Podcasts about Emergency medicine

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we're back with Part 2 on upper GI bleeding.  Today we cover endoscopy, other interventions for bleeding cessation, intubation, and risk scores.  Please see Part 1 for some background, NG tube lavage, blood product transfusion, proton pump inhibitors (PPIs), prokinetic agents, somatostatin analogues, and antibiotics. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play 

Date: August 12, 2025 Article: FDA Approved and Ineffective by Jeanne Lenzer and Shannon Brownlee. June 5, 2025. The Lever. Guest Skeptic: Jeanne Lenzer is a long-time medical investigative journalist and returning SGEM guest. Her previous work, including the book The Danger Within Us, explored how conflicts of interest and weak evidence can endanger patient care. In […] The post SGEM Xtra: Tell Me Lies, Sweet Little Lies – FDA Approved & Ineffective first appeared on The Skeptics Guide to Emergency Medicine.

In this week's episode, we explore how creativity, humor, and connection can be powerful tools for mental health and healing.Part 1: When anxiety starts taking over her life, Jude Treder-Wolff signs up for an improv class.Part 2: Counselor Belinda Arriaga and emergency medicine doctor Nancy Ewen join forces to collect scientific evidence of the power of culturally responsive mental health care.Jude Treder-Wolff is a creative arts therapist, writer/performer and trainer with Lifestage, Inc, a company that provides creative personal and professional development workshops and classes. She believes that creativity is a renewable resource that is the energy of change anyone can tap into for healing, change and growth. She hosts (mostly) TRUE THINGS, a game wrapped in a true storytelling show performed once a month in Port Jefferson, NY and brings storytelling workshops to the Sandi Marx Cancer Wellness Program and Seniors Program at the Sid Jacobsen Jewish Community Center and the Alzheimer's Education and Resource Center on Long Island, the National Association of Social Workers in NYS as well as other social service organizations. She has been featured on many shows around the country, including RISK! live show and podcast, Generation Women, Mortified, Story District in Washington D.C., Ex Fabula in Milwaukee WI and PBS Stories From The Stage.Dr. Belinda Hernandez-Arriaga, LCSW, is an educator, advocate, and visionary leader fueled by love and courage. As the Founder and Executive Director of Ayudando Latinos A Soñar (ALAS) in Half Moon Bay, she has transformed the farmworker community, infusing it with cultural pride and unyielding hope. Under her leadership, the Coast's first affordable housing for farmworker elders became a reality, and mental health care for immigrants was reimagined with arts, culture, and community at the center. A beloved mentor and award-winning author of a children's book on family separation, Belinda championed farmworkers' needs during the pandemic and led her community's healing after a mass shooting. From the southern border to the White House, her advocacy has touched countless lives and inspires change rooted in our collective humanity. A passionate educator, Dr. Hernandez-Arriaga teaches at the University of San Francisco, inspiring the next generation of counselors and activists. At ALAS, She has built groundbreaking partnerships with USF and Stanford to lead pioneering research on the power of culturally responsive mental health care. She has helped to publish works like There Is a Monster in My House, Cultura Cura, and Olvidados Entre la Cosecha, which illuminate the emotional experiences of undocumented and mixed-status youth. Belinda has presented ALAS's findings at major conferences such as the American Psychological Association and the Pediatric Academic Societies, resulting in groundbreaking tools including the first-ever Spanish-language instrument to measure immigration trauma. Dr. Belinda's work has positioned ALAS as a national model for community-driven, mental health programs that champion the belief that La Cultura Cura, that culture cures. Belinda also co-founded the Latino Advisory Council in Half Moon Bay, helped launch the Latino Trauma Institute, and actively collaborates with Bay Area Border Relief. A former San Mateo County District 3 Arts Commissioner and inductee of the San Mateo County Women's Hall of Fame, Belinda is an active civic leader. She is also a proud mother of three and holds a Doctor of Education from the University of San Francisco.Dr. N Ewen Wang is a Professor Emerita of Emergency Medicine and Pediatrics. She was Associate Director of Pediatric Emergency Medicine at the Stanford University School of Medicine for more than 20 years. Her career has been committed to serving vulnerable populations and decreasing health disparities locally as well as globally. She founded the Stanford section in Social Emergency Medicine, a field which uses the perspective of the Emergency Department (ED) to identify patient social needs which contribute to disease and to develop solutions to decrease these health disparities. As such, she directed the Social Emergency Medicine fellowship and was medical director for a student-run group which screened ED patients for social needs (Stanford Health Advocates and Research in the ED (SHAR(ED)). She has worked clinically and educated trainees and faculty globally, including at sites in Chiapas, Mexico; Borneo Indonesia and Galapagos, Ecuador. Her current research and advocacy includes investigating disparities in specialty care access and quality, including trauma and mental health. Dr. Wang also works with community organizations to understand best models to provide wraparound social and medical services for unaccompanied immigrant children, for which she has received Stanford Impact Labs, Center for Innovation in Global Health and Office of Community Engagement grants. She presently serves as a medical expert with the Juvenile Care Monitoring team for the U.S. Federal Court overseeing the treatment of migrant children in U.S. detention. In 2023, she was appointed as the inaugural Faculty Director of the Health Equity Education MD/Masters Program at the Stanford School of Medicine. Dr. Wang completed an Emergency Medicine Residency at Stanford and then a Pediatric Emergency Medicine Fellowship between LPCH and Children's Oakland.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This special episode of The Doctor's Playbook steps outside the usual clinical lens to explore the ethical, spiritual, and human dimensions of medicine. My guest is The Reverend Clayton L. Thomason, J.D., M.Div., who holds the Bishop Anderson Endowed Chair of Religion and Ethics in Medicine at Rush University Medical Center, where he serves as Chair of the Department of Religion, Health & Human Values and Director of the Healthcare Ethics Program.Rev. Thomason's career bridges law, theology, and medicine. He has chaired state commissions on end-of-life care, served on national ethics boards, and spent decades guiding clinicians, patients, and families through some of healthcare's most profound dilemmas. His work focuses on community-based research addressing health disparities, the role of virtue in professional development, and public policy in palliative and end-of-life care.In our conversation, we talk about what it means to be human in medicine, how ethics and spirituality influence the care we provide, and the stories that have shaped his career. This episode is not just about medicine — it's about meaning, values, and the questions that stay with us long after a case is closed.Lead Host: Andrew MohamaGuest: Reverend Clayton L. Thomason, J.D., M.Div.Produced By: Andrew MohamaAlert & 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 X:A&OAndrew MohamaRich AbramsConnect on LinkedInAndrew MohamaA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone interviews Dr. Amy Killen, who shares her journey from emergency medicine to preventative care focused on women's health. They discuss the challenges women face in the healthcare system, the importance of understanding hormonal health, and the evolving landscape of treatments, including regenerative medicine and peptides. Dr. Killen emphasizes the need for women to take control of their health and the role of physicians as guides in this journey. Episode Highlights: Why Dr. Killen transitioned from ER medicine to focus on preventative care Why both physicians believe women often face neglect in the healthcare system How hormonal health is crucial for women's overall well-being Difference between commercial and compounding pharmacies Why compounding pharmacies can provide safe alternatives for hormone therapy Reasons lab testing is essential for understanding hormonal levels How regenerative medicine offers new possibilities for healing How peptides can be beneficial for recovery and health when administered by a physician Reasons women have more control over their health than they realize Why doctors should act as co-pilots in women's health journeys Why Dr. Tassone and Dr. Killen believe the future of hormonal treatments is promising and evolving About Amy Killen MD Dr. Amy Killen, MD received her Bachelor's degree in Biomedical Science from Texas A&M University and then her MD from UT Southwestern Medical School. She completed an Emergency Medicine residency at the University of Arizona. She worked for many years in Austin, Texas as a board-certified emergency physician before moving to Portland and becoming the medical director of an anti-aging specialty clinic. Now in Utah, Dr. Killen embraces bio-identical hormone therapy and personalized medicine and offers aesthetic services, including Botox, Fillers, and Microneedling. Dr. Killen is also enthusiastic about cutting-edge rejuvenating medicine techniques, such as using Platelet Rich Plasma Natural Growth Factor Injections for skin rejuvenation, hair restoration, urinary incontinence, and sexual dysfunction. Episode Resources: Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archetype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions

