Podcasts about Emergency medicine

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

Podcast summary of articles from the April 2026 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include bystander CPR, Sepsis, Regional Anesthesia under POCUS, Toxicology, Diabetes, and HIV screening.  Guest speaker is Dr. Kinda Sweidan.

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. 

Three Connecticut children have died in the past two months from overdoses of a common, over-the-counter medication. There are now concerns that “the Benadryl challenge" could be resurging online. The Office of Child Advocate has not confirmed the deaths are linked to the deadly trend. We spoke with Dr. Kirsten Bechtel with the Center for Injury and Violence Prevention and Professor of Pediatrics and Emergency Medicine at Yale School of Medicine about locking up medications and getting ahead of kids consuming dangerous content online.**Help is available through https://www.connectingtocarect.org; by dialing 211 or 988; and through the state's Urgent Crisis Centers**

Major incidents challenge clinicians to balance speed, simplicity, and clinical effectiveness in highly dynamic environments. In this episode, Advanced Paramedics in Critical Care Keir Rutherford and Alec Wilding reflect on lessons learned from real-world major incidents and the findings of inquiries such as the Manchester Arena bombing. The discussion explores the early recognition of terrorist attacks and how responders can distinguish these events from more routine presentations in the initial stages of a call.A central theme is triage. Keir and Alec examine the implementation of the new NHS major incident triage framework, including the Ten Second Triage (TST) tool and the Major Incident Triage Tool (MITT). They discuss how these approaches are designed to rapidly identify patients who will benefit most from immediate life-saving interventions, while supporting efficient resource allocation in mass casualty events. The conversation also explores the relationship between triage, enhanced clinical care on scene, and the role of casualty clearing stations.Joining the discussion is Dr. Philip Cowburn, Consultant in Emergency Medicine and co-author of the Ten Second Triage Tool. Phil shares insights into the evidence underpinning these developments, the influence of recommendations from the Manchester Arena Inquiry, and how national practice has evolved to improve patient outcomes during major incidents.Beyond clinical processes, the episode highlights the importance of interoperability between ambulance, police, and fire services, alongside the emotional and psychological challenges faced by senior clinicians during and after major incidents. Together, the guests provide a practical and reflective overview of modern major incident management and the evolving systems designed to deliver the greatest benefit to the greatest number of patients.This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at ⁠https://www.pax-bags.com/en/⁠

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!

Day Break | Fraud, Firestorms, and Foreign Strikes --- 00:00 - Monologue 19:02 – Jamie Kennedy, actor and comedian. Kennedy discusses a Biden-era air conditioning regulation that remains in effect under the Trump administration, examining the costs, regulatory impacts, and broader debate over federal energy and appliance standards. 28:04 – Dr. Kelly Victory, Chief of Disaster & Emergency Medicine at The Wellness Company. Victory discusses growing public interest in ivermectin and mebendazole as potential cancer treatments, recent discussions surrounding off-label drug research, and debates over the medical establishment's approach to alternative cancer therapies. She also addresses concerns raised by some researchers regarding possible long-term health effects associated with COVID-era vaccines and the need for continued scientific investigation into aggressive forms of cancer. 38:16 - Monologue Featuring Ivey Gruber 47:15 – Chris Martz, Meteorologist and Science Policy Analyst for the Committee for a Constructive Tomorrow (CFACT). Martz reviews what he considers some of the most misleading climate-related media narratives of the past month, discussing climate science, weather reporting, and public perception of environmental issues. 57:32 – Teresa Morgenstern, former Senior Communications Advisor at the White House and former Pentagon Deputy Press Secretary. Morgenstern discusses Bill Pulte's nomination, national security priorities, and ongoing developments involving Iran and U.S. foreign policy in the Middle East. 1:16:44 - Monologue 1:25:43 – Ron Rademacher, travel writer, author, storyteller, and Michigan travel expert. Rademacher highlights upcoming events and attractions taking place across Michigan, offering listeners ideas for weekend travel, festivals, and local destinations throughout the state. 1:35:57 – Beth DeShone, Senior Director of Strategic Operations for the Michigan Forward Network. DeShone discusses efforts by House Republicans to address Michigan's literacy challenges, examining education policy proposals aimed at improving reading proficiency and student outcomes across the state. 1:44:52 – Ivey Gruber, President of the Michigan Talk Network. Gruber discusses concerns about fraud and government waste at both the state and federal levels, arguing that taxpayers deserve greater accountability and oversight. The conversation focuses on the financial impact of fraud on public programs and ongoing efforts to reduce misuse of taxpayer dollars. --- Check out our brand new podcast, 'Forgotten America'... Episode 18 is live NOW at Steve Gruber on YouTube! Link below: https://youtu.be/nS_iwvO5SgY

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

Dr. Danya Khoujah joins GEMCast host Dr. Christina to dive into the first clinical practice guideline in the Geriatric Emergency Department (GED) Guidelines 2.0, which is dedicated to delirium. Delirium is a clinical syndrome characterised by acute and fluctuating disturbances of attention, awareness, perception or consciousness and it commonly affects older adults presenting to the ED. However, it is often missed, which has significant impacts on mortality and functional status of older patients. Khoujah is an attending physician in the Department of Emergency Medicine at AdventHealth Tampa in Florida, and host of GEDC's expert-panel webinars. She is part of the multidisciplinary team that created this GRADE-based clinical guideline, and in this episode, she talks through the development and recommendations arising from the guideline. The group aimed to assess the quality and applicability of direct and indirect evidence, with the goal of providing ED clinicians a patient-centred approach to delirium. To do so they asked 3 key questions: Which older patients in the ED are at higher risk of delirium? Which diagnostic tests are effective at identifying ED delirium? Do older ED patients with delirium need a CT head? Tune in to today's episode to hear more about screening, diagnosing and brain imaging for delirium in the ED, and keep an eye out for upcoming clinical guidelines in the GED Guidelines 2.0 series including medication safety, fall prevention, Find more information about this topic at https://gedcollaborative.com/resource/delirium/delirium-clinical-practice-guidelines-what-do-we-know-and-what-should-we-do/ GEMCAST is a Geriatric Emergency Medicine Podcast created to help clinicians, nurses, or paramedics who take care of older adults, particularly in the Emergency Department setting. GEMCast episodes, show notes and recommended resources can be found on the GEDC website at gedcollaborative.com/resources/?type=podcast.

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.  

