EMRA*Cast

Mastering Non-Invasive Positive Pressure Ventilation in the ED

Dec. 15, 2024

Every great resuscitationist needs to understand the fine points of keeping your patients breathing - not only by securing an airway, but also by understanding ongoing ventilation. EMRA*Cast host Blythe Fiscella, MD, reviews pearls and pitfalls of NIPPV with critical care expert Colin McCloskey, MD.

Candid Lessons with Richard Cantor

Dec. 2, 2024

Emergency physicians have the privilege of seeing a high volume of patients, treating everything from tetanus to COPD to simple fever. This diversity  ultimately helps hone the skills necessary to master the art of medicine. Dr. Richard Cantor shares lessons from training generations of residents, lessons that have withstood changes in technology, documentation, and medical education.

Everybody Eats!

NPO in the Emergency Department

Nov. 15, 2024

What is your practice for allowing, or prohibiting, people from eating in the emergency department? Host Peter Lorenz, MD, and guest Chris Reilly, MD, MS, dig into the literature (spoiler alert: it's weak), best practices, and the humanity behind keeping patients NPO in the ED.

Weight Loss Drugs: What Do We Need to Know?

Nov. 1, 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

We're kicking off a new series with new EMRA*Cast host D'Monte "TP" Farley, sharing the view from the program leadership perspective, thanks to Dr. Arlene Chung (@ArleneSujin) – current Vice Chair of Academic Affairs at the University of Vermont and previous EM Program Director at Maimonides Medical Center. If you're applying to residency, you won't want to miss this episode!

Navigating Leadership in EM

Oct. 4, 2024

Being a leader in emergency medicine, whether in the department or on the administrative side, is easier said than done. What skills does a good leader need, and what practices should they absolutely avoid? Azita Hamedani, MD, MPH, MBA, shares well-earned wisdom with host Masood Mohammed, DO, MSEd.

Acetaminophen Overdose

Sept. 15, 2024

Acetaminophen overdose will likely show up in your exam bay (and more than likely on your boards). A recent EM consensus statement takes a fresh look at management, so EMRA*Cast host Kyle Duke, MD, breaks it down with EMRA Toxicology Committee Chair Mason Jackson, MD.

When Patients Be Fibbin'

Sept. 4, 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, DO, and host Will Smith, MD, discuss the basics of AFib.

The Dead Gut

Aug. 15, 2024

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

Pharmacy Pearls with Mike Perza

Aug. 1, 2024

Pick up some pharmacy knowledge in this absolutely packed episode with host Dustin Slagle, MD, and guest Mike Perza, PharmD, BCPS, a clinical pharmacist in emergency medicine.

Calm in Chaos:
Managing Stress & Leading Resuscitations

July 15, 2024

"Success is not how well you execute Plan A, but it's how smoothly we cope with Plan B." Nowhere is this truer than in the resuscitation bay. Pick up pearls with EM leader/educator Geoff Comp and EMRA*Cast host Chris Reilly.

The Art of Managing Non-Physician Providers

July 1, 2024

Physician-led health care teams are a gold standard in emergency medicine. There’s an art to learning how to lead that team. 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

June 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!

June 1, 2024

Show of hands: Who loves negotiating a job contract? It might not be second nature, but it is crucial to your career. EMRA*Cast host Chris Reilly, MD, discusses this key skill with NYU Grossman's Stacey Frisch, MD, MS-HPED.

OMI Don't Ya NOMI

May 16, 2024

In this episode with host Will Smith, MD, Nuvance Health emergency physician Domenico Mastandrea, DO, will take us through STEMI and physiologic STEMI equivalents, with key can't-miss findings when you're reviewing all those EKGs on shift.

Cue the Sirens: All About EMS

May 1, 2024

We 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 were previously 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!
DSD Revisited

May 1, 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

April 17, 2024

As the first Latina physician in the United States Congress, Rep. Yadira Caraveo, MD, brings a unique voice to policymaking. For the highlight of EMRA's Advocacy Week 2024, Dr. Caraveo talked to former EMRA President Jessica Adkins Murphy, MD, 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

Seizure management can be tricky in the undifferentiated patient. Join EMRA*Cast's Will Smith, MD, as he discusses the latest in first-, second-, even fifth-line medications with Col. Roderick Fontenette, MD, FACEP.

