Academic Life In Emergency Medicine (aliem) Podcast

Join us in the fifth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is KEEP GOING: 10 WAYS TO STAY CREATIVE IN GOOD TIMES AND BAD by Austin Kleon. Come sign up! https://www.aliem.com/leaders-library-keep-going-sign-up-book-club/

ALiEM podcast host, Dr. Dina Wallin, chats with author Dr. Jacqueline Grupp-Phelan about her recent PECARN publication "Prospective Development and Validation of the Computerized Adaptive Screen for Suicidal Youth" in JAMA Psychiatry 2021. Read more: https://ALiEM.com/computerized-adaptive-screen-for-suicidal-youth-cassy-study.  Podcast Sound Engineer: Kellen Vu

The 2020-21 residency interview season has required rapid innovation and adaptability for both medical student applicants and residency programs given COVID-19's physical distancing restrictions. Listen to how it started and how it is going thus far with podcast co-hosts Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF). PD Panelists: Dr. Camiron Pfennig (Prisma Health University of South Carolina Greenville), Dr. Ryan Bodkin (University of Rochester), Dr. Michael Kiemeney (Loma Linda University) https://www.aliem.com/em-match-advice-interview-season-2020-21-how-started-how-going

A major development in curbing the opioid epidemic is the introduction of the medication buprenorphine to address opioid addiction. Being able to prescribe this medication requires a DEA-X Waiver. Dr. Alister Martin, the Founder of the Get Waivered initiative, has reduced the barriers for clinicians to obtain the necessary training and paperwork. https://getwaivered.com/remote/ Disclosure: ALiEM is a proud collaborator with the Get Waivered Initiative, which is funded by the Foundation for Opioid Response Efforts (FORE) Foundation.

In this episode from the ACEP E-QUAL series, guest Dr. Houman Khosravani (Medical Director, Inpatient Stroke Unit Assistant Professor of Neurology, Department of Medicine, University of Toronto Sunnybrook Health Sciences Center; Staff Intensivist, Southlake Regional Health Center) discusses the concept of a "protected code stroke", how to operationalize the concepts, and how this system can be applied in your local circumstances. Host: Jason Woods, MD. Podcast sound engineer: Kellen Vu. www.acep.org/equal References Rajendram P, Notario L, Reid C, Wira CR, Suarez JI, Weingart SD, Khosravani H. Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care. Neurocritical Care. 2020; 33(2), 338–346. https://doi.org/10.1007/s12028-020-01057-4 Codestroke.net  

In this episode from the ACEP-EQUAL series, guest Dr. William Meurer (Associate Professor of Emergency Medicine and Neurology University of Michigan) discuss how to protocolize of transferring stroke patients, how to identify and appropriately chose transfer destinations, and how to better align patient needs with the resources of the receiving sites. Host: Jason Woods, MD; Podcast Sound Engineer: Kellen Vu. www.acep.org/equal Saver JL, Goyal M, van der Lugt A, et al; HERMES Collaborators. Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis. JAMA. 2016 Sep 27;316(12):1279-88. doi: 10.1001/jama.2016.13647. PMID: 27673305. Campbell BCV, Mitchell PJ, Churilov L, et al; EXTEND-IA TNK Part 2 investigators. Effect of Intravenous Tenecteplase Dose on Cerebral Reperfusion Before Thrombectomy in Patients With Large Vessel Occlusion Ischemic Stroke: The EXTEND-IA TNK Part 2 Randomized Clinical Trial. JAMA. 2020 Apr 7;323(13):1257-1265. doi: 10.1001/jama.2020.1511. PMID

In this episode from the ACEP-EQUAL series, guest Dr. Bruce Lo (Chief, Department of Emergency Medicine, Sentara Norfolk General Hospital; Professor of Emergency Medicine, Eastern Virginia Medical School) reviews several common intracerebral hemorrhage scoring systems, the components, and tips on how to use them in real world practice. Host: Jason Woods, MD; Podcast Sound Engineer: Kellen Vu www.acep.org/equal References Hemphill JC 3rd, Bonovich DC, Besmertis L, Manley GT, Johnston SC. The ICH score: a simple, reliable grading scale for intracerebral hemorrhage. Stroke. 2001 Apr;32(4):891-7. doi: 10.1161/01.str.32.4.891. PMID: 11283388. Clarke JL, Johnston SC, Farrant M, Bernstein R, Tong D, Hemphill JC 3rd. External validation of the ICH score. Neurocrit Care. 2004;1(1):53-60. doi: 10.1385/NCC:1:1:53. PMID: 16174898. Gregório T, Pipa S, Cavaleiro P, Atanásio G, Albuquerque I, Chaves PC, Azevedo L. Assessment and Comparison of the Four Most Extensively Validated Prognostic Scales for Intracerebral Hem

