Podcasts about Emergency medicine

This episode of EM Pulse dives into one of the most stressful scenarios in the ED: the febrile infant in the first month of life. Traditionally, a fever in this age group has meant an automatic “full septic workup,” including the dreaded lumbar puncture (LP). But times are changing. We sit down with experts Dr. Nate Kuppermann and Dr. Brett Burstein to discuss a landmark JAMA study that suggests we might finally be able to safely skip the LP in many of our tiniest patients. The Study: A Game Changer for Neonates Our discussion centers on a massive international pooled study evaluating the PECARN Febrile Infant Rule specifically in infants aged 0–28 days. While previous guidelines were conservative due to a lack of data for this specific age bracket, this study provides the evidence we've been waiting for. The Cohort: A large pool of infants across multiple countries. The Findings: The PECARN rule demonstrated an exceptionally high negative predictive value for invasive bacterial infections. The Big Win: The rule missed zero cases of bacterial meningitis. Defining the Danger: SBI vs. IBI The experts break down why we are shifting our terminology and our clinical focus. Serious Bacterial Infection (SBI)  Historically, this was a “catch-all” term including Urinary Tract Infections (UTIs), bacteremia, and meningitis. However, UTIs are generally more common, easily identified via urinalysis, and typically less life-threatening than the other two. Invasive Bacterial Infection (IBI)  This term refers specifically to bacteremia and bacterial meningitis. These are the “high-stakes” infections the PECARN rule is designed to rule out. Dr. Kuppermann notes that we should ideally view bacteremia and meningitis as distinct entities, as the clinical implications of a missed meningitis case are far more severe. The HSV Elephant in the Room One of the primary reasons clinicians hesitate to skip an LP in a neonate is the fear of missing Herpes Simplex Virus (HSV) infection. Low Baseline Risk: While the overall risk of HSV in a febrile infant is low, the risk of “isolated” HSV (meningitis without other signs or symptoms) is even rarer. Screening Tools: Most infants with HSV appear clinically ill. Clinicians can also use ALT (liver function) testing as a secondary screen – transaminase elevation is a common marker for systemic HSV. Clinical Judgment: If the baby is well-appearing, has no maternal history of HSV, no vesicles, and no seizures, the risk of missing HSV by skipping the LP is exceptionally low. Practical Application: Shared Decision-Making This isn’t just about the numbers—it’s about the parents. “Families don’t mind their babies being admitted… They do not want the lumbar puncture. It is the single most anxiety-provoking aspect of care.” — Dr. Brett Burstein The PECARN “Low-Risk” Criteria:  (Remember, this rule applies only to infants who are not ill-appearing.) Urinalysis: Negative Absolute Neutrophil Count (ANC): ≤ 4,000/mm³ Procalcitonin (PCT): ≤ 0.5 ng/mL The Bottom Line: If an infant is well-appearing and meets these criteria, physicians can have a nuanced conversation with parents about the risks and benefits of forgoing the LP, while still admitting the child for observation (often without empiric antibiotics) while cultures brew. Key Takeaways The “Well-Appearing” Filter: If an infant looks ill, the rule does not apply. These patients require a full workup, including an LP, regardless of lab results. Meticulous Physical Exam: Assess for a strong suck, normal muscle tone, brisk capillary refill, and any rashes or vesicles. History is Key: Always ask about maternal GBS/HSV status, pregnancy or birth complications, prematurity, sick contacts, and any changes in feeding, stooling or activity. Procalcitonin: PCT is the superior inflammatory marker for this rule. If your facility only offers traditional markers like CRP, the PECARN negative predictive value cannot be strictly applied. In the words of Dr. Kuppermann: “If you don’t have it, for God’s sakes, just get it! ALT to Screen for HSV: While not part of the official PECARN rule, our experts suggest that significantly elevated liver enzymes should raise suspicion for systemic HSV. Observe, Don’t Discharge: Being “low risk” does not mean the infant goes home. All infants ≤ 28 days still require admission for 24-hour observation and blood/urine cultures. We want to hear from you! Does this change how you approach febrile neonates in the ED? How do you handle shared decision-making with parents? Connect with us on social media @empulsepodcast or on our website 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. Brett Burstein, Clinician-Scientist and Pediatric Emergency Medicine Physician at Montreal Children’s Hospital, McGill University Resources: Burstein B, Waterfield T, Umana E, Xie J, Kuppermann N. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. 2026 Feb 3;335(5):425-433. doi: 10.1001/jama.2025.21454. PMID: 41359314; PMCID: PMC12687207“Hot” Off the Press: Infant Fever Rule “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? PECARN Infant Fever Update: 61-90 Days 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.  

Every second, lightning strikes 50 to 100 times somewhere. It can wreak havoc by starting wildfires and sometimes killing people. But lightning also produces a form of nitrogen that's essential to vegetation. In this episode, we talk about the nature of these dramatic sparks. Ben Franklin established their electric origin, so what do we still not know? Also, why the frequency of lightning strikes is increasing in some parts of the world. And, what to do if you find someone hit by lightning. Guests: Thomas Yeadaker – Resident of Oakland, California Chris Davis – Medical doctor and Assistant Professor of Emergency Medicine at Wake Forest University and Medical Director for the National Center for Outdoor Adventure Education Jonathan Martin –Professor of Atmospheric and Oceanic Sciences at the University of Wisconsin, Madison. Steve Ackerman – Professor of Atmospheric and Oceanic Sciences, University of Wisconsin, Madison Peter Bieniek – Professor of Atmospheric and Space Science, University of Alaska, Fairbanks Descripción en español Originally aired September 12, 2022 Featuring music by Dewey Dellay and Jun Miyake Big Picture Science is part of the Airwave Media podcast network. Please contact advertising@airwavemedia.com to inquire about advertising on Big Picture Science. You can get early access to ad-free versions of every episode by joining us on Patreon. Thanks for your support! Learn more about your ad choices. Visit megaphone.fm/adchoices

Date: January 6, 2026  Guest Skeptic: Darren McKee is an author and speaker. He has served as a senior policy advisor and policy analyst for over 17 years. Darren hosts the international award-winning podcast, The Reality Check. He is also the author of an excellent, thought-provoking book called Uncontrollable: The Threat of Artificial Superintelligence and the […] The post SGEM Xtra: Machines – Or Back to Human first appeared on The Skeptics Guide to Emergency Medicine.

