Emerge in EM

Send us Fan Mail In this episode of EMERGE in EM , Dr. Mohamed Hagahmed sits down with cardiology fellow Dr. Njeri Kuria to discuss Spontaneous Coronary Artery Dissection (SCAD) —an often underrecognized cause of acute myocardial infarction that predominantly affects young and otherwise healthy women. Through a real clinical case, they explore how SCAD presents, why it's frequently mistaken f...

Send us Fan Mail Welcome to Public Health Briefs — a new series from EMERGE in EM where we break down the public health stories shaping our world through the lens of emergency medicine, critical care, and frontline science. In this episode, we tackle the growing public concern surrounding hantavirus after recent viral headlines and online speculation sparked fear across social media. Joined by inf...

Send us Fan Mail What happens after the pulse comes back? In this episode, we dive into one of the most practical — and controversial — questions in post-cardiac arrest care: Which vasopressor should clinicians reach for first after ROSC? Epinephrine or norepinephrine? Joining me is Dr. Nathalie Van Der Rijst, pulmonary and critical care physician from Philadelphia, for an energetic and evidence-d...

Send us Fan Mail As an emergency physician and someone who loves EMS, I’ve always believed that we should understand the history of the systems we work in. But the truth is, many clinicians today don’t realize how modern paramedicine actually began. Before paramedics existed, an ambulance call in many cities meant a police wagon. There were no trained providers in the back, no oxygen, no medicatio...

Send us Fan Mail What happens when life-saving care collides with deeply held faith? As Ramadan begins this month, millions of patients around the world will be fasting—and many of them will still come to the emergency department sick, unstable, and in need of urgent care. In this episode of EMERGE , we dive into the real-world challenges of caring for the fasting patient, from hypotension and sep...

Send us Fan Mail Immigration enforcement doesn’t just shape borders—it shapes health outcomes. In this episode of Emerge in EM , Dr. Mohamed Hagahmed is joined by Dr. Italo Brown for a candid, clinician-to-clinician conversation about how immigration enforcement affects patient care, trust, and public health. Originally recorded as a live Instagram discussion, this conversation was brought to the...

Send us Fan Mail In this episode of 'EMERGE in EM,' Dr. Mohamed Hagahmed and ICU doctor Dr. Obi Anozie discuss the critical neurological emergency of benzodiazepine-refractory status epilepticus (BRSE). They explore the pathology behind why BRSE occurs, the necessary aggressive treatment strategies, and second-line agent options including levetiracetam, valproic acid, fosphenytoin, propo...

Send us Fan Mail In this episode of EMERGE, I sit down with Dr. Ricky Tripp to dive deep into the challenges and best practices of managing trauma in pregnancy. As your host, I guide the conversation through the latest evidence and NAEMSP guidance, real-life stories, and practical pearls that every clinician should know when faced with these high-risk, low-frequency events. We discuss the unique p...

Send us Fan Mail In this episode of EMERGE, I sit down with my friend and colleague, Dr. Tony Pizon, Chief of Medical Toxicology at UPMC, to dive into a topic that’s been showing up more and more in our emergency departments: 7-Hydroxymitragynine (7-OH). I wanted to understand what 7-OH is, how it’s connected to Kratom, and why it’s suddenly making headlines. Tony and I break down the science, dis...

Send us Fan Mail In this episode of EMERGE, I had the pleasure of speaking with Zaf Qassim, an associate professor of emergency medicine, about critical interventions in trauma care. We discussed the TRAUMOX2 trial, which questions the reflexive use of high-flow oxygen in trauma patients and suggests that a restrictive oxygen strategy can reduce atelectasis without increasing other complications....

Send us Fan Mail This episode of the EMERGE, join me and Dr. Mike Lynch, an expert in emergency medicine, medical toxicology, and addiction medicine. The discussion delves into the public health emergency of medetomidine-related toxicity and withdrawal. Dr. Lynch shares insights from real cases, emphasizing the clinical red flags and management strategies for medetomidine withdrawal. We discuss th...

