EMplify by EB Medicine

EB Medicine
Subscribe

About

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

Available on

Community

140 episodes

Brief Resolved Unexplained Events (BRUE)

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2024 Pediatric Emergency Medicine Practice article, Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department https://www.ebmedicine.net/topics/cardiovascular/pediatric-emergency-medicine-brief-resolved-unexplained-event __ __

47m
Apr 01, 2024
Constipation

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the March 2024 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Constipation https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-constipation Prevalence and Impact Understanding the Causes Medications That Can Cause Constipation Dealing with Fecal Impaction Understanding Stercoral Colitis Pre-Hospital Care ED History and Physical Exam Diagnostic Studies and Imaging __ __ Treatment Options for Constipation __ __ Special Considerations: Pregnant, Pediatric, and Hospice Patients Prescription Medications for Constipation Clinical Pathway for Constipation Management

50m
Mar 01, 2024
Febrile Infants Aged ≤60 Days - An Interview With Dr Paul Aronson

In this episode, Sam Ashoo, MD interviews Paul Aronson, MD, MHS, one of the authors of the February 2024 Pediatric Emergency Medicine Practice article, Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency Department https://www.ebmedicine.net/topics/infectious-disease/pediatric-emergency-medicine-febrile-young-infant Guideline Changes Pathophysiology Etiology and Definitions Prehospital Care ED History and Physical __ __ Lumbar Puncture Viral Testing Urinalysis Shared Decision Making Disposition

1s
Feb 18, 2024
Right Ventricular Heart Failure

In this episode, Sam Ashoo, MD, and T.R. Eckler MD interview Nick Harrison, MD and Daniel Brenner, MD, two of the authors of the February 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Right Heart Failure https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-right-heart-failure __ __

1h 11m
Feb 01, 2024
Stroke In Pregnant and Postpartum Patients- An Interview With Dr Srinivansan

In this episode, Sam Ashoo, MD, interviews Vasisht Srinivasan, MD, FACEP one of the authors of the December 2023 Emergency Medicine Practice EXTRA article, Emergency Department Management of Stroke in Pregnant and Postpartum Patients https://www.ebmedicine.net/topics/stroke/emergency-medicine-pregnancy-postpartum-stroke  __ __

32m
Jan 18, 2024
Pediatric UTI and Pneumonia

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2024 Pediatric Emergency Medicine Practice article, Management of Pediatric Urinary Tract Infections in the Emergency Department https://www.ebmedicine.net/topics/hepatic-renal-genitourinary/pediatric-emergency-medicine-UTI, and the January 2024 Evidence Based Urgent Care article on Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Urgent Care Setting https://www.ebmedicine.net/topics/infectious-disease/urgent-care-pediatric-pneumonia. UTI Epidemiology and Nomenclature Prehospital Care ED History and Physical Exam __ __ Urinalysis __ __ Blood Cultures and CSF Biomarkers (CRP and ESR) Treatment Community Acquired Pneumonia Distinguishing Viral vs Bacterial Pneumonia Imaging Antibiotic Treatment Vaccination Steroids Atypical Presentations Check out the clinical pathways at https://www.ebmedicine.net/pathways

46m
Jan 02, 2024
Pediatric Toxic Ingestions

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2023 Pediatric Emergency Medicine Practice article, Management of Pediatric Toxic Ingestions in the Emergenc https://www.ebmedicine.net/topics/trauma/pediatric-emergency-medicine-toxic-ingestiony Department https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes. Need help now? Call the Poison Help Line at: 1‑800‑222‑1222 tel:18002221222 Epidemiology Prehospital Care ED History and Physical Exam Diagnostic Studies __ __ Treatment __ __ Drug Specific Therapies __ __ Check out the clinical pathways at https://www.ebmedicine.net/pathways

1h 6m
Dec 01, 2023
Pediatric DKA and HHS

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes and some of the highlights from the other EB Medicine articles published in November. Epidemiology Differential diagnosis Prehospital care ED history and physical exam Diagnostic studies __ __ Treatment __ __ Complications __ __ Insulin pumps Disposition Summary Highlights __ __ Check out the clinical pathways at https://www.ebmedicine.net/pathways