🧭 REBEL Rundown 📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the globe. As emergency medicine gains traction in Spain, this conference has become an essential platform for knowledge exchange and professional growth. Today, host Dr. Mark Ramzy shines a spotlight on two phenomenal educators: Drs. Sara Crager and Ryan Ernst who shared their expertise and experiences at this transformative gathering last spring. Click here for Direct Download of the Podcast. 🤔What's IncrEMentuM? A new conference and a pivotal gathering for emergency medicine professionals worldwide, has become an essential platform for education, collaboration, and advocacy, especially in light of emergency medicine’s recent recognition as a specialty in Spain. The conference is praised for its outstanding production quality, engaging speakers, and its capacity to foster a global community of emergency care professionals. ️What's an Essential Question? Essential questions are open-ended, thought-provoking, and intellectually engaging inquiries that inspire deeper exploration into topics. In the context of medical education, they challenge practitioners to think critically and reflect on their practice deeply. By focusing on essential questions, medical educators aim to inculcate a culture of continuous learning and curiosity, ensuring that medical professionals stay adaptable and insightful in their approach to patient care. 🎮Rapid Sequence (no not the intubating style...)  The Rapid Sequence game is an innovative tool that Sara and Ryan designed to enhance the learning experience for emergency medicine clinicians. It mimics real-life scenarios requiring rapid decision-making in high-pressure situations, such as those faced in emergency medical settings. This clinical case-based game aims to improve cognitive and procedural skills, allowing participants to hone their ability to respond effectively under pressure, thereby enhancing their real-world clinical performance.You can try it out for free on their website here!Their work was featured in the September 2025 edition of Annals of Emergency Medicine as a 2025 ACEP Abstract 🌳The Arboretum Teaching Collective An arboretum is a space that cultivates a wide variety of diverse, unique, and symbiotic growth. Arboretum provides a creative space to decrease barriers, open opportunities, and support the development of extraordinary teachers. The Arboretum Teaching Collective is a non-profit organization dedicated to supporting emergency medicine education in countries where it is a new or evolving specialty.  Their aim to facilitate the development of expert teachers by reducing barriers, providing opportunities, and curating talent.  Their goal is to create a community of educators around the globe who share a vision of bringing excellent, innovative emergency medicine teaching to where it is most needed.  Their approach is driven by curiosity, humility, and sustainability.If you want to learn more and get involved, check out the Arboretum Teaching Collective Website Here ️ See you in Spain! The upcoming conference aims to gather world-class educators once more and promises an enriching experience for all attendees. Drs. Sara Crager and Ryan Ernst, along with many others, will be there at the event. For more information on the IncrEMentuM Conference and to register, visit their website! See you there! Sara Crager, MD Associate Professor, Critical Care and Emergency Medicine UCLA, Los Angeles, CA Ryan Ernst, MD Assistant Professor of Emergency Medicine, Section Chief of Global EM University of Utah, Salt Lake City, UT Mark Ramzy, DO Co-Editor-in-Chief Rutgers Health / RWJBH, Newark, NJ 🔎 Your Deep-Dive Starts Here REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst Host Dr. Mark Ramzy shines a spotlight on two phenomenal ... Resuscitation Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Tarlan Hedayati, Jess Mason and Simon Carley Host Dr. Mark Ramzy shines a spotlight on three distinguished ... Resuscitation Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : George Willis and Mark Ramzy 🧭 REBEL Rundown 📝Introduction In this exciting episode of REBEL ... Endocrine, Metabolic, Fluid, and Electrolytes Read More Incrementum Conference 2026: Revolutionizing Emergency Medicine in Spain In this special episode of Rebel Cast, we spotlight the ... Read More The post REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst appeared first on REBEL EM - Emergency Medicine Blog.

A motorcycle rider goes down in a serious, almost puzzling crash—and from the moment EMS arrives, the signs of internal bleeding are there. The problem? What happens next (and what doesn't) sparks a deep dive worth having.In this episode, we break down how bleeding is identified in trauma patients, where providers sometimes hesitate or miss opportunities, and how those decisions impact outcomes. We dig into hemorrhage control fundamentals like direct pressure and hemostatic agents, then go deep on TXA—when it helps, when it doesn't, and what the future of blood products could look like in ground EMS.If trauma care, bleeding control, and honest call review discussions are your thing, this episode is one you don't want to miss. Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com Grab some SWAG: https://medic-materials-llc.square.site/Send the show an email: info.medicmaterials@gmail.com Visit our Website: https://www.Medic-Materials.com/ See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85 DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

Elizabeth Stovicek ('13) joins Beyond the Bubble to share her experience at Hillsdale as a Biology Major, Spanish Minor and her campus involvement, in addition to what her day looks like as she works in Emergency Medicine and Palliative Care. See omnystudio.com/listener for privacy information.

How does an emergency department doctor manage the chaotic swirl of unknowns that show up at their door every day? What are they to make of the needs that emerge from the complex socioeconomic soup in which we all swim? Is curiosity a tool of choice? And are there lessons the rest of us might learn from an ER doc's hard-won experience?  Milwaukee ER doctor Chris Ford replies with a resounding "Yes!" Check out Dr. Chris Ford's podcast, Pulse Check Wisconsin: https://pulsecheckwi.com Theme music by Sean Balick. ”Cases to Rest” by Bodytonic, via Blue Dot Sessions.

The popular HBO drama “The Pitt,” set in a Pittsburgh emergency trauma center, is having an impact on real-world healthcare. Doctors across California say the show has brought heightened public awareness of their daily work and sparked conversations about the challenges that emergency healthcare workers face. We'll talk to California ER physicians about the effect the TV show has had on their lives and work, and we want to hear from you: Has “The Pitt” changed how you think about emergency care? Guests: Dr. Christopher Colwell, vice chair and chief of Emergency Medicine, Zuckerberg San Francisco General Hospital Dr. Patil Armenian, professor of clinical emergency medicine and medical toxicology, UCSF Fresno Dr. Sarah Medeiros, professor of emergency medicine, UC Davis; host, EM Pulse podcast Learn more about your ad choices. Visit megaphone.fm/adchoices

We were all taught succinylcholine is contraindicated in hyperkalemia because it can cause potassium release, exacerbating the problem. But does it? Does it really?Dr. Jarvis discusses a recent paper that seems to compare mortality within 24 hours of RSI in hyperkalemic patients between those intubated with succ or rocuronium. And then we discuss methods.. including the Table 1 Fallacy. Citations:1.     Simmer PE, Perza M, Cho YD, et al.: Hyperkalemic emergency department patients intubated with rocuronium or succinylcholine: Retrospective study of clinical outcomes. The American Journal of Emergency Medicine. 2026; February;100:154–64.2.     Cole JB, Knack SKS, Driver BE: The value of P-values in “Table 1.” The American Journal of Emergency Medicine. 2026; February;100:182–6.3.     Pappal RD, Roberts BW, Mohr NM, et al.: The ED-AWARENESS Study: A Prospective, Observational Cohort Study of Awareness With Paralysis in Mechanically Ventilated Patients Admitted From the Emergency Department. Ann Emerg Med. 2021;77(5):532–44.4.     ‘Rick & Jerry' Pass the Baton | Emergency Physicians Monthly. Available at https://epmonthly.com/article/rick-jerry-pass-the-baton/. Accessed January 25, 2026.

AEM E&T Podcast host Resa E. Lewiss, MD, interviews authors Drs. Suzanne White and Kevin Joldersma. 

Reference: Aronson PL, et al. Prediction Rule to Identify Febrile Infants 61–90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. September 2025 Date: January 6, 2026 Guest Skeptic: Dr. Jillian Nickerson is a pediatric emergency medicine attending at Children's National Hospital and Assistant Professor of Pediatrics and Emergency Medicine at The George Washington University […] The post SGEM#501: Here it Goes Again – Another Clinical Decision Rule for Febrile Infants 61-90 Days first appeared on The Skeptics Guide to Emergency Medicine.

In Episode 319 of the Medic2Medic Podcast, Steve welcomes back Dr. Jeff Jarvis, a returning guest from the first edition of the podcast, for a thoughtful and wide-ranging conversation rooted in experience, evidence, and perspective. Jeff is the Chief Medical Officer and System Medical Director for the regional EMS system serving the Fort Worth Fire Department in Fort Worth, Texas. He is board certified in both Emergency Medicine and Emergency Medical Services, and he began his career in EMS in 1984 as a volunteer firefighter in rural East Texas.This episode is packed with nuggets of advice, words of wisdom, and storytelling as Jeff reflects on his path in EMS, from his early days as a volunteer firefighter and paramedic to his current role as a nationally recognized EMS physician, researcher, and medical director.Jeff's reflections offer a perspective that only comes with time on the street, in education, and in system leadership. This is a conversation about how EMS has evolved, how it should use evidence and data wisely, and why experience and curiosity still matter.Subscribe to Medic2Medic wherever you get your podcasts and share this episode with someone who appreciates wisdom earned the hard way.https://www.spreaker.com/episode/episode-319-dr-jeff-jarvis--69574894

Podcast summary of articles from the November 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include pediatric intussusception, d-dimer in aortic dissection, ketamine for pain control, coronary CTA, immune checkpoint inhibitors, and stellate ganglion blocks.  Guest speaker is Dr. Eric Lewis.