Send us Fan Mail 🎙️ Podcast Episode Intro – DDX:SCAPE | Picklesburgh Pulmonary Panic What happens when a 50-year-old man suddenly can’t breathe—right in the middle of the Picklesburgh festival? 🥒😯 Join Dr. Hagahmed and Dr. Addy as they walk through a high-stakes emergency case of acute dyspnea in a patient with a history of hypertension, hyperlipidemia, and diabetes. From scene safety and rapid...

Send us Fan Mail Understanding Measles: Recognition, Pathophysiology, and Management in Emergency Settings Join Dr. Mohamed Hagahmed and Dr. Sylvia Owusu-Ansah in this essential discussion on measles. They cover critical topics such as recognizing measles in emergency settings, understanding its presentation and pathophysiology, and the latest strategies in treatment and prevention. This episode i...

Send us Fan Mail In this episode, I'm  joined by Dr. Chris Martin-Gill to discuss the critical evaluation of the correlation between end-tidal CO2 and partial pressure of CO2 (PCO2) in acutely ill patients. The episode covers the importance of end-tidal CO2 in the prehospital setting, primarily for verifying airway placement and assessing ventilation adequacy. Dr. Martin-Gill discusses a sign...

Send us Fan Mail 🚑 PICO Breakdown: The HAPPEN Trial on NPPV for COPD 🫁 P - Population: Patients with acute exacerbation of COPD and persistent hypercapnia (PaCO₂ > 45 mmHg) after 6 hours of low-intensity NPPV. 👥 300 patients (Mean Age: 73 years, 68% Male) I - Intervention: High-Intensity NPPV - Tidal volume of 10-15 mL/kg using higher inspiratory positive airway pressure (IPAP). C - Comparis...

Send us Fan Mail In this episode of EMERGE, I am joined by Dr. Frank Guyette, an emergency physician and EMS expert from the University of Pittsburgh and the medical director of STAT Medevac. Dr. Guyette offers insights into pre-hospital trauma care, discussing critical topics such as the trauma triad and diamond of death, the complexities of hypocalcemia in trauma patients, and evolving practices...

Send us Fan Mail In this episode of the EMERGE Podcast, I'm joined by Dr. Jon McMahon, an EMS fellow, to discuss the significance of a paper analyzing the impact of prehospital stroke severity scales in stroke patients. Dr. McMahon shares his background and highlights the importance of EMS in improving door-to-puncture times for stroke patients. We delve into the details of the study, which u...

Send us Fan Mail Critical Urologic Emergencies Explained: Insights with Dr. Joseph Acquaye In this insightful episode of EMERGE, I'm honored to host Dr. Joseph Acquaye as he delves into common urologic emergencies encountered in the emergency department and ICU. Dr. Acquaye shares his journey into urology, the significance of men's health, and the importance of addressing healthcare disp...

Send us Fan Mail 🚨 Submerge into the complexities of fluid resuscitation in septic patients with heart failure! 🩺  Join me and Dr. Addy Kothare as we dissect an #EmergencyMedicine paper that challenges our current practice when caring for these patients. 📚 https://doi.org/10.1016/j.ajem.2023.08.006 If you enjoyed this episode, please follow, subscribe, and leave a review —it helps us reach more...

Send us Fan Mail Have you ever felt anxious dealing with pediatric seizures? Get expert guidance on our latest EMERGE episode with Dr. Sylvia Owusu-Ansah! Tune in for essential tips on pre-hospital and in-hospital seiures management. Don't miss out on boosting your emergency care skills! If you enjoyed this episode, please follow, subscribe, and leave a review —it helps us reach more listener...

Send us Fan Mail In the October episode, Dr. Ankur Doshi and I are discussing the care of the post cardiac arrest patient. For the past 20 years, Dr. Doshi has been a clinician, educator, and researcher in the fields of emergency medicine and cardiac arrest. In 2010, he joined the University of Pittsburgh Medical Center’s Post Cardiac Arrest team. Since 2019, he has been the clinical director of t...

Send us Fan Mail Dr. Obiajulu Anozie joins me to discuss the challenges, pearls, and pitfalls when managing the airway of a crashing patient.  Dr. Anozie (known for his Instagram page @icuexplained) is a dedicated critical care physician with a passion for providing physiologically driven, life-saving medical care.   Born in Canada to Nigerian parents, Dr. Obiajulu Anozie brings a unique perspecti...