EMRA*Cast - TopPodcast.com

Weight Loss Drugs: What Do We Need to Know? Nov 01, 2024

We're seeing a LOT more medications like Ozempic in the emergency department nowadays. In fact, 12% of U.S. adults have used a GLP-1 drug! So, what do we need to know about these drugs? Dr. Megan Boysen Osborn, Professor of Emergency Medicine at the University of California Irvine, discusses these GLP-1 agonists with host Maiya Smith.

Transition to Attending-hood Oct 18, 2024

The transition from being a resident to an attending may be daunting for some.

But have no fear, EMRA*Cast host Lizzii Le sits down with Gus Garmel, an Adjunct Clinical Professor of EM at Stanford University, author of multiple books on clinical education, to discuss this topic.

Views from Program Leadership Oct 15, 2024

Students navigating the ERAS Application Cycle - or any residency application process - face a lot of stress and anxiety. Knowing the answer to every possible question is difficult, but having individuals with expertise in your corner is beneficial. Dr. Arlene Chung, current Vice Chair of Academic Affairs at the University of Vermont and previous Program Director at Maimonides Medical Center, joins host D’Monte Farley to provide valuable insight and helpful strategies to assist students while undergoing residency application season.

Navigating Leadership in Emergency Medicine Oct 04, 2024

Being a leader in emergency medicine, whether in the department or on the administrative side, is easier said than done. So, what are the skills a good leader should have, and what practices should they absolutely avoid?

In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine physician Dr. Azita Hamedani (@ahamedani) as she discusses her own journey as founding chair of an emergency department and shares wisdom on how to develop and grow as a leader within EM.

Acetaminophen Overdose: Updated Guidance Sep 15, 2024

Acetaminophen is widely available over the counter in the United States, increasing the risk of overdose (both acute and chronic). Several factors contribute to the complexity of managing this tricky condition in the emergency department, but until recently, there has been no true standardized approach. Guidance issued in 2023 aims to establish a helpful framework for managing acetaminophen overdose.

EMRA*Cast host Kyle Duke, MD, breaks it down with EMRA Toxicology Committee Chair Mason Jackson, MD.

When Patients Be Fibbin’ Sep 04, 2024

Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it’s even safe to treat. In this episode, Ray Isenburg and host Will Smith discuss the basics of AFib, how to treat it (both chemically and/or electrically), when is it safe to treat, and how to determine if this is something worth treating or if there is other pathology occurring that, once resolved, will resolve the heart rhythm.

The Dead Gut Aug 15, 2024

Some pathologies are true can’t-miss diagnoses. Get into one such condition with EMRA*Cast host Will Smith, MD, and EM guru Matthew DeLaney, MD. In this episode you will learn a very simple and comprehensive workup for mesenteric ischemia.

Pharmacy Pearls with Mike Perza Aug 01, 2024

Let’s hear it for the pharmacists who make every emergency medicine shift easier and safer. EMRA*Cast host Dustin Slagle, MD, picks up some pearls from Mike Perza, PharmD, BCPS.

Calm in Chaos: Managing Stress and Leading Resuscitations Jul 15, 2024

A patient isn't breathing, 8 people are talking at once, alarms are alarming, and you have a whole roster of concerns and options running through your mind. How do you control your reaction, prioritize your response, and step up as a leader for your team and your patient?

The Art of Managing Non-Physician Providers Jul 01, 2024

Physician-led health care teams are a gold standard in emergency medicine. There’s an art to learning how to lead that team, especially in today’s climate. EMRA*Cast host Masood Mohammed, DO, MS, FAAEM, dives into the details with physician/attorney/national leader Ricky Dhaliwal, MD, JD.

Managing the Crashing Intubated Patient Jun 15, 2024

Let’s talk about the crashing intubated patient. What’s your strategy? What if the nearest ICU requires transport? EM/intensivist Andrew Phillips gives EMRA*Cast host Kyle Duke some high-yield tips that you’ll want to hear, too.

Contract Negotiations: How to Negotiate Like a Boss! Jun 01, 2024

EMRA*Cast host Chris Reilly, MD, and NYU Grossman School of Medicine's Stacey Frisch, MD, MS-HPED, discuss effective strategies and key considerations for EM physicians during contract negotiations, with insights on preparation, priorities, and potential pitfalls.

OMI Don't Ya NOMI May 16, 2024

How many EKGs does an emergency doctor interpret per shift? How many seconds of undivided attention can be devoted to those readings? Let's go over 7 key findings you can't miss for occlusive myocardial infarctions, with EMRA*Cast host Will Smith, MD, and emergency physician Domenico Mastandrea, DO, of Nuvance Health.

Cue the Sirens: All About EMS May 10, 2024

Doctors deal with EMS providers on the daily, but do we really understand their world? Dr. Lizzii Le chats with Dr. Kelly Tillotson and Dr. Luke Wohlford, who worked as EMS providers before becoming emergency physicians, to give us a deeper dive into what exactly goes into the field.

Prepare for trouble - and make it double! May 01, 2024

EMRA*Cast host Dustin Slagle, MD, and NYU critical care cardiology fellow James Ciancarelli, DO, revisit the topic of a prior episode – dual synchronous defibrillation – to further explore the theory, logistics, evidence, and indications for its use.

A Conversation with Rep. Yadira Caraveo, MD Apr 18, 2024

As the first Latina physician in the United States Congress, Rep. Yadira Caraveo, MD, brings a unique voice to policymaking. Dr. Caraveo tells former EMRA President Jessica Adkins Murphy about how she decided to run for office, what she hopes to achieve, and how every doctor can impact patient care through advocacy.

