Podcasts about Emergency medicine

Medical specialty concerned with care for patients who require immediate medical attention

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Emergency medicine

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Best podcasts about Emergency medicine

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Latest podcast episodes about Emergency medicine

Breathe Easy
ATS Breathe Easy - Reviewing Advances in Endotrachael Intubation

Breathe Easy

Play Episode Listen Later Dec 23, 2025 25:59


 Endotrachael intubation is a highly important critical care procedure, and as such, clinicians are working to improve the procedure to ensure the best patient outcomes. As Stephanie DeMasi, MD, MS, assistant professor of emergency medicine at Vanderbilt University Medical Center, goes through the detailed review she wrote, along with her colleagues, on different evidence-based decisions clinicians face when intubating a patient, with host Eddie Qian, MD, Vanderbilt University Medical Center. Read Dr. DeMasi's paper, "Evidence-based Emergency Tracheal Intubation": https://www.atsjournals.org/doi/10.1164/rccm.202411-2165CI 

RTÉ - News at One Podcast
Letterkenny Hospital asks people not to visit the hospital as it deals with a flu outbreak

RTÉ - News at One Podcast

Play Episode Listen Later Dec 23, 2025 6:00


Dr. Rónán Murphy, Consultant in Emergency Medicine at University Hospital Kerry.

