It was the tweet heard far and wide: When the NRA claimed doctors "should stay in their lane," physicians took aim at firearm safety as a matter of public health, policy, advocacy, and patient care. EMRA*Cast host Lauren Rosenfeld , MD, dives into this issue with author and policy guru Cedric Dark , MD, MPH, FACEP.
Jul 01, 2025•27 min
When it comes to the airway, roc rocks and succ sucks, right? You’ve heard it more than once. But EMRA*Cast host Peter Lorenz, MD, presents a nuanced argument in defense of succinylcholine, with guests Mike Perza, PharmD, and Patricia Simmer, MD.
Jun 15, 2025•46 min
In this episode of EMRA*Cast's “Vacation Gone Deadly: Toxins in Paradise,” hosts Maiya Smith, MD, and Lauren Rosenfeld, MD, speak with Kenneth Katz, MD, a toxicologist and practicing EM physician at Lehigh Valley Health, about toxins you might encounter while traveling, inspired by Season Three of The White Lotus.
Jun 01, 2025•25 min
Mental health concerns drive a large number of emergency department visits in the United States. When a patient presents with an acute crisis, it’s important for emergency medicine and psychiatry to work as a seamless team. Drs. D’Monte Farley and Caylon Pettis talk about how to ensure an effective psychiatry consult in the ED.
May 15, 2025•19 min
In this episode of EMRA*Cast's "Bridging Health and Humanity" series, host Natalie Hernandez , MD, MPH, speaks with Aslam Akhtar , MD, PhD, a fourth-year EM resident at Harbor UCLA, about his experience volunteering on a medical mission trip to Northern Gaza.
May 01, 2025•34 min
Navigating EM residency can be tricky and often difficult. EMRA*Cast host Nishant Gogna, DO, presents a group discussion navigating the tips, tricks, and pitfalls to watch out for in your EM residency, with Joanne Bethencourt, DO, PGY-3 and chief resident at UF Health Shands Hospital; Mario Hernandez, MD, PGY-3 at UF Health Shands Hospital; and Wade Chen, MD, PGY-3 at UF Health Shands Hospital.
Apr 15, 2025•19 min
This episode of EMRA Cast features Dr. Jody Kieffer, a pediatric EM attending physician at Nemours Children's Hospital. Dr. Blythe Fiscella, EMRA*Cast host, gets expert advice on examination strategies for pediatric patients. Learn about newborn-specific exams, strategies, and holding techniques to conduct ear and throat exams in toddlers; the use of metered dose inhalers; the appropriate use of ibuprofen and acetaminophen; and guidelines for discharge counseling for bronchiolitic patients....
Apr 02, 2025•25 min
In this bonus episode co-produced with Vital , we're talking patient satisfaction: how to create a meaningful connection in a short amount of time, and why it matters. (Spoiler alert: It's not all about metrics.) Join EMRA*Cast alumni Masood Mohammed and guest Gus Garmel for this practice-elevating conversation.
Mar 18, 2025•27 min
In this episode, @ucmax_show host and @embouncebacks author Dr. Michael Weinstock chats with EMRA*Cast's Dr. Lauren Rosenfeld , breaking down documentation to avoid litigation with a focus on a common presentation: chest pain. Learn how to use the HEART score and avoid a courtroom.
Mar 17, 2025•27 min
Refractory hypoxemia in the intubated patient is one of the scariest situations any emergency physician can face. In this episode of EMRA*Cast, Drs. Peter Lorenz and Steven Haywood discuss a stepwise approach to managing this worst-case scenario.
Mar 10, 2025•21 min
Mistakes are an unavoidable part of medical training. Yet, they're often under-discussed, contributing to feelings of burnout and isolation. In this episode, host Maiya Smith, MD , is joined by residents Lulu Weindruch , DO, Stephanie Michael , DO, and Jarred Millard , MD, as they share their personal experiences with errors and the strategies they've developed to grow from them.
Feb 15, 2025•24 min
EMRA*Cast’s D’Monte Farley talks to social EM leader Italo Brown, MD, MPH, of Stanford University, about how and why to build doctor-patient trust and make care more accessible at the community level. In the spotlight: T.R.A.P. Medicine and a unique barbershop initiative.
Feb 01, 2025•26 min
Decision-making capacity is a key component of patient autonomy. In this episode, host Natalie Hernandez , MD, MPH, and guest Ilene Claudius , MD, discuss potential challenges to assessing capacity and obtaining consent - particularly among the pediatric population.
Jan 15, 2025•20 min
There’s more to consider for your first EM job than just locations, hours, and pay. EMRA*Cast host Nishant Gogna, DO, presents a fireside chat about other things to consider on your first job hunt with Ryan Kirby, MD, market president for IES and former PD of John Peter Smith Hospital in Fort Worth Texas, and Marcus Nash, MD, chief resident at UF Health Shands Hospital, and currently on the job hunt.
Jan 01, 2025•23 min
Every great resuscitationist needs to understand the fine points of keeping your patients breathing - not only by securing an airway, but also by understanding ongoing ventilation. In this episode, EMRA*Cast host Blythe Fiscella, MD, reviews pearls and pitfalls of NIPPV with critical care expert Colin McCloskey , MD.
