The SimKit Podcast

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.

The rise of GLP-1 agonists like Ozempic and Trulicity is transforming weight loss and diabetes treatment. The podcast dives into Hollywood's buzz about celebrity usage and the resulting nationwide shortages. It highlights the mechanisms and side effects of these medications, critical for emergency clinicians to understand. A case study featuring a woman named Amanda illustrates the real-life struggles and safety concerns associated with these popular drugs. Explore the implications for emergency care as these medications become increasingly mainstream.

Dr. Mike Burla, an expert on AHA guidelines, dives into temperature management for post-ROSC patients. He discusses the new recommendations aimed at improving care, especially in critical access hospitals, emphasizing standardized protocols during patient transport. The conversation highlights evolving strategies in treating sepsis post-cardiac arrest, the significance of individualized care, and the need for meticulous monitoring to enhance recovery outcomes. Burla's insights shed light on navigating the complexities of post-arrest care.

Dive into the intriguing world of Myxedema Coma, a rare endocrine emergency. Explore the complexities of diagnosing a 69-year-old man with altered mental status, examining critical symptoms like severe bradycardia and hypotension. Learn about the rapid assessment involved in unusual medical cases and the significance of vital tests. Discover essential management strategies for Myxedema Coma, including the importance of timely intervention and collaboration with specialists to stabilize patients in urgent situations.

Dr. Andrew Phillips, ED intensivist and founder of EM Coach, discusses intubating asthmatics in the ED. Topics include avoiding intubation, safe intubation techniques, and post-intubation management. They delve into medication administration, treatment comparisons, and strategies for crashing asthmatics, emphasizing the importance of continuous monitoring and collaboration for optimal outcomes.

Dive into the critical examination of cefepime and piperacillin-tazobactam in treating sick patients. Unpack the ACORN Trial's findings on acute kidney injury and neurologic dysfunction. Discover how these antibiotics impact patient outcomes in the Emergency Department. A fabricated patient case sheds light on the trial's implications for clinical practice. It's a fascinating discussion that weighs the risks and benefits of these common antibiotic choices.