Acep Frontline - Emergency Medicine

The new National Suicide Prevention Lifeline is live! As of July 16, 9-8-8 is the new direct, three-digit line to trained counselors, opening the door for millions of Americans to seek the help they need. In this throwback episode, John Draper, executive director of the Lifeline, talks with host Dr. Ryan Stanton about the implications of this new hotline and how it affects emergency medicine. [Episode originally aired Nov. 2, 2021.]

In this episode of the Frontline from the Emerald Coast Conference, we talk with Dr. Jeffrey Goodloe about hyperactive delirium, the risk, management, and the evidence.

In this episode of The Frontline, we join Dr. Randy Sorge to discuss the management and updates in COPD care.

Recorded at the Emerald Coast Conference (ECC22) in Sandestin FL, we talk with return guest and host of EM Board Bombs, Dr. Blake Briggs, about aortic dissection and its presentation, risks, and management. www.emboardbombs.com

Workforce considerations in emergency medicine are a huge concern within the profession. In this episode, we feature an update from ACEP President Dr. Gillian Schmitz, which was recorded at the Maryland ACEP meeting.

Voluminous documentation of patient encounters is the norm in medicine, but coming in 2023, our approach and the focus will change. In this episode with Dr. Jason Adler, we discuss the changes and how they may have gotten it right this time.

When faced with an infection, it is key to know the right choice at the right time with regard to antibiotic management. We visit with Dr. Brian Levine, editor-in-chief of the 2022 EMRA Antibiotic Guide, talking about the changes, tips, and hidden treasures.

Medicine evolves over time as more and higher quality evidence becomes available. In this episode of ACEP Frontline, we talk with one of our favorites, Dr. Ken Milne, about how 2.8% reflects the evidence in emergency medicine.

Dr. Louis Profeta is a large and influential voice on SoMe, and a LinkedIn "Top Voice". In this episode of ACEP Frontline, we chat about is new article targeting some of the really bad decisions by administrators during the COVID-19 pandemic. Link to the article below! "Some Hospital Administrator Decisions Contributed to Patient Deaths During the Covid-19 Pandemic…You Should Know That" - https://www.linkedin.com/posts/louis-m-profeta-md-010b2690_demandbetter-activity-6932994642351206400-LRkV?utm_source=linkedin_share&utm_medium=member_desktop_web

Advocacy is one of the keys to the success and future of emergency medicine. In this episode, we talk with first time attendee, Dr. Jonathan Altholz about is experience at the 2022 ACEP Leadership and Advocacy Conference and why being active in health policy is so important.

In this episode of ACEP Frontline, we gather three worldwide medical leaders and their trauma expertise to talk about the Textbook of Acute Trauma Care. Joining me are Dr. Peter Lax, Dr. Peter Brindley, and Dr. Alex Psirides. We cover time zones and topics from around the world. Textbook Amazon link... https://www.amazon.com/Textbook-Acute-Trauma-Care-Peter-ebook-dp-B09PTMSKXF/dp/B09PTMSKXF/ref=mt_other?_encoding=UTF8&me=&qid=1652035476

I think we all dread the Q-word in emergency medicine. Now we have a little research on whether "quiet" impacts ED volumes. Is the superstition supported? Article... https://www.sciencedirect.com/science/article/abs/pii/S0735675722001784?via%3Dihub

Last week we talked to Dr. Hansel about VL versus DL for adults, and this week we shift focus to cover the pediatric perspective. As an attending physician in both the pediatric ICU and the pediatric ED at Children's Hospital of Philadelphia, Dr. Aaron Donoghue discusses his group's recent study on pediatric intubation and the new perspective that it brings to an area of medicine without many well-conducted, rigorously conducted studies. Link to the study: https://pubmed.ncbi.nlm.nih.gov/35123808/

This week we cover a wet-ink, hot-off-the-press topic: video laryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation. Dr. Jan Hansel, a registrar in intensive care medicine in Manchester, England, joins us to discuss research and data about the growth of and the shift toward video laryngoscopes, as well as the European side of emergency and critical care medicine. Link to study...https://pubmed.ncbi.nlm.nih.gov/35373840/

Posterior circulation stroke was one of the "can't-miss" topics mentioned in our episode with Dr. Chuck Pilcher a few weeks ago about malpractice lawsuits. This week, Dr. Edward Jauch shares the low-down and some tips to help differentiate the symptoms of stroke from other similar presentations. This podcast is supported by Genentech.

I think most people are now aware of the RaDonda Vaught case and now criminal conviction for reckless homicide and impaired adult abuse after she gave Charlene Murphey Vecuronium(paralytic) rather than Versed(anxiolytic/sedative). In this episode, we look at it from both sides on the errors that happened and how it may impact transparency and reporting in medicine. We are joined by Nathan Schlicher, MD, JD, to give his thoughts and legal expertise on the case.

Technology has advanced medicine and the speed of innovation quickens yearly. In this episode of ACEP Frontline, we talk about how artificial intelligence augment the skills and knowledge of emergency physicians and whether it's a threat to medicine.

Dr. Chuck Pilcher of "Med Mal Insights" has decades of case reviews and medical malpractice experience. In this episode, we talk about a few of the "can't miss" cases that lead to lawsuits as well as some of his stories from his time reviewing charts. Dr. Pilcher's philosophy is that we must learn from the mistakes of the past in order to avoid them in the future. You can subscribe online and/or contact Dr. Pilcher at medmalinsights@gmail.com.

Today we're joined by repeat guest Dr. James Neuenshwander, Attending Physician and Research Director for Genesis Healthcare System and Adjunct Associate Professor at The Ohio State University Medical Center. We usually discuss topics around potassium and things of that nature with Dr. Neuenschwander, but this week we discuss Procalcitonin with differentiation between bacterial and viral and its role in emergency medicine. Dr. Neuenschwander indicated that he has relationships that could be perceived by some as real or apparent conflicts of interest as they pertain to Procalcitonin. He is a speaker and consultant for Thermo Fisher and a consultant for Ortho Clinical Diagnostics.

On this week's episode of ACEP Frontline, we speak with Dr. Casey Bryant about airway management options as well as some of the research and data from Europe about those options. In particular, Dr. Bryant will speak about the European Society of Intensive Care Medicine Guidelines. These guidelines primarily focus on high flow nasal cannula use, which has changed over the past 18 months, and recommend its use moving forward into this year’s fall/winter respiratory season. This podcast is sponsored by Fisher & Paykel Healthcare.