Podcasts about Emergency medicine

In November 30th's exhortation, Larson Hicks encourages you to sing more carols, bake more cookies, give more gifts, drink more wine, and laugh more loudly this Christmas season. For our feasting, generosity, and decorations preach the message of the incarnation: matter matters! Larson and his wife, Bethany, have 8 children. They were high school sweethearts in Texas and spent the first 10 years of their marriage in Moscow, ID, where Larson graduated from New St. Andrew's College and Bethany from Washington State University.  Larson is the CEO of Sycamore Independent Physicians – a healthcare staffing company focused on Emergency Medicine. Trinity Reformed Church is a CREC church in Huntsville, AL seeking to extend and unite the Kingdom in the Huntsville area. Check out our website, Facebook or YouTube!

What happens when your childhood calling collides with a system that limits your capacity to live it out?In this Echo Episode, Dr. Maria Sturchler shares her extraordinary journey from first-generation college student to educator to medical student, years after being told she “wouldn't make it” in medicine. Now double board-certified in Emergency Medicine and Palliative Care, Maria reveals how serendipity, mentorship, and resilience brought her back to her original dream on her own terms.She and Andrea unpack the realities pushing talented clinicians out of traditional EM practice: night shifts, moral injury, violence in the ED, corporate interference, loss of autonomy, and the identity crisis that comes with stepping away. Maria gives voice to the hidden grief, burnout, and shame physicians carry when “the path” no longer fits.But this is not a story of defeat. Maria now leads an innovative palliative care model embedded inside the emergency department, freeing EM physicians from burdens that don't belong to them, reducing patient suffering, and restoring meaning to clinical work. Her message is equal parts invitation and disruption: medicine is not a prison. It's a “choose-your-own-adventure” and there are more off-ramps, pivots, and second chances than most physicians believe.You'll Hear How They:Reframe imposter syndrome and harmful feedback that derails dreamsNavigate grief when an identity built on EM no longer aligns with personal well-beingDescribe the hidden toll of EM: disrupted circadian rhythm, motherhood challenges, pandemic trauma, and corporate shiftsIntegrate palliative care inside the ED, reducing length of stay, improving communication, and radically supporting EM physiciansUse mentorship, self-inquiry, and values alignment to identify career pivots About the Guest“Medicine is choose-your-own-adventure.” — Dr. Maria SturchlerDr. Maria Sturchler is a dual board-certified physician in Emergency Medicine and Palliative Care, a three-time Ironman competitor, and a former mathematics educator whose doctoral work examined gender disparities in STEM. After being discouraged from medicine early on, serendipity and mentorship led her back to her calling. Today, she helps patients, families, and clinici'hat integrate palliative medicine directly into emergency care.LinkedIn: linkedin.com/in/mariasturchlerWebsite: sturchlermd.comResources + MentionsUnlocking Us podcast — Brené BrownBring 'Em All In (referenced EM mantra)Multidisciplinary collaboration models in palliative and acute careTop 3 Key TakeawaysCareer paths are not linear—nor should they be: Your training is a foundation, not a life sentence. EM skills travel well into palliative care, leadership roles, education, coaching, and hybrid models that better honor your values.Boundaries are not betrayal—they are survival: Choosing your health, family, sleep, identity, and emotional bandwidth is not weakness. It is wisdom. Physicians cannot sustain compassion without protecting their humanity.The future belongs to systems that humanize care: Embedded palliative programs, interdisciplinary partnerships, and values-based innovations reduce burnout, shorten ED holds, and restore dignity to medicine—one conversation at a time.

(NOTE regarding this episode: Ben and I both live in semi-remote areas with not the best internet connectivity, and this shows here-and-there in this episode with some audio-oddities. I am very sorry about that, but nevertheless, listeners can contextually understand Ben's points when the hiccup periodically occurs.) Dr. Ben Mattingly along with his wife, Jennifer Mattingly, PA-C, founded and own Wild Med Adventures. He is also the Founder and former Director of the Wilderness Medicine Fellowship Program at Baystate Medical Center, and former Assistant Professor at the University of Massachusetts Medical School's Department of Emergency Medicine.  Ben has a passion for the wilderness and has traveled throughout the world, including a year working in a small ER in New Zealand. With his father he's summited Mt. Ranier, Denali, and Vinson Massif in Antarctica. In 2023, he summited Everest, and completed his goal of tackling the Seven Summits. He has taught wilderness medicine while climbing the highest mountain in Mexico, and in Guatemala, he summited the highest peak in Central America. In addition to mountaineering, Ben rock climbs, scuba dives, backpacks, and is a triathlete, skier, and off-road and extreme sports enthusiast.  He served as the Team Doctor for an American Hockey League team, and has been active in wilderness medicine and medical education throughout his career. Ben was twice awarded the Outstanding Teacher of the Year by his emergency medicine residents, and he has taught wilderness medicine in over 10 countries. Boy, talk about living your life in full, Ben is the poster boy for doing so, and in service of others. We started things off with his origin story, what drew him to medicine, to specialize in emergency medicine, and then subspecialize in wilderness medicine. Don't miss this inspiring and engaging conversation with one of the greats. #wildernessmedicine #emergencymedicine #medicaleducation #entrepreneurship #mountaineering #adventuretravel #alpinism

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 management of AE-ILD exacerbations. For more on evaluation, take a listen to Part 1. 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

Welcome to the Choosing Wisely Campaign series! This is the fifth and final episode of our 5-part series exploring the ABIM Foundation's Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures. Our last case-based episode focuses on a school-aged male presenting with new-onset enuresis. After a discussion of the differential diagnosis and evidence-based evaluation strategies, we apply recommendations from multiple AAP Choosing Wisely lists to create a care plan that is safe, resource-conscious, and child-centered. Throughout this episode, we'll highlight how ethical care principles—beneficence, nonmaleficence, autonomy, and justice—guide high-value decision-making and help us avoid unnecessary imaging, laboratory studies, and interventions that add cost without improving outcomes. This familiar case in pediatrics is worthy of a rewind to relisten to a throwback episode that will reinforce your skills and emphasize the clinical diagnosis and management without added diagnostics, referrals, or medications.  This case closes out our series on Choosing Wisely in Pediatrics, but the principles we've explored should continue to inform your practice every day. If you missed earlier episodes, rewind to learn more about the campaign's background and listen to cases on fever and cough, gastroenterology presentations, and more.   Series Learning Objectives: Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign. Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship. Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed. Modified rMETRIQ Score: 15/15 What does this mean?   Competencies: AACN Essentials: 1: 1.1 g; 1.2 f; 1.3 d, e 2: 2.1 d, e; 2.2 g; 2.4 f, g; 2.5 h, i, j, k 7: 7.2 g, h, k 9: 9.1i, j; 9.2 i, j; 9.3 i, k NONPF NP Core Competencies: 1: NP 1.1h; NP 1.2 k, m; NP 1.3 f, j, h 2: NP 2.1 j, g; NP 2.2 k, n; NP 2.4 h, i; NP 2.5 k, l, m, n, o 7: NP 7.2 m 9: NP 9.1 m, n; NP 9.2 n; NP 9.3 p References: AAP Section on Emergency Medicine & Canadian Association of Emergency Physicians. (2022). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWEmergencyMedicine.pdf AAP Section on Gastroenterology, Hepatology, and Nutrition. (2023). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWGastroenterology.pdf AAP Section on Urology. (2022). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWUrology.pdf Daniel, M., Szymanik-Grzelak, H., Sierdziński, J., Podsiadły, E., Kowalewska-Młot, M., & Pańczyk-Tomaszewska, M. (2023). Epidemiology and Risk Factors of UTIs in Children-A Single-Center Observation. Journal of personalized medicine, 13(1), 138. https://doi.org/10.3390/jpm13010138 McMullen, P.C., Zangaro, G., Selzer, C., Williams, H. (2026). Nurse Practitioner Claims and the National Practitioner Data Bank: Trends, Analysis, and Implications for Nurse Practitioner Education and Practice. Journal for Nurse Practitioners, 22(1), p. 105569, https://doi-org.proxy.lib.duke.edu/10.1016/j.nurpra.2025.105569 Tabbers, M. M., DiLorenzo, C., Berger, M. Y., Faure, C., Langendam, M. W., Nurko, S., Staiano, A., Vandenplas, Y., Benninga, M. A., European Society for Pediatric Gastroenterology, Hepatology, and Nutrition, & North American Society for Pediatric Gastroenterology (2014). Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. Journal of pediatric gastroenterology and nutrition, 58(2), 258–274. https://doi.org/10.1097/MPG.0000000000000266 UCSF Benioff Children's Hospitals. (n.d.). Constipation & urologic problems. https://www.ucsfbenioffchildrens.org/conditions/constipation-and-urologic-problems Vaughan, D. (2015). The Challenger Launch Decision: Risky Technology, Deviance, and Culture at NASA. University of Chicago Press. DOI: 10.7208/chicago/9780226346960.001.0001 Wilbanks, Bryan A. PhD, DNP, CRNA. Evaluation of Methods to Measure Production Pressure: A Literature Review. Journal of Nursing Care Quality 35(2):p E14-E19, April/June 2020. | DOI: 10.1097/NCQ.0000000000000411

Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria.   Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w

Date: November 26, 2025 Reference: Ray et al. Emergency Department Visit Frequency Among Adults with Chronic Abdominal Pain: Findings From the 2023 US National Health Interview Survey. AEM November 2025. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She’s a seasoned knowledge translator with […] The post SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits first appeared on The Skeptics Guide to Emergency Medicine.

Happy Turkey Day! Join host Dr. Phil Moy as we dive straight into a topic that has "stirred up more conversation than a potluck dinner at an EMS station": the prehospital management of spinal injuries. We are here to highlight the critical manuscript "Prehospital Management of Spinal Cord Injuries, an NAEMSP Comprehensive Review and Analysis of the Literature", a pivotal document within the Prehospital Trauma Compendium. To discuss this hot topic, Dr. Moy welcomes two very special guests. First, we have Dr. John Gallagher, an emergency and EMS physician from Kona, Hawaii, and one of the authors of this comprehensive review. Second, we are thrilled to welcome Dr. Ken Milne, recognized as the podcaster from The Skeptic's Guide to Emergency Medicine. Our goal is to provide an objective discussion about the pros and cons of this manuscript so that you, our EMS clinicians and NAEMSP audience, can make your own informed decisions based on the facts. Featured Article: Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature: https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2541258 Link to The Skeptic's Guide to EM review of this paper: SGEM#493: You Can't Hold Me Down with Spinal Motion Restrictions: https://thesgem.com/2025/11/sgem493-you-cant-hold-me-down-with-spinal-motion-restrictions/ As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaeljukim) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD

Becoming a parent can feel like stepping into a world no one warned you about. It is messy, magical and completely overwhelming. For many of us one filled with so many newexperiences that we don't feel prepared for. In this episode, physician Dr Kailey Buller joins me to share what she really wishes she'd knownbefore baby, and how even a doctor can feel totally unprepared for motherhood. We discuss the first year of parenting and the challenges that come up throughout it. Dr Kailey and I talk about: The shock of becoming a first-time parent – even as a doctor trained in infant care How her personal struggle led to writing a book and launching parent education classes Feeding basics: Why we need more honest conversations around formula, breastfeeding, andcombo feeding Mental health and postpartum recovery: What's normal, what's not, and when to seek help Sleep: What “sleep training” really means (and why it's not one-size-fits-all) Colic: What it is, what it isn't, and how to manage the overwhelm Relationship dynamics after baby: Navigating communication, intimacy, and the evolving partnership Letting go of perfectionism and unrealistic “supermom” expectations What real self-care looks like – beyond the shower and bubble bath clichés Dr. Buller is a local physician and mother of two, specializing in Emergency Medicine and Low RiskObstetrics at Norfolk General Hospital in Southern Ontario. She is the author of “Surviving TinyHumans: The Messy Truth About Parenthood and Your Guide to Baby's First Year”. Inspired by the terrifying realization that her professional life had not prepared her for the realitiesof motherhood, Dr. Buller launched herself on a new mission: making parenting less daunting. Her unfiltered, unapologetic approach to parenting offers any caregiver a humorous yet practicalguide to stepping in to their new roles as Keepers of the Tiny Humans. Episode Links: o Say hi to Dr Kailey on Instagram or TikToko Learn more about Dr Kailey and her workshops at Vitals with Bullero Read Surviving Tiny Humans o Come say hello to me on Instagram o Read my books The Motherhood Reset, Nourished Mama and Mama Let It Goo Read my Picky Eating Guide

Welcome back to Resiliency Radio with Dr. Jill Carnahan, where we bring you cutting-edge conversations with leading experts in longevity, regenerative medicine, and whole-body healing. In today's episode, Dr. Jill sits down with Dr. Khoshal Latifzai, a Dartmouth-trained, Yale-residency Emergency Medicine physician and co-founder of Rocky Mountain Regenerative Medicine, to explore the future of personalized healthcare. This powerful discussion dives deep into regenerative medicine, innovative longevity therapies, and the systemic challenges doctors and patients face in today's healthcare system. You'll learn how advanced treatments—like hyperbaric oxygen therapy, ozone therapy, and cellular therapies—are transforming lives, improving recovery, and helping people optimize their vitality at every stage of life.

Caudal Epidural Steroid Injection with PRP Case Reports and a Testimonial! Upcoming Training Courses and Services Regional Anesthesia and IV Vascular Access Courses: New York and Detroit locations scheduled Pain Management Board Preparation   Private Coaching Services: Ultrasound guidance Preceptorship Board preparation coaching Contact available via email Info@NRAPpain.org for interested physicians PRP Caudal Epidural Research Review Study Overview: Randomized double-blind controlled pilot study comparing leukocyte-rich PRP versus corticosteroids in caudal epidural space 50 patients randomly assigned to two groups Treatment options: triamcinolone 60mg or leukocyte-rich PRP from 60ml autologous blood Follow-up assessments at 1, 3, and 6 months using VAS and SF-36 surveys Key Findings: Both treatments showed significant pain reduction compared to baseline Steroid group had lower VAS scores at one month PRP group demonstrated superior results at 3 and 6 months PRP group showed significant improvement across all SF-36 domains at 6 months No complications or adverse effects in either group during 6-month follow-up Personal Treatment Experience Dr. Rosenblum received transforaminal PRP injection 9-10 weeks ago Gradual improvement noted from weeks 4-8, with more noticeable benefits from weeks 8-10 Current status: minimal pain (0.5/10) only during weather changes Clinical Practice Philosophy Treatment Approach: Minimalist philosophy focusing on turmeric, PRP, and Pilates Medication Strategy: Low-dose naltrexone as go-to medication, avoiding long-term drugs with side effects Surgical Avoidance: Prioritizing conservative treatments over unnecessary surgical interventions Emergency Department PRP Implementation Case Study Results: Ultrasound-guided caudal epidural steroid injection in ER setting 100% pain resolution achieved Patient discharged directly from ER Cost savings: reduced from $33,000 to $4,800 (approximately $28,000 savings) Training Opportunities: Private training sessions available for ER physicians interested in ultrasound-guided procedures Patient Testimonial Highlights Case Background: Nurse with herniated disc from March, previously considering $30,000 surgery Treatment Outcome: PRP injection completed two months ago with nearly complete pain relief Reduced from multiple pain medications to one Advil daily Eliminated antalgic posture and muscle spasms Returned to full 12-hour hospital shifts without difficulty Overall quality of life restored to normal levels David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.    Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Irvan J. Bubic, Jessica Oswald, Ultrasound-Guided Caudal Epidural Steroid Injection for Back Pain: A Case Report of Successful Emergency Department Management of Radicular Low Back Pain Symptoms, The Journal of Emergency Medicine,Volume 61, Issue 3,2021,Pages 293-297,ISSN 0736-4679 Ruiz‐Lopez, Ricardo, and Yu‐Chuan Tsai. "A randomized double‐blind controlled pilot study comparing leucocyte‐rich platelet‐rich plasma and corticosteroid in caudal epidural injection for complex chronic degenerative spinal pain." Pain Practice 20.6 (2020): 639-646. #prppain #paincme #sciatia #ultrasoundmsk #ultrasoundprp #epidural #nypaindoctor #prppainwindsor

