Podcasts about pocus

Send us Fan MailThis week's enterprise software announcements further confirm that the market is rapidly converging around agentic AI, semantic intelligence, and autonomous workflow orchestration. Blue Yonder introduced new AI agents and mobile applications aimed at strengthening supply chain execution and frontline operations, while Zendesk expanded its AI customer service strategy through the acquisition of Forethought. Actian launched an AI analyst designed to convert business glossaries into a live semantic layer, highlighting the growing importance of governed enterprise context for AI-native operations. Meanwhile, ActiveCampaign and Contentsquare announced new capabilities focused on customer engagement and digital experience intelligence. On the enterprise planning side, Anaplan expanded its AI planning portfolio with CoModeler, Custom Analyst, and Agent Studio, while Oracle continued embedding coordinated AI agents directly inside Fusion ERP workflows through its new Fusion Agentic Applications initiative. In parallel, Apollo.io acquired Pocus to strengthen its agentic go-to-market stack, Databricks introduced Lakewatch as an open agentic SIEM platform built on the lakehouse architecture, and Rootstock Software acquired Ascent Solutions to deepen its manufacturing and warehouse execution capabilities.In today's episode, we invited a panel of industry analysts for a live discussion on LinkedIn to analyze current enterprise software stories. We covered many grounds including the direction and roadmaps of each enterprise software vendors. Finally, we analyzed future trends and how they might shape the enterprise software industry.Video: https://www.youtube.com/watch?v=ksS15kccXPcQuestions for Panelists?

