Podcasts about Emplify

"Great leadership inspires followership.  It get people to follow the strategy. Followership doesn't happen by just telling people what to do." Adam Weber joins the show in this week's episode. He is the former Chief People Officer at 15Five, co-founder of Emplify, and author of Lead Like a Human. You can learn more about Adam here  Interested in booking a free workshop for your organization, go here.  

Mark Husen from Emplify Health by Bellin joins the guys for his weekly segment. Besides discussing the offerings at Bellin, he also gives his thoughts on the NFL Draft, ROTC's impact on young lives, and the nitty-gritty of NIL deals for high school athletes. Mark also talks about Bellin's merger with Gunderson Health and the rebranding as Emplify Health. A great hour of content focusing on our local community. Maino and the Mayor is a part of the Civic Media radio network and airs Monday through Friday from 6-9 am on WGBW in Green Bay and on WISS in Appleton/Oshkosh. Subscribe to the podcast to be sure not to miss out on a single episode! To learn more about the show and all of the programming across the Civic Media network, head over to https://civicmedia.us/shows to see the entire broadcast lineup. Follow the show on Facebook and X to keep up with Maino and the Mayor! Guest: Mark Husen

In this episode, Praveen Chopra, Chief Digital and Information Officer at Emplify Health, shares how the organization is empowering staff through responsible AI use, driving innovation with agile teams, and cultivating a “huggable” culture that keeps people at the heart of healthcare transformation.

In this episode, Praveen Chopra, Chief Digital and Information Officer at Emplify Health, shares how the organization is empowering staff through responsible AI use, driving innovation with agile teams, and cultivating a “huggable” culture that keeps people at the heart of healthcare transformation.

In the this episode, Dr. Christopher Tookey and Dr. Rose Wobrink review medicines that can help with menopasual symptoms. In this episode they focus on hormone replacement either with creams for the skin or even with daily pills.  We're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinion of our employer.

In the this episode, Dr. Christopher Tookey and Dr. Rose Wobrink investigate just how many calories you burn taking the stairs  We're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinion of our employer.

Authentic leadership involves balancing composure with vulnerability.Like all founders, Adam Weber started out as a “clunky” leader, unsure of what strategies to use to rally his team. From his experience co-founding Bluebridge and Emplify (which was acquired by 15Five), Adam shares his growth as an executive, the challenges of building a transparent culture, and how coaching has profoundly impacted both his personal and professional life.Tune in to hear how Adam's journey led him to discover a passion for executive coaching and his secrets to staying resilient through the ups and downs of business.In this episode, you'll learn:Lead Authentically for Real Impact: Authenticity in leadership isn't just a buzzword; it's transformative. When you lead as your authentic self, it drives genuine team performance and a thriving culture. Remember, your realness is your greatest asset—use it!Culture Building in Remote Teams: Growing a company remotely comes with its own set of complexities, especially when it comes to establishing a strong culture. Transparency and intentionality are your secret weapons. Clearly communicate your vision and values so your team feels united even while dispersed.Scalable Success Without Losing Vision: Growth can feel like navigating a minefield, but maintaining scalable processes while keeping sight of your original vision is pivotal. Prioritize structures that grow with you; let's turn your dreams into sustainable realities.Jump into the conversation:(00:00) Meet Adam(04:44) The birth of Bluebridge(11:55) Transition to Emplify(16:05) Building a culture company(24:20) The importance of authentic leadership(29:07) The role of peer groups and coaches(36:44) Making and socializing decisions(39:46) Balancing work and family life

In the this episode, Dr. Christopher Tookey and Dr. Rose Wobrink review how to stop a nose bleed. They dive in to technique as well as some medicines that can help. They then review how to prevent them (hopefully) We're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinion of our employer.

Ever had a job that felt like it sucked the soul right outta you? Struggling to find the right fit or to create a dynamic and engaged team? Let's dive deep into the world of hiring, careers, and leadership to explore how to break free from soul-crushing jobs and build a fulfilling work environment.   In this best-of-episode, we're revisiting one of our favourite guest interviews featuring Adam Weber, the Chief Evangelist of 15Five and Co-Founder of Emplify. Join us as Adam imparts his invaluable insights on discovering fulfillment in your professional journey and cultivating a vibrant, empowered team culture that ignites positivity and energy. We explore the concept of Radical Clarity—what it really means and why it's a game-changer in setting and achieving goals. Adam's insights will make you rethink team dynamics as we uncover how to unlock your team's hidden superpowers. By creating a sweet spot where goals are clearly set, organizations can cultivate a more productive and engaging environment.   We also dive into understanding your company's mission and values, and what sets you apart in the marketplace. Knowing these core elements is essential for aligning your team's efforts and creating a cohesive, motivated workforce.  Adam shares his experiences on how clear, well-communicated values can drive a company's success and help employees find deeper meaning in their work.   Discover the secrets to uncovering your team's true capabilities and learn practical takeaways that blend professional wisdom with personal passion. This eye-opening conversation is filled with insights that will help you create a more successful and impactful organization by focusing on the right goals, fostering a supportive environment, and embracing personal growth.   About our Guest: Adam Weber is not just a corporate wizard but also an Author, Podcast Host, retired pastor, former musician, and aspiring comedian. Adam is the Chief Evangelist at 15Five, the performance management platform that drives business results.     Adam also previously co-founded Emplify, an employee engagement measurement platform, and Bluebridge Digital, a mobile app platform. He sold the companies in 2020 and 2016 respectively.  Additionally, he is the host of 15Five's HR Superstars podcast, and the author of the Amazon best-selling book on leadership and culture, "Lead Like a Human". In 2020, Adam was named to Business Insider's list of Rising Stars in HR.   About Your Host: Ken Schmitt is the CEO and founder of TurningPoint Executive Search. He is also the author of "The Practical Optimist: An Entrepreneur's Journey through Life's Turning Points". Ken was raised in an entrepreneurial family and brings a uniquely authentic voice to his podcast, blending life, family, and business together. Ken is a seasoned expert with almost three decades of experience in executive recruiting. In his podcast, he focuses on revealing the secrets of recruiting, retention, and real HR strategies. The podcast is not preachy, academic, or theoretical. It provides authentic perspectives on the challenges, triumphs, and quirks that make the hiring game both exhilarating and unpredictable. Twice a month, Ken offers tactical advice and industry insights to empower listeners to navigate the intricate world of executive recruiting confidently. "Hiring Matters" is your go-to resource for elevating your hiring game and equipping you with the tools to build, grow, and lead truly exceptional teams. Brace yourself for Ken's "Recruiter Rant" episodes, where he shares unfiltered insights and behind-the-scenes revelations about the industry's hidden secrets. Get ready to gain more than expected from this informative and engaging podcast. Follow Ken on LinkedIn Powered by TurningPoint Executive Search: Helping business hire right.

In the this episode, Dr. Christopher Tookey is joined by optomotrist extraordinaire Dr. Martin Williamson. Dr. Williamson runs through what someone should look for when choosing a new pair of shades and some of the marketing gimmicks out there to watch out for.  We're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinion of our employer.

In the this episode, Dr. Christopher Tookey runs through whether it counts as a workout if you aren't sweating at the end We're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinion of our employer.

