Podcasts about Emergency medicine

Reference: Ellison AM, et al. PERC-Peds rule for bedside exclusion of pulmonary embolism without radiation in children in the USA (BEEPER): a multicentre, prospective, observational, diagnostic accuracy study. Lancet Respir Med. July 2026. Date: August 13, 2026 Guest Skeptic: Dr. Lauren Westafer is an Associate Professor in the Department of Emergency Medicine at the University […] The post SGEM#519: Don't Let Pediatric Pulmonary Embolism Leave You Breathless first appeared on The Skeptics Guide to Emergency Medicine.

It's 0300 and you encounter a rapidly expanding zone 1 retroperitoneal haematoma. Time to enter “tiger country”. What can you do to make this a more familiar expedition?• Hosts: Bulleted list of host names, including title, institution, & social media handles if indicated1.     Mr Prashanth Ramaraj. ST5 General Surgery, George Hospital, Western Cape / Southeast Scotland Deanery. @LonTraumaSchool2.     Dr Roisin Kelly. Medical Officer, Emergency Medicine, Sydney, Australia. 3.     Mr Max Marsden. Consultant Trauma and UGI Surgeon, Royal London Hospital. @maxmarsden834.     Mr Christopher Johnston. Consultant Liver Transplant Surgeon and Transplant Surgery Fellowship Lead, Edinburgh Transplant Unit. @cjcjohnston• Learning objectives: Bulleted list of learning objectives.A)    To understand the rationale for thoracic aortic clamping in resuscitative trauma surgery and how this is performed.B)     To understand how to access the retroperitoneal structures by means of medial visceral rotation and how this is performed.C)     To understand the haemostatic ladder for liver trauma and considerations in hepatic exclusion.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://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

When to image, when to wait, and what to do when the ideal test isn't available are often far more nuanced than they appear. In this EM Cases episode, Dr. Amit Shah joins Anton to tackle some of the toughest everyday imaging decisions: How much should cumulative radiation exposure influence our decision to order another CT? In suspected appendicitis, when is it safe to wait for ultrasound rather than obtain CT overnight? Can the emerging traumatic brain injury biomarkers GFAP and UCH-L1 help avoid CT, particularly in rural and remote settings? And in suspected cauda equina syndrome, how can PVR and CT lumbar spine be combined to risk-stratify patients when MRI isn't immediately available—and when should a reassuring PVR or CT not reassure us? Plus, practical shared decision-making strategies, the role of the “tincture of time,” and much more... Please consider a donation to EM Cases to support ongoing high-quality Free Open Access Medical Education: https://emergencymedicinecases.com/donation/

Date: August 23, 2026 Guest Skeptic: Dr. Roya Caloia is a former EM program director, longtime faculty at Henry Ford Genesys and current interim Associate Medical Director. She is also the Chairperson of the National Clinical Governance Board for US Acute Care Solutions Case: A 62-year-old woman with diabetes and chronic lung disease presents to […] The post SGEM#518: What Have You Done for Me Lately – Oseltamivir for Hospitalized Patients? first appeared on The Skeptics Guide to Emergency Medicine.

LISTENER DISCRETION IS ADVISED! References: Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Lancet Respir Med. 2018 Jan;6(1):40-50. Jouffroy, R., Annane, D., et. al. (2026). A 1-hour resuscitation bundle for prehospital management of septic shock. Critical Care Medicine. Knack, S. K. S., Scott, N., Driver, B. E., et al. (2024). Early physician gestalt versus usual screening tools for the prediction of sepsis in critically ill emergency patients. Annals of Emergency Medicine. Kotnarin R, Sirinawee P, Supasaovapak J. Impact of Prehospital Antibiotics on in-Hospital Mortality in Emergency Medical Service Patients with Sepsis. Open Access Emerg Med. 2023 May 26;15:199-206. Poynter, M. J., Farrugia, A., Kelly, E., & Simpson, P. M. (2023). Prehospital administration of antibiotics in addition to usual care versus usual care alone for patients with suspected sepsis – A systematic review. Paramedicine, 21, 52–65. Scales DC, et. al. Prehospital antibiotics and intravenous fluids for patients with sepsis: protocol for a 2×2 factorial randomised controlled trial. BMJ Open. 2025 May 27;15(5):e104257.

.Step inside one of the most unique corners of American healthcare as Transmission Interrupted takes you behind the scenes of the National Quarantine Unit at the University of Nebraska Medical Center and Nebraska Medicine. In this episode, host Jill Morgan is joined by key members of the Nebraska team—Dr. Katie Willet, Morgan Shradar, and Angie Vasa—to explore how preparedness, partnership, and people form the backbone of the nation's only dedicated quarantine unit. Listeners will discover the origin story of this 20-bed unit, why it's different from both home quarantine and traditional hospital isolation, and how its creation was driven by real-world lessons from recent public health emergencies like the Ebola outbreak and COVID-19 pandemic.From the practical logistics of care (think twice-daily health checks, concierge-level support, and even laundry service) to the psychological challenges of isolation and the intricacies of national and global collaboration, this episode sheds light on the critical thinking and teamwork required to protect both individuals and the community during high-stakes contagious threats. Hear firsthand how the UNMC and Nebraska Medicine team adapts with each new pathogen, leans on the strength of their Omaha community, and continuously trains to stay a step ahead of the next big infectious risk—demonstrating “Nebraska nice” even in the toughest circumstances.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web at netec.org/podcast.GuestsMorgan Shradar, RN, BSN, MPHNursing Professional Development Specialist- Nebraska Biocontainment UnitCo-Director- National Disaster Medical Disaster Infectious Disease Training ProgramSubject Matter Expert NETEC & Task 2 Lead - NICSMorgan Shradar has more than 20 years of experience in the operating room and more than 14 years of experience with the Nebraska Biocontainment Unit. She has previous experience as a lead surgical nurse where she managed procedural areas (endoscopy, surgery, cardiac cath lab/interventional radiology, preop/pacu, and sterile processing). She has also managed process improvement initiatives for supply chain improvements and patient experience within procedural areas at Nebraska Medicine Bellevue. Morgan is a nurse coordinator with the Regional Emerging Special Pathogens Treatment Center (RESPTC). She develops and leads the education and training for the RESPTC team, including education meetings, quarterly trainings, exercises, and drill development. Morgan collaborates on the education and training and policy development for the National Quarantine Unit. She actively participated in the repatriation efforts of guests from Wuhan, China, and the Diamond Princess, who required care for COVID-19. Further, she is a subject matter expert with NETEC and partners with others to evaluate readiness for RESPTCs and works with long-term care focus groups to develop education and just-in-time resources to enhance LTC setting readiness. In 2020/2021, she partnered with LTC and skilled nursing facilities on evaluating the current COVID-19 infection control practices within facilities across Nebraska. She has also partnered with Nebraska Medicine to educate and train medical teams on donning/doffing PAPRs and worked with procedural areas on developing their PAPR protocols. Morgan is a task lead with NICS, which is focused on developing XR/AR education for the small and rural hospital on infection control practices within the sterile processing department. She is also the co-director of the National Disaster Medical Response Infectious Disease Training program, which has focused on educating and training the NDMS teams on infection control practices to ready them for deployment to both austere and hospital missions. Morgan collaborates in program development and partnerships with various organizations focused on infectious disease education and training. Morgan began her career in 2000 as an operating room nurse for Nebraska Medicine, where she joined the Nebraska Biocontainment Unit team in 2009 to play an integral role in treating patients with Ebola Virus Disease during the 2014-2015 activation.Dr. Katie Willet, MD, FACEPAssociate Professor, UNMC Department of Emergency MedicineAssociate Program Director, UNMC Department of Emergency MedicineHealth Security Fellowship Director, UNMC Department of Emergency MedicineKatie Willet, MD (she/her/hers), is an assistant professor in the Department of Emergency Medicine. She is one of the residency assistant program directors and takes part in the development of disaster preparedness and biopreparedness training for residents and other multidisciplinary trainees, both within UNMC and our external partners. She has interests in austere/wilderness medicine, disaster medicine, and biopreparedness. She also serves as the health security fellowship program director and co-creator with several partners within the Global Center for Health Security. With this, she takes part in preparedness planning, training development, and response. Similarly, she is involved with several different research and training projects with the Global Center for Health Security as well as teaching regionally about disaster preparedness. She is an assistant medical director for the National Quarantine Unit and a health security scholar with the Global Center for Health Security.Angie Vasa, MSN, RNDirector, Readiness Consultations and Metrics Development, NETECDirector, Emergency Preparedness and Special Pathogen Programs, Nebraska MedicineProgram Director, Region VII Regional Emerging Special Pathogen Treatment CenterAngela Vasa, MSN, RN, is the Director of Emergency Preparedness and Special Pathogen Programs at Nebraska Medicine. She serves as the Director of Consulting Services and Metrics Development at NETEC and is the Program Director for the Region VII Regional Emerging Special Pathogen Treatment Center. Angela is also a scholar in the Global Center for Health Security at the University of Nebraska Medical Center. Her nursing background includes over a decade of clinical experience with specialized expertise in the areas of trauma, critical care, solid organ transplant, and high-consequence infectious diseases. She joined the Nebraska Biocontainment Unit team in 2009, where she has cared for patients with Ebola virus disease and Lassa Fever and continues to be an active clinical member while serving as the program director.HostJill Morgan, RNEmory Healthcare, Atlanta, GAJill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI)ResourcesNational Quarantine UnitGlobal Center for Health SecurityNebraska Medicine/UNMC asked to monitor U.S. citizens from cruise ship hantavirus outbreakWhat to know about Nebraska's National Quarantine Unit as it prepares to bring in hantavirus cruise ship passengersTransmission Interrupted PodcastNETEC Resource LibraryNETECAbout NETECA Partnership for PreparednessThe National Emerging Special Pathogens Training and Education Center's mission is to set the gold standard for special pathogen preparedness and response across health systems in the U.S. with the goals of driving best practices, closing knowledge gaps, and developing innovative resources.Our vision is a sustainable infrastructure and culture of readiness for managing suspected and confirmed special pathogen incidents across the United States public health and health care delivery systems.For more information, visit NETEC on the web.NETEC Consultation ServicesAssess and Advance Your Readiness for Special Pathogens with Free, Expert Consulting.NETEC offers free virtual and onsite readiness consulting to help health care facilities and EMS agencies prepare for special pathogen events. Our targeted support services are delivered by experts selected and assigned to each inquiry based on the unique needs of your organization. Have a question? Ask a NETEC expert.For more information, visit NETEC Consultation Services.

