EMRA*Cast

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...

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

Although t he 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.

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

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

The 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...

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?  

Pediatric emergencies are scary – and pediatric cardiac arrest tops the list of those scary scenes. There are thousands of pediatric cardiac arrests in the U.S. every year; 11.4% survive to hospital discharge – but only 5% of those children are neurologically intact. How can emergency physicians overcome these statistics? After spending a couple decades honing his PEM skills, Peter Antevy , MD, ha...

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

Being a 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 ).

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

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

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...

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...

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...

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

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

Statistics show 75% of emergency physicians are named in malpractice lawsuits during their career - and the only correlation with being sued is the number of years practiced and the number of patients seen over time. Being sued does not mean you are a bad doctor, but rather you are practicing in a high-risk specialty. Join EMRA*Cast host Ranjita Raghavan, MD, ( @DrRanjitaMD ) and Camie Sorensen, M...

In the wake of this year's Supreme Court positions, treating OB/GYN emergencies according to standards of care can now result in criminal or civil charges for you and your patients in some states. Major medical societies have come out against the Dobbs v. Jackson decision that overturned Roe and Casey. While EMTALA currently provides some support for emergency physicians, state laws and local pros...

On June 24, 2022, the United States Supreme Court overturned the landmark decision Roe v. Wade, a legal precedent protecting a citizen's constitutional right to abortion. The highly politicized decision comes with significant consequence for those of us in health care – especially in states with abortion trigger bans. EMRA*Cast Host Shreyans Sanghvi , DO, joins EM Resident Editor-in-Chief Jessica...

On June 24, 2022, the United States Supreme Court overturned the landmark decision Roe v. Wade, a legal precedent protecting a citizen's constitutional right to abortion. The highly politicized decision comes with significant consequence for those of us in health care – especially in states with abortion trigger bans. EMRA*Cast Host Shreyans Sanghvi , DO, joins EM Resident Editor-in-Chief Jessica...

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

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

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

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