Podcasts about Emergency medicine

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.

We take a closer look at some of the stories you may have missed in the news this morning. Joining Jonathan this morning was Chris Luke, Columnist, Host of The Irish Medical Lives Podcast and Retired Consultant in Emergency Medicine.

We take a closer look at some of the stories you may have missed in the news this morning. Joining Jonathan this morning was Chris Luke, Columnist, Host of The Irish Medical Lives Podcast and Retired Consultant in 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 […]

Fluent Fiction - Spanish: Crisis in the Heat: Discovering Strength Amidst Chaos Find the full episode transcript, vocabulary words, and more:fluentfiction.com/es/episode/2026-07-16-22-34-02-es Story Transcript:Es: El sol brillaba con fuerza sobre el hospital de campaña.En: The sun shone intensely over the field hospital.Es: Aunque era invierno en el hemisferio sur, una ola de calor inesperada había llegado a la región.En: Although it was winter in the southern hemisphere, an unexpected heat wave had arrived in the region.Es: Las lonas de los toldos ondeaban con el viento y el aire estaba cargado de olores a antiséptico y sudor.En: The tarps of the tents fluttered in the wind, and the air was filled with the smells of antiseptic and sweat.Es: Luis, una enfermera dedicada, corría de un lado a otro.En: Luis, a dedicated nurse, was running back and forth.Es: Era un día caótico.En: It was a chaotic day.Es: Mariana y Carlos, sus compañeros, también estaban agotados.En: Mariana and Carlos, his colleagues, were also exhausted.Es: Mariana tomaba signos vitales mientras Carlos organizaba los suministros médicos.En: Mariana was taking vital signs while Carlos was organizing the medical supplies.Es: Había mucha gente enferma.En: There were many sick people.Es: Todos necesitaban ayuda urgente.En: Everyone needed urgent help.Es: Luis se sentía abrumado.En: Luis felt overwhelmed.Es: Había tantos pacientes y tan pocos recursos.En: There were so many patients and so few resources.Es: Su mayor miedo era cometer un error.En: His greatest fear was making a mistake.Es: Sin embargo, sabía que tenía que mantenerse firme.En: However, he knew he had to stay strong.Es: El hospital de campaña era su responsabilidad.En: The field hospital was his responsibility.Es: "Debo hacerlo bien," pensaba entre respiraciones profundas.En: "I must do it right," he thought, taking deep breaths.Es: Mariana se acercó a él.En: Mariana approached him.Es: "Luis, una máquina de oxígeno no funciona," dijo, preocupada.En: "Luis, a machine isn't working," she said, worried.Es: Luis asintió, sintiendo una presión en sus hombros.En: Luis nodded, feeling pressure on his shoulders.Es: Pero antes de poder responder, un grito los interrumpió.En: But before he could respond, a scream interrupted them.Es: Un paciente sufrió una emergencia.En: A patient suffered an emergency.Es: Estaba en el suelo, con dificultad para respirar.En: He was on the ground, struggling to breathe.Es: La situación era crítica.En: The situation was critical.Es: Luis sintió que el mundo se detenía.En: Luis felt the world stop.Es: "¿Qué hago?"En: "What do I do?"Es: se preguntaba.En: he wondered.Es: Sabía que cada segundo era importante.En: He knew every second was important.Es: Luis miró a su alrededor.En: Luis looked around.Es: Sus ojos encontraron los de Mariana y Carlos.En: His eyes met those of Mariana and Carlos.Es: Entendió que no estaba solo.En: He understood that he wasn't alone.Es: "Carlos, prepara el otro tanque de oxígeno rápido," dijo con urgencia.En: "Carlos, prepare the other oxygen tank quickly," he said urgently.Es: "Mariana, ayúdame a estabilizar al paciente."En: "Mariana, help me stabilize the patient."Es: La acción fue inmediata.En: The action was immediate.Es: Luis realizó maniobras precisas, manteniendo la calma mientras su equipo seguía sus instrucciones.En: Luis performed precise maneuvers, maintaining calm while his team followed his instructions.Es: En minutos, el paciente empezó a respirar mejor.En: In minutes, the patient started to breathe better.Es: La emergencia estaba controlada.En: The emergency was under control.Es: Más tarde, mientras el calor del día comenzaba a ceder, Luis se quedó de pie en la entrada del hospital.En: Later, as the day's heat began to subside, Luis stood at the entrance of the hospital.Es: Se sentía diferente.En: He felt different.Es: No solo había salvado a un paciente; había aprendido a confiar en sus colegas y en sí mismo.En: He hadn't just saved a patient; he had learned to trust his colleagues and himself.Es: Luis se dio cuenta de que no tenía que cargar con todo solo.En: Luis realized he didn't have to carry everything alone.Es: La cooperación había marcado la diferencia.En: Cooperation had made the difference.Es: Ese día, en medio de la crisis, descubrió algo valioso: su equipo era fuerte.En: That day, in the midst of the crisis, he discovered something valuable: his team was strong.Es: Sus manos más seguras y su corazón más ligero.En: His hands more secure and his heart lighter.Es: El caluroso día de invierno terminó, pero la lección quedó.En: The hot winter day ended, but the lesson remained.Es: En el campo de batalla que era el hospital, Luis había encontrado confianza.En: In the battlefield that was the hospital, Luis had found confidence.Es: Una prueba superada, un corazón en paz, un equipo más unido.En: A test passed, a heart at peace, a team more united. Vocabulary Words:the sun: el solintensely: con fuerzathe field hospital: el hospital de campañathe tarps: las lonasto flutter: ondearthe wind: el vientothe smells: los oloresthe antiseptic: el antisépticothe sweat: el sudorthe nurse: la enfermeraexhausted: agotadothe vital signs: los signos vitalesthe medical supplies: los suministros médicosoverwhelmed: abrumadothe patients: los pacientesthe resources: los recursosto breathe: respirarthe emergency: la emergenciacritical: críticoto stabilize: estabilizarthe action: la acciónprecise: precisocalm: la calmathe confidence: la confianzato cooperate: cooperarthe difference: la diferenciathe lesson: la lecciónthe battlefield: el campo de batallathe heart: el corazónunited: unido

