Always On EM - Mayo Clinic Emergency Medicine

Episoade

• GRAND ROUNDS - Dr. Neha Raukar - Head's Up! When is that lump more than a bump? 01.12.2025 1h 2min

  Dr. Neha Raukar talks about the fundamentals of concussion care
• Chapter 47 - Hidden Killer of the Healthy - An "Intimal" Discussion of Spontaneous Coronary Artery Dissection 01.11.2025 1h 13min

  Drs Sharonne Hayes and Marysia Tweet talk about spontaneous coronary artery dissection or SCAD
• Chapter 46 - Dont be salty, be phosphorescent! - Sodium, magnesium, and phosphorus in the ED 01.09.2025 1h 20min

  Dr. Gregoire breaks down sodium, magnesium, and phosphorus disorders in a very pragmatic and enjoyable format.
• Grand Rounds - Dr. John Schupbach - Battling big food, big pharma, and big health 01.08.2025 35min

  Dr. Schupbach talks about ways to operate within healthcare today.
• Chapter 45 - Airway to Heaven: A Primer on Mechanical Ventilation for Emergency Providers 05.07.2025 1h 13min

  Dr. Harish Kinni reviews the fundamentals of ventilator management for the ED professional
• Grand Rounds - Dr. Taylor Christian - First do no harm: the history and origin of medical racism 15.06.2025 52min

  Dr. Christian discusses some of the history of racism within medicine particularly with a focus on the United States and the Black community.
• Chapter 44 - Withdrawal warriors battle with barbs! Phenobarbital as a treatment for alcohol withdrawal 01.06.2025 49min

  Phenobarbital for alcohol withdrawal care
• Grand Rounds - Dr Fiterman Molinari - Cardiac Arrest: when Standard Care is Not Enough 14.05.2025 51min

  Dr. Fiterman Molinari challenges the status quo of cardiac arrest care
• Chapter 43 - Code Brown: When the runs run the room! - Management of Acute Diarrheal Emergencies 01.05.2025 59min

  Alex and Venk go over the breadth of Acute Diarrheal emergency care considerations
• Grand Rounds - Dr. Lauren Chernick - Designing Digital Interventions to Improve Adolescent Sexual Health 14.04.2025 48min

  Dr. Lauren Chernick talks through using digital means to educate younger ED patients on sexual health topics
• Chapter 42 - Yes, I can help - Feeling empowered to help with in-flight emergencies 01.04.2025 45min

  Alex and Venk talk through the fundamentals of caring for patients during in-flight emergencies.
• Grand Rounds - Dr. Alexander Ginsburg - Integrating Palliative Care in the ED: Streamlined Solutions to Minimize Provider Burden 14.03.2025 54min

  Dr. Alex Ginsburg provides a pragmatic framework for how emergency physicians can incorporate palliative care principles into emergency care.
• Chapter 41 - Conversations toward cohesive practice - Optimizing the emergency physician and APP interface 01.03.2025 1h 17min

  Dr. Eric Boie and Jeff Wood, PA-C talk, from their experiences as both leaders of the emergency APP practice as well as working clinically in the relationship, of best practices to optimize the APP - physician relationship.
• Grand Rounds - Dr. Brit Long - Choose your own adventure - High risk diseases in the emergency department 14.02.2025 55min

  Dr. Brit Long reviews high risk, yet low frequency cases in emergency medicine
• Chapter 40 - The Full Bird and Fumar de Cystica - an EM guide to the gallbladder 01.02.2025 1h 15min

  Dr Schiller goes over the gallbladder from gallstones to cholecystitis.
• Grand Rounds - Dr. Lekshmi Kumar - Response to Recovery; Elevating trauma care with prehospital blood transfusions 15.01.2025 1h 11min

  Dr. Lekshmi Kumar shares their work to deploy blood to patients before they arrive at the hospital in Atlanta
• Chapter 39 - Unbreak My Heart - Decompensation in a Person with Aortic Stenosis 01.01.2025 1h 35min