Dr. Randy Frederick isn't your typical ketamine provider. As a former military flight surgeon and EM physician, he's spent nearly several years developing a "psychospiritual" approach to ketamine therapy. And his perspective challenges a lot of the conventional thinking in this field.In this conversation, Randy shares his evolution from following traditional clinical protocols to building something completely different. He talks openly about viewing ketamine as a catalyst rather than a cure, and why that distinction fundamentally changes how he works with patients.What makes this episode different? Randy doesn't just talk theory. He shares his own transformation journey. From losing his spiritual connection in college to rediscovering it through his own healing work, he's transparent about how his personal growth directly shapes the way he cares for patients. His focus on mind-body-spirit integration and helping patients reconfigure their relationship with their own minds comes from lived experience, not just clinical training.What You'll Learn in This Episode・ Why ketamine should be viewed as a catalyst, not a cure and how that philosophy changes everything about treatment・ The real challenges and rewards of transitioning from physician employee to clinic owner・ How meditation and awareness practices actually complement ketamine therapyEpisode 45 show notes:00:00 - Teaser - Ketamine is not a cure…00:28 - Episode introduction01:43 - Welcome Dr. Frederick to the show02:30 - Dr. Frederick's background: ER medicine, social media discovery moment, initial research phase05:20 - The stories that convinced Dr. Frederick: patient transformations and life-saving impact08:00 - Dr. Frederick's evolution from clinical to psychospiritual approach over the years12:00 - Why ketamine is a facilitator/catalyst, not a cure - the consciousness perspective16:30 - Dr. Frederick's personal spiritual journey: losing faith in college, rediscovering spirituality19:30 - Military background: Navy flight surgeon, Iraq deployment, veteran mental health insights22:30 - The broader psychedelic landscape: psilocybin, MDMA, stakeholder challenges26:30 - Harvard Law School psychedelic summit and Zero L course experience29:30 - Reality of clinic ownership: wearing many hats, constant challenges, HR difficulties34:30 - The five types of wealth: choosing time and lifestyle over maximum income37:30 - Bombing story discussion, perspective shifts, and choosing growth over victimhood42:00 - Mind-body-spirit integration: ego dissolution, mindfulness practice, meditation49:00 - Advice for aspiring clinic owners: having your why, mentorship, team building50:30 - Rapid fire questions: desert island choices, relaxation rituals, hidden talents57:00 - Contact information and closing remarksThanks for listeningConnect with Dr. Frederick at:WebsiteInstagramMetaSelected Links From the Episode: These book links in these show notes are Amazon affiliate links. If you purchase through these links, we may earn a small commission at no additional cost to you.

Caudal Epidural Steroid Injection with PRP Case Reports and a Testimonial! Upcoming Training Courses and Services Regional Anesthesia and IV Vascular Access Courses: New York and Detroit locations scheduled Pain Management Board Preparation   Private Coaching Services: Ultrasound guidance Preceptorship Board preparation coaching Contact available via email Info@NRAPpain.org for interested physicians PRP Caudal Epidural Research Review Study Overview: Randomized double-blind controlled pilot study comparing leukocyte-rich PRP versus corticosteroids in caudal epidural space 50 patients randomly assigned to two groups Treatment options: triamcinolone 60mg or leukocyte-rich PRP from 60ml autologous blood Follow-up assessments at 1, 3, and 6 months using VAS and SF-36 surveys Key Findings: Both treatments showed significant pain reduction compared to baseline Steroid group had lower VAS scores at one month PRP group demonstrated superior results at 3 and 6 months PRP group showed significant improvement across all SF-36 domains at 6 months No complications or adverse effects in either group during 6-month follow-up Personal Treatment Experience Dr. Rosenblum received transforaminal PRP injection 9-10 weeks ago Gradual improvement noted from weeks 4-8, with more noticeable benefits from weeks 8-10 Current status: minimal pain (0.5/10) only during weather changes Clinical Practice Philosophy Treatment Approach: Minimalist philosophy focusing on turmeric, PRP, and Pilates Medication Strategy: Low-dose naltrexone as go-to medication, avoiding long-term drugs with side effects Surgical Avoidance: Prioritizing conservative treatments over unnecessary surgical interventions Emergency Department PRP Implementation Case Study Results: Ultrasound-guided caudal epidural steroid injection in ER setting 100% pain resolution achieved Patient discharged directly from ER Cost savings: reduced from $33,000 to $4,800 (approximately $28,000 savings) Training Opportunities: Private training sessions available for ER physicians interested in ultrasound-guided procedures Patient Testimonial Highlights Case Background: Nurse with herniated disc from March, previously considering $30,000 surgery Treatment Outcome: PRP injection completed two months ago with nearly complete pain relief Reduced from multiple pain medications to one Advil daily Eliminated antalgic posture and muscle spasms Returned to full 12-hour hospital shifts without difficulty Overall quality of life restored to normal levels David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.    Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Irvan J. Bubic, Jessica Oswald, Ultrasound-Guided Caudal Epidural Steroid Injection for Back Pain: A Case Report of Successful Emergency Department Management of Radicular Low Back Pain Symptoms, The Journal of Emergency Medicine,Volume 61, Issue 3,2021,Pages 293-297,ISSN 0736-4679 Ruiz‐Lopez, Ricardo, and Yu‐Chuan Tsai. "A randomized double‐blind controlled pilot study comparing leucocyte‐rich platelet‐rich plasma and corticosteroid in caudal epidural injection for complex chronic degenerative spinal pain." Pain Practice 20.6 (2020): 639-646. #prppain #paincme #sciatia #ultrasoundmsk #ultrasoundprp #epidural #nypaindoctor #prppainwindsor