The Outbreak With over 17,000 cases reported across the U.S., a massive Cyclospora outbreak has taken center stage in public health news, marking it as the third-largest foodborne outbreak in modern American history (behind the 1994 Schwan’s ice cream salmonella outbreak and the 1985 Illinois milk outbreak). Infection causes gastrointestinal symptoms, including diarrhea, bloating, nausea and sometimes vomiting.  So, what's actually driving this surge? Is it safe to eat salad? Pediatric infectious disease expert Dr. Dean Blumberg joins us to break down the science behind the “explosive” symptoms, separate real outbreak epicenters from everyday travel cases, and when to test and treat. Transmission & Geography  Mechanism: Cyclospora is a parasite. It is often transmitted via produce contaminated with sewage or irrigation water.  Not Person-to-Person: Requires ~1 week in the environment to mature and become infectious.  Regional Risk: The epicenter for this outbreak is in the Midwest, related to processed lettuce distribution networks. Outside affected regions, cases remain at expected baseline levels (primarily tied to international travel). Fresh produce consumption remains safe.  Pathophysiology & Presentation  Cellular Damage: Cyclospora infects and kills small intestine epithelial cells, impairing fluid absorption and causing unabsorbed carbohydrates to ferment into gas.  Symptoms: Large-volume, gas-driven “explosive” diarrhea, abdominal bloating, and cramping. Fever is rare; vomiting is variable.  Duration: Unlike viral gastroenteritis (1–3 days), untreated Cyclospora can linger for weeks and frequently waxes and wanes. Diagnostic Strategy Routine “O&P x3” tests are obsolete—use multiplex PCR panels (e.g., GI BioFire).  When to Test: Symptoms lasting >5–7 days, high-risk patients (infants

Date: March 4, 2026 Guest Skeptic: Prof Carl Heneghan is a General Practitioner, Professor of Evidence-Based Medicine at the University of Oxford and current Director of the Centre for Evidence-Based Medicine (CEBM). Today, we're launching a brand-new SGEM series: Legends of Evidence-Based Medicine (EBM). In the past, I've interviewed legends of Emergency Medicine: Dr. Diane […] The post SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine first appeared on The Skeptics Guide to Emergency Medicine.

Day Break | The Socialist Surge Hits the Heartland --- 00:00 - Monologue 19:19 – Michael J. Wynne, public corruption lawyer and former Assistant United States Attorney for the Southern District of Texas. Wynne discusses the Justice Department's effort to shield Trump administration advisers from Democratic-led investigations, examining the legal authority involved, executive privilege, and the broader implications for congressional oversight. 28:15 – Dr. Kelly Victory, Chief of Disaster & Emergency Medicine at The Wellness Company. Dr. Victory discusses Anthony Fauci's recent congressional testimony, including his repeated invocation of the Fifth Amendment and the questions that remain about government decision-making during the COVID-19 pandemic. She also examines the Senate committee's vote to hold Fauci in contempt and what legal consequences, if any, could follow. 38:27 - Monologue 47:30 – Anne Schlafly, Chairman of Eagle Forum. Schlafly discusses the growing debate over hemp-derived THC products and efforts to delay closing the federal hemp loophole, examining concerns surrounding regulation, accessibility, and the future of the industry. 57:47 – Maria Keffler, former middle and high school teacher, co-founder of Advocates Protecting Children, and author of Desist, Detrans & Detox: Getting Your Child Out of the Gender Cult. Keffler discusses a WNBA task force meeting focused on eligibility and how the league defines who may compete in women's basketball, examining the broader debate over sex, gender identity, and women's sports. 1:06:42 – Chris Jacobs, Founder and CEO of Juniper Research Group and author of a new American Commitment report. Jacobs examines AARP's financial relationships and policy advocacy, asking whether its business interests create conflicts with its role as an organization representing older Americans. 1:16:54 - Monologue 1:25:54 – Ron Rademacher, travel writer, author, speaker, storyteller, and host of Around Michigan. Rademacher highlights events, festivals, attractions, and other unique happenings taking place across Michigan this week. 1:36:09 – Rep. Jay DeBoyer, Chair of the Michigan House Oversight Committee. DeBoyer discusses questions surrounding Michigan Secretary of State Jocelyn Benson's ties to the Southern Poverty Law Center and the oversight concerns those connections have raised. --- Check out our brand new podcast, 'Forgotten America'... Episode 24 is live NOW at Steve Gruber on YouTube! Link below: https://youtu.be/UrGZQdE62jA

Dr. Shaun Jester has spent his medical career responding to people during physical emergencies. Eventually, he began asking why we are often much less prepared when the emergency is spiritual.On this episode of My Life Now, Chris Buscher speaks with Dr. Jester about his book Spiritual CPR: Recognizing and Intervening When a Christian Is in Crisis.The book examines how people respond when someone they know is struggling with addiction, sexual behavior, abortion, family estrangement, chronic destructive habits, or other deeply personal crises. Shaun explains why understanding the whole story matters, how to know when intervention is appropriate, and why compassion does not require ignoring difficult truths.The conversation also touches on his career as an OB-GYN and his involvement in the federal legal challenge concerning the FDA and the abortion drug mifepristone.It is a discussion about medicine, faith, relationships, difficult conversations, and what it means to step toward someone in crisis rather than simply walking away.

There are few things more frustrating for an Emergency Physician than caring for patient after patient who lands in the ED not because it's necessarily the best place for their care, but because every other door in the health care system was closed, confusing or impossible to find. Emergency Medicine and Primary Care often operate in different worlds—one built around rapid diagnosis and uncertainty, the other around continuity and prevention—but our patients move constantly between the two. In this special EM Cases podcast, EM–Primary Care Health Systems Strategies, we step outside the usual ED lens with Dr. Tara Kiran (host of the Primary Focus podcast) and Dr. Danielle Martin to ask how we can deliver the right care, in the right place, at the right time. We challenge assumptions about what drives ED use and explore team-based primary care, after-hours cooperatives, call-first triage, virtual care, information sharing and warm handoffs. Drawing on models from Canada, the Netherlands, Denmark and elsewhere, we finish with practical strategies to reduce fragmentation, improve continuity and make the system work better for patients and providers. Please consider a donation to EM Cases to support our mission of providing high quality free open access medical education here: https://emergencymedicinecases.com/donation/. Disclaimer: This episode was recorded in October 2025, prior to Dr. Danielle Martin becoming a candidate for government office. The views and opinions expressed by Dr. Martin in this discussion were her own at the time of recording and do not represent or reflect the views, policies, or positions of the Government of Canada.

