The SimKit Podcast

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.

Exploring the use of intraarticular analgesia over IV sedation for awake shoulder reduction. Discussing success rates, patient satisfaction, reduction techniques, and pain scores for anterior shoulder dislocations. Learn how to efficiently fix dislocations without the need for IV sedation.

Exploring the rarity of surgical airway procedures in modern medicine and the importance of maintaining skills for such procedures. Reviewing the incidence of cricothyroidotomy in emergency medicine and the impact of technology on decreasing the need for this procedure.

Learn how to be an exceptional clinical educator while balancing your clinical duties. Discover strategies to engage learners in meaningful tasks, use educational prescriptions effectively, and implement structured reflections in medical education.

In this episode, experts Miyawaki A, Jena AB, Burke LG, Figueroa JF, and Tsugawa Y delve into groundbreaking research linking physician age to patient mortality. They reveal alarming findings that suggest younger emergency physicians may lead to better outcomes for older patients. The discussion expands to the ongoing debate about the quality of care from physicians over 50, stressing the importance of continual education to address potential challenges in healthcare delivery. Insights into policy implications and the future of medical practice are also highlighted.

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/)  

Explore the spectrum and treatment of alcohol withdrawal in the Emergency Department, including the importance of recognizing and managing withdrawal symptoms effectively. Learn about the classification of withdrawal severity, treatment strategies with benzodiazepines, psychosocial support, and dosing recommendations for symptom management.

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/)  

Dr. Mike Burla, a critical care physician at Maine Med and an advocate for improved post-cardiac arrest care, discusses the complexities of treating patients revived from cardiac arrest. He examines the nuances of temperature and hemodynamic management, highlighting advanced practices like hypothermia therapy. The conversation also addresses the importance of personalized treatment strategies due to patient variability and the critical relationship between blood pressure targets and neurological outcomes. Burla emphasizes the need for adherence to guidelines and ongoing education.

In this engaging discussion, Dr. Jeff Holmes, an expert in tick-borne illnesses, reveals essential insights about Lyme disease and its co-infections. He emphasizes the crucial window for antibiotic treatment after a tick bite and the complex decision-making involved in treatment protocols. The conversation also covers diagnosing Rocky Mountain spotted fever, understanding its symptoms, and the importance of geographic prevalence. Holmes debunks common myths on tick removal, urging proper techniques to mitigate health risks.