Academic Life in Emergency Medicine (ALiEM) Podcast

Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of residency program directors discuss finding the right-fit residency program for you using modern dating terms. Which programs should you swipe right or left on? Panelists: Dr. Arlene Chung (Maimonides), Dr. David Snow (Loyola), Dr. Robin Naples (Thomas Jefferson)

Host Jason Woods talks with Dr. Adam Rodos about the CMS measure SEP-1 as well as the EQUAL sepsis initiative. The talk focuses on the effect of these measures on patient care and strategies for sepsis care improvement. Guest: Adam Rodos MD, Asst Prof, Dept of Emergency Medicine and Medicine, University of Illinois College of Medicine https://www.acep.org/equal References: Barbash IJ, Davis B, Kahn JM. National Performance on the Medicare SEP-1 Sepsis Quality Measure. Critical Care Medicine. 2019. 47(8):1026–1032. doi: 10.1097/CCM.0000000000003613 Kahn JM, et al. Association Between State-Mandated Protocolized Sepsis Care and In-hospital Mortality Among Adults With Sepsis. JAMA. 2019. 322(3):240-250. doi: 10.1001/jama.2019.9021. Venkatesh AK et al. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E- QUAL). Annals of Emergency Medicine. 2018;71(1):10-15.e1. doi: 10.1016/j.annemergmed.2017.06.032

In this episode from the ACEP-EQUAL series, Dr. Alexis LaPietra reviews greater trochanteric pain syndrome and its treatment, as well as gives an overview of one piece of osteopathic manipulative therapy called muscle energy. Guest: Alexis LaPietra, DO Chair, ACEP Pain/Addiction Section System Chief, Pain/Addiction St. Josephs Health, Paterson NJ Host: Jason Woods, MD www.acep.org/equal

In this episode from the ACEP-EQUAL series, Dr. Katherine Vlasica reviews the technique, indications, contraindications, and benefits of the use of occipital nerve blocks and low paraspinous injections in the treatment of headache in the ED. Guest: Katherine Vlasica DO Director of EM Pain Management, St Joseph’s Health in Paterson NJ Clinical Assistant Professor of Medicine, New York Medical Center Host: Jason Woods, MD www.acep.org/equal Link for video of nerve blocks https://cha.com/clinician-training-materials/ https://www.youtube.com/user/lmellick/videos

Join us in the second installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. The featured book is Kim Scott's Radical Candor.

In this episode from the ACEP-EQUAL series, Drs. Jay Schur, Chris Moore, and Courtney Moreno discuss the development of and recommendations from the new publication from the ACEP EQUAL group, "Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus." Article: https://www.ncbi.nlm.nih.gov/pubmed/31402153 DOSE project (Dose Optimization for Stone Evaluation): https://medicine.yale.edu/emergencymed/dose/ Radiology Safety Information: https://www.radiologyinfo.org/en/info.cfm?pg=safety-xray Host: Jason Woods, MD www.acep.org/equal

In this episode from the ACEP-EQUAL series, Drs. Jay Schur, Deb Diercks, and Kaushal Shah discuss the development and primary recommendation from the ACEP Clinical Policy for Thoracic Aortic Dissection. Host: Jason Woods, MD www.acep.org/equal

Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of residency program directors reflect on the 2019 Match year based on the NRMP data. Was it more or less competitive? What was new and what is their advice for the 2020 Match? View the data table for 2011-2019 on the ALiEM.com site. Panelists: Dr. Sorabh Khandelwal (The Ohio State University), Dr. Fiona Gallahue (University of Washington), Dr. Brad Bunney (University of Illinois at Chicago)

In this episode from the ACEP-EQUAL series, Dr. Stephen Wolf (Professor of EM, Vice Chair Dept of EM at Denver Health Medical Center, Chair of the ACEP clinical policies committee, subcommittee chair for this policy) talks about the development and primary recommendation from the ACEP Clinical Policy: Suspected Acute Venous Thromboembolic Disease Host: Jason Woods, MD www.acep.org/equal

In this episode, Drs. Craig Hostein and Thomas Vaughan discuss their success in reducing avoidable imaging for low back pain in the ED. Host Jason Woods MD guides the discussion.

Drs. Frank Peacock and Michael Kontos review the 2015 guidelines, published in the Journal of the American College of Cardiology regarding appropriate use of cardiovascular imaging. Host Dr. Jason Woods guides the discussion. PDF of slide deck: https://www.acep.org/globalassets/sites/acep/media/equal-documents/webinar_chestpainw3_policy_cvimaging.pdf References 1. Rybicki FJ, Udelson JE, Peacock F et al. “2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain.” JACC. Feb 2016. 67;7. DOI: 10.1016/j.jacc.2015.09.011 2. Singer AJ, Than MP, Smith S et al. “Missed myocardial infarctions in ED patients prospectively categorized as low risk by established risk scores”. Am J Emerg Med. 2017 May;35(5):704-709. DOI: 10.1016/j.ajem.2017.01.003. 3. Poldevaart JM, Reitsma JB, Backus BE. “Effect of Using the HEART Score in Patients with Chest PAin in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial.” Ann Intern Med. 2017 May 16;166(10):689-697. doi: 10.7326/M16-1600 4.Than MP, Aldous SJ, Troughton RW et al. “Detectable High-Sensitivity Cardiac Troponin within the Population Reference Interval Conveys High 5-Year Cardiovascular Risk: An Observational Study.” Clin Chem. 2018 Jul;64(7):1044-1053. DOI: 10.1373/clinchem.2017.285700

Dr. Simon Mahler, Dr. Deborah Diercks, Dr. Christopher Baugh discuss how to implement the use of high sensitivity troponin in your clinical setting on this featured ACEP E-QUAL podcast. Hosted by Dr. Jason Woods

Drs. Peacock and Christensen discuss the nuances of the high sensitivity troponin lab test on this featured ACEP E-QUAL podcast. Hosted by Dr. Jason Woods

Host Jason Woods discusses the new PECARN Infant Fever Prediction Rule with lead author Dr. Nate Kuppermann. They review how this rule is different than its predecessors, understanding recursive partitioning, and how/when to use this rule in clinical practice. Article: Kuppermann et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Peds. Feb 2019.

Host Jason Woods discusses the new PECARN Infant Fever Prediction Rule with lead author Dr. Nate Kuppermann. They review how this rule is different than its predecessors, understanding recursive partitioning, and how/when to use this rule in clinical practice. Article: Kuppermann et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Peds. Feb 2019.