Show Description: Join Tim and Slager as they sit down with Adam Weber, the Chief Evangelist at 15Five, a performance management platform focused on driving business results. Adam's journey began as a pastor, leading a church at just 25 years old, before venturing into the corporate world and finding success in sales. He transitioned into entrepreneurship by co-founding Bluebridge Digital, a mobile app platform, and Emplify, an employee engagement measurement platform, both of which he successfully exited. In this episode, Adam shares his unique perspective on leadership, the evolution of workplace culture, and building high-performing teams. He also reflects on his journey through the sale of two companies, the future of work, and his current role as host of the HR Superstars podcast. Tune in for a biographical journey through Adam's career and insights on effective leadership. Show Notes: Introduction and Pastoral Beginnings (5:30 - 7:45): Adam Weber reflects on his early career as a pastor, leading a church at the age of 25. He shares insights into the leadership lessons learned from his pastoral role. Corporate Sales to Entrepreneurship (7:45 - 10:30): From his first corporate sales job, Adam realized he was capable of more. An opportunity to start a mobile app company, Bluebridge Digital, marked his transition into entrepreneurship. Blueprints for Success and Leadership (10:30 - 13:00): Adam discusses the characteristics of his first business partner that led to Bluebridge's success. He also shares how they defined their roles and responsibilities to ensure smooth business operations. Leadership Lessons from Ministry to Business (16:30 - 20:30): Lessons learned from his time as a pastor informed Adam's leadership style and public speaking abilities. He reveals how these skills translated into his entrepreneurial journey and current role. Content Creation and Public Speaking (20:30 - 23:00): Adam discusses his current work as a content creator, public speaker, and podcast host, emphasizing how he's building on his existing expertise while continually learning and sharing new insights. Learning and Growing (23:00 - 28:00): Adam shares his approach to learning and developing content, and then turns the discussion toward Tim and Slager, as they share how 5 years of podcasting have enriched their understanding of their craft. The Four-Day Workweek Debate (28:00 - 33:00): Addressing the topic of a four-day workweek, Adam offers his perspective on its potential to enhance performance management and the evolving workplace landscape. Effective Conversations and Feedback (33:00 - 42:30): Adam dives into best practices for conversations between managers and newly onboarded employees. He details the importance of feedback and how to ensure it's received positively. Journey Through Emplify (42:30 - 49:30): Adam shares his experience transitioning to Emplify, highlighting two surprising findings from employee engagement surveys conducted by the company. Navigating the Sale of Two Companies (49:30 - 55:30): Adam discusses the emotional journey of selling two companies, comparing his experiences and challenges during each sale. Life at 15Five (55:30 - 1:05:15): Adam outlines his role at 15Five post-acquisition, sharing insights from his work on the HR Superstars podcast. Scaling Bluebridge (1:05:15 - 1:08:30): Adam reflects on his experience scaling Bluebridge, focusing on how he maintained composure and leadership during growth phases. Legacy and Impact (1:08:30 - End): Adam concludes with reflections on the legacy he wants to leave and how he aspires to be remembered.

In the this episode, Dr. Christopher Tookey and Dr. Rose Wolbrink talk about programs that allow patients to recieve their medication for free from pharmaceutical companies. Who is eligible? What medicines are covered? How can someone find out?  We're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinion of our employer.  To search plans check out this link:  https://www.medicare.gov/plan-compare/#/pharmaceutical-assistance-program?year=2024&lang=en 

Recorded on January 24 th, 2024 Ian Illig, the cofounder of Stompbox, is an expert in helping B2B founders scale sales. Ian walks us through his “Rules of Sales” that he uses with his clients to accelerate their growth. This is a very thoughtful and fun conversation that can benefit anyone that wants to grow their business. The Rules of Sales (Austin's notes) 1. Focus (on specific customer) 2. Consistent process 3. Prepare the customer (like a doctor tells a patient what's about to happen at the beginning of a visit) 4. Sell to people the way you would want to be sold to 5. Don't mistake having a good conversation with having the right conversation 6. Experimentation – if you consistently lose sales bc of price or a certain feature, bring it up at the beginning to weed people out and disarm, experiment consistently and adjust 7. Companies don't buy stuff, only people buy stuff (target a specific individual at a company) 8. Transparency in the sales process will attract the right buyers (if you have no customers,say so, it's an opportunity for the right buyer 9. Outbound prospecting – plant seeds, it may not be the right time even if you have the right solution 10. Sustainable momentum is found in river currents, not waterfalls – there are budgets at companies for problems they are trying to solve – discover the customer messaging, don't try to create it. Take the customers exact wording about their problem to inform and describe how you are solving it   Helpful Links: Book Recommendation: Mistborn series by Brandon Sanderson Product Market Fit: https://growthx.com/blog/5-steps-to-confirm-product-market-fit/ Stompbox: www.stompbox.io Connect with Ian: LinkedIn   Guest Bio: Ian Illig is the Founder & Managing Partner at Stompbox, an Indianapolis-based consultancy that helps B2B business owners grow revenue by developing their sales people, process, and positioning. Before founding Stompbox, Ian spent the previous decade working in various GTM roles at early-stage B2B SaaS startups, two of which grew from $0 >$5M ARR > exit in under 5 years (Emplify and Bluebridge). Outside of work, you'll occasionally find him onstage with his band GREGØRIAN, volunteering locally, and traveling with family and friends. Who are the hosts? Austin Crites, CFA: Austin is a past-president and current committee member of CFA Society Indianapolis. Professionally, he is the Chief Investment Officer at Aurora Financial Strategies where he manages US-focused, all-cap, style-agnostic equity strategies as the core of client portfolios. Austin is a 2008 graduate of Marian University in Indianapolis where he is now an adjunct professor in the Byrum School of Business. Matt Henry, CFA: Matt is a Senior Investment Officer at STAR Wealth Management. He is also a Past President and a director of CFA Society Indianapolis. When he's not managing porfolios, Matt teaches Finance 300 at Ball State University. He enjoys air conditioning, wi-fi, and the conveniences of indoor living.

Ever had a job that felt like it sucked the soul right outta you? We've got the one and only Adam Weber in the hot seat—Chief Evangelist of 15Five, and Co-Founder of Emplify. We're talking Radical Clarity, soul-crushing jobs, and how to unlock your team's full potential.   We dive into the nitty-gritty of those soul-crushing jobs and how to break free from their grip. Adam's experiences bring a unique perspective on finding fulfillment in your work life and fostering a positive, energized team culture. Our conversation about uncovering your team's hidden superpowers will make you rethink team dynamics. Adam also breaks down what Radical Clarity really means and why it's a game-changer in setting and achieving goals.  Ready to discover the secrets of uncovering your team's true capabilities? Join us for an eye-opening conversation filled with practical takeaways that blend professional wisdom with personal passion.    About our guest Adam Weber: Adam Weber is not just a corporate wizard but also an Author, Podcast Host, retired pastor, former musician, and aspiring comedian. Adam is the Chief Evangelist at 15Five, the performance management platform that drives business results.   Adam also previously co-founded Emplify, an employee engagement measurement platform, and Bluebridge Digital, a mobile app platform. He sold the companies in 2020 and 2016 respectively.  Additionally, he is the host of 15Five's HR Superstars podcast, and the author of the Amazon best-selling book on leadership and culture, "Lead Like a Human". In 2020, Adam was named to Business Insider's list of Rising Stars in HR.

Colin sometimes struggles with a glass-half-empty disposition. He blames it on being born British. He felt it keenly when gathering the following 14 statistics for this episode. There are a mix of game-changing opportunities, including missed ones, and some acute risks facing organizations next year.  Ryan is American, a population Colin characterizes with as a glass-half-full disposition. He hopes by sharing these numbers gathered from reputable sources, that his American cohost might view these numbers with a bit more positivity.  Will Colin be disappointed? Maybe, maybe not.  For example, one statistic says by applying certain principles, organizations can expect 85 percent increase in sales growth and more than 25 percent in gross margins. It sounds great because it is.  However, another statistic shows that only 30 percent of organizations have improved their experiences enough to satisfy customers over the last ten-plus years, and it's getting worse not better. It does not sound great because it isn't.  This episode explores 14 statistics from reputable sources that present some compelling numbers regarding the whole Customer Experience movement—and what can happen if you ignore it or focus your efforts on less impactful components. From opportunities to risk, don't miss out on this episode before you start planning your next year.  Here are some other key moments in the discussion: 05:31  We get into the first statistic from Gallup and how it can really sell the experience program to the revenue-oriented and a second from them about the emotional nature of deciding. 11:53  Colin shares his statistic from the American Customer Satisfaction Index (ACSI) regarding how 70 percent of organizations remained flat or decreased customer satisfaction and that the index is at its lowest point since 2006. 19:14  We discuss the merits of growing existing customers versus recruiting new ones, but that 44% percent of companies still focus on customer acquisition, even though the probability of selling to an existing is 60 percent.   23:06  Colin shares a statistic from Emplify that explains why customers will pay a higher price to buy from you.  27:52  We discuss the last stat from Zendesk which explains how quickly you can lose a customer and what these stats revealed about Customer Experiences. _________________________________________________________________ Did you know we have a YouTube Channel too? Check it out here. Follow Colin on LinkedIn HERE.