A guide to diagnosing, imaging, and managing acute renal colic and nephrolithiasis in the ED. Hosts: Brian Gilberti, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Nephrolithiasis.mp3 Download Leave a Comment Tags: Kidney Stones, Urology Show Notes 1. CLINICAL CORE & PHYSIOLOGIC FRAMEWORK Epidemiologic Risk Profiles Lifetime incidence parameters hover around 1 in 11, presenting with a prominent male sex skew. Peak demographic manifestation concentrated within the 30–60 age band. High-yield temporal parameter: 50% recurrence vector within a 5-year post-initial-insult window. Mineralogical Composition Vectors Calcium oxalate crystals represent the predominant structural matrix. Struvite configurations (magnesium ammonium phosphate matrix) account for 1–2% of cohorts. Struvite stones function explicitly as infection-driven configurations secondary to upper tract proliferation; higher distribution index noted in female cohorts. Etiological & Modifiable Relational Dynamics Profound systemic dehydration or low baseline fluid throughput states. High-sodium diet structures and heavy animal-protein consumption loads. Positive genetic/familial history variables. Relative risk modulation: Each variable independently operates to expand baseline risk by a factor of 2x to 3x. Pathophysiologic Symptom Complexes Acute, sudden-onset, maximum-intensity (10/10) unilateral flank pain. Classic structural radiation vector tracking downward toward the ipsilateral groin/genitourinary dermatomes. Distinctive behavioral marker: Renal colic pacing/writhing behavior with zero antalgic position availability. Concomitant autonomic triggers: Nausea and emesis manifest in 50% of acute presentations. Physical Exam Discordance Metrics Severe subjective distress contrasted with a characteristically soft, completely non-tender abdominal palpation exam. CVA tenderness is completely variable and lacks reliable negative predictive value. Atypical Presentation Classifications Vague, poorly localized abdominal pain presentations occurring in up to 20% of active cases. Isolated lower urinary tract irritative signs including acute frequency or severe urgency. Incidental & Asymptomatic Dynamics Silent intrarenal or ureteral stones found incidentally. Longitudinal tracking demonstrates up to 33.3% of initially asymptomatic cohorts convert to fully symptomatic renal colic within a multi-year tracking window. 2. EXCLUSION DIAGNOSES & CRITICAL PATHWAY RED FLAGS Vascular Mimics: AAA rupture/expansion. This is a mandatory exclusion pathway in elderly cohorts presenting with acute flank or back pain. Physical tracking requires active exploration for an expansile, pulsatile abdominal mass. Gynecologic Emergencies: Ruptured ectopic pregnancy. Demands universal screening protocols via rapid beta-hCG testing in all female patients of childbearing potential presenting with lower abdominal/pelvic localization. Infectious Upper Tract Decompensation: Acute uncomplicated pyelonephritis. Differentiated via persistent high spikes, high fevers, systemic shaking chills, and profound pyuria. Genitourinary Structural Crises: Acute testicular torsion. Mandates a thorough, explicit scrotal/testicular structural exam if the flank pain radiates into the scrotum. Gastrointestinal and Adnexal Torsional Confounds: Acute appendicitis variants, acute mesenteric/bowel ischemia, and ovarian torsion syndromes. 3. LABORATORY TESTING & PHYSIOLOGIC EVALUATION Urinalysis Interpretation Nuances Microscopic or gross hematuria presents in approximately 66% to 90% of acute cases. Critical Pathological Caveat: Complete absence of hematuria documented in 20% to 33.3% of confirmed, acute obstructing ureteral stones. Diagnostic rule: A pristine urinalysis with zero red blood cells is entirely insufficient to exclude acute ureterolithiasis. Urinary pH as a Composition Clue Consistently low urinary pH parameters (pH < 5.5) point strongly toward a uric acid crystalline composition. Elevated urinary pH parameters (pH > 7.5) indicate the presence of urease-producing microbial pathogens, pointing toward a struvite infection stone. Infectious Screening Metrics Active tracking for marked pyuria, positive leukocyte esterase, and bacterial nitrites to rule out an obstructed, infected upper urinary tract system. BMP Immediate quantification of baseline serum creatinine to establish accurate eGFR values. Targeting detection of post-renal AKI from bilateral obstruction, unilateral obstruction in a single functioning kidney, or severe volume depletion. CBC Evaluation for marked leukocytosis. Physiologic Nuance: Mild-to-moderate white blood cell count elevations frequently represent non-specific stress demargination driven by severe pain and repetitive vomiting. High-grade white blood cell shifts demand immediate exclusion of systemic bacteremia or an infected, obstructed urinary system. Adjunctive Lab Pathways Rapid qualitative urine hCG testing. Reflex urine culture execution whenever urinalysis metrics display significant inflammatory profiles or clinical suspicion of UTI is high. 4. IMAGING MODALITIES & ALGORITHMIC CLINICAL SELECTION Non-Contrast CT Diagnostics Gold standard; diagnostic sensitivity and specificity parameters exceed 95% for stones >2 mm. Provides precise quantification of stone diameter (mm), exact localization (proximal, mid, or distal ureter), and degree of secondary hydronephrosis. Excellent structural visualization for detecting or ruling out alternate retroperitoneal, vascular, or intra-abdominal pathologies. Contrast-Enhanced CT Protocols Indicated when alternative intra-abdominal surgical pathology is highly suspected over isolated renal colic. Retains diagnostic capability to identify urinary tract stones >3 mm even within contrast-enhanced phases. NCCT Structural Architecture Limitations Standard stone protocol CT scans are executed in a prone position without IV contrast enhancement. It does not opacify the ureteral lumen. Presents a cumulative radiation exposure penalty when utilized serially across recurrent ED presentations. POCUS / Radiology Ultrasound Direct stone visualization capabilities are modest, operating at approximately 50% to 60% sensitivity, and is highly dependent on anatomical positioning at the extreme proximal ureter or the UVJ. Secondary obstruction tracking: Demonstration of hydronephrosis operates at a high sensitivity of approximately 80%. POCUS Clinical Utility Metrics Eliminates ionizing radiation exposure and allows immediate, rapid real-time execution directly at the patient’s bedside. Confirmation of significant hydronephrosis within a classic clinical presentation yields high post-test probability for stone presence while lowering suspicion for vascular catastrophes like a AAA. KUB Radiography Extremely poor overall diagnostic sensitivity, hovering around 57%. Fails to image radiolucent configurations (pure uric acid matrices) or small stones measuring

In this episode from the Block Box in Oslo, we have a lovely chat with the irrepressible Dave Johnston from Belfast who shares his experience building block rooms, why he does QL blocks for pelvic fractures, and his thoughts on the adductor canal vs. femoral triangle con-traaaah-versy. Then we share some laughs and stories with the charming Kavita Houthoff Khemlani who talks about her journey into medicine (by way of training ocean predators) and how social media can bring people together. Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!   