Send us a textDr. Michael Lebenstein-Gumovski, Ph.D. is Senior Scientific Officer and Neurosurgeon, in the Neurosurgery Department, of the Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russian Federation ( https://sklif.mos.ru/ ), where his team is engaged in both neurosurgical and experimental practice, conducting advanced research in the field of spinal cord injury restoration, spinal cord transplantation and head transplantation.The Sklifosovsky Institute for Emergency Medicine is a large multidisciplinary scientific and practical center dealing with problems of emergency medical care, emergency surgery, resuscitation, combined and burn trauma, emergency cardiology and acute poisoning.Since 2013, Dr. Lebenstein-Gumovski has been studying spinal cord injury, and also developing methods for restoring the full functional and morphological repair of the spinal cord.Dr. Lebenstein-Gumovski's work is aimed at studying the effect of fusogens on nervous tissue, developing new methods and techniques for treating spinal cord injury, developing methods for its resection and transplantation. The lab develops and studies various methods of neuroprotection, combining methods to achieve better results and the current focus is the study of combination fusogen-induced (PEG-chitosan, Neuro-PEG) axonal restoration of the spinal cord after its complete transection.Dr. Lebenstein-Gumovski did his doctoral studies in the Department of Neurology and Neurosurgery of the Stavropol State Medical University of the Ministry of Health of the Russian Federation.Dr. Lebenstein-Gumovski is also a Scientific Advisor to Dowell Bio, Inc. ( https://dowell.bio/ ), a start-up company developing his various technologies.Andrei Panferov is the Chief Executive Officer of Dowell Bio, Inc.  Andrei is a deep-tech entrepreneur and does the Russian-English / English-Russian translations during this episode.#MichaelLebensteinGumovski #DowellBio #SklifosovskyClinicalAndResearchInstituteForEmergencyMedicine #Neurosurgery #SpinalCordInjuryRestoration #SpinalCordTransplantation #HeadTransplantation #EmergencyMedicalCare #EmergencySurgery #Resuscitation #Trauma #SpinalCordInjury #Fusogens #PEGChitosan #Neuroscience #SergioCanavero #Chitosan #PolyethyleneGlycol #EyeTransplant #BrainTransplant #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #Podcasting #ViralPodcast #STEM #Innovation #Science #Technology #ResearchSupport the show

In this episode of SuperPsyched, Dr. Adam Dorsay interviews Dr. Sara Krzyzaniak, a clinical associate professor in the Department of Emergency Medicine at Stanford University. Dr. Krzyzaniak shares her journey into emergency medicine, influenced by her childhood fascination with first responders and simulation games. She discusses the critical role of human interaction in emergency care, emphasizing the limitations of AI in providing compassionate and empathetic care during crises. The conversation covers her experiences, the importance of vulnerability, and strategies for maintaining mental and physical well-being in high-stress environments. Dr. Krzyzaniak also highlights the significance of compassion, both for oneself and for others, as a key insight that could dramatically improve lives.00:00 Welcome to SuperPsyched00:28 Remembering 9/11 and Honoring Frontline Heroes01:00 Introducing Dr. Sara Krzyzaniak02:51 Sara's Journey to Emergency Medicine09:46 The Role of AI in Emergency Medicine15:28 Navigating End-of-Life Decisions19:41 Balancing Technical Skills and Human Connection23:11 Navigating Medical Decisions with Emotional Baggage24:41 The Complexity of Emergency Medicine Procedures26:52 Maintaining Physical and Mental Health in High-Stress Jobs30:22 The Importance of Vulnerability and Self-Care37:23 Appreciating Life's Fragility and Practicing Compassion39:43 Final Thoughts and ReflectionsHelpful Links:Dr. Sara KrzyzaniakDr. Sara Krzyzaniak TedX TalkDr. Sara Krzyzaniak LinkedIn

Contributors: Travis Barlock MD, Jeffrey Olson MS4 Feel free to use the cases below for your own practice. All of the scenarios are completely made up and designed to hit several teaching points. Case 1 25 M, presents to the ED with chest pain. Stabbing, started a few hours ago, substernal. Thinks it is GERD. After 2-3 minutes, pain worsens and radiates to the back. VS: BP 125/50 (Right arm 190/110). HR 120. RR of 18. Sat 98% on RA. Additional VS: Temp of 37.2, height of 6'5”, BMI of 18. PMH: None, doesn't see a doctor. Meds: None FH: Weird heart thing (Mitral Valve Prolapse), weird lung thing (spontaneous pneumothorax), tall family members with long fingers and toes Physical Exam: Cards: Diastolic decrescendo at the RUSB, diminished S2. UE pulses are asymmetric, LE pulses are asymmetric, carotid pulses are asymmetric, BP is asymmetric MSK: Knees, elbows, and wrists are hypermobile. Imaging: CXR #1 normal, #2 widened mediastinum (no read yet but shows widened mediastinum), POCUS shows small effusion CTA/MRA doesn't come back until after the case.  ECG: Sinus Tach Labs: NT-proBNP 500 pg/mL D-Dimer: 7000 ng/L CBC: Hemoglobin: 13.5 g/dL, WBC: 20,000/µL, Platelets: 250,000/µL Chem 7: Na 138, K, 5.7, Cl 102, Bicarb 17, BUN 45, Creatinine: 3.5 mg/dL, Glucose: 180 LFTs: Albumin 2.4, Total protein 5.5, ALP: 140, AST: 3500, ALT: 2800, TBili: 3.2, DirectBili: 2.4, Ca: 7.8 LDH: 2200 PT: 20.5, INR: 2.2, Fibrinogen: 170 5th gen High-Sensitivity Troponin:

In this episode Hecate discusses why menstruation can be triggering for survivors, especially for those who have been assaulted during their periods. Hecate provides statistics from medical studies indicating that a significant percentage of SA survivors were menstruating at the time of their assault. The combined social stigmas against speaking about SA and menstruation mean this is an experience that is not being talked about enough, leading to even greater feelings of isolation and shame. The episode also addresses some of the challenges of managing periods post-trauma, and different menstrual products through a survivor's lens. With personal anecdotes and research-backed insights, this episode aims to provide a voice to the often unspoken and overlooked intersection of menstruation and SA trauma. Hecate hopes this episode will help other survivors who have had this experience feel less alone.Tw/Cw: SA (and some details of assaults), R*pe, PTSD, menstruation, substances, and strong language.Links and References:Cardenas, K., Wiersma, G., Dykema, J., Rossman, L., Fedewa, J., & Jones, J. S. (2011). 279 impact of the victim's menstrual cycle phase on genital injuries following sexual assault. Annals of Emergency Medicine, 58(4). https://doi.org/10.1016/j.annemergmed.2011.06.309 Gollapudi, M., Thomas, A., Yogarajah, A., Ospina, D., Daher, J. C., Rahman, A., Santistevan, L., Patel, R. V., Abraham, J., Oommen, S. G., & Siddiqui, H. F. (2024). Understanding the interplay between premenstrual dysphoric disorder (PMDD) and female sexual dysfunction (FSD). Cureus, 16(6). https://doi.org/10.7759/cureus.62788 Noll, J. G., Trickett, P. K., Long, J. D., Negriff, S., Susman, E. J., Shalev, I., Li, J. C., & Putnam, F. W. (2017). Childhood sexual abuse and early timing of puberty. Journal of Adolescent Health, 60(1), 65–71. https://doi.org/10.1016/j.jadohealth.2016.09.008 Vu, A., Moaddel, V., Emmerich, B., Rossman, L., Bach, J., Seamon, J., Barnes, M., Ouellette, L., & Jones, J. (2023). Association between the victim's menstrual cycle phase and genital injuries following sexual assault. Clinical Journal of Obstetrics and Gynecology, 6(2), 038–042. https://doi.org/10.29328/journal.cjog.1001127 *Thank you again to my sister Chie for their invaluable help with research and citations!*Articles about the heavy metals found in tampons: https://factor.niehs.nih.gov/2024/8/feature/3-feature-metals-in-tamponshttps://publichealth.berkeley.edu/articles/spotlight/research/first-study-to-measure-toxic-metals-in-tampons-shows-arsenic-and-leadhttps://www.sciencedirect.com/science/article/pii/S0160412024004355#:~:text=Across%20those%20studies%2C%20a%20range,et%20al.%2C%202022).Lucky Iron Fish: https://luckyironlife.com/?srsltid=AfmBOorbSgfTM6sE3c6r-IRy3MNC0u-i8v-S4-s5lkZPo89aSCXJvEfjFinding OK: https://www.finding-ok.com/Hecate's Links: https://linktr.ee/FindingOK Support the Podcast and become a Patreon member!https://www.patreon.com/c/HecateFindingOKFinding OK is funded entirely by generosity of listeners like you!https://www.finding-ok.com/support/Music is "Your Heart is a Muscle the Size of Your Fist" used with the personal permission of Ramshackle Glory. Go check out their music!https://open.spotify.com/artist/0qdbl...Timestamps:00:00 Introduction and Trigger Warnings01:17 Menstruation and Trauma07:47 Challenges with Sanitary Products12:14 Personal Experiences of Assault During Menstruation15:58 Statistics and Research on Assault During Menstruation21:01 Triggers and Coping Mechanisms32:08 Conclusion and Support3Support the show

In this episode, Sam Ashoo, MD interviews Ali Chaudhary, MD about the benefits of working Locum Tenens in Emergency Medicine.00:00 Introduction and Welcome 00:54 Meet Dr. Ali Chaudhary 01:41 The State of Emergency Medicine 03:29 Understanding Locum Tenens 05:45 Financial Benefits of Locum Work 08:40 Balancing Family Life with Locum Work 12:54 Locum Work Logistics and Misconceptions 17:34 Maximizing Travel Perks as a Contractor 18:07 Adjusting to New Hospitals and EMRs 19:32 The Hassles of Credentialing 20:48 Navigating Locum Staffing Companies 22:27 Understanding Your Worth and Negotiation 25:14 The Importance of Organization 27:41 About Our Locum Staffing Company 29:59 Practical Tips for Malpractice Insurance 31:09 Final Thoughts and Contact InformationFor more about Dr. Ali Chaudhary: https://thelocums.com/

When ER doctors talk about building wealth, the stories often sound like night-and-day—one physician hits millionaire status by 40, while another is still digging out of debt. What explains the difference? It usually comes down to a handful of consistent choices around debt management, savings rates, and lifestyle creep. To see how those decisions play out, let's walk decade by decade through the financial trajectory of a typical emergency physician.

In the August issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss point-of-care high sensitivity troponins, intubation practices in community emergency medicine and much more.

Reference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025 Date: August 6, 2025 Guest Skeptic: William Toon is a paramedic who, this past May achieved over 50 years of continuous EMS certification. His professional path has taken him from front-line paramedic to national presenter, expert witness, flight […] The post SGEM#484: The Warrior – Pharmacological Interventions for the Acute Treatment of Hyperkalemia first appeared on The Skeptics Guide to Emergency Medicine.

From battlefield surgeons improvising with bone saws at Gettysburg to a modern-day mom navigating 15 life-threatening allergies every time her son eats, this week's program is about how far emergency care has come and how deeply personal it remains.

Summer hikes and backyard play mean we're bound to see a few snakebites in the ED—and getting the first steps right makes all the difference. In the first half of this 2 part series, Medical Toxicologist Dr. Jonathan Ford joins us to walk through the key steps in caring for patients with snake envenomations. We'll walk through what to do (and not to do) in terms of pre-hospital care, how to triage and assess patients when they arrive in the ED, and how to decide which patients need antivenom. Dr. Ford reviews dosing strategies, monitoring, and key considerations for children, elderly, and pregnant patients. And we discuss practical guidance on supportive care, from pain control to wound management. By the end of this episode, you'll be ready to provide effective, evidence-based care for your next snakebite patient. Have you had a patient with a serious or challenging envenomation?  How did you manage it? Share your story with us 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. Jonathan Ford, Professor of Emergency Medicine and Medical Toxicologist at UC Davis Resources: Seifert SA, Armitage JO, Sanchez EE. Snake Envenomation. N Engl J Med. 2022 Jan 6;386(1):68-78. doi: 10.1056/NEJMra2105228. PMID: 34986287; PMCID: PMC9854269. **** 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 of The Doctor's Playbook, we sit down with Dr. Sonali Khurana—academic hospitalist, educator, and core faculty at Rush University Medical Center. With a career spanning oncology hospitalist care, medical education leadership, and quality improvement, she brings a wealth of insight into both the bedside and the classroom.We explore her clinical reasoning frameworks, the lessons oncology has taught her about seeing patients as whole people, and why debriefing difficult cases is essential for both patient care and physician well-being. Dr. Khurana also shares her journey as a teacher and reflects on how parenthood and partnership in medicine have shaped her approach.Whether you're a student navigating uncertainty, a resident honing diagnostic skills, or an attending striving to teach and connect, this episode offers grounded wisdom on practicing medicine with clarity, humility, and humanity.Lead Host: Andrew MohamaGuest: Sonali Khurana, MDProduced By: Andrew MohamaAlert & 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 X:A&OAndrew MohamaConnect on LinkedInAndrew MohamaA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

Mawi and Shelly discuss problems with oxygenating Vape lungs, challenges with cardiologists putting in TEE probes, and use of the Clear Sight device from an anecdotal perspective. Join the hosts for a frank discussion on what's been going on in the medicine. 

