ACEP Frontline - Emergency Medicine

Posterior circulation stroke was one of the "can't-miss" topics mentioned in our episode with Dr. Chuck Pilcher a few weeks ago about malpractice lawsuits. This week, Dr. Edward Jauch shares the low-down and some tips to help differentiate the symptoms of stroke from other similar presentations. This podcast is supported by an unrestricted educational grant from Genentech.

I think most people are now aware of the RaDonda Vaught case and now criminal conviction for reckless homicide and impaired adult abuse after she gave Charlene Murphey Vecuronium(paralytic) rather than Versed(anxiolytic/sedative). In this episode, we look at it from both sides on the errors that happened and how it may impact transparency and reporting in medicine. We are joined by Nathan Schlicher, MD, JD, to give his thoughts and legal expertise on the case.

Technology has advanced medicine, and the speed of innovation quickens yearly. In this episode of ACEP Frontline, we talk about how artificial intelligence augments the skills and knowledge of emergency physicians, as well as whether it's a threat to medicine. To check out the references for this episode, follow this link: https://docs.google.com/document/d/1V-oATOysKF1evyzBlqzqBa07IqE8HI7HHwZWneJw6Qw/edit?usp=sharing

Dr. Chuck Pilcher of "Med Mal Insights" has decades of case reviews and medical malpractice experience. In this episode, we talk about a few of the "can't miss" cases that lead to lawsuits as well as some of his stories from his time reviewing charts. Dr. Pilcher's philosophy is that we must learn from the mistakes of the past in order to avoid them in the future. You can subscribe online and/or contact Dr. Pilcher at [email protected].

Today we're joined by repeat guest Dr. James Neuenshwander, Attending Physician and Research Director for Genesis Healthcare System and Adjunct Associate Professor at The Ohio State University Medical Center. We usually discuss topics around potassium and things of that nature with Dr. Neuenschwander, but this week we discuss Procalcitonin with differentiation between bacterial and viral and its role in emergency medicine. Dr. Neuenschwander indicated that he has relationships that could be perceived by some as real or apparent conflicts of interest as they pertain to Procalcitonin. He is a speaker and consultant for Thermo Fisher and a consultant for Ortho Clinical Diagnostics.

On this week's episode of ACEP Frontline, we speak with Dr. Casey Bryant about airway management options as well as some of the research and data from Europe about those options. In particular, Dr. Bryant will speak about the European Society of Intensive Care Medicine Guidelines. These guidelines primarily focus on high flow nasal cannula use, which has changed over the past 18 months, and recommend its use moving forward into this year’s fall/winter respiratory season. This podcast is sponsored by Fisher & Paykel Healthcare.

In this episode from ACEP21 in Boston, we talk with pediatric expert and frequent guest Dr. Marianne Gausche-Hill about cases you can't miss in pediatrics. Dr. Gausche-Hill speaks about pediatric trauma pearls and pitfalls and evaluating crying and irritable febrile infants.

On this week's episode of Frontline, we celebrate Black History Month and diversity in emergency medicine. Dr. Ray Johnson and Dr. Sandra Coker, prominent physician members of the ACEP family, share their experiences and challenges working in emergency medicine. Dr. Johnson has been an active ACEP member for more than 30 years, serving in leadership roles with the ACEP Board of Directors and ABEM. Dr. Coker is an EM resident who founded Black Girl White Coat, a nonprofit providing guidance, representation, mentorship, and scholarship for aspiring healthcare students and professionals who identify as Black or Latinx.

Should you consider anticoagulation? What are some of the risks associated with it? In this week’s episode, we’re joined by repeat guest Dr. Colin Kaide as we answer these questions and discuss coagulation, anticoagulation, and VTE as they are associated with COVID-19, as well as delve into some of the surveys that have come out on the subject. Support for this episode was provided through an unrestricted grant from Sanofi.

In this episode from ACEP21 in Boston, we talk with physician, lawyer, and former Washington State Senator, Dr. Nathan Schlicher about the legal aspects and risk of COVID-19 as well as some tips for being successful when involved with a case.

Today(2/3) is National Women Physicians Day and we are joined by three physician leaders, Dr. Gillian Schmitz, Dr. Torree McGowan, and Dr. Anne Zink to talk about their experiences, challenges, and motivations. Women now make up over half of new medical student classes and continue to grow as leaders and experts in medicine. The day celebrates the first woman who attended medical school in the United States over 200 years ago and she was actually admitted as a joke.

