Podcasts about Emergency medicine

What happens when a febrile infant presents at 61 days old? Are they suddenly low risk for invasive bacterial infections? In this episode, we explore the gray zone of managing febrile infants aged 61–90 days with the help of two new clinical prediction rules from PECARN. Joining us are two powerhouses in pediatric emergency medicine: Dr. Nate Kuppermann and Dr. Paul Aronson, who walk us through their recent study published in Pediatrics. We discuss why prior research has traditionally stopped at 60 days, what the new data shows about risk in this slightly older age group, and how these rules might help guide clinical decision-making. This study fills a long-standing gap—but should we start using the rules now? Tune in for a nuanced discussion on sensitivity, missed cases, practical application, and the future of risk stratification in young infants with fever. What is your practice in terms of work-up of 2-3 month old febrile infants? Will this change what you do? Hit us up 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 Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children's National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Paul Aronson, Professor of Pediatrics (Emergency Medicine); Deputy Director, Pediatric Residency Program at Yale University School of Medicine Resources: “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? Aronson PL, Mahajan P, Meeks HD, Nielsen B, Olsen CS, Casper TC, Grundmeier RW, Kuppermann N; PECARN Registry Working Group. Prediction Rule to Identify Febrile Infants 61-90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. 2025 Sep 1;156(3):e2025071666. doi: 10.1542/peds.2025-071666. PMID: 40854562; PMCID: PMC12432541. Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O'Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. **** 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.

Steven Shein, MD, FCCM, is the Chief of Pediatric Critical Care at University Hospitals Rainbow Babies & Children's Hospital in Cleveland, Ohio, and holds the Linsalata Family Distinguished Chair in Pediatric Critical Care and Emergency Medicine. He is also the Co-Director of the PICU Clinical, Basic & Translational Research Program and an Associate Director of the Pediatric Critical Care Medicine Fellowship program. His research focuses on critical bronchiolitis and long-term neuro-cognitive morbidity after critical illness. Jatinder Dhami, MD, is a Pediatric Intensivist at University Hospitals Rainbow Babies & Children's Hospital in Cleveland, Ohio. She completed her pediatrics residency at Penn State in Hershey, PA, and her PICU fellowship at Riley Children's Hospital in Indianapolis, Indiana. She is interested in clinical ethics in pediatric critical illness.Learning Objective:By the end of this podcast, listeners should be able to discuss an evidence-based and expert-guided approach to managing critical bronchiolitis.References:Managing Critical Bronchiolitis David G. Speicher, MD; and Steven L. Shein, MD, FCCMZurca et al. Management of Critical Bronchiolitis. Hosp Pediatr. 2023Plint et al. Epinephrine and dexamethasone in children with bronchiolitis. N Engl J Med. 2009.Schramm et al. Clinical Examination Does Not Predict Response to Albuterol in Ventilated Infants With Bronchiolitis. Pediatr Crit Care Med. 2017Shein at al. Antibiotic Prescription in Young Children With Respiratory Syncytial Virus-Associated Respiratory Failure and Associated Outcomes. Pediatr Crit Care Med. 2019.Gelbart et al. Pragmatic Randomized Trial of Corticosteroids and Inhaled Epinephrine for Bronchiolitis in Children in Intensive Care. J Pediatr. 2022.Shein et al. Derivation and Validation of an Objective Effort of Breathing Score in Critically Ill Children. Pediatr Crit Care Med. 2019.Shein SL, Rotta AT. Long-term NeurocognitQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Reference:  George S, et al. Effectiveness of nasal high-flow oxygen during apnoea on hypoxaemia and intubation success in paediatric emergency and ICU settings: a randomised, controlled, open-label trial. Lancet Respir Med. March 2025 Date: July 10, 2025 Guest Skeptic: Dr. Spyridon Karageorgos is a Pediatric Chief Resident at Aghia Sophia Children's Hospital, Athens, Greece and […] The post SGEM#487: Tell Me How I'm Supposed to Breathe with No Air? Nasal High Flow or Standard Care for Pediatric Intubation first appeared on The Skeptics Guide to Emergency Medicine.

