The SimKit Podcast

Fat to Fab- Ozempic, Trulicity, the celebrity weight loss craze 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/)

Slowww Down, Man. Myxedema Coma: A Case and Review

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/)

Intubating Asthatics

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/)

The Beans or Brain?- The ACORN trial and effects of cefepime and pip-tazo on neuro and renal outcomes

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/)

The Awake Shoulder Reduction- the way of the future

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/)

The (Un)common Cric- Incidence of Surgical Airway in Modern Medicine

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/)

Efficient and Effective Clinical Teaching

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/)

Distinguished or Deadly?- Physician Age and Its Association with Patient Mortality

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/)
 
 

Emergency Medicine Mansplaining - Gender Equality & How We Can Move Toward It Part 2 with Dr. Megan Healy

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/)