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Raise a glass to the GRACE-4 guidelines. These are Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE). The goal of GRACE is to focus on conditions for which there is wide variation in treatment, for which ED-focused clinical practice guidelines do not already exist, and for which patients have frequent ED revisits.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
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In this podcast we review both boarding and crowding, the twin kiss of death for an Emergency Department, with Dr. Kraftin Schreyer, an Emergency Medicine physician and ED Administrative Fellowship Director. We discuss boarding and how it can be prevented through surge planning, C-suite buy-in, and cooperation between the in-patient and ED. We then go on to talk about crowding and how it is often a kindred spirit of boarding, but can also exist independently. We discuss options for combating this crowding as well.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
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This podcast, catering to in the medical education spectrum, focuses on how to get the most out of your clinical rotations. It involves balancing 4 things. Have a listen to find out what they are, and how to balance them!
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
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In this podcast we review the corporate practice of medicine- a touchy topic in Emergency Medicine. Over the last few decades, we have let these corporate agencies into our work environment, with sometimes disastrous results- termination without cause, overbilling, understaffing, just to name a few. Many of these corporate groups have taken heat of late for their shady dealings, but they are still out there, buying up EM physician groups across the country. In this two part podcast we review the history of the more well-known corporate medicine groups, Envision, and how many docs are taking a stand against their practices. In Part 1 we have Dr. Kenan Bouzida, a medical student at Tufts University reviewing the rise and fall of Envision. In Part 2 Kenan is joined by Dr. Bob McNamara, a man who has dedicated much of his life to fighting the corporate practice of medicine.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
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In this podcast we review the corporate practice of medicine- a touchy topic in Emergency Medicine. Over the last few decades, we have let these corporate agencies into our work environment, with sometimes disastrous results- termination without cause, overbilling, understaffing, just to name a few. Many of these corporate groups have taken heat of late for their shady dealings, but they are still out there, buying up EM physician groups across the country. In this two part podcast we review the history of the more well-known corporate medicine groups, Envision, and how many docs are taking a stand against their practices. In Part 1 we have Dr. Kenan Bouzida, a medical student at Tufts University reviewing the rise and fall of Envision. In Part 2 Kenan is joined by Dr. Bob McNamara, a man who has dedicated much of his life to fighting the corporate practice of medicine.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
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Status epilepticus is a clinical condition squarely in the wheelhouse of the Emergency Medicine physician. Here, we will discuss a recent article that asks an important clinical question: which induction agent should we use in RSI for those patients in status epilepticus that require intubation? We will subsequently discuss key ED management considerations for this neurologic emergency, including our approach to status epilepticus and intubation.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
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Ozempic and its class of medications, GLP-1 agonists, have take the media by storm. There is speculation all over Hollywood about which celebrities are and are not taking GLP-1 agonists. Seen by some as wonder weight loss drugs, these medications are so popular there are shortages nationwide. While these meds have an indication by the FDA for both diabetes and obesity, they are not without their side effects.
In this podcast we review the common GLP-1 agonists, their mechanism of action, and side effect profiles that might land a patient on such a med in the Emergency Department.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
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Myxedema Coma is a rare but life threatening endocrine emergency that we must be prepared to diagnose and treat in the emergency department. Buckle up for an in-depth discussion of a complicated emergency department case in an oral boards format with a focus on clinical reasoning, differential diagnoses, and ultimately a review of Myxedema Coma.
Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)
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There are few things as scary in the Emergency Department as a crashing asthmatic. The stakes go even higher when we are talking about intubating asthmatics. In this podcast we are joined by Dr. Andrew Phillips, and ED intensivist and founder of the awesome board review suite EM Coach, to talk about staving off intubating in asthmatic patients, how to safely intubate them in the Emergency Department, and most importantly, how to manage them after the tube.
Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)
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In the Emergency Department, we often have to initiate empiric antibiotic treatment for sick, undifferentiated patients. Cefepime and Piperacillin-Tazobactam (pip-tazo) are common antibiotic options for coverage of gram-negative organisms, such as pseudomonas. But is one better than the other?
In this podcast, we will critically appraise The ACORN Trial- an article that examines the risks of acute kidney injury and/or neurologic dysfunction in patients treated empirically with one of these antibiotics.
Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)
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Anterior shoulder dislocations are common in the Emergency Department and let's face it, fun to fix. But this can be a time and resource intensive endeavor- especially if doing IV sedation. In this podcast we look at intraarticular analgesia as an alternative to IV sedation to allow for an awake shoulder reduction.
Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)
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How often do we, as Emergency Medicine clinicians, have to do a cric? Is that number changing with time? We attempt to answer these questions with a review of some current literature.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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Teaching in the clinical environment can be... challenging. Learners are so enthusiastic, so engaged, and can require soooo much attention! In this podcast, we discuss ways to remain a kick-ass clinical educator and still have the time you need to be a, well, a clinician.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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In this podcast, we review an Annals article published in Sept 2023 that showed an association between provider's age and patient mortality, with an increase in mortality rates for clinicians 50 and older.
The Article
Miyawaki A, Jena AB, Burke LG, Figueroa JF, Tsugawa Y. Association Between Emergency Physician's Age and Mortality of Medicare Patients Aged 65 to 89 Years After Emergency Department Visit. Ann Emerg Med. 2023 Sep;82(3):301-312.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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If you have not yet, check out Part 1 of Gender Equity in the Emergency Department with Dr. Kimon Ioannides where we talked about the role men play in moving toward gender equity in the ED.
In this podcast, we are joined by Megan Healy, an emergency medicine physician, who is the current Program Director at Temple University Emergency Medicine Residency program. Not only is she the Co-chair of the Women Faculty Committee at the medical school, but she has also done work at the national level within AAEM and the Women in Emergency Medicine (WiEM) Committee.
In our talk, we discuss the discomfort that can come from being in a position of privilege and having that privilege in the spotlight, our unknown unknowns which can include biases and how to overcome them, resources for those looking to get involved in the conversation and change culture, and the future of gender dynamics in the ED.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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Alcohol use disorder and withdrawal in the Emergency Department is as commonplace as a turkey sandwich. Despite this, there is wide variation on how we categorize and treat withdrawal. In this podcast, we organize withdrawal symptoms and structuralize an approach to the withdrawing patient.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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For a long time, medicine has been a "good ol' boys club" and in the areas of gender inequity, sexism, and patriarchy. This old way of thinking in medicine really does fall on the wrong side of history. Thankfully, we have made progress, but so much more work needs to be done. With the lay press and productions like the Barbie movie bringing patriarchy back into the spotlight, we thought it would be a good time to discuss gender (in)equity and Emergency Medicine mansplaining. We are joined by Kimon Ioannides to talk gender inequalities in Emergency Medicine.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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In this interview we talk about the nuances of providing care to the patient we just brought back from the dead. From Temperature to hemodynamics, we dive into the current guidelines and literature to help drive better patient care and outcomes.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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In this talk we dive into all things tickborne- Lyme, anaplasmosis, babesiosis, Rocky Mountain Spotted fever, and the like. These little creepy crawlers carry a whole slew of pathogens they can pass to their host. Join Dr. Jason Hine and Dr. Jeff Holmes in this walk through the different vector-borne illnesses, how to diagnose and treat them.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
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