Seizure Management Apr 15, 2024

Seizures are part of the bread and butter in emergency medicine. Most of the time when these patients arrive in the ED, the seizing has stopped and there isn’t much else for us to do. But in the cases where they seizures don’t stop or when the patient has multiple seizures, do you know what meds to give and how much? How about second line? Third? Perhaps, even fourth line? In this episode Dr. Rod Fontenette goes over the latest in seizure management when ﬁrst line benzos don’t work, the appropriate dosing of those meds, and what to do in certain patient populations.

Managing the Crashing Tox Patient Apr 01, 2024

A crashing tox patient poses one of the most unique and challenging cases we face in the emergency department. Do you know all the tricks of the trade when it comes to managing them?

In this episode, host Dr. Masood Mohammed (@DocMooseEM and MedSchoolMoose) sits down with toxicology expert Dr. Gillian Beauchamp (EMRA and ACMT Medical Toxicology Guide senior editor) to break down some of the key points when it comes to navigating the unstable tox patient.

End of Life: Palliative Care in the ED Mar 16, 2024

Palliative care can be difficult and confusing. How do we care for those at the end of their life, and how can we also care for their families? Today we discuss the conversational and medical sides of palliative care medicine with EMRA*Cast host Kyle Duke, MD, and Carrie Harvey, MD, an EM/intensivist at the University of Michigan.

Social Media in Medicine with Dr. Adam Goodcoff Mar 01, 2024

In this episode, Dr. Chris Reilly and Dr. Lizzii Le co-host an interview with Dr. Adam Goodcoff to discuss the impact of social media in medical education. The conversation covers authenticity, transparency, professionalism, and the potential for social media to revolutionize medical education.

Ortho Stuff - Just the Tips - EMRA*Cast Feb 17, 2024

Orthopedic injuries might seem more straightforward than your average undifferentiated weak-and-dizzy presentation in the emergency department. But don't be fooled! Learn some key sports medicine tips from Washington Capitals physician Landon Mueller, MD, and EMRA*Cast's Will Smith, MD.

Experience Is Simply the Name We Give Our Mistakes Feb 01, 2024

Medical errors are an unfortunate, but nearly unavoidable, part of medical training and practice. The key is knowing how to turn an honest mistake into wisdom. EM educators Laura Welsh, MD, and Ivan Zvonar, MD, have some tips you can put into practice today. Join EMRA*Cast hosts Dustin Slagle, MD, and Lizzii Le, MD, for this conversation.

Storytelling in Medicine Jan 15, 2024

Since the beginning of time, storytelling is how we would pass along information and learn new things. So why are doctors bad at it? EMRA*Cast host Kyle Duke, MD, joins Avir Mitra, MD, an EM doc who also has created stories for Vice, NPR, Radiolab, and more. We talk about what makes a good story and why storytelling is still relevant in medicine.

Nailing the ED Neuro Exam Jan 01, 2024

Performing a good neuro exam is arguably one of the trickiest areas of emergency medicine, but it’s need-to-know and doesn’t have to be such a headache! In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine physician Dr. Rahul Bhat (@bhatgtown of @GtownEM) to discuss how to perform a higher quality neuro exam on your next shift.

On Being Pregnant During Residency Dec 31, 2023

The culture of medical training historically has not supported an easy pregnancy experience. But is that culture changing? CAN you start your family before you finish residency? EMRA*Cast host Lizzii Le, MD, talks to Melissa Nelson-Perron, MD, and Paige Reinfeld, DO, of Nuvance Health about the changing way the program approaches residents who are pregnant or planning family during training.

A Sit-Down with Mark Cuban Dec 11, 2023

When Mark Cuban realized the "rebates" he was getting from his companies' PBM were actually paid for by his sickest employees, he couldn't opt out of the broken system fast enough. Now Mark Cuban Cost Plus Drug Co. is changing the game. What's next? And how can emergency medicine be part of this revolution? Find out with EMRA*Cast and EM Over Easy.

“Live to Giver” Mentality with Dr. Anthony Mazzarelli Dec 01, 2023

In this conversation with Dr. Anthony Mazarelli, co-author of “Wonder Drug: 7 Scientifically Proven Ways That Serving Others Is the Best Medicine For Yourself,” EMRACast host Dr. Chris Reilly dives deep into the idea of finding (and protecting) happiness through serving others. Tune in for a whole new approach to a healthy, happy attitude.

Traumacology Nov 20, 2023

Many patients come and go through our trauma bays, but the goal never changes: Stabilize them, figure out what they need, then make that happen. In this episode, EMRA*Cast host Will Smith, MD, and Kyle Weant, PharmD, BCPS, BCCCP, FCCP, discuss the evidence (or lack thereof) behind some of the most commonly used resuscitation medications.

Why Critical Care Nov 01, 2023

If you've ever thought critical care medicine might be an interesting career path, pull up a chair and join this conversation between EMRA*Cast host Dustin Slagle, MD, and three EMRA crit-care leaders who have reached various milestones in their critical care medicine journey: Jenelle Badulak, MD; Mark Ramzy, DO, EMT-P; and Brian Sumner, MD.

SNAPPS: On-shift Learning (and Teaching) with Dr. Jess Mason Oct 18, 2023

“I think we need better on-shift teaching.” This is a common quote from residents and med students alike in the emergency department. EMRA*Cast host Chris Reilly, MD, MS, talks with EM:RAP Deputy Director and EM educator Jessica Mason, MD, about different ways residents can take learning into their own hands and get the most out of their on-shift education. It’s as easy as a SNAPPS (punny if you listen).

PEM Pearls: Updates in Pediatric Emergency Medicine Oct 02, 2023

The management of several common pediatric emergency medicine complaints have changed in recent years. Are you up to date on the new guidelines?

In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine and pediatric emergency medicine physician Dr. Kristy Schwartz (@SchwartziEMPEM) to break down some need-to-know updates when it comes to taking care of kids.