The number of children and young people being admitted to hospital with traumatic brain injuries as a result of e-scooter incidents has risen by 50% in the last twelve months, according to Children's Health Ireland. What needs to be done about them?Joining Andrea to discuss is Dr Chris Luke, retired Consultant in Emergency Medicine & healthcare commentator, Sarah Beasley, Aontú Cllr in Limerick and listeners.

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  

A stomach bug called cyclosporiasis, with symptoms including "explosive" diarrhea, is spreading across the country. Dr. Josh Lynch, Professor of Emergency Medicine at UB's Jacobs School and Medical Director at DeGraff tells us about it.

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/

This episode covers: Cardiology This Week: A concise summary of recent studies AI & digital solutions in emergency medicine Management of heart failure in cardiac amyloidosis Spotlight: Orthodexia-Platypnoea Syndrome Host: Emer Joyce Guests: Marianna Fontana, Wolf Hautz, Konstantinos Koskinas Want to watch that episode? Go to: https://esc365.escardio.org/event/2551 Want to watch that extended interview on the management of heart failure in cardiac amyloidosis, go to: https://esc365.escardio.org/event/2551?resource=interview   Disclaimer  ESC TV Today is supported by Novartis and Novo Nordisk through an independent funding. The programme has not been influenced in any way by its funding partners. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. All declarations of interest are listed at the end of the episode. The ESC is not liable for any translated content of this video. The English language always prevails. ESC TV Today uses a range of tools and resources (including AI) to support content production. All content is reviewed and approved by the editorial team. Statements and opinions expressed by guest speakers are their own.   Declarations of interests Stephan Achenbach, Yasmina Bououdina, Wolf Hautz and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Novo Nordisk, Pfizer, Sanofi, Servier, Takeda, Tecnimede, Viatris. John-Paul Carpenter has declared to have potential conflicts of interest to report: stockholder MyCardium AI.  Davide Capodanno has declared to have potential conflicts of interest to report: Abbott Vascular, Bristol Myers Squibb, Daiichi Sankyo, Edwards Lifesciences, Novo Nordisk, Sanofi Aventis, Terumo. David Duncker has declared to have potential conflicts of interest to report: lecture honoraria from Abbott, Astra Zeneca, Biotronik, Boehringer Ingelheim, Boston Scientifics, Bristol Meyers Squibb, CVRx, Daiichi Sankyo, Medtronic, Microport, Pfizer, Sanofi, Zoll. Marianna Fontana has declared to have potential conflicts of interest to report: consultancy for Alnylam, Alexion/Caelum Biosciences, Astra Zeneca, Bridgbio/Eidos, Prothena, Attralus, Intellia Therapeutics, Ionis Pharmaceuticals, Cardior, Lexeo Therapeutics, Janssen Pharmaceuticals, Pfizer, Novo Nordisk, Bayer, Mycardium. Research grants from: Alnylam, Bridgbio, Astra Zeneca, Pfizer. Share options in LexeoTherapeutics and shares in Mycardium. Emer Joyce has declared to have potential conflicts of interest to report: Alnylam, Bayer, Pfizer, Fire-1. Konstantinos Koskinas has declared to have potential conflicts of interest to report: honoraria from MSD, Daiichi Sankyo, Sanofi. Felix Mahfoud has declared to have potential conflicts of interest to report: research grants from Deutsche Forschungsgemeinschaft (SFB TRR219), Deutsche Gesellschaft für Kardiologie (DGK), Deutsche Herzstiftung, Ablative Solutions, ReCor Medical. Consulting fees, payment honoraria lectures, presentations, speaker, support travel costs: Ablative Solutions, Astra-Zeneca, Novartis, Inari, Recor Medical, Medtronic, Philips, Merck. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