In this week's repost, have you ever wondered when you should consider hyperammonemia in a patient? She’s a pediatric emergency physician and he’s a metabolic geneticist focusing on rare diseases. Join us for a kitchen table conversation between Dr. Karen Eigen and Dr. George Diaz about the signs and symptoms and the risks of high ammonia. Together, they’ll talk about their experiences, and what we can do to raise the clinical suspicion of hyperammonemia in the ED. This podcast is sponsored by Horizon Therapeutics.

COVID-19 has forever changed respiratory pathogen epidemiology and ED diagnostic strategy. In this episode, Dr. Charles Cairns discusses the role of syndromic respiratory panels, along with PCT-guided therapy, to address this new "flu season". This episode is made possible with support from BioMerieux Inc.

The pandemic has been tough on everyone, but we have seen a huge spike in overdose deaths. In this episode, we talk about the current landscape and steps to recovery.

In this special episode of ACEP Frontline, we interview the author of "Dreamland" and "The Least of Us", Sam Quinones, about his New York Best Selling book. We then follow-up with Rob Perez with DV8 Kitchen who assists addiction recovery through employment opportunities in his restaurant.

We are joined by Dr. Jason Vadhan and Dr. Christopher Zalesky regarding the EMRA "21 Greatest Hits EM Research Edition" to highlight some of the practice changing articles of the last year+. Great conversation and may just make your practice a little better! https://www.emra.org/emresident/issue-page-folder/latest-articles/36890

COVID-19 has been a strain on everyone, but to those on the front line that have dealt with the illness, death, and external strains, it has been especially tough. In this episode, we talk about online peer support resources for physicians and others. Resource Links... StrengthAfterDisaster.org/Peer-Support Facebook: www.facebook.com/groups/healthcareworkerpeersupport

In this episode of The Frontline, we talk with physician financial guru, Dr. Jim Dahle. We look at the current financial environment, as well as some opportunities and traps for physicians.

With the return of an in-person conference is the return of the research forum. In this episode, we talk with Dr. Anthony Lagina about some of the highlights and potentially practice changing evidence.

We chat with Dr. Rob Rodriguez about his study regarding vulnerable and high risk populations regarding their hesitancy and access to the COVID vaccine.

With the greying of America, the impact of geriatrics on emergency medicine will continue to grow. In this episode, we talk with Dr. Christina Shenvi at ACEP21 about geriatric care in ED and the Geriatric Accreditation Program(GEDA).

In this episode, we visit with Dr. Christina Shenvi who provides tips on connecting with learners and maximizing education. This episode was taped live at ACEP21 in Boston.

In this week's episode, we talk to Dr. Sandy Herman about treating behavioral health in the ED and how it impacts boarding.

In this episode, three ACEP Board members circle the wagons to discuss ACEP21, the Council, and leading emergency medicine into the future. We talk workforce, jobs, and a bunch of other stuff.

In this Veteran's Day special edition of The Frontline, we talk with four emergency physician veterans with their stories from the front lines of conflict around the world. These are stories of sacrifice, fear, loss, trauma, and service.

We all know the value of the 911 system, and now there is a similar option for suicide awareness and prevention. This new tool can help in crisis or concern to help protect and assist those in need. The line goes live in July 2022.

We talk with Dr. Kirk Hinkley about his experience as an emergency physician involved in CCAT.

As we transition another year for ACEP, we welcome the newly elected president-elect to talk about the past, current, and future.

In this week's episode, we talk to Kristen Wiley of the Kentucky Reptile Zoo. She talks us through the incidence of snake bites and how to treat them in our EDs.

In this week's episode, we talk to Dr. Nicholas Cozzi about his path to and the future of medicine through the eyes of a young physician.

In this week's episode, Dr. Blake Briggs joins us to discuss ectopic pregnancy in the ED. This is a high risk diagnosis and one that is not rare in EM.

Boarding has been a growing issue for years in emergency medicine and has been exacerbated by the COVID pandemic with its impact on volumes, staffing, and throughput. In this episode of The Frontline, we are joined by Dr. Ciara Barclay-Buchanan who discusses some of the approaches they have utilized to combat this growing challenge. https://www.emra.org/emresident/article/lit-review-boarding/

September is National Sickle Cell Awareness Month, designated by Congress to help focus attention on the need for research and treatment of sickle cell disease. Learn more about improving and standardizing care for sickle patient visits in the emergency department as you listen to this frank discussion with Dr. Caroline Freiermuth.