In this episode, I had a pre-conversation with Elliot Justin about men's and women's sexual health. The difference between intimate sex with you spouse or partner and random sex with multiple and random women and men. We talked about the sexual ring that he created to help with men's stamina. The misconceptions when it comes to sex. The difference between what men and women when it comes to sex. It was a great conversation, and the post conversation is coming soon. A little about Elliot, he is the founder of the sexual ring. He theory about the intersection of sexual health and overall wellness, is changing the way that we look at sex. His clinical work as an Emergency Medicine specialist and experience in urology, cardiovascular disease, and diabetes have shaped his understanding that our physical happiness is deeply connected to emotional and mental states, a topic that matches perfectly with your show. At FirmTech, he invented the TechRing, the world's first monitor of men's erections, which just won the Healthcare Business Award from the Science and Engineering Health Technologies Alliance and was runner up for Innovation at CESShowstoppers. His device supports men's health by tracking a vital sign that links sexual fitness to broader issues like cardiovascular disease. His share research-backed insights on how greater awareness of sexual health can motivate lasting, holistic lifestyle changes. I'd love to discuss new science on how aspects like sleep quality, habits, and emotional well-being all show up in sexual wellness. I hope that you enjoy the episode.Become a supporter of this podcast: https://www.spreaker.com/podcast/a-happier-you-leads-to-a-healthier-you--5161886/support.

Listener discretion is advised!!! References: Gabayan, G. Z., Gould, M. K., Weiss, R. E., Patel, N., Donkor, K. A., Chiu, V. Y., Yiu, S. C., Jones, J. P., Hoffman, J. R., & Sarkisian, C. A. (2016). Poor Outcomes After Emergency Department Discharge of the Elderly: A Case-Control Study. Annals of Emergency Medicine, 68(1), 43–51.e2. Ganetsky M, Lopez G, Coreanu T, Novack V, Horng S, Shapiro NI, Bauer KA. Risk of Intracranial Hemorrhage in Ground-level Fall With Antiplatelet or Anticoagulant Agents. Acad Emerg Med. 2017 Oct;24(10):1258-1266. Gokhroo, R. K., Ranwa, B. L., Kishor, K., et al. (2015). Sweating: A Specific Predictor of ST‐Segment Elevation Myocardial Infarction Among the Symptoms of Acute Coronary Syndrome: Sweating In Myocardial Infarction (SWIMI) Study Group. Clinical Cardiology, 39, 90–95. Knack SKS, Scott N, Driver BE, Prekker ME, Black LP, Hopson C, Maruggi E, Kaus O, Tordsen W, Puskarich MA. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med. 2024 Sep;84(3) Koo, A. (Oct 29, 2024). Putting Clinical Gestalt to Work in the Emergency Department. Available: https://www.acepnow.com/article/putting-clinical-gestalt-to-work-in-the-emergency-department/5/?singlepage=1 Long, B., Keim, S. M., Gottlieb, M., Carlson, J., Bedolla, J., & Reisdorff, E. J. (2024). Can I Discharge This Adult Patient with Abnormal Vital Signs From the Emergency Department? The Journal of Emergency Medicine, 67(4), e487–e493. Milner, K. A., Funk, M., Arnold, A., & Vaccarino, V. (2002). Typical symptoms are predictive of acute coronary syndromes in women. American Heart Journal, 143, 283–288.

What kind of man gets studied at Yale, Brown, and Harvard, builds a 300 person international research consortium, and still has powerful people working to erase his name? Dr. Daniel Ingram is not a guru. He is a retired level one trauma emergency physician. A published neuroscience researcher. The author of a book that has shaped contemplative practice for tens of thousands of readers. The acting organizer of a global research effort spanning Harvard, Yale, Brown, Cambridge, and Oxford. By every credential medicine respects, he is one of their own.So why did a senior figure allegedly commission an academic article engineered to surface at the top of every search of his name, with one stated goal? That nobody would ever believe him again. Because Dr. Ingram crossed a line his profession does not permit. He claimed that awakening is real. That it is measurable. That it is observable in the brain.  We go into what he has seen at the edges of human perception. What he documented in the lab. What he believes medicine is doing to patients every single day by refusing to look.The Emergent Phenomenology Research Consortium

In this episode, Dennis sits down with Reagan Lyon, an Emergency Medicine physician and 17-year Air Force veteran who spent the majority of her career in special operations, including time on Special Operations Surgical Teams. While at the Naval Postgraduate School, Reagan wrote a thesis on one of the hardest problems in military medicine: how do you actually build and sustain indigenous medical networks in unconventional warfare and denied environments?Drawing from the Yugoslav Partisan guerrilla hospitals of WWII, modern lessons out of Ukraine, and the harsh realities of occupied territory medicine (including Iran's protest crackdowns), Reagan breaks down why our current Role 1–4 doctrine collapses in these scenarios. She introduces a treatment-goal-based framework instead of capability-based tiers, uses systems dynamics modeling to expose the real chokepoints (training pipelines, blood, patient movement, and capacity), and makes a compelling case for radical cognitive agility and “MacGyver medicine” when the supply chain disappears.Key Takeaways:Why proximity to the fight is both your biggest advantage and fastest way to get compromisedHow to shift from “what gear do we have?” to “what treatment goals can we actually achieve?”The hidden choke points that will kill your casualty care system long before you run out of bulletsWhy forcing the “American way” on partner nations is arrogant and usually counterproductiveThe power (and ethical case) for open-source knowledge to enable a true whole-of-society medical responseWhat needs to change in training, authorities, and interoperability before the next fightIf you're a medic, planner, SOF leader, or anyone thinking seriously about large-scale combat operations or unconventional warfare medicine, this conversation is essential. Reagan doesn't just diagnose the problem — she gives a clear path forward.Chapters00:00 – Introduction & Reagan Lyon's Background (Special Operations Surgical Teams to Naval Postgraduate School)05:15 – Why Tackle an “Unanswerable” Problem? (Avoiding Pat-on-the-Back Academia)09:30 – Historical Context: WWII Guerrilla Hospitals & the Yugoslav Partisans15:45 – The Core Trade-off: Proximity to the Fight vs. Security & Sustainability19:45 – Modern Parallels: Iran Protests, Telemedicine Risks & Ukraine's Brutal Validation24:00 – Why Traditional Role 1–4 Doctrine Breaks in Denied/Unconventional Environments29:30 – A Better Framework: Treatment Goals Over Capability Tiers (Preventable Death Categories)33:45 – Systems Dynamics Modeling: Finding the Real Chokepoints in Casualty Flow38:45 – Model Validation with Ukraine + Limitations of Current Planning Tools42:45 – The Supply Nightmare: Caches, MacGyvering & Building Cognitive Agility49:30 – Partner Nation Engagement: Humility, Coordination & Avoiding the “American Way” Trap56:00 – Whole of Society Medicine: Empowering Civilians Through Open Source (Without Creating Liability)1:02:15 – Reagan's “King for a Day” Recommendations (Training, Interoperability & Authorities)1:07:30 – Closing Thoughts & Where This Work Needs to Go NextFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Dr Peter Allely from the Australasian College of Emergency Medicine told 3AW Breakfast hosts Ross and Russel EDs were being overwhelmed by people who should be treated elsewhere in the system.See omnystudio.com/listener for privacy information.

