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.
||CleanC Diff Treatment Changes||A few weeks ago, a post on Clay Smith’s Journal Feedabout the new IDSA C diff guidelines caught my attention (specifically, that metronidazole is no longer recommended as first line therapy). Whuut? I tweeted this and @medquestioningtweeted back,...||4/17/2018||Free||View in iTunes|
||CleanERcast 2.0 One Year of Free CME||The link you want is right below. Sign up for ERcast 2.0 and 1 year of free CME. If you’re new to the show, let me tell you what it's all about. I am a community emergency doc and have been at the job for about 20 years. In that time,...||4/2/2018||Free||View in iTunes|
||CleanPseudoseizures (PNES)||Walker Foland is an emergency physician practicing in Michigan and in this episode breaks down why pseudoseizures, now termed PNES (Psychogenic Nonepileptic Seizures), are a real disease. Sign up for the ERcast mailing list Are patients with...||3/21/2018||Free||View in iTunes|
||CleanWhat Canada Can Teach Us About CAT Scans||or at least not doing so many||3/11/2018||Free||View in iTunes|
||ExplicitWinter 2018 Journal Club||In the edition of the Ercast journal club thrombectomy in pts with delayed stroke presentation shows promise beware behavioral changes after procedural sedation kids with isolated linear skull fractures have a good short term prognosis procalcitonin...||3/4/2018||Free||View in iTunes|
||CleanWhy Doctors Get Sued for Missed MI||Amal Mattu gives his thoughts on why we actually get sued for missed MI. Is it the patient who has an impeccable workup with shared decision making? Or are there other factors/patient characteristics that commonly show up in lawsuits? In part 2,...||2/25/2018||Free||View in iTunes|
||CleanHaloperidol for Analgesia||One of the stress points when a patient taking chronic opioids presents with acute pain is that we feel we have little to offer them. Are more opioids the answer? That's often what happens, but might not be the best next step. In this episode, Reuben...||2/18/2018||Free||View in iTunes|
||CleanWhen Consultants Give Bad Advice||Sam Ashoo is an ED doc practicing in Tallahassee, Florida. He has been an ED director, coding and billing chief medical officer, international educator, and runs the Admin EM blog. That blog name might sound nerdy (and it is) but his short write ups...||2/11/2018||Free||View in iTunes|
||CleanAnorexia Nervosa may not scare you but it should||Vicky Vella is an emergency physician practicing in the United Kingdom with a special interest and expertise in eating disorders. In December of last year, Vicky had a guest post on the St Emlyn’s blog about the MARSIPAN Guidelines. Never heard of...||2/5/2018||Free||View in iTunes|
||CleanCellulitis||Recorded at Essentials of Emergency Medicine 2017, Greg Moran, MD reviews current thinking on cellulitis diagnosis and management. Greg is a professor of emergency medicine at Olive View-UCLA medical center who, in addition to emergency medicine,...||1/29/2018||Free||View in iTunes|
||ExplicitPerformance Coach Jason Brooks||Jason Brooks PhD is a performance coach helping health care providers, athletes, and other high level performers live better, work better, and be better. In this episode Jason gives his strategies and tactics on myriad topics including: three...||1/21/2018||Free||View in iTunes|
||CleanShould I give bicarbonate in DKA?||Should I give bicarbonate to DKA patients with severe acidemia? I've certainly been admonished for NOT doing it. The reason for withholding bicarb has been that I've heard that it doesn't help and may actually be a bad idea. I can't say the action (or..||1/14/2018||Free||View in iTunes|
||CleanThe White Coat Investor||The White Coat Investor (AKA Jim Dahle, MD) talks debt, investing, philanthropy, investment philosophy, and investment strategies for different stages of your career. Key Links from this episode Essentials of Emergency Medicine The White Coat...||12/12/2017||Free||View in iTunes|
||ExplicitFinding the Joy||What gives you fulfillment in your job? If you know it, do you make purposeful choices to keep pointed in that direction?||12/8/2017||Free||View in iTunes|
||CleanHow to master CPR||Little things can make a big difference when it comes to running a code. EMS director and CPR aficionado Bill Reed gives a primer on High Performance CPR. High Performance CPR core principles Rate = 110 (100-120). Metronome set at 110. Depth =...||12/6/2017||Free||View in iTunes|
||CleanWhen can you shower after stitches?||In this episode When is showering OK after stitches? What type of ointment should be placed on a laceration to promote healing? Is there an advantage to using antibiotic ointment over petroleum jelly on a non infected laceration? How much of an...||11/26/2017||Free||View in iTunes|
||Clean3 Good Things||Every year on Thanksgiving I call up a few friends, usually different people each year, and tell them I am thankful for their friendship. Why do I do this? Is it for them, for them to get a warm glow of being appreciated? Not really, but that’s a...||11/23/2017||Free||View in iTunes|
||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|
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