Shows
Always On EM - Mayo Clinic Emergency MedicineChapter 45 - Airway to Heaven: A Primer on Mechanical Ventilation for Emergency ProvidersDr. Harish Kinni, a triple-board-certified emergency medicine and critical care physician and assistant professor at the Mayo Clinic, provides an overview of the fundamentals of ventilator care for emergency department professionals. We will review key modes that we should know, the variables to set, how to adjust them for your patient’s needs, and provide troubleshooting tips and tricks for when things suddenly go awry. This is sure to be one of the most helpful chapters of Always on EM, but don’t let it take your breath away!
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X - @AlwaysOnEM; @VenkBellamkonda
Yo...2025-07-051h 13Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Taylor Christian - First do no harm: the history and origin of medical racismThis is a capstone presentation from Chief Resident of Mayo Clinic Emergency Medicine, Dr. Taylor Christian.
Teaser: Can we fulfill our oath to “do no harm” if we ignore the harm of racial injustice in medicine? Understanding the historical roots and persistent impact of medical racism isn’t just informative; it is a call to action. This presentation is an opportunity to learn, reflect, and act to become better advocates.
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X - @AlwaysOnEM; @VenkBellamkonda; @TayMChristian
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Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch...2025-06-1552 minAlways On EM - Mayo Clinic Emergency MedicineChapter 44 - Withdrawal warriors battle with barbs! Phenobarbital as a treatment for alcohol withdrawalIs it possible that the cutting edge therapy for alcohol withdrawal care is one of the older tools in our bag? Possibly! In this chapter, one of the rising stars, Dr. Brandy Hernandez, Emergency Pharmacist, discusses the case for phenobarbital for helping patients for with their acute alcohol withdrawal symptoms. Find out when it may be preferable, what we don’t know yet, what the pitfalls are, and more!
2025-06-0149 minAlways On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr Fiterman Molinari - Cardiac Arrest: when Standard Care is Not EnoughIn this grand rounds, Dr. Daniel Fiterman Molinari challenges the status quo of cardiac arrest care with thought provoking takes on the literature. Take a listen to his Capstone presentation and find yourself pondering whether you agree or disagree, and whether you need to go revisit the literature yourself. You may find your own heart skips a beat in this great episode.
2025-05-1451 minAlways On EM - Mayo Clinic Emergency MedicineChapter 43 - Code Brown: When the runs run the room! - Management of Acute Diarrheal EmergenciesDiarrhea is one of the more common concerns in emergency medicine worldwide and in the United States, yet we often do not spend enough time understanding the breadth of causes and considerations for this syndrome. Do you know which patients benefit from Zinc? Would you like to review HUS? Can you mixup Oral Rehydration Solution if you needed to? We cover all of this and more in this “code brown” of a chapter! So come, get dirty with Alex and Venk in this truly crappy chapter of Always on EM!
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X - @Alway...2025-05-0159 minAlways On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Lauren Chernick - Designing Digital Interventions to Improve Adolescent Sexual HealthThe rapid evolution of digital health is transforming emergency care, but how do we design and implement technologies that truly meet patient needs? This session will explore the landscape of digital health tools and unpack how user-centered design ensures their effectiveness. Using a phased approach to development, Dr. Lauren Chernick from Columbia emergency medicine will discuss key strategies for integrating technology into engaging mobile health interventions. She will also share insights from three real-world sexual health interventions designed for adolescents in the ED—highlighting both successes and challenges. Join us for a discussion on digital health in emergency medicine an...2025-04-1448 minAlways On EM - Mayo Clinic Emergency MedicineChapter 42 - Yes, I can help - Feeling empowered to help with in-flight emergenciesAlex and Venk discuss the fundamental differences of caring for people during an in-flight emergency: what changes with oxygen and pressure, what is available to you, what are the expectations, and more. Both have been teaching about this scenario to others and have been present for several such encounters. They bring their expertise and the available literature to establish this level-setting chapter of the Always on EM Podcast. By the end of this, hopefully, you'll have zero hesitation standing with confidence that you can provide assistance in any event that arises and be as well prepared as anyone to...2025-04-0145 minAlways On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Alexander Ginsburg - Integrating Palliative Care in the ED: Streamlined Solutions to Minimize Provider BurdenIn this Grand Rounds chapter, Dr. Alex Ginsburg, board certified in both emergency medicine and palliative care, and physician leader practicing in both specialties at Mayo Clinic in Rochester, Minnesota discusses a pragmatic way to incorporate palliative care into a busy and