Navigating the complexities of medical malpractice cases demands a unique blend of clinical expertise and legal insight. This episode of the Legal Nurse Podcast welcomes a board-certified physician in emergency medicine, internal medicine, and neurocritical care, who brings more than 24 years of experience as an expert witness with over 300 trial testimonies. Together, they delve into the evolving role of medical experts, from pre-litigation consultations to providing critical insights on causation and damages in both medical malpractice and nursing home cases. Listeners will gain a behind-the-scenes look at how clinicians become involved in the legal world, how reviewing cases sharpens clinical practice, and the ever-changing nature of medical recordkeeping from handwritten notes to searchable digital PDFs and the emerging role of artificial intelligence in case review. Share practical advice for new experts, discusses the importance of honest, evidence-based opinions, and explore the challenges experts face when attorneys or clients may want to influence findings. Whether you're a legal professional, a clinician considering expert witness work, or simply interested in the intersection of medicine and law, this episode provides invaluable perspectives and actionable guidance for navigating tough cases and maintaining integrity in your practice. What You'll Learn in This Episode is The Intersection of Medicine and Law: Dr. Stein Shares Witness Strategies Here are 5 discussion questions answered by Pat Iyer and Kenny Stein in the podcast: How does a multi-specialty background inform his approach to reviewing medical malpractice cases? What are some of the key differences identified between being a testifying and a non-testifying expert? What potential and limitations does see in using AI to analyze medical records or assess standards of care? What are the biggest challenges and advantages that experience when working with electronic medical records compared to traditional paper records? How does recommend handling emotionally invested attorneys or families when a case does not have merit? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Your Presenters for The Intersection of Medicine and Law: Dr. Stein Shares Witness Strategies Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Kenny Stein Dr. Stein is board-certified in Emergency Medicine, Internal Medicine, and Subspecialty-certified in Neurocritical Care. Dr. Stein has been an Expert Witness for 24 years, reviewing over 800 cases for both plaintiff and defense. Dr. Stein has testified over 300 times at depositions and trials. Connect with Kenny Stein by email at kennystein1@gmail.com

What lurks beneath the surface of our healthcare facilities? In this episode, we delve into the often-ignored threat of pests and their potential role in infection risks. Join Jess, Kelly, and expert Dr. Stephanie Stroever as they uncover the hidden dangers of insects in hospitals, discuss strategies for prevention, and emphasize the importance of addressing these issues proactively. Discover why your facility's cleanliness might not be enough and learn how to collaborate effectively to ensure patient safety. Hosted by: Kelly Holmes and Jess Fargher About our Guest: Stephanie Stroever, PhD, MPH Dr. Stephanie Stroever is an Assistant Professor in the Department of Medical Education and Director of Research for the Division of Emergency Medicine. She has a PhD and Master of Public Health from the UTHealth School of Public Health, as well as a Bachelor of Science in Microbiology from the University of Texas at Austin. Dr. Stroever teaches applied statistics, epidemiology, evidence-based medicine, and research methods across all levels of training, including continuing medical education and faculty development. She is passionate about conducting meaningful research and has extensive experience navigating its life cycle as a research methodologist. Her clinical expertise is infection prevention and healthcare epidemiology, and she is currently involved in numerous studies in healthcare epidemiology, emergency medicine, medical education, implementation science, and maternal health. She has experience in both qualitative and quantitative research and enjoys doing both.

SPONSORED BY NURP Nurp is algorithmic trading designed specifically for busy professionals who don't have time to watch markets. Check out start.nurp.com/doctors  to learn more. --- What happens when the lessons learned in combat follow you into the exam room? In this repurposed episode of BS Free MD, Drs. May and Tim Hindmarsh sit down with Dr. Mike Simpson, whose path to medicine was anything but conventional. Before becoming a physician, Dr. Simpson spent years in military Special Operations, working in environments where decisions had to be made quickly, resources could be limited, and the stakes were very real. Dr. Simpson shares how those experiences shaped the way he approaches medicine today—from staying calm under pressure and making difficult decisions to understanding leadership, teamwork, resilience, and the human being behind the patient. But transitioning from the battlefield to civilian medicine wasn't simply a career change. It meant navigating a major shift in identity and learning how to translate skills developed in extreme circumstances into an entirely different world. This conversation explores what medicine can learn from Special Operations—and why some of the experiences that challenge us the most can ultimately make us better physicians, leaders, and people. In This Episode, We Discuss: Dr. Simpson's unconventional path from Special Operations to medicine What practicing medicine in high-stakes environments teaches you about decision-making How battlefield experience changed his approach to patient care Staying calm and effective when circumstances become chaotic Leadership, teamwork, and accountability under pressure The transition from military service into civilian life and medicine Navigating identity after leaving an intense, mission-driven career Why technical ability alone doesn't make someone a great physician The role of empathy and human connection in medicine How difficult experiences can become strengths in the next chapter of your life About Dr. Mike Simpson Dr. Mike Simpson is a physician and former U.S. Army Special Operations medic whose career has taken him from austere and high-risk environments to the practice of civilian medicine. His experiences across military operations, medicine, leadership, and major career transitions give him a unique perspective on performing under pressure, caring for people during their most vulnerable moments, and adapting when one chapter of life ends and another begins. Connect with BS Free MD

Reference:  Perry DC, et al. Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic evaluation. The Lancet 2026 Date: July 14, 2026 Guest Skeptics: Dr. Megan Terle is an orthopedic surgeon and Assistant Professor for Pediatrics and […] The post SGEM#517 : I Will Try to Fix You. Surgery or Not for Pediatric Displaced Medial Epicondyle Elbow Fractures first appeared on The Skeptics Guide to Emergency Medicine.

In this episode, Dr. Jeanmarie Perrone sits down to discuss her new article The Shifting Landscape of a Fentanyl Adulterant: Moving From Xylazine to Medetomidine featured in the May/June issue of the Journal of Addiction Medicine. Jeanmarie Perrone, MD is a Professor in the Department of Emergency Medicine, the Director of Addiction Toxicology, and the founding Director of the Penn Center for Addiction Medicine and Policy, all at the University of Pennsylvania. Dr. Perrone has led multiple initiatives through the emergency department for the initiation of treatment for substance use disorders.  Dr. Perrone has been recognized with several awards for education and mentorship and is board certified in emergency medicine, medical toxicology and addiction medicine.  Article Link: The Shifting Landscape of a Fentanyl Adulterant: Moving From Xylazine to Medetomidine

AEM E&T Podcast host Resa E. Lewiss, MD, interviews author Jaime Jordan, MD, MAEd

Cannabinoid Hyperemesis Syndrome (CHS) continues to be a major clinical challenge in the emergency department. Patients present with severe abdominal pain, intractable vomiting, and significant fluid and electrolyte derangements. CHS often affects people who have been using cannabis routinely for months to years – it can be difficult for patients to understand that their symptoms are related to cannabis.  Today, emergency pharmacist Haley Burhans joins us to discuss first-line treatments, fluid management, discharge strategies, and how to navigate these tough bedside conversations. First-Line Therapies: Haldol vs. Droperidol Haloperidol (Haldol): Supported by the HAVOC trial (haloperidol vs. placebo), which showed a reduction in symptoms and ED length of stay. Droperidol: Highly effective alternative with similar dopaminergic mechanism of action. May carry a lower risk of extrapyramidal symptoms compared to haloperidol.  Capsaicin Cream: addresses the TRPV1 pathway thought to drive CHS. Patients often dislike it as it causes a burning sensation on the skin and can be inadvertently spread to eyes or face. Can be an option if symptoms persist after trying the above meds and hot showers aren't feasible.  Backup Options & Anti-Emetics Alternative Dopaminergic Agents: Metoclopramide or prochlorperazine can be used. Standard Anti-Emetics (e.g., Ondansetron): Serotonergic anti-emetics generally fail to address the underlying CHS pathway. However, a single dose of ondansetron given alongside a butyrophenone (haloperidol/droperidol) is reasonable if you suspect co-existing etiologies. QTc Prolongation Warning: Chronic vomiting leads to electrolyte depletion. Combining anti-emetics and haloperidol or droperidol increases the risk of QTc prolongation. Baseline EKG: Not strictly required for every low-risk patient, but strongly recommended for patients with multiple risk factors (e.g., co-ingestion/use of methadone, history of heart failure, or severe baseline bradycardia). Fluid Resuscitation & Electrolyte Management CHS patients can vomit to the point of severe dehydration and profound electrolyte/acid-base derangements. Fluid Selection: Normal Saline (NS): A solid choice for initial volume resuscitation when sodium and chloride are severely depleted. Lactated Ringer's (LR): Ideal as a follow-up or maintenance fluid because it contains a small amount potassium. Potassium Repletion: Oral repletion may not be tolerated in the acute setting. Consider IV potassium repletion in the ED, followed by oral home supplementation once nausea is controlled. Magnesium: While acute vomiting primarily drives potassium loss, consider IV magnesium if Mg is low or there is concern for QTc prolongation. Discharge Planning: What to Send Home Low-Dose Olanzapine ODT: Send the patient home with 2.5 mg Olanzapine ODT (orally disintegrating tablets). Why it works: It dissolves instantly on the tongue, bypassing the stomach, and provides extended dopaminergic coverage over the multi-day washout period.  Pharmacokinetics Pearl: Infrequent user THC half-life: ~1.3 hours (cleared in 5–6 hours). Chronic user THC half-life: THC accumulates in adipose tissue. In heavy users, therapeutic levels can persist for up to 2 weeks, driving prolonged receptor dysregulation even after cessation. Navigating the Bedside Conversation Explaining to a chronic user that their daily cannabis—the very thing they use to relieve nausea—is causing their illness requires empathy and validation. Explain the Neurological Link: Cannabis acts on receptors throughout the entire body, including the brain's nausea center and the nervous system of the gut. Chronic, heavy saturation can paradoxically overload these pathways. Validate Their Experience: Acknowledge how counterintuitive it feels: “I know it's hard to believe that something you've used for years to feel better is causing this, but long-term daily use can change how your body processes it.” Set Realistic Expectations: Reiterate that symptoms will not resolve overnight. Even after stopping, it takes time for the pathways to recalibrate. What do you find most helpful for treating CHS? How do you have these difficult conversaions with your patients? Share your experience with us 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: Borgundvaag B, Bellolio F, Miles I, et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Acad Emerg Med. 2024 May;31(5):425-455. doi: 10.1111/acem.14911. PMID: 38747203. Rech MA, Shalaby M, Gage KA, Gottlieb M. Managing Cannabinoid Hyperemesis Syndrome. Ann Emerg Med. 2026 Jun;87(6):717-722. doi: 10.1016/j.annemergmed.2025.12.024. Epub 2026 Feb 3. PMID: 41632059. *** 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 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. In this episode, we are joined by Brad Goldberg, MD (Children's Hospital Los Angeles), Erika Cheung, RN (Children's Hospital Los Angeles), and Pooja Nawathe, MD (Cedars-Sinai)—leaders from the LA County Special Pathogens Program. Together, we discuss how emergency clinicians can recognize, isolate, and respond to patients with emerging infectious diseases using the practical Identify, Isolate, Inform (III) framework. From travel screening and PPE to isolation protocols and communication with public health, this episode is packed with practical pearls to help your team prepare before the next outbreak arrives.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 Send us Fan Mail

