The SimKit 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.
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(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.
 
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(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.
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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. 
 
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(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.
 
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(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/)