The Emergency Medicine Residents' Association (EMRA) is the voice of emergency medicine physicians-in-training and the future of our specialty. EMRA*Cast is created "for Residents, by Residents."


  • ABEM Oral Board Exam: How to Play the Role and Pass the Test

    15/07/2021 Duración: 18min

    You crushed the written exam to become a board-certified emergency physician, and now the only thing standing between you and your ABEM certification is oral boards. How do you prep - especially for a virtual test? Host Kim Bambach, MD, reviews pearls & pitfalls with guests Krystin Miller, MD, and Jennifer Yee, DO.

  • Law Enforcement in Emergency Medicine

    29/06/2021 Duración: 26min

    Interactions with law enforcement in the emergency department can be confusing. What are the emergency physician's legal responsibilities? How can we ensure our patients are getting quality care? Dr. Hannah Janeway, Dr. Shamsher Samra, and attorney Ji Seon Song sit down with host Kate Joyce to discuss the philosophical and practical challenges faced by emergency physicians.

  • Journal Club: Resuscitation and Early Goal Directed Therapy: A Review of Rivers, ProCESS, ProMISe, and ARISE - Part 2

    01/06/2021 Duración: 21min

    Early goal-directed therapy for fluid resuscitation in sepsis is a hotly debated and much-studied topic - and for good reason. Listen in as three emergency physicians discuss some of the landmark papers directing emergency care of these critically ill patients. Join host Dr. Ranjita Raghavan of Mount Sinai and guests Dr. Chad Meyers of Elmhurst Hospital Center and Dr. Dustin Slagle of ChristianaCare.

  • Journal Club: Resuscitation and Early Goal Directed Therapy: A Review of Rivers, ProCESS, ProMISe, and ARISE - Part 1

    01/06/2021 Duración: 28min

    Fluid resuscitation in sepsis is a hotly debated and much-studied topic - and for good reason. Listen in as three emergency physicians discuss some of the landmark papers directing emergency care of these critically ill patients. Join host Dr. Ranjita Raghavan of Mount Sinai and guests Dr. Chad Meyers of Elmhurst Hospital Center and Dr. Dustin Slagle of ChristianaCare.

  • Gamifying Medical Education

    15/05/2021 Duración: 24min

    Every year thousands of clinical pearls are published in the emergency medicine FOAMed space. From podcasts, blog posts, to journal feeds - the novice EM resident is often overwhelmed by the vast amount of nuanced information these valuable resources provide. But how do you make sure you get the right content in front of your residents? On this episode of EMRA*Cast, Drs. Benjamin Cooper, Jonathan Giordano, Catie Reynolds, and Tom Fadial discuss their journey developing ECG Stampede, a gamified medical education platform aimed at helping residents master the foundations of electrocardiography triage and interpretation.

  • Substance Use Disorder: Say Goodbye to the X-waiver

    02/05/2021 Duración: 22min

    Ever wonder why no one questions your opioid prescriptions, but when it comes to prescribing opioid withdrawal therapy there are miles of red tape? With legislative relief in sight, it's time to learn more about how to treat patients with substance use disorder. Find out about a new curriculum developed with a grant from SAMHSA and hear what "MAT" is meant to be.

  • Aging in the ER: Geriatric Emergency Medicine

    19/04/2021 Duración: 24min

    This topic never gets old! Whether you realize it or not, geriatrics is probably a large part of your practice, especially when it comes to high-complexity, high-acuity emergency medicine. Dr. Lauren Southerland will teach us what we can do to better care for older adults. We’ll also discuss how to get involved at the national level and how to pursue a career in geriatric EM if you want to go a step further.

  • No Place to Call their Own: Addressing Homelessness and Housing in the ED

    14/04/2021 Duración: 25min

    Patients who are homeless visit the emergency department more often than the general population, yet emergency physicians get minimal formal education about homelessness and the impact of housing on health. In this episode, we talk with three physicians about how we can best support our patients struggling with housing issues. Host:  Kate Joyce, MD, MPH Guests: Richard Bryce, DO; Chief Medical Officer, Community Health and Social Services Center; faculty advisor for Street Medicine Detroit and Detroit Street Care; faculty at Michigan State University, Wayne State University and Henry Ford Hospital Ryan McCormack, MD, MS, FACEP; Assistant Professor, Emergency Medicine and Addiction Medicine, Bellevue Hospital, NYU School of Medicine Katherine Chen, MD; National Clinician Scholars Program, Internal Medicine/UCLA

  • How to Create an Engaging Lecture, Even in the Zoom Age

    15/03/2021 Duración: 21min

    In medicine, one thing you cannot avoid is giving presentations. It is both exciting and nerve-wracking to present to colleagues, attendings, and friends. Yet some doctors are extremely talented at holding captive audiences. Host Dr. Ranjita Raghavan chats with the incomparable Dr. Anand Swaminathan (aka Swami) to give us the scoop on how to make an excellent, engaging lecture in person and on Zoom.