complicated emergency medicine practice. Beginning with why this is important and highlighting the challenges and barriers to making this happen, Dr. Ginsburg then proceeds to talk through approaches that are patient-centric while simultaneously feasible for a busy emergency physician. He will call out specific patients and scenarios that would benefit from consulting palliative care if possible and...2025-03-1454 minAlways On EM - Mayo Clinic Emergency MedicineChapter 41 - Conversations toward cohesive practice - Optimizing the emergency physician and APP interfaceThe variety of practice models in the United States emergency healthcare system is numerous and most of them involve both physicians as well as advanced practice providers (physician assistants and nurse practitioners). Yet, the preparation for how to supervise an APP from a physician perspective, or what to expect from a physician colleague from the APP perspective is not standardized. In this chapter, we sit down with Dr. Eric Boie who is the current medical director for the APP practice at Mayo Clinic in Rochester, Minnesota, as well as Mr. Jeff Wood, PA-C who has been the supervisor of...2025-03-011h 17Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Brit Long - Choose your own adventure - High risk diseases in the emergency departmentLegendary emergency medicine educator, Dr. Brit Long, gave grand rounds in Rochester in a highly interactive experience covering high risk, yet low frequency conditions that we need to watch for on shift. He uses an engaging style filled with cases to drill home key points related to these conditions. Enjoy this Valentine's Day chapter of Always on EM-Grand Rounds for a fun and engaging reminder of what our specialty is all about!
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X - @AlwaysOnEM; @VenkBellamkonda; @Long_Brit
YouTube - @AlwaysOnEM; @VenkBellamkonda
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...2025-02-1455 minAlways On EM - Mayo Clinic Emergency MedicineChapter 40 - The Full Bird and Fumar de Cystica - an EM guide to the gallbladderDr. Henry Schiller, Professor of Surgery, Liutenant Colonel in the US Army Reserve, and Mayo Clinic Teaching Hall of Fame inductee rejoins the show to talk about gallbladders. We review the distinction between the evaluation and management of cholelithiasis, choledocolithiasis, the role of different imaging modalities, and much more in this awesome chapter of the show - dont miss this!
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X - @AlwaysOnEM; @VenkBellamkonda
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Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS & ADDITIONAL READING
Childs DD...2025-02-011h 15Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Lekshmi Kumar - Response to Recovery; Elevating trauma care with prehospital blood transfusionsDr. Lekshmi Kumar, Associate Professor of Emergency Medicine at Emory University / Grady Hospital system in Atlanta, Georgia and the EMS director or the city of Atlanta presents grand rounds to kick off the 2025 calendar year! She talks about their collaborative work to create a prehospital blood transfusion program to uplift the trauma care in their region. Tune in to learn about the method for handling the change, the specifics for implementation and to learn the difference that this is making for their patients.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
2025-01-151h 11Always On EM - Mayo Clinic Emergency MedicineChapter 39 - Unbreak My Heart - Decompensation in a Person with Aortic StenosisDr. Trina Augustin, assistant professor of both anesthesiology and perioperative medicine as well as emergency medicine takes us on a deep dive into the care of persons with aortic stenosis. In this chapter, Alex and Venk learn about how to use ultrasound to diagnose AS, the keys to resuscitation, the pathophysiology of this condition, as well as the value of consultative services and the potential interventions that they may unlock for these patients. Kickoff season 4 with this in depth reminder that sometimes the heart has many hidden perils beyond ACS.
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X - @AlwaysOnEM; @VenkBellamkonda2025-01-011h 35Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Adiba Matin - Climate Change and Emergency MedicineIn this final episode of the third season of the Always on EM podcast, we share a grand rounds recording of Dr. Adiba Matin, former resident at Mayo Clinic giving her senior capstone presentation on climate change and emergency medicine. In this visionary presentation, she projects physiologic consequences of the climate change on human health, as well as discusses adaptations for clinical practices, highlights how environmental change might impact social determinants of health, and touches on ways to become advocates for climate protective practices. Close out the new year with the hottest presentation in the grand rounds offerings so...2024-12-1443 minAlways On EM - Mayo Clinic Emergency MedicineChapter 38 - Appendicitis strikes back: Next level diagnosis, myths, and management Appendicitis in the EDDr. David Turay, trauma consultant physician at Mayo Clinic, sits down with Alex and Venk to talk about appendicitis! Have you wondered about ultrasound vs CT imaging? antibiotics only vs operative care? what labs to order? we will go over it in this chapter of Always on EM!