ToxTalk: The Dangers of Delta-8 Sep 15, 2023

Join Brittany Ladson, DO, and host Kyle Duke, MD, for some ToxTalk fun, talking about the differences between and the risks and dangers of tetrahydrocannabinol, Delta-9 THC, and Delta-8 THC. Be sure to check out Dr. Ladson’s article in EM Resident for a deeper dive.

CV Tips & Tricks for the Physician Sep 01, 2023

Creating and maintaining a Curriculum Vitae (CV) can sometimes seem like a daunting task, but EMRA*Cast host Chris Reilly, MD, sits down with CV guru Dr. Saadia Akhtar to try to lessen the confusion and give you high-yield tips and tricks to make your CV stand out.

Silencing Your Inner Critic: Part 2 Aug 30, 2023

Imposter syndrome robs you of confidence - and it can imperil your team, especially in a moment of crisis. Learn how to down-regulate yourself and the whole team, with host Will Smith, MD, and physician/coach Rob Orman, MD. (Pro tip: Tune in to Part 1 first to learn how to recognize that inner critic.)

Silencing Your Inner Critic: Part 1 Aug 15, 2023

In this 2-part series, physician and coach Rob Orman, MD, explains how to deal with our inner critic so that we can be at our clinical best. He also touches on imposter syndrome and shares tips for dealing with the anxiety that sometimes comes with the territory for emergency physicians. Join host Will Smith, MD, to gain valuable insight from Dr. Orman.

Stop the Stigma, Part 2 Aug 02, 2023

The practice of medicine, especially emergency medicine, can be emotionally exhausting, even when things go well. Burnout is on the rise, and seeking help can be hard. Learn how to overcome the obstacles in your journey to well-being with these tips from Al’ai Alvarez and Amanda Deutsch, shared by EMRA*Cast host Lizzii Le.

#StopTheStigmaEM: Part 1 Jul 18, 2023

Mental health is a key component of physical health. So why do so many health care workers keep their own mental health exercises in the shadows? Al’ai Alvarez and Amanda Deutsch share insight with EMRA*Cast host Lizzii Le.

Intern Year: Tips for Surviving (and Thriving) Jul 01, 2023

Every year, July 1 marks a new academic year in medicine, when recent medical school graduates begin their journey as freshly minted physicians. This time can be exciting, terrifying, exhilarating, stressful – and everything in between. In this episode, host Dr. Masood Mohammed (@DocMooseEM) chats with Dr. Richard Church, program director of UMass Chan EM Residency (@umassEMresident), and Dr. Cameron Burke, UMass EM PGY3, who share their own intern experiences and provide advice on how to navigate this transition.

Student Loans: Addressing the Elephant in the Room Jun 15, 2023

Early-career financial planning can make all the difference for physicians, but there is no cookie-cutter approach. Smart financial planning focuses on your individual circumstances and goals, and financial guru Tyler Olson of Olson Consulting LLC can help make sense of it all. He and host Chris Reilly, MD, MS, walk through some common questions, pitfalls, and concerns regarding medical school loans in the first of a 2-part episode.

Thom Mayer and the Healthcare Staffing Storm: Leading Through Crisis Jun 01, 2023

In this interview-style podcast, Dr. Chris Reilly sits down with Dr. Thom Mayer, a real-life hero and EM doc, to discuss everything from his recent volunteering time in Ukraine to the NFLPA concussion protocol and the major topic of discussion: the staffing crisis in health care, particularly on the front lines in the emergency department.

Effective Mentorship May 15, 2023

Mentorship is a huge part of physician success in medicine. For as hard as we have worked and as much sacrifice as we have made, at some point, we have all had someone (or multiple people) play an integral role in our achievements. How can you be an effective mentee? And what, exactly, makes an effective mentor? EMRA*Cast host Will Smith, MD, speaks with one of the greats, Arlene Chung, MD, MACM.

How and When to Use Ultrasound in Cardiac Arrest May 01, 2023

When you are managing a patient in cardiac arrest, do you turn to bedside ultrasound? EMRA*Cast host Dustin Slagle, MD, talks to ultrasound guru Michael Gottlieb, MD, RDMS, about when you should, how it can be useful, and the best way to incorporate POCUS into the plan.

TO POCUS OR NOT TO POCUS Apr 15, 2023

Although the first time ultrasound was used for clinical reasons was in 1956, the incorporation of ultrasound in the Emergency Department is relatively new. In this episode, EMRA*Cast host Dr. Lizzii Le (@LizziiLeMed) get tips from Dr. Avila (@UltrasoundMD @coreultrasound) on the best way to incorporate ultrasound in the ED.

STEMI? I Think You Meant OMI… Apr 02, 2023

ST-segment elevation myocardial infarction (STEMI) is a term that all emergency medicine residents learn and commit to memory early on. This term is far from perfect, however, and some physicians think it should be thrown out altogether. In this episode, host Masood Mohammed (@DocMooseEM) chats with Dr. Susy DeMeester (@SusyDemeester) about why ‘STEMI’ misses the mark and what we can do to fix it.

Fireside Chat: EM Match 2023 Mar 30, 2023

Is EM still cool? What happened in the 2023 Match? Tune in to EMRA*Cast for a special episode with EMRA President Jess Murphy, MD, and host Chris Reilly, MD, talking about the Match, the aftermath, and our best path forward.

The INTERNview: A Reflection on Intern Year Mar 15, 2023

The transition from the last day of medical school to the first day of intern year may be one of the biggest leaps in medicine. It’s not easy – but you’re not alone. If you just matched and you’re gearing up for intern year, this is for you. Join EMRA*Cast host (and almost-finished-with-intern-year) Kyle Duke, MD, and his guest, Noah Schammel, MD, current EM/IM intern at East Carolina University, to talk about the highs, the lows, and the in-between of intern year.

Gettin’ Piggy with It Feb 15, 2023

As emergency docs, anytime there is something in the chest cavity that should not be there, such as air, blood, or fluid, we often feel compelled to get it out. For many decades that barbaric task was done with a 40 French chest tube and some low-wall suction. But is that what is best for the patient?