  • Doctoring Your Finances

    01/03/2021 Duración: 25min

    So you've got a handle on the medicine, but have you got a handle on your personal finances? Take a deep dive into financial education and learn about the most common mistakes, questions, and fears young physicians encounter with physicians/personal finance gurus Sotirios Keros and Dalton Haslam.

  • Educational Resources for an EM Resident

    15/02/2021 Duración: 21min

    OverviewNew to emergency medicine residency and trying to take that first step toward building your knowledge base? Maybe you're trying to optimize your study strategy? Look no further! The great thing about EM is that we LOVE medical education. Today we take a look at a variety of educational resources to help build a solid foundation of your medical/clinical knowledge. Key PointsTopics we cover include: EM gear to bring to shift Podcasts to listen to on the way to shift The most valuable on-shift mobile apps Pocket guides for every clinician Textbooks that won't collect dust Question banks that will be the work-horse of your study plan The best way to keep up with current medical literature How to solidify your knowledge Resources and References Best EM Podcasts: https://www.emra.org/emresident/article/best-podcasts-for-the-student-em-nerd/ Textbook suggestions by Scott Weingart: https://emcrit.org/recommended-reading/ EMRA's on-shift guides: https://www.emra.org/apps  https://www.emra.org/amazon  htt

  • COVID's Impact on Jobs: Finding a Place in Emergency Medicine

    15/01/2021 Duración: 21min

    The emergency medicine job market has been tight this year, there's no doubt. COVID has caused some groups and hospitals to cut back or even lay off EM physicians. So what's a resident or fellow to do? In this episode, host Kate Joyce, MD, MPH, gets a few perspectives on the job landscape from Washington Post reporter Ben Guarino, US Acute Care Solutions chief clinical recruiting officer Travis Ulmer, MD, FACEP, and NYU/Bellevue chief resident Michelle Romeo, MD. Learn some tips on navigating the job market this year and in the years to come. Key Points COVID has added stress to the EM job market, making finding jobs more difficult. Applicants are encouraged to apply broadly in terms of setting and geography. Recruiters can be especially helpful in the job hunt. Talk to your attendings to learn their experience and to find networking opportunities. Collaborating with fellow residents can help everyone find work. Reaching out to departments directly may reveal jobs not posted on hospital websites. Your first

  • Hot Topics: Climate Change, Health Policy, and Emergency Medicine

    01/01/2021 Duración: 18min

    Let's discuss a few hot topics: How do rising temperatures affect emergency medicine and the health of your patients? In this episode we sit down with Dr. Caitlin Rublee to discuss bugs, drugs, plants, and people. We connect the dots to show how climate change relates to social emergency medicine and what we can do as leaders to engage in health policy and take action to protect our patients! Key Points Climate change affects bugs, drugs, plants, and people! Rising temperatures mean increased vector-borne/zoonotic infections,  decreased efficacy of medications and patient access to medications, as well as increased potency of plant-borne illness and decreased biodiversity. Most important, it means poor health outcomes for our patients. Addressing health care equity is crucial when it comes to climate change. Vulnerable populations are disproportionately affected, and social determinants of health are front and center.  Start a conversation about climate change in your program or medical school Incorporate h

  • Finding Your Niche in Emergency Medicine

    01/01/2021 Duración: 28min

    Guest: Jess Mason, MD, FACEP, director of the Medical Education Fellowship at UCSF-Fresno and deputy editor of EM:RAP, EM:RAP HD videos, and creator of EM:RAP’s C3 Hosts: Ranjita Raghavan, MD, of The Mount Sinai Hospital EM Residency, and Shreyans Sanghvi, DO, of Northwell Zucker School of Medicine (North Shore/LIJ)  OverviewEmergency medicine offers an exciting yet staggering number of career paths. In this episode, we explore what it takes to find your niche in the specialty. Get the inside track from Jessica Mason, MD, FACEP, who knew early on what motivates her and has established herself as a leader in FOAMed. Key Points If you are looking for inspiration for what niche to pursue, ask yourself, "What bothers you?" The answer to this question usually will lead to something you are passionate about. You do not need to be at a residency that directly fits your passions; you can find mentors and pursue opportunities anywhere you go. You just need to reach out to people; they will generally be willing to hel