Send us a textKava benefits, alcohol alternatives, sober community, Latino health, Puerto Rican culture, emergency medicine, holistic healing & mental health with ER doctor & Kava Bar founder Dr. David Darrigan.

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 part 1 on upper GI bleeding, specifically some background, NG tube lavage, blood product transfusion, proton pump inhibitors (PPIs), prokinetic agents, somatostatin analogues, and antibiotics. 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

Hans Nelson, Director of the Monument Health Foundation, and Patrick Tibbles, M.D., Vice Chair of Emergency Medicine and Medical Director of the Foundation, discuss how philanthropic support helps elevate health care in the Black Hills. From events like the Golden Guitars Gala to critical projects in cancer care, hospice and pediatric services, they explore how donor contributions directly impact patient care, equipment upgrades and support for both patients and caregivers alike. Hosted on Acast. See acast.com/privacy for more information.

The September 2025 episode of the Journal Club with Justin. Plenty of clinical and scientific pearls for your practicein ED medicine... #FOAMed

The sicker the patient, the more likely an IO line is the right choice. In emergencies such as cardiac arrest or hemorrhagic shock, the speed and reliability of IO access outshine traditional intravenous (IV) or central line placements. There's virtually no resuscitation medication or blood product that cannot be administered through an IO, making it indispensable in life-threatening scenarios. The post REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine appeared first on REBEL EM - Emergency Medicine Blog.

Career-switching into medicine as a second profession might not be typical, but it's not out of reach - just ask Dr. Rob Lowe, an aerospace engineer for 6+ years before trading in his flight simulator for a stethoscope. Dr. Lowe joins the show to detail his previous experiences, discuss commonalities between engineering and emergency medicine, and ultimately inspire any career-changers to keep pushing forward. 

Host: Katarina Astrup, MSPAS, PA-C Guests: Cindy Goetz, Ed.D., MAPS, PA-CGraduated 1992 - Des Moines PA programWorked in family medicine, urgent care, bariatric medicine, occupational medicine and retail medicine.Began working in PA education in 2014 - currently the Program DirectorMission work - Guatemala, Reynosa -Mexico, Trujillo-PeruMatthew Ard, DHSc, PA-CNational Health Service Corp Scholar with 9 years of family practice experience and currently working in Emergency Medicine for approximately 10 years Doctor of Health Science, Global Health Concentration from Nova Southeastern University25 years of medical mission's experience in a diverse array of environments  Have you ever wondered what it's really like to serve on a medical mission trip as a PA? In this episode, host Kat sits down with two other PAs, Matt and Cindy, to explore the world of medical missions. They walk us through the heart behind medical missions, the logistics of preparing for a trip, and what it takes to offer compassionate, sustainable care across cultures and borders. Together, they explore how PAs can use their clinical skills in global outreach settings, what a typical day looks like on a mission trip, and the kinds of health concerns most often encountered. They reflect on the challenges, joys, and transformative moments they've experienced while serving abroad—and how it has shaped the way they practice medicine here in the U.S. Whether you're just curious, seriously considering joining a mission, or looking for a way to make a broader impact with your medical career, this episode is full of wisdom, practical tips, and encouragement. You'll also hear about various organizations doing this work and how you can get involved. This episode is a reminder that medical missions aren't just about providing care. They're about building relationships, showing up with humility, and letting service change you, too. Medical Missions Pharmacy - Blessings International | HomeMedical Missions Grants - Mission Scholarships – Christian Medical & Dental Associations® (CMDA)Global Health Outreach - GHO - Find a Trip – Christian Medical & Dental Associations® (CMDA)Global Health ImPAct - Global Health Impact | global health experienceGlobal Missions Health Conference 2025 - GMHC 2025 - November 6-8, 2025Medical Missions Outreach (MMO): medical-outreach.comContact Matt: matthew.ard@yahoo.com

You use ketamine. I use ketamine. We all use ketamine. But… how safe it is, really? A new study out of Toronto suggests 30% of patients who receive ketamine have adverse events, a rate higher than seen in the ED. What are we to make of this? I bring Dr Remle Crowe on to discuss…Citations:1.     Kwong JL, Verbeek PR, Leong YC, Turner L, Huiskamp M, Drennan IR, Francom S, Ropp S, Cheskes S: Paramedic use of ketamine for severe agitation and violence. Can J Emerg Med. doi: 10.1007/s43678-025-00963-w (Epub ahead of print).2.     Fernandez AR, Bourn SS, Crowe RP, Bronsky ES, Scheppke KA, Antevy P, Myers JB: Out-of-Hospital Ketamine: Indications for Use, Patient Outcomes, and Associated Mortality. Annals of Emergency Medicine. 2021;78(1):123–31.3.     Brown LH, Crowe RP, Pepe PE, Miller ML, Watanabe BL, Kordik SS, Wampler DA, Page DI, Fernandez AR, Bourn SS, et al.: Adverse events following emergent prehospital sedation of patients with behavioral emergencies: A retrospective cohort study. The Lancet Regional Health - Americas. 2022;May;9:100183.

Date: August 11, 2025 Guest Skeptic: Dr. Gillian Schmitz is a board-certified Emergency Physician practicing at The Naval Medical Center in San Diego. She is also a former President of the American College of Emergency Physicians (ACEP). This SGEM Xtra is inspired by the 1992 film A League of Their Own. Unlike our previous pop culture references like Buffy […] The post SGEM Xtra: Now and Forever – A League of Their Own (Women in EM) first appeared on The Skeptics Guide to Emergency Medicine.

Welcome to our third episode of the Early Clinical Learners Series - a series dedicated towards fostering clinical reasoning skills and strategies in early clinical learners. This episode is sponsored by LearningCortex - visit www.learningcortex.com to start learning smarter today!Hosts: Caroline Wang, Andrew Mohama, Mohan Bhadriraju Guests: Nicole Glick, John KimProduced By: Caroline Wang, Andrew MohamaAlert & 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.

The White House fired CDC Director Susan Monarez after about a month on the job. The reason? Her attorney says it's because Monarez refused to rubber-stamp unscientific, reckless directives and would not fire dedicated health experts. A White House spokesperson says it's because she refused to resign and is “not aligned with the President's agenda of Making America Healthy Again.” After her firing yesterday, at least four other CDC officials turned in their resignations too, citing the political weaponizing of science and the spread of misinformation hurting public health, The shake up comes amid new strict CDC Covid vaccine regulations. We'll check in with Emergency Medicine specialist, Dr. Michael Daignault, to see what impact the new CDC Covid vaccine recommendations and the upheaval at a key federal agency might have on public health. We are very excited to welcome author Sarah Kendzior back to The Mark Thompson Show. We've loved talking about her books so much that we invited her back to talk politics. Former Federal Prosecutor David Katz joins. We will ask him about Trump's executive order banning U.S. flag burning and whether that's going to withstand upcoming legal tests.

Beyond the two children who were killed during the attack at Annunciation Catholic Church Wednesday, 18 people were wounded. Fifteen were children as young as six and three parishioners in their 80s were shot. First responders took the injured to HCMC and Children's Minnesota for treatment. Dr. Tom Wyatt is the chair of emergency medicine at HCMC. He joins MPR News host Nina Moini to talk about what he and his colleagues have been dealing with at the hospital.