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X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
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Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
2013 British Journal of Surgery - C-W Yu, Systematic reivew and meta-analysis of the diagnostic accuracy of...2024-12-011h 01Always On EM - Mayo Clinic Emergency MedicineChapter 37.5 - Nonaccidental trauma in children, part two.Dr. Mark Mannenbach, emeritus pediatric emergency physician, former chairperson of pediatric emergency medicine at Mayo Clinic and career long advocate for children comes back on the show to talk through nonaccidental trauma in children in a two part series.
In this second part, we talk through mimics of abuse, second victim syndrome related to caring for children of abuse, some aspects of neglect, and more.
CONTACTS
x- @AlwaysonEM; @VenkBellamkonda
YouTube - @AlwaysonEM; @VenkBellamkonda
Instagram - @AlwaysonEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysonEM@gmail.com
...2024-11-1459 minAlways On EM - Mayo Clinic Emergency MedicineChapter 37 - Nonaccidental trauma in children, part one.Dr. Mark Mannenbach, emeritus pediatric emergency physician, former chairperson of pediatric emergency medicine at Mayo Clinic and career long advocate for children comes back on the show to talk through nonaccidental trauma in children in a two part series.
In this first part, we talk through the approach to sharing the concern that you have with the family, keys to the physical examination, the role of additional testing such as serum, urine, and radiograph.
CONTACTS
x- @AlwaysonEM; @VenkBellamkonda
YouTube - @AlwaysonEM; @VenkBellamkonda
Instagram - @AlwaysonEM; @Venk_like_vancomycin; @ASFinch...2024-11-011h 21Always On EM - Mayo Clinic Emergency MedicineChapter 36 - The Butterfly Effect - Principles of Supply Chain ManagementDr. Pritish Tosh, consultant physician in Infectious Diseases, and Supply Chain Management specialist for Mayo Clinic talks through the relationship between our clinical delivery of care and the strength of our supply chain practices. Our recent experiences with facemasks in the pandemic, the daily threats to medication access, and the events of recent longshoreman strike as well as Hurricane Helene damage to saline production locations has shown us how valuable it is to understand our supply chain. In this chapter, Alex and Venk, get schooled on the importance of this understanding, the basics of how to assess the stability...2024-10-1449 minAlways On EM - Mayo Clinic Emergency MedicineChapter 35 - Diffusing the fuse - Violence in the emergency departmentDr. Sarayna McGuire is an emergency physician who has been investigating workplace violence in the ED and in the prehospital setting. She and Dr. Casey Clements, who is the chief safety officer for Rochester Mayo Clinic campus talk with Venk and Alex about the violence in the emergency department. The scope of the problem is staggering, the impact ripples broadly into the community, and we all have the opportunity to intervene and change the trajectory of how life unfolds – learn the what, the why, and the how in this cant-miss chapter of Always on EM
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...2024-10-011h 14Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Samit Shah - Seeing the invisible: Angina and Nonobstructive Coronary Arteries (ANOCA)Ischemic heart disease is a leading cause of morbidity and mortality. While atherosclerotic coronary artery disease (CAD) is the focus of most outpatient and inpatient evaluations for cardiovascular symptoms, up to two thirds of patients suffer from myocardial ischemia with non-obstructive coronary arteries (INOCA). Patients with INOCA have unique symptoms and are more likely to have functional limitation and repeat presentations for cardiovascular evaluation. While there has been increasing recognition of INOCA there is no specific functional status measure, limiting our ability to evaluate the course of illness or effectiveness of therapies. In this presentation, Dr. Samit Shah, interventional...2024-09-141h 06Always On EM - Mayo Clinic Emergency MedicineChapter 34 - Gyne Logic on Gynecologic Emergencies - Discussion about PID, Torsion, Ectopic and moreDr. Adela Cope breaks down pelvic inflammatory disease, tubo-ovarian abscess, ovarian torsion, ectopic pregnancy and more in this densely packed chapter of Always on EM. Tune in as Alex and Venk also try to figure out which one has the correct mental model of PID and who will ask the first stupid question.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