There has been a cluster of shark attacks over the part few days in Sydney. Clinical Professor of Emergency Medicine at Macquarie University Brian Burns happened to be on the scene at the time of one of these attacks, he spoke to Rachel.

Podcast: Carlsbad: People, Purpose and Impact Host: Bret Schanzenbach, President & CEO, Carlsbad Chamber of Commerce Guest: Dr. Gene Ma, President & CEO, Tri-City Medical CenterIn this episode, Bret welcomes Dr. Gene Ma, a long-time emergency physician and now President & CEO of Tri-City Medical Center, for a candid and hopeful conversation about the future of healthcare in North County San Diego.Dr. Ma traces his journey from a globally mobile childhood (Hawaii, Burma, Japan, Hong Kong) to growing up in Arcadia, then on to UC Irvine, UCSF, Stanford, and UCSD, where he trained in emergency medicine. He shares what it's really like behind the scenes in the ER, the importance of humility in medicine, and what 27 years on the front lines taught him about people, teams, and community.Listeners will hear how Dr. Ma:Discovered his passion for community-based medicine at Tri-CityServed as Chief of Staff and later Chief Medical OfficerLed and helped grow a democratic emergency medicine group and an occupational health businessWas honored 10 times as one of San Diego's Top Doctors in Emergency MedicineThe conversation dives into the financial and regulatory pressures facing hospitals today, including:How DRG-based payments and long COVID hospital stays pushed hospitals to the brinkThe impact of underfunded Medicare and growing staffing costsThe staggering costs of new construction and seismic compliance, with per-bed costs in the millionsCalifornia's 2030 (and 2033) seismic standards, and what they actually requireFrom there, Dr. Ma shares the transformational plan for Tri-City:Tri-City is entering a long-term lease and operating agreement with Sharp HealthCareThe hospital will become Sharp Tri-City, pending voter approval in JuneThe agreement brings the scale, resources, and experience of San Diego's largest not-for-profit health system to North CountyThe board's decision, he explains, reflects a commitment to put community before titles and secure a sustainable future for the districtDr. Ma paints an inspiring vision that includes:Reopening Labor & Delivery at Tri-City in partnership with Sharp Mary BirchReturning and expanding NICU and high-risk maternal-fetal medicine services to North CountyDeveloping a comprehensive cancer center on the Tri-City campus so patients can receive radiation and chemotherapy locallyA revitalized, state-of-the-art flagship medical center that drives both better health outcomes and economic growth along the Highway 78 corridorBret and Dr. Ma also discuss the upcoming public vote, clarify that no new taxes are being requested, and encourage district residents to vote YES to allow Sharp to manage and invest in the hospital.The episode closes on a personal and heartwarming note, as Dr. Ma talks about his five daughters, their life paths across California and New York, and what it's like to transition from sideline sports dad to a new season of life.If you care about the future of local healthcare, economic vitality, and quality of life in Carlsbad and North County San Diego, this episode of “Carlsbad: People, Purpose and Impact” is a must-listen.Key Topics:Dr. Gene Ma's global upbringing and medical training27 years in emergency medicine and leadership at Tri-CityFinancial and regulatory realities of running a hospitalCOVID's impact on hospital operations and financesCalifornia seismic standards and hospital infrastructureThe long-term partnership between Tri-City and Sharp HealthCareReopening Labor & Delivery and bringing high-risk maternity care back to North CountyPlans for a comprehensive cancer center on the Tri-City campusThe importance of the upcoming community voteDr. Ma's family and life in North CountyCall to Action: Be sure to follow “Carlsbad: People, Purpose and Impact” and share this episode with friends, colleagues, and neighbors who want to understand what's at stake for healthcare in our community.Quotes (for Reels / Audiograms)“The moment you think you know everything in medicine is the moment you become dangerous. You have to be humble—or medicine will humble you.”“People think hospitals made money during COVID. The truth is, it was devastating. Patients stayed for weeks or months while we were paid for just a few days of care.”“If the 2030 seismic standards were enforced today, more than half the hospitals in California would have to close. That's how expensive this is.”“There's no realistic path for Tri-City to reopen labor and delivery on its own—but with Sharp, not only can we reopen, we can expand and bring high-risk maternity care back to North County.”“One day, people won't be able to imagine a North County without Sharp Tri-City—they'll just assume world-class care has always been here.” Did this episode have a special impact on you? Share how it impacted youCarlsbad Podcast Social Links:LinkedInInstagramFacebookXYouTubeSponsor: This show is sponsored and produced by DifMix Productions. To learn more about starting your own podcast, visit www.DifMix.com/podcasting

