Podcast Episodes : Emergency Medicine News

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EMN Live

Richard Pescatore, DO, and Ali Raja, MD, tackle hot topics in emergency medicine and interview the specialty's movers and shakers. They will also juxtapose their different EDs—community vs. academic—to recommend evidence-based best practices that you can take back to your ED.

Dr. Pescatore is the Chief Physician for the Delaware Division of Public Health and an emergency physician in New Jersey. Follow him on Twitter @Rick_Pescatore. Dr. Raja is the executive vice chair of emergency medicine and a professor of emergency medicine and radiology at Harvard Medical School and the executive director of the Harvard Medical School Library of Evidence. Follow him on Twitter @AliRaja_MD.

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Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 23:38
Emergency Medicine News 
Drs. Pescatore and Raja review the latest evidence on whether emergency physicians should initiate therapeutic hypothermia after cardiac arrest and also talk about patient awareness during sedation while on mechanical ventilation and how much information is retained from listening to podcasts.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 22:40
Emergency Medicine News 
Should you do a pan scan on patients who have a cardiac arrest? Drs. Pescatore and Raja weigh in on that and on AEDs in the community, head-up CPR, an elevated position to facilitate venous return, and impedance threshold devices.
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 18:28
Emergency Medicine News 
All emergency physicians know the specialty’s 10 commandments, written in 1991 by Corey Slovis, MD, and Keith Wrenn, MD, but now Dr. Slovis and Christopher Evans, MD, formerly a resident at Vanderbilt and now a clinical informatics fellow at the University of North Carolina, have updated them. Drs. Raja and Pescatore review all 10 and add their own take.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 37:09
Emergency Medicine News 
Drs. Pescatore and Raja talk about an unexpected effect of COVID-19 and why TXA doesn’t change the need for nasal packing in their latest podcast.

Bonus! An interview with Daniel Boron-Brenner, DO, on push-dose pressors.
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 20:57
Emergency Medicine News 
Drs. Pescatore and Raja talk about what to do when patients present after unprotected sex, and Dr. Pescatore’s wife, Jessica Pescatore, DO, an OB-Gyn, joins them to teach them all about ulipristal. Bonus: A discussion about TXA for subarachnoid hemorrhage.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 16:22
Emergency Medicine News 
Changes were made to the pediatric ALS guidelines, say Drs. Raja and Pescatore, not the least of which was the number of breaths to give per minute. They also discuss the updated dosing for gonorrhea treatment. Learn more in their latest EMN Live podcast.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 21:34
Emergency Medicine News 
Drs. Raja and Pescatore say the evidence is in for cannabinoid hyperemesis syndrome: Haloperidol is more effective, leads to faster discharge, and requires less rescue medicine. Tune into their latest EMN Live podcast for this and more.
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 24:50
Emergency Medicine News 
Drs. Pescatore and Raja talk about palliative care teams in the ED for COVID-19 patients, figuring out whether patients want a full code, and how you should stop using TXA for GI bleeds, even though Dr. Pescatore supported its use two years ago.