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

🧭 REBEL Rundown 🔑 Key Points 🧩 Human Factors: The unseen behaviors, distractions and considerations critical in emergency medicine and the ICU, influencing patient care beyond just medical knowledge.🎯 System Design: Effective system design directly impacts team performance by creating environments that facilitate optimal decision-making. 🏥 Real-world Application: The application of human factors in healthcare leads to better team dynamics, reduced stress, and improved patient outcomes. 👷🏽‍️It’s Everyone’s Job: Building a culture of adaptability and openness to change can lead to better healthcare delivery, communication and interprofessional relationships🛠️ Practical Solutions: Start the conversation in departments for actionable and pragmatic changes to current healthcare environments to enhance practitioner efficiency and patient care quality. Click here for Direct Download of the Podcast. 👀Previously Covered and Related Content: REBEL EM: Titles Don’t Make LeadersREBEL MIND: Moving from Junior to Senior Leadership in Emergency CareREBEL 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. Mark Ramzy chats with special guests and master educators about the concept of human factors.Dr. Chris Hicks is an emergency physician and trauma team leader at St. Michael’s Hospital in Toronto, Assistant Professor in the Department of Medicine at the University of Toronto, and co-founder of Advanced Performance Healthcare Design, a physician-led simulation and design group. Dr. Andrew Petrosoniak is an emergency physician and trauma team leader at St. Michael’s Hospital, and Medical Director of the Unity Health Toronto Simulation Program. He’s an Assistant Professor at the University of Toronto where his research focuses on simulation for systems and design improvement and optimizing the care of the bleeding patient. Along with Dr. Hicks, he’s also President of Advanced Performance Healthcare Design, a consulting firm that works with high-performance teams and uses simulation to enhance and design better healthcare spaces Cognitive Question How can the integration of human factors improve decision-making and performance in emergency medicine and critical care environments? ️What are Human Factors? In the context of healthcare, human factors encompass the interplay between humans, the systems they work within, and the effectiveness of their interactions. It includes elements like communication, system design, environmental conditions, and behavioral patterns affecting individual and team decision-making processes. It’s the collective impact of individual behaviors, team dynamics, and the physical environment on performance and outcomes. The aim is to eliminate issues arising from human error by creating systems and environments that naturally guide and support optimal performance. 🏥How This Applies to the Emergency Department or ICU? Efficient integration of human factors in high-pressure settings like the Emergency Department (ED) or Intensive Care Unit (ICU) helps mitigate the risks associated with stressful and chaotic environments. By focusing on system designs that account for human behavior, healthcare professionals can reduce errors, enhance team coordination, and ultimately improve patient care. This is crucial as teams are often required to make rapid, life-saving decisions in these environmentsThe design of clinical spaces can either hinder or help efficient care. Poorly arranged equipment or cluttered workspaces increase stress and impede decision-making. Implementing structured design principles, such as dedicated equipment zones and clear visual cues, can streamline workflows and enhance team coordinationIt actually helps pave the way for more efficiency because you end up “working smarter instead of harder”.It speaks directly to the Daniel Kahneman’s theory of Type 2 Thinking – which is a slow, analytical cognitive process requiring deliberate thoughtWe’ll likely create a whole dedicated episode to this but if you want to read more ahead of time on it, check out his book Thinking, Fast and Slow ⏩Immediate Action Steps for Your Next Shift **Assess Your Environment**: Take note of any clutter, noise, or layout issues in your workspace that could hinder optimal performance. Identify problem areas that could be optimized.**Recognizable Hard-Stop** – Implement a “Stop-Point” Check for areas or issues that involve more than just patient safety (ie. workflow inefficiencies, sign-out, throughput, etc). Use predefined benchmarks during procedures to ensure clarity and efficiency.**Foster Open Communication** – Encourage an environment where every team member feels comfortable discussing their thoughts and decisions without fear of judgment.**Prototype Solutions** – Work with colleagues to identify problems and brainstorm quick, cost-effective solutions that could be tested in your department.**Role Clarity and Preparation** – Ensure roles are clearly defined and team members are prepared with necessary resources readily available during high-stakes scenarios.**Test and Refine** – Conduct quick pilot tests of new setups or processes during quieter times and gather feedback from your team. Conclusion Human factors play a critical role in shaping healthcare outcomes. Through structured system designs and attention to team dynamics, it is possible to reduce inefficiencies and enhance both patient care and provider well-being. It requires a shift in perspective from seeing design and systems as separate from human behaviors, to seeing them as intricately linked. By incorporating these principles, healthcare professionals can create environments that inherently support better, safer, and more effective patient care. 🚨 Clinical Bottom Line Incorporating human factors into healthcare isn’t just about preventing errors—it’s about creating an ecosystem where the healthcare team is empowered to perform at their best, even under the most challenging conditions. Implementing small, iterative changes can create a meaningful impact, paving the way for improved systems and processes. This starts by redesigning systems and environments with human factors in mind, which can significantly improve both the efficiency of care delivery and the safety of the healthcare environment. Further Reading Petrosoniak A, Hicks C. M&M rounds 2.0: the future of performance improvement. CJEM. Feb 2025PMID: 39979684Petrosoniak A, Hicks CDesign, build, train, excel: Using simulation to create elite trauma systems. International Anesthesiology Clinics. Publish Ahead of Print.Request the Article herePetrosoniak A, Hicks C, et al. Design Thinking-Informed Simulation: An Innovative Framework to Test, Evaluate, and Modify New Clinical Infrastructure. Simul Healthc. 2020 Jun 2020.PMID: 32039946Bleetman A, et al.Human factors and error prevention in emergency medicine. Emerg Med J. May 2012PMID: 21565880Hayden EM, et al.Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018 Feb 2018PMID: 28925571 Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief Cardiothoracic Intensivist and EM Attending RWJBH / Rutgers Health, Newark, NJ Chris Hicks, MD, Med Co-Founder of Advanced Performance Assistant Professor of Emergency Medicine, University of Toronto, Canada Andrew Petrosoniak, MD, MSc Co-Founder and President of Advanced Performance Medical Director of Unity Health Toronto Simulation Program Showing Slide 1 of 3 The post REBEL MIND – Human Factors: The Hidden Architecture of Emergency & Critical Care Medicine appeared first on REBEL EM - Emergency Medicine Blog.