Managing the Crashing Tox Patient

April 1, 2024

In this episode, host Dr. Masood Mohammed (@DocMooseEM and MedSchoolMoose) sits down with toxicology expert Dr. Gillian Beauchamp 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 15, 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 University of Michigan.

Social Media in Medicine with Dr. Adam Goodcoff

March 1, 2024

What role does social media play in the future of medicine? How do the people and platforms with the largest followings influence medical education and, ultimately, the practice of medicine? Find out with guest Adam Goodcoff, DO, and hosts Chris Reilly, MD, MS, and Elizabeth Le, MD.

Ortho Stuff: Just the Tips

Feb. 16, 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: The Name We Give Our Mistakes

Feb. 1, 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

Join in storytime with EMRA*Cast host Kyle Duke, MD, of Prisma Health Greenville, and Avir Mitra, MD, of Mount Sinai/Icahn School of Medicine (and content creator for NPR, Radiolab, Vice, and more). Dr. Mitra explains why storytelling is a key skill in medicine.

Nailing the ED Neuro Exam

Jan. 1, 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.

Pregnancy During Residency

Dec. 30, 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.

EMRA*Cast and EM Over Easy: A Sit-Down with Mark Cuban

Dec. 11, 2023

When Mark Cuban realized the "rebates" he was getting from his 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 EM be part of this revolution? Find out with EMRA*Cast and EM Over Easy.

“Live to Giver” Mentality with Dr. Anthony Mazzarelli

Dec. 1, 2023

Tis the season of giving – and there's some fascinating evidence about the science of service and gifts. For EM docs, data shows that a giver mentality can actually protect against burnout. Tune in for an eye-opening conversation with host Chris Reilly and author/EM leader Anthony Mazzarelli.

Traumacology: Debating Resuscitation Medications

Nov. 15, 2023

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. 1, 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. 1, 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, DO, MS sits down with emergency medicine and pediatric emergency medicine physician Kristy Schwartz, MD, MPH, FACEP, to break down some need-to-know updates when it comes to taking care of kids.

ToxTalk: The Dangers of Delta-8

Sept. 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 with Saadia Akhtar

Sept. 1, 2023

Creating and maintaining a Curriculum Vitae (CV) can seem like a daunting task, but EMRA*Cast host Chris Reilly, MD, sits down with CV guru Saadia Akhtar, MD, FACEP 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. 31, 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. 1, 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 Dr. Amanda Deutsch and Dr. aL’Ai Alvarez, shared by EMRA*Cast host Lizzii Le, MD.

BONUS: Listen to "Stop the Stigma: Part 1" here.

Stop the Stigma: Part 1

July 15, 2023

Did you know roughly 400 physicians in the U.S. die by suicide each YEAR? That’s approximately double the suicide rate of the general population. Something has got to change. EMRA*Cast host Lizzii Le, MD, sits down with two pioneers, Dr. Amanda Deutsch and Dr. aL’Ai Alvarez, to talk about the #StoptheStigmaEM campaign.

BONUS: Listen to "Stop the Stigma: Part 2" here!

Intern Year: Tips for Surviving (and Thriving)

July 1, 2023

We are so excited to welcome all our new physician colleagues who start their first shifts as doctors this month! It’s a big transition – and you’re not alone. 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 landmark event.

Student Loans: Addressing the Elephant in the Room

June 15, 2023

Smart financial moves early in your career can make life easier at every stage of your career. But how do you make it all make sense? Just ask Tyler Olson, of Olson Consulting LLC. Host Chris Reilly, MD, MS, presents the first in a 2-part series. Let’s start with how to handle your student loans.

Leading Through Crisis

June 1, 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.

How to Be an Effective Mentor/Mentee

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.