When it comes to long-term success, nothing moves the needle quite like exposure to the equity markets. For most professionals, the sweet spot for taking on that market risk happens in their 30s and 40s — when income is steady, savings are growing, and there's still plenty of time to ride out volatility. But for ER doctors, that window looks different. The later start, higher salaries, and often shorter career arc mean the equity sweet spot is compressed, but arguably even more important. It's in those high-earning years where leaning into equities — despite the inherent market risk — is critical to building a cushion strong enough to weather income risks, early retirement goals, and the unpredictability that comes with emergency medicine.

Dr. Michael Lynch, Associate Professor of Emergency Medicine and Medical Toxicology at the University of Pittsburgh and an attending physician at UPMC, calls in to wan listeners of a new street drug called Flyskyy.

Ever walk out of a shift and feel like the hospital came home with you? In medicine, the mental residue can cling long after the work day is done. One way to address this is boundary rituals, deliberate actions designed to process the day and allow you to leave work at work, be more present when you get home, and possibly even sleep better. As a bonus, the ability to disengage from work is one of the strongest predictors of reduced burnout.In this episode, Mohamed Hagahmed, MD, shares how he creates this boundary—through small rituals of gratitude, stillness, and reflection. From growing up as a refugee to serving as a sideline physician for the Pittsburgh Steelers, Dr. Hagahmed's path has been shaped by resilience, culture, and care. He explains how he learned to stop carrying unfixable wounds home, why kindness is clinical armor, and how tiny acts of self-compassion can protect meaning in medicine.Guest Bio: Mohamed Hagahmed, MD a Clinical Assistant Professor of Emergency Medicine at the University of Pittsburgh, Associate Medical Director at the Center for Emergency Medicine, and EMS Medical Director for several systems in Western Pennsylvania. On top of that, he works in high-acuity emergency departments across the region. He's a graduate of Johns Hopkins Bloomberg School of Public Health, passionate about resuscitation, critical care, and toxicology education. And he's the creator and host of EMERGE in EM, a podcast focused on emergency medicine education and global health empowerment.We Discuss: Growing up as a refugee and finding purpose in emergency medicineThe toll of moral injury and why staying closed and rigid nearly broke himSmall rituals that help shed the emotional residue of a shiftUsing gratitude and stillness as tools for resilienceHow changing clothes, music, and even snacks can protect emotional healthTurning frustration into advocacy for immigrant health and systemic changeAdvice for new attendings on protecting the threshold between work and homeMentioned in this episode:5 Free Tools To Make Medical Practice EasierScripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources LinkDistilled Kickassery Every Other SaturdaySign up for our Newsletter

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Dr. Chris Buresh from Seattle Children's Hospital joins us to discuss addressing Substance Use Disorder in children and adolescents and he impactful role of the Emergency Department.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

In this episode of The Crux True Survival Story Podcast, hosts Kaycee McIntosh and Julie Henningsen unravel the harrowing tale of 7-year-old Calena Areyan Gruber, who miraculously survived a catastrophic accident during sailing camp in Biscayne Bay, Miami. The story highlights the resilience and incredible survival instincts of a child caught in an underwater disaster caused by a massive commercial barge. The episode also delves into the tragic loss of three other young sailors, the regulatory failures in maritime safety, and the urgent need for reform to prevent similar tragedies. The podcast underscores the unpredictable nature of life and the extraordinary capabilities of human survival, particularly in children. 00:00 Introduction to the Crux True Survival Story Podcast 00:31 Setting the Scene: A Tragic Day in Miami Bay 09:53 The Collision: A Catastrophic Event 12:34 Kalina's Extraordinary Survival 16:18 The Aftermath: Rescue and Recovery 24:23 Calls for Maritime Safety Reforms 28:46 Reflections on Youth Sailing Safety 31:23 Conclusion and Listener Engagement who miraculously survived a catastrophic accident during sailing camp in Biscayne Bay, Miami. The story highlights the resilience and incredible survival instincts of a child caught in an underwater disaster caused by a massive commercial barge. The episode also delves into the tragic loss of three other young sailors, the regulatory failures in maritime safety, and the urgent need for reform to prevent similar tragedies. The podcast underscores the unpredictable nature of life and the extraordinary capabilities of human survival, particularly in children. 00:00 Introduction to the Crux True Survival Story Podcast 00:31 Setting the Scene: A Tragic Day in Miami Bay 09:53 The Collision: A Catastrophic Event 12:34 Calena's Extraordinary Survival 16:18 The Aftermath: Rescue and Recovery 24:23 Calls for Maritime Safety Reforms 28:46 Reflections on Youth Sailing Safety 31:23 Conclusion and Listener Engagement Miami Bay Miracle Podcast - References and Sources Primary Incident Sources ABC News "2 children dead after barge strikes sailboat from youth sailing program: Officials" July 29, 2025 https://abcnews.go.com/US/miami-beach-sailboat-capsized-youth-sailing-program/story?id=124149834 CBS Miami "Two children dead after sailboat and barge collision off Miami Beach, officials say" August 5, 2025 https://www.cbsnews.com/miami/news/two-children-killed-sailboat-barge-collision-off-miami-beach/ CNN "Third girl dies after sailboat and barge collision in Miami" August 3, 2025 https://www.cnn.com/2025/08/03/us/miami-boat-accident-crash-death CBS Miami "Third girl dies after sailboat crash with barge near Miami Beach, family and officials confirm" August 4, 2025 https://www.cbsnews.com/miami/news/10-year-old-miami-beach-boat-crash-victim-ari-buchman-died/ Survivor and Family Information Fox Business "Miami sailboat crash survivor's family issues statement after deadly incident" August 2025 https://www.foxbusiness.com/lifestyle/miami-sailboat-crash-survivor-stared-death-face-lawyer-says NBC 6 South Florida "Parents of Calena Gruber, Miami sailing camp tragedy survivor, speak" August 2025 https://www.nbcmiami.com/news/local/family-of-7-year-old-miami-sailing-camp-tragedy-survivor-speaks/3672444/ PEOPLE Magazine "Family of 7-Year-Old Girl Who Survived Miami Boat Crash That Killed 3 Say It's a 'Miracle She's Alive'" August 2025 https://www.yahoo.com/news/articles/family-7-old-girl-survived-100808752.html Miami Herald via Sun Sentinel "'It's a miracle she's alive.' Girl injured in boat crash was trapped under barge" August 4, 2025 https://www.sun-sentinel.com/2025/08/04/girl-seriously-injured-after-biscayne-bay-barge-sailboat-crash-recovering-family-says/ Legal and Investigation Coverage WLRN "Attorney for survivor of deadly sailboat crash calls tragedy 'preventable'" August 5, 2025 https://www.wlrn.org/law-justice/2025-08-04/attorney-for-survivor-of-deadly-sailboat-crash-calls-tragedy-preventable Local 10 WPLG "Lawsuit IDs owner of barge in deadly Biscayne Bay crash with youth sailing camp boat" August 8, 2025 https://www.local10.com/news/local/2025/08/08/lawsuit-ids-owner-of-barge-in-deadly-biscayne-bay-crash-with-youth-sailing-camp-boat/ Leesfield & Partners "Leesfield & Partners Representing Family of Girl, 7, Injured in Miami Beach Deadly Sailboat Crash" August 5, 2025 https://www.floridainjurylawyer-blawg.com/leesfield-partners-representing-family-of-girl-7-injured-in-miami-beach-deadly-sailboat-crash/ Boating Safety Statistics U.S. Coast Guard Boating Safety "2023 Recreational Boating Statistics" 2024 https://www.uscgboating.org/library/accident-statistics/Recreational-Boating-Statistics-2023-Ch2.pdf American Boating Association "Boating Fatality Facts" May 30, 2025 https://americanboating.org/boating_fatality.asp Children's Safety Network "Boating Safety" https://www.childrenssafetynetwork.org/infographics/boating-safety Child Drowning and Near-Drowning Research Children's Safety Network "The Facts On Childhood Drowning" https://www.childrenssafetynetwork.org/infographics/facts-childhood-drowning American Red Cross "Drowning Prevention & Facts" https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/water-safety/drowning-prevention-and-facts.html Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine "Neurologic long term outcome after drowning in children" August 15, 2012 https://sjtrem.biomedcentral.com/articles/10.1186/1757-7241-20-55 NeuroLaunch "Near-Drowning's Psychological Impact: Long-Term Effects and Recovery" September 15, 2024 https://neurolaunch.com/psychological-effects-of-near-drowning/ Maritime Safety and Regulation Information NOAA Fisheries "Understanding Vessel Strikes" https://www.fisheries.noaa.gov/insight/understanding-vessel-strikes Frontiers in Marine Science "A Global Review of Vessel Collisions With Marine Animals" April 14, 2020 https://www.frontiersin.org/journals/marine-science/articles/10.3389/fmars.2020.00292/full Witness Accounts and Community Response Sailing Anarchy Forums "Two children dead after barge hits sailboat in Biscayne Bay" July 28, 2025 https://forums.sailinganarchy.com/threads/two-children-dead-after-barge-hits-sailboat-in-biscayne-bay.252661/ WLRN "Sailboat crash victims ages 7 and 13, says Coast Guard. Two other kids in critical condition" July 29, 2025 https://www.wlrn.org/south-florida/2025-07-29/biscayne-bay-sailboat-crash-victims-ages-7-and-13-two-other-kids-hospitalized-in-critical-condition Key Facts Confirmed by Multiple Sources: Incident Details: Date: July 28, 2025 Time: Approximately 11:15 AM Location: Between Hibiscus Island and Monument Island, Biscayne Bay, Miami Beach Victims: 6 total (5 children ages 7-13, 1 adult counselor age 19) Casualties: Deceased: Mila Yankelevich (7), Erin Ko Han (13), Arielle Buchman (10 - died August 4) Survivors: Calena Areyan Gruber (7), one unnamed child, adult counselor (19) Survivor Information: Calena Areyan Gruber from Seattle Parents: Karina Gruber Moreno and Enrique Areyan Viqueira Attorney: Justin B. Shapiro, Leesfield & Partners Released from Jackson Memorial Hospital: August 1, 2025 Injuries: Lacerations and contusions throughout body Trapped under 60-foot barge before swimming to safety Legal/Investigation: Coast Guard and Florida Fish and Wildlife Commission investigating Barge owned by Waterfront Construction (Jorge Rivas) Tugboat under 26 feet (no licensed captain required) Multiple lawsuits filed alleging negligence