ACOG, the American College of Obstetricians and Gynecologists, recently published EMS guidelines for treatment of hypertension in pregnancy/pre-eclampsia, eclampsia, and postpartum hemorrhage. Drs. Jenna White and Christopher Zahn join Dr Jarvis to discuss the science behind these recommendations as well as how to implement them into our practice. Citations:1. https://www.acog.org/programs/obstetric-emergencies-in-nonobstetric-settings2. Vuncannon, D. M.; Platner, M. H.; Boulet, S. L. Timely Treatment of Severe Hypertension and Risk of Severe Maternal Morbidity at an Urban Hospital. American Journal of Obstetrics & Gynecology MFM 2023, 5 (2), 100809. https://doi.org/10.1016/j.ajogmf.2022.100809.3. Gupta, M.; Greene, N.; Kilpatrick, S. J. Timely Treatment of Severe Maternal Hypertension and Reduction in Severe Maternal Morbidity. Pregnancy Hypertension 2018, 14, 55–58. https://doi.org/10.1016/j.preghy.2018.07.010.

Dr. Kelly Victory, Chief of Disaster & Emergency Medicine with The Wellness Company (TWC), joins The Steve Gruber Show to break down some of the biggest health headlines making waves right now. From the Trump administration and Secretary of HHS Bobby Kennedy's announcement linking Tylenol use in pregnancy to autism, and opening the door to potential vaccine links, to the growing evidence of long-term impacts from COVID-19 mRNA vaccines, Dr. Victory explains what this means for families and individuals. Listeners can visit twc.health/GRUBER and use promo code GRUBER to save

Cynthia Kelley is an experienced Nurse Practitioner with a background in Emergency Medicine and a valued colleague currently specializing in Urgent Care in Yakima Valley, Washington. In this episode we discuss a plethora of topics while seeing patients in clinic. Thank you for listening to A Courage Experiment.

The emergency department offers critical access to health care in our broken system. An important skillset of the modern emergency medicine physician is a set of low-risk, low-time commitment, high-benefit interventions for the management of chronic diseases. In this episode, we discuss the diagnosis and management of hypertension, type 2 diabetes, asthma, alcohol use disorder, and tobacco use disorder from the emergency department.

Just a Little Salt: Kevin Hazzard on the Reality of Emergency Medicine, Burnout, and Storytelling   In this revealing episode of “Just a Little Salt,” seasoned Atlanta paramedic and author Kevin Hazzard shares the unvarnished truth about life on the front lines of emergency medicine. Reflecting on his decade-plus of experiences, Kevin dives deep into the emotional challenges of responding to traumatic calls, the harsh realities young EMTs face, and the impact of burnout on providers. He opens up about moments that forever shaped him, including encounters with vulnerable patients and the delicate balance between adrenaline-fueled rescues and raw human connection. Kevin also discusses his transition from medic to author, explaining how writing helped him process his career and why genuine storytelling matters. Along the way, he offers practical advice for new EMS providers and aspiring writers seeking to publish their own stories. This episode is a must-listen for anyone curious about the personal side of EMS, resilience under pressure, and the power of sharing these unheard voices.

Date: September 18, 2025 Guest Skeptic:  Dr. Neil Dasgupta is an Emergency Medicine (EM) physician and emergency department (ED) intensivist from Long Island, NY. He is the Vice Chair of the ED and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY.  Reference:  Doupnik et al. Impact of […] The post SGEM#486: Call Me, on the Line – Telemental Health for Suicide Prevention first appeared on The Skeptics Guide to Emergency Medicine.