Find the Lancet article they discuss at https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30848-5/fulltext.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 19:21
Emergency Medicine News 
Drs. Raja and Pescatore explore two studies: One compares colchicine with naproxen for relieving gout pain (read the study here: https://bit.ly/2QKwEXD), and the other examines the use of coloring books for alleviating anxiety in adults waiting in the ED (read the study here: https://bit.ly/33HCY7D).
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 30:49
Emergency Medicine News 
Drs. Pescatore and Raja talk about three important studies: the CRASH-3 trial about TXA for TBI patients, the CITRIS-ALI trial on using a vitamin C cocktail for sepsis, and the Hyperion trial looking at targeted temperature management.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 30:59
Emergency Medicine News 
Drs. Raja and Pescatore sing the praises of A-lines in cardiac arrest, rail about a New Jersey rule requiring EMS to give buprenorphine in the field, and debate risk stratification for PE. Listen in as they cover the game-changers for emergency medicine practice.
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 41:52
Emergency Medicine News 
Does honey prevent burns in kids who swallow button batteries? Drs. Pescatore and Raja have a surprising answer. They also talk about using vasopressors in cardiogenic shock and regional anesthesia for rib fractures. Plus Dr. Pescatore interviews Mark Ramzy, MD, an emergency medicine resident at Drexel University, about double external defibrillation.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 42:57
Emergency Medicine News 
Dr. Raja rants about the Rhode Island EPs who are being blamed for the flaws in their hospital’s EMR, Dr. Pescatore fumes about how saying children aren’t little adults creates problems, and they discuss the nuances of the high-flow nasal cannula for patients in respiratory distress. They top that off with an interview with emergency medicine pain expert Sergey Motov, MD, to learn more his ED Opioid Stewardship Pathway 2.0, with its surprises about morphine sulfate and TENS. See the pathway at http://bit.ly/2S2nwLL.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 54:57
Emergency Medicine News 
Drs. Raja and Pescatore are in sync about the HEART score for patients with chest pain and when it’s OK to use nonsterile gloves for lacerations, and but they lock horns a little over loop drainage.

Tune in to their latest podcast for that and an interview with medical student Joshua Niforatos, a medical student with an interesting background and an interesting outlook on Step 1.
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 54:49
Emergency Medicine News 
Drs. Pescatore and Raja say antibiotics are not the panacea you think they are for appendicitis, they talk about how EPs can help patients with opioid use disorder by starting medication-assisted treatment in the ED, and much more!
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 24:20
Emergency Medicine News 
Drs. Raja and Pescatore admit they’re scared and know you are too. Listen in to hear their ideas for lessening their own anxiety about diagnosing pulmonary embolism in pregnancy and treating patients who used cannabinoids laced with superwarfarins. They also talk about a truly portable handheld ultrasound machine that will probably soon be standard of care.
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 38:15
Emergency Medicine News 
Drs. Pescatore and Raja provide news you can use in your practice right now! Listen in to hear their takes on these hot topics:
- Do you really need to send a troponin for your asymptomatic afib patient with RVR? What happens when it comes back elevated?
- The obstruction series’ sensitivity is 30-50 percent for obstruction and worse for anything else in the belly. Why are you ordering it?
- You can handle that distal finger amputation yourself. The evidence says ED revision yields good patient outcomes and no significant rate of adverse events.
Creator: Ali Raja, MD, & Richard Pescatore, DO
Duration: 45:46
Emergency Medicine News 
Drs. Pescatore and Raja provide news you can use in your practice right now! Listen in to hear their takes on these hot topics:
Probiotics and Antibiotics: Should you give probiotics to a patient you gave antibiotics? Theevidence is overwhelming!
Corneal Abrasions and Topical Anesthetics: Worried about sending your corneal abrasion patients home with topical anesthetics? This idea will provide pain relief for your patients.
ETI vs laryngeal airways in OHCA: This is the most controversial topic in emergency medicine right now: whether to intubate in field for out-of-hospital cardiac arrest patients. Two new studies provide the answer.
Bonus Interview: Dr. Pescatore talks with Laura Bontempo, MD, an expert in managing atrial fibrillation, about using beta blockers and calcium channel blockers together and rate v. rhythm control.
Creator: Richard Pescatore, DO, & Ali Raja, MD
Duration: 54:37
Emergency Medicine News 
Drs. Pescatore and Raja discuss procalcitonin for guiding antibiotic cessation, what to do about ED patients with asymptomatic hypertension, and why you should learn about REBOA. Keep listening after their talk for Dr. Pescatore’s interview with Amy Ho, MD, and why she says “The Resident” isn’t as bad as you think.
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 51:02
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts talk about what’s coming up in the June issue, including an article Dr. Pescatore says is the best article he ever read in EMN. Hint: Graham Walker, MD, wrote it. PLUS an also interview with Seth Collings Hawkins, MD, about how dry drowning is just not a thing. And much more!
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 69:26
Emergency Medicine News 
Ms. Roberts, Dr. Pescatore, and special guest James Roberts, MD, talk about what’s coming up in the May issue, but also interview noted emergency physician Jerry Hoffman, MD, about the controversial article in the NY Times about tPA. And much more!
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 48:04
Emergency Medicine News 

