Podcast
Welcome to the SimKit emergency medicine physician podcast. Musing on medical procedural training, skillset decay and maintenance, case discussions and reviews, and much much more.
Be The Driver (or Balancer)- Getting The Most Of Your Clinical Rotations
Be The Driver (or Balancer)- Getting The Most Out Of Your Clinical Rotations - The SimKit Podcast
Contributors: Dr. Jason Hine In this podcast we discuss getting the most out of your clinical rotations in medicine. This applies to anyone in the medical education spectrum- medical students, residents, fellows, NP or PA students, and even preceptors. This is the prefect time to think about such things as many med students are entering sub Is, residents are starting at their new institution or transitioning into a new role, and a lot is changing. How to balance your journey […]
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The Corporate Practice of Medicine- the rise and fall of Envision and what it means for practicing docs
The Corporate Practice of Medicine Part 1- the rise and fall of Envision and what it means for practicing docs - The SimKit Podcast
Contributors: Dr. Kenan Bouzida and Dr. Robert McNamara In this podcast we review the corporate practice of medicine- a touchy topic in Emergency Medicine. Over the last few decades, we have let these corporate agencies into our work environment, with sometimes disastrous results- termination without cause, overbilling, understaffing, just to name a few. Many of these corporate groups have taken heat of late for their shady dealings, but they are still out there, buying up EM physician groups across the […]
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Airway Alchemy: Status Epilepticus – Intubation and Management
Be The Driver (or Balancer)- Getting The Most Out Of Your Clinical Rotations - The SimKit Podcast
Contributors: Dillon Warr, MD and Jason Hine, MD Status epilepticus is a clinical condition squarely in the wheelhouse of the Emergency Medicine physician. Here, we will discuss a recent article that asks an important clinical question: which induction agent should we use in RSI for those patients in status epilepticus that require intubation? We will subsequently discuss key ED management considerations for this neurologic emergency, including our approach to status epilepticus and intubation. Practicing procedures can be tough. Let SimKit […]
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Keep ‘Em Cool, But Not Too Cool- AHA recs on TTM in post-ROSC care with Dr. Mike Burla
Keep 'Em Cool, But Not Too Cool- AHA recs on TTM in post-ROSC care with Dr. Mike Burla - The SimKit Podcast
In this podcast we review the most recent AHA recs on TTM. The current AHA recently updated their practice guidelines related to targeted temperature management (TTM) in the post-ROSC patient…. and there really are some of nuances of caring for these patients. To review this, we spoke with Dr. Mike Burla, an EM physician with research experience in out-of-hospital cardiac arrest, and someone we have had as a guest for prior discussions on the topic. Check out our first conversation […]
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Fat to Fab- Ozempic, Trulicity, the Celebrity Weight Loss Craze with GLP-1 agonists and what it means to Emergency clinicians
Ozempic and its counterparts, the GFP-1 agonists have been part of a huge celebrity weight loss craze. This has led to many to see these medications as a get-skinny-quick option and are pursuing these medications like crazed fans- leading to drug shortages. While these meds have an actual FDA indication of diabetes or obesity, individuals without indications for them, or those with indications but no prescriber, are turning to medical spas, weight loss clinics, and even compounding pharmacies to get […]
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Slowww Down, Man. Myxedema Coma: A Case and Review
Slowww Down, Man. Myxedema Coma: A Case and Review - The SimKit Podcast
Myxedema Coma is a rare but life threatening endocrine emergency that we must be prepared to diagnose and treat in the emergency department. Buckle up for an in-depth discussion of a complicated emergency department case in an oral boards format with a focus on clinical reasoning, differential diagnoses, and ultimately a review of Myxedema Coma. Contributors: Dillon Warr, MD and Jason Hine, MD. Practicing procedures can be tough. Let SimKit do all the heavy lifting in your skill maintenance. Procedural […]
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Intubating Asthmatics
Intubating Asthatics - The SimKit Podcast
There are few things as scary in the Emergency Department as a crashing asthmatic. The stakes go even higher when we are talking about intubating asthmatics. In this podcast we are joined by Dr. Andrew Phillips, and ED intensivist and founder of the awesome board review suite EM Coach, to talk about staving off intubating in asthmatic patients, how to safely intubate them in the Emergency Department, and most importantly, how to manage them after the tube. Keeping your skills […]
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The Beans or Brain?- The ACORN trial and effects of cefepime and pip-tazo on neuro and renal outcomes
The Beans or Brain?- The ACORN trial and effects of cefepime and pip-tazo on neuro and renal outcomes - The SimKit Podcast
In the Emergency Department, we often have to initiate empiric antibiotic treatment for sick, undifferentiated patients. Cefepime and Piperacillin-Tazobactam (pip-tazo) are common antibiotic options for coverage of gram-negative organisms, such as pseudomonas. But is one better than the other? In this podcast, we will critically appraise The ACORN Trial- an article that examines the risks of acute kidney injury and/or neurologic dysfunction in patients treated empirically with one of these antibiotics. Contributor: Dillon Warr, MD Effect of Antibiotic Choice On […]
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The Awake Shoulder Reduction- the way of the future
The Awake Shoulder Reduction- the way of the future - The SimKit Podcast
Anterior shoulder dislocations are common in the Emergency Department and let’s face it, fun to fix. But this can be a time and resource intensive endeavor- especially if doing IV sedation. In this podcast we look at intraarticular analgesia as an alternative to IV sedation to allow for an awake shoulder reduction. And we show you several examples of how successful this can be! Posterior Intraarticular Injection Injecting the shoulder with the posterior approach is suuuuuper easy when the humeral […]
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Blakemore, Minnesota, and Linton Tube Tips and Tricks
There are soooo many challenges when it comes to placing a Blakemore or other gastroesophageal balloon. The first struggle is your knowledge and familiarity with your own device- is it a Blakemore? Linton? Minnesota?- does it have an esophageal balloon? Esophageal suction? What’s that gastric balloon volume again? (By the way, we teach all that here at SimKit). Once you pull the trigger to put one of these devices in, the second challenge is they are HARD to get in […]
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