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

This lecture will serve to enlighten/empower non-dentists with some basic diagnostic & treatment skills to manage dental emergencies in a non-dental setting.

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.

Report from Una Kelly followed by Paddy Fitzpatrick, Emergency Medicine consultant at Temple Street; Aileen Hickie, CEO of Parentline; and John Joe O'Connell, VP of the Garda Representative Authority

On today's episode, we're diving into a case study that captures the reality of modern prehospital care at its most demanding: a high-speed road traffic collision resulting in major trauma, an evolving shock presentation, and tension between competing priorities in the field. This case comes from Dr Michael DeFilippo, an Emergency Medicine and EMS physician, and it challenges us to think beyond protocols, to physiology, pattern recognition, and decision-making under pressure.In this episode, we're going to slow this case down and unpack it, drawing out the key learning points, clinical decision-making frameworks, and practical prehospital strategies that shaped the outcome. From early shock recognition to fluid strategy, analgesia, and transport decisions, this is a case packed with insights for anyone working in high-acuity, time-critical care. You can read Mike's Substack post here: https://emsdrmike.substack.com/p/c1-dcr-traumaThis episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at ⁠https://www.pax-bags.com/en/⁠

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 is first in a two-part feature on emergency medicine presentations from the 2025 ASHP Midyear Clinical Meeting & Exhibition. Members highlight their presentations including the role of bundled care in improving intracranial hemorrhage outcomes, clinical case scenarios to determine the appropriate medication, dosing strategy, and timing for magnesium, ketamine, and TXA based on patient presentation and available evidence, and the role of the pharmacists in cardiac arrest care. 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.

Understanding how values and communication styles differ across cultures is key to succeeding internationally. That’s why training in cross-cultural communication has become commonplace in the international business world. In this session, we’ll look at 6 dimensions of cross-cultural communication and their application to medical scenarios.

In Part 2 of a two-part episode, Dr. Rob Orman joins Dr. Andrea Austin to discuss the profound changes in emergency medicine, the importance of intentional joy, and powerful coaching frameworks that help physicians navigate reactivity and complexity. Rob shares a powerful passage from his book Supernormal about the Drama Triangle, discusses career ownership versus renting, and offers insights on redesigning medical education with mindfulness and awareness at the center. This episode is filled with immediately applicable tools for clinicians, leaders, and anyone seeking to create space in high-stakes moments. They discussed: How emergency medicine has changed profoundly since COVID Finding and creating joy in medicine through intentional practices Owning vs. renting your career The Drama Triangle and staying “above the line” Cognitive empathy and declining invitations to drama Powerful reset phrases: “Good.” and “I wish it wasn't this way, but it is this way.” Redesigning medical education with meditation and listening skills Coaching tools that translate from one-on-one sessions to clinical practice

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 the potentially deadly infected ureterolithiasis. 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 PlaySend us Fan Mail

Date: June 23, 2026 Reference: Tagg A, et al. Everything is awesome: Don't forget the Lego. J Paediatr Child Health. 2019 We recorded this SGEM episode live at the Don’t Forget the Bubbles conference in Glasgow, Scotland. Dennis and I had just given an hour presentation on how to build better critical appraisal skills. It […] The post SGEM#513: Everything is Awesome – Unless You Swallow A LEGO Head first appeared on The Skeptics Guide to Emergency Medicine.

