ACEP Frontline - Emergency Medicine

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/

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.