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.
Aug 01, 2025•14 min
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 .
Jul 01, 2025•17 min
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.
May 30, 2025•17 min
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.
Apr 30, 2025•13 min
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.
Mar 31, 2025•10 min
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 .
Feb 28, 2025•10 min
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 .
Dec 31, 2024•19 min
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 .
Nov 27, 2024•15 min
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....
Oct 31, 2024•18 min
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 .
Sep 30, 2024•12 min
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 .
Aug 30, 2024•11 min
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
Jul 31, 2024•16 min
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 .
Jun 28, 2024•12 min
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 .
May 30, 2024•12 min
Dr. Pregerson takes a different approach to finding the cause of metabolic acidosis or alkalosis, delving into the anion gap and discussing mnemonics that can help you make the diagnosis, only in this month’s podcast. Read more in the Show Notes .
Apr 26, 2024•13 min
Dr. Pregerson said he thinks EPs over-prophylax rabies cases, which carries risks and costs. He discusses the incidence of rabies, which symptoms to look for, and how to treat it in this month’s podcast. Read more in the Show Notes .
Apr 01, 2024•14 min
Dr. Pregerson has all you need to know about strokes, including that posterior strokes are missed twice as often as anterior ones, ruling out mimics like vertigo, headache, and vomiting, and which tests you should be doing in this month’s EM Logic podcast. Read more in the Show Notes .
Feb 26, 2024•12 min
Dr. Pregerson dives deep into ACLS, noting that anything that compromises good CPR and early defibrillation can make things worse, and he offers tips for treating ED patients who need CPR, defibrillation, intubation, and medications in this month’s EM Logic podcast. Read more in the Show Notes .
Feb 01, 2024•15 min
Dr. Pregerson parses the literature on steroids for severe infection and why EPs need to know the nuances of how and when to use them in this month’s EM Logic podcast. Read more in the Show Notes .
Jan 01, 2024•13 min
Hypokalemia gets a lot of attention in the literature, but Dr. Pregerson said he has never had a patient with hyperkalemic cardiac arrest. Listen in as he discusses the ECG changes seen with hypokalemia and how to treat hypokalemic arrest if you see it. Read more in the Show Notes .
Nov 30, 2023•15 min
EPs know blood thinners increase the risk of intracranial bleeding, and there are many classes of blood thinners, each with a different risk profile. Dr. Pregerson delves into antiplatelet agents, warfarin, and DOACs. Read more in the Show Notes .
Oct 30, 2023•11 min
Dr. Pregerson digs deep into how missed vital sign red flags account for malpractice cases. He reviews unexplained tachycardia, soft blood pressure, minor temperature elevation, and mild hypoxia. Read more in the Show Notes .
Sep 29, 2023•14 min
Dr. Pregerson tells you all you need to know about using CT contrast in the ED. Read more in the Show Notes .
Aug 31, 2023•11 min
Dr. Pregerson says EPs have to think like detectives for cases that don’t fit the typical pattern of viral illness and must think more logically about these infections. Read more in the Show Notes .
Aug 03, 2023•16 min
Urinalysis can be a ship for fools, Dr. Pregerson says in this month’s podcast where he explains why you need logic not to miss true UTIs. Read more in the Show Notes .
Jun 30, 2023•16 min
Pain medications make patients feel better and want to go home, but Dr. Pregerson says don’t send them home with more medication unless a definitive diagnosis was made because they may not come back if the medication masks that their condition has gotten worse. Read more in the Show Notes .
May 31, 2023•11 min
Dr. Pregerson logically dissects an aortic dissection, answering when to consider a chest CT, where to take the blood pressure, and when to do a pericardiocentesis, this month with bonus video! ( https://bit.ly/EMNVideoGallery .) Read more in the Show Notes .
May 01, 2023•10 min
Dr. Pregerson asks—and answers—the important questions about intubation: Why is it important to synchronize a bag-valve-mask ventilation with the patient’s breathing? Why is upright intubation better? Why you should use the SALAD technique, and what are the benefits of ketamine? Read more in the Show Notes .
Mar 31, 2023•11 min
Dr. Pregerson delves into minor and serious cases of hemoptysis, how to treat these patients, and why positioning is so critical. Read more in the Show Notes .
Mar 01, 2023•13 min
Dr. Pregerson explains why it’s important to find out why patients want to leave AMA because that might help you change their mind. Either way, chart what patient says and your response and listen to his other tips for handling these discharges. Read more in the Show Notes .
Jan 31, 2023•10 min