LEARN MORE ABOUT RESIDENCY:
https://youtu.be/gCQ0zimhhhY?si=Np...2024-09-011h 30Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Rich Griffey - Subcutaneous Insulin in Diabetic Ketoacidosis (SQUID Protocol)This past winter, Dr. Rich Griffey, healthcare quality leader from Washington University School of Medicine and Emergency Medicine, came to present grand rounds on a new way to care for patients with mild to moderate DKA, which they call the SQuID protocol. This talk serves to inspire us to look even at some of our well established conditions and see what we could do differently, as well as appreciate the value that healthcare quality improvement integrated with research methods and implementation science thinking can do when they all come together for the improvement of patient care. Come be inspired...2024-08-1453 minAlways On EM - Mayo Clinic Emergency MedicineChapter 33 - it’s not all iodine and shellfish - A fresh take on contrast related anaphylaxisDr. Ronna Campbell, professor of emergency medicine, and passionate anaphylaxis researcher schools Alex and Venk on several issues related to contrast-related anaphylaxis. She helps clarify an approach to managing ED situations where a contrasted CT is desired yet the patient has documented anaphylaxis to iodine, or how to treat a patient who returns with unexpected reaction after receiving contrasted imaging. Can you be allergic to Iodine? What is the relationship between shellfish allergy history and contrast? What is the role of steroids in anaphylaxis management? These are just some of the questions that we answer in this discussion.
2024-08-0150 minAlways On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Ken Milne - Old Fashioned DoctorsDr. Ken Milne presents his talk entitled, “Old Fashioned Doctors,” to Mayo Clinic Emergency Medicine as our keynote speaker for our annual research day. In this talk, he goes through 10 ideas that were proposed in an article by Dr. Herbert Fred as potential ways that old-fashioned doctors may practice medicine more effectively or more palatably than younger counterparts. In this talk, he challenges those ten ideas while offering insights and reflections founded from his experiences before that can help guide or shape the way people can practice tomorrow. This is all done through the use of story and humor as h...2024-07-1453 minAlways On EM - Mayo Clinic Emergency MedicineChapter 32 - You’re invited to our block party! - Emergency department Ultrasound guided regional anesthesiaDr. Lacey Shiue, emergency ultrasound faculty, sits down with Alex and Venk to talk through ultrasound guided nerve blocks and plane blocks. We talk through key differences in commonly used medications, how to manage toxicity from those medications as well as a detailed discussion of several different specific blocks including: Erector Spinae Plane Block, Fascia Iliaca Compartment Block, Supraclavicular Block, Interscalene Block among others. In addition, she discusses the keys to advancing an emergency regional anesthesia program.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_lik...2024-07-011h 05Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Matthew Hamilton - The History of Homosexuality and MedicineIn this final chapter of the academic year 2023-2024, we celebrate our graduating EM class of residents by spotlighting a senior capstone presentation by Dr. Matthew Hamilton covering the intersection of homosexuality and medicine. In this presentation, he aims for the learner to be able to recognize pivotal movements in LGBTQ+ history and civil rights; describe structural mechanisms that excluded gay people from medicine for over 150 years; and to be able to recognize and mitigate ongoing threats to the health and wellbeing of LGBTQ+ people. Please tune in to learn more from one the great graduating senior emergency medicine...2024-06-1545 minAlways On EM - Mayo Clinic Emergency MedicineChapter 31 - Legal landmines and lifeboats: Understanding legal risk in emergency medicineAlex and Venk talk through the medicolegal aspects of practicing emergency medicine with emergency physician and attorney, Dr. Rachel Lindor. She is previous chair of research for Mayo Clinic Emergency Medicine in Scottsdale Arizona and holds both MD & JD degrees. She outlines how the most commonly litigated conditions (MI, orthopedics etc) still only accounts for about 1/5 of medicolegal cases in the United States and the importance of certain key behaviors in our practice to maintaining legal safety. Check it out!