In this episode of the St Emlyn's Podcast, Iain Beardsell and Simon Carley catch up on the February blog posts, recorded in the rather unseasonal context of a UK heatwave. They begin with congratulations to Simon on his reappointment as Dean of the Royal College of Emergency Medicine, before reflecting on recent conferences including IFEM in Hamburg and Don't Forget The Bubbles in Glasgow. The clinical focus this month is trauma team leadership, with practical tips on interpreting trauma CT reports, maintaining momentum after the scan, performing safer log rolls, and making feedback more useful for learners and colleagues. Key learning points Look at trauma CT images yourself as part of your own clinical learning and to integrate the scan with your examination findings. Treat the first CT report as a primary survey, not necessarily a definitive final report. Speak to the radiologist and share clinical concerns or uncertainties. Do not lose momentum after CT; this is a vulnerable phase in trauma care. Log rolls should have a purpose and should minimise movement, pain and physiological risk. Use clearer team communication: “Is anybody not ready to move?” and “ready, steady, move.” Feedback sticks when it is specific. Add “because” to positive feedback so the learner knows exactly what to repeat. Leadership and followership skills apply everywhere, not just in formal trauma team leader roles. Learning from podcasts? If podcasts form part of your CPD, you can log your listening time across all podcasts on MedPod Learn — not just St Emlyn's — and generate structured reflection. The app is free to download, includes a one-month free trial, and offers globally adjusted pricing.

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

What happens when a lifelong emergency physician steps back from clinical practice and dedicates himself to helping other doctors navigate the impossible job of medicine?  In Part 1 of a two-part episode, Dr. Rob Orman joins Dr. Andrea Austin to share his remarkable path, from documenting mass casualty events to becoming a technical advisor for the hit HBO series The Pit, and ultimately building a coaching practice that helps physicians create meaningful change in their behavior and careers. Together they discuss the importance of awareness, the space between stimulus and response, cognitive empathy, and why art and storytelling may be powerful vehicles for transforming healthcare. Rob also opens up about his own career struggles and the deep fulfillment he finds in one-on-one behavioral coaching. They discussed: How documenting mass casualty events led to advising on The Pit The career shift from full-time clinician and educator to physician coach Why “not everyone thinks like you do”, and the power of cognitive empathy Building awareness and creating the pause between stimulus and response Behavioral coaching for physicians on performance plans or struggling with reactivity The role of storytelling and art in driving healthcare change Lessons from burnout, skill decay, and career transitions

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

Artificial intelligence has moved from experimental promise to boardroom priority, but healthcare leaders are still trying to understand what is real, what is risky and what is just clever marketing. In emergency medicine, where patient status changes minute by minute and operational bottlenecks can ripple across an entire hospital, the stakes are especially high. The core challenge is not simply whether hospitals should adopt AI, but whether they can evaluate it critically enough to avoid wasting time, capital and clinician trust.So how should hospital executives, emergency physicians and operators decide which AI tools are worth trusting — and which ones are just hype?On this episode of I Don't Care, host Dr. Kevin Stevenson speaks with Dr. Maureen Canellas, Associate Chief Medical Officer at UMass Memorial Medical Center, about the practical reality of AI in healthcare. Their conversation moves from emergency department operations and hospital governance to vendor skepticism, boarding, data standards, baseball and even NASA-inspired lessons in resource-constrained decision-making.Top insights from the talk…Most “AI” claims deserve scrutiny. Dr. Canellas argues that hospitals should look past slide decks and ask vendors detailed questions about data inputs, algorithm design, model behavior, privacy and whether the tool actually works in real time.Emergency departments need AI that respects clinical reality. In the ED, conditions change minute by minute. Dr. Canellas emphasizes that “real time” should mean real time, especially when vitals, labs and disposition decisions are constantly shifting.AI should help solve operational pain, not chase buzzwords. From boarding to throughput, Dr. Canellas says the best use cases are grounded in specific hospital problems, financial modeling and measurable return on investment — not vague promises to transform care.Dr. Maureen Canellas, MD, MBA, FACEP, is the Associate Chief Medical Officer at UMass Memorial Medical Center, an Assistant Professor of Emergency Medicine at UMass Chan Medical School and an emergency physician at a high-volume Level I trauma center. She is an MIT research affiliate in healthcare AI and uses operations research, machine learning and emergency department benchmarking to improve patient flow, care delivery and patient experience. Dr. Canellas also serves on the Emergency Department Benchmarking Alliance Board of Directors, chairs its education committee and previously trained in emergency medicine at the University of Chicago, where she was chief resident and led multiple operations and administration research projects.

