EM LOGIC

Épisodes

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  Episode 49 – Early Sepsis Logic 02.09.2026 23min

  Late sepsis is early to diagnose but catching the early signs is more critical. Don't miss these clinical pearls on inflammatory markers and much more.
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  Episode 48: Ureteral Stone Logic 04.08.2026 21min

  Most ureteral stones pass on their own, but a few demand urgent intervention. Learn the "PENIS" framework for spotting high-risk patients and avoiding the catastrophic mistake of missing an infected obstructing stone. Read More in the Show Notes
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  Episode #45: History Logic 03.03.2026 20min

  This episode focuses on practical strategies to obtain a high‑yield history that drives accurate ED diagnosis. This includes structured approaches (like OLD CARTS), critical pitfalls to avoid, and specific red flags for conditions such as ACS and dissection. It emphasizes reading the triage note, seeking collateral information from unreliable historians, and resisting anchoring by deliberately considering rare, dangerous diagnoses first.
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  Episode #44: ATLS UPDATE 01.12.2025 14min

  ATLS 2025 emphasizes early hemorrhage control (X-ABC's), rapid blood product use with TXA, and updated airway, breathing, and spine protocols, including "spinal protection" and anterior axillary needle decompression. These changes build on 2018's shift toward video laryngoscopy, limited crystalloids, and streamlined transfer practices.
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  Episode #43: Radiologist Errors 01.10.2025 17min

  In Episode #43 of EM Logic, Dr. Pregerson reviews common radiology errors in the ED, from missed fractures to subtle tumors, and breaks down why communication and clinical context matter. He also shares real cases and practical tips for improving teamwork with radiologists. Read more in the Show Notes.
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  Episode #42: Resuscitation 02.09.2025 15min

  In Episode #42 of EM Logic, Dr. Pregerson highlights new research on occult ventricular fibrillation seen only on bedside echo and reviews the DOSE VF trial showing improved survival with dual sequential defibrillation. He also connects pearls from prior episodes on heads-up CPR and hypokalemic arrest. Read more in the Show Notes.
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  Episode #41: Aftercare Revisited 01.08.2025 13min

  Don't be blamed for providing inadequate aftercare instructions. Minimize the chances that your discharged patient doesn't return. In Episode #41, Dr. Pregerson covers the pearls and pitfalls of aftercare instructions. Read more details in the Show Notes.
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  EM Logic Episode #40: Testicular Torsion Logic 01.07.2025 16min

  In Episode #40 of EM Logic, Dr. Pregerson reviews the diagnosis and management of testicular torsion, emphasizing its peak presentation in 13- to 14-year-olds. Epididymitis is the diagnosis on the chart of 61% of settled malpractice cases. He stresses the importance of not waiting for ultrasound before manual detorsion. Read more in the Show Notes.
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  EM Logic Episode #39: ACS ECG Logic 30.05.2025 17min

  In Episode #39 of EM Logic, Dr. Pregerson discusses occlusion MIs (OMI) that are missed by STEMI criteria. One-fourth to one-third of NSTEMIs are actually missed acute coronary occlusions, which would be best treated with emergent reperfusion. Read more details here in the Show Notes.
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  EM Logic Episode #38: Resuscitation Before Intubation Logic 30.04.2025 13min

  In Episode #38 of EM Logic, Dr. Pregerson reviews what you can do before intubation in order to prevent triggering a subsequent cardiac arrest. Read more details here in the Show Notes. 
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  EM Logic Episode #37: Hyperacute T-Wave Logic 31.03.2025 10min

  In Episode #37 of EM Logic, Dr. Pregerson discusses a paper by Dr. Stephen W. Smith on hyperacute T-waves. STEMI misses 30% to 40% of acute coronary occlusions that would benefit from emergent revascularization. Read more details here in the Show Notes. 
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  March 2025 Episode #36: SVT Logic 28.02.2025 9min

  In Episode #36 of EM Logic, Dr. Pregerson reviews the literature and finds on the role of troponin testing in patients with supraventricular tachycardia. SVT conversion and the reasons why diltiazem is better than adenosine is also discussed. Read more details in the Show Notes.
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  January 2025: Vital Signs Logic 31.12.2024 18min

  Dr. Pregerson says vital signs are not just normal or abnormal but a continuum. The closer to abnormal they are, the more concerning they should be, of course, but there's still more to learn in this month's podcast. Read more in the Show Notes.
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  December 2024: Diagnostic Momentum Logic 27.11.2024 15min

  As the literature says, you can't diagnose cyclic vomiting syndrome until you rule out Dietl's crisis. Dr. Pregerson discusses recurrent abdominal pain, which is often diagnosed as CVS, IBS, or abdominal migraine, but notes that Dietl's crisis may present similarly. Read more in the Show Notes.
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  November 2024: Literature Logic 31.10.2024 17min

  Knowing how to interpret the literature is an important part of how emergency physicians stay up to date. Dr. Pregerson discusses all kinds of biases, from comparison bias and the Hawthorne effect to outcome bias and publication bias, only in this month's podcast. Read more in the Show Notes. Note from Dr. Pregerson: Thanks to Jerome Hoffman, MD, a giant in emergency medicine and a professor emeritus at the UCLA School of Medicine, for reviewing this topic with me.
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  October 2024: Triage ECG Logic 30.09.2024 11min

  Dr. Pregerson talks all about the guidelines for reading ECGs, how to minimize interruptions while you're reading them, and ways to build your skills, only in this month's podcast. Read more in the Show Notes.
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  September 2024: Aortic Dissection Logic 30.08.2024 10min

  Dr. Pregerson with how to use ultrasound to diagnose aortic dissection and not miss pericardial effusion, ascending aorta, and dissection flap, only in this month's podcast. Read more in the Show Notes.
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  August 2024: Abdominal Pain Logic 31.07.2024 16min

  Dr. Pregerson tells you the red flags to look for in patients with abdominal pain, green flags that say you're on the right track, and return precautions to give the patient, only in this month's podcast. Read more in the Show Notes
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  July 2024: Delta Troponin Logic 28.06.2024 12min

  Dr. Pregerson reviews the ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain by focusing on high-sensitivity troponin, delta troponin, unstable angina, renal failure, and baseline troponin, only in this month's podcast. Read more in the Show Notes.
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  June 2024: Temperature Logic 30.05.2024 12min

  Dr. Pregerson says assessing temperature in the emergency department is more complicated than you think. He discusses the reliability of thermometers, what constitutes a fever, and how to diagnose hypothermia in this month's podcast. Read more in the Show Notes.