Since its inception in 2017, the Medicare Merit-based Incentive Payment System (MIPS) program has included a plan to impose future harsh monetary penalties on many clinicians. Due to the COVID-19 pandemic, these penalties were delayed in 2020 & 2021 performance years. However, in the 2022 performance year, the MIPS program will likely resume with full implementation. The CEDR team can help your ED navigate to the best possible outcome, avoiding penalties, and potentially securing a financial bonus with a successful submission. Based on 2019 MIPS scoring, 100 percent of our CEDR participants received a financial bonus. CEDR is your long-term partner focused on the success of the EM community. Let CEDR help you navigate your journey through these uncharted waters into 2022 and beyond. Highlights of using CEDR Value of CEDR to individual emergency physicians and how it helped them score well in 2020 include: - Putting $1,000 to $2,000 in the pocket of each of 10,000+ EM clinicians that participated in 2020 MIPS score reporting via CEDR - Helped protect their Professional Credit Score a.k.a. MIPS score which is tied to their individual NPI - Enhanced their professional rating at www.physiciancompare.com and www.hospitalcompare.com and www.carecompare.com - Enabled safe and high-quality care in 1,000+ EDs across the nation For more information, please visit us at www.acep.org/quality.

In this "megacast" episode of ACEP Frontline, we combine the best of COVID myth busting and evidence on the virus, vaccine, masks, and take on some of the self proclaimed "experts". Listen, subscribe, and share!!! Some Ivermectin Data... Cochrane Review: https://rdcu.be/cxcFx https://ebm.bmj.com/content/early/2021/05/26/bmjebm-2021-111678 https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciab591/6310839

In this week's episode, we talk with Dr. Cedric Dark about his new role as ACEP Now's Medical Editor-in-Chief. We discuss his previous experience and the future of the publication.

This week's episode is a special, Meet the Candidates. We talk to Drs. Aisha Terry and Chris Kang about their views on the issues affecting EM docs today and in the future.

Listen in to this week's episode with Dr. Michael Gerardi to learn more about Pediatric Strokes.

The Mt. Vernon School Board meeting featuring Dr. Dan Stock has gone viral. Unfortunately, much of the information is against the COVID evidence and research. In this episode of ACEP Frontline, we breakdown his claims and counter them with the evidence and facts.

Please join the conversation with Dr. Christopher Kabrhel as he discusses the development of the new point of care tools that will help identify patients diagnosed with Low-Risk PE & Low-Risk DVT. Listen as we engage in a discussion about evidence-based recommendations to guide the identification and outpatient treatment of these patient populations. Support for this episode was provided through an unrestricted grant from Janssen Pharmaceuticals.

SPECIAL COVID-19 MYTHBUSTING EDITION! Listen in to get the facts about what's real and what's not surround COVID-19 vaccines, variants, and more.

Is it COVID-19, the flu, or something else? In this episode, Dr. Sean-Xavier Neath joins us to discuss the evolution of diagnostic testing for respiratory infections in the ED, through the COVID-19 pandemic and beyond. This episode is supported by BioMerieux.

Job protection and the ability to advocate for patients and our departments is a key tenant of emergency medicine(medicine in general). Unfortunately, many live in environments where raising concerns and speaking our are met with threats or actions regarding job security. We sit down with Arizona Representative and Emergency Physician, Dr. Amish Shah, to discuss his legislation with whistleblower and due process protections for physicians and healthcare professionals.

In this week's episode, we talk to Dr. Christina Shenvi about violence in the ED.

Please join the conversation with Dr. Christopher Winckler as he discusses one of the new treatments for Covid-19 using monoclonal antibodies. Engage in the discussion of the new point of care tool, Neutralizing Monoclonal Antibody, and how it will help treat our patients in the ED. Support for this episode was provided through an unrestricted grant from Lilly USA

In this week's episode, we talk to Dr. Randy Sorge about team dynamics in the ED. More than anywhere in the hospital, a functioning team is critical in the ED. Dr. Sorge gives us some tips and ideas about how to be the leader your ED needs each and every shift.

In this week's episode, we talk to Dr. Matthew DeLaney about what we can do to minimize legal risk in our daily routines. Legal risks are an unavoidable cost of doing business, but we can take steps to minimize risk in certain areas of our practice.

In this week's episode, we talk to Dr. Andrea Brault about the late-2020 No Surprises Act. Dr. Brault talks us through what's in the bill, what's not, and what remains to be done.

Please join the conversation with Dr. Christopher Baugh and Dr. Arun B. Jesudian, as they discuss ACEP’s New emPOC tool, ALTERD, that helps Identify and treat patients with Hepatic Encephalopathy in the ED. Support for this episode was provided by funding from Salix Pharmaceuticals.

We talk with Dr. Blake Briggs about neck complaints that may suggest a more sinister diagnosis. Three dangerous conditions that may present as neck pain in EM. Recording from the Emerald Coast Conference in Destin, FL.