By Rob Orman, MD
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A short, focused discussion of emergency medicine topics with perspectives from emergency physicians as well as other specialties. Here's the problem: When I listen to a 45 minute lecture that goes through about 15 different studies and has 50 slides, I come out feeling like a genius. An hour later, I have forgotten 95% of it. Here's the solution: ercast. We cover a single issue and try to tease out all the relevant elements without overstuffing your frontal cortex. It's for physicians and anyone interested in a bare bones look at emergency care.
||ExplicitCaring for Autistic Patients||If you’ve ever cared for an autistic patient, I suspect you have seen that there are stress points for you, the patient, the family, staff... everyone involved. A medical facility, especially a hospital or emergency department, is an extremely...||11/19/2017||Free||View in iTunes|
||ExplicitBeating Stress and the Hot Offload with Ashley Liebig||Ashley Liebig is a HEMS Flight Nurse and Helicopter Rescue Specialist with Austin Travis County STAR Flight. Prior to her flight and rescue career, Ashley served in the US Army as a combat medic with the 101st Airborne Division. She is known around...||11/12/2017||Free||View in iTunes|
||CleanGunshot to the Groin with Kenji Inaba||Dr Kenji Inaba is a trauma surgeon at the University of Southern California. He is also the director of their surgical ICU, one of the most widely published trauma researchers with over 400 publications, and a reserve officer with the Los...||11/5/2017||Free||View in iTunes|
||CleanLong term health of patients vs. Short term risk to doctors||What is your real motivation when making medical decisions? Is it 'what's in the patient's best interest' or is it 'what will keep me from getting sued'? The reflexive answer is, of course, the former, but if you really do some soul-searching,...||10/29/2017||Free||View in iTunes|
||CleanPrecise Communication||Have you ever watched a volleyball game and seen the ball fall between two players? What happened there? It was probably inadequate or insufficient communication as to who was going to make the play. The same thing happens in almost every professional..||10/22/2017||Free||View in iTunes|
||CleanAlcohol, c-spines, and lots of pus||A day late and a dollar short, but here it is, the Ercast summer Journal Club. As per usual, boy genius Adam Rowh, MD is in the house to give his take on the medical literature. In this episode, we discuss Cervical spine clearance in the intoxicated...||10/20/2017||Free||View in iTunes|
||CleanWhat you don't know about Wernicke's encephalopathy||Megan Spyres, toxicologist and emergency physician at LA County-USC, gives a primer on diagnosing and treating Wernicke's encephalopathy. The title of this post "What you don't know about Wernicke's encephalopathy" is more from my perspective...||9/29/2017||Free||View in iTunes|
||ExplicitConquering Night Shifts and Soft Tissue Ultrasound with Mike Mallin||Mike Mallin is a legend in emergency ultrasound but, by day, he's a regular guy and community ED doc. In this episode, Mike and Rob talk about making the change from an academic to community medicine job working in a place that sparks joy working...||9/20/2017||Free||View in iTunes|
||ExplicitGetting Sued||This is not an easy episode. It's not easy because a doctor gets named in a lawsuit, a patient has a bad outcome, and it openly discusses some of the systems failures we have in medicine. If that's enough to turn you off, close the page and go about...||7/24/2017||Free||View in iTunes|
||ExplicitPeeing Blood and the Pesky Erection||Emergency management of priapism, hematuria, and interstitial cystitis are discussed with urologist Brian Shaffer. Warning: the following program contains graphic descriptions of medical procedures. Listener discretion is advised. Stuff...||7/2/2017||Free||View in iTunes|
||CleanWhen Breath Becomes Air. Lucy Kalanithi Interview||Last summer I took a road trip to Canada and during the drive I listened to the book When Breath Becomes Air. That was a year ago, and I still think about that book, almost daily. When Breath Becomes Air is the autobiographical account of the final 2..||6/24/2017||Free||View in iTunes|
||CleanSpring 2017 Journal Club||It may be summer (in the northern hemisphere), but that doesn't mean we can talk all the goodness that was our spring journal club. As usual, Adam Rowh slayed the beer selection with a killer Scottish ale as well as these lovely articles. Enjoy.......||6/21/2017||Free||View in iTunes|
||CleanHow to learn from a lecture||Amal Mattu stops by to talk about the best way to get the most from attending (as well as giving) a lecture. Hint, it's not the the transfer of information. Amal says that lectures have one of two purposes: to persuade or inspire. To get the...||3/24/2017||Free||View in iTunes|
||CleanExamining mental health patients||When you examine a patient who presents with a mental health complaint, let’s say they are depressed and psychotic, how do you do it? Do you listen to their lungs and heart, check for pitting edema? You might, if the history dictates. We are also...||2/28/2017||Free||View in iTunes|
