EMplify by EB Medicine

Latest Episodes:

Postthrombolysis Intracranal Hemorrhage Aug 24, 2026

Show notes

In this episode, Sam Ashoo, MD and Dr. Syeda Maria Muzammil, MD discuss the August 2026 Emergency Medicine Practice article, Emergency Department Management of Postthrombolysis Intracranial Hemorrhage.

0:25 – Intro & sponsor message
1:18 – Guest introduction: Dr. Maria Muzammil
2:24 – Timeframe for post-thrombolysis hemorrhage & ED/ICU boarding considerations
4:46 – Thrombolysis eligibility criteria & contraindications
5:46 – Incidence rates & symptomatic vs. asymptomatic hemorrhage
7:09 – Pathophysiology & risk factors for post-thrombolytic ICH
10:18 – Combining IV thrombolysis with endovascular thrombectomy
12:33 – Post-treatment monitoring protocols & neurological exam frequency
15:02 – Differentiating hemorrhage from other causes of neurological decline
18:34 – Initial ED steps
20:35 – Heidelberg classification of hemorrhage types
21:60 – Follow-up imaging
25:27 – Treatment of confirmed hemorrhage
30:10 – Platelet transfusion guidance
32:39 – Delayed hemorrhage & treatment timing considerations
34:21 – Blood pressure management goals post-hemorrhage
37:20 – Special populations
38:48 – Summary of ED management algorithm
40:48 – Closing remarks

Subscribers, take the CME test here.

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

Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Jul 30, 2026

Show notes

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the July 2026 Emergency Medicine Practice article, Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: Diagnosis and Management in the Emergency Department.

0:17 – Intro & sponsor promo
1:09 – Episode introduction
4:03 – Definitions: SJS vs. TEN vs. "overlap" by body surface area
6:12 – Pathophysiology
9:52 – Incidence and rarity of the disease
10:53 – Differential diagnosis & clinical presentation clues
12:08 – Prehospital care & fluid resuscitation considerations
13:47 – ED history-taking: medications, infections, rash progression
14:47 – Physical exam findings
16:46 – Diagnostic studies
18:12 – Scoring systems: SCORTEN and ABCD-10
20:50 – Treatment goals
23:57 – Wound care principles
24:43 – Mechanical ventilation risk factors
26:02 – Other possible therapies
27:50 – Specialty consults & special populations
29:06 – Ophthalmologic treatment
31:17 – HIV patients and elevated risk
31:55 – Emerging therapies & AI-based diagnostic tools
32:57 – Five key clinical takeaways
34:37 – Closing remarks & sponsor sign-off

Subscribers, take the CME test here.

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

Heat Stroke and Other Heat-Related Illness Jun 26, 2026

Show notes

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the June 2026 Emergency Medicine Practice article, Diagnosis and Management of Heat Stroke and Other Heat-Related Illness in the Emergency Department

0:21 Intro & Promo
0:56 Episode Introduction
3:14 Spectrum of Heat-Related Illnesses
7:37 Differential Diagnosis
8:58 Pre-Hospital Management
11:54 Exertional Heat Stroke
13:50 Non-Exertional Heat Stroke
15:40 ED Evaluation
21:54 ED Treatment
27:15 Managing Complications
29:33 Special Populations
30:58 Disposition & J-ERATO Score
33:12 Risk Management Pearls
36:56 Wrap-Up & Promo

Subscribers, take the CME test here.

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

Febrile Travelers May 27, 2026

Show notes

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the May 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Serious and High-Risk Infections in the Febrile Returning Traveler.

0:16 — Podcast Introduction
1:08 — Episode Introduction
7:30 — Malaria
13:55 — Dengue
17:33 — Enteric Fever (Typhoid/Paratyphoid)
20:53 — Leptospirosis
22:43 — Clinical Presentations
26:33 — Diagnostic Testing
33:17 — Treatment
38:59 — Special Populations & Risk Pitfalls
43:05 — Closing Pearls & Outro

Subscribers, take the CME test here.

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

Wide Complex Tachycardia Apr 27, 2026

Show notes

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the April 2026 Emergency Medicine Practice article, Wide Complex Tachycardia in the Emergency Department: An Updated Approach to Diagnosis and Management.

Introduction – 0:11
Article Overview – 2:02
Top 5 Bedside Steps – 7:54
Sodium Channel Blockade – 9:26
Hyperkalemia – 11:53
SVT with Aberrancy – 12:47
WPW & Accessory Pathway – 13:34
AFib with Accessory Pathway – 14:09
Monomorphic VT – 19:01
Polymorphic VT / Torsades – 20:08
Bidirectional VT – 21:29
Pacemaker-Mediated Tachycardia – 22:30
Pre-Hospital Considerations – 24:52
Stable vs. Unstable Assessment – 27:58
Diagnostic Studies – 29:42
Treatment – 38:00
Risk Management Pitfalls – 44:49
Wrap-Up – 49:44

Subscribers, take the CME test here.

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

Medical AI with Jack Teitel Apr 10, 2026

Show notes

In this episode, Sam Ashoo, MD interviews Jack Teitel on the topic of AI in medicine.

