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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:
    September 2023: CT Contrast Logic Aug 31, 2023
    Show notes

    Dr. Pregerson tells you all you need to know about using CT contrast in the ED. Read more in the Show Notes.


    August 2023: Viral Infection Logic Aug 03, 2023
    Show notes

    Dr. Pregerson says EPs have to think like detectives for cases that don't fit the typical pattern of viral illness and must think more logically about these infections. Read more in the Show Notes.


    July 2023: Urinalysis Logic Jun 30, 2023
    Show notes

    Urinalysis can be a ship for fools, Dr. Pregerson says in this month's podcast where he explains why you need logic not to miss true UTIs. Read more in the Show Notes.


    June 2023: Pain Medicine Logic May 31, 2023
    Show notes

    Pain medications make patients feel better and want to go home, but Dr. Pregerson says don't send them home with more medication unless a definitive diagnosis was made because they may not come back if the medication masks that their condition has gotten worse. Read more in the Show Notes.


    MAY 2023: Aortic Dissection Logic May 01, 2023
    Show notes

    Dr. Pregerson logically dissects an aortic dissection, answering when to consider a chest CT, where to take the blood pressure, and when to do a pericardiocentesis, this month with bonus video! (https://bit.ly/EMNVideoGallery.) Read more in the Show Notes.


    April 2023: Intubation Logic Mar 31, 2023
    Show notes

    Dr. Pregerson asks—and answers—the important questions about intubation: Why is it important to synchronize a bag-valve-mask ventilation with the patient's breathing? Why is upright intubation better? Why you should use the SALAD technique, and what are the benefits of ketamine? Read more in the Show Notes.


    March 2023: Hemoptysis Logic Mar 01, 2023
    Show notes

    Dr. Pregerson delves into minor and serious cases of hemoptysis, how to treat these patients, and why positioning is so critical. Read more in the Show Notes.


    February 2023: Leaving Against Medical Advice Jan 31, 2023
    Show notes

    Dr. Pregerson explains why it's important to find out why patients want to leave AMA because that might help you change their mind. Either way, chart what patient says and your response and listen to his other tips for handling these discharges. Read more in the Show Notes.


    January 2023: Lab Values, Part Dec 30, 2022
    Show notes

    Dr. Pregerson explains why troponin will sometimes be falsely negative early in an occlusion MI when the benefit of intervention is highest, how a urinalysis can lead you astray, and why some EMRs don't flag abnormally high bands. Listen in to hear all about these intriguing topics and read more in the Show Notes.


    December 2022: Lab Values, Part 1 Nov 30, 2022
    Show notes

    Lab values aren't just lab values, and there's a logic to understanding how to interpret them. Listen in to hear all about this fascinating topic and read more in the Show Notes.


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