Send us a textDr. Ritu Saluja-Sharma, MD is a double-board–certified physician in Emergency Medicine and Lifestyle Medicine, and the visionary founder of Head Heart Hands ( https://www.headhearthandsmd.com/ ), a comprehensive, holistic wellness program for individuals and organizations.Dr.  Saluja-Sharma earned her M.D. from Wake Forest University School of Medicine and completed her undergraduate studies at the University of North Carolina at Chapel Hill. For over 15 years, Dr. Saluja-Sharma has worked on the front lines in hospital emergency departments in the Washington, D.C. area, confronting firsthand the chronic and lifestyle-driven illnesses that plaque a large portion of our population and lead to many of the acute emergencies she saw in the ER.Driven by the belief that many conditions she treated in the ER could have been prevented, she created Head Heart Hands to offer science-based coaching, corporate wellness programs, and engaging family-friendly resources. Her latest work, The Wonder of What We Eat Cookbook / Workbook series ( https://www.amazon.com/stores/author/B0FPMLYSYB/allbooks?ingress=0&visitId=71acc446-4655-42d6-908b-da16920d4108&ref_=ap_rdr ) , co-created with her children, focuses on the pediatric obesity epidemic and brings more than 75 kid-friendly, nourishing recipes to life, grounded in her teaching framework that connects Head (knowledge), Heart (mindset), and Hands (practical skills).Dr. Saluja-Sharma's work stands at the intersection of acute care and long-term prevention. She's passionate about shifting healthcare from reaction to resilience—helping individuals and communities thrive, not just survive.#RituSalujaSharma #EmergencyMedicine #LifestyleMedicine #HeadHeartHands #WakeForestUniversitySchoolOfMedicine #MetabolicHealth #RootCauses #UltraProcessedFoods #CalorieDenseFoods #SedentaryLifestyles #SleepDisruption #Stress #Genetics #Epigenetics #SocioeconomicFactors #FoodAsMedicine #TheWonderOfWhatWeEat #Incretin #Insulin #Leptin #Ghrelin #Microbiome #Phytochemicals #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #STEM #Innovation #Technology #Science #ResearchSupport the show

Date: November 8, 2025 Reference: Millin M, et al., Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature, Prehospital Emergency Care, Aug 2025. Guest Skeptic: Clay Odell, BSN, NRP, RN, is a Paramedic Firefighter with Newport (NH) Fire-EMS. He is a past Chief of the […] The post SGEM#493: You Can't Hold Me Down with Spinal Motion Restrictions first appeared on The Skeptics Guide to Emergency Medicine.

Dr. Jillian Merica, an emergency medicine physician, shares her story of transitioning from a middle school science teacher to a career in medicine and how locum tenens work gave her the flexibility to thrive. She explains her unconventional path, her first locums assignment in the U.S. Virgin Islands, and the lessons she learned balancing family life with a demanding clinical career. From cultural experiences to financial planning and finding permanent roles through locums, Dr. Merica offers candid advice and practical insights for anyone considering locum tenens or a career pivot in medicine.Ready to explore your own locum tenens journey? Connect with Global Medical Staffing today at globalmedicalstaffing.com to discover assignments that fit your lifestyle.

In this first installment of our Medicine on the Go series, we explore how care is moving beyond hospital walls and directly into the community through UC Davis Fire Department's innovative mobile mental health crisis unit, Health 34. You'll hear how this no-cost, 24/7 team—staffed by providers with paramedic backgrounds and lay counselor training—meets people where they are to prevent crises, support mental health needs, and connect patients to the right resources before problems escalate. Health 34 Provider, Blythe Clark, joins us to share the origins of the program, how it works, who it serves, and what other communities can learn from this model. We'll explore how prehospital services can act as a powerful preventative tool and how collaborations like this could reshape the future of care far beyond campus. Do you have a program similar to Health 34 in your area? We'd love to hear how it's working and what you've learned. Share with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Blythe Clark, Health 34 Provider, UC Davis Fire Department Resources: Health 34 *** 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.

Caudal Epidural Steroid Injection with PRP Case Reports and a Testimonial! Upcoming Training Courses and Services Regional Anesthesia and IV Vascular Access Courses: New York and Detroit locations scheduled Pain Management Board Preparation   Private Coaching Services: Ultrasound guidance Preceptorship Board preparation coaching Contact available via email Info@NRAPpain.org for interested physicians PRP Caudal Epidural Research Review Study Overview: Randomized double-blind controlled pilot study comparing leukocyte-rich PRP versus corticosteroids in caudal epidural space 50 patients randomly assigned to two groups Treatment options: triamcinolone 60mg or leukocyte-rich PRP from 60ml autologous blood Follow-up assessments at 1, 3, and 6 months using VAS and SF-36 surveys Key Findings: Both treatments showed significant pain reduction compared to baseline Steroid group had lower VAS scores at one month PRP group demonstrated superior results at 3 and 6 months PRP group showed significant improvement across all SF-36 domains at 6 months No complications or adverse effects in either group during 6-month follow-up Personal Treatment Experience Dr. Rosenblum received transforaminal PRP injection 9-10 weeks ago Gradual improvement noted from weeks 4-8, with more noticeable benefits from weeks 8-10 Current status: minimal pain (0.5/10) only during weather changes Clinical Practice Philosophy Treatment Approach: Minimalist philosophy focusing on turmeric, PRP, and Pilates Medication Strategy: Low-dose naltrexone as go-to medication, avoiding long-term drugs with side effects Surgical Avoidance: Prioritizing conservative treatments over unnecessary surgical interventions Emergency Department PRP Implementation Case Study Results: Ultrasound-guided caudal epidural steroid injection in ER setting 100% pain resolution achieved Patient discharged directly from ER Cost savings: reduced from $33,000 to $4,800 (approximately $28,000 savings) Training Opportunities: Private training sessions available for ER physicians interested in ultrasound-guided procedures Patient Testimonial Highlights Case Background: Nurse with herniated disc from March, previously considering $30,000 surgery Treatment Outcome: PRP injection completed two months ago with nearly complete pain relief Reduced from multiple pain medications to one Advil daily Eliminated antalgic posture and muscle spasms Returned to full 12-hour hospital shifts without difficulty Overall quality of life restored to normal levels David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.    Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Irvan J. Bubic, Jessica Oswald, Ultrasound-Guided Caudal Epidural Steroid Injection for Back Pain: A Case Report of Successful Emergency Department Management of Radicular Low Back Pain Symptoms, The Journal of Emergency Medicine,Volume 61, Issue 3,2021,Pages 293-297,ISSN 0736-4679 Ruiz‐Lopez, Ricardo, and Yu‐Chuan Tsai. "A randomized double‐blind controlled pilot study comparing leucocyte‐rich platelet‐rich plasma and corticosteroid in caudal epidural injection for complex chronic degenerative spinal pain." Pain Practice 20.6 (2020): 639-646. #prppain #paincme #sciatia #ultrasoundmsk #ultrasoundprp #epidural #nypaindoctor #prppainwindsor

Concerts, marathons, golf outings...what is involved from a medical coverage readiness? Dr. Vince Mosesso, Emergency Medicine, discussed the behind the scenes planning assessments and logistics with interesting examples.  

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 interstitial lung disease and exacerbations. In Part 1, we discuss some background, presentation, and the ED evaluation. Part 2 will cover management. 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 

Date: November 12, 2025 Reference: Taccone et al. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury The TRAIN Randomized Clinical Trial. JAMA 2024 Guest Skeptic: Dr. Alex Weiler is an Emergency Department staff physician in the Peterborough Regional Health Centre and is an associate professor with Queen’s University Department of Family Medicine.  […] The post SGEM#492: Give Blood – To Anemic Patients with Acute Brain Injuries first appeared on The Skeptics Guide to Emergency Medicine.

