EMRA*Cast

This episode of EMRA*Cast delves into the making of "MicroSkills: Small Actions, Big Impact," a powerful book by Drs. Adaira Landry and Resa Lewiss. Much like the book itself, the conversation breaks down a big topic (how to be successful at life) into snackable stories. Join host D'Monte Farley to learn some premium life tips.

In this EMRA*Cast episode of Bridging Health and Humanity, host Natalie Hernandez speaks with Dr. Maya Yiadom, MD, MPH, MSCI, an associate professor and director of Precision Analytics and Data Integration in Emergency Medicine at Stanford, about how artificial intelligence is reshaping emergency care. They discuss practical AI already in use (predictive analytics and ambient AI scribes), how AI can be designed from clinical workflows to improve detection and timeliness (for example, speeding recognition of STEMI), and the promise of tools that reduce documentation burden and support decision-making. Dr. Yiadom also grapples with real risks — biased training data, subgroup performance, privacy and cloud constraints — and emphasizes protecting trainee learning while teaching residents how to use AI responsibly. She closes on an optimistic note: AI as a fail-safe that augments clinicians' judgment rather than replaces the human art of medicine.

This week on EMRA*Cast, Dr. Jay Kaplan shares compelling insights on the evolution of emergency medicine and the art of being a 'people doctor.' Join host Blythe Fiscella, MD, for a heartfelt conversation that's sure to inspire! Get tips on overcoming moral injury, finding your fit in medicine, and running a marathon instead of a sprint.

Dr. Sean Nordt is an emergency physician, toxicologist, pharmacist, and educator with deep expertise at the intersection of clinical toxicology, addiction medicine, and frontline emergency care. As a former Poison Center director, he brings a wealth of insight to a discussion with host Dr. Lauren Rosenfeld. Let's get into it! Tune in as Dr. Nordt explains an increasingly common—and often misunderstood—ED presentation: kratom.

The CDC and ACEP both recommend opt-out screening for HIV in most emergency departments, though this practice is far from widespread. Host Peter Lorenz, MD, sits down with Emory University's Emma Sizemore, MD, MPH, to discuss the nuances of implementing an opt-out HIV and HCV screening program in the emergency department.

Buprenorphine is well-known for opioid use disorder—but what about for acute pain? Drs. Terry Ahern and Jon Lee join host Maiya Smith to discuss low-dose buprenorphine for pain management in the emergency room, covering pharmacology, dosing, patient selection, and why it may be a safer, underused analgesic.

One talk with Dr. Fred Kency, and you will appreciate not only a strong work ethic, but also ingenuity and a passion for all aspects of the field of medicine. Join EMRA*Cast host Dr. D'Monte "TP" Farley for a stimulating conversation on ways to stay inspired and motivated in your career. Publisher's note: This conversation was recorded at the ACEP Leadership and Advocacy Conference 2025, where emergency medicine visits Capitol Hill en masse to advocate for patients and practitioners. The EMRA Representative Council will hold its Spring Representative Council meeting in conjunction with LAC in April 2026.

In this episode of EMRA*Cast's "Bridging Health and Humanity," host Natalie Hernandez interviews Dr. Jailyn Avila about the importance of gender-affirming care in the emergency department. Dr. Avila highlights the significant health disparities and challenges faced by LGBTQIA+ patients, including a reluctance to seek care in the ED due to fear of discrimination and past negative experiences. The conversation covers the critical aspect of treating trans patients with the same respect and care as cis patients, avoiding irrelevant medical questions, and implementing small changes in practice to create a supportive environment. Dr. Avila shares personal experiences as a transgender woman, emphasizes the necessity of advocacy, and provides actionable steps for clinicians to improve the care and trust of LGBTQIA+ patients. The episode also addresses the impact of recent restrictive policies on the health care of trans individuals and calls for education, advocacy, and systemic change to support this vulnerable population.

