Dr. Justin Kreuter, Transfusion Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about transfusion in its many dimensions. We talk through a model of evaluation for patients with life threatening bleeding, how to interpret tests, the science behind the 1:1:1 ratio of trauma transfusion practice and much much more! CONTACTS Twitter - @AlwaysOnEM; @VenkBellamkonda; @KreuterMD Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch; @KreuterMD Email - AlwaysOnEM@gmail....
Mar 01, 2023•1 hr 53 min•Season 2Ep. 5
In this episode, Alex and Venk give the virtual stage to Dr. Amy Zeidan from Emory University. She is an experienced and passionate advocate for helping those most in need - particularly immigrants to the United States. She gave Grand Rounds to our department January 24, 2023 and we share that with you here. Summary The United States immigration system is exceedingly complex and results in barriers to care for structurally vulnerable immigrant populations. Immigration status alone is a social de...
Feb 14, 2023•53 min•Season 2Ep. 4
Dr. Abhishek Deshmukh, Cardiologist specializing in electrophysiology at Mayo Clinic, joins Alex and Venk on the podcast to talk about Wolff Parkinson White Syndrome and other supraventricular tachycardias. We will review the underlying pathophysiology, and how the specific electrical conduction pathway should determine how you treat your patient. He brings a pragmatic approach to this complex topic that you will be able to implement on your very next shift. Contacts: TWITTER - @AlwaysOnEM; @Ven...
Feb 01, 2023•1 hr 7 min•Season 2Ep. 3
Exceptional individuals display five common traits according to former FBI agent, Joe Navarro, an expert in non-verbal communication. These include: self-mastery, observation, communication, action, and psychological comfort. Most clinicians would agree that the therapeutic effect we have on patients has little to do with the medication we provide, but more what is communicated verbally and nonverbally during the interaction. But, how do we hone these skills? And importantly, how do we become ma...
Jan 14, 2023•1 hr•Season 2Ep. 2
Alex and Venk sit down with Dr. Jim Gregoire, Mayo Clinic Nephrology, to talk through a variety of emergency nephrology topics. We talk through dialysis related issues including the different types of peritoneal dialysis and their complications. Following that we talk through acute kidney injury with a focus on how we should approach this as emergency practitioners. Finally, we talk through some electrolyte issues that are not commonly discussed in our specialty.
Jan 01, 2023•1 hr 34 min•Season 2Ep. 1
Dr. Sergey Motov, gave this presentation on acute pain management to the Mayo EM Grand Rounds audience in the fall of 2022. Pain is the most common reason for people to seek care in the Emergency Department. The current laws and regulations have significantly affected ED Clinician’s ability to provide effective, efficient and safe pain relief by worsening opiophobia, by repurposing non-analgesic medications for pain control and by proliferation of dangerous drug-drug combinations. This talks is ...
Dec 14, 2022•1 hr 9 min•Season 1Ep. 20
Dr. Ben Sandefur, Emergency Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about angioedema and awake tracheal intubation. He reviews the different types of angioedema in a format designed to assist the emergency department practitioner with decision making and prognostication. This is followed by a description of how to prepare for and lead a team and patient through awake tracheal intubation using fiberoptic and video laryngoscopy techniques. Contacts TWITTER - @...
Dec 01, 2022•1 hr 10 min•Season 1Ep. 19
This is a recording of Dr. Victor Montori's grand rounds presentation to Mayo Clinic Emergency Medicine challenging us to rethink the care we provide to our patients and the community as a whole. He will be discussing the movement toward careful and kind care he calls the Patient Revolution. This movement seeks to turn away from industrialized healthcare – a form of healthcare in which the care of patients is a means to an end, in which patients are processed, and in which cruelty happens routin...
Nov 14, 2022•57 min•Season 1Ep. 18
Dr. Uma Thanarajasingam, Rheumatology attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about how to approach patients with symptoms that span multiple organ systems and we are considering Lupus or when the patient has known Lupus when they present. We talk about Catastrophic Antiphospholipid antibody syndrome, immunochemistry and much more! Contacts: TWITTER - @AlwaysOnEM; @VenkBellamkonda INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch EMAIL - AlwaysOnEM@gmail.com...
Nov 01, 2022•1 hr 20 min•Ep. 17
SPEAKER: Brian Patterson, MD, University of Wisconsin He discusses the experience at UW conceiving, designing, and implementing a program, which incorporates a machine-learning algorithm for real-time calculation of fall risk for all older adults who visit the ED. The talk will include the rationale for using automation to improve public health referrals from the ED, techniques used to create the intervention, and issues surrounding the design and governance of similar interventions. TWITTER @BP...
Oct 14, 2022•1 hr 4 min•Season 1Ep. 16
Dr. Doug Brown is an emergency physician and expert in wilderness medicine and mountain rescue with a special career focus on hypothermic cardiac arrest. He has been instrumental in building the rescue and resuscitation practices in Vancouver region of Canada and has published his work in the New England Journal of Medicine. Dr. Brown talks with Alex and Venk about a bunch of very COOL topics! Contacts: TWITTER - @AlwaysOnEM; @VenkBellamkonda INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFi...