EMS Today
Research Highlights and Innovations Shaping Our Field

EMS Today

Play Episode Listen Later Dec 23, 2025 28:55


The world of prehospital medicine is constantly evolving, driven by new research, technological advancements, and a shared commitment to improving patient care and provider well-being. As EMS professionals, staying informed about these developments goes beyond a professional obligation; it is an opportunity to improve our practice, champion our profession, and ultimately make a greater impact on saving lives. In this article, we will explore some of the latest research findings that are reshaping our field, from workplace culture to cutting-edge technology.   The Culture of Care: Supporting EMS Providers Our work is demanding, both physically and emotionally, and the culture within our agencies plays a critical role in our well-being. A recent systematic review in the International Journal of Environmental Research and Public Health revealed that many EMS providers avoid using organizational mental health services due to stigma and a perception that these programs lack genuine care. The study emphasizes the need for person-centered support and a cultural shift that normalizes seeking help as a sign of strength (Johnston et al., 2025). This cultural component also impacts retention. Another study in the same journal found that agencies with collaborative, team-oriented "clan" cultures had significantly lower turnover rates compared to those with rigid or chaotic structures. For leaders in EMS, fostering a supportive environment is not just about morale. It is a strategic imperative for retaining skilled clinicians (Kamholz et al., 2025).   Professional Recognition: Breaking Barriers Across the globe, paramedics are striving for recognition as integrated healthcare professionals. A qualitative study in BMC Health Services Research identified common barriers, including outdated legislation, inconsistent regulation, and insufficient funding. While the pandemic temporarily highlighted our capabilities, the momentum has waned. The study calls for targeted policy reforms and investments in education and leadership to solidify our role in the broader healthcare system (Feerick et al., 2025). Physical Demands and Injury Prevention The physical toll of our work is undeniable. A scoping review in Applied Ergonomics confirmed that musculoskeletal injuries, particularly to the back, are rampant in EMS. Tasks like handling stretchers and patient extractions are among the most strenuous. The review also highlighted fitness disparities, with male paramedics generally showing more strength but less flexibility than their female counterparts. These findings underscore the need for targeted injury prevention programs and realistic physical standards to keep us safe throughout our careers (Marsh et al., 2025).   Advancements in Cardiac Arrest Care When it comes to cardiac arrest, every second counts. A study in Resuscitation reinforced the value of bystander CPR, showing that dispatcher-assisted CPR significantly improves outcomes for untrained bystanders. For those with prior CPR training, acting independently yielded even better results. This highlights the importance of public CPR education alongside dispatcher support (Tagami et al., 2025). On the scene, our interventions matter immensely. Research in The Journal of Emergency Medicine found that for traumatic cardiac arrest patients, aggressive interventions like prehospital thoracostomy can be lifesaving (McWilliam et al., 2025). Meanwhile, a study in Critical Care Medicine revealed that extracorporeal CPR (ECPR) significantly improves outcomes for patients with refractory ventricular fibrillation, emphasizing the need for early transport to specialized centers.   The Role of Technology in EMS Technology is poised to revolutionize EMS, from dispatch to diagnosis. A study in The American Journal of Emergency Medicine demonstrated that large language models (LLMs) like ChatGPT could prioritize ambulance requests with remarkable accuracy, aligning with expert paramedic decisions over 76 percent of the time. This proof of concept suggests that AI could one day enhance resource allocation in dispatch centers (Shekhar et al., 2025). On the diagnostic front, machine learning is opening new possibilities. For example, a study in Bioengineering showed that analyzing photoplethysmography waveforms could estimate blood loss in trauma patients, offering a non-invasive way to guide resuscitation (Gonzalez et al., 2025). Similarly, research in Medical Engineering & Physics explored using multidimensional data to differentiate ischemic from hemorrhagic strokes in the field, potentially enabling more targeted prehospital care (Alshehri et al., 2025).   Addressing Disparities in Care Equity in EMS is a cornerstone of our profession, yet recent studies highlight troubling disparities. Research in JAMA Network Open found that ambulance offload times were significantly longer in communities with higher proportions of Black residents (Zhou et al., 2025). Another study in JAMA Surgery revealed that Black and Asian trauma patients were less likely to receive helicopter transport compared to White patients. These findings are a call to action for all of us to examine our systems and biases to ensure equitable care for every patient (Mpody et al., 2025).   Looking Ahead The research discussed here represents just a fraction of the advancements shaping EMS today. From improving workplace culture and injury prevention to leveraging AI and addressing systemic inequities, these findings have real-world implications for our protocols, training, and advocacy efforts. As EMS professionals, we have a responsibility to stay informed and apply these insights to our practice. For a deeper dive into these topics and more, I invite you to listen to the podcast, EMS Research with Professor Bram latest episode, https://youtu.be/rt_1AFzSLIk "Research Highlights and Innovations Shaping Our Field.”   References Alshehri, A., Panerai, R. B., Lam, M. Y., Llwyd, O., Robinson, T. G., & Minhas, J. S. (2025). Can we identify stroke sub-type without imaging? A multidimensional analysis. Medical Engineering & Physics. https://doi.org/10.1016/j.medengphy.2025.104364 Feerick, F., Coughlan, E., Knox, S., Murphy, A., Grady, I. O., & Deasy, C. (2025). Barriers to paramedic professionalisation: A qualitative enquiry across the UK, Canada, Australia, USA and the Republic of Ireland. BMC Health Services Research, 25(1), 993. https://doi.org/10.1186/s12913-025-10993-7 Gonzalez, J. M., Holland, L., Hernandez Torres, S. I., Arrington, J. G., Rodgers, T. M., & Snider, E. J. (2025). Enhancing trauma care: Machine learning-based photoplethysmography analysis for estimating blood volume during hemorrhage and resuscitation. Bioengineering, 12(8), 833. https://doi.org/10.3390/bioengineering12080833 Johnston, S., Waite, P., Laing, J., Rashid, L., Wilkins, A., Hooper, C., Hindhaugh, E., & Wild, J. (2025). Why do emergency medical service employees (not) seek organizational help for mental health support?: A systematic review. International Journal of Environmental Research and Public Health, 22(4), 629. https://doi.org/10.3390/ijerph22040629 Kamholz, J. C., Gage, C. B., van den Bergh, S. L., Logan, L. T., Powell, J. R., & Panchal, A. R. (2025). Association between organizational culture and emergency medical service clinician turnover. International Journal of Environmental Research and Public Health, 22(5), 756. https://doi.org/10.3390/ijerph22050756 Marsh, E., Orr, R., Canetti, E. F., & Schram, B. (2025). Profiling paramedic job tasks, injuries, and physical fitness: A scoping review. Applied Ergonomics, 125, 104459. https://doi.org/10.1016/j.apergo.2025.104459 McWilliam, S. E., Bach, J. P., Wilson, K. M., Bradford, J. M., Kempema, J., DuBose, J. J., ... & Brown, C. V. (2025). Should anything else be done besides prehospital CPR? The role of CPR and prehospital interventions after traumatic cardiac arrest. The Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2025.02.010 Mpody, C., Rudolph, M. I., Bastien, A., Karaye, I. M., Straker, T., Borngaesser, F., ... & Nafiu, O. O. (2025). Racial and ethnic disparities in use of helicopter transport after severe trauma in the US. JAMA Surgery, 160(3), 313–321. https://doi.org/10.1001/jamasurg.2024.5678 Shekhar, A. C., Kimbrell, J., Saharan, A., Stebel, J., Ashley, E., & Abbott, E. E. (2025). Use of a large language model (LLM) for ambulance dispatch and triage. The American Journal of Emergency Medicine, 89, 27–29. https://doi.org/10.1016/j.ajem.2025.05.004 Tagami, T., Takahashi, H., Suzuki, K., Kohri, M., Tabata, R., Hagiwara, S., ... & Ogawa, S. (2025). The impact of dispatcher-assisted CPR and prior bystander CPR training on neurologic outcomes in out-of-hospital cardiac arrest: A multicenter study. Resuscitation, 110617. https://doi.org/10.1016/j.resuscitation.2025.110617 Zhou, T., Wang, Y., Zhang, B., & Li, J. (2025). Racial and socioeconomic disparities in California ambulance patient offload times. JAMA Network Open, 8(5), e2510325. https://doi.org/10.1001/jamanetworkopen.2025.10325  

Highlights from The Hard Shoulder
Christmas injuries and how to avoid them!