Ms. Roberts and Dr. Pescatore not only dissect the April issue, but also call on the knowledge of pain expert Sergey Motov, MD, to discuss these game-changing articles:

  • “The Cure for Back Pain Is Biting the Bullet” by Graham Walker, MD
  • “Is Phenobarbital for Alcohol Withdrawal Ready for the Big Time?” by Leon Gussow, MD
  • “TXA Superior to Packing for Epistaxis, and Patients Like It Better” by Dustin Ballard, MD, & David Vinson, MD
  • “Rage against Renal Colic: Keep the Ketorolac, Maybe Morphine, Leave the Lido for Last” by Dan Runde, MD
  • “Three Things You Should Know about Sickle Cell Disease” by EMedHome.com
  • And much more!
Creator: Martha Roberts, ACNP, PNP, & Richard Pescatore, DO
Duration: 37:11
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts discuss practice-changing articles from the March issue:
  • Topic of the Month: "Once Stuck in a Therapeutic Fog, Abnormal Uterine Bleeding Finds Clarity" by none other than Rick Pescatore, DO
  • Article of the Month: "Fatigue, Cough, Night Sweats, Gum Bleeding" by Katherine Wurlitzer, MD, & Taylor Burkholder, MD, MPH
  • This Month's Game Changer: "The Patient Call-Back Goes High Tech" by Alex Mohseni, MD
  • Maximum Medicine: "To Give or Not to Give Activated Charcoal, That’s Not the Real Question" by Leon Gussow, MD
  • The "As If" Segment: "The Dos and Don’ts of Sign-Out Etiquette" by Alberto Hazan, MD, & Jordana Haber, MD
And much more!
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 10:08
Emergency Medicine News 
BONUS PODCAST! Dr. Pescatore and Ms. Roberts set up a recording studio at the EMN booth during the ACEP Scientific Assembly to interview some of the top names in emergency medicine. In this one, Ms. Roberts interviews Seth Collings Hawkins, MD, about his new book, Wilderness EMS, and why wilderness care is not just for hikers and spelunkers anymore.
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 39:19
Emergency Medicine News 
Ms. Roberts and Dr. Pescatore discuss practice-changing articles from the January issue:
  • Editorial Topic of the Month: “A Dangerous Game of Bias” by Mark Mosley, MD
  • Article of the Month: “The Epidemic of Cripping Anxiety, Literally” by Graham Walker, MD
  • This Month’s Game Changer: “Tissue over Time: The DAWN of a New Era” by Evie Marcolini, MD
  • The “As If” Segment: “Beware the Snake (Head) in the Grass” by Leon Gussow, MD
  • Maximum Medicine: “PCI Fails to Reduce Death or MI in Stable Angina, So Why Is It Still Being Used?” by Rory Spiegel, MD
And much more!
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 7:48
Emergency Medicine News 
BONUS PODCAST! Dr. Pescatore and Ms. Roberts set up a recording studio at the EMN booth during the ACEP Scientific Assembly to interview some of the top names in emergency medicine. In this one, Dr. Pescatore interviews Amy Ondeyka, MD, about her work with ACEP and CORD on wellness initiatives and mental health in emergency medicine.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 7:43
Emergency Medicine News 
BONUS PODCAST! In this bonus podcast from the ACEP Scientific Assembly, Dr. Pescatore interviews Zinta Zapp, MD, about opioids, medication-assisted therapy, and a special curriculum for residents.