Date: May 20, 2026 Guest Skeptic: Dr. Matt McArthur is an ED Physician working primarily in Guelph and Kitchener with occasional rural locums in the small town of Walkerton, where he grew up. His clinical interests include POCUS, emergency cardiology, QI, knowledge translation, motivational interviewing, and vertigo. He is very active in medical education, including […] The post SGEM#511: I'd Like To Treat, DKA with the SQuID Protocol first appeared on The Skeptics Guide to Emergency Medicine.

Podcast summary of articles from the March 2026 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include sociodemographics in HEART scores, EMS airway management, POCUS for detecting AAA, cardiotoxic chemotherapy, vasculitis, and POCUS use in cardiac arrest.  Guest speaker is Dr. Cory Ohradzansky.

Join the JEMS Podcast as we celebrate EMS Week 2026 with Dr. C. Ryan Keay and Chief Christopher Wray. They cover the frontline issues shaping modern prehospital care: sustainability and stewardship of whole blood programs; rural supply-chain challenges and drone delivery ideas; rapid adoption of point-of-care ultrasound; growth of treatment-in-place and mobile integrated health; AI for documentation and decision support; and legal/operational considerations for body-worn cameras. Dr. Keay and Chief Wray share practical examples, federal policy priorities, and how reimbursement and community partnerships can sustain clinical advances. This episode honors paramedics, EMTs, dispatchers, flight crews, educators, and leaders while offering actionable insights for agencies planning new programs, quality review, and cross-sector collaboration.

In episode 619, Mike K and James chat yet again with Émélie Braschi. The topic this time is the use of point-of-care ultrasound (POCUS) to help diagnose patients coming into emerg with dyspnea. The results certainly suggest this may be a useful tool. Tune in and find out if it is useful enough for you.   To claim your CPD credits, click the link below and then select "Claim Credits Now".   

Dr. Jonathan Warren discusses practical uses, evidence, and implementation challenges for prehospital ultrasound. We cover lung ultrasound for acute heart failure and B line quantification, trauma FAST exams, cardiac arrest applications including focused pulse checks and transesophageal echocardiography, and how prehospital transfusion and early diagnostics change diagnostic momentum on ED arrival. Dr. Warren also outlines real-world barriers to sustained uptake—cost, training, tech issues, clinical workflows—and describes a national survey from the ACEP prehospital/austere ultrasound subcommittee aimed at identifying why adoption often dwindles after initial implementation.

Mike sits down with three physician assistant POCUS leaders who recently authored an article on PA ultrasound education to discuss the past, the present and the future of the field. https://www.ultrasoundgel.org/181 https://pubmed.ncbi.nlm.nih.gov/40052818/

In this episode of the "Southern Medicine Podcast," Tatiana Havryliuk, MD, shares practical, high-yield insights on using focused cardiac ultrasound to assess volume status, ventricular function, and key cardiac pathology in everyday clinical practice. Dr. Havryliuk breaks down when cardiac ultrasound and inferior vena cava (IVC) assessment are most helpful, how to obtain key cardiac views, and what normal cardiac ultrasound looks like—helping clinicians build confidence at the point of care. Listeners will also review key findings such as right heart strain, reduced LV function, and pericardial effusion, and how these results guide treatment and escalation decisions. Dr. Tatiana Havryliuk is an emergency physician and founder of Hello Sono. With 15 years of experience using POCUS in diverse settings, from urban EDs to Everest Base Camp, she is dedicated to extending its benefits to more patients. With Hello Sono, she and her team support practices in building compliant, high-quality, and profitable POCUS programs through tailored education and implementation.