Highlights from The Hard Shoulder

Play Episode Listen Later Dec 23, 2025 6:42


As people gear up for the fun and festivities of Christmas, the special day also comes with a number of dangers that people need to be aware of. To chat about some of these Christmas threats, Ciara is joined by Consultant in Emergency Medicine and Columnist with the Irish Medical Times, Dr Chris Luke.

emDOCs.net Emergency Medicine (EM) Podcast
Episode 131: Metformin Toxicity

emDOCs.net Emergency Medicine (EM) Podcast

Play Episode Listen Later Dec 22, 2025 17:47


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 metformin toxicity.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 

The Skeptics Guide to Emergency Medicine
SGEM#497: We Could be Heroes – Just with a Little Help from Batman

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Dec 20, 2025 28:19


Date: Dec 17, 2025 Reference: Pagnini F, et al. Unexpected events and prosocial behavior: the Batman effect. npj Mental Health Research. November 2025 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children's National in Washington, DC. You may also know him as the host of SGEM Peds. Case: It's been a dark, […] The post SGEM#497: We Could be Heroes – Just with a Little Help from Batman first appeared on The Skeptics Guide to Emergency Medicine.

MedicalMissions.com Podcast

What is a call? How does a person know if God is calling them to mission service? Join in a discussion as these and other questions are addressed.

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STATMedEvacAirPod's podcast
One-on-One After Receiving the PEMF Ronald D. Stewart Excellence Award

STATMedEvacAirPod's podcast

Play Episode Listen Later Dec 20, 2025 14:19


Dr. Paul Paris, Medical Director Emeritus, the Pittsburgh Emergency Medicine Foundation, has been known to many in Western Pennsylvana in various roles.  An EM physician at UPMC - Presbyterian, an on-line medical director to many of the EMS providers, a mentor to EM residents and researchers and, the hand-picked leader to take over the Center for Emergency Medicine of Western Pennsylvania from it's original creator, Dr. Ron Stewart. Dr. Paris was recently recognized by PEMF as the 2025 Ronald D. Stewart Excellence Award.  We took a few minutes to talk about his career and how he feels about the impact he has had on many EMS careers.

Sex and Psychology Podcast
Episode 459: What 136,000 Erections Reveal About Men

Sex and Psychology Podcast

Play Episode Listen Later Dec 19, 2025 27:48


Erectile dysfunction has long been treated with guesswork and one-size-fits-all solutions. But new technology is changing that by making erections measurable. In this episode, we explore the FirmTech TechRing, a wearable that tracks erection data during sleep and sex, and what insights from over 136,000 erections reveal about erectile fitness, overall health, and the future of data-driven sexual medicine. I am joined once again by Dr. Elliot Justin, the CEO and founder of FirmTech, a sextech company focused on keeping men fit and firm for a lifetime of lovemaking. He is an Emergency Medicine specialist and health care technology consultant who has spent 25 years practicing emergency medicine and directing ERs. Some of the specific topics we explore in this episode include: How is the TechRing different from a traditional penis ring? What can real-time erection data tell men about their health? How does using an erection ring compare to taking an ED medication? How can an erection ring make sex better? Check out FirmTech’s website to learn more and use code JUSTIN15 for 15% off your purchase.  Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  Thread & Tether is a therapy practice dedicated to helping couples rebuild trust, strengthen intimacy, and heal after betrayal. Led by AASECT-certified sex therapist Jason Powell, the practice offers virtual sessions in multiple states and in-person intensives in Boston and Manhattan. Visit threadandtether.com to learn more. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

GEMCAST
Frailty Frontline: How to identify frailty, and what to do next

GEMCAST

Play Episode Listen Later Dec 18, 2025 31:06


In this episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. James Van Oppen, emergency physician and frailty expert at the University of Sheffield, to discuss the rising importance of frailty in emergency medicine. Frailty, defined as the loss of physiological resilience, is both common and clinically significant for older adults presenting to the emergency department (ED). The two discuss what frailty means, how it can be identified, and how to approach ED assessment and management in a frail patient, emphasizing the value of person-centred care. Furthermore, they highlight recent studies regarding frailty, which can be found in the resources below, and discuss the need for system-wide changes to support frailty care. Alongside his work as an emergency physician and clinical lecturer, Dr. van Oppen is the chair of the geriatric emergency medicine section of the European Society of Emergency Medicine. Tune in to this episode to expand your understanding of frailty and hear some practical tips to improve your clinical practice.

MedicalMissions.com Podcast
A Sustainable Missional Model for Healthcare in Resource Limited Settings: Lessons from India

MedicalMissions.com Podcast

Play Episode Listen Later Dec 17, 2025


Low resource settings require much innovation and streamlining resources to meet set goals. With healthcare becoming more commercial and profit driven, missional healthcare in low resource settings faces many challenges. Sustainability is a big question with people finance , and equipment scarce and hard to come by. Missional models of healthcare often run into hurdles of sustainability, longevity and relevance even as healthcare slowly turns into business. In this setting of multifactorial challenges and increasing compliances how can missional healthcare be relevant and sustainable? Many saints of God have committed their lives to fulfil this great commission in some of the most underserved and unreached areas of the world. With the birth of Emmanuel Hospital Association (EHA) a different model of missional healthcare emerged in India. Over the last 55 years of its existence, EHA has shown that through all the challenges, this may be one of the ways to sustain missional healthcare in areas of need. With increasing divide between the rich and poor, overwhelmed government systems, a ruthless insurance system, and high end corporate healthcare, it is still possible for missional healthcare to provide low cost, high quality, technologically advanced care to people in need while remaining sustainable. We bring lessons from India and our experience with Emmanuel Hospital Association over the last 3 decades.