1h 6m
Nov 01, 2023
Substance Use in Adolescents

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the October 2023 Pediatric Emergency Medicine Practice article, Substance Use in Adolescents: Recognition and Management in the Emergency Department https://www.ebmedicine.net/topics/trauma/pediatric-emergency-medicine-substance-use and the October 2023 Emergency Medicine Practice article, Evidence-Based Emergency Department Management of Migraine and Other Primary Headaches https://www.ebmedicine.net/topics/neurologic/emergency-medicine-primary-headache Substance Use In Adolescents Epidemiology Risk Factors Differential Diagnosis Prehospital Care ED History and Physical Exam Urine Drug Screen Treatment __ __ Disposition Migraine and Other Primary Headaches Epidemiology Cluster Headaches Medication Overuse Headache Nerve Blocks __ __ Pregnant Patients Disposition Check out the clinical pathway at https://clinicalpathways.ebmedicine.net https://clinicalpathways.ebmedicine.net/

52m
Oct 02, 2023
Rectal Bleeding

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the September 2023 Emergency Medicine Practice article, Emergency Department Management of Patients With Rectal Bleeding https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-rectal-bleeding Etiology/pathophysiology Risk factors Differential diagnosis Prehospital care ED history and physical exam Diagnostic studies __ __ Treatment __ __ Special Populations __ __ Scoring systems Disposition Check out the clinical pathway at https://clinicalpathways.ebmedicine.net https://clinicalpathways.ebmedicine.net/

49m
Sep 01, 2023
Pulmonary Embolism with Al Sacchettii, MD

In this episode, Sam Ashoo, MD, and TR Eckler, MD, interview Al Sacchetti, MD, about the August 2023 Emergency Medicine Practice article, Evidence-Based Management of Pulmonary Embolism in the Emergency Department https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-pulmonary-embolism Etiology/pathophysiology Risk factors Differential diagnosis Prehospital care ED history and physical exam Diagnostic scoring systems Pregnant patients  Diagnostic studies __ __ Treatment __ __ Disposition Check out the clinical pathway at https://clinicalpathways.ebmedicine.net https://clinicalpathways.ebmedicine.net/

55m
Aug 01, 2023
Acute Pericarditis & Myocarditis

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2023 Emergency Medicine Practice article, Diagnosing and Treating Pericarditis and Myocarditis in the Emergency Department https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-pericarditis-myocarditis Epidemiology Nomenclature Etiology Differential diagnosis Prehospital care ED history and physical Diagnostics __ __ Treatment  Special populations __ __

59m
Jul 05, 2023
Hypertensive Emergencies

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-hypertensive-emergencies Epidemiology Etiology Differential diagnosis Prehospital care History and physical  Diagnostics Treatment __ __ Controversies __ __ Risk management caveats Summary

1h 9m
Jun 01, 2023
GI Foreign Body Ingestion

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the May 2023 Emergency Medicine Practice article on Emergency Department Management of Gastrointestinal Foreign Body Ingestion https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-foreign-bodies Epidemiology Etiology - types of ingestions Anatomy - common locations by age __ __ Prehospital care History and Physical Imaging Expectant management Endoscopic removal Non-endoscopic techniques Body Packing Glucagon Gastric button batteries Summary

53m
May 03, 2023
Career Longevity

In this episode, Sam Ashoo, MD, talks with Rob Orman, MD, founder of Orman Physician Coaching https://roborman.com/, about longevity in emergency medicine.  __ __ More at Orman Physician Coaching https://roborman.com/ 

53m
Apr 13, 2023
Infective Endocarditis-Associated Stroke

Announcements:  The interactive Clinical Pathways https://clinicalpathways.ebmedicine.net/ have launched and they are available for free!  In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the March 2023 Emergency Medicine Practice article on Emergency Department Management of Infective Endocarditis-Associated Stroke https://www.ebmedicine.net/topics/stroke/emergency-medicine-endocarditis-stroke Epidemiology Pathophysiology Populations at Risk Complications __ __ Prehospital Care ED History and Examination Imaging Antibiotic Therapy Surgical Treatment Special Populations Summary