Direto do COPA SAESP 2026, estreia o primeiro episódio especial do Podcast SAESP

Damian McCarthy's 2024 horror film, “Oddity,” sent a chill down our spines, so we were eager to check out his latest: this time about a hotel whose honeymoon suite is said to be haunted by a witch. Tune in to hear our thoughts on “Hokum” — from the visuals and settings that scared us most, to the character arc of Adam Scott's Ohm, and some key insights from the Q&A we attended with the director and star.

Send us Fan MailDr. Indrani Bhattacharjee, neonatologist and POCUS program director at Tufts Medical Center in Boston, joins Ben to discuss a fascinating and largely unexplored frontier — intestinal ultrasound in healthy preterm infants. Rather than waiting for NEC to appear, her team has been systematically scanning babies born under 32 weeks every week from one week of age until eight weeks or discharge, building what may be the first normative dataset for bowel wall thickness in this population. Early findings are already challenging the standard radiological definitions, showing that extremely preterm babies have thinner bowel walls than current benchmarks would classify as normal — raising the question of whether definitions derived from term or older patients have ever been appropriate for our tiniest babies. The publication is forthcoming in the European Journal of Pediatrics.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Buckle up for a wild ride...Amit and Jeff jet off to Sydney, Australia to chat with Stavros Prineas of Nepean Hospital: Anesthesiologist, human factors expert, raconteur, lover of dad jokes, and all around good guy! (ok, we didn't fly there, but one day...). How to set up your block area, Feng shui, darts, ABBA, Inigo Montoya, identity hats, Seinfeld junior mint references, Émile Chartier quotes...we cover a LOT of ground in this fun and engaging episode.    Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!   

The JournalFeed podcast for the week of April 6-10, 2026.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday's Spoon Feed:Cardiac standstill on transthoracic echocardiography is a strong predictor of failing to achieve return of spontaneous circulation (ROSC). However, while it offers high diagnostic accuracy, emergency physicians should use it as one prognostic marker among others rather than a sole reason to terminate efforts.Tuesday's Spoon Feed:Of patients with return of spontaneous circulation (ROSC) after in-hospital cardiac arrest (IHCA), CT imaging revealed new findings 65.2% of the time while POCUS did so in 57.6% of IHCA patients.

"POCUS Spotlight: Point-of-Care Ultrasound for the Obstetric Anesthesiologist." From ASRA Pain Medicine News, February 2026. See the original article at www.asra.com/february26news for figures and references. This material is copyrighted.Support the show

In this edition of the new CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest Rakesh Arora, Director of Cardiothoracic Critical Care and a professor in the Department of Surgery and Anesthesia at Northwestern Medicine, Chicago, IL, USA. They discuss managing arrest in patients with temporary mechanical circulatory support (tMCS), focusing on a paper Arora authored titled “EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery.”   Chapters  00:00 Intro  01:08 Guidelines Background  02:02 Resuscitation, Monitoring Parameters  07:37 Approach to Patients in Extremis  11:39 Quality Assurance, Internal Data  12:22 End-Tidal  13:17 Bleeding Management  15:33 Arrhythmia, Defibrillation  17:21 Optimizing Tissue Perfusion  18:09 Key Points  20:26 Devices & Flow Patterns  They began by exploring how this paper was developed and how Arora became involved in this project. They discussed the importance of expediting the resuscitation process and examined the recommendations for a tMCS implantation in patients experiencing post-procedural low cardiac output syndrome (LCOS). Key considerations included oxygen saturation levels (SpO2) and point-of-care ultrasound (POCUS), as well as the significance of pulsatility. Additionally, they discussed the interaction between devices and patients and the importance of team training and simulation. They also addressed crucial topics such as coagulation, anticoagulation, and defibrillation. Finally, they examined optimizing tissue perfusion for better patient outcomes.   Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode!  Related Resources  EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this Part 2 or our 2-part EM Cases podcast series on Cardiac Arrest Update, Dr. Sheldon Cheskes and Dr. Rob Simard take us beyond the algorithms and into the real-world decision-making of cardiac arrest care. We answer questions like: Do vasopressin and steroids improve survival or just ROSC? Should we be giving amiodarone earlier—and is lidocaine just as good? When should we use calcium, bicarbonate, or magnesium, and when should we avoid them? What role does ketamine play in CPR-induced consciousness? How should we choose between supraglottic airways and endotracheal intubation? What are the pitfalls of waveform capnography (ETCO2) to help guide CPR quality, detect ROSC, and inform prognosis? What is the role of PoCUS and TEE during cardiac arrest? When should we terminate resuscitation—and how do ETCO2 and POCUS factor into that decision? Should we widen the criteria to consider thrombolytics and who should go to the cath lab, and should we be ordering whole-body CT after ROSC for everyone who isn't going to the cath lab or getting ECMO? And finally, what are the key post-ROSC targets that actually impact neurologic outcomes in cardiac arrest patients? and many more...Please consider a donation to EM Cases to support ongoing high quality Free Open Access Medical Education https://emergencymedicinecases.com/donation/

