The SimKit Podcast

In this podcast we review the most recent AHA practice guidelines related to temperature management in the post-ROSC patient.... and really some of nuances of caring for these patients post TTM2 and these AHA recommendations. Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)

Myxedema Coma is a rare but life threatening endocrine emergency that we must be prepared to diagnose and treat in the emergency department. Buckle up for an in-depth discussion of a complicated emergency department case in an oral boards format with a focus on clinical reasoning, differential diagnoses, and ultimately a review of Myxedema Coma. Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)

There are few things as scary in the Emergency Department as a crashing asthmatic. The stakes go even higher when we are talking about intubating asthmatics. In this podcast we are joined by Dr. Andrew Phillips, and ED intensivist and founder of the awesome board review suite EM Coach, to talk about staving off intubating in asthmatic patients, how to safely intubate them in the Emergency Department, and most importantly, how to manage them after the tube. Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)

In the Emergency Department, we often have to initiate empiric antibiotic treatment for sick, undifferentiated patients. Cefepime and Piperacillin-Tazobactam (pip-tazo) are common antibiotic options for coverage of gram-negative organisms, such as pseudomonas. But is one better than the other? In this podcast, we will critically appraise The ACORN Trial- an article that examines the risks of acute kidney injury and/or neurologic dysfunction in patients treated empirically with one of these antibiotics. Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)

Anterior shoulder dislocations are common in the Emergency Department and let's face it, fun to fix. But this can be a time and resource intensive endeavor- especially if doing IV sedation. In this podcast we look at intraarticular analgesia as an alternative to IV sedation to allow for an awake shoulder reduction. Click HERE for our detailed shownotes and some video examples! (https://simkit.co/podcast/)

How often do we, as Emergency Medicine clinicians, have to do a cric? Is that number changing with time? We attempt to answer these questions with a review of some current literature. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

Teaching in the clinical environment can be... challenging. Learners are so enthusiastic, so engaged, and can require soooo much attention! In this podcast, we discuss ways to remain a kick-ass clinical educator and still have the time you need to be a, well, a clinician. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

In this podcast, we review an Annals article published in Sept 2023 that showed an association between provider's age and patient mortality, with an increase in mortality rates for clinicians 50 and older. The Article Miyawaki A, Jena AB, Burke LG, Figueroa JF, Tsugawa Y. Association Between Emergency Physician's Age and Mortality of Medicare Patients Aged 65 to 89 Years After Emergency Department Visit. Ann Emerg Med. 2023 Sep;82(3):301-312. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

If you have not yet, check out Part 1 of Gender Equity in the Emergency Department with Dr. Kimon Ioannides where we talked about the role men play in moving toward gender equity in the ED. In this podcast, we are joined by Megan Healy, an emergency medicine physician, who is the current Program Director at Temple University Emergency Medicine Residency program. Not only is she the Co-chair of the Women Faculty Committee at the medical school, but she has also done work at the national level within AAEM and the Women in Emergency Medicine (WiEM) Committee. In our talk, we discuss the discomfort that can come from being in a position of privilege and having that privilege in the spotlight, our unknown unknowns which can include biases and how to overcome them, resources for those looking to get involved in the conversation and change culture, and the future of gender dynamics in the ED. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

Alcohol use disorder and withdrawal in the Emergency Department is as commonplace as a turkey sandwich. Despite this, there is wide variation on how we categorize and treat withdrawal. In this podcast, we organize withdrawal symptoms and structuralize an approach to the withdrawing patient. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

For a long time, medicine has been a "good ol' boys club" and in the areas of gender inequity, sexism, and patriarchy. This old way of thinking in medicine really does fall on the wrong side of history. Thankfully, we have made progress, but so much more work needs to be done. With the lay press and productions like the Barbie movie bringing patriarchy back into the spotlight, we thought it would be a good time to discuss gender (in)equity and Emergency Medicine mansplaining. We are joined by Kimon Ioannides to talk gender inequalities in Emergency Medicine. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

In this interview we talk about the nuances of providing care to the patient we just brought back from the dead. From Temperature to hemodynamics, we dive into the current guidelines and literature to help drive better patient care and outcomes. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

In this talk we dive into all things tickborne- Lyme, anaplasmosis, babesiosis, Rocky Mountain Spotted fever, and the like. These little creepy crawlers carry a whole slew of pathogens they can pass to their host. Join Dr. Jason Hine and Dr. Jeff Holmes in this walk through the different vector-borne illnesses, how to diagnose and treat them. Click HERE for our detailed shownotes (https://simkit.co/podcast/)

The balance of work and life can sometimes feel artificial. Isn't work part of my life? Should I see it that way? How can I think about and structure my life to be my happiness, most productive self? In this podcast we sit down with Dr. Rob Orman, creator/host of the Stimulus Podcast, physician life-coach, and world-renowned EM educator to talk about life, work, the interplay between the two, and ways to strike a healthy balance. Click HERE for our detailed shownotes (https://simkit.co/podcast/) And Click HERE to check out Stimulus (https://roborman.com/stimulus/)

Vent management is a integral skill for the Emergency Medicine doctor, but it is a tricky art. We sat down with Dr. Andrew Phillips, EM and Critical Care trained physician and founder and Editor in Chief of EMCoach, an AI powered board review suite to talk about vent alarms, what they mean, and what to do about them. Click HERE for our detailed shownotes (https://simkit.co/podcast/) And Click HERE to check out EMCoach (https://www.emcoach.org/)

Ketamine is a uniquely versatile drug. From low dose ketamine for pain control (Part 1) to procedural sedation, RSI, and chemical takedowns (this podcast, Part 2), this drug is versatile. But it needs to be used with care and attention to dosing, side effects, and adjuncts. Join us as we walk through the spectrum of use with true experts on the topic- Sergey Motov and Ryan Marino. In Part 2 we focus on the use of Ketamine for Procedural Sedation, RSI, and the chemical takedown. Click HERE for our detailed shownotes. (https://simkit.co/podcast/)

Ketamine is unique in its spectrum of use. From low dose ketamine for pain control to procedural sedation and analgesia, this drug is versatile, but needs to be used with care and attention to dosing, side effects, and adjuncts. Join us as we walk through the spectrum of use with true experts on the topic- Sergey Motov and Ryan Marino. In Part 1 we focus on the use of Ketamine for Pain. Click HERE for our detailed shownotes. (https://simkit.co/podcast/)

2023 brought sweeping changes to the way our notes are billed. We break down the changes in these Documentation Guidelines with Dr. Jason Alder. Click HERE for our detailed shownotes. (https://simkit.co/podcast/)

A debate continues in the subarachnoid hemorrhage (SAH) work up on what is the best follow up test - CTA or LP? This is the wrong question. Find out what question you should be asking and how to best answer it. Click HERE for our detailed shownotes. (https://simkit.co/podcast/) Check out more of what SimKit has to offer (https://simkit.co/) Cover image source: https://commons.wikimedia.org/wiki/File:Computed_tomography_of_human_brain_%2821%29.png Department of Radiology, Uppsala University Hospital. Uploaded by Mikael Häggström. Uploaded with edits.

Let's face it- smart is sexy. You know that clinician that seems to just... know everything? They can give you the best current evidence and summarize it in a succinct, poignant way. We all know that person, and we all want to be that person. Knowing what your talking about with your colleagues and patients is alluring, it's captivating, it's downright sexy. Because SMART IS SEXY. Well, we brought on Justin Morgenstern from First10EM to bring your sexy back and give you what you need to answer your clinical questions. Click HERE for our detailed shownotes. (https://simkit.co/podcast/) Check out more of what SimKit has to offer (https://simkit.co/)