🧭 REBEL Rundown 📌 Key Points 🎯Partnership Focus: New collaboration with Arena Labs aimed at enhancing healthcare worker wellness.🏃🏽‍️‍➡️Personalized Coaching: Tools and coaching programs designed for stress management and performance improvement.📊Data-Driven Insights: Utilizing wearable sensor data to tackle burnout effectively.🌄Broad Impact: Offers a unique opportunity to contribute to large-scale healthcare improvements. Click here for Direct Download of the Podcast. 📝 Introduction Welcome back to REBEL MIND, where MIND stands for Mastering Internal Negativity during Difficulty. Here we sharpen the person behind the practitioner by focusing on things that improve our performance, optimizing team dynamics and the human behavior that embodies the hidden curriculum of medicine. In this episode, hosted by Drs. Mark Ramzy and Marco Propersi, we’re excited to introduce a collaboration with Arena Labs. Arena Labs is helping us measure healthcare performance through innovative programs designed to combat burnout and enhance personal wellness using data-driven strategies.  Cognitive Question What would it look like in emergency medicine and critical care to be set up with the same tools as elite teams and professional athletes when it comes to measuring performance and recovery? How would our patients benefit? 💭 Why This is Important Burnout among healthcare workers is a growing concern, especially in such high-pressure environments as emergency and intensive care units. The collaboration with Arena Labs brings forth a vital focus on using data and coaching to build resilience among medical professionals. 🌟Be Brilliant at the Basics Ask yourself — “What is it on your time off that gives you a deep sense of fulfillment?”On your time off are you doing things that fill your bucket and add to your recovery? What is Allostasis and Allostatic Load Allostasis: Our body’s ability to adapt over time to stress. It’s relevant to the phase you are in during this particular season in your life. Ex. You are a first year medical student freaking out about your very first exam. Over time as you do more exams, they are still stressful, but by now you have developed modified study habits to succeed and get used to the frequent examsIn the context of emergency medicine, you may be nervous or stressed about your first shift at a new hospital but overtime you learn the staff, the location of equipment, the acuity of that particular site, the patient population so over time you get used to the stress of a shift at that new hospitalAllostatic Load: The wear and tear on the body from chronic stress due to maladaptation or poor recovery methods.This refers to the cumulative burden of chronic stress and life events. It involves the interaction of different physiological systems at varying degrees of activity.Ex. You are an emergency medicine physician at a very busy, high acuity center and have never prioritized taking care of yourself on/during a shift. As a result, external factors add to not being able to fully recover when you get home or are off shift (ie. Admin work, teaching obligations, family/friends) and so you never fully recover before you have to go back on shift to the same stressors you just exposed yourself to. So the cycle continuesFigure 1: Long term effects of Chronic Stress (Source: Andrew Hogue from NeuroFit) 🏥How This Applies to the Emergency Department or ICU? Healthcare workers in emergency departments (ED) and intensive care units (ICU) are often under enormous stress due to the nature of their work. Arena Labs’ program offers tailored solutions, helping ED and ICU staff manage their unique challenges through effective recovery techniques and performance tools. This approach caters specifically to the demanding schedules and the unpredictability inherent in these environments. 👀 Where to Learn More Intrigued by the possibilities this partnership offers? You can explore more by visiting Arena Labs’ website here. Also, check out the comprehensive coaching program available, designed specifically for healthcare providers looking to enhance their well-being and performance. 🚨 Clinical Bottom Line In an era where burnout is pervasive, our collaboration with Arena Labs offers a beacon of hope for healthcare workers. By leveraging cutting-edge data insights and practical coaching, this partnership aims to redefine healthcare wellness, fostering a sustainable, resilient workforce that’s equipped to navigate the pressures of modern medicine. Join us in this journey towards enhanced well-being and workforce empowerment, ensuring that those who care for us are also cared for. 📚References Guidi J, et al.Allostatic Load and Its Impact on Health: A Systematic Review. Psychother Psychosom. 2021; Epub 2020 Aug 14. PMID: 32799204Frueh BC, et al.“Operator syndrome”: A unique constellation of medical and behavioral health-care needs of military special operation forces. Int J Psychiatry Med. Epub 2020 Feb 13. PMID: 32052666 Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief Cardiothoracic Intensivist and EM Attending RWJBH / Rutgers Health, Newark, NJ Marco Propersi Co-Editor-in-Chief Chair of Emergency Medicine at Vassar Brothers Medical Center, Poughkeepsie, NY Brain Ferguson Founder and CEO Arena Labs The post REBEL MIND: Performance Under Pressure – What Medicine Can Learn from Elite Teams appeared first on REBEL EM - Emergency Medicine Blog.

  Reimagining Care Beyond Hospital Walls Hospitals are a finite resource—but patient needs are not. This episode continues our multi-part series on taking medicine to where patients are—rather than making them come to us. From preventative care to pediatricians meeting families in their own environments, the series has explored how medicine is evolving beyond traditional settings. In this episode, we explore one of the most compelling—and long-overdue—ideas yet: care at home. What Is Home-Based Medical Care? Joined by Dr. Kelly Owen, Professor of Emergency Medicine at UC Davis and Medical Director for Express Care and Dispatch Health, the conversation dives into what home-based care really looks like—from urgent care at home to ED-to-home follow-ups and post-hospital discharge support designed to prevent readmissions. A Patient-Centered Solution That Works Through a powerful real-world case, the team illustrates how mobile medical units can deliver wraparound care—medications, follow-up appointments, and clinical evaluation—right in a patient's living room, avoiding unnecessary hospital stays while improving outcomes and patient satisfaction. Why This Model Matters Now With emergency departments stretched thin, home-based care offers ways to: Reduce avoidable ED visits and hospitalizations Improve continuity of care after discharge Support vulnerable, homebound, or transportation-limited patients Deliver care that insurance covers and patients prefer The model is compelling: high patient satisfaction, low ED escalation rates, and health care dollars saved—all while keeping patients at the center. The Future of “Medicine on the Go” As technology and remote monitoring continue to evolve, this episode makes the case that home-based care isn't a niche experiment—it's a scalable, sustainable future for emergency and outpatient medicine. Tune in to hear how taking medicine to where patients are is transforming care—for the better. Was this series helpful for you? What other topics would you like to see us cover? Let us know on social media @empulsepodcast or at 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. Kelly Owen, Professor of Emergency and Medical Director of Express Care and Dispatch Health at UC Davis Resources: ‘The next frontier of emergency medicine': House calls following emergency room by Liam Connolly, April 30, 2024. UC Davis Health embarks on innovative care at home journey by Liam Connolly, July 18, 2023.  AMA’s Return on Health: Telehealth framework for practices. *** 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.  

Exploramos los hallazgos más recientes sobre compresiones manuales versus compresiones mecánicas en la reanimación cardiopulmonar. ¿Qué opción ofrece mejores resultados en pacientes con paro cardíaco? ¿Qué deben saber los proveedores de ACLS hoy?

The Steve Gruber Show | Church Raids, China Deals, and the Globalist Meltdown --- 00:00 - Hour 1 Monologue 19:06 – Rep. Harriet Hageman, Congresswoman representing Wyoming. Hageman discusses recent incidents in Minneapolis involving individuals targeting federal law enforcement and what that signals for public safety. She also talks about her potential U.S. Senate run in Wyoming, the broader fight for America, and the dangers she believes arise when Democrats hold power. 27:58 – Dr. Kelly Victory, Chief of Disaster and Emergency Medicine at The Wellness Company. Dr. Victory discusses efforts to “Make America Healthy Again,” including updates to the food pyramid and practical ways to recover from injury or muscle soreness. Visit twc.health/GRUBER and use promo code GRUBER to save 10%. 38:07 - Hour 2 Monologue 46:55 – Peter Basica, founder of 360 Smarter Care. Basica breaks down the rollout of a new $50 billion rural health plan and what it means for access to care in underserved communities. He explains how innovation could reshape rural healthcare delivery. 56:50 – Pete Sepp, President of the National Taxpayers Union. Sepp analyzes a proposed “great healthcare plan” and argues it would be even better without government price controls. He explains how price-setting can impact taxpayers, providers, and patient choice. 1:05:43 – Trisha Curtis, CEO of PetroNerds and economist at the American Energy Institute. Curtis examines the latest geopolitical risks affecting global energy markets and how those pressures are shaping oil prices. She offers insight into supply, demand, and political instability. 1:15:47 - Hour 3 Monologue 1:24:27 – Ron Rademacher, travel writer, author, speaker, storyteller, and record-holder for getting lost on Michigan's back roads. Rademacher shares stories and travel ideas from around Michigan. He highlights unique destinations and hidden gems across the state. 1:34:17 – Rep. Jay DeBoyer, Chair of the Michigan House Oversight Committee, representing the 63rd District in Clay Township. DeBoyer discusses how the House Oversight Committee is delivering results and driving change through its report on Michigan State Police leadership. He explains why accountability and transparency are critical. 1:43:08 – Ivey Gruber, President of the Michigan Talk Network. Gruber talks about a major snowstorm moving through the Midwest and shares practical tips on staying warm. The segment wraps up with a lighter story about an Arkansas man winning a $100,000 lottery prize. --- Visit Steve's website: https://stevegruber.com TikTok: https://www.tiktok.com/@stevegrubershow Truth: https://truthsocial.com/@stevegrubershow Gettr: https://gettr.com/user/stevegruber Facebook: https://www.facebook.com/stevegrubershow Instagram: https://www.instagram.com/stevegrubershow/ Twitter: https://twitter.com/Stevegrubershow Rumble: https://rumble.com/user/TheSteveGruberShow  