Sepsis is a global health emergency, with nearly half of all septic patients being children. In this episode of the Society of Critical Care Medicine (SCCM) Podcast, Samantha Gambles Farr, MSN, NP-C, CCRN, RNFA, speaks with Niranjan Kissoon, MD, MBBS, FRCP(C), FACPE, MCCM, about his Thought Leader presentation at the 2026 Critical Care Congress, Making Sepsis the Next Success Story in Global Health. The panel also discusses how access and equity play a part in how sepsis is treated. From a global perspective, Dr. Kissoon emphasizes that the most important thing is advocacy and prevention from a governmental level by creating national action plans, making sure the healthcare system is resilient, and utilizing technology and innovation to create better ways of providing care; and from a societal level by educating patients and families about nutrition, hygiene, vaccinations, and seeking care early. Niranjan Kissoon, MD, MBBS, FRCP(C), FACPE, MCCM, is a professor in the Department of Pediatrics (Pediatrics and Surgery, Emergency Medicine) at the University of British Columbia in Vancouver, British Columbia, Canada. He is the past president of the World Federation of Pediatric Critical and Intensive Care Societies and currently serves as president of the Global Sepsis Alliance. He is cochair of the pediatric Surviving Sepsis Campaign, vice president of the Canadian Sepsis Foundation, and chair of World Sepsis Day and the International Pediatric Sepsis Initiative. He also serves on the Sepsis Alliance USA and the African Sepsis Alliance advisory boards and is also a founding member of the Caribbean Sepsis Alliance.

Listener discretion is advised! References: Buttner & Arlanger. (May 3, 2022). ST depression does not localise. Available: https://litfl.com/st-depression-does-not-localise/ Cannon, J. W., Khan, M. A., Raja, A. S., et al. (2017). Damage control resuscitation in patients with severe traumatic hemorrhage. Journal of Trauma and Acute Care Surgery, 82, 605-617. Kabra, R., Acharya, S., Kamat, S., & Kumar, S. (2022). ST-Segment Elevation in Lead aVR With Global ST-Segment Depression: Never Neglect Left Main Coronary Artery (LMCA) Occlusion. Cureus. Lee, G.-K., Hsieh, Y.-P., Hsu, S.-W., Lan, S.-J., & Soni, K. (2019). Value of ST‐segment change in lead aVR in diagnosing left main disease in Non‐ST‐elevation acute coronary syndrome—A meta‐analysis. Annals of Noninvasive Electrocardiology, 24. Morrison, C. A., Carrick, M. M., Norman, M. A., et al. (2011). Hypotensive Resuscitation Strategy Reduces Transfusion Requirements and Severe Postoperative Coagulopathy in Trauma Patients With Hemorrhagic Shock: Preliminary Results of a Randomized Controlled Trial. Journal of Trauma: Injury, Infection & Critical Care, 70, 652-663. Rossaint, R., Afshari, A., Bouillon, B., et al. (2023). The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Critical Care, 27. Tamura, A. (2014). Significance of lead aVR in acute coronary syndrome. World Journal of Cardiology, 6(7), 630. Uthamalingam, S., Zheng, H., Leavitt, M., Pomerantsev, E., Ahmado, I., Gurm, G. S., & Gewirtz, H. (2011). Exercise-Induced ST-Segment Elevation in ECG Lead aVR Is a Useful Indicator of Significant Left Main or Ostial LAD Coronary Artery Stenosis. JACC: Cardiovascular Imaging, 4, 176–186. Weymouth, W., Long, B., Koyfman, A., & Winckler, C. (2019). Whole Blood in Trauma: A Review for Emergency Clinicians. The Journal of Emergency Medicine, 56, 491-498. Wang, A., Singh, V., Duan, Y., Su, X., Su, H., Zhang, M., & Cao, Y. (2020). Prognostic implications of ST‐segment elevation in lead aVR in patients with acute coronary syndrome: A meta‐analysis. Annals of Noninvasive Electrocardiology, 26.

Date: April 21, 2026 Guest Skeptic: Lauren Openshaw is a medical student at the George Washington University School of Medicine & Health Sciences, Class of 2027, where she is a part of the Disaster Medicine Scholarly Concentration. Her clinical interests include pediatrics, disaster medicine, critical care, and emergency preparedness, particularly as they relate to protecting vulnerable […] The post SGEM Xtra: Welcome to the Jungle of Disaster Medicine first appeared on The Skeptics Guide to 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 cover how to evaluate and manage acute limb ischemia. 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

Emergency Medicine physician Dr. Helena shares her inspiring journey in emergency medicine, from Budapest to the U.S., and her unique insights as an international medical graduate. She offers practical insight into navigating medical school abroad, matching into EM, managing residency challenges, and recognizing the early signs of burnout.Dr. Helena also discusses choosing flexibility through locum tenens and building a life that is filled with travel, languages, content creation, and creative pursuits outside of medicine.Follow Dr. Helena's journey on Instagram: @a.youngdoctors.journey

In this inspiring episode of Out of Zion, ICEJ USA President Dr. Susan Michael talks with Yasmeen Mazzawi, who shares her unique perspective as an Arab Christian living in Israel. Since the age of 15, Yasmeen has dedicated her life to Magen David Adom (MDA), Israel’s national emergency service, where she now serves as a full-time volunteer paramedic. Yasmeen highlights her experience on October 7 as well as how MDA acts as a bridge for peace and a testament to the true spirit of Israeli society.

In this conversation, Dr. Aleksandra Gajer shares her journey from emergency medicine to focusing on metabolic health and hormonal balance. She discusses the challenges faced during the COVID-19 pandemic, her transition to a new practice, and the importance of understanding metabolic health as a foundation for overall wellness. Dr. Gajer emphasizes the role of peptides in supporting health, the significance of body composition, and the therapeutic relationship with patients as essential for effective care.   For Audience Join the other 20,000+ high-performers getting weekly insights on biological reversal, exponential strategies, and Life Energy optimization→ https://start.gladdenlongevity.com/subscribe If you're ready to measure your 60+ biological ages and build a personalized reversal plan, apply for a discovery call here → https://start.gladdenlongevity.com/apply-now   Use code 'Podcast10' to get 10% OFF on any of our supplements at https://gladdenlongevityshop.com/!      Takeaways        Dr. Gajer transitioned from emergency medicine to focus on metabolic health.        COVID-19 had a demoralizing impact on emergency medicine.        Metabolic health is foundational for overall wellness.        Peptides can support metabolic and hormonal health.        Body composition and muscle health are crucial for longevity.        The therapeutic relationship with patients is healing.        Understanding hormonal health is essential for both men and women.        Patients often need more than reassurance from conventional medicine.        Lifestyle changes are supported by peptides in practice.        Creating health from the inside out is a priority.   Chapters 00:00 Introduction and Background 01:46 The Impact of COVID on Emergency Medicine 06:51 Transitioning to Metabolic Health 10:44 The Journey to a New Practice 13:39 Understanding Hormonal Health 17:34 The Role of Peptides in Health 24:52 Body Composition and Muscle Health 32:05 The Importance of Patient Relationships   To learn more about Dr. Aleksandra Gajer: Facebook: https://www.facebook.com/calocurbGLOBAL/ Instagram: https://www.instagram.com/calocurb Website: www.calocurb.com   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.  