Whether you're days from becoming an attending or just trying to figure out how to get a BP on a pulseless patient, this episode will help you go from fear to confidence in managing LVADs in the emergency department. Join EMRA*Cast host Dr. Maiya Smith and guest Dr. Anna Ciullo as they review how to assess perfusion, manage complications, and decide on CPR. From pump thrombosis to GI bleeds, we help you stay calm and take control.

Laceration repair is not uncommon in the emergency department. In this episode, we get some expert tips for emergency physicians from a plastic surgery colleague. Join Dr. Kimberly Fiscella of Albany Medical Center and host Dr. Blythe Fiscella of ChristianaCare to pick up some essential pearls on suturing and skin/soft tissue injury management in the ER.

In this EMRACast episode, hosts Lauren Rosenfeld and D'Monte Farley sit down with Dr. Mel Herbert, emergency physician, educator, and writer/medical consultant for The Pitt, the hit TV drama inspired by life in the emergency department.

The emergency department offers critical access to health care in our broken system. An important skillset of the modern emergency medicine physician is a set of low-risk, low-time commitment, high-benefit interventions for the management of chronic diseases. In this episode, we discuss the diagnosis and management of hypertension, type 2 diabetes, asthma, alcohol use disorder, and tobacco use disorder from the emergency department.

Career-switching into medicine as a second profession might not be typical, but it's not out of reach - just ask Dr. Rob Lowe, an aerospace engineer for 6+ years before trading in his flight simulator for a stethoscope. Dr. Lowe joins the show to detail his previous experiences, discuss commonalities between engineering and emergency medicine, and ultimately inspire any career-changers to keep pushing forward.

In this episode of "Bridging Health and Humanity," hosted by Dr. Natalie Hernandez, the focus is on the effects of current immigration policies and enforcement tactics on the health of vulnerable communities. The discussion features Dr. Rose Diaz and Dr. Sarah Lopez, both advocates for immigrant health, who share their insights on changes in immigration policy, including the revocation of "sensitive location" protections and adjustments to the public charge rule. They delve into the broader impact of these policies on patient trust and public health, including delayed care and increased health care costs. The segment also explores how health care teams can support immigrant communities through advocacy, education, and understanding legal protections. The episode concludes with hopeful reflections and practical advice for medical professionals committed to supporting these marginalized populations.

July is the most exciting time of the year in the hospital - especially in the Emergency Department, when all of the new interns show up! Get 12 pieces of advice for interns reporting for their first shifts, courtesy of EMRA*Cast host Blythe Fiscella, MD, and guests Andrew Toron, MD (chief resident), Brielle Grote, DO, and Emerson Trimble, DO.

It was the tweet heard far and wide: When the NRA claimed doctors "should stay in their lane," physicians took aim at firearm safety as a matter of public health, policy, advocacy, and patient care. EMRA*Cast host Lauren Rosenfeld, MD, dives into this issue with author and policy guru Cedric Dark, MD, MPH, FACEP.

When it comes to the airway, roc rocks and succ sucks, right? You've heard it more than once. But EMRA*Cast host Peter Lorenz, MD, presents a nuanced argument in defense of succinylcholine, with guests Mike Perza, PharmD, and Patricia Simmer, MD.

In this episode of EMRA*Cast's "Vacation Gone Deadly: Toxins in Paradise," hosts Maiya Smith, MD, and Lauren Rosenfeld, MD, speak with Kenneth Katz, MD, a toxicologist and practicing EM physician at Lehigh Valley Health, about toxins you might encounter while traveling, inspired by Season Three of The White Lotus.

Mental health concerns drive a large number of emergency department visits in the United States. When a patient presents with an acute crisis, it's important for emergency medicine and psychiatry to work as a seamless team. Drs. D'Monte Farley and Caylon Pettis talk about how to ensure an effective psychiatry consult in the ED.

Navigating EM residency can be tricky and often difficult. EMRA*Cast host Nishant Gogna, DO, presents a group discussion navigating the tips, tricks, and pitfalls to watch out for in your EM residency, with Joanne Bethencourt, DO, PGY-3 and chief resident at UF Health Shands Hospital; Mario Hernandez, MD, PGY-3 at UF Health Shands Hospital; and Wade Chen, MD, PGY-3 at UF Health Shands Hospital.