The JournalFeed podcast for the week of March 30-April 3, 2026.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday's Spoon Feed:Gabapentinoids are often prescribed for off-label indications, with minimal or no clinically significant benefit, while exposing patients to harmful side effects, especially vulnerable elderly patients.Friday's Spoon Feed:The TWIST Score can be used for risk stratification of an acute scrotum, but POCUS (point-of-care ultrasound) should be used, particularly in intermediate risk patients to rule out testicular torsion in pediatric patients.

In episode 619, Mike K and James chat yet again with Émélie Braschi. The topic this time is the use of point-of-care ultrasound (POCUS) to help diagnose patients coming into emerg with dyspnea. The results certainly suggest this may be a useful tool. Tune in and find out if it is useful enough for you. […]

One relatively new POCUS topic that is gaining a lot of traction is using ultrasound to assess a patient's potential for being a difficult intubation. There are so many measurements being thrown around - is there one best way?? Mike and Creagh gently lift the vallecula of this topic hoping to reveal the shiny cords of truth. https://www.ultrasoundgel.org/180 https://pubmed.ncbi.nlm.nih.gov/40880958/

Send a textLive from the Neo Conference in Las Vegas, Ben and Daphna sit down with Dr. Zach Anderson from Winnie Palmer Hospital to demystify the integration of Point of Care Ultrasound (POCUS) in the NICU. Moving beyond the intimidation of complex cardiac scans, Zach explains why starting with "pinch points" like vascular access or bladder volume can revolutionize bedside decision-making. From the SAFER protocol to managing the agitated infant on ECMO, this episode explores how POCUS serves as a powerful problem-solving tool that bridges the gap between clinical mystery and immediate intervention.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

March's Papers of the Month is here and we've got three absolute crackers to get stuck into. First up, we head prehospital to explore pseudo-pulseless electrical activity. This review challenges us to rethink how we approach organised electrical activity without a pulse. We discuss the role of POCUS, the concept of treating profound shock rather than "arrest," and what this means for decision-making and management. Next, we move to cardiac arrest physiology with a systematic review examining intra-arrest diastolic blood pressure and coronary perfusion pressure. We take a look at the proposed thresholds, the heterogeneity in the evidence, and whether haemodynamic-guided resuscitation is ready for prime time. Finally, we dive into airway nuance with a brand new taxonomy of performance errors in hyperangulated video laryngoscopy. We've covered a very similar paper before on standard geometry VL which was incredibly useful and this looks to do just the same for the alternative technique required with a hyperangulated device. We explore the microskills, the common errors, and what this means for how we train, feedback and improve our emergency intubations. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

O boletim de hoje destaca a votação no Senado do ProfiMed, o exame nacional que pode se tornar requisito obrigatório para o exercício da medicina no Brasil. Apresentamos como o ultrassom à beira-leito (POCUS) tem superado manobras clássicas do exame físico na confirmação de sobrecarga volêmica. Além disso, analisamos o avanço do UBT251, a nova classe de antiobesidade "Triple G" que promete perdas de peso superiores aos atuais análogos de GLP-1. Acompanhe as notícias que impactam a sua carreira e as inovações que chegam ao consultório no seu podcast diário de atualização, com curadoria médica e produzido por IA. Afya News. Informação médica confiável e atualizada no seu tempo.Fontes do episódio aqui:⁠https://portal.afya.com.br/podcasts/afya-news/25-02-2026