Reference: Otterness et al. The Use of TENS for the Treatment of Back Pain in the Emergency Department: A Randomized Controlled Trial. AEM Aug 2025 Date: August 22, 2025 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School, Baystate. She is the […] The post SGEM#483: Electricity – TENS Units for Treating Back Pain first appeared on The Skeptics Guide to Emergency Medicine.

Dr. Mizuho Morrison is Chief Medical Officer of EM:RAP emergency medicine: reviews and perspectives.  A visionary physician-entrepreneur who trained in emergency medicine at LA County USC, she has revolutionized medical education through podcasting, video content, and CorePendium—EM:RAP's comprehensive online medical encyclopedia that updates daily.  Mizuho was doing  physician "side gigs" before it went mainstream. In 2014 she co-founded a startup 3MD (Three Mommy Doctors LLC). Mi has served as Editor-in-Chief of Hippo Education podcasts, lead editor for Urgent Care Reviews and Perspectives, and co-director of Essentials of Emergency Medicine. As CMO of EM:RAP, Dr. Morrison provides insights into how artificial intelligence is shaping the future of medical education while maintaining the delicate balance between technological innovation and trusted, peer-reviewed content. EM:RAP offers a variety of educational resources, including monthly updates, reviews of research papers, and expert discussions on common patient presentations. EM:RAP also provides educational products, such as audio and video contentShe discusses EM:RAP's strategic approach to educational innovation in a rapidly evolving digital landscape. If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

Dr. Kelly Victory, Chief of Disaster & Emergency Medicine at The Wellness Company, joins the show to discuss urgent issues in health and preparedness. She weighs in on President Trump's proposal to levy tariffs on imported prescription drugs to push manufacturing back to the U.S., explaining whether it's a good idea, what challenges it could bring, and how it may impact Americans. Dr. Victory also shares practical advice on whether Americans should consider stockpiling critical medications, the safest way to do so, and what families should know as kids head back to school and infection rates begin to climb again.   Visit twc.health/GRUBER, promo code: GRUBER

Sometimes the smallest changes in our environment can dramatically shift the way we think, choose, and live. One subtle adjustment to something we use every day can break old patterns, quiet distractions, and help us act with more intention. And the interesting thing is, these changes often go far beyond the original purpose—they can influence how we approach work, relationships, and even money. So today, we'll be talking about how small, intentional changes—like stripping away distractions—can reshape not only our daily habits, but also the way we approach financial planning and life itself.

We've covered pre-oxygenation strategies and intubation alot on this podcast, mayber more than anyting else. We covered the definition of FPS in E74, the DEVICE trial on DL vs VL in E75, and the PREOXI trial of NIV vs Mask Pre-oxygenation in E86. Now we have another Preoxygenation paper, this one that reports no difference between preoxygenation with BVM and face mask. WTAF? Better listen, because it turns out words matter, definitions are... definitional, and we absolutely MUST read more than just the abstract.  Citations:1.     Gottlieb M, Alexander R, Love AK: Comparison of Preoxygenation Strategies for Intubation of Critically Ill Patients. Annals of Emergency Medicine. doi: 10.1016/j.annemergmed.2025.06.621 (Epub ahead of print).2.     Chou CD, Palakshappa JA, Haynie H, Garcia K, Long D, Gibbs KW, White HD, Ghamande S, Dagan A, Stempek S, et al.: Association of Two Preoxygenation Approaches With Hypoxemia During Tracheal Intubation: A Secondary Analysis. Annals of Emergency Medicine. doi: 10.1016/j.annemergmed.2025.06.003 (Epub ahead of print).3.     Pitre T, Liu W, Zeraatkar D, Casey JD, Dionne JC, Gibbs KW, Ginde AA, Needham-Nethercott N, Rice TW, Semler MW, et al.: Preoxygenation strategies for intubation of patients who are critically ill: a systematic review and network meta-analysis of randomised trials. The Lancet Respiratory Medicine. 2025;July;13(7):585–96.4.     Gibbs KW, Semler MW, Driver BE, Seitz KP, Stempek SB, Taylor C, Resnick-Ault D, White HD, Gandotra S, Doerschug KC, et al.: Noninvasive Ventilation for Preoxygenation during Emergency Intubation. N Engl J Med. doi: 10.1056/NEJMoa2313680 (Epub ahead of print).5.     Prekker ME, Driver BE, Trent SA, Resnick-Ault D, Seitz KP, Russell DW, Gaillard JP, Latimer AJ, Ghamande SA, Gibbs KW, et al.: Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. N Engl J Med. 2023;June 16;389(5):418–29.6.     Trent SA, Kaji AH, Carlson JN, McCormick T, Haukoos JS, Brown CA, National EARI: Video Laryngoscopy is Associated With First-Pass Success in Emergency Department Intubations for Trauma Patients: A Propensity Score Matched Analysis of the National Emergency Airway Registry. Ann Emerg Med. doi: 10.1016/j.annemergmed.2021.07.115 (Epub ahead of print).