In this episode of Transmission Interrupted, host Jill Morgan sits down with Dr. Gaby Frank, internist and director of the Special Pathogens Center at Johns Hopkins, to provide clarity and insight on the current hantavirus outbreak. The conversation kicks off by demystifying essential public health terms like "isolation" and "quarantine," explaining their definitions and uses in the context of infectious diseases in the U.S. Jill and Dr. Frank then dive into the science behind hantavirus, specifically the unique Andes virus strain in Argentina and its rare but notable potential for human-to-human transmission, a distinction setting it apart from the many other hantavirus strains found throughout the Americas. Listeners will gain a clearer understanding of how hantavirus is typically contracted—primarily from aerosolized rodent droppings rather than person-to-person transmission—and the actual risks associated with exposure. The episode highlights findings from a long-term study in Chile, which revealed only 3.3% of close contacts developed the disease, with greatest risk among household and romantic partners. Jill and Dr. Frank dispel some of the fear and misinformation circulating about hantavirus, stressing that while severe cases can occur, the general public's risk remains very low. Through expert perspective and practical advice, this episode underscores the importance of strategic preparedness and ongoing research, empowering listeners with the knowledge they need to stay safe and informed. Guest Maria (Gaby) Frank, MD, FACP, SFHM Professor of Medicine, PAR, Johns Hopkins University Director, Johns Hopkins Special Pathogens Center Dr. Frank is a hospitalist. Professor of Medicine PAR, and the Director of Johns Hopkins' Special Pathogens Center Johns Hopkins Hospital in Baltimore, MD, one of the 13 Regional Emerging Special Pathogen Treatment Centers (RESPTCs). The Johns Hopkins Hospital (JHH) is a premier 1000-bed non-profit academic medical center within the larger Johns Hopkins Health System, one of the leading health care systems in the United States. The 5-hospital health system in the Baltimore-Washington area has 2513 beds (354 intensive care unit beds) and serves approximately 7 million people. JHH provides a full range of clinical services including specialty care for both adults and pediatric patients. The Johns Hopkins Hospital was ranked number one in the nation by U.S. News & World Report for 22 years of the survey's 30-year history. Before joining Johns Hopkins, Dr. Frank was the Medical Director of the biocontainment unit at Denver Health and Hospital Authority. In her role as the medical director of BCU, she served as the site Principal Investigator for the NIH-sponsored ACTT trial and is actively involved in the National Emerging Special Pathogen Training and Education Center (NETEC) and Special Pathogens Research Network (SPRN). Dr. Frank received her medical diploma from the University of Buenos Aires in Buenos Aires, Argentina, and completed a residency in Internal Medicine and another in Emergency Medicine in Argentina. She immigrated to the U.S. in 2004, where she completed another Internal Medicine Residency at the University of Colorado, joining as faculty after graduation. Her areas of interest include emergent special pathogens, and disaster preparedness and response. Host Jill Morgan, RN Emory Healthcare, Atlanta, GA Jill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI). Resources From Mice to Medicine: Exploring Hantavirus and Protecting Healthcare TeamsNETEC Hantavirus InformationSBAR: Andes HantavirusNETEC Webinar Hantavirus Town Hall: Updates for Frontline StaffTransmission Interrupted PodcastNETEC Resource Library About NETEC A Partnership for Preparedness The National Emerging Special Pathogens Training and Education Center's mission is to set the gold standard for special pathogen preparedness and response across health systems in the U.S. with the goals of driving best practices, closing knowledge gaps, and developing innovative resources. Our vision is a sustainable infrastructure and culture of readiness for managing suspected and confirmed special pathogen incidents across the United States public health and health care delivery systems. For more information visit NETEC on the web at www.netec.org. NETEC Consultation Services Assess and Advance Your Readiness for Special Pathogens with Free, Expert Consulting. NETEC offers free virtual and onsite readiness consulting to help health care facilities and EMS agencies prepare for special pathogen events. Our targeted support services are delivered by experts selected and assigned to each inquiry based on the unique needs of your organization. Have a question? Ask a NETEC expert. For more information visit: netec.org/consulting-services.

5/27/26 (Co-Host Brian Adams) Resilient Valley's Julia Riseman & Lora Wondolowski: camels through the eye of a needle & other fundraising ideas. Dr. Ethan Chapin, Cooley-Dickinson's Dir of Emergency Medicine: It's Stroke Prevention Month—save yr life & the life of a loved one—BE FAST. Dave Small, Dir of Conservation @ Mount Grace Land Trust: saving the Ebony Bog Haunter (really!), dragon flies and 40,000 acres. Easthampton Mayor Salem Derby: the override vote on June 9 --what happens if it passes; what happens if it doesn't.

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).

LISTENER DISCRETION IS ADVISED!!!!! References: Hair Tourniquet: PMID: 29092968 ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medicine/ John Proctor. Gauging Emergency Physician Productivity: Are RVUs the Answer? Available: https://www.acep.org/imports/clinical-and-practice-management/resources/reimbursement-imported/gauging-emergency-physician-productivity-are-rvus-the-answerEmer

Astrology: Can This Ancient Practice Impact Your Life? Astrology is an ancient practice that's been in and out of popularity for centuries. Believers use this pseudoscience as a way to find structure and purpose in the chaos of life. Our experts explain how astrology has lasted the test of time and how it could advise your life in different areas, such as love and success. Guests: Neda Farr, celebrity astrologer, creator, Starcrossed App Steven Vanden Broecke, Ph.D., professor of history of science, Ghent University   Q-Tips, Ear Candling, And Everything You Need To Know About Earwax All of that time you spend digging earwax out of your ear isn't just a waste of time, but can be damaging your health. Earwax is a self-cleaning substance that protects our ears from infection and debris. Dr. Andrew Tagg explains the wax's various roles and when to know when you truly need a cleaning. Guest: Dr. Andrew Tagg, pediatric emergency physician, associate professor, University of Melbourne, co-founder, Don't Forget The Bubbles Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Date: May 20, 2026 Guest Skeptic: Dr. Matt McArthur is an ED Physician working primarily in Guelph and Kitchener with occasional rural locums in the small town of Walkerton, where he grew up. His clinical interests include POCUS, emergency cardiology, QI, knowledge translation, motivational interviewing, and vertigo. He is very active in medical education, including […] The post SGEM#511: I'd Like To Treat, DKA with the SQuID Protocol first appeared on The Skeptics Guide to Emergency Medicine.