In this episode from the Oslo Block Box sessions, we chat with Vicente Roques from Spain who is a wizard with using AI to generate images, videos, and audio narration--Vicente shares his favorite tools and experiences, and gives us some insight as to why his presentations are SOOOO good. We then talk with Rosie Hogg from Belfast, who channels her inner K-Pop Demon Hunter when talking about how and why to implement POCUS in your practice, how to compassionately bring colleagues along on your journey, and much much more. 

The JournalFeed podcast for the week of Feb 2 – 6th, 2026.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday's Spoon Feed:A simple 4-factor clinical decision rule accurately distinguished true bacteremia from contaminants in children with positive blood cultures, achieving 99% sensitivity while potentially reducing unnecessary hospitalizations.Friday's Spoon Feed:Point-of-care ultrasound (POCUS) is a powerful adjunct during cardiac arrest that can identify reversible causes, improve pulse checks, optimize chest compressions, and aid prognostication—as long as it does not interrupt high-quality CPR. When utilized correctly, POCUS may meaningfully guide resuscitation without prolonging pauses.

When patients need answers fast, most urgent cares still default to on-site X-ray or referrals—but there's a smarter, more efficient tool that can elevate your clinical care, improve outcomes, and drive new revenue.In this episode, Nick and Michael sit down with Dr. Tatiana Havryliuk, a board-certified emergency physician and founder of Hello Sono, to explore how point-of-care ultrasound (POCUS) is transforming urgent care from the inside out. With over 15 years of ER experience and deep ultrasound expertise, Dr. Tatiana shares how POCUS can help urgent cares confidently diagnose more in-house, avoid unnecessary ER visits, and open the door to repeat patients who trust your clinic to deliver next-level care.They unpack what POCUS is, how it compares to X-ray, where it fits in urgent care workflows, and what it takes to implement it without overwhelming your team. Whether you're in a rural location, struggling with X-ray staffing, or ready to grow by offering higher-value services, this conversation is full of practical insights and strategic takeaways.

What would it look like to push the boundaries of ambulatory surgery under regional anesthesia? What new innovations are there left in blocks for shoulder surgery? How should blocks be taught, and what makes a good block name? Spoiler: Make it sexy. In this engaging episode, Amit and Jeff interview Bo Gottshau from Copenhagen and Philip Peng from Toronto, seeking answers to all these questions, and more!  Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care! 

"POCUS Spotlight: Defining Competency in Point of Care Ultrasound." From ASRA Pain Medicine News, November 2025. See the original article at www.asra.com/november25news for figures and references. This material is copyrighted. Support the show

No episódio “O Paciente Congesto” da série Tomada de Decisão, o diretor médico da Afya e editor-chefe do Whitebook, Dr. Ronaldo Gismondi, discute um caso clássico da prática clínica: um paciente idoso com edema importante, dispneia, ascite e sinais de congestão sistêmica.Ao longo da conversa, o episódio explora o raciocínio por trás das decisões-chave no manejo da congestão: quando iniciar diurético, o papel do POCUS à beira do leito, como interpretar BNP, exames de imagem e diferenciar insuficiência cardíaca de outras causas de edema, como cirrose e síndrome nefrótica.Um conteúdo prático e essencial para estudantes e médicos em formação que querem aprimorar sua tomada de decisão na clínica médica e no ambiente hospitalar.#TomadaDeDecisão #CasosClínicos #PacienteCongesto #InsuficiênciaCardíaca #ICC #RaciocínioClínico #ClínicaMédica #POCUS #Medicina #Afya #Whitebook #ResidênciaMédica #MedStudent #EmergênciaMédica #PráticaMédica

🧭 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.