In this episode of The Doctor's Playbook, we sit down with Dr. Bruce Henschen, MD, MPH, Associate Professor of Medicine and Program Director of the Internal Medicine Residency at Northwestern University McGaw Medical Center. Dr. Henschen shares how leading by influence has shaped his approach to medical education, clinical reasoning, and patient care. We explore what it means to build a positive learning environment, the role of vulnerability in training, and how any physician can cultivate cultures of trust, curiosity, and growth. From his early days as a learner to his current leadership role, Dr. Henschen reflects on mentorship, teaching, and the values that guide him.Lead Host: Andrew MohamaSupporting Host: Kevin Grudzinski, MDGuest: Benjamin Singer, MDProduced By: Andrew MohamaShow Notes:Continuity With Patients, Preceptors, and Peers Improves Primary Care Training: A Randomized Medical Education TrialDr. Henschen's favorite app for organization and tasks: https://www.todoist.com/Alert & 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 AbramsNU Internal MedConnect on LinkedInAndrew MohamaA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

This week on Health Matters, we're sharing an episode of NewYork-Presbyterian's Advances in Care, a show for listeners who want to stay at the forefront of the latest medical innovations and research. On this episode of Advances in Care, host Erin Welsh hears from two emergency department chiefs at NewYork-Presbyterian about how they optimize operations in their uniquely high-intensity, high-volume EDs.Dr. Angela Mills, chief of emergency medicine at NewYork-Presbyterian and Columbia, and Dr. Brenna Farmer, chief of emergency medicine at NewYork-Presbyterian Brooklyn Methodist, both lead large medical teams in high-volume, New York City emergency departments. They discuss what makes New York City such a unique environment for emergency care, from its massive population and cultural complexity, to the severity and array of traumas that can come through the ED doors each day. Then, they share stories behind the life-saving care they provide, and explain why the collaborative spirit and excitement of the emergency room keeps them coming back to work every day.Dr. Mills and Dr. Farmer also describe some of the ways that they continuously optimize operations in their departments, including addressing language barriers and providing specialized care for patients with complex cardiac needs. Their goal is to ensure that their staff can navigate the organized intensity of the emergency medicine environment without missing a beat.___Dr. Angela M. Mills is a nationally recognized leader and expert in emergency medicine. She serves as the inaugural chair of the newly designated Department of Emergency Medicine at Columbia University Irving Medical Center and chief of Emergency Medicine Services at NewYork-Presbyterian. Dr. Brenna M. Farmer is Chief of Emergency Medicine at NewYork-Presbyterian Brooklyn Methodist Hospital and vice chair for the Department of Emergency Medicine at Weill Cornell Medicine. She is also an associate professor of clinical emergency medicine at Weill Cornell Medicine. Dr. Farmer is a nationally recognized medical toxicology expert and frequent keynote speaker on quality improvement, patient safety, and medication safety.For more information visit: nyp.org/Advances___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 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr Rosa McNamara, Clinical Lead for the National Clinical Programme in Emergency Medicine, explains the new national programme for urgent care.

Date: Sept 16, 2025 Reference: Prada et al. Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology. Environ Health. August 2025 Guest Skeptic: Dr. Andrew Martin is an emergency physician practicing in Jacksonville, Florida.  Case: A 27-year-old at 24 weeks' gestation presents to the emergency department (ED) with fever (38.6 °C), myalgias, and […] The post SGEM#485: I Want a New Drug – One Not Associated with Neurodevelopmental Disorders first appeared on The Skeptics Guide to Emergency Medicine.