In this episode of Resiliency Radio with Dr. Jill, Dr. Jill Carnahan welcomes Dr. Jen Pfleghaar for a heartfelt and practical discussion on navigating perimenopause with confidence, resilience, and hope. Together, they explore why more women are experiencing hormonal symptoms earlier than ever before, how stress and environmental toxins contribute to hormonal imbalance, and why a personalized approach is essential for optimal health during midlife transitions. Dr. Jen shares her unique perspective as a double board-certified physician who combines evidence-based medicine with faith-centered wellness strategies to help women reclaim their energy, clarity, and joy. Whether you're struggling with anxiety, fatigue, sleep disturbances, mood changes, or hormone fluctuations, this episode provides actionable insights to help you understand your body and thrive through perimenopause.

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 episode of The Jimmy Rex Show, Jimmy sits down with emergency room physician Dr. Clay Starnes to discuss what really happens behind the scenes in America's emergency rooms.Clay shares stories from the front lines of medicine, including life-and-death decisions, trauma cases, difficult conversations with families, burnout, mental health, and what most people misunderstand about emergency medicine.The conversation also explores personal growth, men's mental health, emotional healing, child abuse awareness, the healthcare system, and why connection and accountability can be life-changing.This is a fascinating look into one of the most demanding professions in the world and the lessons it teaches about life, purpose, and resilience.Follow Clay Starnes: IG

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover pediatric intussusception.emDOCs.net Emergency Medicine (EM) Podcast 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 PlaySend us Fan Mail

Date: June 12, 2026 Guest Skeptic: Mr. Ross Fisher. Ross is a paediatric surgeon, presentation guru (P-Cubed), and long-time friend of the SGEM.  Reference: Talan et al. Nonoperative Treatment of Appendicitis and Implications for Emergency Department Management: A Narrative Review. Ann Emerg Med. June 2026 Case: A 29-year-old healthy man presents to the emergency department […] The post SGEM#512: When you go your way, and I Go Mine – Surgery or Antibiotics for Acute Appendicitis. first appeared on The Skeptics Guide to Emergency Medicine.

Listen in on the filmmakers associated with the new Documentary, Into the Unknown, The Paramedics' Journey.  Podcast Host and producer on the documentary, Tonya Mantooth interviews Executive Producer Randy Mantooth, star of the legendary TV Show EMERGENCY along with producers Steve Martin, Assistant Fire Chief LA County (ret) and Dr. Baxter Larmon, Professor Emeritus of Emergency Medicine at the David Geffen School of Medicine at UCLA.  The group discusses why it was so important to tell the story of what paramedics face today.  The producers share serious and humorous stories while filming Into the Unknown documentary. 

