ACEP Frontline - Emergency Medicine

In the words of Martin Luther King Jr "Make a career of humanity. Commit yourself to the noble struggle for equal rights. You will make a better person of yourself, a greater nation of your country, and a finer world to live in." We are joined by our guests on this special episode of the Frontline, celebrating National Black History Month with Dr. Alister Martin, Dr. Adaira Landry and Dr. Ugo Ezenkwele. Use Code EMPOWER to save $100.00 off registration for ACEP's Leadership and Advocacy Conference 2023 - www.acep.org/lac/ Register today!!!

With Valentine's Day and Heart Month, what better topic than blood! In this episode, we tell tales written in blood with Dr. Megan Osborn with cases and diagnosis we may see in the emergency department. This is a continuation of the ACEP22 series based on discussions and education for San Francisco.

In this episode we interview emergency physician and author, Dr. Harvey Castro about his book, "ChatGPT and Healthcare: The Key to the New Future of Medicine." We dive into a number of ways that this type of technology could shape and support the future of healthcare.

In this episode, as part of American Heart Month, we chat with Dr. Deborah Diercks at ACEP22 about the current landscape of ACS and troponin.

In this special episode of The Frontline, we are celebrating National Women Physicians Day by talking with three leaders in Emergency Medicine: ACEP President elect Dr. Aisha Terry, AAWEP Chair Dr. Alecia Gende and EMRA President Dr. Jessica Adkins Murphy. Want to continue this conversation? Join colleagues across emergency medicine at a workshop focused on encouraging women leaders during ACEPs Leadership and Advocacy Conference: https://www.acep.org/lac/aaweps-power-up/ Visit www.acep.org/LAC to register for the conference. ACEP Frontline listeners can enter the code EMPOWER for $100 off registration.

In the midst of the NFL playoffs, no better time to release a podcast with Dr. Thom Mayer, Medical Director of the NFLPA. That being said, this episode has nothing to do with football other than the above reference. In this episode, we talk with Dr. Mayer about EM staffing and the shortages that have been exacerbated by the COVID pandemic.

Dr. Jamie Shoemaker is one of the brightest minds out there with regard to the finances of emergency medicine. He is a tireless advocate for the value and fair reimbursement of the care provided in the emergency department. In this episode from ACEP22, we chat about the current landscape and forward efforts to ensure access and viability of EM.

EMS is an ever evolving profession with more an more evidence and changes that will benefit those in need. In this discussion from ACEP22, we talk with Dr. Clayton Kazan from LA County with out EMS update, trends, and state of the buggy.

Locums in EM was a hot topic and then COVID shifted the landscape. Demand is returning and may be a good opportunity for emergency physicians looking to move, travel, or just try out a new setting. We talk with Dr. Tracy Sanson about the current landscape of locums in EM.

This is a special episode of The Frontline breaking down the recent report from the AHRQ entitled "Diagnostic Errors in the Emergency Department: A Systemic Review". We discuss 10+ critical flaws in the report and how good intention may result in more harm than good. We chat with Dr. Gabe Kelen, Professor and Chair of Emergency Medicine at Johns Hopkins who takes us through the report, uncovering a number of critical errors the produce an incredibly flawed and likely grossly inaccurate publication.

As we transition from the years that were almost exclusively COVID to a potpourri of many things viral and others, we drop in with "Big Jim", Dr. James Neuenschwander for an update on high flow nasal cannula. We look at the supporting evidence and the role this bucket of technology plays in our airway management tool box. You also get to hear the broken nose bowling story! This episode is supported by Fisher & Paykel.

The EM documentation guidelines are changing significantly on January 1st of 2023. We have talked with Dr. Jason Adler earlier in 2022(check out the podcast) and now we get a more detailed update as recorded at the Kentucky ACEP Annual Meeting on November 15th, 2022. I will drop the ACEP documentation cheat sheet on the ACEP Frontline Facebook page.

Join the conversation with Dr. Kathryn Hawk and Dr. Scott Weiner as they discuss where are we now. The opioid epidemic is now old enough to rent a car and during that time has evolved. Unfortunately, COVID caused a spike in overdoses and deaths. In this episode, we talk about the status, education, and management options. Supported by an Unrestricted Grant from NIDA Resources... https://www.acep.org/opioidadvisorynetwork https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/

Immune related therapies are growing in cancer care as modern treatments utilize our own systems to attack the disease. This also means we will see growing numbers of these patients in the emergency department with complications from these interventions. We chat with Dr. Chris Coyne who is "geeking out" about the technology and our role in EM. This episode was supported by an unrestricted grant from Bristol Myers Squibb and AstraZeneca Pharmaceutical for the Recognition and Management of Immune Related Adverse Events.