Join host Dr. Judith Borger and special guest Dr. Furkan Shinaishin as they dive into the transformative world of Ketamine therapy and its powerful impact on mental health. In this enlightening conversation, they explore how Ketamine is offering rapid relief for conditions like depression, anxiety, PTSD, and burnout, helping patients reclaim their lives and emotional well-being.   Discover the science behind Ketamine's effects on the brain, what makes it different from traditional treatments, and why it's emerging as a breakthrough tool in holistic mental health care. Whether you're a healthcare professional or someone curious about new approaches to healing, this episode offers valuable insight into the future of mental wellness.   Furkan Shinaishin, M.D., M.S. is a board-certified Emergency Medicine physician with nearly two decades of clinical experience. She earned her medical degree from Albany Medical College and completed her residency in Emergency Medicine at Drexel University in Philadelphia. Dr. Shinaishin also holds a Master of Science in Anatomy from the Medical College of Virginia, where her research focused on memory loss following traumatic brain injury. Her bachelor's degree was completed at William & Mary, majoring in biological psychology.   She has served in several of Northern Virginia's leading hospitals, including INOVA Loudoun and INOVA Fairfax, where she provided expert care in fast-paced, high-acuity settings. Her academic foundation in biological psychology and biochemistry, combined with her background in neuroscience and pharmacology, informs her passion for advancing mental health care through innovative, science-backed approaches. Dr. Shinaishin founded Lucid Ketamine and Wellness to create a calming, spa-like environment where patients could access ketamine therapy grounded in medical expertise. Her approach combines the precision of emergency medicine with a deep commitment to whole-person healing, offering new hope for those struggling with depression, anxiety, PTSD, OCD and chronic pain syndromes.   Dr. Furkan Shinaishin Links: lucidketaminewellness.com www.instagram.com/Lucid_ketamine Facebook: Lucid Ketamine & Wellness   Dr. Judith Borger Links: www.theaestheticdoctor.com www.instagram.com/doctorborger

When Dr. Nouran Abdelkader developed vitiligo—a disfiguring autoimmune skin condition—the UK's top dermatologist told her there was no hope and no treatment. The disease would spread everywhere, he said. She'd have to live with it forever.What happened next challenges everything we think we know about autoimmune disease, nutrition, and healing.This emergency medicine doctor didn't just heal her vitiligo. She also resolved her lifelong asthma, eczema, chronic hives, ADHD symptoms, depression, panic attacks, and brain fog. Her IQ jumped from 110 to 137. Her diabetic sister reduced insulin from 70 units to 7 units daily.The solution? She eliminated everything except meat, salt, and water.Dr. Abdelkader shares her controversial journey from believing every medical guideline to questioning the entire system. She explains why she now feels guilty prescribing standard treatments, how she risks her medical license by sharing her experience, and why she believes most medical research serves profit over patients.This isn't just another diet success story. It's a practicing physician's firsthand account of how the medical establishment fails patients with chronic disease—and what actually works when conventional medicine doesn't.Her transformation raises uncomfortable questions: If meat heals while fruits and vegetables inflame, what else have we gotten wrong? Why can't doctors share successful treatments that contradict guidelines? And how many people are suffering needlessly because the system won't acknowledge inconvenient truths?BIG IDEA"We are made of meat, water, salt and trace elements—so if you eat what you are made of, you'll be fine, but if you eat something we're not made of, like vegetables or sugar, problems arise."Nouran Abdelkader - Contact InfoLinkedIN: https://www.linkedin.com/in/nouran-el-dali-528a26b8Send Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