What if success in medicine didn't require sacrificing your family, your peace, or the life you actually want to live?In this heartfelt and deeply insightful episode of Limitless MD, Dr. Vikram Raya sits down with Dr. Kristina Kypuros for a powerful conversation about what it truly means to build a meaningful life as a modern physician.Together, they unpack the evolving identity of today's doctors — physicians who are no longer willing to wait until retirement to enjoy their lives. From entrepreneurship and real estate investing to parenting, relationships, self-love, and intentional living, this episode explores how high-performing physicians can create success without losing themselves in the process.Dr. Kypuros shares her journey balancing medicine, motherhood, marriage, innovation, and wealth-building while staying grounded in purpose and presence. Meanwhile, Dr. Raya opens up about imposter syndrome, coaching, mindset shifts, resilience, and the philosophies helping him navigate growth, grief, ambition, and fulfillment in this next chapter of life.This conversation is both practical and deeply human — a reminder that building an extraordinary life is less about achieving more and more about becoming aligned with what matters most.“I want to include my children in everything I build without sacrificing time with them.”~ Dr. Kristina KypurosIn This Episode:Why today's physicians are redefining success and lifestyle designThe shift from traditional medicine into entrepreneurship and intentional livingHow coaching and mentorship can completely transform your trajectoryNavigating imposter syndrome and building true self-beliefWhy presence matters more than productivityThe importance of family, community, and designing a meaningful life nowHow to balance ambition with peace and fulfillmentLessons from stoicism, mindfulness, and European cultureWhy simplicity and surrender are becoming the new markers of successDaily practices and mindset shifts that help high performers stay groundedDr. Jessie Mahoney's Framework for FlowRegulate your nervous system before trying to optimize your scheduleReplace constant hustle with intentional pauses and awarenessBuild capacity through rest, presence, and recovery—not more outputPractice micro-moments of mindfulness throughout your dayReconnect with your internal signals instead of relying on external validationRedefine success from doing more to feeling alignedAbout Dr. Kristina KypurosDr. Kristina Kypuros is a wife, mother, and physician specializing in Pediatric Critical Care and Emergency Medicine. Beyond medicine, she is passionate about innovation, entrepreneurship, and real estate investing alongside her husband as they intentionally build a legacy-centered life for their family.She is currently developing an invention idea, writing a children's book inspired by her Greek and Mexican heritage, and empowering others to dream bigger, take action, and create lives rooted in purpose, alignment, and freedom.Connect with Vikram:

Have you ever left a doctor's appointment feeling confused, dismissed, or unsure of what to do next? In this episode, I sit down with Dr. Sarah Jamison, a board-certified emergency medicine physician, medical news correspondent, and health educator, to talk about how to advocate for yourself in today's healthcare system. Together, we discuss practical ways to communicate with your healthcare team, questions to ask during appointments, signs it may be time to seek a second opinion or find a new provider, and why speaking up about your symptoms matters. Dr. Jamison also shares insights from both the emergency room and the media world on common healthcare misconceptions and how patients can feel more empowered when navigating their care. WATCH THE FULL VIDEO ON YT: https://www.youtube.com/watch?v=guTUOyYME5o In this episode, we discuss: Why self-advocacy is an important part of healthcare Questions to ask at your next doctor's appointment How to prepare for appointments and make the most of your time Signs you may need a second opinion Red flags that it may be time to find a new doctor Common mistakes patients make when communicating symptoms How to navigate healthcare with confidence Her Side by Flourish Heights was made for women, by women. To be empowered in health starts with a true connection with your body. Join Valerie Agyeman, a women's health dietitian and journalist as she explores overlooked women's health conversations, blending expert insight with real stories around periods, hormones, nutrition, and body awareness.  About Dr. Sarah Jamison Dr. Sarah G. Jamison is a board-certified Emergency Medicine physician who has been in clinical practice for over a decade. She is a native New Yorker and a proud alumna of Spelman College in Atlanta, GA. After finishing medical school at SUNY Downstate Medical Center in Brooklyn, NY, she went on to complete her residency training in Emergency Medicine at Jacobi and Montefiore Medical Centers. She served as Chief Resident during her final year of residency. As an emergentologist working on the front of the frontlines of the COVID-19 pandemic, Dr. Sarah was humbled to win the Essential Heroes Award by Essence Magazine. When she isn't in the ER, Dr. Jamison is very active as a freelance medical news correspondent as well as a “Medfluencer” on social media. She uses her social platforms to promote health education and medical literacy to an audience of over 120,000 followers. In her personal time, Dr. Jamison loves traveling, spending time with her family, and is the proud aunt to 7-year-old Zion, 4-year-old Shiloh, and 1-year-old Arielle. Connect with Dr. Jamison: IG: @dr.sarah_jam  Website: https://drsarahsaidso.com/ Youtube: https://www.youtube.com/@Dr.Sarah_Jam Is there a topic you'd like covered on the podcast? Submit it to hello@flourishheights.com Subscribe to our quarterly newsletters: Flourish Heights Newsletter Visit our website + nutrition blog: www.flourishheights.com Follow us on social media: Instagram: @flourishheights / Women's Health Hub: @hersidebyfh / @valerieagyeman Youtube channel: https://www.youtube.com/@flourishheights Want to support this podcast? Leave a rating, write a review and share! Thank you!