Treating Kids Like Little Adults: Challenging the Dogma of Pediatric Cardiac Arrest with Peter Antevy Feb 01, 2023

Pediatric emergencies are scary – and pediatric cardiac arrest tops the list of those scary scenes. There are thousands of pediatric cardiac arrests in the U.S. every year; 11.4% survive to hospital discharge – but only 5% of those children are neurologically intact. How can emergency physicians overcome these statistics? After spending a couple decades honing his PEM skills, Peter Antevy, MD, has narrowed down some key tips he shares with EMRA*Cast host Chris Reilly, MD.

In-Flight Emergencies Feb 01, 2023

Is there a doctor onboard? In-flight emergencies are not rare, supplies and resources are limited, and it is always good to be prepared. Dr. Amy Ho joins EMRA*Cast host Dr. Dustin Slagle to discuss what to expect and how to help.

Being a Fem in EM Jan 15, 2023

Being a female in a profession that was previously dominated by males can present with some unique challenges. In this episode, Dr. Arlene Chung (@arlenesujin) and Dr. Diane Birnbaumer (@DianeBirnbaumer) discuss what it is like being a female emergency physician with EMRA*Cast host Dr. Lizzii Le (@LizziiLeMed).

Our Climate Is Changing, and So Is Emergency Medicine Jan 01, 2023

How often do you add ZIP code to the risk factors you’re considering when building a differential? In this episode, Renee Salas (@ReneeNSalas_MD) and host Masood Mohammed (@DocMooseEM) discuss why you should. In short: Climate change is waiting in your ED.

Top 10 Antibiotic Mistakes in the Emergency Department Dec 15, 2022

Ever feel lost and confused when it comes to antibiotic choice? Feel like you are making a mistake by giving this instead of that? Giving too much? Giving too little? If so, you’re not alone. So let's branch out from just vanc and zosyn and dive into the top 10 antibiotic mistakes today with pharmacy guru Dr. Bryan Hayes.

Great Job: How to Give and Receive Feedback Well Dec 01, 2022

Giving feedback is an art, and in this episode, med-ed all-star Christina Shenvi, MD, and EMRA*Cast host Chris Reilly, MD, take us on a deep dive into the psychology of feedback: what is it, why we need it, and how to give and receive feedback well. This conversation is packed with evidence, pearls, and a challenge you should strive to achieve every day. Go ahead and bookmark this; you’re going to want to listen more than once.

Great Job: How to Give and Receive Feedback Well Dec 01, 2022

Giving feedback is an art, and in this episode, med-ed all-star Christina Shenvi, MD, and EMRA*Cast host Chris Reilly, MD, take us on a deep dive into the psychology of feedback: what is it, why we need it, and how to give and receive feedback well. This conversation is packed with evidence, pearls, and a challenge you should strive to achieve every day. Go ahead and bookmark this; you’re going to want to listen more than once.

Headache and the LP Nov 15, 2022

Roughly 1 in 20 subarachnoid hemorrhages are missed during initial presentation in the emergency department – substantially increasing the risk of complications and mortality. That’s scary. But is it a reason to do a lumbar puncture every time a patient’s head hurts? EMRA*Cast host Will Smith (@WTSmithMD IG/Twitter) shares some expert insight from Lt. Col. Roderick Fontenette (@RodFontenette1).

Subclavian Central Lines: Be Humble – Be Prepared Nov 01, 2022

There’s a laundry list of potential complications from using the subclavian vein to place a central line. But there’s also a growing number of reasons to make sure this procedure is part of your arsenal. Host Dustin Slagle, MD, and guest Gabriel Hoffman, MD, walk you through the evidence.

Resident Unions Part 2: Getting Organized Oct 21, 2022

Unions have a long and storied history in the United States – but not within the house of medicine. Yet as the practice of medicine has become enveloped by business interests, unionization is taking root. More than 22,000 resident physicians are already union members. Where do you start if you want to organize? EMRA*Cast host Dr. Matt Dillon presents part 2 of this series on unions for medical residents.

Basics of Being Sued: Malpractice in Emergency Medicine Oct 17, 2022

Statistics show 75% of emergency physicians are named in malpractice lawsuits during their career - and the only correlation with being sued is the number of years practiced and the number of patients seen over time. Being sued does not mean you are a bad doctor, but rather you are practicing in a high-risk specialty.

Join EMRA*Cast host Ranjita Raghavan, MD, (@DrRanjitaMD) and Camie Sorensen, MD, of St. Agnes Hospital (@AgnesEmr) in a discussion of the medico-legal realities of practicing emergency medicine.

Post-Roe v Wade Medicine: Is There a Lawyer in the House? Sep 21, 2022

In the wake of this year’s Supreme Court positions, treating OB/GYN emergencies according to standards of care can now result in criminal or civil charges for you and your patients in some states. Major medical societies have come out against the Dobbs v. Jackson decision that overturned Roe and Casey. While EMTALA currently provides some support for emergency physicians, state laws and local prosecutors still might try to take you to court. Understanding your state’s law and interpretation by your institution is crucial. On this episode host Kate Joyce (@sceneisnotsafe) talks with attorney Carmel Shachar (@CarmelShachar), policy analyst Cat Duffy (@catduffy), EM resident Jessica Adkins Murphy (@DrAdkinsMurphy), and OB/GYN resident Andrea Contreras about keeping your job and patients safe in today’s legal and political landscape.

Post-Roe: Caring for Patients in a Trigger Ban State Sep 09, 2022

On June 24, 2022, the United States Supreme Court overturned the landmark decision Roe v. Wade, a legal precedent protecting a citizen’s constitutional right to abortion. The highly politicized decision comes with significant consequence for those of us in health care – especially in states with abortion trigger bans. EMRA*Cast Host Shreyans Sanghvi, DO, joins EM Resident Editor-in-Chief Jessica Adkins Murphy, MD, (@DrAdkinsMurphy) to explore this deeply personal, subjective, and contentious topic.

