Dr. Lauren Westafer, a PE researcher and Foamcast host, along with Dr. Justin Morgenstern, a regular contributor to EM platforms, and Dr. Bourke Tillman, an intensivist, dive into the complexities of managing intermediate-risk pulmonary embolism (PE). They discuss vital risk stratification techniques, including the use of biomarkers and imaging. The conversation also highlights crucial treatment decisions, weighing thrombolysis against anticoagulation, and the role of clinical judgment in dynamic situations. Their insights aim to enhance emergency care strategies for this challenging condition.

Join Ross Prager, an intensivist from London with expertise in point-of-care ultrasound, as he discusses the transformative role of transesophageal echocardiography (TEE) during cardiac arrest. Justin Morgenstern shares the latest research on nebulized ketamine as a game-changing analgesic in the ED, especially for older patients. Matthew McArthur presents compelling evidence for using subcutaneous insulin protocols for managing DKA. Together, they highlight new insights that enhance patient care and emergency protocols.

This engaging discussion features Justin Morgenstern, an expert in evidence-based medicine; Emily Wishart, Junior Doctor of the Year; Will Arnott, who tackles transfusion strategies; and Josh Priotti, a pediatric resident. They explore the nuances of comparing oral and intravenous antibiotics for pediatric infections, reveal insights from transfusion research in traumatic brain injury, and discuss how patients perceive their own outcomes. The conversation highlights the importance of patient engagement and the evolving landscape of medical understanding.

Justin Morgenstern, an expert in evidence-based medicine, dives into intriguing topics ranging from alternative treatments for sepsis to the complexities of diagnosing long COVID. They evaluate a trial on herbal injections and discuss the importance of rigorous scientific scrutiny. The conversation also covers studies on TXA for cesarean hemorrhage, patient empowerment in obstetric care, and the controversial use of haloperidol in emergencies. With an engaging mix of humor and critical analysis, Morgenstern sheds light on the evolving landscape of emergency medicine.

In this discussion, Dr. Justin Morgenstern, an emergency physician and creator of First10EM.com, joins Lauren Fowler, a neuroscience professor focusing on fatigue, and Dr. Emily Hirsh, an associate professor dedicated to faculty wellbeing. They dive into the critical issue of fatigue in emergency medicine, revealing its ties to shift work and how it impairs performance and patient care. Insights into managing burnout, recent research findings on fatigue assessment, and the importance of systemic changes highlight the necessity for a healthier work environment in this demanding field.