About this Episode Episode 49 of “The 2 View” – New IDSA Complicated UTI Guidelines, Pediatric Nicotine OD, Hepatitis C Screening in the ED, High-Risk Delta Troponins Segment 1A – Pediatric Nicotine Ingestion Madelyn O, Hays HL, Kistamgari S, et al. Nicotine Ingestions Among Young Children: 2010–2023. Pediatrics. 2025;156(2):e2024070522. doi:10.1542/peds.2024-070522. Segment 1B – Finger Thoracostomy and Traumatic Pneumothorax/Hemothorax Blank, J, de Moya MA. Traumatic pneumothorax and hemothorax: What you need to know. J Trauma Acute Care Surg. Published online July 3, 2025. doi:10.1097/TA.0000000000004692 Beyer CA, Ruf AC, Alshawi AB, Cannon JW. Management of traumatic pneumothorax and hemothorax. Curr Probl Surg. 2025;63. doi:10.1016/j.cpsurg.2024.101707. Weingart, S. EMCrit 62 – Needle vs. Knife II: Needle Thoracostomy (Decompression)? EMCrit. Published online December 11, 2011. https://emcrit.org/emcrit/needle-finger-thoracostomy/ Lange C, Sharma M. Podcast #223 - ATLS Episode 4: Thoracic Trauma (Chapter 4). Total EM. October 27, 2020. https://www.totalem.org/emergency-professionals/podcast-223-atls-episode-4-thoracic-trauma-chapter-4 Segment 2A – Hepatitis C Screening in EDs Haukoos J, Rothman RE, Galbraith JW, et al. Hepatitis C Screening in Emergency Departments: The DETECT Hep C Randomized Clinical Trial. JAMA. 2025;334(6):497–507. doi:10.1001/jama.2025.10563 Segment 2B – Serial HS-Troponin Patterns Huggins C, Saltarell Ni, Swoboda TK, et al. Kinetic changes in high-sensitivity cardiac troponin for risk stratification of emergency department chest pain patients. Am J Emerg Med. 2025;93:176-181. doi:10.1016/j.ajem.2025.04.010. Segment 3 - Updated IDSA Guidelines on Complicated Urinary Tract Infections Splete H. IDSA Updates Guidelines on Complicated UTIS. Medscape. Published online July 18, 2025. https://www.medscape.com/viewarticle/idsa-updates-guidelines-complicated-utis-2025a1000j3l Trautner BW, Cortes-Penfield NW, Gupta K, et al. Complicated Urinary Tract Infections (cUTI): Clinical Guidelines for Treatment and Management. IDSA. Published online July 17, 2025. https://www.idsociety.org/practice-guideline/complicated-urinary-tract-infections/ Roberts M, Sharma M. 34 - Pertussis, Computer Interpretation of EKGs, Tuberculosis, Fluoroquinolone Side Effects. The 2 View. Published online April 10, 2024. https://2view.fireside.fm/34 Roberts M, Sharma M. 46 - Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges. The 2 View. Published online June 11, 2025. https://2view.fireside.fm/46 Bonus Reference – Ponytail Headache Blau JN. Ponytail Headache: A Pure Extracranial Headache. Headache. 2004;44(5):411-413. doi: 10.1111/j.1526-4610.2004.04092.x. 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.

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: David Levinthal, MD, PhD Cyclic vomiting syndrome (CVS) is often underdiagnosed in adults due to its episodic nature and symptom overlap with other conditions. Dr. David Levinthal joins Dr. Peter Buch to explore key diagnostic criteria, key differences between CVS and cannabinoid hyperemesis syndrome (CHS), and evidence-based treatment strategies. Dr. Levinthal is the Director of the UPMC Neurogastroenterology and Motility Center and an Associate Professor of Medicine at the University of Pittsburgh School of Medicine.

Date: August 12, 2025. This is an SGEM Xtra, and today, we're putting on our conference lanyards and boarding passes to talk about one of the most exciting events in the global EM calendar, IncrEMentuM 2026. For those who did not attend IncrEMentuM 2025, it set the bar incredibly high. From the moment delegates walked […] The post SGEM Xtra: Incrementum 2026 first appeared on The Skeptics Guide to Emergency Medicine.

Dive into the second half of our envenomation series! Dr. Jonathan Ford, a UC Davis Medical Toxicologist and Professor of Emergency Medicine, returns to the podcast to tackle scorpions and spiders. We're going beyond the basics to discuss the "why" and "how" of these bites and stings. Learn about the neurotoxic effects of bark scorpion venom and the life-threatening airway risks. Explore the mechanism behind black widow bites that leads to intense pain and spasms, and the crucial role of antivenom in severe cases. Plus, we're setting the record straight on a common myth—the brown recluse—and the proper supportive care for its nasty bite. Join us to discover the latest evidence-based approaches that could change how you manage your next bite or sting. 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: Quan D. North American poisonous bites and stings. Crit Care Clin. 2012 Oct;28(4):633-59. doi: 10.1016/j.ccc.2012.07.010. PMID: 22998994. Levine M, Friedman N. Terrestrial envenomations in pediatric patients: identification and management in the emergency department. Pediatr Emerg Med Pract. 2021 Sep;18(9):1-24. Epub 2021 Sep 2. PMID: 34403224.. *** 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.