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
I...2024-06-011h 05Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. John Wilson - Updates in Tuberculosis "The gift that keeps on giving"Dr. John Wilson, consultant in the division of infectious diseases at Mayo Clinic, and professor of medicine, director of Tuberculosis consultations at Mayo Clinic presents updates in Tuberculosis for Mayo Clinic Emergency Medicine Grand Rounds back in February.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
2024-05-1453 minAlways On EM - Mayo Clinic Emergency MedicineChapter 30 - Two minutes to midnight: Critical overview of hemoptysisDr. Dagny Anderson, a specialist in the division of pulmonary and critical care medicine at Mayo Clinic, joins Alex and Venk to talk about both life threatening hemoptysis and non-lifethreatening hemoptysis. In this chapter we review what we need to be doing in the emergency department, while also shedding light on what our teammates in other specialties can offer the patients downstream. Join for this colorful journey of how to manage the situation when no one likes what is coming out of the patient's mouth.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube...2024-05-011h 09Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Michael Wilson - What your psychiatrist isn't telling you about suicide prevention in the EDWhether or not emergency physicians believe that patients with thoughts of self-harm belong in the ED, they are coming to your ED anyway. According to the Centers for Disease Control, ED visit rates for nonfatal self-harm increased 42% among persons 10 years or older, and visits for suicidal ideation, self-directed violence, or both increased 25.5% from 2017-2018. That’s an increase of more than 1% per month pre-COVID. This solutions-oriented talk will discuss some of the science behind suicide prevention in the ED, and will present techniques that you can use to reduce risk in your ED.
CONTACTS
X...2024-04-141h 12Always On EM - Mayo Clinic Emergency MedicineChapter 29 - How to save a life - A primer on ECPR and ED ECMODr. Suraj Yalamuri, Mayo Clinic Anesthesiology Critical Care and Cardiovascular Medicine Consultant, joins Alex and Finch to talk about the fundamentals of ECMO and ECPR. This is a great way to get caught up on this emerging science so that you'll be ready to provide the best resuscitative care for your patients when your system is ready too.
2024-04-011h 19Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Rebecca Leff - Fit for Purpose: Emergency Medicine Physicians and Humanitarian Response in Complex EmergenciesDr. Leff shares, in her senior resident capstone presentation, a primer on humanitarian efforts, what are basic principles of aid, how to identify the key health needs of populations affected by crises and how EM clinicians can respond to those needs with the greatest impact. She will discuss how to engage responsibly and to anticipate how humanitarianism will develop and adapt in the future to improve responsiveness.
2024-03-141h 05Always On EM - Mayo Clinic Emergency MedicineChapter 28 - Cant stop the bleeding - Mastering epistaxisDr. Mike Olson, former EM PA and now ENT attending sits down to talk about epistaxis with Alex and Venk. We go through a pragmatic approach to epistaxis, discuss some nuance cases including telangiectasia, hypertension, and anticoagulation.
interventions are key, what patients are most likely to suffer a bad outcome and more.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
Ingason AB, et al. Warfarin is associated with higher rat...2024-03-011h 23Always On EM - Mayo Clinic Emergency MedicineChapter 27.5 - Unbundling the bundle - Part two of sepsisDr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best practices in today's emergency medicine. This is the second part of the two part series.
Do you know how Sepsis is defined currently? What is the difference between SEP - 1 and surviving sepsis campaign? What is the role of steroids or vitamin C? Can you resuscitate these patients with albumin? These and so many more questions will be answered in this two part series. We review the PROCESS, PROMISE, and ARISE trials...2024-02-141h 08Always On EM - Mayo Clinic Emergency MedicineChapter 27 - Machiavelli's Hectic Fever - Part one of sepsisDr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best practices in today's emergency medicine. Do you know how Sepsis is defined currently? What is the difference between SEP - 1 and surviving sepsis campaign? What is the role of steroids or vitamin C? Can you resuscitate these patients with albumin? These and so many more questions will be answered in this two part series. So join Venk like vancomycin, and Alex (aka Zosyn) and Casey "not-cidal" Clements in these amazing episodes.