Cardiac Arrest: Bring the Probe–Bring a Friend

May 1, 2023

When you are preparing the room for a cardiac arrest to arrive, don’t forget to bring the ultrasound machine (and if you can, bring a friend to help out). EMRA*Cast host Dustin Slagle, MD, speaks with ultrasound guru Michael Gottlieb, MD, RDMS, about the ways ultrasound can help your resuscitation of a cardiac arrest patient.

To POCUS or Not to POCUS

April 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. Jacob Avila (@UltrasoundMD @coreultrasound) on the best way to incorporate ultrasound in the ED.

STEMI? I Think You Meant OMI…

April 1, 2023

ST-segment elevation myocardial infarction (STEMI) is a term all emergency medicine residents commit to memory early. This term is far from perfect, however, and some physicians think it should be thrown out altogether, according to host Masood Mohammed, DO, and guest Susy DeMeester, MD.

Fireside Chat: EM Match 2023

March 30, 2023

Is EM still cool? What happened in the 2023 Match? Tune in to EMRA*Cast for a special fireside chat 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

The transition from the last day of medical school to the first day of intern year may be one of the biggest leaps in our professional career. In the midst of Match Week 2023, what better topic to discuss than intern year itself! 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.

Challenging the Dogma of Pediatric Cardiac Arrest

March 1, 2023

Pediatric emergencies are scary – and pediatric cardiac arrest tops the list of those scary scenes. 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.

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? EMRA*Cast host Will Smith, MD, gets into the evidence with Marco Propersi, DO.

In-Flight Emergencies

Feb. 1, 2023

If you haven’t heard it yet, the chances are you will eventually: Is there a doctor on board? Emergency physicians, step right up – Amy Ho, MD, MPH, visits with EMRA*Cast host Dustin Slagle, MD, about the finer points of managing an in-flight emergency.

Being Fem in EM

Jan. 15, 2023

Do you have questions about equality, wage gaps, or navigating residency and life as a woman in emergency medicine? Even if you're thinking, "Not me, can't relate" stick around anyway to gain some valuable perspective from EMRA*Cast host Lizzii Le, MD, and guests Arlene Chung, MD, MACM, FACEP, and Diane Birnbaumer, MD, FACEP.

Our Climate Is Changing, and So Is Emergency Medicine

Jan. 1, 2023

Climate change is a hot-button issue that affects a wide variety of occupations, and emergency medicine is no exception. In this episode, host Masood Mohammed (@DocMooseEM) chats with Renee Salas (@ReneeNSalas_MD) to discuss the effects of climate change on EM, and some of the things all of us can do to help.

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. In this episode, host Kyle Duke, MD, helps you branch out from just vanc and zosyn and dive into the top 10 antibiotic mistakes with pharmacy guru Bryan Hayes, PharmD, DABAT, FAACT, FASHP.

Great Job: How to Give and Receive Feedback Well

Dec. 1, 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:
To Tap or Not to Tap?

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. 1, 2022

There’s a laundry list of potential complications from using the subclavian vein to place a central line. But there’s 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 Matt Dillon, MD, (@mdmd_8889) presents part 2 of this series.

Basics of Being Sued: Malpractice in Emergency Medicine

Oct. 17, 2022

EMRA*Cast host Ranjita Raghavan, MD, (@DrRanjitaMD) speaks with Camie Sorensen, MD, FACEP, of St. Agnes Hospital about the medico-legal realities of practicing emergency medicine.

Post-Roe Medicine: Is There a Lawyer in the House?

Sept. 20, 2022

In this episode, EMRA*Cast Host Kate Joyce, MD, MPH, explores the medicolegal questions that now plague emergency physicians caring for pregnant patients. How do you keep yourself and your patient safe from prosecution when providing reproductive health care?

Post-Roe: Caring for Patients in a Trigger Ban State

Sept. 9, 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 consequences 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?

Sept. 1, 2022

The structure of medical training and board certification creates a power differential in that employment setting. Can resident unions help? 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

EM Job Search Tips: 2022 and Beyond

July 23, 2022

Sodium Bicarb in Cardiac Arrest: Over and Done?