  Dr. Trina Augustin, assistant professor of both anesthesiology and perioperative medicine as well as emergency medicine takes us on a deep dive into the care of persons with aortic stenosis. In this chapter, Alex and Venk learn about how to use ultrasound to diagnose AS, the keys to resuscitation, the pathophysiology of this condition, as well as the value of consultative services and the potential interventions that they may unlock for these patients. Kickoff season 4 with this in depth reminder that sometimes the heart has many hidden perils beyond ACS.  CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch; @KatrinaJoyAugustin Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Lichtenstein DA, Meziere GA. Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure. Chest 2008; 134:117-125 Walsh MH, Smyth LM, Desy JR, Fischer EA, Goffi A, Li N, Lee M, St-Pierre J, Ma IWY. Lung Ultrasound: A Comparison of image interpretation accuracy between curvillinear and phased array transducers. Australia J Ultrasound Med, 26:150-156 Alzahrani H, Woo MY, Johnson C, Pageau P, Millington S, Thiruganasambandamoorthy V. Can severe aortic stenosis be identified by emergency physicians when interpreting a simplified two-view echocardiogram obtained by trained echocardiographers? Crit Ultrasound J. 2015 Apr 18;7:5. doi: 10.1186/s13089-015-0022-8. PMID: 25932319; PMCID: PMC4409610. Furukawa A, Abe Y, Morizane A, Miyaji T, Hosogi S, Ito H. Simple echocardiographic scoring in screening aortic stenosis with focused cardiac ultrasonography in the emergency department. J Cardiol. 2021 Jun;77(6):613-619. doi: 10.1016/j.jjcc.2020.12.006. Epub 2020 Dec 29. PMID: 33386216. Lin J, Drapkin J, Likourezos A, Giakoumatos E, Schachter M, Sarkis JP, Moskovits M, Haines L, Dickman E. Emergency physician bedside echocardiographic identification of left ventricular diastolic dysfunction. American Journal of Emergency medicine  Ehrman RR, Russell FM, Ansari AH, Margeta B, Clary JM, Christian E, Cosby KS, Bailitz J. Can emergency physicians diagnose and correctly classify diastolic dysfunction using bedside echocardiography? Am J Emerg Med. 2015 Sep;33(9):1178-83. doi: 10.1016/j.ajem.2015.05.013. Epub 2015 May 21. PMID: 26058890.2021;44:20-25 Del Rios M, Colla J, Kotini-Shah P, Briller J, Gerber B, Prendergast H. Emergency physician use of tissue Doppler bedside echocardiography in detecting diastolic dysfunction: an exploratory study. Crit Ultrasound J. 2018 Jan 25;10(1):4. doi: 10.1186/s13089-018-0084-5. PMID: 29372430; PMCID: PMC5785451. Thiele H, Zeymer U, Neumann FJ, Ferenc M, Olbrich HG, Hausleiter J, de Waha A, Richardt G, Hennersdorf M, Empen K, Fuernau G, Desch S, Eitel I, Hambrecht R, Lauer B, Böhm M, Ebelt H, Schneider S, Werdan K, Schuler G; Intraaortic Balloon Pump in cardiogenic shock II (IABP-SHOCK II) trial investigators. Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial. Lancet. 2013 Nov 16;382(9905):1638-45. doi: 10.1016/S0140-6736(13)61783-3. Epub 2013 Sep 3. PMID: 24011548. Aksoy O, Yousefzai R, Singh D, Agarwal S, O'Brien B, Griffin BP, Kapadia SR, Tuzcu ME, Penn MS, Nissen SE, Menon V. Cardiogenic shock in the setting of severe aortic stenosis: role of intra-aortic balloon pump support. Heart. 2011 May;97(10):838-43. doi: 10.1136/hrt.2010.206367. Epub 2010 Oct 20. PMID: 20962337. Karatolios K, Chatzis G, Luesebrink U, Markus B, Ahrens H, Tousoulis D, Schieffer B. Impella support following emergency percutaneous balloon aortic valvuloplasty in patients with severe aortic valve stenosis and cardiogenic shock. Hellenic J Cardiol. 2019 May-Jun;60(3):178-181. doi: 10.1016/j.hjc.2018.02.008. Epub 2018 Mar 21. PMID: 29571667. Gottlieb M, Long B, Koyfman A. Evaluation and Management of Aortic Stenosis for the Emerg
• Grand Rounds - Dr. Adiba Matin - Climate Change and Emergency Medicine 14.12.2024 43min

  Dr. Adiba Matin discusses climate change as it might affect emergency medicine in the future.
• Chapter 38 - Appendicitis strikes back: Next level diagnosis, myths, and management Appendicitis in the ED 01.12.2024 1h 1min

  Dr. Turay talks about appendicits
• Chapter 37.5 - Nonaccidental trauma in children, part two. 14.11.2024 59min

  Part two of nonaccidental trauma of children with Dr. Mark Mannenbach