2024-02-011h 08Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Dougie Moss - Chart-onomicsIn this chapter, Dr. Dougie Moss, final year EM resident presents his Capstone presentation on best charting practices to match reimbursement to the care we deliver. Take a listen to better understand the new billing expectations of our documentation.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
2024-01-1448 minAlways On EM - Mayo Clinic Emergency MedicineChapter 26 -Sick young person with spots - Meningococcemia in the EDAlex and Venk talk through a previous case where they care for a young person with meningococcemia on a night shift. We review the disease, what to watch for, how to treat it, and go over some of the residue after being part of a case like this. We also review some of the considerations regarding ECMO for severe sepsis.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
Heckenberg SG...2024-01-011h 01Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Aaron Klassen - Out of hospital cardiac arrest - Challenges and ChangesIt is no surprise that outcomes are poor for patients who already meet one definition for 'death' even before the point of their first medical contact. But for nearly half of certain patients with out-of-hospital cardiac arrest, good neurologic outcomes can be achieved. And while patients with in-hospital cardiac arrest are also very likely to suffer a poor outcome, there is some reason to believe that some out-of-hospital cardiac arrest patients might have a better chance of survival. During this discussion, we will discuss why this might be, while also challenging assumptions about topics including epinephrine, airway management, and...2023-12-141h 00Always On EM - Mayo Clinic Emergency MedicineChapter 25 - The one where Alex finally gets to ask about REBOA - HematomasThis chapter we talk with Dr. Henry Schiller, trauma surgeon and professor of surgery at Mayo Clinic, about a variety of hematomas including Morel Lavellee lesions, retroperitoneal hematomas, rectus sheath and more! Alex even gets to ask a question about REBOA that he has been hoping to do for a long time.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
Nickerson TP, Zielinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic Exp...2023-12-011h 18Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Heather Murray - Diagnostic error in the ED - Lets talk about itIn this episode, Dr. Heather Murray, from Queen's University Department of Emergency Medicine presents the landscape of diagnostic errors in emergency medicine from the perspective of why they might occur, what can be done when they happen, and how we might minimize them in the future.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
REFERENCES
ARHQ report and responses:
December 2022, AHRQ (Agency for Healthcare Research and Quality) released a sys...2023-11-1459 minAlways On EM - Mayo Clinic Emergency MedicineChapter 24 - In the heat of the moment - Neonatal feverNeonatal fever can raise the temperature of the entire clinical pod along with the baby, but it doesnt have to. Join as Dr. Meghan Cain, chair of the division of pediatric and adolescent emergency medicine at Mayo Clinic, talks through the nuances of evaluating fever concerns in neonates of different ages and risk profiles and empowers you to be cool as a cucumber in these situations.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
RE...2023-11-0156 minAlways On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Arya Mohabbat - Central Sensitization: a syndrome of multiple difficult-to-explain chronic debilitating symptomsSo many people come to emergency departments with unexplained recurrent pains, fatigues, gastrointestinal symptoms and more - when there seems like no way we can help them, Dr. Mohabbat offers us some insight into what might be happening and how we can help be a positive experience in these patient's and family's lives. Listen to this grand rounds on Central Sensitization and be a better doctor for this large segment of the population.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email...2023-10-141h 01Always On EM - Mayo Clinic Emergency MedicineChapter 23 - A mother’s love -Peripartum CardiomyopathyDr. Katie Young, co-director of the cardioobstetrics clinic here at Mayo Clinic sits down to talk about peripartum cardiomyopathy. This is something we will likely consider many times in our careers for patients with shortness of breath in and around late pregnancy. Find out what interventions are key, what patients are most likely to suffer a bad outcome and more.
CONTACTS
X - @AlwaysOnEM; @VenkBellamkonda
YouTube - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
Gierula J, et al...2023-10-011h 25Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Alex Niven - Difficult airway management, an intensivist’s perspectiveIn this chapter, Dr. Alex Niven, renowned critical care physician and educator, provides a mirror for us to see our current state of emergency airway management - for its opportunities for improvement, innovations and best practices. This evidence fueled presentation is a must-listen for any emergency healthcare physician or provider.