Episode 310: Dr. Peter Antevy returns to Medic2Medic to catch up on what's new since his last visit, and a lot has happened from stepping into his new role as Chief Medical Officer for Brevard County Fire Rescue. Peter remains one of the most influential voices in emergency medical services today. In this episode, we talk about the 2025 AHA Guidelines, Handtevy, leadership in modern EMS systems, why EMS is the most important sub-specialty of Emergency Medicine, and how pediatric care continues to evolve thanks to his innovative approach. Peter shares real-world insights on translating new evidence into action and offers practical advice for providers on the front lines. If you're passionate about improving patient care, leadership, and EMS innovation, this episode is a must-listen.https://www.spreaker.com/episode/episode-310-peter-antevy--68475475Medic2Medic is back, bringing authentic voices, untold stories, and the human side of Emergency Medical Services and beyond.

Has been an attending physician since 2019Brian volunteered when he was a teenager in the ER and the staff that got him involved really drew him toward emergency medicine in med schoolBrian worked in the ED as an EMT as wellHe talks about early mentors and the impact they have, including helping him get loans for medical schoolWe need to remember to be like that mentor that encouraged us when we were new and pay it forward to the next generation of studentsYou must have something that drives you in emergency medicine, it is a difficult specialty. At first the dopamine drive from the excitement can carry you a ways but it will fade over timeBrian talks about how faith led him to where he is nowWe talk about the fulfillment of just having good conversations with patients and making sure they feel cared for and understoodBrian talks about recognizing burnout, it's a “general sense of not being whole” like something has been taken from youHe talks about the golden handcuffs of being a physicianBrian talks about how he overcomes exhaustion and burnoutCold plunging - forces you to be in the moment, control you heart rate and breathing Choosing hard things makes those hard things that are forced on you easierLiving in the moment is largely equated with happiness, the more you can do this the more you can be happy. Meditation and many other therapies are simply teaching you to keep your mind in the momentA wandering mind is an unhappy mindPrayer is another method for focusing your mindSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Estudio de Jarvis et al. (2025) Estudio con 12,713 pacientes fuera del hospital (excluyendo paros cardíacos). Cuatro grupos de manejo de vía aérea: RSI: 51.2% Sin medicamentos: 29.6% Solo sedación: 17.9% Solo paralíticos: 1.3% Resultado clave: RSI = mayor éxito al primer intento. OR ajustada RSI: 2.23 vs. sin medicamentos. RSI también superior a solo sedación: OR 2.14 RSI > solo paralítico: ligera diferencia (pero relevante clínicamente) ¿Qué es RSI y por qué importa? Proceso farmacológico controlado: sedante + paralítico. Ventajas: Minimiza reflejos de protección. Mejora la visualización glótica. Facilita una intubación más segura. RSI bien ejecutada reduce riesgos: hipoxia, aspiración, trauma laríngeo. Checklist MSMAID – Preparación Crítica Machine, Suction, Monitors, Airway, IV/IO, Drugs. Previene errores. Parte esencial del curso Advanced Airway Management de ECCtrainings. Éxito al Primer Intento = Indicador de Calidad Cada intento adicional → aumento de complicaciones. RSI reduce intentos → mejora seguridad del paciente. Esto valida incluir RSI como pilar de protocolos de manejo avanzado. Relación con las guías AHA 2025 AHA enfatiza mínima interrupción, máximo éxito en intubación. RSI apoya este objetivo. Guías aplicadas en nuestro currículo del curso Advanced Airway Management. RSI en Ambientes Tácticos y de Conflicto Contextos como TEMS, MCI o conflictos armados. RSI como herramienta clave para control rápido de vía aérea. Capacitación: Técnica y Táctica No es solo meter un tubo. Es dominio del protocolo, juicio clínico y manejo de equipo. Cursos ECCtrainings: simulación, casos reales, entrenamiento con maniquíes de alta fidelidad. Llamado a la acción Si quieres mejorar tu dominio de RSI y otras técnicas avanzadas: Inscríbete en nuestro curso Advanced Airway Management. Visita el calendario de cursos en

Podcast summary of articles from the September 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include anticoagulation reversal, suctioning during intubtion, push dose epinephrine, chat GPT in toxicology emergencies, IV access in hypotensive patients, and infant head injuries.  Guest speaker is Dr. Cory Ohradzansky.

Episode: 3339 Cradling the Body: The Eames Lounge Chair, Leg Splint, and Good Design.  The Eames Lounge Chair and Leg Splint

Originally developed as an anesthetic in the 1960s, ketamine has reemerged as one of modern psychiatry's most promising tools for treatment-resistant depression, anxiety, and post-traumatic stress disorder. Its superpower lies in working with your brain's glutamate receptors to create antidepressant effects. What does the future of psychedelic-assisted mental health care hold? Could this once-stigmatized molecule represent the future of mental health care and healing the mind from within?In this episode, we are joined by Dr. Mai Shimada, M.D., MBA, FAAEM. Dr. Shimada is a board-certified emergency medicine physician with over a decade of experience and is the founder and CEO of Isha Health, an online at-home ketamine clinic dedicated to providing safe and effective treatments for depression and anxiety.Dr. Shimada received her MD from the University of Tokyo, Emergency Medicine residency in the United States, and later on, completed the Psychedelic Facilitation Certification Program at the UC Berkeley Center for the Science of Psychedelics in two areas and the Ketamine-Assisted Psychotherapy Training Program at Polaris Insight Center. Currently, alongside Isha Health, Dr. Shimada is a study physician for psychedelic medicine clinical trials at Open Mind Collective, a Fellow of the American Academy of Emergency Medicine (FAAEM), a member of The American Board of Preventive Medicine (ABPM), and a visiting professor of Medicine at Tohoku University in Japan. Dr. Shimada has been featured on Forbes Japan.Follow Friends of Franz Podcast: Website, Instagram, FacebookFollow Christian Franz (Host): Instagram, YouTube