Watch this space for more bonus podcasts with Rick and Martha.
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 9:09
Emergency Medicine News 
BONUS PODCAST! Dr. Pescatore and Ms. Roberts set up a recording studio at the EMN booth during the ACEP Scientific Assembly to interview some of the top names in emergency medicine. In this one, they talk to Sandra Scott Simons, MD, best known in EMN and Twitter as the ER Goddess (@ERGoddessMD), about how she juggles being an EP, a mom of two, a column author, and a marathon runner.
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 34:05
Emergency Medicine News 
Ms. Roberts and Dr. Pescatore discuss practice-changing articles from the January issue: - “Even if Stress Tests Found Patients at High Risk for MI (They Don’t), To What End?” by Rory Spiegel, MD - “The Best Three Treatments for Migraine” by James R. Roberts, MD - “Ultrasound Discerns Cardiac Standstill from Good Contractility and the Nebulous Findings in Between” by Christine Butts, MD - “Resuscitative Transesophageal Echocardiography: A Game Changer for Cardiac Arrest,” by Patrick Ockerse, MD, & Jimmy Fair, MD And much more!
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, PNP
Duration: 30:24
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts discuss must-read articles from the December issue: • “Why I Learned to Appreciate EMTALA” by Graham Walker, MD • “How Sepsis and Opioids Could Land You in Court” by Carlos Reyes, MD, JD • “Purveyors of Push-Dose Pressors: Punks or Prophets?” by Dan Runde, MD • And much more!
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 6:48
Emergency Medicine News 
BONUS PODCAST! In this bonus podcast from the ACEP Scientific Assembly, Ms. Roberts interviews John Sanfuentes, DO, an emergency physician in the Washington, DC, metropolitan area, about an agitated patient and the pearls and pitfalls of medically managing these patients in the ED. Sometimes, that management just doesn't go as planned. Listen to see how Dr. Sanfuentes handled this case.

Watch this space for more bonus podcasts with Rick and Martha.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 17:48
Emergency Medicine News 
BONUS PODCAST! Dr. Pescatore and Ms. Roberts set up a recording studio at the EMN booth during the ACEP Scientific Assembly to interview some of the top names in emergency medicine. In this one, Ms. Roberts interviews Thomas Cook, MD, the program director of the emergency medicine residency at Palmetto Health Richland in Columbia, SC, and the founder of 3rd Rock Ultrasound (http://emergencyultrasound.com). Dr. Cook discusses his experiences in Uganda, and you can read more about the trip in his three-part series in his EMN column at http://bit.ly/EMN-Match.

Watch this space for more bonus podcasts with Rick and Martha.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 8:10
Emergency Medicine News 
BONUS PODCAST! Dr. Pescatore and Ms. Roberts set up a recording studio at the EMN booth during the ACEP Scientific Assembly to interview some of the top names in emergency medicine. In this one, Dr. Pescatore presents a case to try to stump Dr. Alice Lee, an assistant professor of emergency medicine at the University of Arizona College of Medicine in Phoenix (@azerdocmom) and the author of the EMN screencast, iCubed (http://bit.ly/EMN-iCubed).

Watch this space for more bonus podcasts with Rick and Martha.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 8:09
Emergency Medicine News 
BONUS PODCAST! Dr. Pescatore and Ms. Roberts set up a recording studio at the EMN booth during the ACEP Scientific Assembly to interview some of the top names in emergency medicine. In this one, they talk to Zaf Qasim, MD, an assistant professor of emergency medicine and emergency critical care at the University of Pennsylvania (@emeddoc), about traumatic cardiac arrest and thoracotomy.

Watch this space for more bonus podcasts with Rick and Martha.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 16:07
Emergency Medicine News 
BONUS PODCAST! Dr. Pescatore and Ms. Roberts set up a recording studio at the EMN booth during the ACEP Scientific Assembly to interview some of the top names in emergency medicine. We’ll release them over the next month, but start with this one of them interviewing Chad M. Simpkins, MD (@ChadMSimpkins), the editor of The EM Daily (@The_EMDaily), a website with daily posts about high-yield emergency medicine knowledge. In this episode, they discuss the many uses of TXA.