Highlights from The Hard Shoulder
How toxic are some of your cleaning products?

Highlights from The Hard Shoulder

Play Episode Listen Later Dec 17, 2025 7:38


How well are you aware of the threat posed by some of the toxic cleaning products in your home?To highlight some of the dangers, Ciara is joined by Consultant in Emergency Medicine in the West, Dr Lisa Cunningham.

Sex and Psychology Podcast
Episode 458: How Erections Really Work (And Why They Fail)

Sex and Psychology Podcast

Play Episode Listen Later Dec 16, 2025 25:49


What actually has to happen inside the body for an erection to occur? And what is the most common cause of erectile dysfunction (ED)? In today’s show, we’re diving into the science of how erections work, as well as why men sometimes struggle to get or maintain them. We’ll also unpack some common misconceptions about ED and discuss why the standard “just take a pill approach” overlooks a bigger issue. My guest is Dr. Elliot Justin, the CEO and founder of FirmTech, a sextech company focused on keeping men fit and firm for a lifetime of lovemaking. He is an Emergency Medicine specialist and healthcare technology consultant who has spent 25 years practicing emergency medicine and directing ERs. Some of the specific topics we explore in this episode include: What are the biggest things people get wrong about erectile dysfunction? What is venous leak, and why is it such an under-diagnosed contributor to ED? Why do nighttime erections happen, and what do they tell us about men’s health? What’s the problem with using pills as a one-size-fits-all solution to ED? Check out FirmTech’s website to learn more and use code JUSTIN15 to save 15% off your purchase. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  The Kinsey Institute is where the world turns to understand sex and relationships. You can help continue its expert-led research by donating to the Kinsey Institute Research Fund. Learn more and make a donation here: https://give.myiu.org/centers-institutes/I380010749.html  Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

EM Pulse Podcast™
Medicine on the Go: W3

EM Pulse Podcast™

Play Episode Listen Later Dec 16, 2025 29:01


In the second episode of our Medicine on the Go series, we step beyond the ED to explore how UC Davis Health and Sacramento County are partnering to deliver care directly to the community through the Wellness Without Walls (W3) street medicine program. We're joined by Dr. MK Orsulak, Assistant Professor of Family Medicine at UC Davis. We discuss how a mobile clinic staffed by interdisciplinary teams brings primary care, wound care, mental health services, HIV/STI testing, vaccinations, and substance use treatment to people experiencing homelessness—meeting patients where they are and reducing preventable ED visits. This episode offers a powerful look at how innovative, cross-system collaboration can extend emergency care beyond hospital walls and improve access to the right care at the right time. Do you have a program similar to W3 in your area? We'd love to hear about it! Share with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. MK Orsulak, Assistant Professor of Family and Community Medicine at UC Davis Resources: Sacramento County Department of Health Services: Wellness Without Walls (W3) Street medicine team improves lives of unhoused patients, by Edwin Garcia, Feb 27 2024 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

The Low Carb Athlete Podcast
#622 Precision Medicine & The Wild Health Clarity Report with Dr. Meghan Jones

The Low Carb Athlete Podcast

Play Episode Listen Later Dec 16, 2025 64:11


What if your lab work, genetics, and lifestyle data could all talk to each other—giving you a single, clear picture of how to optimize your energy, hormones, and longevity? In this episode, I sit down with Dr. Meghan Jones, a board-certified Emergency Medicine physician and Fellow of Wild Health's Precision Medicine Program, to explore how their Clarity Report™ uses genomics and biomarker analysis to map out a personalized path toward healing and performance. Dr. Jones shares her journey from emergency medicine to precision health—why she left crisis care to help people prevent disease and live stronger, longer lives. Together we unpack my own Wild Health Clarity Report™ findings and discuss how data-driven coaching can uncover the hidden stressors, nutrient gaps, and hormone imbalances that keep you stuck. In this episode: What the Wild Health Clarity Report™ measures and why it matters How genetics, labs, and lifestyle data combine to reveal your root causes My personal insights from metabolic and hormone testing How precision medicine can improve energy, resilience, and longevity If you're ready to move beyond symptom management and start your own investigation, visit www.wildhealth.com and use code COACHDEBBIEPOTTS to save on your Precision Medicine Clarity Report™. Guest Bio: Dr. Meghan Jones, MD is a board-certified Emergency Medicine physician and Fellow of Wild Health's Precision Medicine Program. She earned her medical degree at West Virginia University and completed her residency at The Ohio State University. After years in emergency medicine, Dr. Jones transitioned to precision health to help patients uncover root causes and achieve results once thought out of reach. She's passionate about helping people live as well as they can—for as long as they can—and is an active mom of two who loves fitness, outdoor adventure, and community. Links