About this Episode Episode 50 of “The 2 View” – BNPs, D-Dimers, and Sneakily Sick Kids Segment 1A - Needs of older nurses Clendon JA, Walker L. Nurses aged over 50 and their perceptions of flexible working: The experiences and needs of older nurses in relation to flexible working and the barriers and facilitators to implementation within workplaces. J Nurs Manag. 2016;24:336-346. doi:10.1111/jonm.12325 Segment 1B - WHO and Tropical Diseases Special Programme for Research and Training in Tropical Diseases. World Health Organization. Accessed August 19, 2025. https://tdr.who.int/about-us Segment 2A - BNP Silvers SM, Gemme SR, Hickey S, et al. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Heart Failure Syndromes. Ann Emerg Med. 2019;49(2): 232–241. Lamberta M, Chertoff A. BNP Level in the Emergency Department: Does it Change Management? EMDocs. June 20, 2016. Accessed November 4, 2025. https://www.emdocs.net/bnp-level-in-the-emergency-department-does-it-change-management/ Maisel AS, Krishnaswamy P, Nowak RM, et al. Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med. 2002;347(3):161-167. doi: 10.1056/NEJMoa020233 Segment 2B - D-Dimer Wolf SJ, Hahn SA, Nentwich LM, et al. Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected acute venous thromboembolic disease. Ann Emerg Med. 2018;71(5):e59–e109. doi:10.1016/j.annemergmed.2018.03.006 Righini M, Van Es J, Den Exter PL, et al. Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism: The ADJUST-PE study. JAMA. 2014;311(11):1117–1124. doi:10.1001/jama.2014.2135 van der Hulle T, Cheung WY, Kooij S, et al. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): A prospective, multicentre, cohort study. Lancet. 2017;390(10091):289–297. doi:10.1016/S0140-6736(17)30885-1 Kearon C, de Wit K, Parpia S, et al. Diagnosis of pulmonary embolism with D-dimer adjusted to clinical probability. N Engl J Med. 2019;381(22):2125–2134. doi:10.1056/NEJMoa1909159 Lim w, Le Gal G, Bates SM, et al. American Society of Hematology 2018 guidelines for management of venous thromboembolism: Diagnosis of venous thromboembolism. Blood Adv. 2018;2(22):3226-3256. doi:10.1182/bloodadvances.2018024828 Kabrhel C, Jaff MR, Channick RN. D-dimer. StatPearls. June 22, 2025. Accessed November 4, 2025. https://www.ncbi.nlm.nih.gov/books/NBK431064/ Tripodi A, Lippi G. How we manage a high D-dimer. Haematologica. 2020;106(6):1491-1494. doi:10.3324/haematol.2020.248344 Segment 3: Sneakily Sick Kids Kocher MS, Zurakowski D, Kasser JR. Differentiating between septic arthritis and transient synovitis of the hip in children: An evidence-based clinical prediction algorithm. J Bone Joint Surg Am. 1999;81(12):1662-1670. doi:10.2106/00004623-199912000-00002 Caird MS, Flynn JM, Leung YL, et al. Factors distinguishing septic arthritis from transient synovitis of the hip in children: a prospective study. J Bone Joint Surg Am. 2006;88(6): 1251-1257. doi:10.2106/JBJS.E.00216 Recurring Sources Center for Medical Education. http://ccme.org The Proceduralist. http://www.theproceduralist.org The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. http://www.thesgem.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

Minister for Health, Jennifer Carroll MacNeill, was asked on the Anton Savage Show on Newstalk on October 18th about popping up in emergency departments unannounced, she stated: “That's the way I'm doing it, if they don't like it, they can leave”.One consultant who was not encouraged by the Minister's words was Dr Lisa Cunningham, Consultant in Emergency Medicine at Mayo University Hospital. She joins Ciara Doherty to discuss…

Date: October 17, 2025 Guest Skeptic: Dr. Kristen Panthagani is an emergency medicine resident and Yale Emergency Scholar at Yale New Haven Hospital. She's a physician-scientist, having completed her MD/PhD at Baylor College of Medicine. She's also well known as a science communicator, creator of You Can Know Things which helps explain science in a […] The post SGEM Xtra: Talkin' Bout a Revolution…Training Health Communicators first appeared on The Skeptics Guide to Emergency Medicine.

In this episode of EM Pulse, guest host Dr. Neelou Tabatabai joins Julia in a discussion with ED nurse and TeamSTEPPS advocate, Leigh Clary, to explore how structured communication tools can transform even the most high-stress medical and trauma resuscitations. Through a real-life story of conflict and resolution in the emergency department, Leigh illustrates how TeamSTEPPS strategies—like assertive communication, the Two-Challenge Rule, and CUS words—empower teams to speak up, de-escalate tension, and protect patient safety. Together, they unpack how calm, composed dialogue preserves respect, strengthens teamwork, and ensures every voice is heard when it matters most. 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 Hosts: 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.

Send us a textDr. Josh McConkey—known nationally as “The MacGyver Doc," is an award-winning and best-selling author, 2025 Telly Award winner, and Pulitzer Prize nominee. An esteemed Emergency Physician with over two decades of clinical experience, he previously served as a professor at Duke University and continues to maintain Board Certification in Emergency Medicine.  With 22 years of distinguished military service, Dr. McConkey currently commands the 459th Aeromedical Staging Squadron in the U.S. Air Force Reserves, where his leadership and commitment to service exemplify the highest standards of excellence. appeared on more than 130 national and local television and podcast programs, including ABC 11, WRAL, NewsNation, and Newsmax. His ability to connect complex issues in leadership, healthcare, mental health, and national security has made him a sought-after voice across diverse audiences.  This is his story.  Listen now. https://www.weightbehindthespear.com/Join the current group to stay up to date on the move and to get your personal invitation to join!Contact US:  Rumble/ YouTube/ IG: @powerofmanpodcastEmail: powerofmanpodcast@gmail.com.Twitter: @rorypaquette***Looking for Like-Minded Fathers and Husbands? Join our Brotherhood!"Power of Man Within" , in Facebook Groups:****https://www.facebook.com/groups/490821906341560/?ref=share_group_linkJoin our Power Of One Leadership Coaching Program Now!Believe it!

This month we've got four cracking UK-led studies that really speak to how pre-hospital and emergency medicine continue to evolve, not just in the kit and skills we use, but in how we think about the whole patient journey. We'll start with a paper fromAnaesthesia with Pallavicini et al., exploring pre-hospital central venous access for patients in haemorrhagic shock. Drawing on London's Air Ambulance experience, it shows that large-bore central catheters can be placed safely and effectively, delivering earlier transfusion and improved survival to ED arrival. It's high-stakes medicine in extreme circumstances, and this study gives some of the best real-world data we've seen on it. Next up we look at the impact of a paper that's genuinely changed national practice from Aljanoubi et al. in Resuscitation, looking at what happened after the AIRWAYS-2 trial landed. You'll remember AIRWAYS-2 showed no functional benefit of tracheal intubation over supraglottic airways in OHCA, but did it actually shift behaviour? This registry study of over 70,000 patients shows that it did - and dramatically. The rate of pre-hospital intubation has fallen from around 44 percent in 2014 to 14 percent by 2020, with a clear inflection right after the trial's publication. Real-world proof that evidence can truly change practice. Then, we turn to two linked Delphi consensus studies from Tim Nutbeam and colleagues, published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. The first, optimising the care of the trapped patient, develops expert-endorsed principles for managing physically trapped casualties, marking a real shift from "movement-minimisation" to time-sensitive, patient-centred extrication. The second, prioritising time-critical injuries and interventions, complements that work by defining which injuries and treatments truly can't wait — creating a shared language for multi-agency teams at the roadside. Together, these papers show how thoughtful, collaborative UK research is shaping the next generation of trauma and resuscitation care — evidence, consensus, and practice all pulling in the same direction. These latter two papers are from the team at IMPACT; The Centre for Post-Collision Research, Innovation & Translation. We've been lucky enough to collaborate with the team and deliver an online Extrication course which is now available! A bit about the course; Target audience: Fire and Rescue Service personnel, Police officers, community response scheme members, and clinicians who respond to collisions or who wish to update their awareness of consensus extrication guidance. Aims: To improve awareness and adoption of evidence-based, patient-focused extrication principles among operational responders by providing a concise, accessible, and practical educational resource that bridges consensus guidance and real-world operational practice.Learning outcomes: The course will enable participants to: Describe the evidence base underpinning contemporary extrication practice. Apply a patient-focused approach to decision-making during extrication. Employ endorsed decision support tools, including EXIT decision aids, to case-based scenarios. Recognise and challenge outdated or unsafe norms in extrication practice. To find out more about the course head over to Post-Collision Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Date: October 30, 2025 Reference: Boes et al. Prevalence of violence against health care workers among agitated patients in an urban emergency department. October 2025 AEM Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Case: […] The post SGEM#491: Prevalence of violence against health care workers among agitated patients in an urban emergency department first appeared on The Skeptics Guide to Emergency Medicine.