In the second half of this two part episode, Dr. David Leon unpacks some of the most hotly debated topics in resuscitation—fluids, blood products, ECMO, and post-arrest care. He breaks down the pros and cons of crystalloids (yes, even the “pasta water” debate), explains why lactated Ringer's is often preferred over normal saline, and dips into the use of albumin and colloids. Dr. Leon also discusses the promise and challenges of extracorporeal life support (ECLS), the evolving role of targeted temperature management (TTM), and even peeks into what advances the future might hold. It's a thoughtful, forward-looking conversation every resuscitationist should hear. What do you think of Dr. Leon's tips? Are you using these tools in your practice? We'd love to hear from you. Share them 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. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis Resources: American Heart Association (AHA) Algorithms Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18. PMID: 38108133. **** 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.

Reference:  Othman AA, et al. Combined ketamine and midazolam vs. midazolam alone for initial treatment of pediatric generalized convulsive status epilepticus (Ket-Mid study): A randomized controlled trial. Pediatric Neurology. June 2025 Date: May 27, 2025 Guest Skeptic: Dr. James Chamberlain is a pediatric emergency medicine attending physician at Children's National Hospital in Washington, DC where […] The post SGEM#482: Seize the Day with Ketamine and Midazolam for Pediatric Status Epilepticus first appeared on The Skeptics Guide to Emergency Medicine.

In this episode of “Bridging Health and Humanity,” hosted by Dr. Natalie Hernandez, the focus is on the effects of current immigration policies and enforcement tactics on the health of vulnerable communities. The discussion features Dr. Rose Diaz and Dr. Sarah Lopez, both advocates for immigrant health, who share their insights on changes in immigration policy, including the revocation of “sensitive location” protections and adjustments to the public charge rule. They delve into the broader impact of these policies on patient trust and public health, including delayed care and increased health care costs. The segment also explores how health care teams can support immigrant communities through advocacy, education, and understanding legal protections. The episode concludes with hopeful reflections and practical advice for medical professionals committed to supporting these marginalized populations.  

This is August 10th's exhortation in which Larson Hicks parallels a faithful life to improv acting, which requires the "Yes, and..." mantra and full commitment. 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!

Dr. Michael McEnanyMichael McEnany attended Wake Forest University's School of Medicine and completed his residency training in Emergency Medicine at the University of New Mexico. He is currently an Emergency Medicine physician at Northern Inyo Hospital in Bishop, CA. His interests include connecting with the natural world and learning to play the fiddle. “The methods and goals of hospice and palliative care, to me, represent the core of medicine. Listening with patience, responding to vulnerability with compassion, addressing the origins and continuance of suffering, while openly and bravely discussing the existential nature and threat of illness are all aspects of medicine that I strive to embody.Abby is a holistic practitioner and an herbalist and although they acted like they we're just friends, I have a sneaky suspicion there's something bigger on the horizon for these two amazing humans!Thanks to Frankie and YO ROSCO! for joining us today also!Remember, you're not alone and you can always dial 988 24/7/365 and someone will be there. We truly hope you enjoyed today's episode everyone!

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 a difficult diagnosis: non-convulsive status epilepticus. 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 

About this Episode Episode 48 of “The 2 View” – Burn Tx, Marijuana & CV Risk, Ocular Syphilis, and HSV 1 & 2 Segment 1 – Thermal Burn Treatment Levin NJ, Erben Y, Li Y, et al. Edited by Muacevic A, Adler JR. A Systematic Review and Meta-Analysis Comparing Burn Healing Outcomes Between Silver Sulfadiazine and Aloe vera. Cureus. 2022;14(10):e30815. Accessed August 11, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC9621733/ Aziz Z, Abdul Rasool Hassan B. The effects of honey compared to silver sulfadiazine for the treatment of burns: A systematic review of randomized controlled trials. Burns. 2017;43(1):50-57. Accessed August 11, 2025. https://pubmed.ncbi.nlm.nih.gov/27576926/ Segment 2A – Marijuana and Cardiovascular Risk Mohammadi L, Navabzadeh M, Jimenez-Tellez N, et al. Association of Endothelial Dysfunction With Chronic Marijuana Smoking and THC-Edible Use. JAMA Cardiol. Published online May 28, 2025. doi:10.1001/jamacardio.2025.1399. Accessed August 11, 2025. https://jamanetwork.com/journals/jamacardiology/fullarticle/2834540 Storck W, Elbaz M, Vindis C, et al. Eifling KP, Gaudio FG, Dumke C, et al. Cardiovascular risk associated with the use of cannabis and cannabinoids: a systematic review and meta-analysis. Heart. Published online June 17, 2025. doi:10.1136/heartjnl-2024-325429. Accessed August 11, 2025. https://pubmed.ncbi.nlm.nih.gov/40527600/ Page II RL, Allen LA, Kloner RA, et al. Medical Marijuana, Recreational Cannabis, and Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation. 2020;142(10);e131-152. https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000883 Segment 2B – Ocular Syphilis Zhou LR, Kirupaharan N, Birkenstock MK. Incidence and Prevalence of Syphilitic Uveitis and Associated Ocular Complications in the TriNetX Database. Am J Ophthalmol. 2025;277:387-394. https://www.sciencedirect.com/science/article/pii/S0002939425002843 Segment 3 - HSV 1 & 2 Langenberg AGM, Corey L, Ashley RL, et al. A Prospective Study of New Infections with Herpes Simplex Virus Type 1 and Type 2. N Engl J Med. 1999;341:1432-1438. https://www.nejm.org/doi/full/10.1056/nejm199911043411904 Lebrun-Vignes B, Bouzamondo A, Dupuy A, et al. A meta-analysis to assess the efficacy of oral antiviral treatment to prevent genital herpes outbreaks. J Am Acad Dermatol. 2007;57(20):238-246. Recurring Sources Center for Medical Education. http://ccme.org The Proceduralist. http://www.theproceduralist.org The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. http://www.thesgem.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

