Podcast of ExBEM

Donald W. Crowe, MD•podcastofexbem.libsyn.com

Contrarian ideas and commentary on important topics in emergency medicine drawn from the experience of 35 years of practice as an emergency physician. Published monthly, the lessons discussed will be controversial and relevant to the practicing clinician.

Last refreshed: August 23rd, 2025 at 3:05 AM ⓘ

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Episodes

Podcast of ExBEM Episode 8 : The Greatest Threat to Emergency Medicine

Although younger emergency physicians may not recognize it, our specialty is under siege. From the perspective of 30 years of practice I discuss how the primary skill which makes a specialists is becoming devalued in a misguided quest help us "improve our practice" by those who have other agendas.

Aug 02, 2018•22 min•Season 1Ep. 8

Podcast of ExBEM Episode 7: The Real Solution to the Addiction Crisis

Pressure is mounting for physician support for "medically assisted treatment" for those with addiction. Unfortunately, in actuality, this strategy results in disease perpetuation, keeping our patients dependent and sick. True recovery however is possible and enjoyed by millions. In this episode I outline the components of effective treatment of addiction and how the emergency physician can introduce these concepts when their patient expresses interest in achieving recovery.

Jul 03, 2018•25 min•Season 1Ep. 7

Podcast of ExBEM Episode 6: Understanding and Diagnosing Addiction

Are emergency physicians missing an opportunity to diagnose a potentially life-threatening disease because we have no clear understanding of the nature of that disease? I believe that this is the case but that it doesn't have to be this way.

May 30, 2018•22 min•Season 1Ep. 6

Podcast of ExBem Episode 5 : The Art of Treating Pain

Despite what emergency physicians have been led to believe, treating symptoms is important...just ask your patients. What's more is that it is no one size fits all. In this podcast I reveal the secrets to pain management you won't hear elsewhere.

May 01, 2018•19 min•Season 1Ep. 5

Podcast of ExBEM Episode 4 : The nonemergency emergency - asymptomatic high blood pressure

In this podcast I conclude my discussion of hypertension and describe management of patients whose only reason for coming to the emergency department is a disturbing reading from their home blood pressure monitoring devices.

Apr 02, 2018•15 min

Podcast of ExBEM Episode 3 Is my hypertensive patient about to explode?

What if everything you thought you knew about something as basic as high blood pressure turned out to be wrong? In this episode I discuss my experience with a seismic shift in my understanding of hypertension and how this has fundamentally changed my practice.

Feb 28, 2018•21 min•Season 1Ep. 3

Podcast of ExBEM Episode 2 It is time to move beyond ACLS

Let the heresy begin! In this month's episode I discussed how my experience of running thousands of codes has convinced me that training hospital personnel in ACLS is doing more harm than good for our patients.

Jan 29, 2018•24 min•Season 1Ep. 2

Podcast of ExBEM Episode 1 Intro and Burnout

In this inaugural episode I discuss the concept of experience based emergency medicine practice. I also offer three important lessons learned from 35 years experience that have been essential in combating burnout.

Dec 31, 2017•24 min

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