This episode of EMRA Cast features Dr. Jody Kieffer, a pediatric EM attending physician at Nemours Children's Hospital. Dr. Blythe Fiscella, EMRA*Cast host, gets expert advice on examination strategies for pediatric patients. Learn about newborn-specific exams, strategies, and holding techniques to conduct ear and throat exams in toddlers; the use of metered dose inhalers; the appropriate use of ibuprofen and acetaminophen; and guidelines for discharge counseling for bronchiolitic patients.

In this bonus episode co-produced with Vital, we're talking patient satisfaction: how to create a meaningful connection in a short amount of time, and why it matters. (Spoiler alert: It's not all about metrics.) Join EMRA*Cast alumni Masood Mohammed and guest Gus Garmel for this practice-elevating conversation.

In this episode, @ucmax_show host and @embouncebacks author Dr. Michael Weinstock chats with EMRA*Cast's Dr. Lauren Rosenfeld, breaking down documentation to avoid litigation with a focus on a common presentation: chest pain. Learn how to use the HEART score and avoid a courtroom.

Refractory hypoxemia in the intubated patient is one of the scariest situations any emergency physician can face. In this episode of EMRA*Cast, Drs. Peter Lorenz and Steven Haywood discuss a stepwise approach to managing this worst-case scenario.

Mistakes are an unavoidable part of medical training. Yet, they're often under-discussed, contributing to feelings of burnout and isolation. In this episode, host Maiya Smith, MD, is joined by residents Lulu Weindruch, DO, Stephanie Michael, DO, and Jarred Millard, MD, as they share their personal experiences with errors and the strategies they've developed to grow from them.

EMRA*Cast's D'Monte Farley talks to social EM leader Italo Brown, MD, MPH, of Stanford University, about how and why to build doctor-patient trust and make care more accessible at the community level. In the spotlight: T.R.A.P. Medicine and a unique barbershop initiative.

Decision-making capacity is a key component of patient autonomy. In this episode, host Natalie Hernandez, MD, MPH, and guest Ilene Claudius, MD, discuss potential challenges to assessing capacity and obtaining consent - particularly among the pediatric population.

There's more to consider for your first EM job than just locations, hours, and pay. EMRA*Cast host Nishant Gogna, DO, presents a fireside chat about other things to consider on your first job hunt with Ryan Kirby, MD, market president for IES and former PD of John Peter Smith Hospital in Fort Worth Texas, and Marcus Nash, MD, chief resident at UF Health Shands Hospital, and currently on the job hunt.

Every great resuscitationist needs to understand the fine points of keeping your patients breathing - not only by securing an airway, but also by understanding ongoing ventilation. In this episode, EMRA*Cast host Blythe Fiscella, MD, reviews pearls and pitfalls of NIPPV with critical care expert Colin McCloskey, MD.

Known for candid perspectives and sense of humor, pediatric emergency guru Dr. Richard Cantor shares how PEM reminds residents to be present with patients. The organic nature of PEM requires us to use all five senses, engage with patients and their families, and see past burdensome EMRs. Dr. Cantor recalls his transformation from day one as an intern to life as an attending, and he reminds new practitioners to always do what's best for patients and their families.

Food is routinely withheld from patients entering the emergency department in order to prevent the theoretical risk of aspiration should they require operative intervention or procedural sedation. This practice is not evidence-based and does more harm than good. EMRA*Cast host Peter Lorenz, MD, and guest Chris Reilly, MD, dig into the literature, best practices, and the humanity behind denying patients food or water in the emergency department.

We're seeing a LOT more medications like Ozempic in the emergency department nowadays. In fact, 12% of U.S. adults have used a GLP-1 drug! So, what do we need to know about these drugs? Dr. Megan Boysen Osborn, Professor of Emergency Medicine at the University of California Irvine, discusses these GLP-1 agonists with host Maiya Smith.

The transition from being a resident to an attending may be daunting for some. But have no fear, EMRA*Cast host Lizzii Le sits down with Gus Garmel, an Adjunct Clinical Professor of EM at Stanford University, author of multiple books on clinical education, to discuss this topic.