I'd like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience. You can reach him at dberrymd@hotmail.com Burnout and moral injury – how do we avoid these in dealing with the addicted and psychiatric patients? We can't control most factors involving their long term care but David says: “give these folks the best care I know how to give them.” We can control what WE do We talk about the best way to communicate between providers when passing on patients to the next shift Dr. Berry talks about a patient he advocated for that he felt needed in-patient psychiatric admission but had been initially turned down He talks about the importance of working patients up appropriately and not ignoring patient complaints, getting the emotion out of it What would you do objectively if the patient was not a frequent flyer? Dr. Berry talks about a substance use clinic he helped open in Western Colorado He talks about meth addiction and how recovery works in his clinic He tells a story about the devastating effects of meth on a young patient The danger of meth is not in the withdrawal but the effects of it on your body Dr. Berry talks about the limbic system, the reptilian part of our brain. People who struggle with addiction have a missed connection. Normally, when the average person drinks, a message gets relayed back from the brain saying slow down, you have responsibilities, you have work, you have a family. The addict's brain doesn't send this message back, they just get the message to drink more cause it feels good. This applies to any addiction Their decider is broken, that's why they need a sponsor, and their brain can eventually rewire and make the needed connections The anatomy problem of missed or failing brain neurons is what is going wrong in the addict's brain This helps us understand where the blame truly needs to be placed, not on the addict for poor moral character or poor self-control but on a brain that isn't wired correctly Winston Churchill said everyone has an addiction, the key is finding one that is socially acceptable Dr. Berry talks about Recovered on Purpose, an organization in Denver, CO that is working on new treatments for addictions and help market treatment centers and help get peoplSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

 Date: July 10, 2025 Guest Skeptics: Professor Timothy Caulfield is a Canadian professor of law at the University of Alberta, the Research Director of its Health Law Institute. His area of expertise is in legal, policy and ethical issues in medical research and its commercialization. This is another SGEM Xtra book review. Tim was our guest skeptic a […] The post SGEM Xtra: Illusion – What you Don't Know and Why it Matters first appeared on The Skeptics Guide to Emergency Medicine.

When the gallbladder turns hostile, sometimes you must do more than just pause—you have to call in a senior partner for help. Join the Behind the Knife EGS team at Mizzou as we dive into the art and grit of open cholecystectomy. From fundus-first dissection to navigating the “barrier to happiness,” this episode is packed with surgical pearls, tough love, and the kind of wisdom only scars can teach. Participants: 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. Christopher Nelson FACS (Surgical Attending) – Associate Professor of Surgery, Medical Director of Emergency General Surgery at the University of Missouri SOM Dr. Micah Ancheta (ACS Fellow) – Major, United States Airforce  Dr. Desra Fletcher (3rd year general surgery resident) Learning Objectives:  ·      Recognize Indications for Conversion Identify clinical and intraoperative factors that necessitate conversion from laparoscopic to open cholecystectomy. ·      Apply Risk Stratification Tools Utilize grading systems (e.g., Parkland, Tokyo, AAST) to assess cholecystitis severity and predict surgical difficulty. ·      Implement Safe Cholecystectomy Techniques Describe the six steps of the SAGES Safe Cholecystectomy Program to minimize bile duct injury. ·      Understand Bailout Strategies Differentiate between fenestrating and reconstituting subtotal cholecystectomy techniques and their respective risks. ·      Master Key Operative Steps Outline the essential components of open cholecystectomy: positioning, incision, exposure, and dissection. ·      Navigate High-Risk Anatomy Recognize “zones of danger” and use the B-SAFE mnemonic to reorient and ensure safe progression. ·      Develop Intraoperative Judgment Demonstrate when to proceed with subtotal techniques, convert to open, or call for assistance. ·      Perform Technical Nuances Safely Identify proper dissection planes, manage gallbladder bed inflammation, and secure cystic structures with confidence. ·      Prevent and Manage Complications Understand the risks of bile leaks, bilomas, and subcostal hernias—and how to mitigate them through technique and closure. ·      Foster Surgical Maturity Emphasize humility, collaboration, and mentorship in difficult operations—knowing when to ask for help is a skill. References: 1.     Dhanasekara, C. S., Shrestha, K., Grossman, H., Garcia, L. M., Maqbool, B., Luppens, C., ... & Dissanaike, S. (2024). A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study. Surgery, 176(5), 605–613. https://doi.org/10.1016/j.surg.2024.03.057 2.     Motter, S. B., de Figueiredo, S. M. P., Marcolin, P., Trindade, B. O., Brandao, G. R., & Moffett, J. M. (2024). Fenestrating vs reconstituting laparoscopic subtotal cholecystectomy: A systematic review and meta-analysis. Surgical Endoscopy, 38, 7475–7485. https://doi.org/10.1007/s00464-024-11225-8 3.     Brunt, L. M., Deziel, D. J., Telem, D. A., Strasberg, S. M., Aggarwal, R., Asbun, H., ... & Stefanidis, D. (2020). Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy. Surgical Endoscopy.https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/ 4.     Elshaer, M., Gravante, G., Thomas, K., Sorge, R., Al-Hamali, S., & Ebdewi, H. (2015). Subtotal cholecystectomy for “difficult gallbladders”: Systematic review and meta-analysis. JAMA Surgery, 150(2), 159–168. https://doi.org/10.1001/jamasurg.2014.1219 5.     Koo, S. S. J., Krishnan, R. J., Ishikawa, K., Matsunaga, M., Ahn, H. J., Murayama, K. M., & Kitamura, R. K. (2024). Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis. The American Journal of Surgery, 229(1), 145–150. https://doi.org/10.1016/j.amjsurg.2023.12.022 6.     Strasberg, S. M., Pucci, M. J., Brunt, L. M., & Deziel, D. J. (2016). Subtotal cholecystectomy—“Fenestrating” vs “reconstituting” subtypes and the prevention of bile duct injury: Definition of the optimal procedure in difficult operative conditions. Journal of the American College of Surgeons, 222(1), 89–96. https://doi.org/10.1016/j.jamcollsurg.2015.09.019 7.     Ahmed, O., & Walsh, T. N. (2020). Surgical trainee experience with open cholecystectomy and the Dunning-Kruger effect. Journal of Surgical Education.https://doi.org/10.1016/j.jsurg.2020.03.025 8.     Seshadri, A., & Peitzman, A. B. (2024). The difficult cholecystectomy: What you need to know. The Journal of Trauma and Acute Care Surgery, 97(3), 325–336. https://doi.org/10.1097/TA.0000000000004156 9.     Invited commentary on “A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study”. (2024). Surgery, 176(5), 614–615. https://doi.org/10.1016/j.surg.2024.05.003 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://app.behindtheknife.org/listen

In this high-yield two part episode, we dive into the evolving world of resuscitation with Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis. From the shift in priorities from ABC (Airway-Breathing-Circulation) to CAB (Circulation first) to the practical use of peripheral vasopressors and rapid infusion catheters, this episode breaks down how frontline ED care is adapting to sicker patients, longer ICU boarding times, and limited resources. Tune in for insights on advanced access strategies, pre-hospital blood products, and why old tools, like whole blood and vasopressin, are making a powerful comeback. What do you think of Dr. Leon's tips? Are you using these tools in your practice? We'd love to hear from you. Share them 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. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis Resources: American Heart Association (AHA) Algorithms Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18. PMID: 38108133. **** 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.