July 1, 2022

Your First 5 Years Out

June 15, 2022

What Would MacGuyver Do?

June 1, 2022

Pearls on Massive Transfusion with Dr. Sara Crager

May 15, 2022

Learning: The Chapter After Residency

May 1, 2022

ED Efficiency: Working Smarter, Not Harder

April 15, 2022

Finances for the Resident and Early Attending
An Interview with the White Coat Investor

March 15, 2022

What Does a Blakemore Have to Do with LGI Bleed?
Learn This and More in the Latest EM Resident Magazine

March 1, 2022

On the Edge of Chaos: ED Operations

Feb. 21, 2022

The ED 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. 1, 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.

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 with Colin McCloskey

Jan. 1, 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 (especially in this pandemic era), that means heading outdoors 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.

Positively Pressured: Nasal Cannulas in the Respiratory Toolkit

Dec. 1, 2021

There are a lot of options when it comes to providing oxygenation and ventilatory support to our patients.  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 to many of our patients in the ED.

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 MAP65 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. 3, 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

Sept. 7, 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 Ophthalmology 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. 1, 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

July 15, 2021

You crushed the written exam, 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 the ED

June 15, 2021

Interactions with law enforcement in the ED 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 EM physicians.

Journal Club Part 1: Resuscitation and Early Goal-Directed Therapy

A Review of Rivers, ProCESS, ProMISe, and ARISE

June 1, 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.

Journal Club Part 2: Resuscitation and Early Goal-Directed Therapy

A Review of Rivers, ProCESS, ProMISe, and ARISE

June 1, 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

EMRA*Cast Host: Dr. Shreyans Sanghvi takes a deep dive on medical education in the 21st century with founders of ECG Stampede - Drs. Catie Reynolds, Benjamin Cooper, Tom Fadial, and Jonathan Giordano.

Substance Use Disorder: Say Goodbye to the X-waiver

May 1, 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. Guests Reuben Strayer and Lucinda Lai discuss when and how to treat SUD-related conditions in the emergency department and share details about a new curriculum developed with a grant from SAMHSA. 

Aging in the ER: Geriatric Emergency Medicine

April 15, 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

April 15, 2021

Patients who are homeless visit the ED more often than the general population, yet we get minimal formal education about homelessness and the impact of housing on health. We'll talk with 3 physicians about their experience around homelessness and housing and how we can best support our patients struggling with housing issues.

How to Create an Engaging Lecture (even in the Zoom Age)

March 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

March 1, 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

New to emergency medicine residency and trying to take that first step towards 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.

Hot Topics: Climate Change, Health Policy, and Emergency Medicine

Feb. 1, 2021

Let's discuss a few hot topics: How do rising temperatures affect emergency medicine and the health of your patients? In this episode we sit down with Dr. Caitlin Rublee to discuss bugs, drugs, plants, and people. We connect the dots to show how climate change relates to social emergency medicine and what we can do as leaders to engage in health policy and take action to protect our patients!

Flashback Friday: From the Halls of the ED to the Halls of Congress

Originally published: Dec. 2, 2019

In this episode, guest hosts Drs. RJ Sontag and Andrew Meltzer interview a sitting Congressman, Dr. Raul Ruiz, to explore how 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.

A Golden Ticket: Making the Most of the EM Job Search

Jan. 15, 2021

The EM job market has been tight this year. 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 The 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.

Flashback Friday: Cultural Competency and Cognitive Bias

Originally released: Jan. 15, 2020

In this episode Dr. Isaac Agboola and Dr. Sheryl Heron discuss cultural competency and how it affects cognitive bias in the ED. They unpack important terminology and discuss specific patient populations who are at risk; They also discuss studies that have demonstrated the need for cultural competency among physicians.

Finding Your Niche in EM

Jan. 1, 2021

Emergency medicine offers an exciting yet staggering number of career paths. In this episode, we explore what it takes to find your niche in the specialty. Hosts Ranjita Raghavan, MD, and Shreyans Sanghvi, DO, get the inside track from EM:RAP's Jess Mason, MD, FACEP, who knew early on what motivates her and has established herself as a leader in FOAMed.