  • Cardiac Arrest Management, Death, and Beyond

    15/12/2020 Duración: 01h02min

    EMRA*Cast host Dr. Shreyans Sanghvi takes a deep dive on the history, current practice, and future direction of cardiac arrest management and advanced resuscitation medicine with research pioneers Dr. Lance Becker and Dr. Sam Parnia. OverviewEach year hundreds of thousands of Americans suffer from cardiac arrest out of the hospital. CPR has been a core tenet in the rescue algorithm for patients in cardiac arrest, but how do we transform this age-old treatment with today's advances in technology, and to where do we turn when CPR alone is ineffective? Dr. Lance Becker, chair of Emergency Medicine at Northwell Health North Shore - LIJ, and Dr. Sam Parnia, director of Critical Care Research at NYU Langone Medical Center, discuss lessons they've learned along the way dedicating their lives to the research and treatment of patients in cardiac arrest.   Key Points CPR is the single most-effective measure in the resuscitation of patients in cardiac arrest. CPR when used in tandem with real-time biomarkers such as en

  • Pain Management with Dr. Sergey Motov, Part 2

    01/12/2020 Duración: 17min

    OverviewDo you ever get overwhelmed with all the ED analgesic options? In part 2 on ED Pain Management, Dr. Sergey Motov helps break things down, reviewing a few cases and finishing with Sergey’s 10 Commandments of ED Pain Management. Key PointsSergey's 10 Commandments of ED Pain Management Titrate opioids regardless of initial dosing regimen: weight-based, fixed, or nurse-initiated. Use alternatives (to IV) routes of analgesic administration: PO, PR, IN, SubQ, nebulized, topical. Utilize sub-dissociative dose ketamine for selected acute and chronic painful conditions. Educate patients about appropriate expectations of pain course and management. Embrace a concept of channels/enzymes/receptors targeted analgesia. Use NSAIDs based on their analgesic ceiling dose. Attempt to use non-opioid analgesics whenever possible. Promote nerve blocks for a variety of acute painful conditions (trauma, infection, inflammation). DO NOT prescribe long-acting opioids, SR/ER opioids, or fentanyl patches in the ED or at dischar

  • Pain Management with Dr. Sergey Motov

    15/11/2020 Duración: 23min

    Do you ever get overwhelmed with all the ED analgesic options? Dr. Sergey Motov from Maimonides Medical Center in Brooklyn helps breaks down ED pain management. We cover everything from topical NSAIDs to ketamine infusions. Curious which opioid to go with or what dosing? Look no further. Key Points: Remember to set appropriate pain management expectations. The goal is to make the pain tolerable, not to eliminate it. The more you include your patient in your decision making, the more in control they will feel. NSAIDs are a go-to first option. If a patient doesn’t respond to one class, try another. And don’t forget about topical NSAIDs like diclofenac! Reasons to avoid this class would be history of GI bleed or CAD. Ketamine is a great option for acute pain. 0.3mg/kg in a bolus over 30 minutes followed by 0.1mg/kg/hr during their ED stay. Use these slow infusions to avoid dysphoric reactions. Don’t be afraid to use ketamine in combination with other analgesics for optimal pain management. Neuropathic pain is d

  • Imposter Syndrome

    01/11/2020 Duración: 27min

    Do you ever feel like a fake, a fraud? Imposter syndrome can make you feel a pervasive sense of intellectual fraudulence, despite all the evidence to the contrary. In this episode, Dr. Kim Bambach discusses imposter syndrome with Dr. Jamie Hope including strategies that you can use to combat it. Host:Kim Bambach, MD Ohio State University, PGY3 @kimbambachhttps://twitter.com/kimbambach Guest: Jaime Hope, MD Assistant Professor Beaumont Hospital, Royal Oak @DrHopeHealth Key Points: Watch out for the typical signs and symptoms: These include devaluing your accomplishments, attributing your accomplishments to external causes, constantly comparing yourself to others, and a negative inner “bully” monologue.  Go first: Be the first to speak up about imposter syndrome, because acknowledging those feelings gives others a chance to feel understood and helps you recognize that you are not alone.  Put your name in the hat: Don’t let imposter syndrome hold you back when it comes to professional development. Apply for t

  • Getting Fired Up - Without Getting Fired

    15/10/2020 Duración: 26min

    Overview: With an upcoming election, social unrest and a global pandemic - there’s a lot to get fired up about.  But what’s our role as residents? PGY2 Kate Joyce talks with Dr. Mariana Del Rios, Dr. Dara Kass and Dr. Alister Martin about a program that registers patients to vote in the ED, social emergency medicine, policy and advocacy.  We’ll round things out by talking about how to get involved - without putting your career in jeopardy. Key Points: Social Emergency Medicine recognizes the importance of addressing the social determinants of health in the Emergency Department through direct practice, community engagement, advocacy and research. Many of our patients have not been introduced to the political process.  For others, it may not be safe for them to go to the polls.  VotER is a nonpartisan project that allows patients to register to vote or request absentee ballots while they wait, without adding to the work burden of providers.     Drs Del Rios, Kass and Martin lay out a few examples and suggest wa

  • Introducing our New EMRA*Cast Hosts

    09/10/2020 Duración: 07min

    Dr. Jessie Werner hands over the mic over to our five new EMRA*Cast hosts. Take a listen and get to know them before they go live with their own episodes.

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