Post-Roe: Caring for Patients in a Trigger Ban State Sep 09, 2022

On June 24, 2022, the United States Supreme Court overturned the landmark decision Roe v. Wade, a legal precedent protecting a citizen’s constitutional right to abortion. The highly politicized decision comes with significant consequence for those of us in health care – especially in states with abortion trigger bans. EMRA*Cast Host Shreyans Sanghvi, DO, joins EM Resident Editor-in-Chief Jessica Adkins Murphy, MD, (@DrAdkinsMurphy) to explore this deeply personal, subjective, and contentious topic.

Resident Unions Part 1: How Can They Help? Sep 01, 2022

When you received your employment contract after matching into residency, did you read it? Was there any question you would sign it, no matter what it said? The structure of medical training and board certification creates an unequivocal power differential when it comes to residency employment contracts. EMRA*Cast host Matt Dillon, MD, (@mdmd_8889) talks with UCLA union members Anna Yap, MD, (@annayap) and Kenneth Kim, MD, about the power of a unified resident body.

Response, Preparedness, and Mitigation: Counterterrorism Medicine Aug 15, 2022

Disaster medicine has long focused on how to prepare for mass casualty incidents - but there are special considerations for emergency physicians to take into account in the case of terror attacks. In this episode, host Kim Bambach, MD, and Sriram Venkatesan, FAWM, discuss the niche of counterterrorism medicine with Derrick Tin, MBBS, senior fellow in Disaster and Counterterrorism Medicine at BIDMC/Harvard Medical School.

EM Job Search Tips: 2022 and Beyond Jul 24, 2022

The health care job market has been a roller coaster in recent years - especially in the nation's safety net of emergency medicine. What’s a soon-to-be-graduate to do? Host Ranjita Raghavan, MD, shares some job search pearls and perils from Saadia Akhtar, MD, FACEP, and Maria Moreira, MD, FACEP.

Sodium Bicarb in Cardiac Arrest: Over and Done? Jul 02, 2022

Some baked-in practices in medicine don't hold up to closer inspection. This episode of EMRA*Cast turns attention to the use of sodium bicarbonate in cardiac arrest. Host Matt Dillon, MD, (@mdmd_8889) recently spoke with clinical ED pharmacist Mike Perza, PharmD, BCPS, (@pillpushermike) and Dustin Slagle, MD, regarding sodium bicarbonate use during cardiac arrest and why you might want to think twice.

Your First 5 Years Out of Residency Jun 15, 2022

Congratulations on graduating residency! Do yourself a big favor and listen to this advice from Dr. Christina Shenvi and Dr. Nikki Binz, brought you by EMRA*Cast host Dr. Kim Bambach. Start off on the right foot with BHAG, ikigai, and proper spycraft at a new job. You got this!

Medical Excellence in Austere Settings: What Would MacGuyver Do? Jun 01, 2022

Your patient has an arterial bleed and a tenuous airway. You've got 1 unit of blood, no vent, and no hospital within hours. Welcome to the world of austere medicine. Host Kate Joyce, MD, MPH (@sceneisnotsafe) and USAF Lt Col Regan Lyon, MD, FACEP, discuss the challenges of treating patients in the most extreme scenarios.

Pearls on Massive Transfusion with Dr. Sara Crager May 15, 2022

Hemorrhagic shock can be tricky to manage – yet there’s no shortage of (sometimes conflicting) guidelines regarding massive transfusion. When do you make the call to activate massive transfusion protocol? How early is too early? What happens if you wait too long? Dr. Sara Crager simplifies this crucial decision-making process with EMRA*Cast host Ranjita Raghavan.

Learning: The Chapter After Residency Apr 29, 2022

EMRA*Cast Host Shreyans Sanghvi, DO, ventures into the abyss of life after residency to find out how to keep up your learning after training with street illusionist and veteran public speaker Salil Bhandari, MD. Completing his residency in emergency medicine at NYU Langone, Salil has trained hundreds of residents in public speaking, presentation design, and procedural competency. He is a passionate resuscitationist and educational philosopher who currently serves as the Director of Media and Communications and Assistant Program Director for the Emergency Medicine Residency at McGovern Medical School @ UT Health in Houston, Texas, among busiest Level 1 trauma centers in North America.

ED Efficiency: Working Smarter, Not Harder Apr 14, 2022

Have you ever felt like you're spinning your wheels in your emergency department? EMRA*Cast host Kim Bambach, MD, (@KimBambach) explores how to work smarter, not harder. Guests Eric Blazar, MD (@eblazar) and Guy Carmelli, MD (@GuyCarmelli) focus on how to improve efficiency so you can spend more time on the things that made you want to go into medicine in the first place.

Finances for the Resident and Early Attending Mar 15, 2022

On this week's episode of EMRA*Cast, host Matt Dillon, MD, (@mdmd_8889) talks to Jim Dahle, MD, FACEP (@wcinvestor) about physician finances. Now known as the White Coat Investor, Dr. Dahle shares how the school of hard knocks made him financially savvy - and able to offer advice via his book, website, and “White Coat Investor” blog.

This episode is directed at the resident and early attending.

What Does a Blakemore Have to Do with an LGI Bleed? Mar 01, 2022

EMRA*Cast is talking about a range of unusual cases and thought-provoking perspectives from the February-March edition of EM Resident magazine. Join host Ranjita Raghavan, MD, and editor-in-chief Jessica Adkins Murphy, MD, to find out how a Blakemore tube featured in an LGI bleed, whether atraumatic splenic rupture is easy to spot (spoiler alert: not always), and what medical students are advocating for this year.

