Always On EM - Mayo Clinic Emergency Medicine

In this final chapter of the 2025 season of Always on EM, Alex and Venk are thrilled to share an amazing Grand Rounds recording from the esteemed educator and clinician, Dr. Neha Raukar. She is renowned for her expertise in many areas - among them, concussion and traumatic brain injury, particularly of athletes. She breaks down imaging guidelines, evaluation of TBI, prognosis, counseling of patients and more in this fantastic talk essential for any emergency healthcare professional to hear!   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda; @NehaRaukarMD YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch; @NehaRaukarMD Email - AlwaysOnEM@gmail.com   WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs   Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs  

Dr. Sharonne Hayes, a leading expert in sex- and gender-based cardiovascular care, and Dr. Marysia Tweet, co-leader of the SCAD Registry, discuss the often-missed diagnosis of Spontaneous Coronary Artery Dissection (SCAD). They highlight how SCAD can occur in healthy, active young people and describe its complex presentation, including atypical chest pain and low initial troponin levels. The conversation covers diagnostic pitfalls, treatment approaches, and the importance of compassionate care in recognizing this hidden heart risk.

Dr. Jim Gregoire, a consultant nephrologist and master educator at Mayo Clinic, dives into the complexities of electrolytes in emergency medicine. He shares insights on identifying at-risk patients with sodium, magnesium, and phosphorus disorders. The conversation covers crucial testing and correction strategies, emphasizing the significance of understanding hyponatremia in both adult and pediatric patients. Listeners learn about the critical nuances of managing sodium imbalances and the vital role magnesium plays in patient care, especially in emergencies.

Dr. John Schupbach, an assistant professor at Mayo Clinic and an MBA graduate from Harvard, dissects the troubling intersection of food, pharma, and health. He highlights the alarming rise in childhood obesity and critiques expensive medications like Liraglutide. Schupbach questions the fairness of healthcare expenses and the dominance of insurance companies. He advocates for patient-centered innovations that disrupt the status quo, urging listeners to challenge misaligned incentives in the healthcare industry.

Dr. Harish Kinni, a triple-board-certified physician specializing in emergency medicine and critical care, shares his expertise on mechanical ventilation. He covers foundational concepts crucial for emergency providers, including essential modes of ventilation and the importance of accurate patient measurements. The discussion also delves into troubleshooting techniques, optimal settings for various respiratory conditions, and strategies to enhance patient care during emergencies. Prepare to learn vital insights that could make a life-saving difference in high-pressure situations!

Taylor Christian, Chief Resident of Mayo Clinic Emergency Medicine, delves into the pervasive issue of medical racism. He highlights the historical injustices faced by marginalized communities, focusing on events like the Tuskegee Syphilis Study and the legacy of Henrietta Lacks. Christian emphasizes the urgent need for healthcare providers to address implicit biases, revealing significant disparities in opioid prescribing. He advocates for integrating anti-racism curricula into medical education to foster greater equity and representation in healthcare.

Brandy Hernandez, an Emergency Medicine pharmacist and PGY2 resident at Mayo Clinic, dives into the innovative use of phenobarbital for treating alcohol withdrawal. She discusses its benefits over traditional benzodiazepines and explores the mechanisms that make it effective. The conversation highlights the importance of personalized treatment plans, risks involved, and the intricacies of managing severe cases like Delirium Tremens. Brandy also shares insights into the evolving guidelines and the challenges healthcare providers face in this critical area of medicine.

Dr. Daniel Fiterman Molinari, a senior resident at Mayo Clinic and future leader in medical education, presents revolutionary ideas on cardiac arrest care. He urges a rethink of traditional resuscitation practices to enhance patient outcomes. With insights from case studies, he emphasizes personalized approaches and extends the discourse on innovative strategies like continuous chest compressions and advanced technologies. Listeners will find themselves reflecting on the literature and questioning established norms in emergency medicine.

Dive into the messy world of acute diarrhea management in emergency medicine! Learn about the critical role of hydration strategies, including the WHO’s Oral Rehydration Solution. Discover when zinc supplementation may benefit patients, and gain insights into differentiating viral from bacterial causes. The hosts discuss the significance of Complete Blood Count results, the risks of infections like E. coli, and share real case studies for a practical understanding. Join for an engaging exploration of a vital yet often overlooked issue in urgent care!

The rapid evolution of digital health is transforming emergency care, but how do we design and implement technologies that truly meet patient needs? This session will explore the landscape of digital health tools and unpack how user-centered design ensures their effectiveness. Using a phased approach to development, Dr. Lauren Chernick from Columbia emergency medicine will discuss key strategies for integrating technology into engaging mobile health interventions. She will also share insights from three real-world sexual health interventions designed for adolescents in the ED—highlighting both successes and challenges. Join us for a discussion on digital health in emergency medicine and its potential to enhance patient care. CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com