2 View: Emergency Medicine PAs & NPs
The 2 View - Episode 51 | Fitness, Gabapentin, Diverticulitis, and more...

2 View: Emergency Medicine PAs & NPs

Play Episode Listen Later Dec 16, 2025 79:51


Welcome to Episode 51 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Segment 1 Rodríguez, M. Á., Quintana-Cepedal, M., Cheval, B., Thøgersen-Ntoumani, C., Crespo, I., & Olmedillas, H. (2025, October 7). Effect of exercise snacks on fitness and cardiometabolic health in physically inactive individuals: Systematic review and meta-analysis. British Journal of Sports Medicine. Advance online publication. https://doi.org/10.1136/bjsports-2025-110027 Rodgers, L. (2025, October 17). As pickleball continues to gain players, injuries are increasing. JAMA. https://doi.org/10.1001/jama.2025.18833 Segment 2 Baos, S., Lui, M., Walker-Smith, T., Pufulete, M., Messenger, D., Abbadi, R., Batchelor, T., Casali, G., Edwards, M., Goddard, N., Abu Hilal, M., Alzetani, A., Vaida, M., Martinovsky, P., Saravanan, P., Cook, T., Malhotra, R., Simpson, A., Little, R., Wordsworth, S., Stokes, E., Jiang, J., Reeves, B., Culliford, L., Collett, L., Maishman, R., Chauhan, N., McCullagh, L., McKeon, H., Abbs, S., Lamb, J., Gilbert, A., Hughes, C., Wynick, D., Angelini, G., Grocott, M., Gibbison, B., & Rogers, C. A. (2025). Gabapentin for pain management after major surgery: A placebo-controlled, double-blinded, randomized clinical trial (the GAP Study). Anesthesiology, 143(4), 851-861. https://doi.org/10.1097/ALN.0000000000005655 NEJM Journal Watch. (2024, December 30). Growing evidence of harms associated with gabapentinoid drugs. JWatch. https://www.jwatch.org/na58203/2024/12/30/growing-evidence-harms-associated-with-gabapentinoid-drugs Moeindarbari, S., Beheshtian, N., & Hashemi, S. (2022). Cerebral vein thrombosis in a woman using oral contraceptive pills for a short period of time: A case report. Journal of Medical Case Reports, 16, Article 260. https://doi.org/10.1186/s13256-022-03473-w Peckham, A. M., Evoy, K. E., Ochs, L., & Covvey, J. R. (2018). Gabapentin for off-label use: Evidence-based or cause for concern? Substance Abuse: Research and Treatment, 12, 1178221818801311. https://doi.org/10.1177/1178221818801311 The 2 View: Emergency Medicine PAs & NPs. (2025, January 22). 41 – RCVS and CVT, CPR care science, prehospital tourniquets, blood pressure [Audio podcast episode]. Fireside. https://2view.fireside.fm/41 Strahan, A. E., Rikard, S. M., Schmit, K. M., Zhang, K., Guy, G. P., Jr., & [Additional Authors]. (2025). Trends in dispensed gabapentin prescriptions in the United States, 2010 to 2024. Annals of Internal Medicine. Advance online publication. https://doi.org/10.7326/ANNALS-25-01750 Segment 3 Brown, R. F., Lopez, K., Smith, C. B., & Charles, A. (2025). Diverticulitis: A review. JAMA, 334(13), 1180-1191. https://doi.org/10.1001/jama.2025.10234 Carr, S., & Velasco, A. L. (2024, July 25). Colon diverticulitis. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK541110/ Bob Tubbs on Emergency Radiology: https://youtu.be/Jg1JG67eoJQ Our social media: TikTok: https://www.tiktok.com/@ccmecourses Instagram: https://www.instagram.com/ccmecourses Facebook: https://www.facebook.com/CenterForMedicalEducation LinkedIn: https://www.linkedin.com/in/rickbukata Our podcasts: The 2 View Podcast (Free): Subscribe on Apple Podcasts https://apple.co/3rhVNZw​ Subscribe on Google Podcasts: http://bit.ly/2MrAHcD​ Subscribe On Spotify: http://spoti.fi/3tDM4im Risk Management Monthly Podcast (Paid CME): https://www.ccme.org/riskmgmt ** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. emergencymedicine #cme

AEMEarlyAccess's podcast
Emergency Department Visit Frequency Among Adults With Chronic Abdominal Pain: Findings From the 2023 US National Health Interview Survey

AEMEarlyAccess's podcast

Play Episode Listen Later Dec 16, 2025 42:43


AEM Podcast host Ken Milne, MD, and guest skeptic Kirsty Challen, PhD, interview lead author Michael Ray, MS, DC. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

AEMEarlyAccess's podcast
Ultrasound-Guided Nerve Block for Pediatric Femur Fractures in the Emergency Department: A Prospective Multi-Center Study

AEMEarlyAccess's podcast

Play Episode Listen Later Dec 16, 2025 33:45


AEM Podcast host Ken Milne, MD, and guest skeptic Lauren Westafer, DO, MPH, MS, interview lead author Zachary Binder, MD. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

AEMEarlyAccess's podcast
AEM E&T - Development, Integration, and Evaluation of Street Medicine Into Emergency Medicine Resident Education

AEMEarlyAccess's podcast

Play Episode Listen Later Dec 16, 2025 16:03


AEM E&T Podcast host Resa E. Lewiss, MD, interviews author Kathleen Joseph, MD

AEMEarlyAccess's podcast
Prevalence of violence against health care workers among agitated patients in an urban emergency department

AEMEarlyAccess's podcast

Play Episode Listen Later Dec 16, 2025 43:17


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

Doc Talk with Monument Health
Best of 2025 -Ep. 151: Trauma Surgery and Emergency Medicine with Leslie Van Dyne, M.D.