43m
Apr 03, 2023
Pediatric Electrolyte Emergencies

Announcements:    The interactive Clinical Pathways https://clinicalpathways.ebmedicine.net/ have launched and they are available for free!    —   In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-electrolyte-emergencies   —   History   Point-of-care testing   I/O lines   Presentation, differential, and treatment of: __ __

53m
Mar 02, 2023
Opioids in Children and Adolescents

Announcements:  The interactive Clinical Pathways https://clinicalpathways.ebmedicine.net/ have launched and they are available for free!  ___ In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2023 Pediatric Emergency Medicine Practice article on the Responsible and Safe Use of Opioids in Children and Adolescents in the Emergency Department https://www.ebmedicine.net/topics/pain-management/pediatric-emergency-medicine-responsible-use-of-opioids DEA-X Waiver Repeal: __ __ Opioids in Children and Adolescents:  Introduction __ __ Medication safety at home Escalation of pain meds at home Naloxone prescriptions Medications in children __ __ Opioids and sedation Regional anesthesia Chronic pain

44m
Feb 02, 2023
Allergic Reactions and Anaphylaxis

Announcements:  The interactive Clinical Pathways https://clinicalpathways.ebmedicine.net/ have launched and they are available for free!  —   In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department https://www.ebmedicine.net/topics/allergic-immunologic-inflammatory/emergency-medicine-allergy-anaphylaxis.    Intro __ __ Criteria __ __ Pathophysiology   Epidemiology __ __ Prehospital Care __ __ ED Care __ __ Special Cases __ __

50m
Jan 17, 2023
Pediatric Septic Shock

Announcements:  1) The interactive Clinical Pathways https://clinicalpathways.ebmedicine.net/ have launched and they are available for free!  2) 2023 E/M coding guidelines are in effect. See the summary here https://foamed.ebmedicine.net/rapid-reference/2023-e-m-coding-guidelines/.  ___   In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department https://www.ebmedicine.net/topics/infectious-disease/pediatric-emergency-medicine-septic-shock   Introduction: How common is sepsis in kids and what is the mortality rate in the US?   Definitions __ __   Etiology __ __   Differential Diagnosis   Prehospital Care   ED Evaluation __ __ Diagnostics __ __ Treatment __ __ Special Populations __ __ Controversies __ __

1h 4m
Jan 03, 2023
Influenza

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2022 Evidence-Based Urgent Care article on Influenza in Urgent Care https://www.ebmedicine.net/topics/infectious-disease/urgent-care-influenza. Epidemiology __ __ Outbreaks Transmission Classification __ __ Pathophysiology __ __ Vaccines __ __ Differential Diagnosis Complications   Testing __ __   Treatment __ __ Billing and Coding

46m
Dec 12, 2022
Angioedema

In this episode, Sam Ashoo, MD, interviews Prayag Mehta, MD, and Nikola Milanko, MD, two of the authors of the October 2022 Emergency Medicine Practice article on Angioedema in the Emergency Department https://www.ebmedicine.net/topics/allergic-immunologic-inflammatory/emergency-medicine-angioedema   Pathophysiology: Non-pitting edema of respiratory or GI tract __ __ Histamine Mediated __ __ Bradykinin Mediated __ __ Table 1 Differential Diagnosis   Prehospital Care __ __ ED History __ __ ED Exam __ __ Diagnostics __ __ Treatment __ __ Special Populations __ __ Controversies __ __ Disposition

47m
Dec 01, 2022
Pediatric Ocular Trauma

In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population.    Why ocular injuries? Why did you pick this topic?   What kind of injuries are included and at what age are they most common?   Injury zones and terminology   Differential Diagnosis __ __ Prehospital Care __ __ ED Evaluation __ __ Treatment __ __ Special Populations __ __ Controversies and Cutting Edge __ __

1h 11m
Nov 03, 2022
Career Disillusionment

In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Rob Orman, MD, founder of Orman Physician Coaching https://roborman.com/, about career disillusionment. __ __ More at Orman Physician Coaching https://roborman.com/. 

