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What if addiction isn't about drugs, but about pain? Beneath compulsive behaviors often lie histories of trauma, anxiety, and unmet emotional needs, hidden behind layers of stigma and misunderstanding. In medicine, addiction is still often mischaracterized as a moral failing rather than a treatable illness with deep psychological roots. In this episode, we explore the personal and professional evolution of Dr. Casey Grover, an addiction medicine physician who reframed both his own struggles and the way he cares for patients. Finally, we uncover how shifting mindset and language can transform both clinical outcomes and clinician well-being.
What is it about your work that still lights you up inside? At the center of every profession is a core - the reason we chose it in the first place, the part that feels meaningful no matter the chaos around it. When we reconnect with that core, even amid challenge, fulfillment often follows. Sometimes, though, that spark fades. Sometimes the core of what we love evolves, shifts direction, or gets buried under layers of stress and routine. In this episode, we explore how to evaluate your relationship with the essence of your work and how small (or big) recalibrations can realign your day-to-day with what matters most. Finally, we share strategies to clear out the noise, fuel the flame, and shape a career that energizes rather than drains.
Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023 Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating […] The post SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs first appeared on The Skeptics Guide to Emergency Medicine.
We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit (@emcrit), ED intensivist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources
In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we best streamline thorough data gathering for each case so that we don't miss key data points? How do the master EM clinicians perform an efficient and targeted history and physical exam? How can the concept of heuristic cycling help you avoid outdated or faulty thinking? How can we document our clinical encounter in a way that considers a differential diagnosis that prioritizes dangerous conditions and improve our thinking around cases? How can we use the 2-10% rule for pre-test probabilities and the concept of preferred error to guide our decision making for tests and treatments in the ED? What strategies can we use to avoid anchoring bias and keep your mind open to all possibilities? What's the role of shared decision-making when navigating diagnostic uncertainty? How does understanding the vigilance pendulum help us assess our risk tolerance better? How can post-shift decision journaling, conducting pre-mortems and meditation improve our decision making and boost our emotional resilience on shift? and many more... Please consider a small donation to EM Cases to ensure ongoing high quality FOAMed: https://emergencymedicinecases.com/donation/
LISTENER DISCRETION IS ADVISED. REFERENCES: Ferrada P, García A, Duchesne J, Brenner M, Liu C, Ordóñez C, Menegozzo C, Salamea JC, Feliciano D. Comparing outcomes in patients with exsanguinating injuries: an Eastern Association for the Surgery of Trauma (EAST), multicenter, international trial evaluating prioritization of circulation over intubation (CAB over ABC). World J Emerg Surg. 2024 Apr 25;19(1):15. doi: 10.1186/s13017-024-00545-8. PMID: 38664763; PMCID: PMC11044388. Salim Rezaie, "Critical Care Updates: Resuscitation Sequence Intubation – Hypotension Kills (Part 1 of 3)", REBEL EM blog, September 26, 2016. Available at: https://rebelem.com/critical-care-updates-resuscitation-sequence-intubation-hypotension-kills-part-1-of-3/. Salim Rezaie, "Critical Care Updates: Resuscitation Sequence Intubation – Hypoxemia Kills (Part 2 of 3)", REBEL EM blog, September 29, 2016. Available at: https://rebelem.com/critical-care-updates-resuscitation-sequence-intubation-hypoxemia-kills-part-2-of-3/. Salim Rezaie, "Critical Care Updates: Resuscitation Sequence Intubation – pH Kills (Part 3 of 3)", REBEL EM blog, October 3, 2016. Available at: https://rebelem.com/critical-care-updates-resuscitation-sequence-intubation-ph-kills-part-3-of-3/. Scott Weingart, MD FCCM. EMCrit 30 – Hemorrhagic Shock Resuscitation. EMCrit Blog. Published on August 15, 2010. Accessed on December 27th 2024. Available at [https://emcrit.org/emcrit/trauma-resuscitation-dutton/ ].
Which elements of your current pre-shift preparation contribute most to your mental clarity and performance, and what new practices might further optimize your readiness? With interruptions shown to increase task errors and decision fatigue, how can you strike a balance between being approachable to colleagues and safeguarding your focus for patient care? When confronted with a particularly challenging or emotionally charged case, what strategies have you found most effective for maintaining professionalism and clear decision-making under pressure? How often do you debrief after high-stakes scenarios, and what impact has debriefing—whether formal or informal—had on your team's learning, emotional recovery, and future preparedness? What strategies do you use to foster open communication and ensure all team members feel empowered to provide input during high-stakes situations? How do you mentally and emotionally shift from managing a critical resuscitation to treating lower-acuity patients without compromising your focus or energy? When faced with a complex case where diagnostic clarity is elusive, how do you prioritize your next steps while maintaining confidence in your decision-making process? How can apps, personalized workflows, or EMR tools be better utilized to minimize cognitive load and enhance clinical decision-making during shifts? These are just some of the questions we pose in this 2-part podcast series on How the Experts Think with Dr. Reuben Strayer, Dr. Scott Weingart and Dr. Mike Betzner... Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/
What would you do if your job ended tomorrow? Even though you might want to say, “Take this job and shove it,” that won't help build stepping stones to your next job.In this episode, we discuss: what it's like for physician coaches who regularly work with docs in this situation, getting fired, dealing with unexpected events that shake up professional stability, planning for career disruption, the importance of networking, and finding your clinical practice N plus one.
Many of us have ideas that could make a great business. Most of the ideas, however, never see the light of day. It can feel like a big leap from physician to entrepreneur. So how do you do it? We speak with Dr. Jason Hine, the founder of SimKit, and see how he went from community emergency medicine doctor to successful business owner. In this episode, we cover how Jason started his business, accounting for the knowledge gap between clinician and entrepreneur, setting boundaries, why saying hell yes has a critical proviso, the inevitable oscillation between passion and money, and a marketing exercise that's critical to walk through before you even consider jumping in on a new product or business.