Q-Tips, Ear Candling, And Everything You Need To Know About Earwax All of that time you spend digging earwax out of your ear isn't just a waste of time, but can be damaging your health. Earwax is a self-cleaning substance that protects our ears from infection and debris. Our expert this week explains the wax's various roles and when to know when you truly need a cleaning. Guest: Dr. Andrew Tagg, pediatric emergency physician, associate professor, University of Melbourne, co-founder, Don't Forget The Bubbles Host: Greg Johnson Producer: Kristen Farrah Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Podcast summary of articles from the March 2026 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include sociodemographics in HEART scores, EMS airway management, POCUS for detecting AAA, cardiotoxic chemotherapy, vasculitis, and POCUS use in cardiac arrest.  Guest speaker is Dr. Cory Ohradzansky.

It is getting hot in California, which has us thinking about the massive carbon footprint of healthcare. The emergency department is famously resource-heavy, but can we save lives and reduce waste? Dr. David Barnes joins us to explain how going green isn’t just about being a “tree hugger”—it's about saving money, cutting waste, and making our hospitals resilient against supply chain chaos. Defining Healthcare Sustainability Balancing Safety and Footprint: Sustainability in healthcare means delivering efficient, affordable care that minimizes resource waste while remaining clinically safe and meaningful. The Power of Resiliency: A sustainable healthcare system is inherently a resilient one. Reducing reliance on single-use items and utilizing local renewable energy sources (like microgrids) protects hospitals from supply chain disruptions caused by geopolitical conflicts or weather-driven power grid failures. The Three Scopes of Emissions Scope 1 (Direct): Emissions directly produced by hospital operations, such as idling fleet vehicles and leaking anesthetic gases. Scope 2 (Indirect): Purchased energy used to power and heat the facilities (e.g., local electricity and steam lines). Scope 3 (Supply Chain): The largest bucket, making up 60% to 80% of healthcare emissions. This includes employee commutes, medical waste incineration, manufacturing of disposable devices, and food production. Clinical Traps: Where We Waste the Most Pre-packaged Kits: Studies show 75% to 80% of items inside specialized kits (like central lines) go completely unused and are thrown away. Over-Preparation: Opening multiple single-use items (like various ET tube sizes) or donning full trauma PPE for minor injuries creates an immediate, unnecessary trash stream. Pharmaceutical Waste: Standard packaging size leads to heavy drug wasting (e.g., using 5 mL from a 100 mL propofol bottle). This regulated medical waste is costly and energy-intensive to incinerate. The Glove Epidemic: Glove overuse skyrocketed during COVID-19 and became a habit. Most routine encounters carry no contamination risk, making glove use clinically unnecessary. Shifting the Culture “Take What You Need, Leave What You Don’t”: Avoid opening supplies you may not need or bringing extra gauze or syringes into a room. Due to infection safety protocols, these often end up in the trash. Watch Where You Toss: Keep coffee cups and paper out of the red biohazard bins. Regulated medical waste costs six times more to process and must be incinerated, creating massive greenhouse gas emissions. Embrace Reprocessing & Reusables: Support partnerships with companies that safely clean and reuse devices historically labeled “single-use” (like EKG leads or waffle mattresses). Swap disposable plastic gowns for reusable cloth gowns that survive 90 washes. Model the Behavior: Culture change takes patience and persistence. Instead of finger-wagging or shaming colleagues, visibly adopt sustainable habits to drive grassroots practice changes. Key Takeaways for the ED Clinician Speak up on bad design: Clinicians are on the front lines of waste. Advocate for local sustainability initiatives to grab the attention of hospital executives who handle major purchasing contracts. Normalize virtual alternatives: Protect staff well-being and slash commuting emissions by offering Zoom or Teams options for short, solitary administrative meetings. Keep it in perspective: Healthcare sustainability is about finding the sweet spot where clinical safety, resource utilization, and environmental impact meet. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. David Barnes, Professor of Emergency Medicine, Director of ED Sustainability, and Member of the Sustainability Committee at UC Davis Health Resources: Practice Greenhealth Health Care Without Harm Green ED (Royal College of Emergency Medicine) *** 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 this episode, Dr. Ivette Motola, Professor of Emergency Medicine and Professor of Medical Education at the University of Miami Miller School of Medicine and Associate Director of the Gordon Center for Simulation and Innovation in Medical Education, alongside Harold Mayfield, Training Coordinator at Richmond Ambulance Authority, discuss how the Essential Stroke Life Support® program is improving stroke recognition, strengthening provider confidence, and helping care teams respond faster in critical moments.This episode is sponsored by the American Heart Association Professional Education Hub®.

Transforming healthcare delivery in resource-limited contexts around the world calls for compassionate, innovative solutions. Learn how The Luke Commission is bringing healthcare to the most isolated and underserved in Eswatini through a scalable model for advancing health equity.

Listener discretion is advised! References: ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medicine/ John Proctor. Gauging Emergency Physician Productivity: Are RVUs the Answer? Available: https://www.acep.org/imports/clinical-and-practice-management/resources/reimbursement-imported/gauging-emergency-physician-productivity-are-rvus-the-answerEmer

Reference:  Perry DC, et al. Non-surgical casting versus surgical reduction for children with severely displaced distal radial fractures (the CRAFFT Study): a multicentre, randomised, controlled non-inferiority trial and economic evaluation. Lancet April 2026. Date: May 8, 2026 Guest Skeptic:  Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. […] The post SGEM#510: Take this Broken Radius and just Cast It. first appeared on The Skeptics Guide to Emergency Medicine.

