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    Science

    EM LOGIC

    The EM Logic Podcast was born of 20 years of observation that errors in medicine often occur not because of limited knowledge or being unaware of the latest literature but because the provider was on autopilot or failed to use basic logic in decision-making.

    EM Logic is meant to compliment but never replace what health care providers learn in medical school, residency, and the evidence-based literature. It is meant to get you thinking rather than just following management algorithms you have learned during your career.

    Dr. Pregerson will focus on the pitfalls of confusing cause with coincidence, being falsely reassured by normal tests, and getting burned by illogical assumptions. He hopes it will improve the care you provide and your patients’ outcomes, and keep you from being an honored guest at your department’s next peer review meeting.

    Dr. Pregerson has been practicing emergency medicine since 2000, lecturing and writing about medical topics since 2004, and has reviewed more than 180 malpractice cases since 2008. He is the author of three EM pocket references, the creator of EMresource.org and EM1minuteconsult.com, and the author of the EMN column BradyCardia (http://bit.ly/BradyCardiaEMN.

    If you would like to be considered as a guest on a future episode, contact Dr. Pregerson at Safetydoc@gmail.com.

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    Latest Episodes:
    EM Logic Episode #38: Resuscitation Before Intubation Logic Apr 30, 2025
    Show notes

    In Episode #38 of EM Logic, Dr. Pregerson reviews what you can do before intubation in order to prevent triggering a subsequent cardiac arrest. Read more details here in the Show Notes.


    EM Logic Episode #37: Hyperacute T-Wave Logic Mar 31, 2025
    Show notes

    In Episode #37 of EM Logic, Dr. Pregerson discusses a paper by Dr. Stephen W. Smith on hyperacute T-waves. STEMI misses 30% to 40% of acute coronary occlusions that would benefit from emergent revascularization. Read more details here in the Show Notes.


    March 2025 Episode #36: SVT Logic Feb 28, 2025
    Show notes

    In Episode #36 of EM Logic, Dr. Pregerson reviews the literature and finds on the role of troponin testing in patients with supraventricular tachycardia. SVT conversion and the reasons why diltiazem is better than adenosine is also discussed. Read more details in the Show Notes.


    January 2025: Vital Signs Logic Dec 31, 2024
    Show notes

    Dr. Pregerson says vital signs are not just normal or abnormal but a continuum. The closer to abnormal they are, the more concerning they should be, of course, but there's still more to learn in this month's podcast. Read more in the Show Notes.


    December 2024: Diagnostic Momentum Logic Nov 27, 2024
    Show notes

    As the literature says, you can't diagnose cyclic vomiting syndrome until you rule out Dietl's crisis. Dr. Pregerson discusses recurrent abdominal pain, which is often diagnosed as CVS, IBS, or abdominal migraine, but notes that Dietl's crisis may present similarly. Read more in the Show Notes.


    November 2024: Literature Logic Oct 31, 2024
    Show notes

    Knowing how to interpret the literature is an important part of how emergency physicians stay up to date. Dr. Pregerson discusses all kinds of biases, from comparison bias and the Hawthorne effect to outcome bias and publication bias, only in this month's podcast. Read more in the Show Notes.

    Note from Dr. Pregerson: Thanks to Jerome Hoffman, MD, a giant in emergency medicine and a professor emeritus at the UCLA School of Medicine, for reviewing this topic with me.


    October 2024: Triage ECG Logic Sep 30, 2024
    Show notes

    Dr. Pregerson talks all about the guidelines for reading ECGs, how to minimize interruptions while you're reading them, and ways to build your skills, only in this month's podcast. Read more in the Show Notes.


    September 2024: Aortic Dissection Logic Aug 30, 2024
    Show notes

    Dr. Pregerson with how to use ultrasound to diagnose aortic dissection and not miss pericardial effusion, ascending aorta, and dissection flap, only in this month's podcast. Read more in the Show Notes.


    August 2024: Abdominal Pain Logic Jul 31, 2024
    Show notes

    Dr. Pregerson tells you the red flags to look for in patients with abdominal pain, green flags that say you're on the right track, and return precautions to give the patient, only in this month's podcast. Read more in the Show Notes


    July 2024: Delta Troponin Logic Jun 28, 2024
    Show notes

    Dr. Pregerson reviews the ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain by focusing on high-sensitivity troponin, delta troponin, unstable angina, renal failure, and baseline troponin, only in this month's podcast. Read more in the Show Notes.


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