Fluids used in Fluid Resuscitation: "There's Nothing Normal About Normal Saline"

www.aaem.org/publications/podcasts/critical-care-in-emergency-medicine

David Farcy, MD FAAEM FCCM, Chairman, Department of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with Peter DeBlieux, MD FAAEM, Professor of Medicine at Louisiana State University Health & Science Center in New Orleans.

In this episode, Drs. Farcy and DeBlieux discuss the fluids used in fluid resuscitation including isotonic crystalloids and albumin.

Or listen on the AAEM website 

Leave your comments below!

New Podcast: Health Information Exchanges

http://www.aaem.org/publications/podcasts/emergency-physician-advocates

Health Information Exchanges
In this Policy Prescriptions® edition of the podcast, Cedric Dark, MD MPH, Assistant Professor of Medicine at the Emergency Medicine Residency Program at Baylor College of Medicine, speaks with Dr. Ellana Stinson, a practicing emergency physician in Boston, MA, and Dr. Jason Shapiro, Associate Professor and Chief of the Division of Informatics in the Department of Emergency Medicine at Mount Sinai Hospital. The discussion points include: a review of the article "Does Health Information Exchange Reduce Redundant Imaging?: Evidence from the ED," EMR versus HIEs, regional sizes and accessibility of HIEs.

Read Dr. Stinson's article on the Policy Prescriptions blog: "To scan or not to scan: Can health information exchanges help deter emergency departments from ordering unnecessary imaging tests?"

Or listen on the AAEM website.

Leave your comments below!

New Podcast! Due Process Rights: The Case of a Physician Who Fought Back and Won

http://www.aaem.org/publications/podcasts/emergency-physician-advocates

Due Process Rights: The Case of a Physician Who Fought Back and Won
Larry Weiss, MD JD FAAEM, Professor of Emergency Medicine at the University of Maryland School of Medicine and past-president of AAEM, interviews Jeffery Lurner, APC, about due process rights in the case of Dr. Chudnovsky v. Chapman Medical Center. They will discuss the highlights of the case, the due process issues called into question, and medical staff bylaws in relation to contract provisions. Mr. Lurner can be contacted for questions at jlurner@email.com.

Or listen on the AAEM website. 

Leave your comments below!

Podcast: CVP vs Ultrasound: Assessing Volume Status in the Critically Ill Patient

www.aaem.org/publications/podcasts/critical-care-in-emergency-medicine

Critical Care in Emergency Medicine: CVP vs Ultrasound: Assessing Volume Status in the Critically Ill Patient
David Farcy, MD FAAEM FCCM, Chairman, Department of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with Ashika Jain, MD, Assistant Professor at the SUNY Downstate Medical Center in Brooklyn, NY. In this episode, Drs. Farcy and Jain discuss CVP, ultrasound, and how to assess fluid responsiveness in your critically ill patient. Intro music by SaReGaMa, "Sky is the Limit," from the album "Sky is the Limit," powered by JAMENDO.

Or listen on the AAEM website. 

Leave your comments below!

 Accompanying Ultrasound Photos: 

1. PS Long
Photo owned by Ashika Jain, MD

New Emergency Physician Advocates Podcast: The ACA, Medicaid, and the ED - What's the Bottom Line?

http://www.aaem.org/publications/podcasts/emergency-physician-advocates

Emergency Physician Advocates: The ACA, Medicaid, and the ED - What's the Bottom Line? 
In this Policy Prescriptions® edition of the podcast, Cedric Dark, MD MPH, Assistant Professor of Medicine at the Emergency Medicine Residency Program at Baylor College of Medicine, speaks with Jesse Pines, MD MBA FAAEM, Director of the Office of Clinical Practice Innovation at George Washington University. The discussion points include: how will the ACA and Medicaid interact with emergency departments? What will this mean for the bottom line for emergency departments around the country.

Or listen on the AAEM website. 

Leave your comments below!