Podcast summary of articles from the July 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include intermediate risk chest pain, pre-hospital stroke notifications, intubating patients with neurologic injury, event medicine, ultrasound guided serratus anterior plane blocks, and pediatric zipper injuries.  Guest speaker is Dr. Arjun Sarin.

In this episode of Investor Connect, Hall Martin welcomes Uli Chettiapally, a distinguished physician, researcher, and healthcare innovator from Burlingame in the San Francisco Bay Area. Chettiapally shares his journey and expertise in driving physician-led innovation and collaboration through his firm, Innovator MD. He discusses how frontline medical professionals can identify unmet clinical needs and develop scalable solutions with the support of specialized education and networking opportunities provided by Innovator MD.  The conversation delves into the challenges and opportunities in funding healthcare startups, the role of AI and data in improving patient outcomes, and the importance of involving physicians early in the innovation process for realistic and effective healthcare solutions. Chettiapally also highlights his new venture, Sirica Therapeutics, aimed at revolutionizing autism treatment, and urges listeners to connect with him on LinkedIn for further collaborations.   Visit InnovatorMD & Sirica Therapeutics at   Reach out to at     _______________________________________________________ For more episodes from Investor Connect, please visit the site at:    Check out our other podcasts here:   For Investors check out:   For Startups check out:   For eGuides check out:   For upcoming Events, check out    For Feedback please contact info@tencapital.group    Please , share, and leave a review. Music courtesy of .

On Sunday, the television drama "The Pitt," about emergency room healthcare workers at a hospital in Pittsburgh, cleaned up at the Emmys with several major wins. Listeners who work in the healthcare profession call in to share what the series meant to them and how accurately it depicted post-COVID healthcare.

In this special episode of Rebel Cast, we spotlight the Incrementum Conference in Spain, a significant event in emergency medicine. Hosts welcome Dr. Francisco 'Paco' Campillo Palma and Dr. Carmen Maria Cano, founders of Incrementum, to discuss the recognition of emergency medicine as a specialty in Spain. They share their journey of creating the conference, emphasizing the importance of education, collaboration, and growth. The discussion also touches on this year's conference highlights, including sessions on mental health and evidence-based medicine, and the exceptional lineup of speakers. Listeners are encouraged to attend the conference in April 2026 for an enriching experience. The post Incrementum Conference 2026: Revolutionizing Emergency Medicine in Spain appeared first on REBEL EM - Emergency Medicine Blog.

This is September 14th's exhortation by Larson Hicks offering hope in the death of martyrs. Like Stephen, Charlie Kirk has modeled for us a courageous and working faith. How can we similarly practice this? And like those that stoned Stephen, God's enemies have jeered at the assassination of Charlie. But how many Saul's are among them? How many are on the road to Damascus about to collide with Jesus Christ's transformative light? 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!