Dec 15, 2024•28 min
Known for candid perspectives and sense of humor, pediatric emergency guru Dr. Richard Cantor shares how PEM reminds residents to be present with patients. The organic nature of PEM requires us to use all five senses, engage with patients and their families, and see past burdensome EMRs. Dr. Cantor recalls his transformation from day one as an intern to life as an attending, and he reminds new practitioners to always do what's best for patients and their families.
Dec 02, 2024•13 min
Food is routinely withheld from patients entering the emergency department in order to prevent the theoretical risk of aspiration should they require operative intervention or procedural sedation. This practice is not evidence-based and does more harm than good. EMRA*Cast host Peter Lorenz , MD, and guest Chris Reilly , MD, dig into the literature, best practices, and the humanity behind denying patients food or water in the emergency department.
Nov 15, 2024•19 min
We're seeing a LOT more medications like Ozempic in the emergency department nowadays. In fact, 12% of U.S. adults have used a GLP-1 drug! So, what do we need to know about these drugs? Dr. Megan Boysen Osborn, Professor of Emergency Medicine at the University of California Irvine, discusses these GLP-1 agonists with host Maiya Smith.
Nov 01, 2024•28 min
The transition from being a resident to an attending may be daunting for some. But have no fear, EMRA*Cast host Lizzii Le sits down with Gus Garmel , an Adjunct Clinical Professor of EM at Stanford University, author of multiple books on clinical education, to discuss this topic.
Oct 18, 2024•23 min
Students navigating the ERAS Application Cycle - or any residency application process - face a lot of stress and anxiety. Knowing the answer to every possible question is difficult, but having individuals with expertise in your corner is beneficial. Dr. Arlene Chung, current Vice Chair of Academic Affairs at the University of Vermont and previous Program Director at Maimonides Medical Center, joins host D’Monte Farley to provide valuable insight and helpful strategies to assist students while un...
Oct 15, 2024•25 min
Being a leader in emergency medicine, whether in the department or on the administrative side, is easier said than done. So, what are the skills a good leader should have, and what practices should they absolutely avoid? In this episode, host Masood Mohammed ( @DocMooseEM ) sits down with emergency medicine physician Dr. Azita Hamedani ( @ahamedani ) as she discusses her own journey as founding chair of an emergency department and shares wisdom on how to develop and grow as a leader within EM....
Oct 04, 2024•17 min
Acetaminophen is widely available over the counter in the United States, increasing the risk of overdose (both acute and chronic). Several factors contribute to the complexity of managing this tricky condition in the emergency department, but until recently, there has been no true standardized approach. Guidance issued in 2023 aims to establish a helpful framework for managing acetaminophen overdose. EMRA*Cast host Kyle Duke, MD, breaks it down with EMRA Toxicology Committee Chair Mason Jackson,...
Sep 15, 2024•20 min
Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it’s even safe to treat. In this episode, Ray Isenburg and host Will Smith discuss the basics of AFib, how to treat it (both chemically and/or electrically), when is it safe to treat, and how to determine if this is something worth treating or if there is other pathology occurring that, once resolved, will resolve the heart rhythm.
Sep 04, 2024•36 min
Some pathologies are true can’t-miss diagnoses. Get into one such condition with EMRA*Cast host Will Smith, MD , and EM guru Matthew DeLaney, MD . In this episode you will learn a very simple and comprehensive workup for mesenteric ischemia.
Aug 15, 2024•23 min
Let’s hear it for the pharmacists who make every emergency medicine shift easier and safer. EMRA*Cast host Dustin Slagle, MD, picks up some pearls from Mike Perza, PharmD, BCPS.
Aug 01, 2024•38 min
A patient isn't breathing, 8 people are talking at once, alarms are alarming, and you have a whole roster of concerns and options running through your mind. How do you control your reaction, prioritize your response, and step up as a leader for your team and your patient?
Jul 15, 2024•20 min
Physician-led health care teams are a gold standard in emergency medicine. There’s an art to learning how to lead that team, especially in today’s climate. EMRA*Cast host Masood Mohammed , DO, MS, FAAEM, dives into the details with physician/attorney/national leader Ricky Dhaliwal , MD, JD.
Jul 01, 2024•20 min
Let’s talk about the crashing intubated patient. What’s your strategy? What if the nearest ICU requires transport? EM/intensivist Andrew Phillips gives EMRA*Cast host Kyle Duke some high-yield tips that you’ll want to hear, too.
Jun 15, 2024•26 min
EMRA*Cast host Chris Reilly, MD, and NYU Grossman School of Medicine's Stacey Frisch, MD, MS-HPED, discuss effective strategies and key considerations for EM physicians during contract negotiations, with insights on preparation, priorities, and potential pitfalls.
Jun 01, 2024•16 min
How many EKGs does an emergency doctor interpret per shift? How many seconds of undivided attention can be devoted to those readings? Let's go over 7 key findings you can't miss for occlusive myocardial infarctions, with EMRA*Cast host Will Smith, MD, and emergency physician Domenico Mastandrea, DO, of Nuvance Health.
May 16, 2024•34 min