The SimKit 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.

Rob Orman, a physician life-coach and creator of the Stimulus Podcast, dives into the nuances of work-life balance. He emphasizes self-reflection to nurture vital areas like health and relationships, without letting work consume personal time. Rob shares personal experiences revolving around burnout in high-stress fields, advocating for gratitude as a powerful tool in improving workplace culture. He also discusses practical strategies for emotional management, productivity, and the importance of structured time to elevate overall well-being.

In this engaging discussion, Dr. Andrew Phillips, an EM and Critical Care trained physician and founder of EMCoach, shares his insights on managing ventilator alarms. He delves into the complexities of ventilator support in emergencies, particularly during respiratory failure and asthma attacks. Dr. Phillips emphasizes the crucial teamwork between physicians and respiratory therapists, and offers strategies for interpreting alarm signals. With a focus on patient safety, he also discusses the physiological implications of alarms and the technicalities behind effective ventilator management.

Experts Sergey Motov & Ryan Marino discuss ketamine's diverse medical applications including procedural sedation, rapid sequence intubation, chemical takedowns. They delve into dosing strategies, combining ketamine with propofol, managing agitated delirium, and dosing considerations for chemically restraining patients.

Experts Sergey Motov & Ryan Marino discuss ketamine's varied applications for pain control, emphasizing dosing, side effects, and adjuncts. They explore ketamine's pharmacologic profile, optimization in the ER, and managing side effects with medications like ondansetron. Dosing considerations for special populations, intranasal administration, and historical background are also covered.

In this engaging discussion, Dr. Jason Adler, a Clinical Assistant Professor at the University of Maryland and VP of Acute Care Solutions for Logix Health, dives into the 2023 updates to emergency medicine documentation guidelines. He highlights the shift towards prioritizing medical decision-making, reducing burdens on providers. The conversation also emphasizes the importance of concise notes, the role of social determinants of health, and the necessity of clear storytelling in medical records, all while enhancing accuracy and efficiency in patient care.

Dive into the ongoing debate about the best follow-up test for subarachnoid hemorrhage—CT Angiogram or Lumbar Puncture. Uncover why this debate may be misdirected and what questions truly matter. Explore a fascinating case study involving a patient named Lisa, guiding listeners through a thorough evaluation process. Learn how to incorporate relevant literature and clinical guidelines to enhance diagnostic approaches. This discussion promises to shift the way you think about headache assessments!