The SimKit 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/)

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/)