New Emergency Physician Advocates Podcast: EMTALA - What Every EP Must Know

http://www.aaem.org/publications/podcasts/emergency-physician-advocates

Emergency Physician Advocates: EMTALA - What Every Emergency Physician Must Know
Larry Weiss, MD JD FAAEM, Professor of Emergency Medicine at the University of Maryland School of Medicine and past-president of AAEM, discusses EMTALA (Emergency Medical Treatment and Active Labor Act) and what every emergency physician must know. In part 1 of this 2 part series he will discuss EMTALA obligations related to screening exams and stabilization. Discussion points include: a review of landmark EMTALA cases, EMTALA legally mandated obligations, and EMTALA rules & regulations.

Or listen on the AAEM website. 

Leave your comments below!

Dr. Weiss's objectives in this podcast:
1. Understand important EMTALA case law & review of landmark cases

2. Understand legally mandated obligations under EMTALA

3. Understand the EMTALA rules & regulations: "What is a regulation?" "What is the difference between a regulation and a statue?" "How does this effect you?"

EMTALA created three major duties under federal law for hospitals to appropriately screen, stabilize & transfer patients. Dr. Weiss will discuss these duties in detail. This episode covers screening & stabilization. Episode 13 (to be released in February 2014) will cover the transfer duties.

New Podcast: Emergency Physician Advocates - Due Process Survey of EPs

http://www.aaem.org/publications/podcasts/emergency-physician-advocates

Emergency Physician Advocates: Due Process Survey of EPs
Joseph Wood, MD JD MAAEM FAAEM, Vice Chair of Emergency Medicine at Mayo Clinic in Scottsdale, and past-president of AAEM, interviews fellow past-president, Robert McNamara, MD FAAEM, Professor and Chairperson of the Department of Emergency Medicine at Temple University, about the recently published survey of EPs regarding due process, financial pressures, and the ability to advocate for patients.

Or listen on the AAEM website.
Leave your comments below!

On due process:
"You are supposed to first be a patient advocate ... it's not only protecting your job, it's letting you practice the way you should. You're supposed to first be a patient advocate - and that is heightened in EM. Without due process - what we're being told in this survey and what we know through other things in the Academy - is that you can't do that. You can do that most effectively is you feel you are on thin ice." 

- Robert McNamara, MD FAAEM
AAEM Past President

New Podcast: Hypothermia for Post-Cardiac Arrest Patients with Spontaneous Return of Circulation

www.aaem.org/publications/podcasts/critical-care-in-emergency-medicine

Hypothermia for Post-Cardiac Arrest Patients with Spontaneous Return of Circulation
David Farcy, MD FAAEM FCCM, Chairman, Department of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with David Gaieski, MD, Associate Professor of Emergency Medicine at the Perelman School of Medicine of University of Pennsylvania. Drs. Farcy and Gaieski discuss hypothermia for post-cardiac arrest patients with return of spontaneous circulation.

Part 1: In part 1 of this series, the discussion covers why hypothermia is so important for these patients, a review of landmark articles, as well as inclusion and exclusion criteria.

Part 2: In part 2 of this series, the discussion covers the nuts and bolts of the hypothermia process. Discussion points include: controlling shivering, major physiological and hematological effects, the re-warming process, and the future of hypothermia.

Or listen on the AAEM website. 

Leave your comments below!

New Podcast: Emergency Physician Advocates - Cell Phone Ban Policies

Cedric Dark, MD MPH

Nii-Daako Darko, DO MBA

Emergency Physician Advocates: Legal and Policy Issues in Emergency Medicine
In this Policy Prescriptions® edition of the podcast, Cedric Dark, MD MPH, Assistant Professor of Medicine at the Emergency Medicine Residency Program at Baylor University, speaks with Nii-Daako Darko, DO MBA, Trauma Surgeon at the University of Pittsburgh, Altoona, about cell phone ban policies and review of current literature on the subject. Intro music by Kämmerer, "Take Left" from the album "Rhodes to Wisdom," powered by JAMENDO.

Additional Resources:
Policy Prescriptions® - Do Cell Phone Bans Work?
Insurance Institute for Highway Safety - Map of Cellphone and Texting Laws

Or listen on the AAEM website. 

Leave your comments below! 