So many of our choices are shaped less by desire and more by expectation. We chase prestige, status, or recognition, only to arrive and realize we were climbing the wrong ladder. Beneath burnout and the friction, there's often the truth that we were never pursuing what we truly wanted. In this episode, we explore the concept of mimetic desire, how it misguides our ambitions, and how to reclaim our decisions. Finally, we examine how fear of judgment and shame shape our careers more than we think, and what it takes to break free.Guest bio: Josh Russell, MD, is double board-certified in Emergency Medicine and Palliative Care. He's held leadership roles as a Chief Medical Officer in telehealth, artificial intelligence, and urgent care systems. He's an experienced clinician, writer, educator, and medical editor with a passion for making complex topics accessible. LinkedIn article that spurred this podcastJosh's WebsiteWe Discuss:Mimetic Desire: Chasing What Others WantThe Trap of “Should”: Internalized ShameThe Concentric Circles of StressorsFinding What You Really WantThe Ladder Against the Wrong WallActionable Reflection PracticesMentioned in this episode:Awake and Aware | March 1-4, 2026Our annual retreat. Scottsdale, AZ. If you want to recalibrate and reset, this is for you. Registration closes Feb 14, 2026.Learn More HereDoctoring Done Well | Bite-Sized WinsEvery other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh.Sign up for our Newsletter

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 angioedema. 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: January 17, 2026 Reference:  Casey et al. RSI Investigators and the Pragmatic Critical Care Research Group. Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. NEJM. 2025 Dec The podcast is not uploading correctly. Please use this LINK to listen to Episode #500 until I resolve the issue. Guest Skeptic: Dr. Scott Weingart […] The post SGEM#500: Don't You Want Me – Etomidate or Ketamine for Induction of Critically Ill Patients first appeared on The Skeptics Guide to Emergency Medicine.

We're stepping out of our Medicine on the Go series for a rapid-response episode on something hitting all of us hard right now: **influenza**. A lively debate among our colleagues sparked this conversation—especially around a newer flu antiviral, baloxavir (Xofluza). Who's using it? When does it make sense? How much does it cost patients? And how does it really compare to the longtime staple oseltamivir (Tamiflu)? The questions came fast, the opinions were strong, and we knew it was time to dig in. With flu season in full swing, this episode is all about practical decision-making at the bedside. Back to Basics: How Flu Antivirals Work To help break it all down, we welcome back our trusted ED pharmacist, Haley Burhans. We begin with a quick review of how influenza antivirals have evolved. , approved in 1999, was the first widely used antiviral and works by blocking the neuraminidase enzyme. Over time, concerns about resistance led to the development of newer options. That brings us to baloxavir (Xofluza), approved in 2018. Xofluza works differently by stopping viral replication earlier in the virus life cycle. While both medications aim to shorten illness and reduce complications, they differ in how they work, how they are dosed, and which patients benefit most. Who Should Get What—and When? Next, we focus on real-world ED decision-making. Who should receive Tamiflu, and who is a good candidate for Xofluza? We review use in children, pregnant patients, hospitalized patients with severe or worsening illness, immunocompromised patients, and those at higher risk due to conditions like asthma, lung disease, diabetes, heart disease, obesity, or older age. Timing is critical. Both medications work best when started within 48 hours of symptom onset. However, oseltamivir is still recommended even after that window for patients who are hospitalized or severely ill. We also discuss when antivirals can be used for post-exposure prpphylaxis. What Does the Evidence Say? We then take a closer look at the data behind antiviral treatment. Both Tamiflu and Xofluza shorten the time to symptom improvement. Observational studies suggest oseltamivir may reduce hospital length of stay and in-hospital death in adults and shorten hospital stays in children. Trial data also suggest baloxavir may be more effective against influenza B. We compare dosing strategies—five days of twice-daily Tamiflu versus a single-dose Xofluza—and review side effects and pediatric considerations. Real-World Barriers: Access and Cost Finally, we tackle the practical issues clinicians face every day. Tamiflu is widely available and familiar to most providers. Xofluza, on the other hand, often requires prior authorization and may be harder for patients to obtain. We discuss insurance barriers, out-of-pocket costs, manufacturer coupons, and situations where Xofluza may or may not be a realistic option. Take-Home Message This episode is a practical, evidence-based conversation designed to help emergency clinicians make confident decisions during flu season. Whether you're treating a high-risk patient, considering a single-dose option for uncomplicated flu, or simply trying to stay current, this discussion delivers clear, useful guidance you can use on your next shift! What's your go to flu treatment? What other medications would you like to learn more about? Hit us up on social media @empulsepodcast or at 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: Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis Resources: CDC: Influenza Antiviral Medications: Summary for Clinicians AAP: Recommendations for Prevention and Control of Influenza in Children, 2025–2026: Policy Statement ACEP Influenza Resources and Updates **** 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.

Welcome to Episode 52 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! NSAIDs National Institutes of Health. (2022). Nonsteroidal antiinflammatory drugs. LiverTox: Clinical and research information on drug-induced liver injury. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK548614/ LFTs / Drug-Induced Liver Injury American Association for the Study of Liver Diseases. (2023). Practice guidance on drug, herbal, and dietary supplement–induced liver injury. Hepatology. Retrieved from https://journals.lww.com/hep/fulltext/2023/03000/aasldpracticeguidanceondrug,herbal,and.28.aspx Toxicology Screening StatPearls Publishing. (2023). Toxicology screening. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK499901/ Academy of Diagnostic & Laboratory Medicine. (2023). Testing for drugs of misuse to support the emergency department. Retrieved from https://myadlm.org/science-and-research/academy-guidance/testing-for-drugs-of-misuse-to-support-the-emergency-department CT Utilization / Imaging American College of Emergency Physicians. (2022). The renewed necessity of robust clinical judgment in CT scan utilization. ACEP Now. Retrieved from https://www.acepnow.com/article/the-renewed-necessity-of-robust-clinical-judgment-in-ct-scan-utilization/ Appropriate Testing / Overuse Context Melnick, E. R., et al. (2023). GRACE-2: Guidelines for reasonable and appropriate care in the emergency department. Academic Emergency Medicine. Retrieved from https://onlinelibrary.wiley.com/doi/10.1111/acem.14495 More from us: Our CME courses: EM Boot Camp: https://courses.ccme.org/course/embootcamp/about EM Boot Camp Pharmacology Workshop: https://bit.ly/2I44xld Bouncebacks! Medical & Legal: https://courses.ccme.org/education/bouncebacks-medical-and-legal Mastering Emergency Imaging: https://courses.ccme.org/education/mastering-emergency-imaging Advanced EM Boot Camp: https://courses.ccme.org/course/advancedbootcamp/about Advanced ECG Workshop: https://bit.ly/aembc-ecg Advanced Imaging Workshop: https://bit.ly/aembc-imaging EM & Acute Care: https://courses.ccme.org/course/ema/about National EM Board Review: https://courses.ccme.org/course/nembr/about High Risk Emergency Medicine: https://courses.ccme.org/course/hrem The Heart Course: https://courses.ccme.org/course/theheartcourse The Cadaver-Based Procedures & Suturing Courses: https://courses.ccme.org/course/cadaver EM:Prep LLSA Review: https://courses.ccme.org/course/em-prep/about EMCert Module Mastery: https://courses.ccme.org/course/emcertmodule USC Trauma Course: https://courses.ccme.org/course/usc-trauma ACOEP Scientific Assembly: https://courses.ccme.org/course/acoep Mastering Acute Care Charting - 2023 Updates: https://courses.ccme.org/course/macc Flourishing in Medicine: https://courses.ccme.org/course/flourishing-in-medicine The DEA Licensee SUD Training Course: https://courses.ccme.org/course/dea ACOFP On-Demand: https://courses.ccme.org/education/acofp25-clinical-selects The Airway and Lung Course: https://courses.ccme.org/education/airway Mastering Pediatric Emergencies: https://courses.ccme.org/course/pediatric-em Innovations in ED Management: https://courses.ccme.org/course/innovationsined American Osteopathic Association Courses: https://aoa.coursehost.net EM Cases Summit: https://courses.ccme.org/education/em-cases-summit-2024 IncrEMentuM Conference – On-Demand: https://courses.ccme.org/education/incrementum-2025 Our social media: TikTok: https://www.tiktok.com/@ccmecourses Instagram: https://www.instagram.com/ccmecourses Facebook: https://www.facebook.com/CenterForMedicalEducation LinkedIn: https://www.linkedin.com/in/rickbukata Our podcasts: The 2 View Podcast (Free): Subscribe on Apple Podcasts https://apple.co/3rhVNZw​ Subscribe on Google Podcasts: http://bit.ly/2MrAHcD​ Subscribe On Spotify: http://spoti.fi/3tDM4im Risk Management Monthly Podcast (Paid CME): https://www.ccme.org/riskmgmt ** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. The information in this video is for informational purposes only and not for the purpose of providing legal advice. You should contact your attorney to obtain advice with respect to any particular issue or problem. Nothing here should be construed to form an attorney-client relationship. ** emergencymedicine #cme