Colin sometimes struggles with a glass-half-empty disposition. He blames it on being born British. He felt it keenly when gathering the following 14 statistics for this episode. There are a mix of game-changing opportunities, including missed ones, and some acute risks facing organizations next year.  Ryan is American, a population Colin characterizes with as a glass-half-full disposition. He hopes by sharing these numbers gathered from reputable sources, that his American cohost might view these numbers with a bit more positivity.  Will Colin be disappointed? Maybe, maybe not.  For example, one statistic says by applying certain principles, organizations can expect 85 percent increase in sales growth and more than 25 percent in gross margins. It sounds great because it is.  However, another statistic shows that only 30 percent of organizations have improved their experiences enough to satisfy customers over the last ten-plus years, and it's getting worse not better. It does not sound great because it isn't.  This episode explores 14 statistics from reputable sources that present some compelling numbers regarding the whole Customer Experience movement—and what can happen if you ignore it or focus your efforts on less impactful components. From opportunities to risk, don't miss out on this episode before you start planning your next year.  Here are some other key moments in the discussion: 05:31  We get into the first statistic from Gallup and how it can really sell the experience program to the revenue-oriented and a second from them about the emotional nature of deciding. 11:53  Colin shares his statistic from the American Customer Satisfaction Index (ACSI) regarding how 70 percent of organizations remained flat or decreased customer satisfaction and that the index is at its lowest point since 2006. 19:14  We discuss the merits of growing existing customers versus recruiting new ones, but that 44% percent of companies still focus on customer acquisition, even though the probability of selling to an existing is 60 percent.   23:06  Colin shares a statistic from Emplify that explains why customers will pay a higher price to buy from you.  27:52  We discuss the last stat from Zendesk which explains how quickly you can lose a customer and what these stats revealed about Customer Experiences. _________________________________________________________________ Did you know we have a YouTube Channel too? Check it out here. Follow Colin on LinkedIn HERE.

Our guest this time is Adam Weber, host of the popular HR Superstars Podcast and Chief Evangelist at 15Five. Adam supports and leads thousands of HR professionals through the HR Superstars Community, elevating them to become more strategic leaders.Questions for Adam include:You often mention that HR leaders are under immense pressure, what do you think are some of the causes? What are the expectations of someone initially getting into HR verus what the reality is when they are in the job?You've talked to thousands of HR leaders and have noticed some traits that separate the top 5-10% from everyone else, can you explain what those are? More About AdamPreviously, Adam was the Co-founder and Chief People Officer of Emplify (which sold to 15Five in 2021), a company that helps leaders measure and diagnose. He also co-founded Bluebridge Digital, where he grew and sold the company in 2016.He is the author of the Amazon bestseller, Lead Like A Human. In 2020, Adam was named to Business Insider's list of Rising Stars in HR.Zionsville, Indiana-based Adam holds a bachelor's degree in sociology and a master's degree in organizational communication from Ball State University, is a former musician, retired pastor, and avid pickleball player.We do our best to ensure editorial objectivity. The views and ideas shared by our guests and sponsors are entirely independent of The HR Gazette, HRchat Podcast and Iceni Media Inc.   This episode is supported by Right Management North America and ManpowerGroup. For 40+ years, Right Management has transformed organizations across more than 75 countries by evaluating, developing, and transitioning their talent. Their strong pool of coaches and leadership experts works closely with candidates to help them identify their strengths, develop new capabilities, or transition to new careers.Feature Your Brand on the HRchat PodcastThe HRchat show has had 100,000s of downloads and is frequently listed as one of the most popular global podcasts for HR pros, Talent execs and leaders. It is ranked in the top ten in the world based on traffic, social media followers, domain authority & freshness. The podcast is also ranked as the Best Canadian HR Podcast by FeedSpot and one of the top 10% most popular shows by Listen Score. Want to share the story of how your business is helping to shape the world of work? We offer sponsored episodes, audio adverts, email campaigns, and a host of other options. Check out packages here and contact sales@hr-gazette.com. Follow us on LinkedIn Subscribe to our newsletter Check out our in-person events

CPC und CPA kennst du nur aus MFG von Fanta Vier? Keine Angst, Robin hilft dir. Im Interview mit Per (Talent.com) und Patrick (emplify) erfahrt ihr, was es mit Cost per Click und Cost per Application auf sich hat und welche Vor- bzw. Nachteile es gibt. Viel Spaß!

Hey everyone! We hope you enjoy part 2 of Aftershow and our interview with our good friend, Sam Ashoo. Also, we could use your help. We have started a fundraising campaign on Indiegogo! Learn how you can support Aftermath and get goodies for contributing, like a social media shout out, digital transcripts of episodes, signed artwork, and more! Visit our Indiegogo page for more information. We hope you enjoy our interview with our friend, Sam Ashoo! Sam is an emergency physician and educator. He serves as the host to EB Medicine's podcast EMplify, an emergency medicine podcast for clinicians. He is also a personal friend and supporter of Fire Pit Creative Group. Check out Emplify at https://foamed.ebmedicine.net/emplify/.Stay tuned for future interviews with FPCG! Visit our website at aftermathpodcast.net.

Hey everyone! We hope you enjoy this bonus content we're calling Aftershow. Join the creators of Aftermath, Warren Davis and Cole Hoopingarner of Fire Pit Creative Group, as we are interviewed by our good friend, Sam Ashoo.Sam is an emergency physician and educator. He serves as the host to EB Medicine's podcast EMplify, an emergency medicine podcast for clinicians. He is also a personal friend and supporter of Fire Pit Creative Group. Check out Emplify at https://foamed.ebmedicine.net/emplify/.Stay tuned for future interviews with FPCG! Visit our website at aftermathpodcast.net.

In today's episode, our host, Niveen Sayeed, is talking to Antonio Massa Viana, Esq., an attorney passionate about immigration law, civil rights, and constitutional issues. As the first known undocumented immigrant attorney in Massachusetts, Antonio shares what we often get wrong about the immigration debate and how to better support those whose status makes them so vulnerable to the criminal justice system and the country at large.To explore more about this topic and to learn more about what  we do at Emplify, please visit www.emplify.co--Antonio Massa VianaAntonio is passionate about immigration law, civil rights, and constitutional issues, as well as about the clients he represents. He founded Massa Viana Law with the goal of creating a firm guided by the principles of excellency in advocacy, mutual respect, and most importantly, of service.An immigrant himself who first moved to the United States when he was 12 years old, Antonio tackled the immigration system first in his own personal life. He discovered that many times, in order to succeed, you need to push the envelope and not give up, despite the odds. That vision is employed daily in his firm, where attorneys and staff are encouraged to seek creative legal solutions for difficult problems, even when the answers are not readily apparent.This never-give-up attitude allowed Antonio to become the first known undocumented immigrant attorney in Massachusetts. Antonio, together with his team, have helped hundreds of people—from those seeking refuge within our borders, to victims of violence and crimes, to those looking to once again be reunited with their loved ones—achieve their dreams of legal residency and citizenship.

This is the second episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine. This episode is a conversation between Dr. T.R. Eckler and Dr. Sam Ashoo about airway management and how it has changed in their practice over the last decade. This podcast makes reference to the EB Medicine course - Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19, which can be found here: https://www.ebmedicine.net/airway-training We would love to have your feedback. Please take the listener survey: https://www.surveymonkey.com/r/ZQRWQFW Thanks for being a listener.

This is the second episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine. This episode is a conversation between Dr. T.R. Eckler and Dr. Sam Ashoo about airway management and how it has changed in their practice over the last decade. This podcast makes reference to the EB Medicine course - Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19, which can be found here: https://www.ebmedicine.net/airway-training We would love to have your feedback. Please take the listener survey: https://www.surveymonkey.com/r/ZQRWQFW Thanks for being a listener.