Fluent Fiction - Serbian: Chaos and Compassion: A Day in Belgrade's ER Find the full episode transcript, vocabulary words, and more:fluentfiction.com/sr/episode/2025-09-18-22-34-02-sr Story Transcript:Sr: Јутро у болници у Београду започело је као и свака друга, али јесен је унела свежину у ваздух.En: The morning in the hospital in Belgrade began like any other, but autumn brought a freshness to the air.Sr: Међутим, тај мир брзо је поремећен.En: However, that peace was quickly disrupted.Sr: Болничка хитна служба била је у пуном хаосу.En: The hospital emergency department was in full chaos.Sr: Пацијенти су пристизали један за другим након велике саобраћајне несреће, а бука машина и звукови корака хитали су коридорима као река која не престаје.En: Patients arrived one after another following a major traffic accident, and the noise of machines and footsteps rushed through the corridors like an unending river.Sr: Алек, лекар хитне помоћи, већ је осећао терет на својим раменима.En: Alek, an emergency doctor, already felt the burden on his shoulders.Sr: Након бесане ноћи, суочен с налетом пацијената, схватио је да ће овај дан бити тежак.En: After a sleepless night, faced with a surge of patients, he realized this day would be challenging.Sr: Барем је ту била Јасмина, искусна медицинска сестра, која је знала организовати хаос.En: At least there was Jasmina, an experienced nurse who knew how to organize chaos.Sr: Док су се врата хитне службе отварала и затварала, Јасмина је узела узде у своје руке.En: As the emergency room doors opened and closed, Jasmina took control.Sr: Њен глас звучао је преко хаоса, давајући упутства осталим медицинским сестрама.En: Her voice resounded through the chaos, giving instructions to the other nurses.Sr: Чврста и амбициозна, Јасмина је знала да је ово њена шанса да покаже своје лидерске способности, али и да помогне Алеку који је изгледао исцрпљено.En: Strong and ambitious, Jasmina knew this was her chance to show her leadership skills, but also to help Alek who looked exhausted.Sr: Алек је дубоко удахнуо и одлучио да је време да делегира.En: Alek took a deep breath and decided it was time to delegate.Sr: "Јасмина, организуј тријажу, ти то најбоље радиш," рече јој, осећајући како му се смањује тежина са рамена.En: "Jasmina, organize triage, you do it best," he told her, feeling the weight lift off his shoulders.Sr: Од тог тренутка, Јасмина је била свуда, као стуб подршке међу особљем, уносећи ред у неред.En: From that moment, Jasmina was everywhere, a pillar of support among the staff, bringing order to the chaos.Sr: Током наредних сати, број пацијената прелазио је капацитете болнице.En: In the following hours, the number of patients exceeded the hospital's capacity.Sr: Разговори су постали оштрији.En: Conversations became more intense.Sr: "Имамо више критичних пацијената него кревета," рекао је Алек, осећајући хитност ситуације.En: "We have more critical patients than beds," said Alek, feeling the urgency of the situation.Sr: Јасмина је климнула главом, већ организујући слободне кадрове и координирајући премештање мање критичних пацијената у друга одељења.En: Jasmina nodded, already organizing available staff and coordinating the transfer of less critical patients to other departments.Sr: У тим тренуцима, Алек је схватио колико је битно ослонити се на свој тим.En: In those moments, Alek realized how important it was to rely on his team.Sr: Један гладан позив и уиграна коалиција између њега и Јасмине успела је стабилизовати све пацијенте.En: A single clear call and the well-practiced coalition between him and Jasmina managed to stabilize all the patients.Sr: Као један организован механизам, особље је радило неуморно, изнова и изнова.En: Like a well-organized mechanism, the staff worked tirelessly, again and again.Sr: На крају смене, уморни али задовољни, Алек и Јасмина гледали су једно друго с поштовањем.En: At the end of the shift, tired but satisfied, Alek and Jasmina looked at each other with respect.Sr: Они су превазишли кризу, заједно, учећи важне лекције.En: They had overcome the crisis together, learning important lessons.Sr: Алек је схватио значај дељења одговорности, док је Јасмина стекла јаснију визију свог професионалног пута.En: Alek understood the significance of sharing responsibilities, while Jasmina gained a clearer vision of her professional path.Sr: Јесењи дан је завршио, али је оставио траг снажног партнерства и солидарности која је обоје обогатила за нове изазове у будућности.En: The autumn day ended, but it left a mark of strong partnership and solidarity that enriched both for new challenges in the future. Vocabulary Words:disrupted: поремећенchaos: хаосemergency: хитна службаburden: теретshoulders: раменаsleepless: бесанеsurge: налетchallenging: тежакexperienced: искуснаdelegation: делегираsupport: подршкеcapacity: капацитетеintense: оштријиcritical: критичнихurgency: хитностrely: ослонитиcoalition: коалицијаmechanism: механизамtirelessly: неуморноsatisfied: задовољниrespect: поштовањемovercome: превазишлиcrisis: кризуresponsibilities: одговорностиvision: визијуsolidarity: солидарностиpartnership: партнерстваenriched: обогатилаfreshness: свежинуcorridors: коридорима