Flashback Friday: How to Manage Pressors and Vents in the ED Like A Boss (Part 2)

Originally published: January 15, 2019
In part 2 of her interview with Dr. Haney Mallemat, Dr. Jessie Werner finds out how to manage the ventilator in the ED and reviews some real-life cases with @CriticalCareNow!

Advanced Resuscitation Medicine: Cardiac Arrest Management, Death, and Beyond

Dec. 15, 2020

CPR is a longstanding intervention in out-of-hospital cardiac arrest. But how do we transform this age-old treatment with today's advances in technology, and to where do we turn when CPR alone is ineffective? EMRA*Cast host Dr. Shreyans Sanghvi takes a deep dive into the history, current practice, and future direction of cardiac arrest management and advanced resuscitation medicine with research pioneers Dr. Lance Becker and Dr. Sam Parnia.

Flashback Friday: Lumps and Bumps: Can't-Miss Diagnoses in Syncope

Originally published February 15, 2019
In this episode Dr. Alex Kaminsky and Dr. Jeremy Berberian tackle the subtleties of syncope so you'll know how to interpret EKGs better than you document a rash. 
*Spoiler alert: This throwback is also a preview! Get up to speed because we'll soon be releasing a new EMRA guide - "Emergency ECGs: Case-Based Review and Interpretations" by Jeremy Berberian, Bill Brady, and Amal Mattu. 

Pain Management with Dr. Sergey Motov, Part 2

Dec. 1, 2020

Do you ever get overwhelmed with all the ED analgesic options? In part 2 of our series on ED Pain Management, Dr. Sergey Motov of Maimonides Medical Center helps break things down, reviewing a few cases and finishing with Sergey's 10 Commandments of ED Pain Management.

Flashback Friday: How to Manage Pressors and Vents in the ED
Like A Boss (Part 1)

Originally Published: December 15, 2018
In this episode, Dr. Jessie Werner sits down with Dr. Haney Mallemat to discuss using pressors in the ED.
Tune in to Part 2 on managing the ventilator!

Flashback Friday: Building Resiliency Through Writing

Orginially published: December 1, 2019

In this episode, Dr. Alex Kaminsky meets with Dr. Stephanie Benjamin to discuss personal and medical journaling as an active means to stave burnout and build resiliency.

Pain Management with Dr. Sergey Motov

Nov. 15, 2020

Do you ever get overwhelmed with all the ED analgesic options? Dr. Sergey Motov from Maimonides Medical Center in Brooklyn helps breaks down ED pain management. We cover everything from topical NSAIDs to ketamine infusions. Curious which opioid to go with or what dosing? Look no further.

Imposter Syndrome

Nov. 1, 2020

Do you ever feel like a fake, a fraud? Imposter syndrome can make you feel a pervasive sense of intellectual fraudulence, despite all the evidence to the contrary. In this episode, Dr. Kim Bambach discusses imposter syndrome with Dr. Jaime Hope including strategies that you can use to combat it.

Flashback Friday: The Delta Factor: Overcoming Gender Disparities

Originally Published: November 14, 2018
In this episode,  Dr. Tiffany Proffitt talks with Dr. Esther Choo about tangible ways to view and address gender disparities in emergency medicine.

Getting Fired Up - Without Getting Fired

October 15, 2020

With an upcoming election, social unrest and a global pandemic - there’s a lot to get fired up about.  But what’s our role as residents? PGY2 Kate Joyce talks with Dr. Marina Del Rios, Dr. Dara Kass and Dr. Alister Martin about a program that registers patients to vote in the ED, social emergency medicine, policy and advocacy.  We’ll round things out by talking about how to get involved - without putting your career in jeopardy.

Introducing our New EMRA*Cast Hosts

October 9, 2020

Dr. Jessie Werner hands over the mic over to our five new EMRA*Cast hosts. Take a listen and get to know them before they go live with their own episodes.