When we practice medicine, legal exposure is a reality of the business. In this episode, we take a deeper dive with regard to legal risk, exposure, and prevention with return Frontline guest, Dr. Nathan Schlicher.

Everyone needs a good physician, even the leader of the free world. In this episode, we interview Dr. Sean Conley who was the Physician to the President for Donald Trump. This episode also features Dr. Yev Maksimenko and Sriram Venkatesan. They both helped make the interview happen. This is a cool look behind the life at the White House and around the world.

The assessment of head injuries in the emergency department and front line settings is evolving quickly and now plasma tests and other technologies are a promising step forward regarding risk assessment and imaging stewardship. Please join Dr. Robert Welch in the conversation. This episode supported by Abbott Point of Care.

In this episode we review the approach and management of the difficult pediatric airway with Dr. Al Sacchetti. This was recorded at ACEP22 in San Francisco.

We have talked MAB in the past when we were hot and heavy with COVID-19. In this episode, we talk with Dr. Donald Yealy regarding the state of the union with COVID, MAB, and research. This episode is supported by unrestricted grant from GlaxoSmithKline.

In this episode of The Frontline, we talk with Dr. Paula Tanabe about sickle cell disease and the current landscape in emergency medicine with some of the challenges and opportunities to take care of these patients.

Emergency Medicine as a profession is only a bit over 50 years old and past decisions and guidelines have been based on evidence and research outside EM. The emergency department is a unique environment and management should be guided by emergency medicine based researched. That is the goal of the Emergency Medicine Foundation(EMF) and this year, it turns 50. We are joined at ACEP22 by Drs. Jeff Goodloe, Mo Canellas, and Adrian Haimovich about EMF and EM centered research.

In this episode of The Frontline, we talk with Dr. Matthew Wilkinson discussing the evolution of abscess management and the role their invention plays in that management. https://emdevicelab.com/

This special episode of the podcast is from our 1st annual podcast summit at ACEP22 in San Francisco featuring ACEP Frontline and The Skeptics Guide to Emergency Medicine. Join Dr. Ryan Stanton and Dr. Ken Milne for the first in hopefully many gatherings.

In the newest addition to our "author series", we talk with Dr. Calvin Sun with his new book, Monsoon Diaries. This book is about Dr. Sun's travels to 190 countries, his experiences, and weaving it in with emergency medicine. https://monsoondiaries.com/

In this special ACEP22 edition of the podcast, we talk about opportunities within the Commissioned Corps of the US Public Health Service. https://www.usphs.gov/professions/physician/ https://www.usphs.gov/ready-reserve

In this episode of The Frontline we talk with Dr. Janet Lin about the current landscape and management of hypoglycemia in the prehospital and EM settings as well as tips on prevention. This episode supported by Xeris Pharmaceuticals.

We talk with Ann McAdams, investigative reporter with WECT News 6 from Wilmington NC about Novant Health NHRMC with a recent investigation into wait times, staffing, and a waiting room code. This is regarding a single facility, but represents challenges across the country with volumes, wait times, and staffing. Update story from WECT 6 from 9/22/22 -https://www.wect.com/2022/09/22/state-treasurer-nurses-hospital-putting-profit-over-patients/

Head injuries are a common presentation in the ER. In this episode, we talk with Dr. Jacob Stelter about evaluation of TBI/head injury in the ER. This podcast is supported by Brainscope Company Inc.

In this replay of our author series edition of ACEP Frontline, we talk with Sam Quinones about is most recent book, "The Least of Us" which is a follow-up to "Dreamland". This is an eye opening look at the opioid epidemic in the US.

Behavioral health challenge are reaching a crisis point in the US with ongoing limitation in resources, beds, and management plans. In this episode recorded at the Emerald Coast Conference, Dr. Tony Cirillo talks about the crisis and some of the action points moving forward.

The next edition of our "author series", this time featuring fellow emergency physician and past guest exactly 5 years ago, Dr. Jay Baruch, talking about his new book, "Tornado of Life: A Doctor's Journey Through Constraints and Creativity in the ER."

This episode is a special from the Kentucky Statewide Opioid Stewardship program where Dr. Stanton presents on behalf of KYSOS and is joined by Dr. Casey Grover with their pain management algorithm. We talk about effectively managing the pain as well as harm reduction.

This is a special episode of ACEP Frontline, talking with emergency physician and astronaut, Dr. Thomas Marshburn. We talk about his progression that led him to space and what it is like to spend time on the ISS. We also look at the future and why EPs play an important role in space travel. ACEP22 Discount Code for $150 Off Registration - A481646

Join us once more at ECC22 as we speak with Dr. Michael Gerardi about behavioral health management in the ED. Dr. Gerardi has been a long-time advocate for better management of agitated patients as a founding member of the Coalition on Psychiatric Emergencies and is now looking to carve out the skillset as a subspecialty.