How can emergency physicians thrive amidst chaos and stress? In this Echo Episode, Dr. Andrea Austin reconnects with Dr. Leslie Koenig, a fellow residency alum, board-certified emergency physician, and creator of the Stress Relief Survival Guide. Dr.  Koenig shares her story of navigating COVID exposure, military service, and the demands of emergency medicine while raising a family. She discusses her transition to mindfulness, the power of heart rate variability (HRV) as a vital sign, and her journey to becoming a meditation teacher. From her "battery technique" for grounding thoughts to embracing meditation as a tool for neuroplasticity, Dr.  Koenig offers actionable strategies for physicians to combat burnout and reclaim balance. The conversation also explores the need to view physicians as elite performers, prioritizing recovery and self-care to sustain long-term impact.You'll hear how they:Tackle stress with simple, evidence-based techniques like the battery method to stabilize emotions in minutesUse heart rate variability to monitor and improve physical and mental resilienceReframe meditation as an accessible practice for Type-A physicians, focusing on investigation rather than clearing the mindAdvocate for a cultural shift in medicine to prioritize physician recovery, drawing parallels to elite athletesIf you're an emergency physician or healthcare professional seeking practical tools to manage stress and prevent burnout, this episode offers a lifeline of hope and strategies for change.About the Guest“Meditation isn't about clearing your mind—it's about investigating what's there.” – Dr. Leslie KoenigDr. Leslie Koenig is a board-certified emergency physician, Afghanistan combat veteran, and author of the Stress Relief Survival Guide. With experience on the COVID frontlines and a career shaped by military service, she has developed practical, research-backed techniques to manage stress in high-stakes environments. Now training to become a meditation teacher through The Path program, Dr. Koenig is passionate about helping physicians embrace mindfulness, track heart rate variability, and prioritize recovery to combat burnout.

In recent times, E Scooters have been frequently flagged and branded as more dangerous than their estranged cousin: the E Bike.But, is this the case?Well, according to a new study by Sweden's Chalmers University of Technology Electric Bike users are eight times more likely to crash than E Scooters.Joining Kieran to discuss this further is Consultant in Emergency Medicine at St Vincent's Hospital, Dr John Legge, and Columnist for the Irish Mirror, Joe O'Shea.

This episode dives into one of the most overlooked areas of women's health: the connection between menopause and metabolic health.My guest and I unpack why so many women experience midlife weight gain, insulin resistance, and blood sugar changes—even when they've always lived a healthy lifestyle. Research shows that menopause itself increases the risk of higher fasting glucose, abdominal fat, and even diabetes.Joining me is Dr. Catherine Johnson, founder of My Precision Medical Care, a Board-Certified Obesity and Emergency Medicine physician with advanced training in menopause, functional medicine, and precision medicine. With 25+ years of experience, she helps women improve metabolic health, hormones, and longevity.We'll cover:What metabolic health really means in midlifeEarly red flags of insulin resistance in womenThe role of hormones (estrogen, thyroid, cortisol) in metabolismHow lifestyle, genetics, and menopause interactBest nutrition, sleep, and stress strategies for metabolic healthWhen to consider medical therapies like GLP-1s or metforminHow precision medicine and personalized care help women thriveIf you've ever felt like you're doing everything right but still can't manage weight, energy, or blood sugar, this episode will give you clarity and actionable solutions.Medical Disclaimer:By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of my guests on my podcast.Learn more about Dr. Catherine Johnson:Website: https://myprecisionmedicalcare.com/IG: @precisionmedicalcareFB: @precisioncaremedical Resources: https://www.thewisdomstudy.org/Stay connected to JFW:Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videosFollow me on Instagram: https://www.instagram.com/jillfooswellness/Follow me on Facebook: https://www.facebook.com/jillfooswellnessGrab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-productsEnjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:https://us.fullscript.com/welcome/jillfooswellnessSubscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Create Your Menopause Health Equation Ebook. Schedule your complimentary 30-minute Zoom consultation here:https://calendly.com/jillfooswellness/30-minute-zoom-consultations

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

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. 

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

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.

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.

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.

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