48m
Oct 18, 2022
Pediatric Firearm Injuries to the Extremity

In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department https://www.ebmedicine.net/topics/trauma/pediatric-emergency-medicine-extremity-firearm-injuries. Episode Outline: How common are pediatric firearm injuries?  What is the most common location of these injuries?  Is there much literature published on this topic?   Epidemiology  __ __ Terminology: For those unfamiliar with firearms (table 1) Ballistics: Mechanisms of damage.  Pre-hospital care __ __ ED Evaluation __ __ Controversies __ __

45m
Oct 02, 2022
Conversation - Artificial Intelligence and EM Coach

In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Andrew Phillips, MD, MEd, founder of EM Coach https://www.emcoach.org, about artificial intelligence and emergency medicine education. EM/Critical care practice - what’s that like?  EM Coach - what is it?  Artificial Intelligence - __ __ How and where to access EM Coach https://www.emcoach.org

25m
Sep 08, 2022
Human Trafficking of Children and Adolescents

In this episode, Sam Ashoo, MD interviews Lela Bachrach, MD, MS, Larissa Truschel, MD, MPH, and Makini Chisolm-Straker, MD, MPH - the authors of the July 2022 PEMP article on Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department https://www.ebmedicine.net/topics/social/pediatric-emergency-medicine-human-trafficking. Listen to the discussion to hear more about the emergency medicine approach to human trafficking.  Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department  https://www.ebmedicine.net/topics/social/pediatric-emergency-medicine-human-trafficking EMplify - Sept 2022 Episode Outline: Differential Diagnosis __ __ EMS/Prehospital Care __ __ ED Evaluation __ __ Diagnostic Studies __ __ Treatment  __ __ Special Populations Diagnosis: What to chart?  National Human Trafficking Hotline  1-888-373-7888 https://humantraffickinghotline.org/

1h 3m
Sep 01, 2022
International Medical Corps, Ukraine

In this episode of EMplify: Conversation – Sam Ashoo, MD, and TR Eckler, MD, speak with John Roberts, MD, MPH, about his work with the International Medical Corps and his efforts in Ukraine. Topics include: __ __ Links IMC Website https://internationalmedicalcorps.org/ IMC Jobs https://internationalmedicalcorps.hua.hrsmart.com/hr/ats/JobSearch/viewAll Roster Positions Roster position - MD https://internationalmedicalcorps.hua.hrsmart.com/hr/ats/Posting/view/48 Roster position - Nurse https://internationalmedicalcorps.hua.hrsmart.com/hr/ats/Posting/view/51  Roster position - Nurse Practitioner https://internationalmedicalcorps.hua.hrsmart.com/hr/ats/Posting/view/52  Roster position - Midwife https://internationalmedicalcorps.hua.hrsmart.com/hr/ats/Posting/view/53  Disaster Medicine The Nuts & Bolts of Global EM https://www.emra.org/globalassets/emra/publications/books/nuts-and-bolts-20161101-final-online.pdf, free e-book

49m
Aug 15, 2022
Valvular Emergencies

In this episode, Sam Ashoo, MD interviews Adam Siegel, MD and Stephanie Costa, MD - the authors of the August 2022 EMP article on Managing Acute Cardiac Valvular Emergencies in the Emergency Department https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-cardiac-valves. Listen to the discussion to hear more about the emergency medicine approach to valvular emergencies.  Managing Acute Cardiac Valvular Emergencies in the Emergency Department https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-cardiac-valves EMplify - August 2022 Episode Outline: Why Valvular disease?  __ __ Aortic Valve Disease __ __ Mitral Valve Disease __ __ Tricuspid and Pulmonic Disease Differential Diagnosis __ __ Prehospital Care __ __ ED Evaluation History __ __ Physical exam findings  Diagnostic Testing  __ __ Treatment Special Populations __ __ See Episode Page https://foamed.ebmedicine.net/podcast/valvular-emergencies/

45m
Aug 06, 2022
Update- Where Are We With...

In this episode of EMplify, Sam Ashoo, MD reviews recent updates on the following topics: COVID-19 __ __ Monkeypox __ __ Medication Shortages __ __ 988 Crisis Line Baby Formula Shortage

18m
Jul 21, 2022