New Season Unlocked! Happy New Year and welcome to our 4th season...in this episode, we're back in the Block Box chatting with none other than Alan Macfarlane from Glasgow, who gives us some amazing Scottish jokes AND a sneak peek into the NAP8 Project that he's leading for the Royal College of Anaesthetists on complications related to regional anesthesia. It promises to be a massive effort and we can't wait to see the results! We also have the pleasure of chatting with Nuala Lucas about her passion for obstetric anesthesiology, and discuss the role of blocks in OB anesthesia, the risk that we're becoming de-skilled in epidural analgesia, the rationale for dural-puncture epidurals, and more!   Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care! 

In this Part 2 of our 2-part podcast series on thyroid emergencies Anton, Dr. George Willis and Dr. Alyssa Louis answer questions such as: When a patient presents with “sepsis without a source,” what bedside features should trigger you to prioritize thyrotoxicosis? How can PoCUS help you decide whether tachycardia is dangerous — or lifesaving — before starting β-blockade? Why can TSH and free T4 be falsely reassuring in a crashing patient, and what labs actually matter early? In which patients does propranolol increase the risk of cardiovascular collapse — and why is esmolol the safer first line medication? Why does the order β-blocker → thionamide → steroid → iodine matter, and what happens if you get it wrong? When is not giving a β-blocker the safest decision in thyroid storm, even in a profoundly tachycardic patient? In an agitated, hyperthermic patient with thyrotoxicosis, why might intubation be more dangerous than helpful in the first hour? How does amiodarone-induced thyrotoxicosis fundamentally change your management — and why can iodine make it worse? and many more...

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.

Ho ho hold the phone! It's time for our Holiday Special Episode and in this, our third season, we go to the BILIH voicemail inbox and see what's been on YOUR mind! In this episode we'll do our best to answer listener questions about continuous spinals, regional research, rebound pain, needle trajectory, AI, education, chronic pain, patient management, equipment, and more! So grab an eggnog and a plate of gingerbread, you won't want to miss this one... Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!    Links:

POCUS Journal Podcast Episode 12: “Measurement of systolic blood pressure using POCUS with color Doppler compared to with an intraarterial line"Guest: Dr. Paul H. MayoDOI: https://doi.org/10.24908/pocusj.v10i02.19281https://pocusjournal.com/article/19281/

The GEL Team has done it again - infiltrating the illustrious Society of Clinical Ultrasound Fellowships annual conference and bringing you the insider's scoop on the latest concepts in POCUS. Special hosts Shawn Sethi, Alyssa Nguyen-Phuc and Roger Vazquez Gomez are on the scene interviewing this year's presenters of the ever-illuminating SCUF Lightning Talks. https://www.ultrasoundgel.org/178

Send us a textThree first-year fellows from University of Virginia—Jamie, Megan, and Brianne—share their Hot Topics conference experience. Despite being early in training, they engage deeply with cutting-edge research across diverse interests: POCUS and hemodynamics (Jamie), ENT non-surgical interventions (Brianne), and neurodevelopmental outcomes with Tiny Baby projects (Megan). They value learning from practice variation across institutions, particularly regarding fluid management and humidity protocols. Rather than finding evidence gaps discouraging, they're inspired by opportunities for future research. They plan to share conference insights through journal club upon returning to UVA. The fellows emphasize how accessible and collaborative neonatology speakers are, encouraging early-career engagement with research leaders. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Dr. Andrew Beverstock discusses his research on urinary sodium and its relationship with growth in preterm neonates. He shares insights into the importance of sodium for neonatal growth, the methodology of his study, and the unexpected results that challenge existing literature. The conversation also touches on his diverse medical training, mentorship experiences, and his involvement in medical education and point-of-care ultrasound (POCUS). Dr. Beverstock emphasizes the significance of careful population selection in research and outlines his future research directions. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Close your eyes and repeat after me: "Less Pharma, More Karma"... In this fascinating interview, Dr. Jeni Noerenberg -- anesthesiologist AND integrative medicine physician -- takes a couple of noobs like Amit and Jeff and explains how techniques like noetic medicine, acupuncture, guided imagery, aromatherapy, nutrition, clinical hypnosis (and more!) are being used in the perioperative space to reduce anxiety, decrease anesthetic and opioid requirement, reduce nausea and pain, and improve other important patient outcomes. We learned a TON and Jeni left us inspired to learn more. Oh, and If you don't hear from us for a while, it just means we're not back from our shamanic journey yet.    Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!    Links:

More Oslo interviews? You got it. This time we're chatting with amazing Amy Pearson about her leadership in promoting anesthesia safety through the Anesthesia Patient Safety Foundation, and how botox creates opportunities for enhanced patient connection! We also somehow get suckered into a pro-con on airway blocks vs. topicalization with the ever impressive (and impeccably styled) Kariem El-Boghdadly, and well, we'll let you decide what the outcome is... Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!    Links:

In this episode of the NCS Podcast Masterclass series, host Jon Rosenberg, MD, is joined by Harald Sauthoff, MD, ICU Director at Westchester Medical Center and a leader in point-of-care ultrasound (POCUS). They explore how POCUS has transformed bedside evaluation and management in the ICU, from rapid shock assessment to informed fluid management. Dr. Sauthoff shares how ultrasound can quickly identify shock etiology, assess fluid responsiveness and tolerance and detect pulmonary congestion. He also discusses using Doppler and the VExUS score to refine hemodynamic understanding and tailor treatment to individual patients. The conversation closes with insights on building sustainable ultrasound training programs, from boot camps and image portfolios to pathways toward critical care echocardiography certification. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

Send us a textIn this episode, we discuss an approach to using point-of-care ultrasound (PoCUS), with 3 cases to take you through the steps of acquiring images and using them to refine your differential and management. Written by: Dr. Phelopater Sedrak. Reviewed by: Dr. Rushil Chaudhary and Dr. Kim A. Connelly.Support the show

We're back to Oslo for the ESRA Block Box experience where we interviewed two fascinating and impressive people: Guy Weinberg from Chicago regales us with how a failed experiment led to an incredible antidote, and leaves us with a word of warning about a commonly-used local anesthetic; and Barbara Breebaart from Antwerp, explains how we have just SIX seconds to win the confidence of our patients with our body language, and other amazing tips for putting patients at ease. Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!    Links:

Intro; Holidays, Birthdays, Feedbag, Chub Hugs, Nostalgia, What’s In Your Lunchbox?, Hey Chubs, Advice; TV and Movie Reviews, and lots of chub talk! chubsgonewild@gmail.com Subscribe in iTunes! Right Click Here To Download ChubsGW613

The ah-maaazing interviews continue in the Block Box in Orlando -- this time Amit and Jeff are chatting with two Canadians! Anahi Perlas from Toronto tells us about how she first started to think about gastric ultrasound and the challenges involved in creating a new diagnostic test. And then Jon Bailey from Halifax shares his experiences in researching the feasibility of nerve blocks in outer space!  Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care! 

This week, Patrick and Kale light the Black Flame Candle and take a deep dive into the Disney cult classic, Hocus Pocus. Join the boys as they unearth the history, the hijinks and Binx, and the high camp that turned this Halloween trick into an annual treat. Grab your broomsticks, Tweedles...it's time to run amok, amok, amok! As always, they discuss the latest Disney news and close the show with some Quick D.   Contact us: info@gaysdothed.com LEARN MORE & JOIN OUR PATREON: gaysdothed.com Purchase Your GDTD Candles Here: GDTD Candle Pack at Luxillume!

For the first time this year, the Federal Reserve announced a quarter percentage point cut to its benchmark interest rate this Wednesday. This decision followed months of public pressure from President Trump and his administration, who criticized Fed Chairman Jerome Powell as "too late" and "too slow." The cut was made despite inflation being above the Fed's two-percent target and is expected to be the first of several reductions anticipated this year. Powell described the move as a "risk-management cut," citing concerns about employment. Nancy Tengler, the CEO of Laffer Tengler Investments, joins FOX Business' Gerri Willis to give her reaction to the Fed's decision, how it will impact borrowers and the economy, and why she thinks Fed Chairman Jerome Powell continues to show he is consistently ‘wrong'. Photo Credit: AP News Learn more about your ad choices. Visit podcastchoices.com/adchoices