Doc Talk with Monument Health

Play Episode Listen Later Dec 16, 2025 24:31


Welcome to Doc Talk, I'm your host, Mark Houston. This month, we're celebrating the Best of 2025 and revisiting some of our most informative and popular episodes from the past year. This week it's Episode 151 with Dr. Leslie Van Dyne.As a Trauma Surgeon and Critical Care Specialist at Rapid City Hospital, Leslie Van Dyne, M.D. shares her unique perspective on caring for patients in a rural area known for outdoor adventure and seasonal risks. Dr. Van Dyne explains the differences between trauma surgery and emergency medicine, discusses caring for critical patients in the ICU and relates how activities like ATV riding, horseback riding and summer tourism impact the trauma cases she sees. Hosted on Acast. See acast.com/privacy for more information.

AEMEarlyAccess's podcast
AEM E&T - Implementation of a Longitudinal Ultrasound Training Program for Senior Emergency Medicine Residents: Impact on Scan Volume and Accuracy

AEMEarlyAccess's podcast

Play Episode Listen Later Dec 16, 2025 13:02


AEM E&T Podcast host Resa E. Lewiss, MD, interviews author Jessica Baez, MD

TamingtheSRU
Trip, Slip, Scan? Rethinking Head CTs in the Elderly

TamingtheSRU

Play Episode Listen Later Dec 15, 2025 8:17


Ground-level falls are a leading reason older adults get head CTs in the ER, largely because current rules treat age > 65 as a risk factor by itself. Yet many emergency physicians question whether that's always necessary for well-appearing patients. A new systematic review and meta-analysis in Annals of Emergency Medicine digs deeper, asking: what other factors truly predict intracranial hemorrhage after ground-level falls? Join Dr. Snyder as she explores the findings, limitations, and what they mean for everyday practice.

The EMS Lighthouse Project
Ep 105 - The RSI Trial

The EMS Lighthouse Project

Play Episode Listen Later Dec 14, 2025 40:12


You've read about how this groundbreaking trial on ketamine vs etomidate for RSI "Changes Everything!" on the socials. Or perhaps "it's horribly biased and unnecessary... we're already knew all this!". Why? Well.. social media. Listen in as Dr Jarvis discusses not just this trial, but what the evidence landscape was before it was released. Why was it done, how was it done, what does it show, and how can we integrate it into our practice?Citations:1. Casey JD, Seitz KP, Driver BE, et al. Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. N Engl J Med. Published online December 9, 2025.2. Jabre P, Combes X, Lapostolle F, et al. Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet. 2009;374(9686):293-300. 3. Matchett G, Gasanova I, Riccio CA, et al. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022;48(1):78-91. 4. Koroki T, Kotani Y, Yaguchi T, et al. Ketamine versus etomidate as an induction agent for tracheal intubation in critically ill adults: a Bayesian meta-analysis. Crit Care. 2024;28(1):48. 5. Yeh RW, Valsdottir LR, Yeh MW, et al. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. BMJ. 2018;363:k5094. doi:10.1136/bmj.k5094

SAMOPS Specialty Spotlights
71 - Army Emergency Medicine - Dr. Suter

SAMOPS Specialty Spotlights

Play Episode Listen Later Dec 14, 2025 62:08


Hello and welcome to the SAMOPS Specialty Spotlight podcast. This podcast was created to help inform military medical students about experiences and opportunities in military medicine. We aim to interview physicians either currently in or retired from the military, from all branches of service, in various specialties.Today I have my fellow classmate Rider Calhoun OMSIII here with me to help facilitate a conversation with retired Brigadier General and Emergency Medicine physician, Dr. Robert Suter. Currently, Dr. Suter serves as our Dean of Clinical Integration at Sam Houston State University College of Osteopathic Medicine. We hope you enjoy this honest conversation regarding Emergency Medicine. DISCLAIMER: All the opinions presented in this podcast are our own and do not reflect the opinions of any branch in the U.S. Military or the Department of Defense.

The Skeptics Guide to Emergency Medicine
SGEM#496: Hangin' Tough after a Nerve Block for Pediatric Femur Fractures

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Dec 13, 2025 33:45


Reference: Binder ZW et al. “Ultrasound-Guided Nerve Block for Pediatric Femur Fractures in the Emergency Department: A Prospective Multi-Center Study.” Academic Emergency Medicine, 2025. Date: November 24, 2025 Guest Skeptic: Dr. Lauren Westafer is an Associate Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School, Baystate. She is the co-founder […] The post SGEM#496: Hangin' Tough after a Nerve Block for Pediatric Femur Fractures first appeared on The Skeptics Guide to Emergency Medicine.

