The SimKit Podcast

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.

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/)