On the Edge of Chaos: Emergency Department Operations Feb 21, 2022

The emergency department has been called an "operation existing on the edge of chaos." Join EMRA*Caster Kate Joyce (@sceneisnotsafe) and Henry Ford Hospital ED Medical Director and Vice Chair of Operations Dr. Seth Krupp as they walk that chaotic edge. We'll be talking about how EDs keep things moving and what residents interested in operations can do to get involved.

On the Edge of Chaos: Emergency Department Operations Feb 21, 2022

The emergency department has been called an "operation existing on the edge of chaos." Join EMRA*Caster Kate Joyce (@sceneisnotsafe) and Henry Ford Hospital ED Medical Director and Vice Chair of Operations Dr. Seth Krupp as they walk that chaotic edge. We'll be talking about how EDs keep things moving and what residents interested in operations can do to get involved.

Med-Ed Soundbite: Small Group Learning Feb 01, 2022

What's the key to outstanding medical education? Host Kim Bambach, MD, showcases some pearls from The Ohio State University Wexner Medical Center's Allison Beaulieu, MD; Andrew Kendle, MD; Lauren Willoughby, MD; Ryan O'Neill, MD; and Geremiha Emerson, MD.

In our Med-Ed track, we discuss all topics related to learning and teaching EM. One way to take a deep dive into a topic is through small group learning. In this brief soundbite, we'll share a few pearls to make small group sessions more engaging and memorable.

Med-Ed Soundbite: Small Group Learning Feb 01, 2022

What's the key to outstanding medical education? Host Kim Bambach, MD, showcases some pearls from The Ohio State University Wexner Medical Center's Allison Beaulieu, MD; Andrew Kendle, MD; Lauren Willoughby, MD; Ryan O'Neill, MD; and Geremiha Emerson, MD.

In our Med-Ed track, we discuss all topics related to learning and teaching EM. One way to take a deep dive into a topic is through small group learning. In this brief soundbite, we'll share a few pearls to make small group sessions more engaging and memorable.

Journalism in Emergency Medicine Jan 15, 2022

EMRA*Cast Hosts Shreyans Sanghvi, DO, and Ranjita Raghavan, MD, explore the budding but ever-so-important field of medical journalism with emergency physician, author, and renowned public speaker Amy Faith Ho, MD, MPH. Early in her medical school days, Dr. Ho’s personal accounts of navigating the hard knocks of clerkship as a third-year medical student on an OB/GYN rotation would pave the way for a decorated career in journalism. From TED talks, to coveted pieces on NPR and Forbes, and even authoring her very own children’s book - appreciate Dr. Ho’s unique perspective on how to explore this niche cross-section between medicine and journalism.

The Difficult Airway Jan 01, 2022

It's the EM resident's responsibility to learn and perfect the basics of the airway - including those difficult cases. On this episode of EMRA*Cast, host Matt Dillon, MD, shares insight and 4 key lessons from Colin McCloskey, MD, board-certified in both anesthesiology critical care medicine and emergency medicine.

Managing Altitude Sickness: Advice from an Expert Dec 15, 2021

'Tis the season for winter trips - and for many people (especially in this pandemic era), that means heading to the mountains. EMRA*Cast host Dr. Ranjita Raghavan brings you top-notch advice from a top-notch wilderness medicine expert, Dr. Linda Keyes. Make sure you know how to recognize and manage altitude sickness this season.

Altitude sickness and its more serious altitude-related illnesses, High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema (HAPE), are processes we may not see often, but when they appear we need to know what signs to look out for, how to manage treatment, and how to prevent the conditions from worsening. Especially as more Americans get outdoors throughout the pandemic, it's more relevant than ever before.

Positively Pressured: Nasal Cannulas in the Respiratory Toolkit Dec 01, 2021

There are a lot of options when it comes to providing oxygenation and ventilatory support in the emergency department. With so many non-invasive options, host Dr. Kate Joyce sits down with Dr. Jeremy Greenberg to talk about nasal cannula options that may be helpful.

Digitalizing Cardiac Arrest Nov 25, 2021

EMRA*Cast Host Shreyans Sanghvi, DO, takes us on an innovative journey with Andrew Chu, MD, PGY4 at Harvard Affiliated Emergency Medicine Residency and fellow at Massachusetts General Hospital's Healthcare Transformation Lab, and Leland Perice, MD, Ultrasound Fellow at Maimonides Medical Center. Their first experiences with patient codes catalyzed their drive to explore the intersection of healthcare and digital innovation. In 2020, in the midst of the COVID-19 global pandemic, they embarked on a journey to create a digitalized treatment algorithm. Brandishing a Silicon Valley approach to mastering cardiac arrest management, Dr. Chu and MGH's Jared Conley, MD, PhD, MPH, created the MGH ACLS.

MAP 65: A Goldilocks Story Oct 15, 2021

EMRA*Cast host Matt Dillon puts MAP 65 under a microscope with sepsis researcher/CCM expert Emily Brant and EMRA CritCare Vice Chair Dustin Slagle in this #EMRACritCare + #EMRAcast journal club collab. Find out what we’re learning about the studies influencing the Surviving Sepsis campaign and critical care medicine in America.

Battling COVID Burnout in Emergency Medicine Oct 04, 2021

With COVID surging, shifts in the emergency department have been rough, to say the least, and our wellness is more important than ever. This episode is all about burnout, self-compassion, and resilience - what we can do for ourselves, our patients, and each other. Host Kim Bambach gets insight from renowned wellness expert Al'ai Alvarez.

The Wonderful World of Eyes with Dr. Glaucomflecken Sep 07, 2021

Dr. Ranjita Raghavan and Dr. Will Flanary - better known as “Dr. Glaucomflecken” - discuss everything and anything EM residents would want to know about the world of eyes! Dr. Flanary is a full-time ophthalmologist and comedian who has gained fame on the speaking circuit and social media. In this episode of EMRA*Cast he outlines key aspects of the history and physical that your ophtho consult wants to know.

