The classic teaching is that calcium's role in hyperkalemia is that of membrane stabilization. However, what if what we were taught was wrong all along? In this quick-hit, we will discuss the role of calcium in hyperkalemia and a new hypothesis that suggests it may all be about cardiac conduction velocity. Click HERE for our detailed shownotes! (https://simkit.co/podcast/)

Managing strokes in the modern era is challenging (lytics, EVT, timestamps!). Doing so in a community hospital- far from the ivory tower endovascular suite and neurology ICU- can be even harder. We sat down with the very smart Dr. Evie Marcolini to talk managing these complex patients in these community settings.   Click HERE for our detailed shownotes! (https://simkit.co/podcast/)

Dylan Warr, an emergency medicine physician, tackles the intriguing world of Posterior Reversible Encephalopathy Syndrome (PRES). He shares a compelling case involving a young pregnant woman facing acute neurological symptoms, underscoring the urgency of diagnosis and intervention. The discussion dives into the complexities of managing hypertension and the nuances of blood transfusion-related complications, all while highlighting the importance of teamwork in patient recovery. Get ready for a fascinating mix of clinical insights and real-life challenges!

Fever in infants under 60 days old poses a significant diagnostic challenge. The discussion focuses on how clinical decision rules and biomarkers perform differently based on fever duration. A recent study explores the effectiveness of these tools in identifying serious infections when the fever is still fresh. Insights are given on navigating these early clinical assessments to improve diagnosis and treatment.

Raise a glass to the GRACE-4 guidelines! This lively discussion dives into managing substance use disorders in emergency settings. Discover effective strategies for alcohol withdrawal and cannabis hyperemesis, highlighting innovative medications like phenobarbital and naltrexone. Learn about the surprising role of topical capsaicin in treating cannabis hyperemesis. With a focus on patient care and follow-up, this conversation is packed with insights to improve clinical practices when patients seek help in emergency departments.

Dr. Kraftin Schreyer, an Emergency Medicine physician and ED Administrative Fellowship Director, dives deep into the pressing issues of boarding and crowding in emergency departments. He highlights the need for surge planning and collaboration to prevent these challenges. The discussion sheds light on operational distinctions between crowding and boarding and critiques traditional assessment tools. Emphasizing more practical metrics and improving patient flow through enhanced cooperation and discharge processes, Dr. Schreyer offers valuable strategies for tackling these systemic issues.

Discover essential strategies for optimizing clinical rotations in medical education. Learn how to effectively balance passion and curiosity while engaging with diverse healthcare providers. Explore the critical relationship between work ethic and personal wellness, emphasizing resilience and self-care. Personal anecdotes shed light on navigating challenges with humility and confidence. This insightful discussion offers practical tips for future medical professionals looking to enhance their learning experiences.

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/)

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/)

Exploring the choice of induction agents for intubation in status epilepticus, comparing ASI and ATOMIDATE outcomes. Delving into dosing guidelines, treatment protocols, and challenges of managing status epilepticus. Contrasting Neurocritical Care and American Epilepsy Society guidelines for seizures. Emphasizing the importance of prompt intervention, medication administration, and airway management strategies.