New! Operations Management Podcast: Throughput and Patient Flow

Throughput and Patient Flow
Mark Graban, MS MBA, author of the books Lean Hospitals, Healthcare Kaizen, and The Executive Guide to Healthcare Kaizen, interviews Joseph Guarisco, MD FAAEM, ED Chair at Ochsner Hospital (New Orleans, LA) and Chair of the AAEM Operations Management Committee.

Part 1: Critical Drivers for Improving the ED
In part one of this episode, Mr. Graban and Dr. Guarisco discuss reasons for emergency department difficulties with throughput & patient flow and outline the critical drivers for improving the ED. They outline a conceptual breakdown of the ED and creating an agenda for change.

Part 2: Solutions for the ED 
In part two of this episode, Mr. Graban and Dr. Guarisco discuss solutions to address this difficult area of management and implications for the ED. They outline queuing theory, the concept of variance, and the split-flow model.

 

Or listen on the AAEM website.

Leave your comments below!

Two New Episodes: Emergency Physician Advocates - The Liability Crisis & The EM Action Fund

The Emergency Physician Advocates: Medical-Legal Issues in Emergency Medicine

Or listen on the AAEM website. 

July Episode: The Liability Crisis 
Larry Weiss, MD JD FAAEM, Professor of Emergency Medicine at the University of Maryland School of Medicine and past-president of AAEM, discusses what he refers to as the worst professional problem for physicians, the liability crisis in medicine. In this episode, Dr. Weiss addresses the following questions: Do we have a liability crisis? If so, why? And what can we do about this problem?

August Episode: EM Action Fund 
Larry Weiss, MD JD FAAEM, Professor of Emergency Medicine at the University of Maryland School of Medicine and past-president of AAEM, speaks with AAEM board president, William Durkin, Jr., MD MBA FAAEM, about the Emergency Physicians Action Fund.

Leave your comments below! 

NEW Critical Care Podcast: ScvO2 vs. Lactate Clearance in Early Goal Directed Therapy

Critical Care in Emergency Medicine

ScvO2 vs. Lactate Clearance in Early Goal Directed Therapy 





Or listen on the AAEM website.

David Farcy, MD FAAEM FCCM, Chairman, Department of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with Michael Winters, MD FAAEM, Associate Professor of EM and IM at the University of Maryland. Drs. Farcy and Winters discuss ScvO2 versus lactate clearance in early goal directed therapy its application in patient treatment. The discussion covers a review of landmark articles and well as recent literature. Intro music by NICOCO, "Quiberon," from the album "Nicoco," powered by JAMENDO.

Introducing Two NEW Podcasts!

AAEM is pleased to introduce two new podcast series! Critical Care in Emergency Medicine and Emergency Medicine Operations Management. Each series will take on the issues of the day in emergency medicine with informed discussion and expert guests.

These two new series join the existing AAEM podcast, Emergency Physician Advocates: Medical Legal Issues in Emergency Medicine.

Critical Care in Emergency Medicine
David Farcy, MD FAAEM FCCM, Chief of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with national and international experts in the field of critical care in emergency medicine. Join us each month for insights on a timely topic of importance for emergency physicians.

• Episode 1: Review of the Updated Surviving Sepsis Campaign (May 31, 2013)
  David Farcy, MD FAAEM FCCM, Chief of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with Tiffany Osborn, MD MPH FACEP, Associate Professor of Emergency Medicine and Acute and Critical Care Surgery at Barnes-Jewish Hospital. Drs. Farcy and Osborn discuss the recent update of the Surviving Sepsis Campaign and its application in patient treatment. Discussion points include: lactate clearance, vasopressors, blood transfusions, and steroids.  

Leave comments below!

Emergency Medicine Operations Management 
In this podcast series, Joseph Guarisco, MD FAAEM and Tom Scaletta, MD FAAEM, discuss operations management issues for the emergency physician. Dr. Guarisco is the chair of the Operations Management Committee of the American Academy of Emergency Medicine (AAEM) and Dr. Scaletta is past president of the organization. Join them each month as they discuss issues of importance to emergency physicians.