Oct 01, 2022•1 hr 24 min•Season 1Ep. 15
SPEAKER: Sara Crager, MD, UCLA Emergency Medicine When it comes to shock, we have developed a blood pressure addiction. Our propensity for a laser-like focus on blood pressure frequently hobbles our ability to promptly diagnose and optimally manage shock patients. This lecture aims to facilitate a more naunced approach to shock through an expanded mental model of shock pathophysiology combined with an iterative hypothesis testing strategy for clinical problem solving TWITTER @SaraCrager; @Always...
Sep 12, 2022•1 hr 7 min•Season 1Ep. 14
There has been discussion nationally about the potential for a mismatch in the needs of the United States and the emergency physician workforce. Alex and Venk talk with Dr. Christopher Bennett, from Stanford Emergency Medicine about what he has learned and how he perceives the situation moving forward after spending a significant amount of time researching the EM workforce. TWITTER: @AlwaysOnEM; @VenkBellamkonda; @CLeeBennett INSTAGRAM: @Always On EM; @Venk_like_vancomycin; @ASFinch GMAIL: Alway...
Sep 01, 2022•45 min•Season 1Ep. 13
Dr. Pritish Tosh, Infectious Disease attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about Monkeypox, especially how it compares and contrasts to Smallpox and Chickenpox. Stick around to the end where an addendum is added to discuss the July 2022 New England Journal of Medicine case series on Monkeypox. Contacts: @AlwaysOnEM - TWITTER AlwaysOnEM@gmail.com @VenkBellamkonda - TWITTER References: 1. Thornhill JP, et al. Monkeypox Virus Infection in Humans across 16 countries - ...
Aug 01, 2022•50 hr 40 min•Season 1Ep. 12
Dr. Lyell Jones, award winning neurologist educator, joins us on the podcast to talk about Myasthenia Gravis, Guillain-Barre Syndrome and neuromuscular weakness.
Jul 01, 2022•59 min•Season 1Ep. 11
Alex and Venk talk with Dr. Nandan Anavekar, cardiac intensivist, about wide complex tachycardias - antitachycardia pacing, balloon pumps, dual sequential cardioversion, vasopressors, beta blockers and more! SHOW: @AlwaysOnEM | @VenkBellamkonda | EMBlog.mayo.edu | AlwaysOnEM@gmail.com GUEST: @NandanAnavekar | @MayoCVFellows | @MayoClinicCV
Jun 01, 2022•1 hr 16 min•Season 1Ep. 10
The Always On crew is joined by Dr. Jessica Schoen who is a world expert in medical simulation who shares perspectives on simulation fellowship as well how to uplift community emergency medicine practice through simulation.
May 01, 2022•50 min•Season 1Ep. 9
Dr. Lauren Southerland, president of ACEP and former president of SAEM geriatric EM sections and Associate Professor of Emergency Medicine at Ohio State University, joins the show and truly inspires us to think differently about how we approach the care of older patients. She talks us through four models for providing geriatric emergency care, what does an ideal setup for older patients look like, what should we be doing to train future geriatrics-capable emergency physicians and much more! Plea...
Apr 01, 2022•1 hr 4 min•Season 1Ep. 8
Left ventricular assist devices (LVADs) can feel incredibly complex and these patients can inspire fear or trepidation in many healthcare providers. In this episode, we talk through the basics of LVADs from taking vital signs, to managing alarms, and evaluating common issues all with the experience and insights of our wonderful guest, Sarah Schettle, PA-C in Cardiovascular Surgery at Mayo Clinic. She is an incredible educator and breaks this topic down into really digestable and applicable piece...
Mar 01, 2022•1 hr 12 min•Season 1Ep. 7
This is a challenge for us to think about the model of healthcare delivery differently by Dr. John Schupbach, resident, Mayo Clinic Emergency Medicine.
Feb 14, 2022•57 min•Season 1Ep. 6
This is a recording of Drs. Ankel and Cabrera, renowned educators presenting grand rounds to the departments of emergency medicine at Mayo Clinic. They make a bold prediction for how the practice of emergency medicine will evolve and how the next generation of physicians will be challenged to practice differently.
Feb 07, 2022•1 hr 6 min•Season 1Ep. 5
In this episode, we talk through a systematic way for determining if a person has capacity to make a decision in the emergency department. We also talk through special circumstances such as when a person has consumed alcohol, etc.
Feb 01, 2022•32 min•Season 1Ep. 3
Guest speaker, Dr. Jim Homme talks through the role of Nitrous Oxide in emergency medicine practice
Jan 18, 2022•48 min•Season 1Ep. 2
As we get started on this podcast journey, we want you to know who we are, where we coming from, and where we hope to go with the podcast.
Jan 18, 2022•24 min•Season 1Ep. 1
