EMplify By EB Medicine podcast

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EMplify by EB Medicine

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Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

148 odcinków

#Fitness #Sam Ashoo MD #Sam Ashoo #Emergency Medicine #Science #Medicine #Podcasting Education #Emergency Department

EMplify by EB Medicine

63 subscribers

updated 19 dni temu

Udostępnij

Źródło serii•Feed

148 odcinków

#Fitness #Sam Ashoo MD #Sam Ashoo #Emergency Medicine #Science #Medicine #Podcasting Education #Emergency Department

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1
Rural EM and Traumatic ICH – An Interview with Ashley Weisman, MD 10:07

19 dni temu10:07

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10:07

In this episode, Sam Ashoo, MD interviews Ashley Weisman, MD about her career in rural emergency medicine, and the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Interview with Dr. Ashley Wiseman Introduction of Dr. Wiseman: Emergency physician specializing in rural ER. Dr. Wiseman’s Background: Overview of her work and responsibilities in rural hospitals and academia. Experience in Rural Medicine: Contrast with urban and academic practice. Stories of practical challenges and learning experiences in remote areas like Kotzebue, Alaska. Practicing Skills in Rural Medicine Discussion of skill retention: Importance of continuously applying and practicing critical skills. Resources and Training: Role of fellowship, networking, and practical experiences for skill enhancement. Advocacy for Rural Emergency Medicine Work with ACEP: Dr. Wiseman’s efforts in advocating for rural EM at the national level. Collaboration Between Rural and Academic Centers: Importance of knowledge exchange and mutual support. Focus on Traumatic Intracranial Hemorrhage (ICH) Introduction to the February Article: Traumatic ICH in rural settings. Key Points from the Article: Importance of basic neurocritical care practices. Practical adjustments and simplified approaches in care. Dr. Wiseman’s Contribution: How her experiences shaped the content and practical advice for rural medicine. Conclusion Upcoming Contributions: Announcing more contributions and resources from Dr. Wiseman. Access the In Rural Life (IRrL*) content here . Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net Managing Traumatic Intracranial Hemorrhage in the Rural Setting: EMP: IRrL* If you practice in a rural environment, you know that managing a patient with traumatic ICH can present challenges with diagnostic and treatment resources, personnel, training, and transport. Dr. Weisman has created resources for emergency clinicians, IRrL* ( In Rural Life*) that EB Medicine is proud to share with subscribers. Resources for emergency clinicians managing patients with traumatic ICH in rural settings include: Checklist for Managing Traumatic Intracranial Hemorrhage in Rural Life (IRrL) : 7 steps to providing neurocritical care in resource-limited settings. Simulation for Critical Access Neurocritical Care: Saving Brain Hours from Tertiary Care : A customizable simulation designed for you and your team to practice managing patients with brain injury.…

1
Traumatic ICH - An Interview with Erin D'Agostino, MD 34:20

5 weeks temu34:20

34:20

In this episode, Sam Ashoo, MD interviews Erin D'Agostino, MD about the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Pathophysiology Types of Traumatic Brain Injuries Pre-Hospital Care Critical History and Physical Examination Neurological Assessment and Monitoring Laboratory and Imaging Studies Emergency Department Treatment Surgical Interventions and Considerations Patient DemographicsSummary of major points discussed Reminder for continued vigilance and the importance of early consultation Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net…

1
Alkali Exposure 20:31

6 weeks temu20:31

20:31

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g., accidental, intentional, social media challenges) Poison control reports and statistics Types and Effects of Exposure: Different types of exposure: ingestion, ocular, dermal Effects of ingestion, particularly in children and young adults Pre-hospital Care and First Response: Importance of decontamination Safety measures for EMS personnel Steps to take in pre-hospital care History and Physical Examination: Key points to focus on during history taking Important signs and symptoms to check Laboratory and Diagnostic Testing: Overview of useful lab tests and imaging Role of EKG and chest x-ray Importance of early consultation with poison control Endoscopy and CT Imaging: Use of endoscopy to classify injuries and guide treatment Role of CT imaging Complementary use of endoscopy and CT Treatment Approaches: Initial resuscitation and airway management Use of steroids and other medications like antibiotics, H2 antagonists, and topical mitomycin C When and how to use NG tubes Special Populations and Long-term Considerations: Special considerations for children Risks associated with laundry detergent pods Long-term complications, including strictures and increased risk of esophageal cancer Conclusion: Summary of major points discussed Reminder for continued vigilance and the importance of early consultation Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net…

