The SimKit Podcast

Piece of Cake: DKA/HHS Update Part II​ with George Willis

The American Diabetes Association released a consensus report in 2024 on the management of the hyperglycemic crises: DKA and HHS.  Our goal is to give you some insight into the latest recommendations on the management of these critical presentations using this report and Dr. George Willis as our guide!  
In Part II, we continue our deep dive into with a focus on diagnostic criteria updates and new treatment guidelines. We break down the latest consensus statement and discuss how these changes impact clinical practice.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Piece of Cake: DKA/HHS Update Part I​ with Dr. George Willis

The American Diabetes Association released a consensus report in 2024 on the management of the hyperglycemic crises: DKA and HHS.  Our goal is to give you some insight into the latest recommendations on the management of these critical presentations using this report and Dr. George Willis as our guide!  
In Part I, we discuss epidemiology, pathophysiology, and clinical presentation of DKA/HHS. In Part II, we will discuss diagnosis and clinical management.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

The Cost of Boarding w Dr. Schreyer & Dr. Canellas

Boarding plagues Emergency Departments the country (world?) over. It negatively impacts patient satisfaction, staff wellbeing, patient safety, among others. But what does it cost the hospital/healthcare system?
 
A recent article in Annals tries to answer that question. We sat down with first author and our friendly neighborhood Operations specialist to look at this article and the true cost of boarding.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

The Rusty Scalpel's Edge- keeping your skills in rare procedures

Are you dangerous when it comes to preforming rare procedures like cric, transvenous pacing, and Blakemore tube placement? Do you have a means to keep the rust away? In this podcast we review an article on mental practice and how we all should be practicing to keep ourselves sharp.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

It's all about Conduction: Calcium's Role in Hyperkalemia​

The classic teaching is that calcium's role in hyperkalemia is that of membrane stabilization. However, what if what we were taught was wrong all along? In this quick-hit, we will discuss the role of calcium in hyperkalemia and a new hypothesis that suggests it may all be about cardiac conduction velocity.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Stroking Out in the Community with Evie Marcolini

Managing strokes in the modern era is challenging (lytics, EVT, timestamps!). Doing so in a community hospital- far from the ivory tower endovascular suite and neurology ICU- can be even harder. We sat down with the very smart Dr. Evie Marcolini to talk managing these complex patients in these community settings.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Under Pressure

Posterior Reversible Encephalopathy Syndrome (PRES) is a clinical condition that we occasionally encounter in the emergency department–and should always have on our differential for patients presenting with neurological complaints. In this episode, we break down the pathophysiology, diagnosis, and management of PRES, using a clinical case to anchor our discussion.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Fever Time!- Biomarkers and Clinical Decision Rules performance by length of infant fever

Fever in the infant, particularly those less that 60 days old, presents a diagnostic challenge. Many biomarkers and clinical decision aids have been developed to help the practicing clinician decide who is at risk for a serious or invasive bacterial infection. But what if the fever has only been present a short while? How do these biomarkers and decision aids work very early in the disease process? In this podcast we review an Annals article that helps answer this question.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Sip On This: GRACE-4

Raise a glass to the GRACE-4 guidelines. These are Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE). The goal of GRACE is to focus on conditions for which there is wide variation in treatment, for which ED-focused clinical practice guidelines do not already exist, and for which patients have frequent ED revisits. 
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

The Twin Kiss of Death- Boarding and Crowding in the ED and How to Prevent It with Dr. Kraftin Schreyer

In this podcast we review both boarding and crowding, the twin kiss of death for an Emergency Department, with Dr. Kraftin Schreyer, an Emergency Medicine physician and ED Administrative Fellowship Director. We discuss boarding and how it can be prevented through surge planning, C-suite buy-in, and cooperation between the in-patient and ED. We then go on to talk about crowding and how it is often a kindred spirit of boarding, but can also exist independently. We discuss options for combating this crowding as well.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)