In this podcast, Dr. Megan Rech and Dr. Brett Faine discuss the AJHP theme issue on emergency medicine pharmacy practice with host and AJHP Editor in Chief Dr. Daniel Cobaugh. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

The IMNO says this morning 803 people had been admitted to hospital but didn't have a proper bed. Professor Conor Deasy, President of the Irish Association for Emergency Medicine.

Today we are talking to an ER doc who fulfilled her dream of doing an epic bike ride across Europe. She rode 2,500 miles from Italy to Norway with over 500 people from all over the world. She knows that health is never guaranteed and wanted to accomplish this goal while she is still physically strong enough. She has taken care of her financial life and has reached financial independence so she had the freedom to make some changes to achieve her goal. She was willing to quit her job if necessary but ended up going to part time and with the help of great colleagues she was able to take 7 weeks off. She shows us what the point of financial freedom really is - getting to do what you value with your life! As a white coat, you have valuable knowledge. Various companies want that knowledge. And they're willing to pay you for it! That's why we've put together a list of recommendations for companies that pay you to take surveys. If you're looking for a profitable side gig for not too much effort, getting paid for surveys could be the perfect solution for you. You can make extra money, start a solo 401(k), and use your medical knowledge to impact new products. One of the WCI columnists makes an extra $30,000 a year just doing these surveys. Sign up today and use a fraction of your downtime to make extra cash! Go to https://whitecoatinvestor.com/MDSurveys Celebrating your stories of success along the journey to financial freedom! Tune in every Monday to the Milestones to Millionaire Podcast, where we celebrate the financial achievements of our listeners and share practical tips for reaching your own milestones. We want to celebrate your milestones—no matter how big or small—and help inspire others to follow your lead. Every week, these episodes feature one listener who has recently achieved a milestone they are proud of and want to celebrate, and they give any advice they have for those who want to follow their example. Make sure to listen every Monday to be inspired by your fellow white coat investors. Celebrate YOUR Milestone on the Milestones to Millionaire Podcast: https://whitecoatinvestor.com/milestones  Website: https://www.whitecoatinvestor.com  YouTube: https://www.whitecoatinvestor.com/youtube  Student Loan Advice: https://studentloanadvice.com  TikTok: https://www.tiktok.com/@thewhitecoatinvestor  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter  00:00 MtoM Podcast #257 02:20 EM Doc Reaches Financial Independence 20:14 How Does PSLF Work?

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. Sing-Yi Feng from UT Southwestern joins us for environmental toxins.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 

ACEP Critical Decisions in Emergency Medicine - December 2025 by American College of Emergency Physicians

Fever, chills, fatigue, cough, headache and a sore throat. A new variant of the flu means more people are suffering from the virus this season. But the flu can be more than just a nuisance illness — it can be deadly. Today, Connecticut physicians join us to answer questions about what to do to protect yourself and your family from the virus. Flu-related hospitalizations are rising in Connecticut. We hear from one local emergency medicine doctor. Up first, the U.S. Department of Health and Human Services recently scaled back childhood vaccine schedules, changing recommendations for the flu vaccine and others. We learn more. GUESTS: Apoorva Mandavilli: Science and Global Health Reporter for the New York Times Dr. Anumaha Singh: Chief of Department of Emergency Medicine for Hartford Hospital Dr. Scott Roberts: Associate Medical Director for Infection Prevention at Yale New Haven Hospitals and Infectious Disease Doctor and Assistant professor at the Yale School of Medicine Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.

Date: January 5, 2026 Reference: Robblee et al. 2025 guideline update to acute treatment of migraine for adults in the emergency department: The American Headache Society evidence assessment of parenteral pharmacotherapies. Headache 2025 Dec Happy New Year, SGEMers! What better way to start 2026 than with an SGEM Xtra about migraine headaches? We were originally […] The post SGEM Xtra: Hit Me with Your Best Block – 2025 AHS ED Migraine Guidelines first appeared on The Skeptics Guide to Emergency Medicine.