 Confused About Hormones or HRT? Dr. Nicole Lovat Helps You Navigate Midlife Health with Confidence and Clarity  Midlife health is not one-size-fits-all — and “normal” doesn't always mean optimal. When you understand your hormones, you can advocate for care that helps you feel your best — inside and out. 

10/31/25: Dr. Megan Ranney is an emergency physician, researcher, and advocate for innovative approaches to public health. She is the Dean of the Yale School of Public Health and a Professor of Emergency Medicine at Yale University. (Joel Heitkamp is a talk show host on the Mighty 790 KFGO in Fargo-Moorhead. His award-winning program, “News & Views,” can be heard weekdays from 8 – 11 a.m. Follow Joel on X/Twitter @JoelKFGO.)See omnystudio.com/listener for privacy information.

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 have Part 2 on EBM updates for intubation. We'll cover induction medications, paralytics, VL vs. DL, using the bougie, confirming ETT placement, and post intubation sedation.  Please see Part 1 for background, predicting difficult BVM/intubation/cricothryotomy, physiologic factors associated with peri-intubation decompensation, preoxygenation, and apneic oxygenation. 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 

Join Ryan and Rory for the October 2025 episode of the Annals of Emergency Medicine podcast, where they discuss occult ventricular fibrillation, stress testing for chest pain, and much more.

Former paramedic and has been an ER physician for 7-8 yearsHe pursued emergency medicine after his experience as a paramedic because he feels it is more in line with his personality We talk about how emergency medicine checks a lot of exciting boxes that we enjoyAdam talks about his burnout symptoms as well as how he course-correctsHe talks about symptoms like lacking as much compassion/empathy as he should have. So he corrects by talking with his wife, focuses on getting enough sleep etcHe has let go, to some degree, of all the “techniques” we learn to combat burnout and refocused on his “why” – he knows his purpose. He was called by God to do this job“Without question, I was called to be in this position by God – it changes everything”Part of the difficulty of the ER is the sheer volume of people we see on a given day, in a lot of ways, we are managing a lot of mental health conditions in that volume – it can be an opportunity and a gift rather than just viewing it as something to get through. Seeing people as human beingsThis perspective can help us avoid cynicism – I've found that assuming good intentions on the part of everyone I encounter during the day goes a long way towards avoiding cynicism and taking better care of patientsWe must intentionally hold on to the victories, the grateful patient, the lifesaving situation When you look for the good, you tend to find itWe talk about setting tone for the rest of the staff in the EDWe talk faith in emergency medicine as Christians, it has everything to do with everything that we do in life and in the job“I would have chosen an easier job with an easier route to get to it if it wasn't for God”“The hope I have in Jesus sustains me”Why do awful things happen to good peopleFree will leads to the world we see and proves that we are not God, yet we are called to His standardThe potential of every human to do self-seeking, evil is why we see some of the horrible things we see, the answer is where do we take these burdensI discuss my view of free will and its ramifications and our mission on earth as Christians“Should only bring patience and kindness and hope to an interaction with another human who is suffering” Support the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Reference:  Boutin A, et al. Removable Boot vs Casting of Toddler's Fractures: A Randomized Clinical Trial. JAMA Pediatr. Published April 2025. Date: July 23, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don't Forget the […] The post SGEM#490: These (Removable) Boots are Made for Walking first appeared on The Skeptics Guide to Emergency Medicine.

Dr Rosa McNamara, Consultant in Emergency Medicine, St Vincent's Hospital and Clinical Lead, HSE National Emergency Medicine Programme, highlights that people with non-urgent conditions could experience a long wait in Emergency departments this weekend.

This is October 19th's exhortation by Larson Hicks calling us to show visible and vocal honor for our parents, elders, and pastors. Larson and his wife, Bethany, have 8 children. They were high school sweethearts in Texas and spent the first 10 years of their marriage in Moscow, ID, where Larson graduated from New St. Andrew's College and Bethany from Washington State University.  Larson is the CEO of Sycamore Independent Physicians – a healthcare staffing company focused on Emergency Medicine. Trinity Reformed Church is a CREC church in Huntsville, AL seeking to extend and unite the Kingdom in the Huntsville area. Check out our website, Facebook or YouTube!

In this episode, we dive into the charged world of Morbidity and Mortality conferences—where good intentions can collide with fear, shame, and silence. We've all felt that jolt of adrenaline sitting in the audience—or worse, standing at the podium. Our guest expert, Dr. Jaymin Patel, helps us unpack why the traditional M&M model no longer works and how we can rebuild it into something better: a space that turns mistakes into meaningful learning, supports both patient and provider healing, and helps us face our ghosts without fear. How do you think we can improve M&M? Share your ideas with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Jaymin Patel, Assistant Professor of Emergency Medicine and Assistant Residency Program Director at UC Davis Resources: ALiEM: The M&M Shame Game; Case by Dr. Tamara McColl   Nussenbaum B, Chole RA. Rethinking Morbidity and Mortality Conference. Otolaryngol Clin North Am. 2019 Feb;52(1):47-53. doi: 10.1016/j.otc.2018.08.007. Epub 2018 Oct 5. PMID: 30297182. Wittels K, Aaronson E, Dwyer R, Nadel E, Gallahue F, Fee C, Tubbs R, Schuur J; EM M&M Culture of Safety Research Team. Emergency Medicine Morbidity and Mortality Conference and Culture of Safety: The Resident Perspective. AEM Educ Train. 2017 May 4;1(3):191-199. doi: 10.1002/aet2.10033. PMID: 30051034; PMCID: PMC6001737. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

In the September 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss vaginal bleeding and hyponatremia managment. As always, you'll also hear about the hot topics covered in the regular features, including a young man with heart palpitations in The Critical ECG, a child with purple vesicles in Clinical Pediatrics, hallux sesamoid fractures in Critical Cases in Orthopedics and Trauma, spermatic cord block in The Critical Procedure, the ISPAD 2022 Guidelines Summary in The LLSA Literature Review, a patient with a thumb injury in The Critical Image, droperidol in The Drug Box, and barium toxicity in The Tox Box.

When a paramedic in Kentucky faced a dying patient and a vial of antivenom, he had to make a split-second decision that could save a life… or end his career.In this episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams unpack one of the most talked-about EMS legal stories of the year: a paramedic who administered a rare antivenom under physician direction, only to find himself facing potential loss of his license.They break down the legal and ethical dilemmas behind the scope of practice, the real-world limits of medical direction, and what administrative law really means for providers in the field. Whether you're an advanced clinician, a medic early in your career, or just starting in EMS, this episode offers insights that can protect your license — and your patients.Listen now wherever you get your podcasts!KEY TAKEAWAYSScope vs. survival: Following the book may not always match the field reality — but understanding the limits of your practice can be the difference between being cleared and being called before the board.Medical direction matters: Acting under direct physician orders may protect you legally, but not always administratively — and that nuance can decide the fate of your license.Administrative law 101: The state board doesn't have discretion to ignore complaints; every case gets investigated. Knowing this process is essential to defending your practice.Culture check: Heroic instincts can lead to dangerous freelancing. True professionalism lies in humility, documentation, and system adherence.Protect your license: When facing an investigation, don't go it alone. Hire an attorney familiar with administrative law. You wouldn't run a resuscitation solo — don't handle your legal defense solo either.SHOWNOTESGivot, D. (2025, October 7). When Doing the Right Thing Breaks the Rules. EMS1. https://www.ems1.com/ems-protocols/when-doing-the-right-thing-breaks-the-rules Hawkins, T. (2025, September 28). Facebook Comment. October 10, 2025, https://www.facebook.com/tiffany.heilmann/posts/this-is-the-best-breakdown-i-have-seen-/10108839286161953/ Abo, B. (2025). Venom / Toxinology. Venom / Toxinology & Wildlife. https://www.abo911.org/venom-toxinology Williams, A. (2025, September 28). Expert Weighs in as Ky.. EMS Team Under Fire for Administering Antivenom. https://www.wkyt.com. https://www.wkyt.com/2025/09/28/expert-weighs-ky-ems-team-under-fire-administrating-anti-venom/

Date: October 10, 2025 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world's leading researchers on pain management in the emergency department.  Case: A 37-year-old man presents to the emergency department (ED) with severe right-sided flank pain.  […] The post SGEM#489: Smooth Muscle Relaxator – But does Magnesium Work for Renal Colic? first appeared on The Skeptics Guide to Emergency Medicine.