The first episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine.Take the listener survey:https://www.surveymonkey.com/r/ZQRWQFWMore on the Dr Lorna Green Legislation here:https://www.ebmedicine.net/ebmblog/general-emergency-medicine/news-updates/dr-lorna-breen-health-care-provider-protection-act/

The first episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine. This episode is a conversation between Dr. T.R. Eckler and Dr. Sam Ashoo about the recently passed federal Dr. Lorna Breen Legislation and its significance on the field of Emergency Medicine. Take the listener survey: https://www.surveymonkey.com/r/ZQRWQFW More on the Dr. Lorna Breen Legislation here.

In today's episode, our host, Niveen Sayeed, is talking to Mya Matos, a proud military veteran with a passion for DEI. Mya shares her journey of discovering her Afro-Latina identity and how her time in the military informed her approach to leadership in the workplace.Mya also challenges companies to radically change their approaches to DEI and to be mindful that people of color often fill the invisible role of de facto diversity educator within their organizations.To explore more about this topic and to learn more about what  we do at Emplify, please visit www.emplify.co--Mya MatosA proud Afro-Latina Veteran with a passion for DEI, Mya is infinitely curious and a creative problem solver, often seen running towards a challenge. Now a Solution Engineer, her non-traditional career path started with the US Army National Guard and includes studies in psychology and a 10 year career in hospitality sales and marketing. Throughout her career, Mya has pioneered DEI workplace initiatives geared towards sparking conversations, enablements and enacting change.

In today's episode, our host, Niveen Sayeed, is talking to Hamzeh Daoud about their experiences as a third-generation Palestinian refugee and their work to highlight and celebrate the experiences of the Queer Muslim community. An aspiring lawyer with a passion for movement-building, Hamzeh brings an honest and unflinching view of the hard work of empathy in the midst of trauma and fight for global liberation. Hamzeh leaves us with a challenge to fight for liberation not just nationally, but as part of a larger, global collective.To explore more about this topic and to learn more about what  we do at Emplify, please visit www.emplify.co --Hamzeh DaoudA Queer, Non-binary, disabled third-generation Palestinian refugee from Amman, Jordan, Hamzeh Daoud has their Masters in Modern Thought and Literature from Stanford University, with an honors in Comparative Studies in Race and Ethnicity.  At Stanford, Hamzeh started the first Queer and Muslim affinity group, and served as an undergraduate senator and chair of the advocacy committee, advocating for international first-generation, low-income students, Muslim students, and Palestinian students on campus. They were an active member of Stanford Students for Justice in Palestine and the Arab Student Association at Stanford. Hamzeh hopes to pursue a JD/PhD that combines their research interests in Arab Queer and Muslim Queer lives with their pursuit of a career in public interest law specifically serving Arab Queer and Muslim Queer refugees, immigrants, asylum seekers, and migrants domestically and internationally. Hamzeh is a lead researcher for Queer Crescent's Presencing Ourselves: LGBTQI+ Muslim Survey.

In today's episode, our host, Niveen Sayeed, is talking to Dr. Kareem Wasim about his experiences working as a clinical psychologist in the federal prison system, and what it has been like to establish empathy for offender populations. He gives us insight into how their perception of him affects his work vis-a-vis his own self-perception of his identity over time. He also shares his research on Islamophobia and both the personal and societal impacts of this type of prejudice. Dr. Wasim leaves us with some actionable advice and how we can extrapolate from his experiences to support re-entry of formerly incarcerated individuals into mainstream society. To explore more about this topic and to learn more about what  we do at Emplify, please visit www.emplify.co--Kareem Wasim, Psy.D., M.B.A.Dr. Wasim is a licensed clinical psychologist with the U.S. Department of Justice, specifically the Federal Bureau of Prisons. His experience includes clinical and forensic psychological evaluations with state and federal criminal offenders, in addition to clinical work in a correctional setting with maximum security and death row inmates. Dr. Wasim completed his clinical internship at San Quentin State Prison in Northern California. His clinical interests are with offender populations in segregation units, suicide risk assessments, and malingering evaluations.

In today's episode, our host, Niveen Sayeed, is talking to Elsa Gomes Bondlow about the journey and purpose of Emplify. Emplify's mission is to broaden the mindsets of individuals by helping them understand their own biases, expand their world views and reduce the emotional burden of this work on those who are already marginalized. Since empathy is the basis of all of Emplify's work, they discuss this current buzzword of empathy in detail. Why it is vital to society and how it plays a role specifically in the current workplace. They talk about the importance of balance between exhibiting empathy for others- which is transformative during this pandemic- and how to avoid empathy fatigue. The show ends with tips for cultivating empathy across a globally interconnected world.To explore more about this topic and to learn more about what  we do at Emplify, please visit www.emplify.coNiveen Sayeed is a global citizen who believes in humanity over nationality. She is a creator of evocative experiences and her work has spanned from building physical experiences as an architectural designer, to creating digital experiences as a design and UX Strategist. Sheis now using these skills to help build resilient communities infused with meaning and fulfillment.Elsa Gomes Bondlow is a natural born connector, an international bridge builder, a professional fundraiser and an empathetic social justice activist with a passion for the nonprofit and philanthropic sector. She is motivated to empower leaders in building an inclusive culture of understanding, while cultivating welcoming environments, where all can fully belong, innovate and get effective results. 

Today we discuss how important it is to be authentic in a leadership role. We are joined by Adam Weber who is the author of Lead Like A Human, and Co-Founder/CPO of Emplify. He gives us an insight on how leadership has changed and what workers value in their leaders today.   Links: https://emplify.com/human/

Adam Weber is no stranger to entrepreneurship, and as the Co-Founder of a few successful startups, Adam is also no stranger to leadership. Recently, Adam's company, Emplify, was acquired by San Francisco performance management platform, 15Five, and he now serves as their SVP of Community. Prior to that, Adam co-founded Bluebridge Digital, which he sold in 2016. Adam is an expert and speaker on employee engagement, culture, team performance, and leadership development. He has spoken at a number of events around the country for which he has been consistently rated as a top presenter. In 2020, Adam was named to Business Insider's list of Rising Stars in HR.Outside of all of that, Adam is enjoying life in Zionsville, Indiana with his wife, their two sons, and their dog, Poppy.

Join me as I chat with Adam Weber, Chief People Officer of Emplify. We will be discussing employee engagement, culture, and team development – because in the year of COVID, these topics seem more important than ever (right?!). You'll love hearing about how Emplify takes a data driven approach to understanding employee engagement, and I can promise you we'll be talking about how that data helps us work with different generations on our work teams (and in the rest of our life too).

In this episode of the Breakout Growth Podcast, Sean Ellis interviews Santi Jaramillo, CEO and cofounder of Emplify, a B2B company that combines software and consulting to deliver insights that unlock the potential in teams. We discussed: The challenging path that Emplify took to reach product/market fit How Emplify drove interest using thought leadership and content marketing The team structure that Emplify has used to convert highly engaged customers How the Emplify team overcome the COVID 19 disruption to accelerate their company mission Beyond learning about Emplify’s approach to growth, Santi also shared insights into how teams around the world have been affected by the COVID crisis and ways to help them succeed despite the challenges.