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

ELLIOT JUSTIN, MD, FACEP, is the CEO and Founder of FirmTech, the first sex tech company dedicated to improving men's erectile fitness. He has a background in Emergency Medicine and healthcare technology consulting. Dr. Justin is also a serial healthcare entrepreneur, having founded and sold Pegasus Emergency Group and Swift MD. He has provided guidance to various services, telemedicine, and tech startups. Dr. Justin pursued Slavic Studies at Harvard University and studied medicine at Boston University. Happily married for 35 years, and father of three children, Elliot and Ann live in Montana with three energetic mares and a flock of chickens. He is a passionate trail rider who sometimes imagines, to his wife's chagrin, that he's a centaur.  https://www.instagram.com/myfirmtech BRANDITSCAN** **Protect Your Digital Presence** One of the best defenses against social media fraud, impersonation, and stolen content. Protect your name, likeness, and online presence today, and get your first month free when you sign up through my link: **Sign Up:** https://branditscan.com/?aff=marcelaalonso ### **PODCAST AFFILIATES** **SDC | The Lifestyle Community** Looking to explore the lifestyle, meet open-minded people, or learn more about non-monogamy? Join one of the largest lifestyle communities online. **Explore here:** https://www.sdc.com/signup.php?ref=37593 *Take control of your sexual wellness with private at-home testing kits. Convenient, easy, and informed health tracking. **Shop Kits:** https://prodxhealth.com/products/pro-13-home-collection-kit?variant=42594725298278&_ef_transaction_id=&oid=1&affid=123 **Mums Candy | Sweet Deliveries** Treat yourself to fun candy and treats delivered directly to your door. **Get Treats:** https://www.mumscandy.com?sca_ref=11159574.RUXJwCcADs0U8m ### **FOLLOW MARCELA** **Exclusive Content (OnlyFans)**  * **VIP Membership:** https://onlyfans.com/marcela_luv  * **Free Membership:** https://onlyfans.com/latinamilfnyc **Untamed in the City (Substack)** Deep dives and personal writing on lifestyle and culture. **Subscribe:** https://substack.com/@untamedinthecity*ProDx Health | Wellness From Home** Learn more about your ad choices. Visit megaphone.fm/adchoices

Date: July 27, 2026 2026 Guest Skeptic: Dr. Howard (Howie) Mel is an emergency physician and FACEP.  Reference: Smith JE et al. SWiFT Trial Group. Prehospital Whole Blood in Traumatic Hemorrhage – a Randomized Controlled Trial. NEJM 2026 March Case: A 36-year-old man is brought to the emergency department (ED) by air ambulance after a […] The post SGEM#516: A Whole Lotta Blood – Whole Blood Transfusion in the Prehospital Setting first appeared on The Skeptics Guide to Emergency Medicine.

Podcast summary of articles from the June 2026 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include mechanical ventilation, C-spine trauma, pre-hopsital ketamine, difficulty airway, post intubation sedation, and ostomy complications.  Guest speaker is Dr. Kinda Sweidan.

KennethRoMD.com is a double board-certified Internal Medicine and Emergency Medicine physician who has treated more than 170,000 patients across a 35-year ER career. His book PRIME reframes midlife as a powerful awakening rather than decline. He created the RECLAIM™ Method to restore men's vitality, identity, and purpose through precision medicine, neuroscience, narrative psychology, and emotional reintegration. He is a medical expert in filmmaker Charles Mattocks' upcoming international docuseries about sleep and health, bringing attention to the invisible epidemic of sleep disorders destroying men's vitality. Dr.Rospeaks to corporations, executive teams, and healthcare organizations about the silent burnout dismantling men's performance in midlife— and teaches organizations how to rebuild resilience using precision-health tools and his RECLAIM™ framework.  

Today I am in conversation with Olga Berg — a linguist, former U.S. government interpreter, and humanitarian coordinator — about her shift from high-stakes diplomatic interpretation to frontline crisis response during the Ukraine war, and her current AI venture. In the first days of the Ukrainian war, Olga was part of a group that co-founded the Ukrainian Medical Consortium. The crisis work began with youth evacuation: she coordinated the evacuation of 50+ Ukrainian youth to the UK and Austria in the first days of the war; one evacuee now works for Olga. For medical aid coordination the group partnered with the Polish Institute of Emergency Medicine to register the newly founded Ukrainian Medical Consortium rapidly, leveraging the institute's established credibility. Parallel they initiated an orthopedic surgery collaboration: they paired U.S. surgeons (via Northwell Health) with Ukrainian surgeons via telemedicine and procured specialized equipment including secondhand CRM X-rays. A key focus was tactical medicine training: Olga ran the only internationally certified tactical medicine program for civilians in Ukraine for 2+ years, training thousands. Olga shares how this all came at personal costs, the work for her resulted in severe burnout, PTSD, and her divorce. She described this phase as 20 months of sleeping four hours a day. But what she said was so fascinating and positive despite all the despair, how people in crisis know what to do, they show knowledge, taking over responsibilities - no questions asked, and communication was clear, precise and no words waisted. This intense experience and her earlier professional career lead her to co-found the DarcyCode, a behavioral linguistic intelligence engine designed to improve human communication precision. It works as a deterministic logic layer ("behavioral linguistic intelligence engine") that sits on top of LLMs (GPT, Claude, etc.) to interpret human behavioral speech patterns. Her start up is inspired by the Gottman 1983 study: where micro-conflict resolution in conversation predicted divorce rate with 93% accuracy — the same principle is actually applied to team survival. ### To learn more about Olga Berg and the DarcyCode, please go to her website and follow her on social media: @olgabergny linkedin.com/in/olga-berg-9aa44416 ### To learn more about SHIFT HAPPENS, click here  To learn more about Claudia's business SHIFT HAPPENS.Curated Conversations and her Salons in New York, Zurich and Berlin, click here You can also connect with Claudia on Instagram @shifthappens.podcast and LinkedIn at ClaudiaMahlerNYC This podcast is created, produced and hosted by Claudia Mahler.

Date: July 9, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary intensivist and is the medical student clerkship director for critical care.  Today's episode is a […] The post SGEM Xtra: Ferraris, Friends, and First Responders – Lessons Learned from Watching Magnum, P.I. first appeared on The Skeptics Guide to Emergency Medicine.

