EMRA*Cast
169 episodes - English - Latest episode: 24 days ago - ★★★★★ - 34 ratingsThe Emergency Medicine Residents' Association (EMRA) is the voice of emergency medicine physicians-in-training and the future of our specialty. EMRA*Cast is created "for Residents, by Residents."
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Episodes
Managing the Crashing Intubated Patient
June 15, 2024 09:00 - 25 minutes - 23.8 MBLet’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!
June 01, 2024 09:30 - 16 minutes - 15.1 MBEMRA*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 13:56 - 33 minutes - 46.6 MBHow 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 04:30 - 35 minutes - 33 MBDoctors 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 09:30 - 21 minutes - 19.5 MBEMRA*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
April 18, 2024 04:31 - 16 minutes - 15.4 MBAs 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
April 15, 2024 12:50 - 34 minutes - 48.1 MBSeizures 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 app...
Managing the Crashing Tox Patient
April 01, 2024 09:30 - 21 minutes - 19.5 MBA 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
March 16, 2024 16:08 - 21 minutes - 19.5 MBPalliative 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
March 01, 2024 10:30 - 16 minutes - 15.5 MBIn 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
February 17, 2024 20:49 - 20 minutes - 28.2 MBOrthopedic 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
February 01, 2024 11:00 - 34 minutes - 62.9 MBMedical 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
January 15, 2024 10:30 - 15 minutes - 14.6 MBSince 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
January 01, 2024 11:00 - 14 minutes - 13.3 MBPerforming 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
December 31, 2023 14:56 - 29 minutes - 33.3 MBThe 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
December 11, 2023 13:00 - 34 minutes - 62.6 MBWhen 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
December 01, 2023 05:30 - 32 minutes - 30.2 MBIn 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
November 20, 2023 14:32 - 27 minutes - 25.1 MBMany 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
November 01, 2023 03:49 - 41 minutes - 38 MBIf 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
October 18, 2023 18:36 - 26 minutes - 30.5 MB“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
October 02, 2023 12:09 - 23 minutes - 21.6 MBThe 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
September 15, 2023 18:08 - 20 minutes - 16.1 MBJoin 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
September 01, 2023 10:00 - 17 minutes - 20.1 MBCreating 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
August 30, 2023 19:57 - 34 minutes - 47.7 MBImposter 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
August 15, 2023 09:00 - 34 minutes - 47.3 MBIn 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
August 02, 2023 14:10 - 22 minutes - 25.6 MBThe 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
July 18, 2023 02:43 - 18 minutes - 21.6 MBMental 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)
July 01, 2023 09:00 - 18 minutes - 25.3 MBEvery 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 na...
Student Loans: Addressing the Elephant in the Room
June 15, 2023 09:00 - 17 minutes - 20 MBEarly-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
June 01, 2023 09:00 - 26 minutes - 30.1 MBIn 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 22:44 - 20 minutes - 28.4 MBMentorship 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 04:05 - 27 minutes - 49.9 MBWhen 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
April 15, 2023 16:19 - 12 minutes - 13.9 MBAlthough 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…
April 02, 2023 01:08 - 14 minutes - 18.3 MBST-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
March 30, 2023 16:52 - 19 minutes - 21.9 MBIs 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
March 15, 2023 15:58 - 29 minutes - 44.8 MBThe 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
February 15, 2023 00:08 - 21 minutes - 29.6 MBAs 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
February 01, 2023 11:00 - 30 minutes - 34.1 MBPediatric 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
February 01, 2023 05:01 - 30 minutes - 55.1 MBIs 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
January 15, 2023 20:24 - 21 minutes - 24.7 MBBeing 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
January 01, 2023 05:01 - 18 minutes - 25.2 MBHow 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
December 15, 2022 11:00 - 31 minutes - 26.7 MBEver 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
December 01, 2022 10:00Giving 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
December 01, 2022 10:00 - 25 minutes - 29.7 MBGiving 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
November 15, 2022 05:01 - 27 minutes - 38.1 MBRoughly 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
November 01, 2022 04:01 - 26 minutes - 49.4 MBThere’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
October 21, 2022 13:52 - 24 minutes - 34.3 MBUnions 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
October 17, 2022 22:57 - 27 minutes - 22.4 MBStatistics 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...
Post-Roe v Wade Medicine: Is There a Lawyer in the House?
September 21, 2022 01:15 - 28 minutes - 23.3 MBIn 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 ...
Post-Roe: Caring for Patients in a Trigger Ban State
September 09, 2022 19:08 - 23 minutes - 43.5 MBOn 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...