||CleanNasal suction. Miraculous simplicity||It is bronchiolitis season my friends. Even I have a bit of the URI. When we’re talking bronchiolitis, the conversation is almost always about: do steroids or bronchodilators work, what to do with a touch of hypoxia. Important conversations to be...||2/21/2017||Free||View in iTunes|
||CleanArticles you need to know - winter edition||There's a journal club in my living room every few months (or at least there will be - this was the first). Raconteur Adam Rowh, MD joins the show to talk the med lit we dissected by the fireside. Stuff in this show Prandoni, Paolo, et al....||2/13/2017||Free||View in iTunes|
||CleanMumps||It's time for a mumps outbreak! Here is a basic primer on the very basic basics. How do you get mumps? Respiratory secretions, that guy sitting next to you on the airplane with the huge parotid gland and just sneeze in your eye. Not good. ...||2/1/2017||Free||View in iTunes|
||CleanPractice Changers||What were your practice changers in 2016? For me, it was Reuben Strayer's simple phrase for when to give epinephrine in allergic reaction patients: For A, B, or C, give E. If there is involvement of airway, breathing ,or circulation,...||1/1/2017||Free||View in iTunes|
||CleanSassyMD||If you are on Twitter, there's a good chance you've seen commentary from our guest today Sassy MD. She is a 4th year medical student and gives an unfiltered commentary on the trials and tribulations of med school, life, deciding what shoes to...||11/19/2016||Free||View in iTunes|
||CleanThe Upset Patient Protocol||We’re not trained in conflict resolution, but angry patients are a reality in any practice. Listening and empathy can go a long way in this situation. Dike Drummond, a.k.a. The Happy MD, give a step by step strategy for engaging with upset...||9/28/2016||Free||View in iTunes|
||CleanThe Stroke Consult||When you are calling a consultant, whatever the specialty, what are you really doing? You are presenting an argument, making a case for what you think should be done, or making the best case for what you think is going on and seeking the benefit of...||9/23/2016||Free||View in iTunes|
||ExplicitAirway Strategery||Scott Weingart from EMCRIT guest stars in this episode to discuss his approach to two challenging airway cases. The common theme is ketamine and semi-awake intubation (or at least maintaining breathing while inserting the laryngoscope). Mentioned in...||9/3/2016||Free||View in iTunes|
||CleanMastering the storm||Intro: Scott Weingart explains why he meditates and how it's like 'kettlebells for the brain'. Main episode: Chris Hicks is a Canadian emergency physician and trauma team leader. In this episode, he gives simple practices to improve your management of..||7/11/2016||Free||View in iTunes|
||ExplicitAngioedema||Does anything work to reverse angioedema? If it's hereditary, then icatibant may do the trick. Otherwise, there's not much out there. Fresh frozen plasma (FFP) has it's place in angioedema lore as something that works, but the evidence in its favor is..||4/30/2016||Free||View in iTunes|
||CleanREBOA 101||Are you ready for REBOA? Zaf Qasim (@emeddoc) gives the ins and outs of Resusciataitve Endovascular Balloon Occlusion of the Aorta Intro Segment:Mel Herbert and I talk about our favorite podcasts as well as Mel's new show Shabam! My Top...||3/20/2016||Free||View in iTunes|
||CleanWhich chest pain patients can be discharged?||Ryan Radecki from EM Lit of Note is here to deconstruct the HEART score, utility of stress tests in low risk patients, and his approach to low risk chest pain. As a bonus, Ryan is also the wordsmith for the show notes. Important stuff mentioned on...||2/20/2016||Free||View in iTunes|
||CleanSepsis Demystified||What is sepsis? Even the world's experts can’t agree on what it means. Is it infection plus organ dysfunction? That’s how surviving sepsis defines it. Is it infection with a whole body inflammatory respoinse? That’s how...||1/27/2016||Free||View in iTunes|
||CleanAmal Mattu on being too tall and giving kick ass lectures||Emergency Medicine legend Amal Mattu reveals his deepest secrets How he became "Too Tall Amal" Al Sacchetti does a bait and switch- setting up Amal for a huge career in emergency cardiology The unexpected path to becoming the world's...||12/19/2015||Free||View in iTunes|
||CleanThe Brain on Ketamine||Reuben Strayer from empdates.com is our guest to discuss proper dosing of ketamine. Take home message: At very low dose, you get analgesia with minimal effect on perception and emotion. At a very high dose, you’re going to...||12/1/2015||Free||View in iTunes|
||CleanJeff Kline on Life and Wrestling||Jeff Kline is one of the world's leading researchers in thromboembolism. He's also a dad, bodybuilder, former wrestler, and philosopher.||11/23/2015||Free||View in iTunes|
||CleanHow to not freak out||What I do in the in the first 90 seconds of a code… We want to avoid simultaneous action paralysis: the feeling that multiple things need to happen at once and then nothing gets done. In a code, it seems like everything has to HAPPEN...||11/7/2015||Free||View in iTunes|