As the UK enjoys its unpredictable summer, with everything from sunshine to hailstorms, we bring you a mix of updates and discussions on emergency medicine, blog content, upcoming conferences, and insightful research reviews. So, whether you're basking in the sun or sheltering from the rain, sit back and enjoy our latest insights into the world of emergency medicine. In this round-up of Month Year, we talk about a wide range of issues relating to emergency medicine, including nebulised ketamine for analgesia in the ED, risky intubations, presentation skills, more about the DOSE VF trial and analysis of the much-hyped PREOXI trial about preoxygenation before tracheal intubation. We're excited to announce our participation in two upcoming conferences. The Tactical Trauma Conference in Sweden this October promises to delve into pre-hospital emergency medicine, offering sessions from renowned speakers. It's a fantastic opportunity to learn and network, with flights to Sweden being relatively affordable. The event takes place just north of Stockholm, providing a chance to explore the beautiful city. In March next year, we look forward to the Incrementum Conference in Murcia, Spain. This is a significant event as emergency medicine has recently been recognized as a specialty in Spain. The conference will feature an impressive lineup of speakers from the FOMED world, including Scott Weingart, Ken Milne, Hany Malamatt, and Slim Resie , among others. Our very own Simon Carly will also be presenting. We'll be there to conduct interviews and gather exclusive content for our listeners. Thank you for joining us, please do like and subscribe wherever you get our podcasts.
Success and happiness are often determined by where we place our focus: within ourselves or on external factors. Mastery lies in asking the right questions, and understanding the locus of control is a key part of this. Those who focus on what they can influence are generally happier and more successful. In this episode, we explore the philosophy behind the locus of control, its impact on burnout, the importance of small bets in making significant changes, and state vs. trait gratitude. Finally, we delve into practical strategies to cultivate a more resilient mindset
EMCRIT's Scott Weingart discusses the concept of being a true resuscitationist. The mindset necessary for providing aggressive, excellent care outside hospital boundaries and the emphasis on the importance of preparation, critical thinking, and meticulous attention to detail in emergency medical situations. Dr. Weingart shares insights on mental simulation, embracing challenges, handling crises efficiently, and continuous self-improvement. We conclude our discussion by exploring the philosophy 'Amor Fati' and underscore the broader impact EMS professionals can have beyond simply saving lives. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog Post- How to Master the Resuscitation
It's natural to feel guilt or shame when living in abundance while much of the world faces hardship. In this episode, Dr. Barry Kerzin, the Dalai Lama's personal physician and a Buddhist monk, shares his approach to managing these emotions with a simple yet powerful tool. He also discusses his journey to becoming a monk, life within the Dalai Lama's compound, as well as anger management, self-compassion, and impatience strategies.
Non-compete clauses have plagued contracts for decades. It's been analogous to asymmetric warfare, with employers holding the upper hand. All of that may soon be a thing of the past.In this episode, we explore the Federal Trade Commission's recent ruling to ban these clauses and its implications for doctors and the healthcare industry. We'll also discuss the unexpected ways non-competes can protect smaller groups, the rise of independent contractor models, and the critical staffing issues in emergency medicine. A highlight of our discussion includes the lure and the trap of signing bonuses—what seems like a generous offer can sometimes come with subtle strings attached. Finally, we'll touch on the U.S. Senate's investigation into major staffing companies and the innovative emergence of empath units for mental health patients.
Will you have enough money to retire? What does that even mean? In this pod, our guest physician financial coach, Elisa Chiang, M.D. Ph.D. breaks down Trading time for money and money for timeWorking harder vs creating valueThe FIRE (Financial Independence Retire Early) movement and why it doesn't always mean living by austerity rulesThe risk of relying solely on retirement accounts to fund your post-career lifeHer biggest financial mistakeHow identity influences spending habitsIncorporating real estate into an investment portfolioGuest Bio: Elizabeth ‘Elisa' Chiang, M.D. Ph.D. is a board-certified ophthalmologist and fellowship-trained oculoplastic surgeon who found her way into personal finance and real estate investing during her MSTP program, aspiring for FIRE long before it became mainstream. Battling burnout from her work in a hospital system, she turned to real estate as her avenue to financial independence, complemented by her newfound passion for life coaching. With active involvement in rental properties and passive investments in syndications and real estate funds, Elisa now helps others achieve financial independence while embracing life's journey. Learn more at https://www.growyourwealthymindset.com/Love medicine, but the job itself leaves a lot to be desired?I work with many docs in your shoes. To learn more about 1-on-1 coaching, start here.For full show notes of this episode and all sorts of other goodies, visit our podcast websiteWe discuss:Why a high income does not equate to wealthWorking harder vs creating valueOnce debt is gone, attention to money can dwindle Finding a place to start investing can be overwhelming and lead to inertiaHow to navigate a scarcity mindsetHow identity influences spending habitsMoney can buy time, but there's a catchElisa's biggest financial mistakesHow to decide if a real estate investment is a good (or bad) dealElisa's big-picture financial strategyReal estate investing for positive cash flowIf you only think about maxing out your retirement account, you probably won't retain the same lifestyle when you stop workingBeyond real estate investing, what are other areas for investment to produce cash flow?F.I.R.E Financial Independence Retire Early | Survival, Regular, and Fat FIREHow to figure out how much FIRE money you'll need to stop workingWill my retirement funds actually last? Rate of withdrawal and sequence of returns risk Fat FIRE | Spending more in retirement than you did while workingMentioned in this episode:4 Free Resources specifically designed to address pain points in medical practiceScripting your least favorite conversations The Driveway Debrief My 4 favorite documentation templates The quick and dirty guide to calling consultsFree Resources LinkThe Flameproof Course. Sept 10, 2024Real-time instruction with Rob Orman, MD, and Scott Weingart, MD. Specific tools and strategies for anti-burnout, career longevity, and self-mastery. From a recent Flameproof graduate, "I went from constantly dreading work and thinking of quitting to being able to enjoy shifts on a regular basis."Flameproof Course
When a critical patient lands on your department's doorstep without prior notice, even the most seasoned professionals can find themselves momentarily at a loss — wondering what steps to take first and how to prioritize actions in those crucial initial seconds. What do I do first, what do I do next? What's REALLY important in the first few seconds? In this episode, emergency intensivist and physician coach Scott Weingart breaks down how to get your mind unstuck and move into action. Guest Bio: Scott Weingart, MD is a physician coach and emergency department intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is best known for talking about Resuscitation and Critical Care on the EMCRIT podcast , which has been downloaded > 40 million times. Our 2024 Live Event Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Focusing on interactive experiences, this event offers a unique opportunity to reset, reflect, and connect with like-minded individuals. Limited slots. Website: Awakeandawarebend.com Early bird discount code: FULLYAWAKE24. $100 off registration. Expires Jan 31, 2024 CME: Yes! This is a CME event. REGISTRATION FOR THE FLAMEPROOF COURSE IS NOW OPEN This course will make you so burnout-resistant that when they tell you to see 5 patients an hour with only a rusty spoon in your pocket and a unit clerk at your side, you will just smile (results not guaranteed). The next cohort begins Feb 1, 2024. Learn more here. Love medicine, but the job itself leaves a lot to be desired? I work with many docs in your shoes. To learn more about 1 on 1 coaching, start here 3 free resources specifically designed to address pain points in emergency medicine practice Scripting your least favorite conversations The quick and dirty guide to calling consults My 4 favorite documentation templates We Discuss: Temporizing vs. Stabilizing: Why Seconds Count but Don't Really Count The Emergency Action Drill Get Off the Spot: Taking Action to Get Out of the White Noise Beat The Stress Fool: Breathe, Self Talk, See (Mental Rehearsal), Focus with a Trigger Word Using Operant Conditioning to Train a De-escalating Trigger Word You Don't Need to Be Everything, Everywhere, All at Once: The Critical Steps to Start Unfreezing The transition from temporizing to definitive care in a trauma arrest Why ACLS Fails as an Emergency Action Drill: Strategy vs Logistics The Reason Why Cognitive Freeze Happens in a Zero Warning Critical Situation How to Craft Your Own Emergency Action Drills: The Difference Between Thinky Time and Pure Action Building an Emergency Action Drill from the Ground Up for a New Disease A Hospital's Resuscitation Readiness Contributes to an Individual Clinician Freezing in a Zero Warning Situation Making an Emergency Department Resuscitation Ready on an Individual Level Emergency Department Resuscitation Readiness on a Systems Level: The Four Steps to Become a Resus World Champion Potential Objections to Becoming Resuscitation Ready How to Communicate Uncertainty in a Critical Situation
When a critical patient lands on your department's doorstep without prior notice, even the most seasoned professionals can find themselves momentarily at a loss — wondering what steps to take first and how to prioritize actions in those crucial initial seconds. What do I do first, what do I do next? What's REALLY important in the first few seconds? In this episode, emergency intensivist and physician coach Scott Weingart breaks down how to get your mind unstuck and move into action. Guest Bio: Scott Weingart, MD is a physician coach and emergency department intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is best known for talking about Resuscitation and Critical Care on the EMCRIT podcast , which has been downloaded > 40 million times. Our 2024 Live Event Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Focusing on interactive experiences, this event offers a unique opportunity to reset, reflect, and connect with like-minded individuals. Limited slots. Website: Awakeandawarebend.com Early bird discount code: FULLYAWAKE24. $100 off registration. Expires Jan 31, 2024 CME: Yes! This is a CME event. REGISTRATION FOR THE FLAMEPROOF COURSE IS NOW OPEN This course will make you so burnout-resistant that when they tell you to see 5 patients an hour with only a rusty spoon in your pocket and a unit clerk at your side, you will just smile (results not guaranteed). The next cohort begins Feb 1, 2024. Learn more here. Love medicine, but the job itself leaves a lot to be desired? I work with many docs in your shoes. To learn more about 1 on 1 coaching, start here 3 free resources specifically designed to address pain points in emergency medicine practice Scripting your least favorite conversations The quick and dirty guide to calling consults My 4 favorite documentation templates We Discuss: Temporizing vs. Stabilizing: Why Seconds Count but Don't Really Count The Emergency Action Drill Get Off the Spot: Taking Action to Get Out of the White Noise Beat The Stress Fool: Breathe, Self Talk, See (Mental Rehearsal), Focus with a Trigger Word Using Operant Conditioning to Train a De-escalating Trigger Word You Don't Need to Be Everything, Everywhere, All at Once: The Critical Steps to Start Unfreezing The transition from temporizing to definitive care in a trauma arrest Why ACLS Fails as an Emergency Action Drill: Strategy vs Logistics The Reason Why Cognitive Freeze Happens in a Zero Warning Critical Situation How to Craft Your Own Emergency Action Drills: The Difference Between Thinky Time and Pure Action Building an Emergency Action Drill from the Ground Up for a New Disease A Hospital's Resuscitation Readiness Contributes to an Individual Clinician Freezing in a Zero Warning Situation Making an Emergency Department Resuscitation Ready on an Individual Level Emergency Department Resuscitation Readiness on a Systems Level: The Four Steps to Become a Resus World Champion Potential Objections to Becoming Resuscitation Ready How to Communicate Uncertainty in a Critical Situation
Key principles and approach to management of both non-massive and massive hemoptysis with Dr. Scott Weingart and Dr. Bourke Tillmann, who answer questions such as: What are the factors to consider in the decision to intubate patients with massive hemoptysis? How can one reliably distinguish hemoptysis from pseudohemoptysis? What is the evidence for tranexamic acid in patients with hemoptysis? What are the best strategies for suctioning blood from the airway to improve visualization during endotracheal intubation in crashing hemoptysis patients? What is the role of bronchoscopy and how should it be integrated into the hemoptysis management algorithm? How does one's hemorrhage control strategy change when pulmonary embolism is the underlying diagnosis? and many more... The post Ep 188 Hemoptysis – ED Approach and Management appeared first on Emergency Medicine Cases.
Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC?. This stemmed a lot of discussion in the background between Swami, myself, and Scott. We felt it was worthwhile to record this as a podcast to better flush out some nuanced points. ... Read more The post REBEL Cast Ep119: A Discussion with Scott Weingart on the CT FIRST Trial appeared first on REBEL EM - Emergency Medicine Blog.
En este nuevo episodio os traigo la aplicación de los push dose en emergencias. Espero que sea de utilidad. La bibliografía que he utilizado es: - Nawrocki, P. S., Poremba, M., & Lawner, B. J. (2020). Push dose epinephrine use in the management of hypotension during critical care transport. Prehospital Emergency Care, 24(2), 188-195. doi:10.1080/10903127.2019.1588443 Singer, S., Pope, - H., Fuller, B. M., & Gibson, G. (2022). The safety and efficacy of push dose vasopressors in critically ill adults. The American Journal of Emergency Medicine, 61, 137-142. doi:10.1016/j.ajem.2022.08.055 Weingart, S. (2015). Push-dose pressors for immediate blood pressure control. Clinical and Experimental Emergency Medicine, 2(2), 131-132. doi:10.15441/ceem.15.010 - Scott Weingart, MD FCCM. EMCrit 6 – Push-Dose Pressors. EMCrit Blog. Published on July 10, 2009. Accessed on June 11th 2023. Available at [https://emcrit.org/emcrit/bolus-dose-pressors/ ].
How often do you walk into work hoping it will be a good day or at least not a bad one? What if it didn't matter what happened and the good/bad was entirely in your control? In today's episode, Christina Shenvi MD, MBA, PhD gives insight and specific strategies for a nearly perfect shift. For complete and detailed show notes, visit our website If you're interested in 1 on 1 coaching, start here Guest Bio: Christina Shenvi MD, MBA, PhD is an emergency physician at the University of North Carolina, Chapel Hill. She is president of the Association of Professional Women and Medical Sciences, director of the UNC Office of Academic Excellence, and a world-class time management coach www.timeforyourlife.org. A selection of her previous Stimulus episodes includes Procrastination, Habits, and ‘Too Much on My Plate.' Registration is now open for the Flameproof Course. Scott Weingart and I are launching the FlameProof Course starting September 2023. This is a small cohort six-month course specifically for emergency and acute care clinicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more on the brand-spanking new website. Mentioned in this episode: The Quick and Dirty Guide to Calling Consults and My 4 Favorite Documentation Templates Zen Driving Be Water documentary We Discuss: How do you define a nearly perfect shift? What to do when you can't get something done or things don't go your way? Why do we experience frustration? The irony of power and powerlessness Point of care frustration reversal Even out your standard deviation and raise your mean Mental contrasting with implementation intentions What Bruce Lee can teach you about adaptability Identify the opposite outcome Change your own mind Minimaize vs maximize
How often do you walk into work hoping it will be a good day or at least not a bad one? What if it didn't matter what happened and the good/bad was entirely in your control? In today's episode, Christina Shenvi MD, MBA, PhD gives insight and specific strategies for a nearly perfect shift. For complete and detailed show notes, visit our website If you're interested in 1 on 1 coaching, start here Guest Bio: Christina Shenvi MD, MBA, PhD is an emergency physician at the University of North Carolina, Chapel Hill. She is president of the Association of Professional Women and Medical Sciences, director of the UNC Office of Academic Excellence, and a world-class time management coach www.timeforyourlife.org. A selection of her previous Stimulus episodes includes Procrastination, Habits, and ‘Too Much on My Plate.' Registration is now open for the Flameproof Course. Scott Weingart and I are launching the FlameProof Course starting September 2023. This is a small cohort six-month course specifically for emergency and acute care clinicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more on the brand-spanking new website. Mentioned in this episode: The Quick and Dirty Guide to Calling Consults and My 4 Favorite Documentation Templates Zen Driving Be Water documentary We Discuss: How do you define a nearly perfect shift? What to do when you can't get something done or things don't go your way? Why do we experience frustration? The irony of power and powerlessness Point of care frustration reversal Even out your standard deviation and raise your mean Mental contrasting with implementation intentions What Bruce Lee can teach you about adaptability Identify the opposite outcome Change your own mind Minimaize vs maximize
Part II of a joint conversation with Dr. Scott Weingart from EMCRIT.ORG on what it takes for individuals and teams to perform at elite levels under extreme pressure. (Probably a good idea to listen to Part I at EMCRIT.ORG first!)
We chat with Scott Weingart of Emcrit about the use of crash VA ECMO for the cardiac arrest patient. Check out the REANIMATE course here! Listen to the ED ECMO podcast on ECPR here Find us on Patreon here! Buy your merch here! Takeaway lessons
In this episode, we explore the 10% rule - the idea that in disagreement, the other person is at least 10% right. This is a tool for conflict abatement as well as resolution. Registration is now open for the Flameproof Course The big kahuna! After a year in the making, Scott Weingart and I are launching the FlameProof Course starting September 2023. This is a small cohort six-month course specifically for emergency and acute care clinicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more on the brand-spanking new website. Half day in person. Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Interested in one-on-one coaching? Learn more at roborman.com For full show notes visit our podcast page We discuss The sublime feeling of basking in our own rightness How to operationalize the 10% rule Don't lie and try to appease Yes vs No. And vs But. All the buts in your day The 10% Rule in real-time
In this episode, we explore the 10% rule - the idea that in disagreement, the other person is at least 10% right. This is a tool for conflict abatement as well as resolution. Registration is now open for the Flameproof Course The big kahuna! After a year in the making, Scott Weingart and I are launching the FlameProof Course starting September 2023. This is a small cohort six-month course specifically for emergency and acute care clinicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more on the brand-spanking new website. Half day in person. Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Interested in one-on-one coaching? Learn more at roborman.com For full show notes visit our podcast page We discuss The sublime feeling of basking in our own rightness How to operationalize the 10% rule Don't lie and try to appease Yes vs No. And vs But. All the buts in your day The 10% Rule in real-time
Transitions, by their nature, involve ambiguity and disorientation. It's important to recognize that this zone is a natural part of the process of growth and change. In this episode we break down the nature of the being in a transitional/liminal space, embracing it as an identity, and navigating it through small and tectonic changes. Registration is now open for the Flameproof Course The big kahuna! After a year in the making, Scott Weingart and I are launching the FlameProof Course starting September 2023. This is a small cohort six-month course specifically for emergency and acute care clinicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more at the Flameproof website. Half day in person. Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Mentioned in this episode: The Quick and Dirty Guide to Calling Consults https://roborman.com/free-resources/ Interested in one-on-one coaching? Learn more at roborman.com For full show notes visit our podcast page In this episode, we discuss: What is a liminal space? Situational awareness and the big picture Embracing a transitional identity Essential tools and strategies for navigating uncertainty
Transitions, by their nature, involve ambiguity and disorientation. It's important to recognize that this zone is a natural part of the process of growth and change. In this episode we break down the nature of the being in a transitional/liminal space, embracing it as an identity, and navigating it through small and tectonic changes. Registration is now open for the Flameproof Course The big kahuna! After a year in the making, Scott Weingart and I are launching the FlameProof Course starting September 2023. This is a small cohort six-month course specifically for emergency and acute care clinicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more at the Flameproof website. Half day in person. Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Mentioned in this episode: The Quick and Dirty Guide to Calling Consults https://roborman.com/free-resources/ Interested in one-on-one coaching? Learn more at roborman.com For full show notes visit our podcast page In this episode, we discuss: What is a liminal space? Situational awareness and the big picture Embracing a transitional identity Essential tools and strategies for navigating uncertainty
Hidden in plain sight is the most important procedure we do. Listening. And not just listening, but listening to understand. Measurable, improvable, and, when done well, can have an incredibly positive impact. Intention is key with listening: are we doing it to understand or to win? In this episode, we break down specific strategies for quality listening, potential pitfalls, and how to know when you've got it right. Guest bio: Lon Setnik MD is an Emergency Physician and Associate Director of Clinical Programs at the Center for Medical Simulation with expertise in communication Registration is now open for the FlameProof Course The big kahuna! A year in the making, Scott Weingart and I are launching the FlameProof Course starting in September 2023. This is a small cohort six-month course specifically for emergency and acute care physicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more on the brand-spanking new website. Half day in person. Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Our first-ever listener survey Your feedback helps us improve the quality of our podcast. We'd really appreciate it if you could spare a few minutes to answer this survey. In this episode, we discuss: The concept of listening as a procedure Two modes of listening: listening to understand and listening to win Specific tools for listening to understand Separating the problem from the person The external marker of quality listening Finding the optimized solution in patient interactions Negotiation strategies for success Active vs empathic listening How to stay present during conversation Interested in one-on-one coaching? Learn more at roborman.com For full shownotes visit our podcast page
Hidden in plain sight is the most important procedure we do. Listening. And not just listening, but listening to understand. Measurable, improvable, and, when done well, can have an incredibly positive impact. Intention is key with listening: are we doing it to understand or to win? In this episode, we break down specific strategies for quality listening, potential pitfalls, and how to know when you've got it right. Guest bio: Lon Setnik MD is an Emergency Physician and Associate Director of Clinical Programs at the Center for Medical Simulation with expertise in communication Registration is now open for the FlameProof Course The big kahuna! A year in the making, Scott Weingart and I are launching the FlameProof Course starting in September 2023. This is a small cohort six-month course specifically for emergency and acute care physicians that will build and strengthen tools for career longevity, strategies for well-being, life balance, and so much more. Learn more on the brand-spanking new website. Half day in person. Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Our first-ever listener survey Your feedback helps us improve the quality of our podcast. We'd really appreciate it if you could spare a few minutes to answer this survey. In this episode, we discuss: The concept of listening as a procedure Two modes of listening: listening to understand and listening to win Specific tools for listening to understand Separating the problem from the person The external marker of quality listening Finding the optimized solution in patient interactions Negotiation strategies for success Active vs empathic listening How to stay present during conversation Interested in one-on-one coaching? Learn more at roborman.com For full shownotes visit our podcast page
Have you ever wondered what it takes to reach the highest level of mastery?Are you a medical student looking for ways to achieve excellence in medical school or a physician wanting to become an expert in your field? If so, you're in luck! Join us as we explore a fascinating conversation with Dr. Jeff Riddell, a leading expert in medical education as he talks about strategies to develop any skill, how medical school curriculum is adapting, the importance of context and relationships for comprehension, and so much more. Mentioned in this episode: Scott Weingart and I are putting on the Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Guest bio: Dr. Jeff Riddell is an Assistant Professor of Clinical Emergency Medicine at the Keck School of Medicine of the University of Southern California. His research on digital technology in medical education has made him a sought-after teacher, speaker, and researcher. He has won numerous accolades and awards for his work in both teaching and research, including the 2019 CORD/EMF Emergency Medicine Education Research Grant and the 2019 Academy Scholar Award in the category of Education Research from the CORD Academy for Scholarship in Education in Emergency Medicine. For full show notes visit our podcast page We Discuss: Mastering Learning Mental Models of Expertise Evolving Medical Education Learning Retention from Podcasts Threaded Cognition - A Theory of Concurrent Multitasking Is There Gender Bias in Medical Education? Resident Burnout
Have you ever wondered what it takes to reach the highest level of mastery?Are you a medical student looking for ways to achieve excellence in medical school or a physician wanting to become an expert in your field? If so, you're in luck! Join us as we explore a fascinating conversation with Dr. Jeff Riddell, a leading expert in medical education as he talks about strategies to develop any skill, how medical school curriculum is adapting, the importance of context and relationships for comprehension, and so much more. Mentioned in this episode: Scott Weingart and I are putting on the Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. Guest bio: Dr. Jeff Riddell is an Assistant Professor of Clinical Emergency Medicine at the Keck School of Medicine of the University of Southern California. His research on digital technology in medical education has made him a sought-after teacher, speaker, and researcher. He has won numerous accolades and awards for his work in both teaching and research, including the 2019 CORD/EMF Emergency Medicine Education Research Grant and the 2019 Academy Scholar Award in the category of Education Research from the CORD Academy for Scholarship in Education in Emergency Medicine. For full show notes visit our podcast page We Discuss: Mastering Learning Mental Models of Expertise Evolving Medical Education Learning Retention from Podcasts Threaded Cognition - A Theory of Concurrent Multitasking Is There Gender Bias in Medical Education? Resident Burnout
Part of practicing medicine is telling patients NO. It's never fun to do so and it can be a draining daily task. It doesn't have to be that way! In this episode, we break down pitfalls and pearls in these situations as well as specific scripting to help the medicine go down. Mentioned in this episode: Scott Weingart and I are putting on the Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. (The Flameproof reg is halfway down the page) Interested in one-on-one coaching? Learn more at roborman.com For full show notes visit our podcast page We Discuss: What is the Spock Retreat? The scenario: a patient pushes for something that they think will help but will actually harm. A common response when we get pushback on our logic. You can't please all the people all of the time. When embracing our inner Spock is the right move. When embracing our inner Spock could be the wrong move. Introducing Bones McCoy. Why scripting is important. How to approach a situation that is frustrating and illogical. What do you want to avoid? How to say “no” in a positive way: The Yes, No, Yes framework, compliments of the Harvard Program on Negotiation. What does Yes, No, Yes sound like in real-time? A script for pushback. For full show notes visit our podcast page
Part of practicing medicine is telling patients NO. It's never fun to do so and it can be a draining daily task. It doesn't have to be that way! In this episode, we break down pitfalls and pearls in these situations as well as specific scripting to help the medicine go down. Mentioned in this episode: Scott Weingart and I are putting on the Flameproof: Shift KickAssery workshop on May 29, 2023, at the Cosmopolitan Hotel, Las Vegas. 9a-1p. Limited space (intentionally). This is a PreCon for Essentials of Emergency Medicine. Register Here. (The Flameproof reg is halfway down the page) Interested in one-on-one coaching? Learn more at roborman.com For full show notes visit our podcast page We Discuss: What is the Spock Retreat? The scenario: a patient pushes for something that they think will help but will actually harm. A common response when we get pushback on our logic. You can't please all the people all of the time. When embracing our inner Spock is the right move. When embracing our inner Spock could be the wrong move. Introducing Bones McCoy. Why scripting is important. How to approach a situation that is frustrating and illogical. What do you want to avoid? How to say “no” in a positive way: The Yes, No, Yes framework, compliments of the Harvard Program on Negotiation. What does Yes, No, Yes sound like in real-time? A script for pushback. For full show notes visit our podcast page
Upgrading your airway kit with a portable end tidal CO2 monitor can help in a couple situations. While it has its limitations, it is essential for quickly determining if your tube is in the trachea during an intubation. This can be accomplished most accurately via a device with a quantitative waveform such as the Emma Capnograph. If you can't get your hands on an Emma, the qualitative colormetric device that changes color when exposed to acid in the exhalations. False positives can occur due to other acids in the airway such as vomitus or even if the patient has recently had a carbonated beverage. While those are rare, you should be aware of the possibility. Having a visual indication of tube placement can be extremely helpful during loud transports such as on aircraft. Another time that ETCO2 monitoring is very useful is during CPR. There will likely be a very low reading despite high quality CPR. If the heart begins to beat spontaneously, you should see an immediate increase of the numbers on the display of your device. ETCO2 can also be used as a prognostic indicator. If the ETCO2 remains below 10mmHg for 20 mins of CPR this may indicate that the patient has a very poor prognosis. After you listen to our podcast, Check out Scott Weingart's EMCrit podcast on the subjects to hear his thoughts on this. ETCO2 is also useful the intubated TBI patient. Per our clinical practice guideline, ETCO2 in a patient with moderate to severe TBI should be kept between 35-40mmHg. In a patient with herniation, you can temporarily increase ventilators rate in order to vasoconstrict the blood vessels in the brain, thus reducing swelling. This can only be done for a short time because hyperventilation worsens cerebral ischemia. Also avoid hypoventilation (EtCO2 45mmHg or more) that will increase ICP. For more content, visit www.prolongedfieldcare.org
A very Happy Doctors' Day to you all! In this episode I discuss some salient points regarding the physiologically difficult airway. There are many physicians I know who are still not aware regarding this concept that can kill patients as soon as we try and save them. Also - EZECON is being organised in Kolkata from 16-17th July,22 and it is going to be an academic feast for the residents. So do register for it. The references for reading up more on the physiologically difficult airways are as follows - 1. Mosier JM, Joshi R, Hypes C, Pacheco G, Valenzuela T, Sakles JC. The Physiologically Difficult Airway. West J Emerg Med. 2015 Dec;16(7):1109-17. doi: 10.5811/westjem.2015.8.27467. Epub 2015 Dec 8. PMID: 26759664; PMCID: PMC4703154. 2. Weingart SD, Trueger NS, Wong N, Scofi J, Singh N, Rudolph SS. Delayed sequence intubation: a prospective observational study. Ann Emerg Med. 2015 Apr;65(4):349-55. doi: 10.1016/j.annemergmed.2014.09.025. Epub 2014 Oct 23. PMID: 25447559. 3. https://www.acepnow.com/article/crash-a-mnemonic-for-the-physiological-difficult-airway/ 4. Myatra SN, Divatia JV, Brewster DJ. The physiologically difficult airway: an emerging concept. Curr Opin Anaesthesiol. 2022 Apr 1;35(2):115-121. doi: 10.1097/ACO.0000000000001102. PMID: 35165233. 5. Cai SR, Sandhu MRS, Gruenbaum SE, Rosenblatt WH, Gruenbaum BF. Airway Management in an Anatomically and Physiologically Difficult Airway. Cureus. 2020 Sep 24;12(9):e10638. doi: 10.7759/cureus.10638. PMID: 33123451; PMCID: PMC7584327. 6. Kornas RL, Owyang CG, Sakles JC, Foley LJ, Mosier JM; Society for Airway Management's Special Projects Committee. Evaluation and Management of the Physiologically Difficult Airway: Consensus Recommendations From Society for Airway Management. Anesth Analg. 2021 Feb 1;132(2):395-405. doi: 10.1213/ANE.0000000000005233. PMID: 33060492. 7. Mosier, Jarrod M. “Physiologically Difficult Airway in Critically Ill Patients: Winning the Race between Haemoglobin Desaturation and Tracheal Intubation.” British Journal of Anaesthesia 125, no. 1 (July 2020): e1–4. https://doi.org/10.1016/j.bja.2019.12.001. 8. Scott Weingart, MD FCCM. EMCrit 325 – The Hypoxemic Difficult Airway and Preox Discussion with Jarrod Mosier. EMCrit Blog. Published on June 5, 2022. Accessed on June 30th 2022. Available at [https://emcrit.org/emcrit/hypoxemic-difficult-airway/ ]. 9. Salim Rezaie, "An Emergency Difficult Airway Predictor Would be From HEAVEN", REBEL EM blog, January 31, 2018. Available at: https://rebelem.com/emergency-difficult-airway-predictor-heaven/. 10. Salim Rezaie, "Critical Care Updates: Resuscitation Sequence Intubation – Hypotension Kills (Part 1 of 3)", REBEL EM blog, September 26, 2016. Available at: https://rebelem.com/critical-care-updates-resuscitation-sequence-intubation-hypotension-kills-part-1-of-3/. 11. Salim Rezaie, "Critical Care Updates: Resuscitation Sequence Intubation – pH Kills (Part 3 of 3)", REBEL EM blog, October 3, 2016. Available at: https://rebelem.com/critical-care-updates-resuscitation-sequence-intubation-ph-kills-part-3-of-3/.
In this first part of our 2-part series on Cardiac Arrest Controversies Rob Simard, Bourke Tillman, Sara Gray and Scott Weingart discuss with Anton how best to ensure high quality chest compressions, the pros and cons of mechanical CPR, the literature on dual sequential defibrillation and optimizing pad placement, epinephrine vs vasopressin, amiodarone vs lidocaine, when to consider IV calcium and sodium bicarbonate, esmolol, airway considerations, sedation in cardiac arrest, the pros and cons of end-tidal CO2 and more... The post Ep 169 Cardiac Arrest Controversies – Chest Compressions, Dual Defibrillation, Medications and Airway appeared first on Emergency Medicine Cases.
Habit change doesn't have to be grand, spectacular, or a massive shift all at once. In fact, it may be better to start small, tiny, you might say. In this episode, Scott Weingart and I break down the methodology from BJ Fogg's Tiny Habits and give real world examples as to how it works (and might not work). Tiny Habits was the selection for our most recent book club. We host these every few months and (free) tickets are available only to those on the mailing list. As you'll hear us talk about in this pod episode, the discussion amongst the community is by far the best part of the book clubs. Our next book will be The Art of Learning by Josh Watizkin. Interested in one-on-one coaching? Learn more at roborman.com To support the show - our Patreon site https://www.patreon.com/stimuluspod For full shownotes visit our podcast page We Discuss: A Tiny Habits success story [04:55]; Why it may be better for habits to start tiny [07:10]; The three step process of Tiny Habits begins with an ANCHOR MOMENT [08:05]; The second step is the NEW TINY BEHAVIOR [10:25]; The third step and most often neglected: INSTANT CELEBRATION [12:45]; Celebrations that are intrinsically rewarding resonate better from some people than those that are extrinsic [14:50]; Behavior swarm refers to using multiple specific behaviors that can help you achieve a big aspiration [18:50]; Why temptation linking can be remarkably effective [23:10]; The two things that make an action more likely to happen: motivation and the ease of doing it [26:00]; Scaling tiny habits to larger habits [30:00]; Atomic Habits by James Clear may be even more applicable to large behavioral change [32:35]; Willpower and behavioral change [35:20]; The psychological concept of streak perception [38:30]; Using a negative emotion as a prompt for behavioral change [40:00]; And more. This podcast streams free on iTunes, Spotify, and Stitcher. Follow Rob: Twitter, Facebook, and Youtube.
Habit change doesn't have to be grand, spectacular, or a massive shift all at once. In fact, it may be better to start small, tiny, you might say. In this episode, Scott Weingart and I break down the methodology from BJ Fogg's Tiny Habits and give real world examples as to how it works (and might not work). Tiny Habits was the selection for our most recent book club. We host these every few months and (free) tickets are available only to those on the mailing list. As you'll hear us talk about in this pod episode, the discussion amongst the community is by far the best part of the book clubs. Our next book will be The Art of Learning by Josh Watizkin. Interested in one-on-one coaching? Learn more at roborman.com To support the show - our Patreon site https://www.patreon.com/stimuluspod For full shownotes visit our podcast page We Discuss: A Tiny Habits success story [04:55]; Why it may be better for habits to start tiny [07:10]; The three step process of Tiny Habits begins with an ANCHOR MOMENT [08:05]; The second step is the NEW TINY BEHAVIOR [10:25]; The third step and most often neglected: INSTANT CELEBRATION [12:45]; Celebrations that are intrinsically rewarding resonate better from some people than those that are extrinsic [14:50]; Behavior swarm refers to using multiple specific behaviors that can help you achieve a big aspiration [18:50]; Why temptation linking can be remarkably effective [23:10]; The two things that make an action more likely to happen: motivation and the ease of doing it [26:00]; Scaling tiny habits to larger habits [30:00]; Atomic Habits by James Clear may be even more applicable to large behavioral change [32:35]; Willpower and behavioral change [35:20]; The psychological concept of streak perception [38:30]; Using a negative emotion as a prompt for behavioral change [40:00]; And more. This podcast streams free on iTunes, Spotify, and Stitcher. Follow Rob: Twitter, Facebook, and Youtube.
We live in a networked world. Online social networking platforms and the World Wide Web have changed how society thinks about connectivity. Because of the technological nature of such networks, their study has predominantly taken place within the domains of computer science and related scientific fields. But arts and humanities scholars are increasingly using the same kinds of visual and quantitative analysis to shed light on aspects of culture and society hitherto concealed. Written by Ruth Ahnert, Sebastian Ahnert, Nicole Coleman, and Scott Weingart, The Network Turn: Changing Perspectives in the Humanities (Cambridge UP, 2021) contends that networks are a category of study that cuts across traditional academic barriers, uniting diverse disciplines through a shared understanding of complexity in our world. Moreover, we are at a moment in time when it is crucial that arts and humanities scholars join the critique of how large-scale network data and advanced network analysis are being harnessed for the purposes of power, surveillance, and commercial gain. Ruth Ahnert is Professor of Literary History and Digital Humanities, Queen Mary University of London. Sebastian Ahnert is University Lecturer, Department of Chemical Engineering and Biotechnology, University of Cambridge. Nicole Coleman is Digital Research Architect, Stanford University Libraries. Scott Weingart is Director of the Navari Family Center for Digital Scholarship at the University of Notre Dame. Katie McDonough is Senior Research Associate, The Alan Turing Institute. Learn more about your ad choices. Visit megaphone.fm/adchoices
We live in a networked world. Online social networking platforms and the World Wide Web have changed how society thinks about connectivity. Because of the technological nature of such networks, their study has predominantly taken place within the domains of computer science and related scientific fields. But arts and humanities scholars are increasingly using the same kinds of visual and quantitative analysis to shed light on aspects of culture and society hitherto concealed. Written by Ruth Ahnert, Sebastian Ahnert, Nicole Coleman, and Scott Weingart, The Network Turn: Changing Perspectives in the Humanities (Cambridge UP, 2021) contends that networks are a category of study that cuts across traditional academic barriers, uniting diverse disciplines through a shared understanding of complexity in our world. Moreover, we are at a moment in time when it is crucial that arts and humanities scholars join the critique of how large-scale network data and advanced network analysis are being harnessed for the purposes of power, surveillance, and commercial gain. Ruth Ahnert is Professor of Literary History and Digital Humanities, Queen Mary University of London. Sebastian Ahnert is University Lecturer, Department of Chemical Engineering and Biotechnology, University of Cambridge. Nicole Coleman is Digital Research Architect, Stanford University Libraries. Scott Weingart is Director of the Navari Family Center for Digital Scholarship at the University of Notre Dame. Katie McDonough is Senior Research Associate, The Alan Turing Institute. Learn more about your ad choices. Visit megaphone.fm/adchoices
We live in a networked world. Online social networking platforms and the World Wide Web have changed how society thinks about connectivity. Because of the technological nature of such networks, their study has predominantly taken place within the domains of computer science and related scientific fields. But arts and humanities scholars are increasingly using the same kinds of visual and quantitative analysis to shed light on aspects of culture and society hitherto concealed. Written by Ruth Ahnert, Sebastian Ahnert, Nicole Coleman, and Scott Weingart, The Network Turn: Changing Perspectives in the Humanities (Cambridge UP, 2021) contends that networks are a category of study that cuts across traditional academic barriers, uniting diverse disciplines through a shared understanding of complexity in our world. Moreover, we are at a moment in time when it is crucial that arts and humanities scholars join the critique of how large-scale network data and advanced network analysis are being harnessed for the purposes of power, surveillance, and commercial gain. Ruth Ahnert is Professor of Literary History and Digital Humanities, Queen Mary University of London. Sebastian Ahnert is University Lecturer, Department of Chemical Engineering and Biotechnology, University of Cambridge. Nicole Coleman is Digital Research Architect, Stanford University Libraries. Scott Weingart is Director of the Navari Family Center for Digital Scholarship at the University of Notre Dame. Katie McDonough is Senior Research Associate, The Alan Turing Institute.
We live in a networked world. Online social networking platforms and the World Wide Web have changed how society thinks about connectivity. Because of the technological nature of such networks, their study has predominantly taken place within the domains of computer science and related scientific fields. But arts and humanities scholars are increasingly using the same kinds of visual and quantitative analysis to shed light on aspects of culture and society hitherto concealed. Written by Ruth Ahnert, Sebastian Ahnert, Nicole Coleman, and Scott Weingart, The Network Turn: Changing Perspectives in the Humanities (Cambridge UP, 2021) contends that networks are a category of study that cuts across traditional academic barriers, uniting diverse disciplines through a shared understanding of complexity in our world. Moreover, we are at a moment in time when it is crucial that arts and humanities scholars join the critique of how large-scale network data and advanced network analysis are being harnessed for the purposes of power, surveillance, and commercial gain. Ruth Ahnert is Professor of Literary History and Digital Humanities, Queen Mary University of London. Sebastian Ahnert is University Lecturer, Department of Chemical Engineering and Biotechnology, University of Cambridge. Nicole Coleman is Digital Research Architect, Stanford University Libraries. Scott Weingart is Director of the Navari Family Center for Digital Scholarship at the University of Notre Dame. Katie McDonough is Senior Research Associate, The Alan Turing Institute. Learn more about your ad choices. Visit megaphone.fm/adchoices
We live in a networked world. Online social networking platforms and the World Wide Web have changed how society thinks about connectivity. Because of the technological nature of such networks, their study has predominantly taken place within the domains of computer science and related scientific fields. But arts and humanities scholars are increasingly using the same kinds of visual and quantitative analysis to shed light on aspects of culture and society hitherto concealed. Written by Ruth Ahnert, Sebastian Ahnert, Nicole Coleman, and Scott Weingart, The Network Turn: Changing Perspectives in the Humanities (Cambridge UP, 2021) contends that networks are a category of study that cuts across traditional academic barriers, uniting diverse disciplines through a shared understanding of complexity in our world. Moreover, we are at a moment in time when it is crucial that arts and humanities scholars join the critique of how large-scale network data and advanced network analysis are being harnessed for the purposes of power, surveillance, and commercial gain. Ruth Ahnert is Professor of Literary History and Digital Humanities, Queen Mary University of London. Sebastian Ahnert is University Lecturer, Department of Chemical Engineering and Biotechnology, University of Cambridge. Nicole Coleman is Digital Research Architect, Stanford University Libraries. Scott Weingart is Director of the Navari Family Center for Digital Scholarship at the University of Notre Dame. Katie McDonough is Senior Research Associate, The Alan Turing Institute. Learn more about your ad choices. Visit megaphone.fm/adchoices
Upgrading your airway kit with a portable end tidal CO2 monitor can help in a couple situations. While it has its limitations, it is essential for quickly determining if your tube is in the trachea during an intubation. This can be accomplished most accurately via a device with a quantitative waveform such as the Emma Capnograph. If you can't get your hands on an Emma, the qualitative colormetric device that changes color when exposed to acid in the exhalations. False positives can occur due to other acids in the airway such as vomitus or even if the patient has recently had a carbonated beverage. While those are rare, you should be aware of the possibility. Having a visual indication of tube placement can be extremely helpful during loud transports such as on aircraft. Another time that ETCO2 monitoring is very useful is during CPR. There will likely be a very low reading despite high quality CPR. If the heart begins to beat spontaneously, you should see an immediate increase of the numbers on the display of your device. ETCO2 can also be used as a prognostic indicator. If the ETCO2 remains below 10mmHg for 20 mins of CPR this may indicate that the patient has a very poor prognosis. After you listen to our podcast, Check out Scott Weingart's EMCrit podcast on the subjects to hear his thoughts on this. ETCO2 is also useful the intubated TBI patient. Per our clinical practice guideline, ETCO2 in a patient with moderate to severe TBI should be kept between 35-40mmHg. In a patient with herniation, you can temporarily increase ventilators rate in order to vasoconstrict the blood vessels in the brain, thus reducing swelling. This can only be done for a short time because hyperventilation worsens cerebral ischemia. Also avoid hypoventilation (EtCO2 45mmHg or more) that will increase ICP. For more content, visit www.prolongedfieldcare.org
This week I had the pleasure of giving a virtual lecture for the Utah College of Emergency Physicians meeting, and I recorded it for your viewing pleasure! The RUSH exam (the version that I use) was invented by Scott Weingart a few years ago and is super useful in patients with undifferentiated hypotension. It stands for "Rapid Ultrasound in Shock and Hypotension". Check it out here! Make sure to check out my website, www.coreultrasound.com. If you're interested in some online courses, check out www.courses.coreultrasound.com.
A few months ago I had a wonderful conversation with Scott Weingart regarding the RUSH exam (which he invented) and the sonographic diagnosis of cardiac tamponade. If you'd like to hear Scotts 2019 update on the RUSH exam, click here. This week I'm cross-posting our interview where he asked me about how to diagnose this at the bedside. Check it out! If you're interested in an online ultrasound fellowship, check out the Ultrasound Leadership Academy
EM Cases Episode 83 - 5 Critical Care Controversies from SMACC Dublin: I had the great opportunity to gather some of the brightest minds in Emergency Medicine and Critical Care from around the world (Mark Forrest from U.K., Chris Nickson from Australia, Chris Hicks from Canada and Scott Weingart from U.S.) at the SMACC Dublin Conference and ask them about 5 Critical Care Controversies and concepts: How to best prepare your team for a resuscitation Optimum fluid management in sepsis Direct vs. video laryngoscopy as first line tool for endotracheal intubation Early vs. late trauma intubation Whether or not to attempt a thoracotomy in non-trauma centres The discussion that ensued was enlightening... The post Episode 83 – 5 Critical Care Controversies from SMACC Dublin appeared first on Emergency Medicine Cases.
Scott Weingart, an Emergency Department and Critical Care physician, hosts EMCrit, one of the most popular medical podcasts on the planet and is an internationally sought-after speaker. He is on the front line of an educational revolution and he joins us to discuss teaching, speaking, and engaging with learners at a brand new level.
In this Best Case Ever with Dr. Scott Weingart, the brains behind EMcrit.org, we hear the devastating story of a tracheostomy gone bad. Dr. Weingart shares with us what he has learned about how to manage massive hemoptysis in tracheostomy patients, and in particlar, a step-wise approach to managing a tracheo-innominate fistula. We discuss the balance between providing maximal aggrressive critical care while maintaining a deep respect for the risks associated with the procedures we perform. Recorded at North York General's EM Update Conference 2015. The post Best Case Ever 36 Tracheo-innominate Fistula appeared first on Emergency Medicine Cases.