🧭 REBEL Rundown 📌 Key Points 🧠 We don’t know what we don’t know: Low experience can inflate confidence; true expertise usually brings humble certainty.🏥 ED relevance is universal: From central lines to transvenous pacing, over- or under-confidence shows up at every level—intern to seasoned attending.🧩 Metacognition matters: Accurate self-assessment is a clinical skill; reflection + feedback loops keep us calibrated.🛠️ Practice beats bravado: Skill decay is real; deliberate practice and HALO (high-acuity, low-occurrence) refreshers protect patients.🤝 Psychological safety ≠ niceties: “Confident humility” enables questions, feedback, and better resuscitation decisions—especially under uncertainty. Click here for Direct Download of the Podcast. 📝 Introduction Welcome to REBEL MIND—Mastering Internal Negativity during Difficulty. In this series, we turn the same critical lens REBEL EM uses for literature inward—into mindset, leadership, and psychological safety—so we can deliver better care outward to patients and teams.In this episode and blog post, hosts Mark Ramzy and Kim Bambach (Assistant Professor of Emergency Medicine, The Ohio State University) explore a deceptively simple question: How accurately can we assess our own performance? The answer hinges on a classic cognitive bias that touches all of us in emergency medicine. 🧾 Paper Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessments. J Pers Soc Psychol. 1999 Dec;7 PMID: 10626367 Cognitive Question How accurately can we assess our own performance? 💭 What is the Dunning-Kruger Effect? The Dunning–Kruger Effect is a cognitive bias where:Lower-skill individuals tend to overestimate their competence, andHigher-skill individuals often underestimate theirs.Translation for the busy clinician: early on the learning curve, confidence spikes (“Mount Stupid”) because we don’t yet see the complexity. As experience accrues, confidence dips (“Valley of Despair”) with growing awareness, then rises again—grounded in nuance and humility.Key insight: True expertise ≠ louder certainty; it’s often quieter, more curious, and more collaborative. How It Applies to the Emergency Department Procedures (e.g., central lines, TVP): Watching a 5-minute video creates “I got this” energy—until the wire won’t pass, the patient thrashes, or you hit carotid. Competence includes troubleshooting in context.Skill Decay is Inevitable: If you haven’t done a chest tube or a TVP in months, you’re not as sharp as last time. Without deliberate refreshers, you drift below the safe-performance line.Everyone’s a Novice Somewhere: New disease entities, evolving algorithms, new tools (POCUS, decision support) mean even attendings routinely re-enter novice zones.Feedback Blind Spots: Lower performers can both overestimate their skills and resist feedback—while many high performers (particularly women, per discussed literature) undervalue their abilities.Culture is Clinical: The ED demands decisive action amid uncertainty. Psychological safety + confident humility lets teams surface alternative diagnoses, challenge momentum, and correct course fast. ⏩Immediate Action Steps for Your Next Shift Run a 60-second debrief on two casesWhat went well? What would I do differently next time? Write one improvement you’ll test today.Play “What if the opposite were true?”Anchored on “lumbosacral strain”, Ask, What if fever/incontinence appears? How does that change my path?Solicit 360° micro-feedbackAsk a nurse, resident, and peer: “One thing I did well; one thing to improve.” Say “thank you,” not “but.”Schedule a HALO refresher this weekPick one high-acuity, low-occurrence procedure (TVP, cric, thoracotomy). Do a 10-minute mental model + equipment walk-through; book sim time if available.Adopt a pre-procedure pauseIf X goes wrong, I’ll do Y. Name two likely failure modes (e.g., “wire won’t advance,” “delirium/agitation”) and your first corrective step.Language shift on shiftSwap “I’m sure” → “I’m reasonably confident, here’s my plan B.” Invite input: “What am I missing?” Conclusion The Dunning–Kruger Effect isn’t a moral failing; it’s a predictable human pattern that every clinician rides—often multiple times per day in the ED. The antidote is metacognition: routine reflection, explicit debiasing, deliberate practice, and feedback within a psychologically safe culture. 🚨 Clinical Bottom Line Competence is quiet and curious. The more we know, the more we recognize what we don’t—and the better we become at caring for patients and each other. Further Reading Dunning D, Kruger J. Unskilled and Unaware of It (1999). Classic paper introducing the effect.Croskerry P. Cognitive forcing strategies in clinical decision-making.Kahneman D. Thinking, Fast and Slow. Heuristics & biases in high-stakes decisions.Ericsson KA. Peak: Secrets from the New Science of Expertise. Deliberate practice & skill acquisition.Edmondson AC. The Fearless Organization. Psychological safety and learning culture in teams. Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief Cardiothoracic Intensivist and EM Attending RWJBH / Rutgers Health, Newark, NJ Kim Bambach, MD Podcasting Manager Assistant Professor of Emergency Medicine Ohio State University The post REBEL MIND – The Dunning Kruger Effect: Why Looking Inward Improves Patient Care appeared first on REBEL EM - Emergency Medicine Blog.

The next episode of our Medicine on the Go series features Dr. Serena Yang, Professor and Division Chief of General Pediatrics and Vice Chair of Community Engagement at UC Davis Health, as she shares how UC Davis Children's Hospital's Pediatric Mobile Clinic is bringing specialty care directly into schools and under-resourced communities across the Sacramento region. Learn how this innovative mobile model addresses urgent needs in child development, mental health, and asthma, removes barriers to care, and builds trust through strong school and community partnerships—offering an inspiring blueprint for delivering equitable pediatric care beyond the clinic walls. Does your health system have a mobile outreach clinic? Would you consider starting one? We'd love to hear from you! Share with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Serena Yang, Clinical Professor and Division Chief of General Pediatrics, and Vice Chair of Community Engagement at UC Davis Resources: UC Davis Pediatric Mobile Clinic Program **** 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.

Welcome back to the Legal Nurse Podcast! In this insightful episode, Pat Iyer sits down with Dr. Kenny Stein, a seasoned emergency department physician and expert witness, to unravel the complexities and high-pressure realities of emergency medicine as they intersect with legal liability. With over 27 years of clinical experience and two decades serving as an expert witness, Dr. Kenny Stein brings a wealth of knowledge about how patient care in the emergency department can become the focal point of litigation. During their conversation, Pat Iyer and Dr. Kenny Stein discuss the nuts and bolts of what makes a medical malpractice case viable, examining the four essential elements every plaintiff's attorney must prove: duty, breach of standard of care, damages, and causation. They go behind the scenes of the emergency department, discussing how communication breakdowns, especially during patient handoffs, can trigger errors and create fertile ground for lawsuits. You'll hear powerful anecdotes pulled straight from Dr. Stein's experience, including unusual medical scenarios and cautionary tales where missed results and documentation pitfalls spelled trouble. This episode also explores evolving trends in emergency medicine, from the impact of electronic health records and templated notes to the emergence of AI in radiology. What happens when patients bounce back to the ER after discharge? Who is responsible for critical follow-up and test results once a patient leaves? And how does the language of documentation shift under the microscope of litigation? Tune in to get actionable insights for legal nurse consultants, attorneys, and anyone fascinated by the intersection of clinical care and the law. What You'll Learn in This Episode is Unpacking Medical Negligence: What Every Legal Nurse Should Know About ER Cases Here are 5 discussion questions answered by Pat Iyer and Kenny Stein in the podcast: What are the four main elements a plaintiff attorney must prove to make a medical negligence case viable, and why is each element important? How do the concepts of "standard of care" and "gold standard" differ in a legal context, according to Kenny Stein? Discuss how the process of handoff in the emergency department can lead to critical gaps in communication. What are some ways to mitigate these risks? Why can delayed test results after a patient has left the emergency department result in liability issues, and what systems are in place to prevent these situations? What are “bounce backs” in the emergency department, and how should clinicians approach a patient who returns soon after being discharged? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Grow Your LNC Business 13th LNC SUCCESS® ONLINE CONFERENCE April 23, 24, and 25, 2026 Skills, Strategy, Results Gain deposition mastery, marketing confidence, and clinical–legal insight from industry leaders you can apply to your next case and client call. Build a Practice Attorneys Remember Learn exactly how to showcase expertise, attract referrals, and turn complex medical records into clear, defensible stories that win trust. Learn From the Best—Then Ask Them Anything Get step-by-step training, live “hot seat” solutions, and exclusive VIP Q&A time with Pat Iyer to accelerate your LNC growth. Register now- Limited spots available Your Presenters for Unpacking Medical Negligence: What Every Legal Nurse Should Know About ER Cases Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Kenny Stein Dr Stein has practiced Emergency Medicine and Critical Care Medicine for 27 years. He has been a medical expert witness for over 20 years. He has reviewed over 700 cases for plaintiffs and defendants. He has testified 300 times at depositions and trials. Dr Stein clearly explains complex medical issues to patients, juries, and attorneys. Connect with Kenny Stein by email at kennystein1@gmail.com

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, Jess Pelletier and Brit Long cover benzodiazepine-refractory 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 

