market Watch. She is author of Money Letters 2 My Daughter and F.I.R.E. for Dummies. Bill Yount MD is an Emergency Medicine physician who discovered FI at 50 despite living paycheck-to-paycheck for years. His mission is helping other late starters begin their financial independence journey. This episode reframes the narrative around late-starter financial independence, showing how age and experience can accelerate your path to financial freedom. Jackie and Bill provide practical, actionable advice while intentionally building community. If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

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  

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