||ExplicitTorsades De Pointes||Torsades de pointes is very bad. It easily degenerates into Ventricular Fibrillation (VF) and that’s sudden cardiac death. How many cases of torsades have you seen in your career? Are your ready for it when you see it? Let’s...||11/1/2015||Free||View in iTunes|
||CleanMel Herbert and the Mouse Plague||Mel Herbert is arguably the most influential medical educator of our time. He sat down with ERCast to discuss... His early life in the Australian Outback Mouse plagues Immigrating to the United States How EM RAP got...||10/21/2015||Free||View in iTunes|
||CleanIs my patient suicidal?||What does suicidal ideation really mean? It comes down to mindset and intent. For example: wrist cutting. Is it a suicide attempt, a stress relief, a way to get attention? It could be any of those. The behavior, often called the WHAT,...||9/16/2015||Free||View in iTunes|
||CleanThe Problem With Calf Clots||Deep venous thrombosis of the calf causes an undue amount of consternation. What's the best way to manage these?Anticoagulate, serial ultrasound, do nothing? We break down the evidence to help you decide. What are we worried about with calf...||9/2/2015||Free||View in iTunes|
||CleanNeurogenic Shock||A trauma patient with persistent, yet unexplained hypotension may be suffering from neurogenic shock. What's that? Anand Swaminathan joins the show to help break down the diagnosis and treatment. Register for Essentials of Emergency...||8/17/2015||Free||View in iTunes|
||CleanNight Shifts||There's no getting around night shifts in the emergency department. Most of us work nights to some degree or another and find them less than pleasant. Are there ways to mitigate the misery? Haney Mallemat joins ERCast to discuss nightshifts...||8/12/2015||Free||View in iTunes|
||CleanChronic Pain Part 2||This is part two of a two part series on chronic pain. Pearls: Set realistic expectations when treating patients with chronic pain. For the vast majority of patients, antidepressants are the first-line pharmacologic choice...||6/29/2015||Free||View in iTunes|
||CleanChronic Pain||Part one of a two part series on caring for patients with chronic pain Pearls: With few exceptions, opiate therapy should be reserved for the short-term treatment of acute somatic pain due to tissue injury. Patients with acute pain...||6/29/2015||Free||View in iTunes|
||CleanPediatric C-Spine Clearance||When we want to clinically clear the adult cervical spine, what do we do? We whip out a handy dandy decision instrument. Canadian C-spine? Yes! NEXUS? Boom, you betcha! But when it comes to kids, there's just nothing out there that even...||6/28/2015||Free||View in iTunes|
||ExplicitScott Weingart on the State of Things||Scott Weingart is a thought leader in critical care and medicine in general. His EMCrit podcast has changed the game in medical education and improved care of crucially ill patients across the planet.||5/19/2015||Free||View in iTunes|
||CleanThe Subarachnoid Enigma||Six hours means so much when it comes to subarachnoid hemorrhage. That is the inflection point when blood may no longer look like fresh blood on a CT. Several studies have shown that a negative ct done within 6 hours of headache onset effectively...||5/8/2015||Free||View in iTunes|
||CleanCan fever melt the brain?||Can a fever get so high that it causes brain damage? That question was posed to us by a listen with a recent patient whose temperature reached 106.9 Fahrenheit. Andy Sloas from the PEM ED podcast returns...||4/3/2015||Free||View in iTunes|
||CleanNo CPR in Trauma Arrest?||In October 2013, Scotty Weingart was on the show and suggested that closed chest CPR has no role in traumatic cardiac arrest. It made sense because, after all, the things that cause a traumatic arrest won't be helped by closed chest...||3/10/2015||Free||View in iTunes|
||CleanAmal Mattu on Low Risk Chest Pain||Something very cool is happening in emergency medicine, specifically low risk chest pain. What I mean by that is figuring out who is low risk and what to do about it. This is one of the biggest areas of CYA, for the uninitiated, cover your ass,...||2/19/2015||Free||View in iTunes|
||CleanRevenge of the Nerd: Coronary CT? Ehhh, no.||Guest post by Rory Spiegel, A.K.A Captain Basil, A.K.A EM NERD In today’s age of Modern Medicine, we consistently favor the objective findings provided by medical technology over the more subjective judgments of the...||2/14/2015||Free||View in iTunes|
A fascinating and entertaining look inside the emergency department
Dr. Rob Orman, M.D. takes listeners into the Emergency Department in an entertaining look at emergency medicine. Geared toward the medical professional, but accessable for everybody, if you are interested in medicine this is the pocast for you. Also, I really like Dr. Orman's style--kind of like a medical version of This American Life.
Bravo! Dr. Orman
Great first episode. Even if you're not in the medical field, you'll enjoy it. Looking forward to more.
Fabulous First Episode!
Dr. Rob Orman has a great podcast side manner! Fabulous first show and look forward to hearing more from you and your associates. Even if you have no medical knowledge, this podcast really pulls the listener in and gets them involved with the subject matter.
Bravo Dr. Rob and thanks!
Nick Charles, California