Welcome to a unique episode of The Lifeguard Project Podcast. Today, you're going to get to hear from the panel of experts who spoke at the Responder Roundup, which happened May 6th and 7th, 2026, in San Luis Obispo, California. The Responder Roundup brought in 250 first responders from over 40 different agencies to train in high-fidelity drowning training over the course of two days. This specific panel discussion focuses on the local impacts of drowning, how agencies might approach establishing drowning protocols, and general concepts overall. Hope you enjoy this very unique episode, and look out for future trainings and links for when another one of these roundups might be happening.00:00 Intro00:48 Panelist introductions02:43 Origin of San Luis Obispo County's drowning protocol03:27 Sandra's story: the pool rescue09:14 Why lifeguards matter in the first five minutes10:05 The value of "up-training" for non-EMS responders12:14 Implementing the protocol: navigating red tape14:18 Advocacy in smaller vs. larger counties15:34 Serving up solutions "on a platter"17:33 Changing the language: drowning vs. near-drowning19:04 Getting dispatch on the same page19:53 New Zealand's approach to bystander CPR training21:54 Why high-fidelity mannequins matter25:22 The training gap for pool and beach lifeguards25:46 Stress inoculation and realistic training28:31 Falling back on your training under pressure29:28 Communicating with your team before the emergency30:15 A real Saturday call: multi-agency response31:38 You may be the most trained person on scene32:34 Handling pushback from other responders39:16 Advocacy through networking and community43:06 Closing thoughts from the panel46:38 Closing remarks and gratitudeWatch On YouTube Here:https://youtu.be/pWqVHFU4YwkPresented by The Ben Carlson Foundation:https://www.bencarlsonfoundation.org/https://www.instagram.com/bencarlson_foundation/Subscribe 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.instagram.com/drasko_projectsWater Safety, Drowning Prevention, Responder Roundup, EMS Training, First Responders, Lifeguard Training, CPR Training, Drowning Resuscitation, Public Safety, Emergency Medicine

What happens when physicians become patients, teachers become storytellers, and medicine meets humanity? In this powerful episode of The Lebanese Physicians Podcast, I sit down with Dr. David Spiro, Professor and Chair of Emergency Medicine at the University of Arkansas for Medical Sciences and host of the Humed Podcast, to explore the emotional realities of practicing medicine. Dr. Spiro shares a deeply personal story from pediatric emergency medicine that shaped his career and discusses why storytelling is essential for physicians, patients, and healthcare professionals alike. Together, they examine physician wellness, burnout, compassion, resilience, leadership, medical education, and the importance of caring for healthcare workers while caring for patients. This thoughtful conversation also explores public health challenges, communication with families during difficult moments, the role of advocacy in medicine, and why sharing our stories can strengthen both healthcare professionals and the communities they serve. In this episode you'll learn about: Why storytelling is essential in medicine The emotional impact of caring for critically ill patients Physician burnout, resilience, and mental wellness Leading healthcare teams through difficult situations Building empathy in medical education The mission behind the Humed Podcast Finding purpose and meaning through medicine If you're a physician, medical student, healthcare professional, or simply interested in the human side of medicine, this conversation offers valuable insights into compassion, leadership, and healing.

Emergency medicine demands quick thinking, clinical expertise and strong teamwork. In this episode of PA Insights, Sara Champoux, DHSc, PA-C, and Tenell Zahodnik, DMSc, MPAS, PA-C, CAQ-EM, share what it's like to practice in one of health care's most fast-paced specialties.From caring for critically ill patients to navigating the unpredictable nature of the emergency department, they discuss the knowledge, adaptability and collaboration that help PAs succeed. They also explain why some Board Certified PAs choose to earn an NCCPA Certificate of Added Qualification (CAQ) in emergency medicine, how it supports professional growth and what it can mean throughout a career.Whether you're a PA student exploring specialties, a Board Certified PA considering emergency medicine or simply interested in learning more about the profession, this conversation offers practical insights into the evolving role PAs play in delivering high-quality patient care.

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're back with part 2 on post bariatric surgery complications, with a focus on the major complications. Please see Part 1 for some background and a general approach. 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 Send us Fan Mail

E-scooters will be banned for under 18s under proposals agreed by Government leaders today.New proposals, including making hi-vis jackets and helmets mandatory for all e-scooter use and extending a ban to under 18s, will be brought to Government by Ministers Darragh O'Brien and Sean Canney next week, and will come into effect from August.Joining Ciara for more on this is Sean Canney, Minister of State at the Department of Transport and Independent TD for Galway East, as well as Dr Mick Molloy, Consultant in Emergency Medicine and Chair of the IMO consultants Committee.

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

Department Chair of Emergency Medicine at Cook County Health Dr. Trevor Lewis joins the Lisa Dent Show to discuss how the poor air quality will affect people’s health and who’s most at risk of falling ill given the current conditions. He advises asthmatics and COPD patients to either use their inhaler or seek immediate medical […]

In this episode of the Psychedelic Medicine Podcast, Arsalan Azam, MD joins to unpack the intersection between psychedelics and GLP-1s. Dr. Azam, founder of Daydream MD, completed his residency in Emergency Medicine at the Metropolitan/Harlem Emergency Medicine Residency program in New York before practicing emergency medicine nationwide. Drawing on that experience, he developed a comprehensive ketamine-assisted therapy practice and now blends functional medicine with personalized GLP-1 services to help patients achieve sustainable, biologically tailored health outcomes. In this conversation, Dr. Azam explores the emerging intersection of GLP-1 medications and psychedelic therapies, arguing that both create temporary windows for behavioral change that can be leveraged to improve long-term mental and metabolic health. He explains how GLP-1 medications act primarily on the brain's reward and craving circuits, reducing "food noise" while creating opportunities to reshape habits and addictive behaviors. The discussion also covers how GLP-1s may complement psychedelic-assisted therapies for conditions such as addiction and PTSD, potential interactions with ketamine and classic psychedelics, and important clinical considerations, including nausea, delayed gastric emptying, medication dosing, and the importance of individualized treatment strategies.   In this episode, you'll hear: How GLP-1 medications influence the brain's reward, craving, and motivation circuits Why Dr. Azam views GLP-1s and psychedelics as complementary therapies that each create windows for lasting behavioral change The potential role of GLP-1 medications in treating addiction alongside psychedelic-assisted psychotherapy What patients and clinicians should know about combining GLP-1 medications with ketamine and classic psychedelics How delayed gastric emptying may alter the timing, intensity, and safety of orally administered psychedelic experiences Why careful dosing of GLP-1 medications is important to avoid emotional blunting while preserving their therapeutic benefits The importance of using both psychedelic and metabolic therapies as opportunities to build healthier long-term habits rather than relying on medication alone   Quotes: "Not all behavioral health symptoms are driven purely by things going on in the brain and the nervous system and mood and whatnot. Sometimes it's well outside that. And so that's where, naturally, GLP-1s caught our gaze. Here's a medicine that treats probably one of the biggest of the two health crises I think right now facing America: one is—I do think—mental health, but the other is metabolic health." [4:52] "Just like psychedelics create a window [of transformation], GLP-1s create a window. It's this pharmacologic scaffolding that you can use to start to really reexamine your relationship with food, with craving, how you've been eating, why you've been eating. And you can essentially use GLP-1s to hit the pause button on that noise, and that makes it easier to eat less. But it also makes it easier to start to ask the questions of why? Why was I eating the way I was eating?" [9:59] "In general, GLP-1s seem to play pretty nicely [with ketamine]. I'd say the bigger thing that I've observed that doesn't get named all that much is that craving and reward are important. They're part of how we see salience in the world and also derive pleasure from it, and if you go too high on a GLP-1, people experience a flattening. They feel kind of blah, and it's not in their head. It's because you've over-damped the salience and reward circuitry. And so it's about finding the sweet spot where there's enough to motivate you in life without being noisy." [20:13]   Links: Daydream MD website Daydream MD on Instagram Daydream MD on Facebook Dr. Azam on LinkedIn Psychedelic Medicine Association webinar: GLP-1s and Psychedelics: Clinical Considerations, Interactions, and Emerging Questions Psychedelic Medicine Association Porangui

Dr. Linda Chu speaks with Dr. Eddy Zandee and Dr. Kirk Davis about multidisciplinary expert consensus recommendations aimed at reducing the use of low yield radiographs and improving imaging appropriateness across healthcare settings. They explore which common radiographic exams may offer limited clinical value, when CT or MRI may be more appropriate, and how education and workflow changes can help optimize imaging utilization. Optimizing Radiography Utilization: Multidisciplinary Expert Consensus Recommendations Endorsed by the Society of Academic Bone Radiologists, Society of Skeletal Radiology, American Societyof Emergency Radiology, Orthopaedic Trauma Association, American Academy of Emergency Medicine, and American Rhinologic Society. Zandee van Rilland et al. Radiology 2026; 319(2):e252309.

This is second in a two-part feature on emergency medicine presentations from the ASHP Midyear Clinical Meeting. Members highlight topics such as sedation and analgesia in the setting of procedural sedation, managing patients in the emergency department in small and rural settings, and how to read and interpret echocardiograms.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

SPONSORED BY NURP Nurp is algorithmic trading designed specifically for busy professionals who don't have time to watch markets. Check out start.nurp.com/doctors  to learn more. --- Happy Independence Day—and Canada Day!