In this episode, I sit down with Dr. Alexandra Gajer, a board certified physician who made a courageous shift from emergency medicine to the world of performance health optimization. Dr. Gajer shared how she reached a point of burnout even though she loved her work in the ER. Her story highlights a powerful truth that many high performers overlook. Loving your career does not make you immune to burnout. She explained why self care cannot be something we practice only during off hours, and how traditional medicine often focuses more on disease than on sustaining long term vitality. I emphasized how essential her work is, especially for leaders and professionals who want to feel energized and capable for decades rather than reacting to health problems after they arise. Optimizing Health for Career Success Dr. Gajer broke down a shift she sees in her clients. Success is no longer just about titles or income. True success requires a strong foundation of health. She explained how metabolic health plays a central role in energy, performance, and longevity. Small changes in how the body uses food for fuel can create massive improvements. She also covered the importance of hormone health and how people at any age can regain optimal energy levels. Dr. Gajer described clients in their 70s, 80s, and even 90s who continue thriving because they invested early in their health and maintained consistent habits. Health Habits for Peak Performance After 45 We explored why leaders over 45 must be proactive about both cognitive and physical health. Many people hit their 40s with more wisdom, capability, and clarity than ever, yet their bodies begin sending subtle warning signs. Dr. Gajer explained how burnout symptoms often show up quietly for people in demanding professions like healthcare, leadership, and entrepreneurship. We talked about why mindfulness, nutrition, movement, and regular health assessments are essential investments for long term functionality and longevity. Food Intolerance and Personal Health Awareness I shared my own experience with food intolerance testing and how it changed the way I look at nutrition. Discovering that I have a potato allergy, despite my Irish roots, and an intolerance to eggs, despite the egg in my brand logo, created some irony and a lot of self reflection. I talked about how foods interact with one another much like medications do, and why paying attention to how your body responds can be a game changer for overall well being. Whole Foods and Testosterone Health Dr. Gajer discussed the sharp decline in testosterone levels among men and why diet is a major contributor. She emphasized the importance of whole foods over processed products that are engineered to be addictive. Whole foods help regulate appetite, stabilize weight, and support hormone balance. She also highlighted the link between processed foods, inflammation, and cognitive decline. The message was clear. Your diet is creating either long term strength or long term struggle. Healthy Eating for Longevity We explored the consequences of poor dietary habits, including the rising rates of type 3 diabetes, Alzheimer's, and dementia. I shared why I believe medications like Ozempic are often used as a Band Aid for lifestyle choices rather than addressing root causes. We discussed how healthy food choices combined with regular movement help people maintain clarity, emotional stability, and resilience. When you take care of your body, you are better equipped to handle every other area of life. Health Habits and Daily Well Being Dr. Gajer emphasized that small health habits create major shifts. He noted that it is never too late to start making positive changes. We discussed the importance of consuming adequate protein, supporting gut microbiome health, and using daily rituals to reduce stress. I reinforced that when you strengthen your health, your performance improves in your relationships, your leadership, and your decision making. Inside Dr. Alexandra Gajer's Health Coaching Practice Dr. Gajer shared an overview of her health optimization practice, which supports clients nationwide. Listeners can book a free intro call through her website theguyerPractice.com. With my background in primary care administration, I deeply appreciate how vital her work is for healthcare professionals and high performers striving to stay healthy while maintaining demanding careers. Her contact information is included for anyone ready to take the next step toward long term health and vitality.  

Date: December 23, 2025 Reference: Todd et al. Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients. J Am Coll Emerg Physicians Open. 2024 Guest Skeptic: Dr. Mike Pallaci is a Professor of Emergency Medicine at Northeast Ohio Medical University and a Clinical Professor of Emergency Medicine at Ohio University […] The post SGEM#499: Under Pressure – To Start Antihypertensives in Hypertensive ED Patients at Discharge first appeared on The Skeptics Guide to Emergency Medicine.

Dr. Lillian Liang Emlet is a Professor of Critical Care Medicine at the University of Pittsburgh, dually trained in Emergency Medicine and Critical Care. She's also a certified energy leadership coach and the CEO founder of Transforming Healthcare Coaching.  She also hosts a podcast by the same name. We talk about a common phenomenon in healthcare: clinicians who are exceptional at their work getting promoted into leadership roles without the skills or support to succeed. Lillian shares how she helps healthcare leaders at all levels—physicians, nurses, NPs, PAs, pharmacists, executives—develop as whole people first before tackling the complexities of leading teams and systems. Lillian explains what energy leadership coaching actually means, and why healthcare will always need guides for its leaders even as we work to transform the culture. If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

Send us a text*Disclaimer*   This episode is part of the Causes or Cures Public Health Is Weird bonus series and is for educational and entertainment purposes only. If you're worried about a child or pet eating a poinsettia, contact a medical professional or veterinarian. This podcast is not a poison control center.  :)Every December, poinsettias show up, and so does the panic.Suddenly, a festive red plant is treated like antifreeze with leaves: dangerous to kids, deadly to pets, and one accidental nibble away from an emergency vet visit. But where did this fear actually come from, and does the evidence support it?In this bonus episode of Causes or Cures, Dr. Eeks dives into one of the most persistent holiday health myths and asks a very public-health question: How did a weak claim turn into a century-long panic?Using poison-control data, toxicology studies, veterinary evidence, and a little personal history (including a dog named Barnaby and the hazards of NYC sidewalks), this episode unpacks what poinsettias really do, and don't do, to humans and animals.In this episode, you'll learn:Where the myth of the “deadly poinsettia” originated and why it stuckWhat large U.S. poison-control data shows about poinsettia exposures in childrenWhy poinsettias behave very differently in real life than in our imaginationsWhat toxicology studies in animals actually found (hint: no lethal effects)What the ASPCA Animal Poison Control Center reports when pets chew on poinsettiasWhy dose and curiosity matter more than fearHow risk is often exaggerated when kids, pets, and holidays collideWhether Dr. Eeks would let her own pets near a poinsettia (spoiler: probably not, but not for the reasons you think)A Christmas legend behind the poinsettia...and a gentle reminder that miracles don't pause for plant anatomyPublic health takeaway:Not everything we fear is dangerous. Sometimes fear does the exaggerating, not the risk.Work with me? Perhaps we are a good match. You can contact Dr. Eeks at bloomingwellness.com.Follow Eeks on Instagram here.Follow Public Health is WeirdOr Facebook here.Or X.On Youtube.Or TikTok.SUBSCRIBE to her WEEKLY newsletter here!References:All scientific references discussed in this episode are below and available on the accompanying blog post at BloomingWellness.com. New York Botanical Garden Article: Dispelling a Seasonal Myth: For Humans, The Poinsettia is Not a Toxic Plant – Science Talk ArchiveKrenzelok, E. P., Jacobsen, T. D., & Aronis, J. M. (1996). Poinsettia exposures have good outcomes… just as we thought. The American Journal of Emergency Medicine, 14(7), 671–674.Evens, Z. N, & Stellpflug, S. J. (2012). Holiday Plants with Toxic Misconceptions. Western Journal of Emergency Medicine: Integrating Emergency CaSupport the show

A Charleston native, Dr. Brown is proud to bring his medical expertise home to the community where he grew up and currently resides. He graduated from the Naval Academy with a BS in General Engineering before embarking on six years of service as a Surface Warfare Officer. Driven by a passion for medicine, he then attended the Medical University of South Carolina (MUSC). After initial training in pediatrics, Dr. Brown transitioned to Emergency Medicine, serving with the Navy in various capacities, including deployments 

Date: November 27, 2025  Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are looking after a 65-year-old man who appears to be in septic shock. He presented after five days of fever and cough, and is now severely lethargic and hypotensive on arrival. You […] The post SGEM#498: Andromeda – Cap Refill Time for Personalized Sepsis Treatment first appeared on The Skeptics Guide to Emergency Medicine.

Podcast summary of articles from the October 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include pediatric sepsis, anaphylaxis, POCUS for pneumothorax and pulmonary edema, acid base disturbances, and hantavirus.  Guest speaker is Dr. Eric Lewis.

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

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

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

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

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

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

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

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