Show Notes Jeff: Welcome back to EMplify, the podcast corollary to EB Medicine's Emergency Medicine Practice. I'm Jeff Nusbaum and I'm back with Nachi Gupta. Nachi: For our regular listeners, you probably noticed a lapse in recent episodes as we pulled away from our usual monthly releases. Jeff: With both of us having increasing demands on our time -- myself with business school and the busiest 21 month old in the world and Nachi with yet another entrepreneurial endeavor on the horizon -- we decided that it would be best to pass the podcast on to another host, so EMplify can continue to create and deliver the high quality materials that you deserve. Nachi: We have obviously really enjoyed creating this podcast and working closely with EB Medicine to produce it. We are deeply appreciative of you, our listeners, and your wonderful feedback and comments over the years. Without you, there would be no point in us working so hard on this. Jeff: And keep the feedback coming as we hand the reins to Dr. Sam Ashoo as the new host of EMplify. Dr. Ashoo is an Emergency Physician based out of Tallahassee Florida with a keen interest in informatics who has been featured on several other podcasts you may have heard. We can't think of a better person to take over for EMplify. I'm sure you'll really like him and the content he produces. Well, with that, let's get started on our final scheduled episode of EMplify! Nachi: As we are just about to see one of the busiest travel days of the year, that would be the Wednesday before Thanksgiving, we thought there would be no better time to discuss the September 2019 issue of EMP: Assisting With Air Travel Medical Emergencies: Responsibilities and Pitfalls. Jeff: This was a fantastic issue, thanks to the hard work by Drs. DeLaney and Greene, both of the University of Alabama Birmingham School of Medicine. Thanks as well to the peer editors, Dr. Knight, and Dr. Hill of the University of Cincinnati. Nachi: And I think you have a bit of a disclosure for this month... Show More v Jeff: Well, this is a first! Finally at the point in my career where I can announce a disclosure, though it's more of a potential conflict of interest than an actual disclosure, but certainly still worth noting. I currently spend some of my time working for STAT-MD - which is an airline consultation service run by the Center for Emergency Medicine and UPMC. Though I'm certainly a junior member of the team, in some sense, I've responded nearly 500 inflight emergencies over the last two years. Nachi: And this definitely places you are in a particularly nice position to share some information with our listeners this month, and I'll have some questions scattered throughout the episode for you too. Jeff: Sounds great, so let's dive in, starting with what I think is the most important point - qualified, active, licensed, and sober providers should volunteer to assist in the event of a medical emergency rather than decline out of fear of medicolegal concerns. Nachi: I couldn't agree more, so let me reiterate, please trust the evidence. And volunteer to help should you hear the call. We'll get to this in a bit but there is little medicolegal concern and you owe it to the sick passenger to help. Jeff: So what are the chances you are called - well, they are not particularly high, but certainly not negligible either. In 2019, of the 4 billion passengers expected to fly, there will be an estimated 60,000 medical emergencies. That means there will be about 1 emergency per every 604 flights. Nachi: So, I fly about 4 times a month for work. At 4 times per month, over the next 12 years I can expect about one medical emergency. Already excited! Let's start with some physiology. Cabin pressurization varies, but is typically equivalent to an altitude of 8000 feet. Jeff: And this has a huge effect, in one study of healthy volunteers, this change in pressure resulted in a 4-10 point decrease in oxygen saturation and a 35 point d...

Show Notes Jeff: Welcome back to EMplify the podcast corollary to EB Medicine's Emergency medicine Practice. I'm Jeff Nusbaum and I'm back with Nachi Gupta. This month, we are tackling a topic for which the literature continues to rapidly change - we're talking about the ED management of patients taking direct oral anticoagulants or DOACs, previously called novel oral anticoagulants or NOACs. Nachi: Specifically, we'll be focusing on the use of DOACs for the indications of stroke prevention in atrial fibrillation and the treatment and prevention of recurrent venous thromboembolisms. Jeff: This month's article was authored by Dr. Patrick Maher and Dr. Emily Taub of the Icahn School of Medicine at Mount Sinai, and it was peer reviewed by Dr. Dowin Boatright from Yale, Dr. Natalie Kreitzer from the University of Cincinnati, and Dr. Isaac Tawil from the University of New Mexico. Nachi: In their quest to update the last Emergency Medicine Practice issue on this topic which was published in 2013, they reviewed over 200 articles from 2000 to present in addition to 5 systematic reviews in the cochrane database, as well as guidelines from the American Heart Association, European society of cardiology, and the american college of cardiology. Jeff: Thanks to a strong literature base, Dr's Maher and Taub found good quality evidence regarding safety and efficacy of the DOACs in relation to warfarin and the heparin-based anticoagulants. Nachi: But do note that the literature directly comparing the DOACs is far more limited and mostly of poor quality. Show More v Jeff: Fair enough, we'll take what we can get. Nachi: Well, I'm sure more of those studies are still coming. Jeff: Agree. Let's get started with some basics. Not surprisingly, DOACs now account for a similar proportion of office visits for anticoagulant use as warfarin. Nachi: With huge benefits including reduced need for monitoring and a potential for reduced bleeding complications, this certainly isn't surprising. Jeff: Though those benefits are not without challenges - most notably the lack of an effective reversal agent and the risk of unintentional overdose in patients with altered drug metabolism. Nachi: Like all things in medicine, it's about balancing and finding an acceptable risk/benefit profile. Jeff: True. Let's talk pathophysiology for a minute - the control of coagulation in the human body is a balance between hemorrhage and thrombosis, mediated by an extensive number of procoagulant and anticoagulant proteins. Nachi: Before the development of the DOACs, vitamin K antagonists controlled the brunt of the market. As their name suggests, they work by inhibiting the action of vitamin K, and thus reducing the production of clotting factors 2, 7, 9, and 10, and the anticoagulant proteins C and S. Jeff: Unfortunately, these agents have a narrow therapeutic window and many drug-drug interactions, and they require frequent monitoring - making them less desirable to many. Nachi: However, in 2010, the FDA approved the first DOAC, a real game-changer. The DOACs currently on the market work by one of two mechanisms - direct thrombin inhibition or factor Xa inhibition. Jeff: DOACs are currently approved for stroke prevention in nonvalvular afib, treatment of VTE, VTE prophylaxis, and reduction of major cardiovascular events in stable cardiovascular disease. Studies are underway to test their safety and efficacy in arterial and venous thromboembolism, prevention of embolic stroke in afib, ACS, cancer-associated thrombosis, upper extremity DVT, and mesenteric thrombosis. Nachi: Direct thrombin inhibitors like Dabigatran, tradename Pradaxa, was the first FDA approved DOAC. It works by directly inhibiting thrombin, or factor IIa, which is a serine protease that converts soluble fibrinogen into fibrin for clot formation. Jeff: Dabigatran comes in doses of 75 and 150 mg. The dose depends on your renal function, and, with a half-life of 12-15 hours,

Keeping employees around is not at all the same thing as keeping them engaged. Creating the right culture, setting goals, and motivating your teams requires so much more. This can be a challenging topic for executives, especially when they're focused on the day-to-day operations of a business. They often don't set aside the time to do this. Here to help us is Adam Weber, VP of Sales and Co-Founder of Emplify (and an avid birdwatcher!). In this one, Adam talks about a myth about millennials, how to motivate teams as they scale, and how to grow without losing the foundation of employee engagement you're building upon.

  Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine's Emergency Medicine Practice. I'm Jeff Nusbaum, and I'm back with my co-host, Nachi Gupta. This month, we're talking about a topic… Nachi: … woah wait, slow down for a minute, before we begin this month's episode – we should take a quick pause to wish all of our listeners a happy new year! Thanks for your regular listenership and feedback. Jeff: And we're actually hitting the two year mark since we started this podcast. At 25 episodes now, this is sort of our silver anniversary. Nachi: We have covered a ton of topics in emergency medicine so far, and we are looking forward to reviewing a lot more evidence based medicine with you all going forward. Jeff: With that, let's get into the first episode of 2019 – the topic this month is first trimester pregnancy emergencies: recognition and management. Nachi: This month's issue was authored by Dr. Ryan Pedigo, you may remember him from the June 2017 episode on dental emergencies, though he is perhaps better known as the director of undergraduate medical education at Harbor-UCLA Medical center. In addition, this issue was peer reviewed by Dr. Jennifer Beck-Esmay, assistant residency director at Mount Sinai St. Luke's, and Dr. Taku Taira, the associate director of undergraduate medical education and associate clerkship director at LA County and USC department of Emergency Medicine. Jeff: For this review, Dr. Pedigo had to review a large body of literature, including thousands of articles, guidelines from the American college of obstetricians and gynecologists or ACOG, evidence based Practice bulletins, ACOG committee opinions, guidelines from the American college of radiology, the infectious diseases society of America, clinical policies from the American college of emergency physicians, and finally a series of reviews in the Cochrane database. Nachi: There is a wealth of literature on this topic and Dr. Pedigo comments that the relevant literature is overall “very good.” This may be the first article in many months for which there is an overall very good quality of literature. Jeff: It's great to know that there is good literature on this topic. It's incredibly important as we are not dealing with a single life here, as we usually do... we are quite literally dealing with potentially two lives as the fetus moves towards viability. With opportunities to improve outcomes for both the fetus and the mother, I'm confident that this episode will be worth your time. Nachi: Oh, and speaking of being worth your time…. Don't forget that if you're listening to this episode, you can claim your CME credit. Remember, the indicates an answer to one of the CME questions so make sure to keep the issue handy. Jeff: Let's get started with some background. First trimester emergencies are not terribly uncommon in pregnancy. One study reported 85% experience nausea and vomiting. Luckily only 3% of these progressed to hyperemesis gravidarum. In addition, somewhere between 7-27% experience vaginal bleeding or miscarriage. Only 2% of these will be afflicted with an ectopic pregnancy. Overall, the maternal death rate is about 17 per 100,000 with huge racial-ethnic disparities. Nachi: And vaginal bleeding in pregnancy occurs in nearly 25% of patients. Weeks 4-8 represent the peak time for this. The heavier the bleeding, the higher the risk of miscarriage. Jeff: Miscarriage rates vary widely based on age, with an overall rate of 7-27%. This rises to nearly 40% risk in those over 40. And nearly half of miscarriages are due to fetal chromosomal abnormalities. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes. Jeff: So key points here, since I think the wording and information you choose to share with often scared and worried women is important – nearly 25% of women experience...

  Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine's Emergency Medicine Practice. I'm Jeff Nusbaum, and I'm back with my co-host, Nachi Gupta. This month, we're talking about a topic that is ripe for review this time of year. We're talking Influenza… Diagnosis and Management. Nachi: Very appropriate as the cold is settling in here in NYC and we're already starting to see more cases of influenza. Remember that as you listen through the episode, the means we're about to cover one of the CME questions for those of you listening at home with the print issue handy. Jeff: This month's issue was authored by Dr. Al Giwa of the Icahn School of Medicine at Mount Sinai, Dr. Chinwe Ogedegbe of the Seton Hall School of Medicine, and Dr. Charles Murphy of Metrowest Medical Center. Nachi: And this issue was peer reviewed by Dr. Michael Abraham of the University of Maryland School of Medicine and by Dr. Dan Egan, Vice Chair of Education of the Department of Emergency Medicine at Columbia University. Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. I'd say that's a pretty reputable group of sources. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics. Nachi: Some brief history here to get us started -- did you know that in 1918/1919, during the influenza pandemic, about one third of the world's population was infected with influenza? Jeff: That's wild. How do they even know that? Nachi: Not sure, but also worth noting -- an estimated 50 million people died during that pandemic. Jeff: Clearly a deadly disease. Sadly, that wasn't the last major outbreak… fifty years later the 1968 hong kong influenza pandemic, H3N2, took between 1 and 4 million lives. Nachi: And just last year we saw the 2017-2018 influenza epidemic with record-breaking ED visits. This was the deadliest season since 1976 with at least 80,000 deaths. Jeff: The reason for this is multifactorial. The combination of particularly mutagenic strains causing low vaccine effectiveness, along with decreased production of IV fluids and antiviral medication because of the hurricane, all played a role in last winter's disastrous epidemic. Nachi: Overall we're looking at a rise in influenza related deaths with over 30,000 deaths annually in the US attributed to influenza in recent years. The ED plays a key role in outbreaks, since containment relies on early and rapid identification and treatment. Jeff: In addition to the mortality you just cited, influenza also causes a tremendous strain on society. The CDC estimates that epidemics cost 10 billion dollars per year. They also estimate that an epidemic is responsible for 3 million hospitalized days and 31 million outpatient visits each year. Nachi: It is thought that up to 20% of the US population has been infected with influenza in the winter months, disproportionately hitting the young and elderly. Deaths from influenza have been increasing over the last 20 years, likely in part due to a growing elderly population. Jeff: And naturally, the deaths that we see from influenza also disproportionately affect the elderly, with up to 90% occurring in those 65 or older. Nachi: Though most of our listeners probably know the difference between an influenza epidemic and pandemic, let's review it anyway. When the number of cases of influenza is higher than what would be expected in a region, an epidemic is declared. When the occurrence of disease is on a worldwide spectrum, the term pandemic is used. Jeff: I think that's enough epidemiology for now. Let's get started with the basics of the influenza virus. Influenza is spread primarily through direct person-to-person contact via expelled respiratory secretions.

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine's Emergency Medicine Practice. I'm Jeff Nusbaum, and I'm back with my co-host, Nachi Gupta. This month, we're back with our old routine – no special guests. Nachi: Don't sound so sad about it! Jeremy was great last month, and he's definitely paved the way for more special guests in upcoming episodes. Jeff: You're right. But this month's episode is special in its own way - we'll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Nachi: And this is obviously not something we see that often, so listen up for some easy to remember high yield points to help you when you get an electrical injury in the ED. And pay particular attention to the , which, as always, signals the answer to one of our CME questions. Jeff: I hate to digress so early and drop a cliché, “let's start with a case…” but we, just a month ago, had a lightning strike induced cardiac arrest in Pittsburgh, so this hits really close to home. Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Nachi: This month's print issue was authored by Dr. Gentges and Dr. Schieche from the Oklahoma University School of Community Medicine. It was peer reviewed by Dr. O'Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month's team reviewed much more literature than just the past 10 years. In total, they pulled references from 1966 until 2018. Their search yielded 477 articles, which was narrowed to 88 after initial review. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Thankfully, fatalities are declining, with just 565 in 2015. On average, between 25 and 50 of the yearly fatalities can be attributed to lightning strikes. Jeff: Interestingly, most of the decrease in fatalities is due to improvements in occupational protections and not due so much to changes in healthcare. Nachi: That is interesting and great to hear for workers. Also, worth noting is the trimodal distribution of patients with electrical injuries: with young children being affected by household currents, adolescent males engaging in high risk behaviors, and adult males with occupational exposures and hazards. Jeff: Electrical injuries and snake bites – leave it to us men to excel at all the wrong things… Anyway, before we get into the medicine, we unfortunately need to cover some basic physics. I know, it might seem painful, but it's necessary. There are a couple of terms we need to define to help us understand the pathologies we'll be discussing. Those terms are: current, amperes, voltage, and resistance. Nachi: So, the current is the total amount of electrons moving down a gradient over time, and it's measured in amperes. Jeff: Voltage, on the other hand, is the potential difference between the top and bottom of a gradient. The current is directly proportional to the voltage. It can be alternating, AC, or direct, DC. Nachi: Resistance is the obstruction of electrical flow and it is inversely proportional to the current. Think of Ohm's Law here. Voltage = current x resistance. Jeff: Damage to the tissues from electricity is largely due to thermal injury, which depends on the tissue resistance, voltage, amperage, type of circuit, and the duration of contact. Nachi: That brings us to an interesting concept – the let-go threshold. Since electrical injuries are often due to grasping an electric source, this can induce tetanic muscle contractions and therefore the inability to let go, thus increasing the duration of contact and extent of injury.