Show Notes: Chana Gable Selmon explains she joined Harvard as a transfer student in 1990, overlapping two years with the class of 1992. She graduated in 1993 after completing science requirements due to her history concentration. Chana decided to go to medical school at Cornell, followed by an internship in Emergency Medicine at Bellevue NYU and residency at Harvard. Commuting between Jerusalem and New Jersey Chana had her first child in 2000 and continued working as an ER doctor. She describes her experience as a fourth-year resident at Brooklyn Hospital Center during 9/11. She later  moved to the suburbs with her husband and had four children. Chana and her husband decided to move to Israel for international experience, despite the challenges of practicing medicine in a different language. She commuted between Jerusalem and New Jersey for work until Covid, when she started working in a clinic in the West Bank. Working in the West Bank Chana describes her work in the West Bank as a general practitioner, dealing with patients from diverse backgrounds. She emphasizes the importance of understanding different perspectives and the complexity of the Israel-Palestine situation. She shares her personal connection to the region through her family history and experiences.  A Complex Cultural Heritage  Chana talks about her family's complex heritage, including her grandfather's Yemeni Arab background and her mother's Ashkenazi Jewish roots. She describes the impact of her family's history on her perspective and her desire to connect with different cultures. Chana discusses the challenges of raising her children in Israel and the importance of transmitting her cultural heritage. She highlights the importance of understanding the region's history and the impact of her family's experiences.  Cultural Differences and Challenges Chana reflects on the cultural differences and challenges of living in the Middle East. She describes the warmth and support of people in the region, despite the chaotic environment. Chana discusses the practical considerations of living in Israel, including the impact of political instability. She expresses her pride in her children's dedication to public service and their ability to connect with people from diverse backgrounds. Media Misinformation and Solomonic Problem Chana expresses her frustration with the misinformation spread through social media about the West Bank. She emphasizes the importance of understanding the small size and complexity of the region. Chana discusses the unsustainable nature of the current situation and the need for creative solutions. She calls for more informed discussions and less reliance on simplistic labels and slogans. Harvard Reflections Chana shares her experience as a transfer student from community college, facing opposition from her ultra-orthodox Jewish family. She describes the support she received from Professor Samuel Draper at Rockland Community College who helped her apply to Harvard. Chana mentions JJ Henkin at Harvard, and she discusses her involvement in the history department at Harvard and her participation in the curriculum committee. She also mentions CityStep with Trisha Perez Kennealy, and reflects on the impact of her Harvard education on her career and personal development. A Lifelong Commitment Chana reflects on her decision to stay in Israel despite the challenges and the support of her husband. She discusses the practical considerations of returning to the United States, including her children's education and her aging parents. Chana shares her ongoing interest in history and her commitment to lifelong learning. She expresses her willingness to connect with classmates and share her experiences. Timestamps: 02:32: Balancing Family and Career  06:38: Life in Israel and the West Bank  08:57: Family Background and Cultural Identity  10:44: Challenges and Rewards of Living in the Middle East  34:44: Educational Journey and Harvard Experience  44:13: Impact of Social Media and Misunderstandings  44:30: Personal Reflections and Future Plans  Links: Email:  cselmon@gmail.com LinkedIn: https://www.linkedin.com/in/chana-gable-selmon-2643907  

Date: July 9, 2026 Reference: The ARISE FLUIDS Investigators. Vasopressors or Fluids in Early Septic Shock. NEJM June 2026.  Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.  He is board-certified in Emergency […] The post SGEM#514: Every Time You Go Away (and survive alive for 90 days) – Is It Due To A Restricted Fluid Strategy with Early Vasopressors? first appeared on The Skeptics Guide to Emergency Medicine.

What if the second half of your life wasn't a decline - but an awakening?You've achieved. You've provided. You've survived. But somewhere along the way, the fire dimmed. The silence grew. And the man in the mirror stopped looking back with the same conviction.PRIME: How to Win the Second Half of Life is for every high-performing man who's hit that quiet wall - tired of the mask, the burnout, and the lie that his best years are behind him.Through gripping stories stories from the ER and his own near-burnout redemption, Dr. Ken Ro exposes the hidden cost of armor and the science of rebuilding vitality from the inside out. You'll discover how to reclaim your energy, your purpose, and your presence, without losing your edge.THIS ISN'T SELF-HELP. IT'S A CALL TO ARMS FOR YOUR EVOLUTION. BECAUSE SURVIVAL ISN'T THE GOAL ANYMORE. SIGNIFICANCE IS.YOUR PRIME ISN'‘T BEHIND YOU. IT STARTS NOW.Dr. Kenneth Ro, MD, is a double board-certified physician in Internal and Emergency Medicine with more than 35 years on the front lines of modern healthcare, having treated over 170,000 patients throughout a long career in emergency medicine.He is the founder of Back in the Game, TM, a physician-led presicion-medicine practice dedicated to helping high-performing men reclaim their vitality, focus, and confidence in the second half of life.In his debut book, PRIME: How to Win the Second Half of Life, Dr. Ro guide readers through a physician's lense on transformation, combining medical precision with human truth.His mission is to help men win the second half of life so they can help the next generation win both halves. Dr. Ro works with corporations, organizations, executive teams, and healthcare organization to addredd the silent burnout dimantling men's performance in midlife.CONNECT with KEN RO, MD at his website and social media:Website: https://www.kennethromd.com/Instagram: https://www.instagram.com/drkennethro/LinkedIn: https://www.linkedin.com/in/drkenro/

What if the second half of your life wasn't a decline - but an awakening?You've achieved. You've provided. You've survived. But somewhere along the way, the fire dimmed. The silence grew. And the man in the mirror stopped looking back with the same conviction.PRIME: How to Win the Second Half of Life is for every high-performing man who's hit that quiet wall - tired of the mask, the burnout, and the lie that his best years are behind him.Through gripping stories stories from the ER and his own near-burnout redemption, Dr. Ken Ro exposes the hidden cost of armor and the science of rebuilding vitality from the inside out. You'll discover how to reclaim your energy, your purpose, and your presence, without losing your edge.THIS ISN'T SELF-HELP. IT'S A CALL TO ARMS FOR YOUR EVOLUTION. BECAUSE SURVIVAL ISN'T THE GOAL ANYMORE. SIGNIFICANCE IS.YOUR PRIME ISN'‘T BEHIND YOU. IT STARTS NOW.Dr. Kenneth Ro, MD, is a double board-certified physician in Internal and Emergency Medicine with more than 35 years on the front lines of modern healthcare, having treated over 170,000 patients throughout a long career in emergency medicine.He is the founder of Back in the Game, TM, a physician-led presicion-medicine practice dedicated to helping high-performing men reclaim their vitality, focus, and confidence in the second half of life.In his debut book, PRIME: How to Win the Second Half of Life, Dr. Ro guide readers through a physician's lense on transformation, combining medical precision with human truth.His mission is to help men win the second half of life so they can help the next generation win both halves. Dr. Ro works with corporations, organizations, executive teams, and healthcare organization to addredd the silent burnout dimantling men's performance in midlife.CONNECT with KEN RO, MD at his website and social media:Website: https://www.kennethromd.com/Instagram: https://www.instagram.com/drkennethro/LinkedIn: https://www.linkedin.com/in/drkenro/

Day Break | America First: No More Free Rides --- 00:00 - Monologue 19:20 – David A. Kallman, Senior Partner with the Kallman Legal Group. In this edition of the Kallman Legal Report, Kallman discusses the beginning of the trial of Tyler Robinson, the man accused of assassinating Charlie Kirk, along with two major Supreme Court rulings involving age-verification requirements for minors using apps and expanded First Amendment free speech protections. The conversation also touches on legislative proposals related to birthright citizenship. 28:12 – Dr. Kelly Victory, Chief of Disaster & Emergency Medicine at The Wellness Company. Victory discusses The Wellness Company's first-of-its-kind observational study examining the use of pre-prescribed medications in emergency medical kits. She explains the importance of early intervention, why many participants were reportedly able to avoid urgent care or emergency room visits, and discusses the value of preparedness and maintaining access to emergency prescription medications. 38:25 - Monologue Featuring Ivey Gruber 47:25 – Dr. Mark P. Mostert, senior researcher at Able Americans. Mostert discusses the expansion of physician-assisted dying policies in Canada and parts of the United States, examining ethical concerns, disability advocacy, and the broader debate surrounding assisted suicide and end-of-life care. 57:44 – Frank Cassidy, former Federal Housing Commissioner under President Trump and former FHA executive. Cassidy examines the current state of the U.S. housing market, discussing regional differences in home prices, mortgage trends, and why some housing markets continue to cool while others remain relatively strong. 1:06:38 – Ivey Gruber & Laura Lynn Cokonougher. Gruber and Cokonougher reflect on the creation of their patriotic anthem, "One Nation," discussing the inspiration behind the song, the songwriting process, its growing success, and the importance of celebrating faith, America, and the nation's upcoming 250th anniversary. 1:16:53 - Monologue 1:25:44 – Ron Rademacher, travel writer, author, storyteller, and Michigan travel expert. Rademacher highlights festivals, fairs, and summer events taking place across Michigan, including Frog Fest, the Copper Country Strawberry Festival, the National Cherry Festival, Bluegill Festival, Blissfest, and numerous other community celebrations and attractions around the state. 1:36:03 – Rep. Donni Steele, Representative for Michigan's 54th House District. Steele discusses major transportation investments included in Michigan's state budget, highlighting infrastructure improvements, road funding priorities, and efforts to strengthen transportation systems for communities across the state. --- Check out our brand new podcast, 'Forgotten America'... Episode 21 is live NOW at Steve Gruber on YouTube! Link below: https://youtu.be/WyZmI-8l5yg