Emergency Medicine in Haiti

October 1, 2020

Imagine being one of a few dozen Emergency Medicine trained physicians responsible for the lives of millions in a vulnerable country. This is the practice and training environment faced on a daily basis by the noble Doctors who represent the first classes of Emergency Medicine Residents in Haiti. Take a moment to hear their stories and please continue to support Haiti’s first Emergency Medicine Residency program!

Flashback Friday: Apply Smarter, Not Harder

Originally Published: August 15, 2019

In this episode Dr. Agboola and Dr. Jarou venture into the oftentimes convoluted task of applying to Emergency Medicine residency. They discuss common pitfalls and misconceptions, giving evidence-based advice on how to increase success in applying whether it be to a community or educational setting. This episode is primarily geared towards medical students applying as well as advisors for these individuals.

Transitions of Care

September 15, 2020

Transitions of care are one of the most dangerous activities in medicine. Numerous studies highlight the rates of medical errors which occur at the time of sign-outs. Formalized sign-out processes have been shown to significantly decrease breakdowns in communication and reduce adverse events. In this episode, Dr. Kaminsky sits down with residents from across the country to dissect and discuss different sign-out styles and share some insights regarding bias and areas for improvement.

Disaster Preparedness with Dr. Antonio Dajer

September 1, 2020

On this EMRA*Cast, Dr. Agboola sits down and talks to Dr. Dajer about his experience working as a physician during 9/11.  Additionally, he gives his personal approach to disaster planning.

Flashback Friday: Written Board Reviews and Test-Taking Strategies

Previously Published: February 1, 2020

In this episode, Dr. Alex Kaminsky sits down with Dr. Adam Rosh to cover timelines, mindset and strategies into successful preparation for both written boards and in-service examinations. Additionally, Dr. Rosh imparts his wisdom as a passionate educator and former program director.

High Flow Nasal Cannula with Dr. Jessica Whittle

August 15, 2020

In this episode of EMRA*Cast, Dr. Jessie Werner and Dr. Jessica Whittle discuss high flow nasal cannula. Unsure of the difference among nasal cannula, a venti mask or a non-rebreather? Sick asthmatics? Pedi patients? Pneumonia? Learn when to use this modality to improve patient comfort and help stave off intubation.

Flashback Friday: Interviewing Tips for Residents

Originally Published: November 15, 2019

In this episode, Dr. Tiffany Proffitt talks with a panel of expert interviewers on how to conduct an interview as a resident. The panel provides tips and tricks to the resident interviewer when it comes time for interviewing medical student candidates for a spot in their programs.

Double Defibrillation with Dr. Mark Ramzy

August 1, 2020

Does double defib work? Does it improve your chances of walking out of the hospital? What’s your CPC score? What is a CPC score? And how exactly do you conduct this procedure. In this episode, recorded live at ACEP 2019, Dr. Tiffany Proffitt discussed the ins and outs of double defibrillation with Dr. Mark Ramzy.

Flashback Friday: First Day of Residency -- Now What?

Originally published: December 15, 2018

Dr. Isaac Agboola along with a group interns from across the country approach how to navigate the challenging parts of residency outside of just the basic science.

Simulation Fellowships with Dr. Aga De Castro

July 15, 2020

EMRA*Cast Host Dr. Miguel Reyes discusses what events led Dr. De Castro to be interested and eventually pursue a simulation fellowship, what it’s like being a sim fellow, what the fellowship looks like, the various kinds of sim fellowships, and different career possibilities you can pursue with the fellowship.

Friday Flashback: Amal Mattu’s 10 Pearls for Success in Residency

Originally Recorded: August 1, 2019

In this episode, Dr. Jessie Werner interviews Dr. Amal Mattu about his 10 Pearls for Success!  It may be geared towards Interns, but everybody will benefit from this advice!