Disclaimer: This is the unedited transcript of the podcast. Please excuse any typos. Jeff:  Welcome back to Emplify, the podcast corollary to EB Medicine's Emergency Medicine Practice. I'm Jeff Nusbaum, and I'm back with my co-host, Nachi Gupta. This month, we'll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. We have a special  episode for you this month… We've brought Dr. Jeremy Rose, one of the peer reviewers, and a sepsis expert, on with us to talk through the content this month. Jeremy: Dr. Jeremy Rose here. Thanks for having me in on this conversation.  I'm always happy to talk about this topic because it's clearly important.  There's a great deal of confusion around sepsis and I hope that in the next couple minutes we can clarify things in a way that really help your average front line doc trying to get it right. Nachi: So Dr. Rose, before we get started, tell us a bit about your background and your interest in sepsis… Jeremy: I'm the Assistant Medical Director and Sepsis Chair at Mount Sinai Beth Israel in Manhattan.  For those listening, my hospital probably looks a little bit like yours.  We're busy, interesting, and just a little rough around the edges.  We like it that way.  More importantly, though, we mirror the national averages regarding sepsis.  Roughly half of in-hospital mortality is associated with septic  in some fashion.  Pretty incredible when you think about it.  Half. Jeff:  Sepsis chair... clearly this is an important topic if it warrants it's own chair at a major hospital in NYC. But getting back to the article this month. This month's issue was authored by Faheem Guirgis, Laurent Page Black, and Elizabeth DeVos of the University of Florida, Department of Emergency Medicine. Nachi: And it was peer reviewed by Michael Allison, Assistant Director of the Adult ICU at Saint Agnes Hospital, and Jeremy Rose and Eric Steinberg of Mount Sinai Beth Israel. Jeff: So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis?  It seems that every month or so we have a new guideline, bundle, definition, or whatever… I think it's best to start with the basics -  At its core, sepsis is a dysregulated response to infection that can be life-threatening. Nachi: Right and it's the combined inflammatory with immunosuppressive features of sepsis that lead to the devastating organ dysfunction and even death. Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Jeremy, can you give us a little historical context there? Jeremy: Rivers was a real pioneer.  He found a 16% mortality reduction with randomization to an early aggressive care bundle.  Amazing work.  That being said, many components of that bundle have since been disregarded.  For example, Manny Rivers would measure CVP in all of his patients, something we rarely do. Nachi: Not to cut you off and steal your thunder there, but we'll get to the most recent updates in management shortly. Let's first talk definitions and terminology, and specifically, diagnosis, which is definitely a big elephant in the room. As Jeff mentioned a few minutes ago, diagnostic criteria have undergone so so so many changes. Jeff: Yes it has! 1991 marked the first standardized definition.  Then in 2001, sepsis-2 was introduced.  In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! Sepsis-3!! A lot of this came after the realization that SIRS was just too broad and was overly sensitive and non-specific. Jeremy, why don't you take us through Sepsis 3. Jeremy: So just to back up a little and frame this: Here's the fundamental problem:  As we likes to say, “there's no troponin for sepsis.”  And if you look at our patients, we tend not to miss the hypotensive, tachycardic, febrile patient.  We know they're septic.

Truth You Can Act On: Shine: First impressions make incredible impacts. Continued impressions create expectations. What does your physical work environment say about your culture? Set a high priority on fostering a clean and inspiring environment to demonstrate the value of your employees. Smile: Turnover is high in many industries, including healthcare. Don't overlook or undervalue the basic need of all employees: to feel welcomed and appreciated. A warm greeting manifests a winning culture of people-first. Start Strong: Start each and every day out strongly. Promote the importance of employees arriving and starting their tasks on time. Start every meeting exactly when scheduled. These daily acknowledgments of respect fuel a culture of success. Swagger: A confident employee shouldn't be a random anomaly. Confidence stems from a deep understanding of not only internal products but also dynamics within your industry. Strive for swagger by providing your employees with tools to be informed and engaged. Show Off: It's easier for management to take pride in what they do, as they tend to see the bigger picture of how all of the moving parts come together. Foster this sense of pride and ownership within your workforce by promoting employees at all levels to share their success stories. Full Shownotes: https://gutplusscience.com/bernie-mcguinness/ Sponsors: Custom Concrete - Custom Concrete has been creating foundations for the finest homes, commercial buildings and industrial facilities throughout Central Indiana since 1969. Builders, contractors, and homeowners rely on their expertise because so much depends on getting it right. Their knowledge and control of all aspects of the job, from excavation to waterproofing to backfill, means that extra value is built into every project. Codes don't drive their business, excellence does. Emplify – Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data.

Truth You Can Act On: Invest Individuals in Team Results: If your employees don't understand why their individual contributions matter, they won't buy into the overall goals of your business. By educating your staff on your business' dollars and cents, you'll increase accountability and personal ownership. Factor in Likability: It's a simple truth in personal circles: most people associate with people they like. This also bodes true in the sales world - most people prefer to buy from people they like. Don't get overly caught up in developing the hard skills of your employees. Empowering their likability will reap great dividends. Instigate Proactive Conversations: Don't wait to call meetings together until there is a cultural crisis. Find out what your employees need help with - today, tomorrow, this week, this month, etc. By knowing what pain points are holding back your employees, you can find the best solutions for fostering success. Connect with Stories: All employees are human beings. Establish a culture that cares about employees outside the walls of your business. Learn about their families, hopes, and dreams. By enhancing the emotional DNA of your organization, you will attract incredible employees and clients. Full Shownotes: https://gutplusscience.com/scott-miller/ Book Recommendation: Against Empathy: The Case for Rational Compassion by Paul Bloom Sponsors: Emplify - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data. Purple Ink - Purple Ink's customized HR services will help you make your workspace JoyPowered. Whether you're looking for help with recruiting, compliance, or leadership training, they listen to what you need and tailor their solutions to you. And look for The JoyPowered Workspace Podcast wherever you listen to podcasts!

Truth You Can Act On: Happy Employees Create Happy Customers: It's crucial to maintain emotional ownership from employees regarding what your company is trying to accomplish. Providing the freedom for staff to make decisions empowers their happiness and fuels sustainable growth and success. Rely on Employee Referrals When Hiring: Your employees are your best gauge as to whether or not new potential hires will properly fit the culture of your business. It's incredibly expensive to lose new hires quickly - save time and money by relying on your strongest brand advocates to guide the process of adding staff. Dynamic Company Culture Must Adapt: The needs and wants of staff are ever-changing. Develop a diverse array of creative benefits, providing constant opportunities for enhancing communication, fostering mentorship, and developing professional skills. Above all, actively listen to your employees and stay connected. Set Your Priorities: Don't do yourself a disservice by searching for new employees purely based on hard skills. Rethink this idea: assess their culture fit first, talent second, and skills third. Focus on individuals who will bring energy, charisma, and will buy into the goals of the company. This passion will drive the will to learn the craft. Full Shownotes: https://gutplusscience.com/michael-crafton/ Book Recommendation: The New Gold Standard: 5 Leadership Principles for Creating a Legendary Customer Experience Courtesy of the Ritz-Carlton Hotel Company, by Joseph Michelli Sponsors: LHD Benefits - LHD is a full-service employee benefits firm, that empowers their clients to make the best possible decisions for their employees -- to define optimal objectives, monitor outcomes, improve health, and engage and advocate for employees and their loved ones. Emplify - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify.  Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data.

Truth You Can Act On: Feedback: The ability to give useful feedback is a skill all leaders need to learn and master. Sometimes those critical conversations aren't the easiest to have, but with practice, you'll be able to have them more comfortably. It's not always fun, but it's what ultimately leads to growth. Personal Board of Directors: Mentoring is not about one relationship; it's multifaceted. It's all based on the many different leadership skills you're looking to develop. The key is having multiple mentors who serve as your board of directors for all areas you desire to grow in. Leader Participation: If we want to see engagement being driven throughout the organization by mentoring, we as leaders need to be mentors as well as mentees. We need to be sharing our experiences. If we're looking for our employees to become more savvy in personal and professional development then we need to share with them the resources we used. It's the same thing with mentoring. We need to share our participation, share our key takeaways, and walk the walk. Measuring Impact Through Intentionality: It's essential to focus on why you're mentoring in the first place. For example, if you want to improve diversity, you must first understand where your baseline is, where your numbers are, and where you want to go. Understanding this allows you to monitor specific trends, measure the impact your mentorship program is having on diversity, and make any necessary adjustments. Full Shownotes: https://gutplusscience.com/alison-martin-books Book Recommendation: Own the Day, Own Your Life: Optimized Practices for Waking, Working, Learning, Eating, Training, Playing, Sleeping, and Sex by Aubrey Marcus Sponsors: Emplify - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. • Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data. Titus - In our conversations with CEOs and hiring managers, we hear they are frustrated with traditional recruiting... From outrageous fees to focusing on candidates before clients, the process was broken and needed to be fixed. Enter Titus Talent. Titus Talent Strategies serves its clients using passionate people, a proven process, and unparalleled performance. Oh, did we mention they guarantee the PERFORMANCE of their candidates for 12 months?