Students navigating the ERAS Application Cycle - or any residency application process - face a lot of stress and anxiety. Knowing the answer to every possible question is difficult, but having individuals with expertise in your corner is beneficial. Dr. Arlene Chung, current Vice Chair of Academic Affairs at the University of Vermont and previous Program Director at Maimonides Medical Center, joins host D'Monte Farley to provide valuable insight and helpful strategies to assist students while undergoing residency application season.

Being a leader in emergency medicine, whether in the department or on the administrative side, is easier said than done. So, what are the skills a good leader should have, and what practices should they absolutely avoid? In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency medicine physician Dr. Azita Hamedani (@ahamedani) as she discusses her own journey as founding chair of an emergency department and shares wisdom on how to develop and grow as a leader within EM.

Acetaminophen is widely available over the counter in the United States, increasing the risk of overdose (both acute and chronic). Several factors contribute to the complexity of managing this tricky condition in the emergency department, but until recently, there has been no true standardized approach. Guidance issued in 2023 aims to establish a helpful framework for managing acetaminophen overdose. EMRA*Cast host Kyle Duke, MD, breaks it down with EMRA Toxicology Committee Chair Mason Jackson, MD.

Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it's even safe to treat. In this episode, Ray Isenburg and host Will Smith discuss the basics of AFib, how to treat it (both chemically and/or electrically), when is it safe to treat, and how to determine if this is something worth treating or if there is other pathology occurring that, once resolved, will resolve the heart rhythm.

Some pathologies are true can't-miss diagnoses. Get into one such condition with EMRA*Cast host Will Smith, MD, and EM guru Matthew DeLaney, MD. In this episode you will learn a very simple and comprehensive workup for mesenteric ischemia.

Let's hear it for the pharmacists who make every emergency medicine shift easier and safer. EMRA*Cast host Dustin Slagle, MD, picks up some pearls from Mike Perza, PharmD, BCPS.

A patient isn't breathing, 8 people are talking at once, alarms are alarming, and you have a whole roster of concerns and options running through your mind. How do you control your reaction, prioritize your response, and step up as a leader for your team and your patient?

Physician-led health care teams are a gold standard in emergency medicine. There's an art to learning how to lead that team, especially in today's climate. EMRA*Cast host Masood Mohammed, DO, MS, FAAEM, dives into the details with physician/attorney/national leader Ricky Dhaliwal, MD, JD.

Let's talk about the crashing intubated patient. What's your strategy? What if the nearest ICU requires transport? EM/intensivist Andrew Phillips gives EMRA*Cast host Kyle Duke some high-yield tips that you'll want to hear, too.

EMRA*Cast host Chris Reilly, MD, and NYU Grossman School of Medicine's Stacey Frisch, MD, MS-HPED, discuss effective strategies and key considerations for EM physicians during contract negotiations, with insights on preparation, priorities, and potential pitfalls.

How many EKGs does an emergency doctor interpret per shift? How many seconds of undivided attention can be devoted to those readings? Let's go over 7 key findings you can't miss for occlusive myocardial infarctions, with EMRA*Cast host Will Smith, MD, and emergency physician Domenico Mastandrea, DO, of Nuvance Health.

Doctors deal with EMS providers on the daily, but do we really understand their world? Dr. Lizzii Le chats with Dr. Kelly Tillotson and Dr. Luke Wohlford, who worked as EMS providers before becoming emergency physicians, to give us a deeper dive into what exactly goes into the field.

EMRA*Cast host Dustin Slagle, MD, and NYU critical care cardiology fellow James Ciancarelli, DO, revisit the topic of a prior episode – dual synchronous defibrillation – to further explore the theory, logistics, evidence, and indications for its use.

As the first Latina physician in the United States Congress, Rep. Yadira Caraveo, MD, brings a unique voice to policymaking. Dr. Caraveo tells former EMRA President Jessica Adkins Murphy about how she decided to run for office, what she hopes to achieve, and how every doctor can impact patient care through advocacy.