Disrupting Medicine Through Entrepreneurship Aug 18, 2021

EMRA*Cast Host Shreyans Sanghvi, DO, takes a deep dive on the entrepreneurial journey with Rich Park, MD (CityMD4All). Early in his emergency medicine career, Dr. Park turned an eye toward the patient experience; in 2007 he embarked on an entrepreneurial journey that led to a chain of urgent care centers now valued at more than $1.2 billion.

Being a Dad in Medicine Aug 01, 2021

Being a parent is tough. Being a parent AND a doctor is real tough. Join these dads - host Matt Dillon and guests Geoff Comp, Drew Kalnow, and Alex Waggener - as they meander through tips and tricks about the when's and what-if's of starting a family during your medical training and career. No experts to be found here, just a handful of dads doing their best and sharing their experiences.

ABEM Oral Board Exam: How to Play the Role and Pass the Test Jul 15, 2021

You crushed the written exam to become a board-certified emergency physician, and now the only thing standing between you and your ABEM certification is oral boards. How do you prep - especially for a virtual test? Host Kim Bambach, MD, reviews pearls & pitfalls with guests Krystin Miller, MD, and Jennifer Yee, DO.

Law Enforcement in Emergency Medicine Jun 29, 2021

Interactions with law enforcement in the emergency department can be confusing. What are the emergency physician's legal responsibilities? How can we ensure our patients are getting quality care? Dr. Hannah Janeway, Dr. Shamsher Samra, and attorney Ji Seon Song sit down with host Kate Joyce to discuss the philosophical and practical challenges faced by emergency physicians.

Journal Club: Resuscitation and Early Goal Directed Therapy: A Review of Rivers, ProCESS, ProMISe, and ARISE - Part 2 Jun 01, 2021

Early goal-directed therapy for fluid resuscitation in sepsis is a hotly debated and much-studied topic - and for good reason. Listen in as three emergency physicians discuss some of the landmark papers directing emergency care of these critically ill patients. Join host Dr. Ranjita Raghavan of Mount Sinai and guests Dr. Chad Meyers of Elmhurst Hospital Center and Dr. Dustin Slagle of ChristianaCare.

Journal Club: Resuscitation and Early Goal Directed Therapy: A Review of Rivers, ProCESS, ProMISe, and ARISE - Part 1 Jun 01, 2021

Fluid resuscitation in sepsis is a hotly debated and much-studied topic - and for good reason. Listen in as three emergency physicians discuss some of the landmark papers directing emergency care of these critically ill patients. Join host Dr. Ranjita Raghavan of Mount Sinai and guests Dr. Chad Meyers of Elmhurst Hospital Center and Dr. Dustin Slagle of ChristianaCare.

Gamifying Medical Education May 15, 2021

Every year thousands of clinical pearls are published in the emergency medicine FOAMed space. From podcasts, blog posts, to journal feeds - the novice EM resident is often overwhelmed by the vast amount of nuanced information these valuable resources provide. But how do you make sure you get the right content in front of your residents?

On this episode of EMRA*Cast, Drs. Benjamin Cooper, Jonathan Giordano, Catie Reynolds, and Tom Fadial discuss their journey developing ECG Stampede, a gamified medical education platform aimed at helping residents master the foundations of electrocardiography triage and interpretation.

Substance Use Disorder: Say Goodbye to the X-waiver May 02, 2021

Ever wonder why no one questions your opioid prescriptions, but when it comes to prescribing opioid withdrawal therapy there are miles of red tape? With legislative relief in sight, it's time to learn more about how to treat patients with substance use disorder. Find out about a new curriculum developed with a grant from SAMHSA and hear what "MAT" is meant to be.

Aging in the ER: Geriatric Emergency Medicine Apr 19, 2021

This topic never gets old! Whether you realize it or not, geriatrics is probably a large part of your practice, especially when it comes to high-complexity, high-acuity emergency medicine. Dr. Lauren Southerland will teach us what we can do to better care for older adults. We’ll also discuss how to get involved at the national level and how to pursue a career in geriatric EM if you want to go a step further.

No Place to Call their Own: Addressing Homelessness and Housing in the ED Apr 14, 2021

Patients who are homeless visit the emergency department more often than the general population, yet emergency physicians get minimal formal education about homelessness and the impact of housing on health. In this episode, we talk with three physicians about how we can best support our patients struggling with housing issues.

Host: Kate Joyce, MD, MPH

Guests:

Richard Bryce, DO; Chief Medical Officer, Community Health and Social Services Center; faculty advisor for Street Medicine Detroit and Detroit Street Care; faculty at Michigan State University, Wayne State University and Henry Ford Hospital
Ryan McCormack, MD, MS, FACEP; Assistant Professor, Emergency Medicine and Addiction Medicine, Bellevue Hospital, NYU School of Medicine
Katherine Chen, MD; National Clinician Scholars Program, Internal Medicine/UCLA

How to Create an Engaging Lecture, Even in the Zoom Age Mar 15, 2021

In medicine, one thing you cannot avoid is giving presentations. It is both exciting and nerve-wracking to present to colleagues, attendings, and friends. Yet some doctors are extremely talented at holding captive audiences. Host Dr. Ranjita Raghavan chats with the incomparable Dr. Anand Swaminathan (aka Swami) to give us the scoop on how to make an excellent, engaging lecture in person and on Zoom.

Doctoring Your Finances Mar 01, 2021

So you've got a handle on the medicine, but have you got a handle on your personal finances? Take a deep dive into financial education and learn about the most common mistakes, questions, and fears young physicians encounter with physicians/personal finance gurus Sotirios Keros and Dalton Haslam.