Toxicology Fellowships with Dr. Kevin Baumgartner

July 1, 2020

EMRA*Cast Host Dr. Miguel Reyes sits down with Dr. Kevin Baumgartner to discuss Toxicology Fellowships. Listen in as they discuss what events led Dr. Baumgartner to be interested and eventually pursue a toxicology fellowship, what its like being a tox fellow, what the fellowship looks like, and different career possibilities you can pursue with the fellowship.

ARDS Management ED and Beyond

June 15, 2020

EMRA*Cast host Dr. Alex Kaminsky takes a deep dive on the topic of Acute Respiratory Distress Syndrome (ARDS) with Dr. Sean Hickey and Dr. Evan Leibner. 

A Change of Heart

June 1, 2020

In this episode, Dr. Jessie Werner interviews one of EMRA’s 45u45 winners, Dr. Alin Gragossian. As a senior EM resident Alin was diagnosed with heart failure and required an emergent heart transplant. This is the inspiring story that every person should hear!

Palliative Care in the Emergency Department

May 15, 2020

In this episode, Drs. Isaac Agboola and Karen Jubanyik discuss Palliative Care in the Emergency Department. They cover a wide range of subjects including: How to deliver “Bad News”, navigating surrogate decision makers, and the “Surprise Question”.

EMRA and ACMT Tox Guide with Dr. Ken Katz

May 1, 2020

Dr. Tiffany Proffitt talks with Dr. Ken Katz, Editor-In-Chief of the EMRA and ACMT Toxicology Guide. Listen as they discuss how to use the guide, think like a toxiclogist and how to master any tox ingestion.

A Conversation with Dr. Salim Rezaie

April 15, 2020

Dr. Miguel Reyes sits down with EMRA 45 Under 45 winner Dr. Salim Rezaie to discuss REBEL EM, productivity, and how to improve ourselves 1% each day.

Top 10 Antibiotic Mistakes in the ED

April 1, 2020

EMRA*Caster Dr. Alex Kaminsky sits down with Dr. Bryan Hayes, ED clinical pharmacist to discuss pearls and pitfalls regarding antibiotic use in the ED - meanwhile dispelling common antibiotic myths and misconceptions along the way.

COVID-19: The EM Resident Perspective

March 24, 2020

COVID-19 is affecting all of us in different ways. It can be a challenging time for residents, but you’re not alone. In this special episode, your EMRA*Cast hosts share their thoughts and stories as they navigate the constantly changing landscape of ER Medicine during the COVID-19 pandemic.

Pediatric DKA: Don't Fear the Fluids!

March 15, 2020

In this episode, EMRA*Caster Dr. Jessie Werner speaks with Professor and Chair of Emergency Medicine at UC Davis, Dr. Nathan Kuppermann, about ground-breaking research in Pediatric DKA. Learn the dos and don’ts of management and learn to embrace those fluids!

How to Mentor 

March 1, 2020

In this episode, EMRA*Caster Dr. Tiffany Proffitt talks with Dr. Andy Little and Dr. Brian Milman about how to mentor junior residents and medical students as a resident. 

Pediatric EM Fellowships

February 15, 2020

In this episode, Dr. Miguel Reyes meets with Dr. Jessica Wall to discuss Pediatric EM fellowships and all it entails.

Flashback Friday: Written Board Reviews and Test-Taking Strategies

Previously Published: February 1, 2020

In this episode, Dr. Alex Kaminsky sits down with Dr. Adam Rosh to cover timelines, mindset and strategies into successful preparation for both written boards and in-service examinations. Additionally, Dr. Rosh imparts his wisdom as a passionate educator and former program director.

Podcasting as an Educational Tool

January 1, 2020

In this episode, Dr. Jessie Werner and Dr. Tiffany Proffitt talk with some of the best medical podcasters in the field about the use of podcasts for teaching and learning. Can podcasts replace books? Supplement conference? Which ones are the best? Find out here.

Why You Should Do A Medical Education Fellowship

December 15, 2019

In this episode, Dr. Miguel Reyes meets with Drs. Sara Paradise Dimeo, Guy Carmelli, and Michael Shamoon to discuss medical education fellowship and all it entails.