RTÉ - Morning Ireland
Flu cases yet to peak, according to the HSE

RTÉ - Morning Ireland

Play Episode Listen Later Dec 12, 2025 5:11


Professor Conor Deasy, President of the Irish Association for Emergency Medicine, outlines the challenges facing the hospital system from rising case of flu this Christmas period

Chicago's Afternoon News with Steve Bertrand
How to stay safe in frigid weather

Chicago's Afternoon News with Steve Bertrand

Play Episode Listen Later Dec 12, 2025


Dr. Trevor Lewis, Medical Director of Emergency Medicine of Cook County Health, joins Lisa Dent to discuss how people can take care of themselves during extreme cold weather. Dr. Lewis reviews the symptoms and warning signs of hypothermia and frost bite.

the UK carnivore experience
Emergency Medicine Meets Metabolic Health

the UK carnivore experience

Play Episode Listen Later Dec 11, 2025 53:22


In this conversation, emergency medicine specialist Ankur Verma discusses the intersection of emergency medicine and metabolic health, particularly in the context of the Indian population. He challenges common myths about vegetarianism, highlights the importance of understanding cardiovascular health through data, and emphasises the role of nutrition in recovery. Verma also delves into the implications of vitamin D and B12 deficiencies, the dangers of visceral fat, and the need for informed dietary choices. Throughout the discussion, he shares personal experiences and insights from his practice, advocating for a more holistic approach to health and wellness.Chapters00:00 Introduction to Emergency Medicine and Its Challenges03:06 The Vegetarian Myth: Health Implications in India05:50 Understanding Heart Health: The Role of Diet09:01 Homocysteine and Cardiovascular Risk Factors11:50 The Lipid Hypothesis: Rethinking Heart Disease15:04 Patient Insights: Nutrition and Heart Health17:57 Vitamin D and Its Importance in Health21:00 The Impact of Visceral Fat on Health26:05 Understanding Visceral Fat and Its Implications30:10 The Role of Carbohydrates in Fat Accumulation33:39 Exploring Brain Detoxification Mechanisms35:13 The Impact of Dairy on Health39:12 Questioning Medical Guidelines and Practices43:27 The Importance of Nutritional Awareness47:21 The Role of Doctors in Patient EducationAnkur's LinksInstagram - @thecarnivore.epLinkedIn - Dr. Ankur VermaX - @ anksv25

ACEP Critical Decisions in Emergency Medicine
November 2025: Acute Radiation Sickness and Ocular Foreign Bodies

ACEP Critical Decisions in Emergency Medicine

Play Episode Listen Later Dec 11, 2025 57:36


In the November 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute radiation sickness and ocular foreign bodies. As always, you'll also hear about the hot topics covered in the regular features, including recurrent palpitations in a middle-aged man in The Critical ECG, primary adrenal insufficiency in Clinical Pediatrics, Lisfranc injury in Critical Cases in Orthopedics and Trauma, active external rewarming of hypothermic patients in The Critical Procedure, managing patients with acute visual loss in The LLSA Literature Review, abdominal pain in a child after a fall in The Critical Image, acetylcysteine for acetaminophen toxicity in The Drug Box, and carbon monoxide toxicity in The Tox Box.

Health Matters
The Top Takeaways from this Year of Health Matters

Health Matters

Play Episode Listen Later Dec 10, 2025 19:37


This week on Health Matters, Courtney is joined by Erin Welsh, host of NewYork-Presbyterian's medical research podcast, Advances in Care, to recap an amazing year of health and wellness conversations. They share highlights and discuss the top takeaways from their dozens of conversations with clinicians, researchers – and even a former New York Mets All-Star. This conversation is a great rundown of important health reminders and tips for all of us concerned with staying healthy during the holidays and starting the new year off on the right foot. ___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org

RTÉ - Morning Ireland
IMO warns that flu has hit Ireland 'fast and hard'

RTÉ - Morning Ireland

Play Episode Listen Later Dec 8, 2025 6:25


Dr. Peadar Gilligan, Consultant in Emergency Medicine in Beaumont Hospital & IMO member on the pressure on hospital due to early arrival of flu season.

Alert and Oriented
#58 – Early Clinical Learners Series: Cracking the Joint Pain Differential

Alert and Oriented

Play Episode Listen Later Dec 8, 2025 33:55


Welcome to the fourth episode of our Early Clinical Learners Series, a series dedicated to fostering clinical reasoning skills and strategies in early clinical trainees. This episode focuses on the musculoskeletal (MSK) block and uses a clinical case to guide listeners through approaching joint pain, identifying key red flags, and narrowing a differential diagnosis.Hosts: Caroline Wang, Samantha Shih, Dr. Richard AbramsGuests: Christopher Song, Grant PrimerProduced By: Caroline Wang, Samantha ShihAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on Twitter:A&OA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

ACEP Critical Decisions in Emergency Medicine
October 2025: Managing Thermal Burns, and Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State

ACEP Critical Decisions in Emergency Medicine

Play Episode Listen Later Dec 8, 2025 52:37


In the October 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing thermal burns and diabetic ketoacidosis and hyperosmolar state. As always, you'll also hear about the hot topics covered in the regular features, including syncope and a rapid heartbeat in a young man in The Critical ECG, a boy with hip pain in Clinical Pediatrics, calcaneal fracture in Critical Cases in Orthopedics and Trauma, wedge resection for partial nail removal in The Critical Procedure, albuterol-budesonide rescue inhalation for asthma in The LLSA Literature Review, a patient with a change in mental status in The Critical Image, phenobarbital for alcohol withdrawal syndrome in The Drug Box, and paraquat toxicity in The Tox Box.