In this episode of the Gladden Longevity Podcast, Dr. Jeffrey Gladden interviews Khoshal Latifzai, who transitioned from emergency medicine to regenerative medicine. They discuss the challenges of traditional medical practices, the importance of patient-centered care, and the innovative approaches in longevity and health optimization, including stem cell therapy. Koshal shares insights on the impact of genetics on athletic performance and the significance of understanding patient needs to minimize health risks. The conversation highlights the future of health technologies and the potential for optimizing health and longevity.   For Audience ·      Use code 'Podcast10' to get 10% OFF on any of our supplements at https://gladdenlongevityshop.com/ !    Takeaways        Khoshal transitioned from emergency medicine to regenerative medicine for a more fulfilling practice.        Patient interactions in emergency medicine were limited and unsatisfying.        Building a patient-centric practice allows for deeper connections and better care.        Removing insurance from the equation can enhance patient engagement and satisfaction.        Understanding risk factors is crucial for effective health optimization.        Stem cell therapy is evolving with a focus on using patients' own cells.        Athletes may face health issues due to overtraining and genetics.        Innovations in health technologies are paving the way for longevity.       The aging process can be viewed as a mosaic of different ages.        Optimizing health today is essential for a better future.   Chapters 00:00 Introduction to Regenerative Medicine 03:10 Transition from Emergency Medicine to Regenerative Medicine 05:55 Building a Patient-Centric Practice 09:01 Approach to Longevity and Health Optimization 11:47 Understanding Patient Needs and Risk Factors 15:05 Innovations in Stem Cell Therapy 18:07 The Role of Genetics in Athletic Performance 21:06 Navigating Overtraining and Health 23:59 The Future of Longevity and Health Technologies   To learn more about Khoshal Latifzai: Website: rmrmco.com Instagram: @rmrmboulder Facebook: facebook.com/RMRMBoulder Got a question for Dr. Gladden? Submit it using the link below and it might be answered in our next Q&A episode! https://form.typeform.com/to/tIyzUai7? Reach out to us at:    Website: https://gladdenlongevity.com/     Facebook: https://www.facebook.com/Gladdenlongevity/    Instagram: https://www.instagram.com/gladdenlongevity/?hl=en     LinkedIn: https://www.linkedin.com/company/gladdenlongevity    YouTube: https://www.youtube.com/channel/UC5_q8nexY4K5ilgFnKm7naw       Gladden Longevity Podcast Disclosures Production & Independence The Gladden Longevity Podcast and Age Hackers are produced by Gladden Longevity Podcast, which operates independently from Dr. Jeffrey Gladden's clinical practice and research at Gladden Longevity in Irving, Texas. Dr. Gladden may serve as a founder, advisor, or investor in select health, wellness, or longevity-related ventures. These may occasionally be referenced in podcast discussions when relevant to educational topics. Any such mentions are for informational purposes only and do not constitute endorsements. Medical Disclaimer The Gladden Longevity Podcast is intended for educational and informational purposes only. It does not constitute the practice of medicine, nursing, or other professional healthcare services — including the giving of medical advice — and no doctor–patient relationship is formed through this podcast or its associated content. The information shared on this podcast, including opinions, research discussions, and referenced materials, is not intended to replace or serve as a substitute for professional medical advice, diagnosis, or treatment. Listeners should not disregard or delay seeking medical advice for any condition they may have. Always seek the guidance of a qualified healthcare professional regarding any questions or concerns about your health, medical conditions, or treatment options. Use of information from this podcast and any linked materials is at the listener's own risk. Podcast Guest Disclosures Guests on the Gladden Longevity Podcast may hold financial interests, advisory roles, or ownership stakes in companies, products, or services discussed during their appearance. The views expressed by guests are their own and do not necessarily reflect the opinions or positions of Gladden Longevity, Dr. Jeffrey Gladden, or the production team. Sponsorships & Affiliate Disclosures To support the creation of high-quality educational content, the Gladden Longevity Podcast may include paid sponsorships or affiliate partnerships. Any such partnerships will be clearly identified during episodes or noted in the accompanying show notes. We may receive compensation through affiliate links or sponsorship agreements when products or services are mentioned on the show. However, these partnerships do not influence the opinions, recommendations, or clinical integrity of the information presented. Additional Note on Content Integrity All content is carefully curated to align with our mission of promoting science-based, ethical, and responsible approaches to health, wellness, and longevity. We strive to maintain the highest standards of transparency and educational value in all our communications.

Why has America struggled so much to effectively manage the opioid use crisis? One of the answers, as you'll learn in this eye-opening episode of Raise the Line, is rooted in laws and attitudes from the early 20th century that removed addiction from the realm of medicine and defined it as a moral failing.  “The federal Harrison Act of 1914 forbade any physician from prescribing opioids to people with addiction, so it became more the purview of law enforcement or behavioral health or religion,” says Dr. Melody Glenn, who regularly confronts the consequences of this history during shifts in the emergency department at Banner-University Medical Center in Tucson, Arizona. And as Glenn explains to host Caleb Furnas, the resulting stigma associated with addiction has extended to the treatments for it as well, especially methadone, despite its effectiveness. Drawing on her dual expertise in emergency and addiction medicine, Glenn dispels misconceptions that medication-assisted treatment merely replaces one addiction with another, and emphasizes that harm reduction is critical to saving lives. Her desire to break prevailing stigmas led her to discover the story of Dr. Marie Nyswander, who pioneered methadone maintenance therapy in the 1960s and is featured in Dr. Glenn's new book, Mother of Methadone: A Doctor's Quest, a Forgotten History, and a Modern-Day Crisis. You'll leave this instructive interview understanding the roots of our flawed approach to addiction treatment, meeting an overlooked pioneer in the field, and admiring a devoted and compassionate physician who is following in her footsteps.  Mentioned in this episode:Banner-University Medical CenterMother of Methadone book If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

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 start a series on EBM updates for intubation. We cover some background, predicting difficult BVM/intubation/cricothryotomy, physiologic factors associated with peri-intubation decompensation, preoxygenation, and apneic oxygenation. 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 

Date: October 3, 2025 Reference: Doheim et al. Meta-Analysis of Randomized Controlled Trials on IV Thrombolysis in Patients With Minor Acute Ischemic Stroke. Neurology 2025 Guest Skeptic: Dr. Casey Parker is a Rural Generalist, Evidence-based medicine enthusiast and Ultrasound Nerd. This episode was recorded live, in beautiful Broome, Australia, at the Spring Seminar on Emergency […] The post SGEM#488: It's Just a Minor Stroke – Should We Still Lyse? first appeared on The Skeptics Guide to Emergency Medicine.