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 Part 1 on post bariatric surgery complications, with the individual surgeries and an approach. Part 2 will dive into the major complications. 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 Send us Fan Mail

REBEL Rundown Key Points Mastery Learning: A unique educational framework focusing on achieving high competence with minimal variability among learners. Deliberate Practice: Involves learner-driven improvement, guided by expert feedback and breaking skills down into micro steps. Psychological Safety: Essential in mastery learning, allowing open feedback without fear or shame, enhancing growth. Embrace the productive struggle!  Practice to Prevent Skill Decay and Improve Clinically: Application of mastery learning principles helps maintain high proficiency levels in both common and rare procedures. Click here for Direct Download of the Podcast. Previously Covered and Related Content: REBEL MIND: The Dunning-Kruger EffectREBEL MIND: Growth vs Fixed Mindset Introduction Welcome back to Rebel MIND, the podcast where we sharpen the person behind the practitioner. MIND stands for Mastering Internal Negativity during Difficulty. This series emphasizes productivity, provider performance, and team optimization to ensure we are at our best during high-pressure situations. In this episode, host Dr. Kim Bambach chats with master educator Dr. Jennifer Yee about the science of performance through mastery learning and deliberate practice. Jennifer Yee, DO is an associate residency program director for OSU Emergency Medicine, the OSU EM director for assessment and evaluation, and an associate professor of emergency medicine.  She is from Akron, Ohio and earned her bachelor degree from Ohio University and her medical degree through the Ohio University College of Medicine. Her residency training was completed through Summa Akron City Hospital. After serving as chief resident, she completed a simulation medicine fellowship at Summa.She completed Northwestern's Designing and Implementing Simulation-Based Mastery-Learning Curricula, as well as Ohio State's Master of Art's program in Biomedical Education. She established a mastery-based procedural curriculum for OSU’s EM residency program before creation of an institution-wide mastery-based central venous catheter (CVC) curriculum for all housestaff expected to place CVCs during their clinical training. Cognitive Question How can use the principles of mastery learning as better benchmark for learning, performance, and patient safety? How can we practice deliberately? What is Mastery Learning? Unlike traditional clinical training, which is time-bound (e.g., “you are competent after a 3-year residency” or “after 10 chest tubes”), Mastery Learning is outcome-bound. The goal is to get every single learner from their unique baseline to an identical, objectively high level of performance with minimal variation. In this framework, learners start with a pre-brief, followed by baseline assessment, targeted debrief, deliberate practice, and a final evaluation using a checklist with a strict minimum passing standard (often set via methods like the Mastery Angoff). The mastery learning framework has been shown to improve patient safety.The Northwestern Central Line Study: Research demonstrated that requiring residents to achieve a set benchmark on a simulator prior to clinical performance led to fewer needle passes, a decrease in mechanical complications (such as accidental arterial punctures), and a subsequent reduction in catheter-associated infection rates in the intensive care unit.High-Acuity, Low-Occurrence (HALO) Procedures: Studies have demonstrated that for rare, critical procedures like emergency cricothyrotomies or transvenous pacing, baseline testing shows that very few trainees can meet a standard passing score initially. However, following targeted simulation training and deliberate practice, 100% of participants successfully achieved the minimum standard required to perform the procedure competently. The Anatomy of Deliberate Practice We often assume experience or confidence equals competence, but humans are notoriously poor self-assessors (plug for our Dunning-Kruger episode!). True deliberate practice isn’t just repeating a task for 10,000 hours; it is purposeful, learner-driven micro-skill improvement guided by an expert coach.High-Quality Feedback: Avoid vague phrases like “good job” or “read more.” Effective coaching relies on strictly objective, real-time observations (e.g., “I am watching your needle angle. If you enter the skin more steeply, you will hit the vessel faster”).Embrace a Growth Mindset: Stripping away your ego to be silently watched and critiqued  is inherently awkward. Normalize deliberate practice to create psychological safety. Overcoming this requires building an environment centered on patient safety, where baselines are treated as data points rather than judgments. True growth happens with the “productive struggle”.Adaptive Expertise: True mastery means moving past a rigid checklist. It requires learners to understand the reasoning behind their actions and anticipate next steps, complications, and plot twists in real time. Immediate Action Steps for Your Next Shift **Reflect on Personal Goals**: Identify specific clinical skills you wish to improve and set objectives.  **Seek Expert Feedback**: Find a mentor or coach for guided practice and objective feedback on your skills.  **Cultivate Psychological Safety**: Foster an environment where discussing mistakes and receiving feedback is viewed as growth rather than criticism.  **Practice Adaptively**: Introduce scenarios with atypical anatomy,  complications, plot twists to better prepare for real-world complexity.  Conclusion By focusing on specific skill improvement and welcoming constructive feedback, clinicians can build competence and confidence, ultimately improving performance and patient safety. Effective mastery learning hinges on creating psychologically safe learning environments, engaging in focused deliberate practice, and leveraging expert feedback. This approach can be applied to clinical procedural excellence as well as many other skills, including communication and team dynamics. Clinical Bottom Line Mastery learning is an outcome-bound framework to reach a high standard of performance and deliberate practice is the tool that can help you achieve that high performance through expert feedback. Further Reading Barsuk JH, et al.Dissemination of a simulation-based mastery learning intervention reduces central line-associated bloodstream infections. BMJ Quality & Safety. Sep 2014.PMID: 24632995Klein MR, et al.Developing simulation-based mastery learning curricula for emergency medicine skills training. AEM Education and Training. Jun 2025.PMID: 40521339 Meet the Authors Kim Bambach, MD Assistant Professor of Emergency Medicine The Ohio State University Wexner Medical Center, Columbus, OH Jennifer Yee, DO Associate Professor of Emergency Medicine, Associate Program Director The Ohio State University Wexner Medical Center, Columbus, OH Showing Slide 1 of 2 The post REBEL MIND – Mastery Learning and Deliberate Practice appeared first on REBEL EM - Emergency Medicine Blog.

In this episode, we welcome back guest host Dr. Neelou Weeker and ED nurse Leigh Clary to talk about a tough emergency medicine reality that we often avoid discussing: what teamwork looks like when, despite our best efforts, the patient doesn't survive. We work though a recent, emotionally heavy resuscitation and explore how TeamSTEPPS tools—specifically the structured debrief—serve as a vital safety net for our own mental health, helping us find our footing and reclaim our humanity in a chaotic environment. The Reality of “Doing Everything Right” and Still Losing We often connect good teamwork with saving lives, but in the ED, bad outcomes sometimes happen. The true test of a team’s culture is how we handle the aftermath of those tough cases. 1. The Emotional Roller Coaster of the ED The “Would-Have, Could-Have, Should-Haves”: When a patient comes in talking and dies in the ED, it carries a heavy psychological weight for everyone and we often replay these cases over and over in our minds. Flipping the Switch to Withdrawal of Care: Putting your heart and soul into a long resuscitation, getting pulses back, and then having to pivot and make the decision to withdraw care is an exhausting emotional shift for the whole team. The Illusion of the Robot: The ED forces us to “code switch” instantly—moving from declaring a death straight to treating a minor complaint. Without a moment to pause, you start to feel like a robot, which takes a signficant toll on your wellbeing. 2. The Anatomy of a High-Quality Debrief Debriefing after a tough case should be a priority, not a luxury. A solid debrief balances a clinical review with immediate psychological first aid. Component Standard Protocol & Best Practices The Core Purpose Framed around three pillars: Education, Quality Improvement, and Emotional Processing. The Tone Strictly confidential, safe, and non-punitive. It is explicitly stated at the outset that the session is not for assigning blame. The Location Ideally a quiet, isolated space physically removed from the immediate clinical chaos (a “doc box” or dedicated staff room). The Leadership Facilitated by designated Debrief Champions. If unavailable, any comfortable team member can step up. The Attendees Open to everyone who was involved in or affected by the case, including physicians, nurses, techs, students and scribes. The Power of Prioritization: The emergency department is chronically busy, but a culture of safety means charge nurses actively shuffle staff and adjust coverage to carve out the 10 to 15 minutes required for a team to debrief. Applying TeamSTEPPS to Team Longevity 1. The Need for a Clinical Respite Data shows that the most important thing for a clinician after a bad outcome is just a brief break from the clinical area to regroup and compose themselves. Since we physically can’t just leave the ED to get a breath of fresh air, a structured debrief acts as that necessary “bubble” outside of active patient care. 2. Modeling Vulnerability as Leaders To move away from the expectation that healthcare workers must act as emotionless automatons, leaders must intentionally model healthy processing. Visible Humanity: When Attendings and nurse leaders show vulnerability and admit that a case hit them hard, it builds a culture where it's okay to not be okay. Creating “Fence Posts”: We can’t carry the weight of every patient we lose on our backs and still function. Structured debriefs allow us to package the experience into a “fence post” of clinical learning, honoring the patient while protecting the provider’s mental health. Key Takeaways De-Link Teamwork from the Outcome: Perfect teamwork can't always override catastrophic pathology. Evaluate the team’s performance based on coordination, communication, and execution, not solely on whether the patient survived. Establish a Standard Debrief Script: Protect your team by starting every post-event huddle with a reminder that the space is confidential, educational, and completely non-punitive. Invest in Your Team: Implementing a formal debrief infrastructure requires minimal resources and builds team morale and resilience. (Pro-tip: bring candy to engage all the senses in a sensory reset!) Do you use TeamSTEPPS or a similar model in your ED? We'd love to hear what has been successful for your team. Hit us up on social media @empulsepodcast or connect with us on ucdavisem.com Host: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Guest Host: Dr. Neelou Tabatabai, Assistant Professor of Emergency Medicine at UC Davis Guest: Leigh Clary, RN, BSN, RN, CEN, ADCES, MICN , ED Nurse and TeamSTEPPS Project Lead at UC Davis Resources: TeamSTEPPS Player of the Month Program, Presentation by Leigh Clary and Jose Metica TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE, James Battles, PhD, David P. Baker, PhD, Alexander Alonso, PhD, Eduardo Salas, PhD, John Webster, MD, MBA, Lauren Toomey, RN, BSBA, MIS, and Mary Salisbury, RN, MSN. TeamSTEPPS Pocket Guide – Agency for Healthcare Research and Quality EM Pulse: TeamSTEPPS, September 17, 2021  **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Disclaimer: The opinions expressed on this podcast are those of the hosts or guests and do not necessarily reflect the views of UC Davis Department of Emergency Medicine, UC Davis Health, or their parent organizations.