Educational Resources for an EM Resident Feb 15, 2021

OverviewNew to emergency medicine residency and trying to take that first step toward building your knowledge base? Maybe you're trying to optimize your study strategy? Look no further! The great thing about EM is that we LOVE medical education. Today we take a look at a variety of educational resources to help build a solid foundation of your medical/clinical knowledge.

Key PointsTopics we cover include:

EM gear to bring to shift
Podcasts to listen to on the way to shift
The most valuable on-shift mobile apps
Pocket guides for every clinician
Textbooks that won't collect dust
Question banks that will be the work-horse of your study plan
The best way to keep up with current medical literature
How to solidify your knowledge

Resources and References

Best EM Podcasts: https://www.emra.org/emresident/article/best-podcasts-for-the-student-em-nerd/
Textbook suggestions by Scott Weingart: https://emcrit.org/recommended-reading/
EMRA's on-shift guides: https://www.emra.org/apps https://www.emra.org/amazon https://www.emra.org/about-emra/publications/bookstore/

Flashback Friday: From the Halls of the ED to the Halls of Congress Jan 22, 2021

OverviewIn this episode originally released in 2019, Drs. RJ Sontag and Andrew Meltzer interview fellow emergency physician Rep. Raul Ruiz, D-CA, to explore how medical students, residents, and recent grads can become advocates for their patients and their profession outside the emergency department. As EMRA's 2019 Congressional Health Policy Fellow, Dr. Sontag worked with Dr. Ruiz on Capitol Hill to turn medical and policy research into legislative solutions on a wide range of topics, from firearm violence prevention to surprise billing to youth nicotine use.

HostsRJ Sontag, MDPresident, EMRA Residency: UT Health San Antonio Medical school: Wright State University EM Resident Articles Twitter: @RJSontagMD

Andrew Meltzer, MD, MS Associate Professor of Emergency Medicine, George Washington University Director, Urgent Matters Fellowship: Clinical Research, University of Maryland Shock Trauma Center Residency: University of Maryland Shock Trauma Center Medical School: SUNY Downstate School of Medicine Twitter: @ACMeltzer

Guest Raul Ruiz, MD, MPH, MPP United States Congressman (CA-36) Fellowship: International Emergency Medicine, Brigham and Women’s Hospital Residency: University of Pittsburgh Medical School: Harvard University Twitter: @CongressmanRuiz

Key Points

Being an emergency physician provides a unique perspective on governing
Our understanding of the needs of underserved and underinsured populations can influence policy decisions
Patient health involves more than just the care we provide in the emergency department
Social determinants of health, drug pricing, insurance status, and many other factors affect our patients’ health
To truly improve our patients' health, students, residents, and young physicians must learn the language of advocacy by getting involved at every level of policy creation: from hospital administration to local, state, and federal government
Emergency physicians are better equipped than other specialties to advocate for our patients and our profession because of our experience standing up for our patients to guarantee they get the care they need every single shift
Government can play a role in incentivizing technology and alternative payment models to improve health care access and affordability

References

COVID's Impact on Jobs: Finding a Place in Emergency Medicine Jan 15, 2021

The emergency medicine job market has been tight this year, there's no doubt. COVID has caused some groups and hospitals to cut back or even lay off EM physicians. So what's a resident or fellow to do? In this episode, host Kate Joyce, MD, MPH, gets a few perspectives on the job landscape from Washington Post reporter Ben Guarino, US Acute Care Solutions chief clinical recruiting officer Travis Ulmer, MD, FACEP, and NYU/Bellevue chief resident Michelle Romeo, MD. Learn some tips on navigating the job market this year and in the years to come.

Key Points

COVID has added stress to the EM job market, making finding jobs more difficult.
Applicants are encouraged to apply broadly in terms of setting and geography.
Recruiters can be especially helpful in the job hunt.
Talk to your attendings to learn their experience and to find networking opportunities.
Collaborating with fellow residents can help everyone find work.
Reaching out to departments directly may reveal jobs not posted on hospital websites.
Your first job does not have to be your last job.

Flashback Friday: Cultural Competency and Cognitive Bias Jan 08, 2021

Host: Dr. Isaac Agboola, MD, MS

Guest: Dr. Sheryl Heron, MD, MDP, FACEP Assistant Dean of Medical Education and Student Affairs at Emory University School of Medicine Vice Chair of Administrative Affairs Professor of Emergency Medicine

OverviewDrs. Agboola and Heron discuss the intricacies of cognitive bias and cultural competency and the role it plays in the emergency department. They discuss ways that individuals and residency programs alike can ensure they are rendering more culturally competent care - and model that for medical trainees. Additionally, they spend time addressing communities at risk for such biases such as undomiciled populations, individuals from lower socioeconomic status, and racial minorities.

Key Resources

Key Points

Cognitive bias, microaggressions and cultural humility should compel us to think more deeply on how we can deconstruct the "-isms".

It is important to create and nurture an environment that allows for open dialogue in a safe space.

As a health care provider there are critical steps that need to be taken:

- Appreciate and understand that we are all different - diversity is a good thing!

- Be prepared to "call the card" if you experience a discriminatory comment/action. It is important to address it. Do not ignore it.

Eliminating bias is not an individual effort; it is institutionally and systemically driven.

Patient populations with common negative biases include those with cardiovascular disease, high utilizers/low socioeconomic status, and the incarcerated.
There is a large amount of research that demonstrates disparities and inequities in care but more work is still left to be done.

References

Martin ML, Heron SL, Moreno-Walton L, Strickland M. Diversity and Inclusion in Quality Patient Care: Your Story/Our Story: a Case-Based Compendium. Cham: Springer; 2019

Dehon E, Weiss N, Jones J, Faulconer W, Hinton E, Sterling S. A Systematic Review of the Impact of Physician Implicit Racial Bias on Clinical Decision Making. Academic Emergency Medicine. 2017;24(8):895-904. doi:10.1111/acem.13214.

ACEP Implicit Bias and Cultural Sensitivity Paper

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