What if every "non-compliant" patient was actually a signal that the system isn't working for them? In this episode, Jamie sits down with Jaclyn Taylor, Clinical Strategy Director at Your Health and a nurse practitioner who started her career as a home-based provider in 2020 — thrown straight into the fire of COVID, isolated patients, and a healthcare world rewriting itself in real time. What she saw inside patients' homes — medications scattered on tables, food insecurity, missing transportation — changed how she thinks about every chart she's ever read. You'll hear: Why a nurse-first pathway gives nurse practitioners a fundamentally different lens than a medical school pathway — and why patients feel it What working across home care, telehealth, trauma, and wellness teaches you about treating the whole human, not just the diagnosis Why trauma surgery turned Jacqueline into a believer in proactive, longitudinal care — and what gets missed when we only meet patients after something has already gone wrong The two words she uses to describe what's most broken in traditional healthcare: fragmentation and misalignment How empathy stops being a poster and starts being operational — built into the design of care itself If you've ever felt invisible inside the healthcare system, or if you're the one trying to fix it, this conversation reframes the whole game. Press play. www.YourHealth.Org

Day Break | RADICAL LEFT EXPOSED: Why Democrats Are Losing America --- 00:00 - Monologue 19:08 – Brianne Dressen, founder of React19 and former preschool teacher. Dressen discusses her experience as a vaccine trial participant who later became an advocate for those reporting vaccine injuries. She explains why many affected individuals say they are still seeking answers and recognition. 28:05 – Dr. Kelly Victory, Chief of Disaster & Emergency Medicine at The Wellness Company. Dr. Victory discusses recent concerns surrounding hantavirus cases connected to a cruise ship outbreak. She explains what hantavirus is, how dangerous it may be, and what preparedness measures Americans should consider. Visit twc.health/GRUBER and use promo code GRUBER to save 10%. 38:09 - Monologue Featuring Ivey Gruber 47:09 – James Fitzpatrick, Director of the Center to Advance Security in America (CASA). Fitzpatrick discusses allegations involving the Air Force and medical procedures related to minors. He outlines concerns surrounding oversight and military policy. 57:21 – Myron Ebell, Senior Adviser for the Fix the EPA Veto Coalition. Ebell discusses what he describes as weaknesses within current deregulation efforts. He explains concerns about regulatory mechanisms that could slow or reverse policy changes. 1:06:15 – Brian Jodice, National Press Secretary for the American Federation for Children. Jodice discusses school choice efforts in New York and argues for expanded educational options nationwide. He also criticizes delays in advancing school choice policies in Michigan. 1:16:27 - Monologue 1:25:27 – Ron Rademacher, travel writer and Michigan backroads expert. Rademacher highlights events and attractions happening around Michigan. He shares travel ideas and seasonal activities taking place across the state. 1:35:38 – Rep. Dave Prestin, Michigan State Representative for the 108th District. Prestin discusses support for new energy legislation aimed at reversing previous green energy mandates. He explains how the proposals could impact energy affordability and reliability. 1:44:29 – Ivey Gruber, President of the Michigan Talk Network. Gruber discusses concerns about smartphones, social media, and technology use among children. The conversation focuses on the impact smart devices may be having on education, attention spans, and social development. --- Check out our brand new podcast, 'Forgotten America'... Episode 14 is live NOW at Steve Gruber on YouTube! Link below: https://youtu.be/EE7zApiSWks

Photo by Vitalii Pavlyshynets on Unsplash Secretary of Health and Human Services, Robert F. Kennedy, Jr., continues to push forward his Make America Healthy Again or MAHA agenda that has been both hailed for its attention to things like nutrition and chemical exposures, and criticized for what some see as its inadequacies in being evidence based and detracting from the importance of protecting the public against infectious diseases. On April 15, 2026, MedPage Today published a commentary on whether Kennedy’s approach to MAHA is more political marketing than evidence-based health guidance. The commentary was written by Adam Brown, MD, Contributing Writer to MedPage Today, a board-certified emergency medicine and lifestyle medicine physician, and founder of ABIG Health that advises healthcare organizations on strategy and innovation. He is a past President of Emergency Medicine at Envision Healthcare and currently a professor at UNC Chapel Hill at Kenan-Flagler Business School and a visiting professor of business at ESCP Business School in London and Paris. HealthCetera producer and host Diana J. Mason, PhD, RN, talked with Dr. Brown about his views on MAHA and its promotion by Kennedy. This interview first aired on HealthCetera in the Catskills on April 22, 20026. The post A Commentary on Make America Healthy Again appeared first on HealthCetera.

Hantavirus was first discovered in the early 1950s near the Hantaan River in South Korea. The US has seen this before: the 1993 Four Corners outbreak was the first recognition of the virus in the United States, causing a deadly respiratory syndrome. Now, Hantavirus is in the news again with 17 Americans currently (5.10.26) enroute back to the US for specialized observation. In this episode, we will briefly review what this virus does and cover the SPARSE data we have regarding hantavirus infection in pregnancy. 1. Gilson GJ, Maciulla JA, Nevils BG, et al. Hantavirus Pulmonary Syndrome Complicating Pregnancy. American Journal of Obstetrics and Gynecology. 1994. 2. 5.10.26: https://www.nbcnews.com/health/health-news/hantavirus-stricken-cruise-ship-arrives-tenerife-rcna3443183. Janwadkar RS, Ritchie HM, Johnson CA. Unexpected Challenges: A Case Report of Hantavirus Infection in a Pregnant Patient in a Rural Emergency Department. The Journal of Emergency Medicine. 2025.

This episode covers sepsis in children.Notes: https://zerotofinals.com/paediatrics/infectiousdisease/paediatricsepsis/Questions: https://members.zerotofinals.com/Books: https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