Truth You Can Act On: Leadership Development. Make sure your leadership is aligned. If there is one thing that hinders growth, it's having leaders who are not on the same page. Cultural alignment and clarity are essential throughout every tier of your company - from the executive team to middle management. Also, don't forget to invest in your team's professional development. You are only as strong as your top leadership. Recognition Programs. Create a recognition program that ties back into your company's mission. Make it meaningful - something that your employees are proud to participate in. It can't be an afterthought. Make it a focal part of your company culture. This means creating a system with a frequent (and mandatory) cadence. Diversity. There are two keys to attracting a diverse workforce. The first is creating a company culture that gives off a diverse vibe. You should be able to walk into your office and just feel it. The second key is going out and developing partnerships with entities connected with diverse populations. An effective way to do this is to hire an Outreach Manager whose main responsibility is to foster these relationships. Full Shownotes: https://gutplusscience.com/seth-morales Sponsors: Emplify - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. • Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data. Purple Ink - Purple Ink's customized HR services will help you make your workspace JoyPowered. Whether you're looking for help with recruiting, compliance, or leadership training, they listen to what you need and tailor their solutions to you.

Truth You Can Act On: Define Your Culture: Values create your culture code. These should be established as a company rather than dictated. The company values also drive decision making whether it's a question of hiring or letting go.  Challenge your people: When having tough conversations, it's essential to talk facts not opinions. To eliminate the rumor mill or gossip, empower your people to have tough conversations. These shouldn't be arguments rather frank discussions helping to make each other better. Learn from Others: Take the time to meet and engage with others outside your organization. When you spend time networking and meeting with peers one-on-one, you gain new perspectives and opportunities to learn. Full Shownotes:  https://gutplusscience.com/jonathan-reynolds/ Book Recommendation: Leaders Eat Last: Why Some Teams Pull Together and Others Don't by Simon Sinek Sponsors: Emplify - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data. To see their latest research on employee engagement, visit emplify.com. Custom Concrete - Custom Concrete has been creating foundations for the finest homes, commercial buildings and industrial facilities throughout Central Indiana since 1969. Builders, contractors, and homeowners rely on our expertise because so much depends on getting it right. Our knowledge and control of all aspects of the job, from excavation to waterproofing to backfill, means that extra value is built into every project. Codes don't drive our business, excellence does. See the difference at customeconcrete.com

Truth You Can Act On: Focus on humanizing your communication. Don't forget it's not what you say, it's how you say it. I encourage you to think through how you're communicating as a whole whether it's general communications or the more touchy subjects that obviously need more intimate communication around them. Really focusing on how big communication is and how it can impact your organization. Allow for on one-to one-interaction. I know that as a CEO or president, you can't be everywhere all the time. However, you can encourage your leaders to be more proactive with one-on-one time with the people on their team. Empower your managers or leaders to do the same thing so that you can really scale the opportunity and make the impact. Embrace authenticity. Be authentic regularly, especially in the world of millennials and the younger generations, they want to know the real you. The bottom line and all of that we try very hard to be connected to our people but we sometimes forget how much of an impact just talking about our weekends or sharing some kind of just vulnerability. I just encourage you to do more and more of that. Sponsors: EMPLIFY - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data. To see their latest research on employee engagement, visit emplify.com. TITUS - In our conversations with CEOs and hiring managers, we hear they are frustrated with traditional recruiting... From outrageous fees to focusing on candidates before clients, the process was broken and needed to be fixed. Enter Titus Talent. Titus Talent Strategies serves its clients using passionate people, a proven process, and unparalleled performance. Oh, did we mention they guarantee the PERFORMANCE of their candidates for 12 months? If you want to learn how they're disrupting the recruitment space head over to titustalent.com. PurpleInk - Purple Ink's customized HR services will help you make your workspace JoyPowered. Whether you're looking for help with recruiting, compliance, or leadership training, they listen to what you need and tailor their solutions to you. Check out purpleinkllc.com, to find out how they can help your business. LHD Benefits - LHD is a full-service employee benefits firm, that empowers their clients to make the best possible decisions for their employees -- to define optimal objectives, monitor outcomes, improve health, and engage and advocate for employees and their loved ones. Visit lhdbenefits.com.

 Truth You Can Act On: Hire for cultural fit. Make sure this human being is not just being hired for skill set but for cultural fit, meaning that they're going to jive with the rest of your organization and help everyone be better. You don't want to go back and fix that later. One of the greatest tests is just thinking through how long would you like to hang out with this person outside of work. That's really good test because you should want to hang out and be friends with them. Understand the power of soft skills training. We need to develop our people from the communication to relationship skills like building friendships and knowing how to show up. So I just encourage you to think through not so much the mechanical things and the high-level skills that they need as employees to do a great job but the soft skills training as well. Take retreats you know to get them away do some team building and really just help develop your people. Build disciples. When you build Disciple's you are really building a custom culture to your organization.  The people in your organization will scale and grow your culture. As a CEO you cannot delegate culture. You have to figure out how to scale. So building disciples in your organization is what will allow you to fulfill your vision.  Be visible. Empower the leaders in your org to do the same. Sponsors: EMPLIFY - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data. To see their latest research on employee engagement, visit emplify.com. TITUS - In our conversations with CEOs and hiring managers, we hear they are frustrated with traditional recruiting... From outrageous fees to focusing on candidates before clients, the process was broken and needed to be fixed. Enter Titus Talent. Titus Talent Strategies serves its clients using passionate people, a proven process, and unparalleled performance. Oh, did we mention they guarantee the PERFORMANCE of their candidates for 12 months? If you want to learn how they're disrupting the recruitment space head over to titustalent.com. PurpleInk - Purple Ink's customized HR services will help you make your workspace JoyPowered. Whether you're looking for help with recruiting, compliance, or leadership training, they listen to what you need and tailor their solutions to you. Check out purpleinkllc.com, to find out how they can help your business. LHD Benefits - LHD is a full-service employee benefits firm, that empowers their clients to make the best possible decisions for their employees -- to define optimal objectives, monitor outcomes, improve health, and engage and advocate for employees and their loved ones. Visit lhdbenefits.com.

Truth You Can Act On: Authenticity and vulnerability are key. It's important as leaders to take off the ‘suit and tie' and be authentic. Connect with your employees as human being to human being. It's really hard to do because it's this balancing act. I think for a lot of us in leadership roles we want to make sure to walk the fine line on keeping things professional. However, the more authentic you are as a leader the better. Check-In often. Checking in and spending time with your team members talking through their personal growth journey as much as their professional growth. If you have a two-hour meeting, break it in half by spending time helping your people develop individually, which is as important as growing professionally and meeting the goals of your business. In addition, figure out how to be present on a regular basis. Go and see your people out in the field and go travel to new locations to see just see people outside of your office Personal recognition. The power of personal recognition even in the smallest forms can make the greatest impact. So writing out a note on a notecard can go such a long way. Think about how you can add more personal recognition with simple touches can make such an impact. Sponsors: EMPLIFY - Are you still using pulse surveys? How about annual questionnaires? If your organization relies on either of these, it's time to discover Emplify. Emplify has created a new way to measure employee engagement. It's where CEOs who want to know what's really happening within a workforce go… to get honest feedback… and to understand what needs to change for people to love their work using simple and trustworthy data. To see their latest research on employee engagement, visit emplify.com. TITUS - In our conversations with CEOs and hiring managers, we hear they are frustrated with traditional recruiting... From outrageous fees to focusing on candidates before clients, the process was broken and needed to be fixed. Enter Titus Talent. Titus Talent Strategies serves its clients using passionate people, a proven process, and unparalleled performance. Oh, did we mention they guarantee the PERFORMANCE of their candidates for 12 months? If you want to learn how they're disrupting the recruitment space head over to titustalent.com. PurpleInk - Purple Ink's customized HR services will help you make your workspace JoyPowered. Whether you're looking for help with recruiting, compliance, or leadership training, they listen to what you need and tailor their solutions to you. Check out purpleinkllc.com, to find out how they can help your business. LHD Benefits - LHD is a full-service employee benefits firm, that empowers their clients to make the best possible decisions for their employees -- to define optimal objectives, monitor outcomes, improve health, and engage and advocate for employees and their loved ones. Visit lhdbenefits.com.