Introduction & Welcome — 0:17
Jack's Background in Healthcare AI — 0:58
Brief History of AI — 3:57
The "Perfect Storm" That Created Modern AI — 5:48
From General to Specialized: Fine-Tuning AI for Medicine — 7:04
LLM Confidence & the Sycophancy Problem — 13:01
The Benchmark Problem — 14:25
Building Your Own Personal AI Benchmark — 17:44
Can You "Turn Off" AI Sycophancy? — 20:00
RAG Systems & How Specialty AI Tools Work — 22:09
Choosing the Right AI Tool for Clinical Use — 26:18
Why 95% of AI Pilots Fail in Deployment— 28:10
How to Ask AI Questions Well (Prompt Quality) — 31:25
Knowledge Base Currency & Sam's Drug Withdrawal Test — 35:06
Closing & Contact Info — 37:12

For more about Jack Teitel - Title-AI.com Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Severe Traumatic Brain Injury with Dr. Dana Klavansky Mar 13, 2026

Show notes

In this episode, Sam Ashoo, MD and Dr. Dana Klavansky, MD discuss the March 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Severe Traumatic Brain Injury

Introduction & Welcome (0:15)
Guest Introduction (0:55)
Epidemiology of Severe TBI (2:37)
Pathophysiology: Primary vs. Secondary TBI (4:24)
Types of Hemorrhage and Hematomas (5:25)
Classification (7:31)
Mild vs. Moderate vs. Severe TBI
Impact Loading vs. Inertial Loading
Differential Diagnosis (9:22)
Prehospital Care (9:42)
Emergency Department History (13:33)
Diagnostics (15:13)
CT Scan and the A-B-B-B-C Approach
Repeat CT Timing
Bedside Ultrasound for Optic Nerve Sheath Diameter
Pupillometry
Biomarkers
Treatment (24:52)
Airway Management
Ventilation and CO2 Targets
Hyperosmolar Therapy: Hypertonic Saline and Mannitol
Cerebral Perfusion Pressure
Blood Pressure Goals
Temperature Management
Coagulopathy Management
Seizure Prophylaxis and EEG Monitoring
Tiered ICP Management (35:29)
Surgical Indications (38:40)
Prognosis (40:33)
Special Topics (41:30)
Sports Injuries and CTE
Tranexamic Acid (CRASH-3 Trial)
Wrap-Up (43:46)

Subscribers, take the CME test here.

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

Acute Coronary Occlusion Feb 28, 2026

Show notes

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Acute Coronary Occlusion

00:00 - Introduction & Welcome

01:21 - Episode Overview: Acute Coronary Occlusion

02:06 - Why This Topic Matters: Statistics & New Guidelines

03:35 - Nomenclature: ACO vs STEMI/NSTEMI

06:15 - Differential Diagnosis for STEMI

07:41 - Pre-Hospital Care & EMS Role

11:37 - Patient History & Presenting Symptoms

12:28 - Physical Examination Findings

14:54 - EKG: The Most Important Test

17:00 - STEMI Definition & Criteria

20:32 - STEMI Equivalents: Scarbosa Criteria

22:40 - Smith Modified Scarbosa Criteria

24:10 - Hyperacute T Waves

25:30 - Posterior STEMI

28:40 - De Winter Sign

29:38 - Non-STEMI EKG Findings

31:30 - AVR ST Elevation

32:47 - Wellens Syndrome

33:54 - Reciprocal ST Segment Changes

36:15 - Inferior MI Patterns

37:54 - Laboratory Testing

39:51 - Imaging: Chest X-Ray & Echocardiography

42:25 - Supplemental Oxygen: What the Evidence Shows

44:50 - Analgesia & Pain Management

46:35 - Pharmacotherapy: Aspirin & Antiplatelet Agents

49:18 - Reperfusion Therapies & Thrombolytics

53:05 - Cardiac Arrest in STEMI Patients

53:55 - Closing Remarks & CME Information

Subscribers, take the CME test here.Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Being A Pre-Litigation Expert with Jeff Willis, MD Feb 11, 2026

Show notes

In this episode, Sam Ashoo, MD interviews Jeff Willis, MD on the topic of pre-litigation review, being a medical expert, and common pitfalls leading to medical malpractice cases.

0:15 Introduction
0:51 Guest Introduction
1:20 Jeff's Background
2:00 Current Work
3:37 How He Got Started
6:57 Pre-Litigation vs. Expert Witness
8:01 Four Components of Malpractice Cases
13:55 Case Review Statistics
17:11 When Cases Get Filed
18:58 Common Patterns in Cases
19:55 Documentation Best Practices
22:06 Shift Handoff Problems
25:56 Bounce Backs
27:25 Medical Record Volume
30:00 Audit Trails
32:53 Communication with Consultants
41:35 Conflicting Documentation
43:46 Getting Started in This Work
47:37 Closing

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

Syphilis: The Great Masquerader Jan 30, 2026

Show notes

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the Januray 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Patients With Syphilis

Syphilis cases have surged 42% in the US, making it critical for emergency physicians to recognize and treat this "great masquerader." In this episode, hosts Sam Ashoo and Dr. T.R. Eckler break down the January 2026 Emergency Medicine Practice article on syphilis diagnosis and management. They cover the rising prevalence in high-risk populations, the four clinical stages (primary, secondary, latent, and tertiary), special presentations like neurosyphilis and congenital syphilis, and practical diagnostic approaches. With a national penicillin shortage, they discuss alternative treatment options including doxycycline and post-exposure prophylaxis. The conversation also addresses the dark history of the Tuskegee Study and its lasting impact on medical ethics. Whether you're seeing more cases in your ED or want to sharpen your diagnostic skills, this episode provides actionable insights for frontline providers.

Timestamps

[0:00] Opening/Introduction

[0:11] Host Welcome & Resources

[0:50] Episode Introduction

[1:30] Epidemiology & Rising Cases

[4:30] Risk Factors & Screening

[6:30] Pathophysiology & Transmission

[9:30] Primary Syphilis

[12:30] Secondary Syphilis

[15:30] Tertiary & Latent Syphilis

[18:30] Neurosyphilis

[22:30] Congenital Syphilis