Hosted by Dr. Mike Gisondi (Stanford) and Dr. Michelle Lin (UCSF), this episode discusses the uncharted waters of conducting virtual interviews for the EM residency match season in the era of COVID-19. Featured EM Program Director Panelists: Dr. David Caro (University of Florida, Jacksonville), Dr. Erica Shaver (West Virginia University), Dr. Cedric Lefebvre (Wake Forest University) Podcast engineer: Kellen Vu https://www.aliem.com/em-match-advice-virtual-interviews-covid/

In this episode from the ACEP-EQUAL series, guest Dr. Joshua Goldstein (Professor of Emergency Medicine, Harvard Medical School; Director, Center of Neurologic Emergencies, Massachusetts General Hospital) discusses ICH after TPA. He reviews what evidence exists, the timing, potential treatment targets, and medications. Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu www.acep.org/equal References: 1. Yaghi S, Willey JZ, Cucchiara B, et al. Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2017;48(12):e343-e361. doi:10.1161/STR.0000000000000152

In this episode from the ACEP-EQUAL series, guest Dr. Lantha Ganti (Professor of Emergency Medicine & Neurology; Vice Chair for Research and Academic Affairs; University of Central Florida) reviews how to evaluate and treat blood pressure in the setting of ICH. She reviews the major existing data, BP targets, and medications to use. Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu www.acep.org/equal References: 1. Butcher KS, Jeerakathil T, Hill M, et al. The Intracerebral Hemorrhage Acutely Decreasing Arterial Pressure Trial. Stroke. 2013;44(3):620-626. doi:10.1161/STROKEAHA.111.000188 2. Butcher KS, Baird T, MacGregor L, Desmond P, Tress B, Davis S. Perihematomal edema in primary intracerebral hemorrhage is plasma derived. Stroke. 2004;35(8):1879-1885. doi:10.1161/01.STR.0000131807.54742.1a 3. https://www.mdcalc.com/modified-rankin-scale-neurologic-disability

In this episode, Dr. Gail Donofrio (Director, National Institute on Drug Abuse) and Dr. Nora Volkow (Professor and Chair of Emergency Medicine, Yale School of Medicine; Chief of Emergency Services, Yale New Haven Hospital) share their experience with substance use disorder in the time of COVID, as well as some thoughts on needed regulatory change.  Host: Jason Woods, MD; Podcast Sound Engineer: Kellen Vu www.acep.org/equal

Hosted by Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF), an expert panel of directors of Administration fellowships discuss the nuts and bolts of the who, what, why, and how of applying to this fellowship. Panelists: Martin Reznek, MD MBA (University of Massachusetts), Jennifer Wiler, MD MBA (University of Colorado), Robert Tanouye, MD MBA (Cornell University) Podcast audio engineer: Kellen Vu https://www.aliem.com/em-match-advice-administration-fellowship/

Join us in the fourth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is THE POWER OF MOMENTS by Chip and Dan Heath. Come sign up! https://www.aliem.com/the-leaders-library-power-of-moments/  

A panel of experts talks about the experience with opioid use disorder (OUD) in the time of COVID and specifically efforts to maintain access to MAT during COVID. Note that the original recording contained contributions from Dr. Karen Scott (President, Foundation for Opioid Response Efforts) and Dr. Alister Martin (Emergency Medical Specialist, Founder Get Waivered) but were cut for the podcast due to time constraints. Guests: Gail D’Onofrio, MD, MS (Professor and Chair, Department of Emergency Medicine, Yale School of Medicine Chief of Emergency Services, Yale New Haven Hospital), Emily Kauffman, DO, MPH (Assistant Clinical Professor Ohio State University Wexner Medical Center), Sandra Schneider, MD, FACEP (Associate Executive Director, Clinical Affairs Past President American College of Emergency Physicians), Karen Scott, MD, MPD(President, Foundation for Opioid Response Efforts (FORE), Alister Martin MD, MPP (Emergency Medical Specialist, Founder, Get Waivered) Host: Jason Woods, MD; Podcast Sound Engine