Join us for another session from ECC22 in Destin, Florida as we discuss insurance, surprise billing, and the No Surprises Act. Dr. Tony Cirillo shares his wealth of knowledge and expertise on the subject while examining the evolution and status of this very important act. Discount code for ACEP22 in San Francisco($150 off!) - A734548

This is a recording from a live panel discussion at ACEP Corporate Council 2022 talking the evolution of emergency medicine with opportunities and challenges for the future. Discount code for ACEP22 in San Francisco($150 off!) - A734548

The new National Suicide Prevention Lifeline is live! As of July 16, 9-8-8 is the new direct, three-digit line to trained counselors, opening the door for millions of Americans to seek the help they need. In this throwback episode, John Draper, executive director of the Lifeline, talks with host Dr. Ryan Stanton about the implications of this new hotline and how it affects emergency medicine. [Episode originally aired Nov. 2, 2021.]

In this episode of the Frontline from the Emerald Coast Conference, we talk with Dr. Jeffrey Goodloe about hyperactive delirium, the risk, management, and the evidence.

In this episode of The Frontline, we join Dr. Randy Sorge to discuss the management and updates in COPD care.

Recorded at the Emerald Coast Conference (ECC22) in Sandestin FL, we talk with return guest and host of EM Board Bombs, Dr. Blake Briggs, about aortic dissection and its presentation, risks, and management. www.emboardbombs.com

Workforce considerations in emergency medicine are a huge concern within the profession. In this episode, we feature an update from ACEP President Dr. Gillian Schmitz, which was recorded at the Maryland ACEP meeting. Discount code for ACEP22 in San Francisco($150 off!) - A734548

Voluminous documentation of patient encounters is the norm in medicine, but coming in 2023, our approach and the focus will change. In this episode with Dr. Jason Adler, we discuss the changes and how they may have gotten it right this time.

When faced with an infection, it is key to know the right choice at the right time with regard to antibiotic management. We visit with Dr. Brian Levine, editor-in-chief of the 2022 EMRA Antibiotic Guide, talking about the changes, tips, and hidden treasures.

Medicine evolves over time as more and higher quality evidence becomes available. In this episode of ACEP Frontline, we talk with one of our favorites, Dr. Ken Milne, about how 2.8% reflects the evidence in emergency medicine.

Dr. Louis Profeta is a large and influential voice on SoMe, and a LinkedIn "Top Voice". In this episode of ACEP Frontline, we chat about is new article targeting some of the really bad decisions by administrators during the COVID-19 pandemic. Link to the article below! "Some Hospital Administrator Decisions Contributed to Patient Deaths During the Covid-19 Pandemic…You Should Know That" - https://www.linkedin.com/posts/louis-m-profeta-md-010b2690_demandbetter-activity-6932994642351206400-LRkV?utm_source=linkedin_share&utm_medium=member_desktop_web

Advocacy is one of the keys to the success and future of emergency medicine. In this episode, we talk with first time attendee, Dr. Jacob Altholz about is experience at the 2022 ACEP Leadership and Advocacy Conference and why being active in health policy is so important.

In this episode of ACEP Frontline, we gather three worldwide medical leaders and their trauma expertise to talk about the Textbook of Acute Trauma Care. Joining me are Dr. Peter Lax, Dr. Peter Brindley, and Dr. Alex Psirides. We cover time zones and topics from around the world. Textbook Amazon link... https://www.amazon.com/Textbook-Acute-Trauma-Care-Peter-ebook-dp-B09PTMSKXF/dp/B09PTMSKXF/ref=mt_other?_encoding=UTF8&me=&qid=1652035476

I think we all dread the Q-word in emergency medicine. Now we have a little research on whether "quiet" impacts ED volumes. Is the superstition supported? Article... https://www.sciencedirect.com/science/article/abs/pii/S0735675722001784?via%3Dihub

Last week we talked to Dr. Hansel about VL versus DL for adults, and this week we shift focus to cover the pediatric perspective. As an attending physician in both the pediatric ICU and the pediatric ED at Children's Hospital of Philadelphia, Dr. Aaron Donoghue discusses his group's recent study on pediatric intubation and the new perspective that it brings to an area of medicine without many well-conducted, rigorously conducted studies. Link to the study: https://pubmed.ncbi.nlm.nih.gov/35123808/

This week we cover a wet-ink, hot-off-the-press topic: video laryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation. Dr. Jan Hansel, a registrar in intensive care medicine in Manchester, England, joins us to discuss research and data about the growth of and the shift toward video laryngoscopes, as well as the European side of emergency and critical care medicine. Link to study...https://pubmed.ncbi.nlm.nih.gov/35373840/