The popular HBO drama “The Pitt,” set in a Pittsburgh emergency trauma center, is having an impact on real-world healthcare. Doctors across California say the show has brought heightened public awareness of their daily work and sparked conversations about the challenges that emergency healthcare workers face. We'll talk to California ER physicians about the effect the TV show has had on their lives and work, and we want to hear from you: Has “The Pitt” changed how you think about emergency care? Guests: Dr. Christopher Colwell, vice chair and chief of Emergency Medicine, Zuckerberg San Francisco General Hospital Dr. Patil Armenian, professor of clinical emergency medicine and medical toxicology, UCSF Fresno; host, Human School podcast Dr. Sarah Medeiros, professor of emergency medicine, UC Davis; host, EM Pulse podcast Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us Fan MailThis episode features Dr. Dustin Calhoun, Scott Williams, Steve Lester and John Vance.About our guest: Dr. Dustin J. Calhoun, MD, FAEMS is an Associate Professor of Emergency Medicine and Associate Director of the Division of Emergency Medical Services at the University of Cincinnati. A board-certified emergency physician and EMS physician, he practices at UC Medical Center and West Chester Hospital. Dr. Calhoun serves as the Medical Director for the Springdale Fire Department and the Cincinnati Fire Department and provides medical direction for numerous other fire, EMS, law enforcement, and special operations agencies throughout the Cincinnati region, including airport fire-rescue, SWAT teams, and multiple suburban fire departments. He is also a flight physician with Air Care and Mobile Care and serves as Medical Director for Emergency Management at UC Health. Nationally recognized for his expertise in prehospital emergency medicine, disaster preparedness, and tactical EMS, Dr. Calhoun is a frequent instructor and speaker on EMS leadership, special operations medicine, and emergency response. We break down how Cyanokit (hydroxycobalamin) fits into fireground care when smoke inhalation includes the toxic twin threat of hydrogen cyanide and carbon monoxide. We focus on patient selection, rapid delivery to the front yard, and the practical steps that help incident commanders, EMS crews, and hospitals work from the same playbook.• what Cyanokit is and why older cyanide antidotes were risky with carbon monoxide exposure• where hydrogen cyanide comes from in structure fires, smoldering, and overhaul plus dermal absorption risks• why time to administration matters, especially for altered mental status and fireground cardiac arrest• how departments deploy kits on district cars, battalion chiefs, engines, and ALS rescues to reduce delays• real incidents and outcomes, including pediatric rescues and lessons when kits are limited• IV and IO administration considerations, including push-pull delivery and flushing the line• what the incident commander does to stage medical resources and get the kit to the patient fast• what information helps the emergency department when there is no rapid cyanide test• balanced use, costs, side effects, and why training should prevent wasting kits• training approaches, trainer kits, and restock plans that keep programs sustainableOrder the 3rd Edition of Fire Command here: https://bshifter.myshopify.com/products/new-fire-command-3rd-editionFor Waldorf University Blue Card credit and discounts: https://www.waldorf.edu/blue-card/For free command and leadership support, check out bshifter.comSign up for the B Shifter Buckslip, our free weekly newsletter here: https://lp.constantcontactpages.com/su/fmgs92N/BuckslipShop B Shifter here: https://bshifter.myshopify.comShare this podcast with your friends, and don't forget to like and subscribe!

This week we review a recent meta-analysis of studies assessing efficacy of adenosine in children to terminate SVT. Does the PALS recommendation of 100 mcg/kg as a starting dose for SVT management make scientific sense given what we know about the efficacy rates of this dose? Why might inadequate doses be potentially dangerous for children with acute SVT? Is there adequate data to consider changes to the recommended starting dose in this situation? Dose adenosine work well for all forms of tachycardia involving the AV node? Pediatric emergency physician and family medicine physician, Dr. Lais dos Santos of Mossoro', Brazil shares the results of a large scale meta-analysis that she performed and offers some answers to these and other questions. DOI: 10.1007/s00246-026-04281-5

Prehospital blood is one of the hottest debates in trauma resuscitation — and the evidence just got a lot more interesting. In this episode, Drs. Patrick Georgoff and Ayman Ali sit down with Dr. Ed Barnard, UK defense professor of emergency medicine and author of the landmark SWIFT trial, and Dr. Juan De Chesney, trauma surgeon and pioneer in prehospital blood programs, to break down what we actually know about getting blood to patients before they hit the doors. The SWIFT trial — the largest prehospital whole blood RCT to date — found no superiority of whole blood over component therapy, but the story is far more nuanced than a negative headline suggests. From the logistics of carrying blood on a helicopter to the stark reality that only 1.8% of US ground EMS carries any blood products at all, this conversation exposes both the progress and the enormous gaps that remain. Hosts: Ayman Ali, MD: Ayman Ali is a Behind the Knife fellow and general surgery PGY-4 at Duke Hospital.  Patrick Georgoff, MD @georgoff: Patrick Georgoff is faculty in the Department of Surgery at the Duke University School of Medicine where he serves as an Associate Professor of Trauma, Acute, and Critical Care Surgery and Trauma Medical Director. He is a leading educator and creator for Behind the Knife, a premier digital education platform and podcast advancing surgical training through innovative, high-yield multimedia content. Juan Duchesne, MD: Juan Duchesne is a trauma surgeon and Professor of Surgery serving as the Trauma Medical Director and Division Chief at the University of Mississippi Medical Center. His pioneering contributions to the field—particularly in whole blood and balanced resuscitation practices—have been honored with numerous accolades.  Ed Barnard, PhD FRCEM FIMC RCSEd, @edbarn @DefProfEM: Ed Barnard is an emergency physician and UK Defence Professor of Emergency Medicine, RCEM/NIHR Associate Professor, and Affiliated Assistant Professor at the University of Cambridge. He has sub-specialty training in pre-hospital and academic emergency medicine and possesses extensive experience in trauma, anaesthesia, and critical care across both civilian and military settings. His contributions to the field have been honored with five national research awards and a PhD - undertaken with the US Army in San Antonio, TX. This episode was sponsored by Teleflex, a global provider of medical devices. Learn more at teleflex.com and at the Teleflex Trauma and Emergency Medicine LinkedIn page. 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://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In this installment of our All Too Human interview series, Breht and Dave welcome Dr. John Ukadike, a physician and emergency medicine specialist, into the Shoeless Shed to have a fascinating conversation about his experiences as an ER doctor, his treatment of many patients who struggle with addiction in various forms, his personal relationship with religion and death, his understanding of and approach to general health, the challenges of informing family members that a loved one has passed away, his critiques of the for-profit American healthcare system, and so much more!  Check out John's articles on a wide range of topics here: https://pubmed.ncbi.nlm.nih.gov/?term=john+ukadike Follow John on IG HERE ------------------------------ Contact us, support us, follow us, or learn more about the show here: https://www.shoelessinsouthdakota.com Learn More about Rev Left Radio here: https://revleftradio.com/   Outro music: Millionth Time - Spinitch https://spinitch.bandcamp.com/album/run-for-the-arts-spinstrumentals