      Dr. Paul D. Biddinger, Chief Preparedness and Continuity Officer at Mass General Brigham and one of the nation's foremost authorities on disaster medicine, joins WarDocs to deliver an unflinching assessment of the United States' readiness to manage mass battlefield casualties in a large-scale combat operations (LSCO) scenario.     Drawing on nearly 30 years as a practicing emergency physician, his leadership of the National Special Pathogen System, and his co-PI role on a Henry M. Jackson Foundation-funded LSCO readiness project, Dr. Biddinger illuminates the critical gaps — and the urgent solutions — that will determine whether Team America can meet the medical demands of tomorrow's wars.       The conversation opens with Dr. Biddinger's distinctive academic trajectory: international relations and public policy at Princeton before medical school, a combination that instilled a deep appreciation for the policy infrastructure that either enables or obstructs effective healthcare coalitions. That framework shapes his entire approach to LSCO readiness, where the challenge is never a single hospital or a single physician — it is always the system.  Dr. Biddinger identifies data silos as the foundational failure threatening LSCO response.    The civilian healthcare system is already operating at or above capacity in most American cities, and the Federal Coordinating Centers within the National Disaster Medical System lack the real-time clinical expertise needed to make sophisticated patient regulation decisions. He argues for urgent integration of civilian-side patient transfer intelligence with military command structures — ensuring that warfighters returning home at scale are routed to the right bed, with the right subspecialty capability, rather than flooding Level I trauma centers and displacing civilian critical care.      The Ukraine conflict provides sobering real-world data: drone-driven injury patterns unfamiliar to most civilian trauma surgeons, extended evacuation timelines that demand adaptive point-of-injury care, and an overwhelmed rehabilitation pipeline that the U.S. system is wholly unprepared to replicate. Dr. Biddinger draws direct parallels to the Boston Marathon bombing response, where tactical combat casualty care principles — rapid hemorrhage control, aggressive patient distribution, and relentless questioning of old-school disaster assumptions — saved lives that a conventional mass casualty protocol would have lost.                       The episode closes with two pieces of career advice for young military medicine professionals: question every assumption respectfully and within proper command structures, and be a passionate, data-driven advocate for systems change. The Joint Trauma System's continuous learn-and-adapt model is held up as the gold standard. Dr. Biddinger's message is clear — the next large-scale conflict will be won or lost in part by how effectively military and civilian medicine learn to speak the same operational language before the shooting starts.   Chapters (00:00-02:30) From International Relations to Emergency Medicine: Building Systems-Level Thinking (02:30-07:37) LSCO Readiness Gaps: Data, Capacity, and the Civilian Healthcare System (07:37-13:58) Federal Coordination, Ukraine Lessons, and the Rehabilitation Crisis (13:58-19:24) AI, Heat Injury Prevention, and Patient Surge Load Balancing (19:24-26:30) National Special Pathogen System and All-Hazard Response Leadership (26:30-38:40) Boston Marathon Bombing Lessons, Innovation Culture, and the Future of Military Medicine   Chapter Summaries (00:00-02:30) From International Relations to Emergency Medicine: Building Systems-Level Thinking Dr. Biddinger traces his unconventional path from Princeton's international relations program to nearly 30 years as a practicing emergency physician. He explains how policy training shaped his conviction that no individual doctor or hospital succeeds in isolation — effective disaster response is fundamentally a systems problem, and the policy infrastructure surrounding those systems determines everything.   (02:30-07:37) LSCO Readiness Gaps: Data, Capacity, and the Civilian Healthcare System Drawing on his Henry M. Jackson Foundation LSCO project, Dr. Biddinger identifies the civilian healthcare system's chronic overcapacity as the primary threat to absorbing mass battlefield casualties. He quantifies the challenge — a hundred thousand extra patients over a hundred days — and explains why real-time data integration across hospital systems, state lines, and trauma center capabilities is the non-negotiable foundation of any viable patient distribution plan. He specifically flags EMS workforce shortages as an underappreciated rate-limiting factor.   (07:37-13:58) Federal Coordination, Ukraine Lessons, and the Rehabilitation Crisis Dr. Biddinger critiques the current Federal Coordinating Center structure as insufficiently connected to civilian-side clinical expertise, and calls for direct integration of military command data with civilian patient tracking systems. He applies lessons from the Ukraine conflict — drone injury patterns, extended evacuation timelines, and rehabilitation system collapse — to underscore how fundamentally different LSCO will be from the counter-insurgency environments most current military medical leaders trained in.   (13:58-19:24) AI, Heat Injury Prevention, and Patient Surge Load Balancing Dr. Biddinger describes his IBM Sustainability Accelerator collaboration developing AI-driven early warning systems for extreme heat events, and explains how that same data integration logic applies to battlefield thermal stress monitoring and real-time casualty tracking via the Joint Trauma System. He then walks through the COVID-era Boston hospital load-balancing system he helped build — competitive hospitals sharing real-time bed and ICU data and making collaborative surge decisions multiple times daily — and explores how that model translates to theater patient regulation.   (19:24-26:30) National Special Pathogen System and All-Hazard Response Leadership Dr. Biddinger explains the tiered architecture of the National Special Pathogen System — the infectious disease analog to the trauma center hierarchy — and its identify-isolate-inform framework, developed from the 2014 West African Ebola outbreak. He applies the framework directly to military medicine, emphasizing the importance of maintaining high clinical suspicion, knowing real-time global outbreak data, and preserving robust reach-back capability to specialty expertise. He closes with field lessons from Hurricane Katrina, Nepal earthquake response, and the Haiti earthquake on integrating civilian and military assets under ESF-8 and WHO cluster structures.   (26:30-38:40) Boston Marathon Bombing Lessons, Innovation Culture, and the Future of Military Medicine Dr. Biddinger credits tactical combat casualty care principles from Gulf War I and II for the lives saved at the Boston Marathon bombing, specifically the pivot away from staged triage toward rapid hemorrhage control and immediate hospital distribution. He documents how Boston EMS cleared more than 60 critical casualties in 18 minutes. The episode closes with career guidance for young military medicine professionals: question every assumption within appropriate command structures, remain data-driven, and be a fierce advocate for systems that better serve the injured warfighter.   Biography    Dr. Paul Biddinger is the Chief Preparedness and Continuity Officer at Mass General Brigham (MGB) and the Chief of the Division of Emergency Preparedness in the Department of Emergency Medicine at MGB.  He holds the Ann L. Prestipino MPH Endowed Chair in Emergency Preparedness and is also the Director of the Center for Disaster Medicine at Massachusetts General Hospital (MGH).  Dr. Biddinger additionally serves as the Director of the Emergency Preparedness Research, Evaluation and Practice (EPREP) Program at the Harvard T. H. Chan School of Public Health and holds appointments at Harvard Medical School and at the Chan School.   Dr. Biddinger serves as a medical officer for the MA-1 Disaster Medical Assistance Team (DMAT) in the National Disaster Medical System (NDMS) in the US Department of Health and Human Services (HHS).     Dr. Biddinger is an active researcher in the field of emergency preparedness and has lectured nationally and internationally on topics of preparedness and disaster medicine.  He has authored numerous articles and book chapters on multiple topics related to disaster medicine and emergency medical operations and has responded to numerous prior disaster events, including Hurricane Katrina, Superstorm Sandy, the Boston Marathon bombings, the Nepal earthquakes, and many others.     He completed his undergraduate study in international relations at Princeton University, attended medical school at Vanderbilt University, and completed residency training in emergency medicine at Harvard. Episode Keywords military medicine, large-scale combat operations, LSCO, disaster medicine, emergency medicine, Paul Biddinger, Mass General Brigham, patient surge, civilian military integration, Henry M. Jackson Foundation, National Disaster Medical System, NDMS, Federal Coordinating Centers, trauma system, combat casualty care, Boston Marathon bombing, Ukraine war lessons, drone injuries, mass casualty, hemorrhage control, tactical combat casualty care, TCCC, National Special Pathogen System, Ebola preparedness, AI in medicine, heat injury prevention, hospital capacity, patient distribution, military healthcare, WarDocs podcast Hashtags #MilitaryMedicine, #WarDocs, #LargeScaleCombatOperations, #DisasterMedicine, #CombatCasualtyCaree, #EmergencyMedicine, #MilitaryReadiness, #TCCC Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast