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Latest Episodes:

EM Innovation Collaborative - An interview with Nicholas Stark, MD, MBA & Zaid Altawil, MD Jan 07, 2025

Show notes

In this episode, Sam Ashoo, MD interviews Nicholas Stark, MD, MBA & Zaid Altawil, MD about the Emergency Medicine Innovation Collaborative

1. Discussion on EMIC

- Overview of the collaborative

- Background and formation during the pandemic in late 2021

2. Growth of EMIC

- Expansion from three members to over 500

- Focus areas: Education, mentorship, opportunity

3. Achievements of EMIC

- Examples of innovations and initiatives born from EMIC

- Pitch event at ACEP annual conference and other engagements

4. Importance of Physicians in Innovation

- Internal and external factors

- Benefits of physicians leading innovation efforts in healthcare

5. Opportunities for Collaboration

- Engaging with healthcare startups and companies

- Expanding collaborations and growing the network

6. EMIC Fellowship

- Ideal candidates

- Application process and benefits

- Success stories and projects undertaken

7. Long-Term Vision for EMIC

- Goals for future growth and expansion

- Bridging gaps between industry and physicians for better patient care

8. Membership Details

- How to join EMIC

- Benefits of membership

For more about the EM Innovation Collaborative... https://www.eminnovationcollaborative.org/

Acute Mesenteric Ischemia Dec 17, 2024

Show notes

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the December 2024 Emergency Medicine Practice article, Diagnosis and Management of Acute Mesenteric Ischemia in the Emergency Department

Introduction to Acute Mesenteric Ischemia
Statistics on prevalence and mortality
Pathophysiology and EtiologyMesenteric artery embolism
Mesenteric artery thrombosis
Mesenteric venous thrombosis
Non-occlusive mesenteric ischemia
Diagnosis
Management and Treatment
Special Populations
Pediatric patients
Pregnant patients
Elderly patients

Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Low Back Pain Nov 15, 2024

Show notes

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the November 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Low Back Pain: A Review of Current Evidence

Prevalence and Importance of Back Pain in the ED
Differential Diagnosis and Serious Pathologies
Patient Expectations and Management Strategies
Missed Serious Pathologies and Their Implications
Conflicting Evidence and Treatment Protocols
Pathologies Causing Low Back Pain
Mechanical and Infectious Causes
Red Flags and Risk Factors
Pre-Hospital Care and EMS Considerations
History and Physical Examination
Laboratory Testing and Inflammatory Markers
Introduction to Imaging in Back Pain
Common Findings in Imaging
Choosing Wisely Campaign and Imaging Guidelines
Patient Expectations and Imaging
CT and MRI: When and Why
Ultrasound in Back Pain Diagnosis
Treatment Options for Back Pain
NSAIDs and Other Pharmacologic Treatments
Non-Pharmacologic Management
Risk Management and Pitfalls

Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Pediatric Scrotal Pain Oct 21, 2024

Show notes

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the October 2024 Pediatric Emergency Medicine Practice article, Emergency Department Management of Acute Scrotal Pain in Pediatric Patients

00:00 Welcome and Introduction
00:13 Free Subscription for Emergency Medicine Residents
01:05 Introduction to Pediatric Emergency Medicine Practice
01:37 Discussion on Acute Scrotal Pain
02:35 Testicular Torsion: Key Insights
09:50 Differential Diagnosis for Acute Scrotal Pain
17:21 Diagnostic Indicators of IgA Vasculitis
17:44 Pre-Hospital Care for Severe Pain
18:13 The Twist Score for Torsion
18:44 Emergency Department Evaluation
20:04 Ultrasound in Diagnosing Torsion
29:44 Operative Management and Other Conditions
31:41 Manual Detorsion Techniques
32:37 Risk Management and Key Takeaways
34:19 Conclusion and Final Thoughts

Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Navigating the IV Fluid Shortage - An Interview with Ryan Johnson, Pharm. D. Oct 11, 2024

Show notes

In this special episode Sam Ashoo, MD interviews Ryan Johnson, Pharm. D. who shares strategies to address the recent IV fluid shortage caused by Hurricane Helene.

00:00 Introduction and Episode Overview

01:10 Meet Ryan Johnson: Clinical Pharmacist

02:06 Role of Clinical Pharmacists in Emergency Medicine

05:03 IV Fluid Shortage: Causes and Impact

05:56 Institutional Strategies to Mitigate IV Fluid Shortages

14:52 Provider-Level Solutions for Fluid Conservation

22:11 Pharmacy and Nursing Staff Roles in Fluid Management

26:34 Advanced Measures and Federal Guidelines

34:40 Conclusion and Final Thoughts

Resources mentioned in the podcast:

(Brigham and Women's Protocol) Patiño, A. M., Marsh, R. H., Nilles, E. J., Baugh, C. W., Rouhani, S. A., & Kayden, S. (2018). Facing the shortage of IV fluids — a Hospital-Based Oral Rehydration strategy. New England Journal of Medicine, 378(16), 1475–1477. https://doi.org/10.1056/nejmp1801772
Vizient shares conservation strategies for potential IV fluid supply disruption caused by Hurricane Helene https://newsroom.vizientinc.com/en-US/releases/releases-vizient-shares-conservation-strategies-for-potential-iv-fluid-supply-disruption-caused-by-hurricane-helene

Chaos and Resilience: Surviving a Hurricane in Asheville, NC Oct 07, 2024

Show notes

In this episode, Dr. Julia Draper shares her firsthand account of managing a crisis during a hurricane in Asheville, North Carolina. As the area faced unprecedented flooding, Dr. Draper describes the challenges faced at Mission Hospital, including loss of power and water. She details the innovative solutions the hospital implemented and highlights the tireless efforts of staff during a natural disaster of this magnitude.

00:00 Introduction to Dr. Julia Draper

01:03 Experiencing the Hurricane

03:19 Immediate Aftermath and Hospital Challenges

11:22 Dealing with Water and Supply Shortages

20:48 Community and External Support

24:10 Ongoing Efforts and Future Plans

27:51 Conclusion and Final Thoughts

Maladaptive Perfectionism with Rob Orman, MD Sep 29, 2024

Show notes

In this special episode, Sam Ashoo MD and Rob Orman MD discuss the concept of Maladaptive Perfectionism and its application to emergency medicine.

Understanding Maladaptive Perfectionism
Case Example and Discussion
Adaptive vs Maladaptive Perfectionism
Personal Experiences and Legal Challenges
Dealing with Negative Outcomes
Strategies for Managing Perfectionism in the ED
Handling Overwhelming Shifts
Managing Expectations in the ED
A Soul-Crushing Day in the ED
Finding Meaning in Moments of Crisis
The Importance of Meaningful Work
Operationalizing Meaning in Your Shift
The Driveway Debrief: Transitioning from Work to Home
Preparing for the Next Shift
Conclusion and Next Episode Teaser

For more from Rob Orman, MD check out Orman Physician Coaching

Elder Abuse and Neglect Sep 13, 2024

Show notes

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the September 2024 Emergency Medicine Practice article, Elder Abuse and Neglect: Making the Diagnosis and Devising a Treatment Plan in the Emergency Department

Introduction and Announcements
Elder Abuse and Neglect: An Overview
Risk Factors and Reporting
Pre-Hospital and Emergency Department Considerations
Screening Tools and Physical Examination
Documentation and Disposition
Cultural Considerations and Future Directions
Conclusion and Resources

Suspected Elder Abuse should be reported to one of these organizations:

ADULT PROTECTIVE SERVICES - Living at home
LONG-TERM CARE OMBUDSMAN - Living in a long term care facility

Physicians on Social Media Aug 29, 2024

Show notes

In this episode, Sam Ashoo, MD interviews social media marketing expert Adam Goodcoff, DO, Founder and CEO of MedFluencers.

Meet Dr. Adam Goodcoff
The Role of Physicians on Social Media
Legal Considerations for Physicians on Social Media
Employer Policies and Social Media
Creating Engaging Content
Balancing Professionalism and Personal Life on Social Media
Navigating Negative Comments and Trolls
Handling Low Engagement and Negative Feedback
Becoming a Medfluencer: Tips and Strategies
Connecting with Adam and Final Thoughts

Sickle Cell Disease in the ED Aug 14, 2024

Show notes

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the August 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Sickle Cell Disease

Epidemiology