The SimKit 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.
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(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.
 
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(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/)

Be The Driver (or Balancer)- Getting The Most Out Of Your Clinical Rotations

This podcast, catering to in the medical education spectrum, focuses on how to get the most out of your clinical rotations. It involves balancing 4 things. Have a listen to find out what they are, and how to balance them!
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

The Corporate Practice of Medicine Part 2- the rise and fall of Envision and what it means for practicing docs with Dr. Robert McNamara

In this podcast we review the corporate practice of medicine- a touchy topic in Emergency Medicine. Over the last few decades, we have let these corporate agencies into our work environment, with sometimes disastrous results- termination without cause, overbilling, understaffing, just to name a few. Many of these corporate groups have taken heat of late for their shady dealings, but they are still out there, buying up EM physician groups across the country. In this two part podcast we review the history of the more well-known corporate medicine groups, Envision, and how many docs are taking a stand against their practices. In Part 1 we have Dr. Kenan Bouzida, a medical student at Tufts University reviewing the rise and fall of Envision. In Part 2 Kenan is joined by Dr. Bob McNamara, a man who has dedicated much of his life to fighting the corporate practice of medicine.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

The Corporate Practice of Medicine Part 1- the rise and fall of Envision and what it means for practicing docs

In this podcast we review the corporate practice of medicine- a touchy topic in Emergency Medicine. Over the last few decades, we have let these corporate agencies into our work environment, with sometimes disastrous results- termination without cause, overbilling, understaffing, just to name a few. Many of these corporate groups have taken heat of late for their shady dealings, but they are still out there, buying up EM physician groups across the country. In this two part podcast we review the history of the more well-known corporate medicine groups, Envision, and how many docs are taking a stand against their practices. In Part 1 we have Dr. Kenan Bouzida, a medical student at Tufts University reviewing the rise and fall of Envision. In Part 2 Kenan is joined by Dr. Bob McNamara, a man who has dedicated much of his life to fighting the corporate practice of medicine.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Airway Alchemy: Status Epilepticus - Intubation and Management

Status epilepticus is a clinical condition squarely in the wheelhouse of the Emergency Medicine physician. Here, we will discuss a recent article that asks an important clinical question: which induction agent should we use in RSI for those patients in status epilepticus that require intubation? We will subsequently discuss key ED management considerations for this neurologic emergency, including our approach to status epilepticus and intubation.
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Fat to Fab- Ozempic, Trulicity, the celebrity weight loss craze with GLP-1 agonists and what it means for Emergency clinicians

Ozempic and its class of medications, GLP-1 agonists, have take the media by storm. There is speculation all over Hollywood about which celebrities are and are not taking GLP-1 agonists. Seen by some as wonder weight loss drugs, these medications are so popular there are shortages nationwide. While these meds have an indication by the FDA for both diabetes and obesity, they are not without their side effects.
 
In this podcast we review the common GLP-1 agonists, their mechanism of action, and side effect profiles that might land a patient on such a med in the Emergency Department. 
 
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)

Keep 'Em Cool, But Not Too Cool- AHA recs on TTM in post-ROSC care with Dr. Mike Burla

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!
(https://simkit.co/podcast/)