In this episode from the ACEP-EQUAL series, guests Dr. Aimee Moulin and Dr. Hannah Snyder discuss how to transition a patients treatment for opiate use disorder from the ED to the outpatient environment. They discuss how to use local resources, legal ramifications, waivers, and why they think a formal system to accomplish this is achievable. Guests: Aimee Moulin, MD (Associate Professor, UC Davis; Behavioral Health Director for Emergency Department; Dual appointments in EM and psychiatry), Hannah Snyder MD (Assistant Professor of Family Community Medicine, UCSF; Primary Care Addiction Medicine Specialist) Host: Jason Woods, MD; Podcast Sound Engineer: Kellen Vu www.acep.org/equal

In this episode from the ACEP-EQUAL series, guests Ariana Samson and Dr. Andrew Herring share their experiences with the use of PAs and APRNs to drive the treatment of opiate use disorder in the ED. Guests: Ariana Samson PA-C (ED APP Lead for US Acute Care Solutions, Marshall Medical Center); Andrew Herring, MD (Associate Director of Research, Highland Hospital, Alameda Health System Medical Director, Substance Use Disorder Treatment Program; Assistant Clinical Professor, UCSF) Host: Jason Woods, MD; Podcast Sound Engineer: Kellen Vu www.acep.org/equal

This is part 1 of a 2 part discussion with Dr. Andrew Herring on the use of Buprenorphine after an opiate overdose, primarily in the ED. Guest: Andrew Herring MD (Associate Director of Research, Highland Hospital, Alameda Health System; Medical Director, Substance Use Disorder Treatment Program; Assistant Clinical Professor, UCSF) Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu www.acep.org/equal References: Weiner, Scott, et al. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Annals of Emergency Medicine. April 2, 2019. https://doi.org/10.1016/j.annemergmed.2019.04.020  Walsh SL, Preston KL, Stitzer ML, Cone EJ, Bigelow GE. Clinical pharmacology of buprenorphine: ceiling effects at high doses. Clin Pharmacol Ther. 1994;55(5):569-580. https://doi.org/10.1038/clpt.1994.71 Dahan A, Yassen A, Romberg R, et al. Buprenorphine induces ceiling in respiratory depression but not in analgesia. Br J Anaesth. 2006;96(5):627-632. https://doi.org/10.109

This is part 2 of a 2 part discussion with Dr. Andrew Herring on the use of Buprenorphine after an opiate overdose, primarily in the ED. Guest: Andrew Herring MD (Associate Director of Research, Highland Hospital, Alameda Health System; Medical Director, Substance Use Disorder Treatment Program; Assistant Clinical Professor, UCSF) Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu www.acep.org/equal References: Weiner, Scott, et al. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Annals of Emergency Medicine. April 2, 2019. doi.org/10.1016/j.annemergmed.2019.04.020 Walsh SL, Preston KL, Stitzer ML, Cone EJ, Bigelow GE. Clinical pharmacology of buprenorphine: ceiling effects at high doses. Clin Pharmacol Ther. 1994;55(5):569-580. doi.org/10.1038/clpt.1994.71 Dahan A, Yassen A, Romberg R, et al. Buprenorphine induces ceiling in respiratory depression but not in analgesia. Br J Anaesth. 2006;96(5):627-632. doi.org/10.1093/bja/ael051 Ciraulo DA,

In this Wellness Think Tank series, Dr. Katie Rebillot (LA County-USC) hosts a 2-part series on resident wellness particularly in the COVID era, featuring EM residents Dr. Jacqueline Furbacher (The Ohio State University), Dr. Sydney Beck (Harbor-UCLA), and Dr. Surriya Ahmad (SUNY Downstate/Kings County). This second installment focuses on strategies and resources in navigating resident life during stressful COVID19 times.

In this Wellness Think Tank series, Dr. Katie Rebillot (LA County-USC) hosts a 2-part series on resident wellness particularly in the COVID era, featuring EM residents Dr. Jacqueline Furbacher (The Ohio State University), Dr. Sanida Lukovic (Jacobi-Montefiore), Dr. Sydney Beck (Harbor-UCLA).