RTÉ - Drivetime
Surge in flu cases leave hospitals short of beds

RTÉ - Drivetime

Play Episode Listen Later Dec 8, 2025 15:31


Professor Conor Deasy, Consultant in Emergency Medicine at Cork University Hospital; Christine Loscher, Professor of Immunology at Dublin City University; and Tadgh Daly, CEO of Nursing Homes Ireland

The Skeptics Guide to Emergency Medicine
SGEM#495: Tell Me Lies, Tell Me Sweet Little Lies – Reporting of Noninferiority Margins on ClinicalTrials.gov.

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Dec 6, 2025 24:54


Date: December 4, 2025 Guest Skeptic: Dr. Jestin Carlson – Long-time listener, second-time guest.   Reference: Reinaud et al. Reporting of Noninferiority Margins on ClinicalTrials.gov: A Systematic Review. JAMA Netw Open. 2025 Case: You are working with a resident who asks you about a new thrombolytic they heard about on the SGEM for acute ischemic stroke.  […] The post SGEM#495: Tell Me Lies, Tell Me Sweet Little Lies – Reporting of Noninferiority Margins on ClinicalTrials.gov. first appeared on The Skeptics Guide to Emergency Medicine.

JAMAevidence The Rational Clinical Examination: Using Evidence to Improve Care
Has This Child Experienced Physical Abuse? Discussion with Dr Shah

JAMAevidence The Rational Clinical Examination: Using Evidence to Improve Care

Play Episode Listen Later Dec 4, 2025 19:33


Sonal N. Shah, MD, MPH, Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, discusses the Rational Clinical Examination article "Has This Child Experienced Physical Abuse?" with JAMA Associate Editor David L. Simel, MD, MHS. Related Content: Has This Child Experienced Physical Abuse?

Trinity Reformed Church Podcast
Incarnational Love - Larson Hicks [Exhortation]

Trinity Reformed Church Podcast

Play Episode Listen Later Dec 4, 2025 7:33


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

The Revitalizing Doctor
How a Math Teacher Became a Dual-Boarded Physician

The Revitalizing Doctor

Play Episode Listen Later Dec 2, 2025 49:02


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

Living A Life In Full
Ben Mattingly, MD, on How to Live, Learn, and Explore the World

Living A Life In Full

Play Episode Listen Later Dec 1, 2025 70:13


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

emDOCs.net Emergency Medicine (EM) Podcast
Episode 130: Interstitial Lung Disease Part 2

emDOCs.net Emergency Medicine (EM) Podcast

Play Episode Listen Later Dec 1, 2025 14:14


Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Brit Long (@long_brit), we cover management of AE-ILD exacerbations. For more on evaluation, take a listen to Part 1. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

The Peds NP: Pearls of Pediatric Evidence-Based Practice
Choosing Wisely Case 4: New onset enuresis (S12 Ep. 83)

The Peds NP: Pearls of Pediatric Evidence-Based Practice

Play Episode Listen Later Dec 1, 2025 32:22


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

ECCPodcast: Emergencias y Cuidado Crítico
CPR-Induced Consciousness (CPRIC): Cuando el paciente "despierta" durante las compresiones

ECCPodcast: Emergencias y Cuidado Crítico

Play Episode Listen Later Nov 29, 2025 96:59


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

The Skeptics Guide to Emergency Medicine
SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Nov 29, 2025 42:42


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

Prehospital Emergency Care Podcast - the NAEMSP Podcast
Ep. 157: Special Episode - Prehospital Management of Spinal Cord Injuries

Prehospital Emergency Care Podcast - the NAEMSP Podcast

Play Episode Listen Later Nov 27, 2025 31:24


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

Resiliency Radio
289: Resiliency Radio with Dr. Jill: Cutting Edge Longevity Therapies to Change Your Life with Dr. Khoshal Latifzai

Resiliency Radio

Play Episode Listen Later Nov 26, 2025 60:32


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

The Ketamine StartUp Podcast
Episode 45 - From Emergency Medicine to Psychospiritual Healing: Dr. Randy Frederick's Ketamine Clinic Journey

The Ketamine StartUp Podcast

Play Episode Listen Later Nov 24, 2025 62:10


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

The Skeptics Guide to Emergency Medicine
SGEM#493: You Can’t Hold Me Down with Spinal Motion Restrictions

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Nov 22, 2025 62:27


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

The Locumstory Podcast
Ep. 67: Career pivots, locums flexibility, and emergency medicine lifestyle with Dr. Jillian Merica

The Locumstory Podcast

Play Episode Listen Later Nov 21, 2025 38:11


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

EM Pulse Podcast™
Medicine on the Go: Health 34

EM Pulse Podcast™

Play Episode Listen Later Nov 20, 2025 19:20


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