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  

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   Outro music: Millionth Time - Spinitch https://spinitch.bandcamp.com/album/run-for-the-arts-spinstrumentals

Whole blood is the current bright, shiny thing in EMS medicine. It works in the hospital and is what our patients are bleeding out onto the road so it just seems to make sense that we should put back what they're loosing. But… is it any better than blood components? That's the question the authors of TOWAR tried to answer. One of those authors, Dr Frank Guyette, joins us for a two episode interview about this trial and about trials in general. Dr Guyette is an EM and EMS physician, medical director for STATMedEvac, and Professor of Emergency Medicine at University of Pittsburgh. He is also a research leaders with the LITES network, the parent network for the TOWAR trial. We discuss the challenges of conducting large, multi-center randomized controlled trials in episode I, including funding and the ethics of prehospital research. In episode II, we'll jump into the details of the TOWAR trial itself.Reference:1. Sperry JL, Guyette FX, Cotton BA, et al.: Prehospital Resuscitation with Type O Whole Blood for Trauma and Hemorrhage. N Engl J Med. doi: 10.1056/NEJMoa2602167 (Epub ahead of print).

In this episode, the we welcome back guest host, Dr. Neelou Weeker, and ED nurse, Leigh Clary, to discuss the critical intersection of language barriers, patient equity, and emergency care. Through two powerful clinical scenarios, the team explores the “gold standards” of medical translation, the challenges of resource-limited community settings, and how TeamSTEPPS tools—specifically closed-loop communication and situational monitoring—can be leveraged to ensure true informed consent and patient safety. The Gold Standard vs. Clinical Reality Providing equitable care means ensuring every patient, regardless of language or culture, fully understands their medical team. While academic centers are often highly resourced, executing communication seamlessly remains a universal challenge. 1. Translation Tools and Hierarchy The Gold Standard: Video- or audio-based professional interpretation tablets allow face-to-face or direct vocal translation. The Secondary Backup: In-house dual-handset “blue phones” connect directly to professional phone lines when tablets experience connectivity issues. The Tertiary Backup: Multilingual staff members can help act as a bridge. Many institutions feature language fluencies on staff ID badges. Note: Staff members should only be used to establish initial rapport or identify the required dialect, not as official medical interpreters. The Danger of Family Interpreters: While family members bring invaluable cultural context and an understanding of the patient’s baseline, studies show they only correctly interpret medical dialogue 19% of the time. The Bottom Line: Always utilize the official route first. When technology fails, do your absolute best—never settle for “good enough” when better communication is possible. 2. Academic vs. Community and Rural Settings Emergency medicine requires extreme adaptability. In resource-limited community or rural hospitals, finding an interpreter for less commonly spoken languages can take upwards of 30 minutes. Physicians must sometimes physically carry translation phones from room to room while managing other patients just to maintain an open line with a rare-dialect interpreter. Applying TeamSTEPPS to Patient Communication We routinely use TeamSTEPPS tools to communicate with our fellow clinicians, but we must remember that the patient is the most important member of the healthcare team. 1. Closed-Loop Communication & The Teach-Back Method To confirm true patient understanding, avoid simple “yes or no” questions, nods, or smiles. Instead, utilize the Teach-Back Method, requiring the patient to repeat the instructions or choices back to you in their own words. How to Phrase It (Taking Responsibility): “I want to make sure that I have been clear in what I’ve said to you. To help me feel reassured that I communicated everything correctly, could you tell me what you understand is going on?” Clinical Value: This is particularly vital for high-stakes decisions and ED discharge instructions. Multimodal Approach: In high-stakes moments, combine professional translation, family context, and teach-back to minimize errors. 2. Situational Monitoring Resuscitative environments are chaotic, and the primary physician trying to run a cod or secure an airway has immense cognitive load. The Team Safety Net: Other team members (nurses, techs, scribes) can help monitor the situation and catch critical communication errors. Reconciling Clinical Urgency with Informed Consent How do you balance the immediate need to save a life with the time-consuming process of formal translation? The ABC Priority: First and foremost, secure Airway, Breathing, and Circulation. If a patient presents to the ED in extremis and cannot communicate, clinicians must operate under the assumption that the patient wants life-saving measures performed. Task Delegation: While the medical team manages the immediate ABCs, immediately task support staff (such as social workers) with finding an official interpreter, locating family members, and gathering background information. Next Steps: Once the ABCs are stable, the team has the time and space to pause, establish formal translation, and dive deeper into informed consent for further procedures. Key Takeaways Acknowledge the Bias of Urgency: Time pressure can tempt us to bypass official translation channels. Guard against this by maintaining an equity-first mindset. Close the Loop with Patients: Ensure they can paraphrase their care plan or consent choices. Protect the Team via Shared Roles: Trust your teammates to monitor the big picture and catch subtle communication gaps during high-stress resuscitations. 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.  

