EMplify by EB Medicine
Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join host Dr. Sam Ashoo 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!
Episodes
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
Epidemiology
Etiology - types of ingestions
Anatomy - common locations by age
- Food impaction
- Sharp objects
- Button batteries
- Magnets
- Colorectal foreign bodies
Prehospital care
History and Physical
Imaging
Expectant management
Endoscopic removal
Non-endosc...
In this episode, Sam Ashoo, MD, talks with Rob Orman, MD, founder of Orman Physician Coaching, about longevity in emergency medicine.
- Personal foundation
- Regular check-ins
- Becoming an expert in…
- Job stress
- Living beneath your means
- Recharging and shift work
- Bad outcomes
- Physician lounge
- Learning to say no
- Set a reminder
More at Orman Physician Coaching
Announcements:
The interactive Clinical Pathways 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
Epidemiology
Pathophysiology
Populations at Risk
Complications
- Intracranial hemorrhage
- Aneurysms
- Heart block
Prehospital Care
ED History and Examinati...
Announcements:
The interactive Clinical Pathways have launched and they are available for free!
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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
—
History
Point-of-care testing
I/O lines
Presentation, differential, and treatment of:
- Hyponatremia
- Hypernatremia
- Hyp...
Announcements:
The interactive Clinical Pathways have launched and they are available for free!
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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
DEA-X Waiver Repeal:
Announcements:
The interactive Clinical Pathways 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.
Intro
- The number of ED visits and hospitalizations
- Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is n...
Announcements:
1) The interactive Clinical Pathways have launched and they are available for free!
2) 2023 E/M coding guidelines are in effect. See the summary here.
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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
Introduction: How common is sepsis in kids and what is the mor...
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2022 Evidence-Based Urgent Care article on Influenza in Urgent Care.
Epidemiology
- Historical data
- Since COVID, tracking "influenza-like illness" has been complicated
- Influenza deaths and age
- Annual mortality
Outbreaks
Transmission
Classification
- Influenza A, B, and C
- Hemagglutinin and neuraminidase subgroups
- Antigenic drift and shift
Pathophysiol...
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
Pathophysiology: Non-pitting edema of respiratory or GI tract
- Histamine meditated, bradykinin mediated, or idiopathic
- Acquired, inherited, or idiopathic
- Do they present differently? (Urticaria, speed of onset)
Histamine Mediated
...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
- What should we keep in mind when we are confronted with an ocular injury? (Table 3)
Prehospital Care
- What do our EMS co...
In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Rob Orman, MD, founder of Orman Physician Coaching, about career disillusionment.
- Career Disillusionment: What is it? How do we combat it? Should we combat it?
- A frog in boiling water...
- Burnout
- Two questions to ask yourself
- How coaching can help
- The advice trap
- A framework to explore your career and life goals
More at Orman Physician Coaching.
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.
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
- What’s been the trend in p...
In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Andrew Phillips, MD, MEd, founder of EM Coach, about artificial intelligence and emergency medicine education.
EM/Critical care practice - what’s that like?
EM Coach - what is it?
Artificial Intelligence -
- What is it and how does EM Coach use it?
- The algorithm
- How did you create it?
- What does it do?
- The evidence behind it
How and where to access EM Coach
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. Listen to the discussion to hear more about the emergency medicine approach to human trafficking.
Human Trafficking of Children and Adolescents: Recognition an...
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:
- What is the International Medical Corps (IMC) and what does it do?
- What has IMC been doing in the U.S.?
- What is involved in disaster response?
- What has IMC been doing in Ukraine?
- What are the conditions like in Ukraine now?
- How doe...
In this episode, Sam Ashoo, MD interviews Adam Sigal, MD and Stephanie Costa, MD - the authors of the August 2022 EMP article on Managing Acute Cardiac Valvular Emergencies in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to valvular emergencies.
Managing Acute Cardiac Valvular Emergencies in the Emergency Department
EMplify - August 2022
Episode Outline:
Why Valvular disease?
In this episode of EMplify, Sam Ashoo, MD reviews recent updates on the following topics:
COVID-19
- Public health emergency extended
- Cases increasing
- Medications and Vaccinations available
- Pharmacists prescribing COVID medications
- CDC COVID Therapeutics website
- HHS COVID Therapeutics Locator
Monkeypox
- Cases increasing
- Vaccination
- Testing
- FOAMED post on Diagnosis and Treatment
- PPE
- Science Direct article on Monkeypox 3I Tool
Medi...
In this episode of EMplify: Conversation, Sam Ashoo, MD and TR Eckler, MD discuss meningococcal meningitis and the recent outbreak in Florida.
Topics discussed include:
- Which vaccines are currently approved by the FDA and recommended by the CDC.
- The difference between the MEN ACWY vaccine and the meningococcal B vaccine.
- What the current recommendations are for those exposed.
- Challenges for healthcare providers treating patients who...
In this episode of EMplify: Conversation, Sam Ashoo, MD and TR Eckler, MD discuss high sensitivity troponin testing and clinical pathways.
Topics discussed include:
- Which troponin assay are you currently using and what are its limits of detection?
- Do delta troponin results only count if they increase?
- If the test result is indeterminate, then what? repeat in 1 hr (European standard), repeat in 3 hours (depending on chest pain on...
In this episode of EMplify: Conversation, Sam Ashoo, MD and Rob Orman, MD discuss cognitive reframing.
What is cognitive reframing you ask? It is a tool for dealing with a particularly difficult event. In our case, we discuss the “near miss” medical case and how it impacted a physician. Then we discuss how the use of cognitive reframing can help improve our perception of these “near miss” events in medicine. We also discuss what thi...
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