• Episode 1, parts 1&2:  Emergency Department Patient Satisfaction Part 1 (June 3, 2013)
  Joseph Guarisco, MD FAAEM, ED Chair at Ochsner Hospital (New Orleans, LA) and Chair of the AAEM Operations Management Committee, speaks with Tom Scaletta, MD FAAEM, President, Smart-ER; ED Chair at Edward Hospital (Naperville, IL); and Past President of AAEM. In this episode, Drs. Guarisco and Scaletta discuss various issues related to emergency department patient satisfaction. Discussion points include: measurement and drivers of patient satisfaction, incentives for physicians, insights for leadership, and the how the changing landscape of health care will effect patient satisfaction moving forward.

Leave comments below!

June Podcast: Emergency Physicians and the ACA

EP Advocacy Issues in the ACA: Emergency Physician Advocates - Medical-Legal Issues in Emergency Medicine






Larry Weiss, MD JD FAAEM, Professor of Emergency Medicine at the University of Maryland School of Medicine and past-president of AAEM, discusses emergency physician advocacy issues in the Affordable Care Act, the most significant event to occur in your career. Discussion points include: expansion of private insurance, statewide health benefit exchanges, expansion of Medicaid, work-force issues and Accountable Care Organizations. Intro music by Kämmerer, "Take Left" from the album "Rhodes to Wisdom," powered by JAMENDO.


Listen on the AAEM website. 


Please leave comments below! 

New! May Podcast: Asset Protection for Emergency Physicians

Asset Protection - Emergency Physician Advocates: Medical-Legal Issues in Emergency Medicine





 Joseph Wood, MD JD MAAEM FAAEM, Vice Chair of Emergency Medicine at Mayo Clinic in Scottsdale, and past-president of AAEM, discusses asset protection for emergency physicians. Dr. Wood walks you through three hypothetical cases and alerts you ways to structure your assets for maximum protection under the law. He also touches on liability insurance, medical malpractice insurance, and possible schemes you may encounter. .Intro music by Kämmerer, "Take Left" from the album "Rhodes to Wisdom," powered by JAMENDO.

Listen on the AAEM website.



Please leave your comments below!

April Podcast Episode: Restrictive Covenants

Restrictive Covenants - Emergency Physician Advocates: Medical-Legal Issues in Emergency Medicine





Larry Weiss, MD JD FAAEM, Professor of Emergency Medicine at the University of Maryland School of Medicine, and past-president of AAEM, discusses restrictive convents in emergency physician contracts. Dr. Weiss discusses this common problem in emergency physician contracts and details what these covenants typically entail. He outlines the circumstances where a court may enforce a restrictive covenant, and describes how AAEM has directly advocated for individuals subjected to unfair restrictive covenants. Intro music by Kämmerer, "Take Left" from the album "Rhodes to Wisdom," powered by JAMENDO.

Listen on the AAEM website.

Please leave your comments below!

New Podcast Episode: Key Contract Terms

Key Contract Terms - Emergency Physician Advocates: Medical-Legal Issues in Emergency Medicine





Joseph Wood, MD JD MAAEM FAAEM, Vice Chair of Emergency Medicine at Mayo Clinic in Scottsdale, and past-president of AAEM, discusses key terms in emergency physician contracts. Dr. Wood outlines contract basics including: termination, employee versus independent contractor status, medical malpractice insurance, and noncompete clauses. Intro music by Käat;mmerer, "Take Left" from the album "Rhodes to Wisdom," powered by JAMENDO.

Listen on the AAEM website.



Please leave your comments below!

First AAEM Podcast: Listen Today!

Emergency Physician Advocates: Medical-Legal Issues in Emergency Medicine -- Due Process Rights






Larry Weiss, MD JD FAAEM, Professor of Emergency Medicine and past president of AAEM, discusses the single most important practice right you have as an emergency physician -- your right to due process. Dr. Weiss details the definition of "due process," the source of those rights, and makes the case for why you should closely screen your contract for infringements of your due process rights, and obtain proper legal counsel. Intro music by Kämmerer, "Take Left" from the album "Rhodes to Wisdom," powered by JAMENDO.

Please leave comments below.