It's hospital day five. The patient looked better yesterday… but now she's hypotensive, on vasopressors, acidotic, and spiraling toward multi-organ failure. The CT scan doesn't show perforation or megacolon, but your gut tells you this is going south. Do you keep pushing medical therapy… or is it time to operate?Join Drs. Rushabh Dev, Jeffrey Coughenour, Kevin Bartow, Raymond Okeke, and Desra Fletcher from the Emergency General Surgery team in Tiger Country at Mizzou as they tackle one of the deadliest and most challenging diseases acute care surgeons face: fulminant Clostridioides difficile infection. In this Clinical Challenges episode, the panel discusses diagnostic stewardship, ASCRS recommendations, timing of operative intervention and technique, subtotal colectomy versus diverting loop ileostomy with lavage, and physiology that should push surgeons toward definitive source control. Through a real-world high-risk case vignette, the team explores the hardest question in emergency general surgery: when to stop hoping medical therapy will work and pull the operative trigger.Hosts Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve  Dr. Jeffery Coughenour FACS (Surgical Attending) – Professor of Surgery and Emergency Medicine, Trauma Medical Director at the University of Missouri SOM Dr. Kevin Bartow FACS (Surgical Attending) –Professor of Surgery, Minimally Invasive Surgeon and General Surgery. Department of General Surgery at the University of Missouri SOM Raymond Okeke – Acute Care Surgery/Surgical Critical Care Fellow, University of Missouri School of Medicine  Desra Fletcher – PGY 3 General Surgery Resident, University of Missouri School of Medicine  Learning ObjectivesBy the end of this episode, listeners should be able to: Define the spectrum of Clostridioides difficile infection (CDI), including non-severe, severe, and fulminant disease, and recognize the physiologic implications of fulminant colitis.  Review contemporary diagnostic stewardship for CDI, including appropriate stool testing, pitfalls of PCR/NAAT interpretation, and the role and limitations of CT imaging in fulminant disease.  Describe evidence-based medical management of fulminant CDI, including high-dose enteral vancomycin, intravenous metronidazole, rectal vancomycin for ileus, and principles of antimicrobial stewardship.  Recognize the high-risk clinical features that should prompt urgent surgical evaluation, including worsening shock, vasopressor dependence, lactate elevation, organ failure, and evolving abdominal exam findings.  Discuss the operative indications and timing for surgery in fulminant CDI and understand why delayed intervention contributes to mortality.  Compare subtotal colectomy with end ileostomy versus diverting loop ileostomy with antegrade lavage, including current evidence, patient selection, limitations of the literature, and ASCRS recommendations.  Review practical operative strategies for subtotal colectomy in unstable patients, including damage-control principles and common technical pitfalls.  Apply clinical reasoning to a complex, high-risk case of fulminant CDI in a patient with decompensated cirrhosis, septic shock, and multi-organ dysfunction.  References ASCRS Clinical Practice Guidelines for *Clostridioides difficile* Infection (2021)  Surgical Management of *Clostridium difficile* Colitis — Neal et al., 2011 (Loop Ileostomy + Lavage Protocol)  Clinical Practice Guidelines for *Clostridioides difficile* Infection in Adults and Children (IDSA/SHEA, 2021 Update)  Adjunctive Hyperbaric Oxygen and Surgical Outcomes in Necrotizing Soft Tissue Infections (Background discussion of severe infection physiology)  Total Abdominal Colectomy Versus Diverting Loop Ileostomy for Fulminant CDI — Systematic Review & Meta-analysis  Current Status of Surgical Therapy for Fulminant *Clostridioides difficile* Colitis  Behind the Knife Episode 648 – Emergency General Surgery Journal Review: *Clostridioides difficile* Infection  Bottom line: Fulminant C. diff is one of the few EGS diseases where the hardest decision is not what operation to perform — it's recognizing when medical therapy has failed before the patient becomes unsalvageable.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