Watch this space for more bonus podcasts with Rick and Martha.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 34:36
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts discuss news-breaking topics in the November issue, like Dr. Edwin Leap’s column on gratitude, Dr. Rory Spiegel’s article on oxygen for MI, Dr. Morgan Eutermoser’s piece on a patient with knee pain and a pulseless extremity, and much more.

Coming soon! A bonus episode of EMN Live with Martha and Rick from EMN’s booth at the ACEP Scientific Assembly.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 43:02
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts discuss the game-changers and hot topics in the October issue, like Dr. Leon Gussow’s article on how opioids aren’t only drugs that are abused, Dr. Carlo Reyes’ article on why EPs should be federally protected from violence bu patients, why Dr. James Roberts’ next piece is game-changer for treating PID, how Dr. Christine Butts makes diagnosing ovarian torsion is easier with ultrasound, and how Drs. Adam Rodos and Wes Eilbert explain how to reverse NOACs. That plus bonus interviews with Dr. Roberts about PID and Dr. Ken Milne about evidence-based medicine.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 29:33
Emergency Medicine News 
Ms. Roberts and Dr. Pescatore discuss hot topics in the September issue, like Dr. Graham Walker’s take on whether EPs should provide medical care to family and friends, Dr. Alex Mohseni’s review of an app that takes the pain out of credentialing, and how Dr. Sandra Scott Simons keeps balanced by running marathons. They also channel their inner Rick and Jerry in a passionate discussion about Dr. Rory Spiegel’s column on morphine for ACS.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 35:41
Emergency Medicine News 
Ms. Roberts and Dr. Pescatore discuss hot topics in the August issue, like the myth of dry drowning (a must-read!) and medication-assisted treatment for opioid use disorder.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 42:06
Emergency Medicine News 
Ms. Roberts and Dr. Pescatore discuss hot topics in the July issue, like Dr. Paul Marik’s controversial idea for using vitamin C for sepsis, Dr. Edwin Leap’s take on the pain of credentialing, and Dr. Leon Gussow’s article about supportive care in toxicology cases. Stay tuned to the end for Dr. Pescatore’s interview with Rory Spiegel, MD, about ketamine for TBI.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 37:20
Emergency Medicine News 
Ms. Roberts and Dr. Pescatore discuss hot topics in the June issue, like Dr. Evie Marcolini’s article on how to choose which facility is best for stroke patients and a game-changer from Dr. Natalie May on buckle fractures. They also duke it out over the new Ottawa heart failure scale (Ms. Roberts likes it, but Dr. Pescatore not so much)! Stay tuned to the end for an interview with Dr. Roberts about cardiogenic syncope.
Creator: Martha Roberts, ACNP, CEN, & Richard Pescatore, DO
Duration: 43:15
Emergency Medicine News 
Ms. Roberts and Dr. Pescatore discuss hot topics in the May issue, like Dr. James Roberts’ article on how to distinguish epileptic seizures from syncope, why it’s important to be kind even when you’re crazed, and Dr. Bonnie Kaplan’s article on a patient whose hip and leg pain had a surprising cause. Stay tuned to the end for an interview with Dr. Roberts about syncope.
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, CEN
Duration: 24:04
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts discuss hot topics in the April issue, like an in-depth analysis of SEPSIS-3 and why it is important to be mindful of how you speak and act in front of residents, medical students, and patients.
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, CEN
Duration: 50:47
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts discuss hot topics in the March issue, including topical anesthetics for corneal abrasions, a vagal maneuver for PSVT, and much more. Plus an interview with Dr. Andrew Nyce, the residency director at Cooper Medical School in Camden, NJ, about the symbiosis of urgent care and the ED.
Creator: Richard Pescatore, DO, & Martha Roberts, ACNP, CEN
Duration: 75:55
Emergency Medicine News 
Dr. Pescatore and Ms. Roberts discuss hot topics in the February issue, including ones on the difficulty of predicting CV disease, the most common cause of sudden death in young people; billboards that boast ED wait times; an unusual toxicology case; an interview with Dr. James Roberts about caring for intoxicated patients, and much more!
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