1
EM Innovation Collaborative - An interview with Nicholas Stark, MD, MBA & Zaid Altawil, MD 15:08

9 weeks temu15:08

15:08

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/…

1
Acute Mesenteric Ischemia 20:13

12 weeks temu20:13

20:13

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…

1
Low Back Pain 57:01

16 weeks temu57:01

57:01

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…

1
Pediatric Scrotal Pain 17:44

20 weeks temu17:44

17:44

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…

1
Navigating the IV Fluid Shortage - An Interview with Ryan Johnson, Pharm. D. 17:47

21 weeks temu17:47

17:47

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…

1
Chaos and Resilience: Surviving a Hurricane in Asheville, NC 15:21

22 weeks temu15:21

15:21

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…

1
Maladaptive Perfectionism with Rob Orman, MD 38:17

23 weeks temu38:17

38:17

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…

1
Elder Abuse and Neglect 32:13

25 weeks temu32:13

32:13

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…

1
Physicians on Social Media 37:53

27 weeks temu37:53

37:53

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…

1
Sickle Cell Disease in the ED 56:08

30 weeks temu56:08

56:08

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 Common Presentation of Sickle Cell Disease in the ED Screening and Diagnosis Differences Epidemiology: 200,000 ED Visits Annually, 85% for Pain Pathophysiology Life Expectancy and Complications Vado-Occlusive Crises and Pathophysiology Sequestration Crisis in Sickle Cell Patients Acute Chest Syndrome and Priapism Clinical Management Treatment Advocacy and Pain Management Patient History and Examination Importance Imaging Recommendations Laboratory Studies and Findings Emergency Department Care Protocols Advanced Treatment Options Intravenous (IV) Fluids Guideline Management of Priapism Role of Exchange Transfusion Acute Chest Syndrome Details Approach in Rural and Critical Access Hospitals Special Populations Pregnant Patients with Sickle Cell Disease Increased Risks and Complication Management…

1
Dialysis Emergencies 45:22

35 weeks temu45:22

45:22

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the July 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Dialysis Overview of Dialysis Complications Key Dialysis ComplicationsCardiovascular Disease Congestive Heart Failure Pericarditis and Cardiac Tamponade Neurological Sequelae Gastrointestinal Complications Hypotension Dialysis Disequilibrium Syndrome Air Embolism and Chloramine Toxicity Disaster Preparedness Vascular Access ComplicationsHemorrhage risks and treatment Thrombosis, stenosis, and aneurysms Infection risks and management Pre-Hospital Care ED History Differential diagnosis Key questions to ask dialysis patients Examination Physical Exam Tips Treatments Risk Management PitfallsCommon Pitfalls to Avoid Conclusion…

1
Opioid Use Disorder in the ED - An Interview with Corey Hazekamp, MD, MS 44:10

39 weeks temu44:10

44:10

In this episode, Sam Ashoo, MD and T.R. Eckler, MD interview Corey Hazekamp, MD, MS, one of authors of the June 2024 Emergency Medicine Practice article, Managing Emergency Department Patients With Opioid Use Disorder Current State of Opioid Epidemic Overview of overdose deaths and trends. Data and statistics about opioid overdose mortality rates. Three Waves of Opioid Overdose Deaths in the U.S. Opioid Classifications and Urine Drug Testing Types of opioids: synthetic, semi-synthetic, and natural. Urine drug testing limitations and false positives/negatives. Practical use and research on co-ingestions Emergency Medical Services (EMS) and Pre-Hospital Care Importance of ABCs in acute opioid overdose cases. Naloxone usage trends and an empirical approach. Anecdotal insights on changing naloxone administration dosages. Clinical Management in the Emergency Department Buprenorphine Initiation Protocols for initiating buprenorphine in ED settings. Assessment using the Clinical Opiate Withdrawal Scale (COWS). Safe dosing procedures for buprenorphine. Withdrawal and Overdose Care Laboratory testing recommendations. Capnography and VBG in overdose management. The role of end-tidal CO2 monitoring and respirations. Methadone vs. Buprenorphine Considerations Methadone to buprenorphine transition protocols. Personal testimonials and clinical experiences in managing overdoses and withdrawal symptoms. Patient Discharge and Follow-upPreparation of discharge prescriptions. Referral to addiction medicine clinics and resources. Educating patients on continued treatment and harm reduction.…

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