CONTACTS
Youtube -https://www.youtube.com/@AlwaysonEM
X - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
2023-09-141h 00Always On EM - Mayo Clinic Emergency MedicineChapter 22 -Did she just say hemosuccus pancreaticus? - Gastrointestinal bleeding in the emergency departmentDr. Nayantara Coelho-Prabhu, Mayo Clinic gastroenterologist specializing in the care of patients with gastrointestinal bleeding and endoscopy, talks through many aspects of acute GI bleeding. She helps to clarify the prioritization of medications, when to incorporate imaging, broadens our differentials for upper and lower GI bleeding, gives mindblowing advice on stool guiac testing and SO much more in this over-stuffed (or should we say constipated) chapter of Always on EM. There is also a special cameo from Dr. Luke Wood going over how to insert a Minnesota tube (esophageal balloon tamponade device)!
CONTACTS
X...2023-09-011h 42Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Shannon McNamara - Safety 1 to Safety 2 - A paradigm shift to improve performance in a complex worldIs healthcare more like an airplane, a flock of birds, or a mayonnaise? Why does it matter? In this talk, Dr. McNamara, emergency physician and patient safety champion, explores the question through the story of how she found herself at the intersection of complexity theory, safety science, and emergency medicine. She will discuss multiple perspectives on safety science, including specific strategies for clinicians to apply in their daily practice to survive amidst the complexity.
CONTACTS
X (formerly Twitter) - @AlwaysOnEM; @VenkBellamkonda; @ShannonOMac
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gm...2023-08-1459 minAlways On EM - Mayo Clinic Emergency MedicineChapter 21 - Chickity Check Yo’ Self Before Yo’ Wreck Yo Self! Tick borne infectionsDrs. Alex Finch and Venk Bellamkonda talk through tick related infectious diseases including Lyme Disease, Rocky Mountain Spotted Fever, Ehrlichiosis, Babesiosis and more! Tick related illnesses are prevalent this time of year, so take a moment to brush up on how to manage them.
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
Society guidelines:
United States
CDC
Tickborne diseases of the US
Anaplasmosis - information for healthcare providers
Babesiosis - resources for healthcare professionals
Ehrlichiosis
Ly...2023-08-011h 01Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Kharmene Sunga - Can You Hear Me Now? How To Speak Like An Emergency PhysicianDr. Kharmene Sunga, Mayo Clinic emergency medicine consultant physician, specializing in simulation, diversity equity and inclusion, and education shares a guide for how to communicate (both through listening and speaking) most effectively when it counts.
TEASER
There's no place like the Emergency Department. Patients are in pain, scared, and anxious. Staff are distracted, fatigued, frustrated - and sometimes, well, also scared and anxious. How can Emergency Physicians speak to rise above the fray, to best care for patients, lead a team, and ensure that everyone feels heard? Join Dr. Kharmene Sunga as she di...2023-07-1458 minAlways On EM - Mayo Clinic Emergency MedicineChapter 20 - Relaxin to the maxin - Intrathecal baclofen pumps in the EDMs Lisa Beck, assistant professor of nursing and a clinical nurse specialist in the department of physical medicine and rehabilitation, shares her experiences over a career in caring for persons with intrathecal baclofen pumps for managing spinal cord injury related spasticity. Baclofen related complications such as withdrawal and overdose can both be fatal and pump specific complications as well require timely expertise from the emergency care team – but not often discussed in emergency medicine. Check out the episode to learn more!
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Em...2023-07-011h 07Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Laura Walker & Dr. Katharina Kohler - Network Science Applied to HealthcareThis is really two separate episodes put together - Dr. Walker delivered grand rounds on network science applications to emergency medicine and it was inspiring. Though because it was such a visual talk, Alex and I had a conversation with her and Dr. Kohler to better understand the topic and present it in a more easily digestable state for you. Both experiences are presented here for your interest.
2023-06-141h 31Always On EM - Mayo Clinic Emergency MedicineChapter 19 - Sugar, we’re goin down swinging! - Pediatric diabetic ketoacidosisDr. Mark Mannenbach, emeritus pediatric emergency medicine faculty of Mayo Clinic and former chairperson of the division of pediatric emergency medicine sits down with Alex and Venk to talk about pediatric diabetic ketoacidosis. We review tips and tricks from a lifetime of caring for sick kids, discuss our Mayo Clinic practice guideline, cerebral edema diagnosis and management, compare the care of pediatric DKA with that of adult DKA and more - Check out this ultra-sweet chapter!
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.co...2023-06-011h 24Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Kyle Hess, PharmD - High Dose Insulin therapy for calcium channel and beta blocker overdoseThis is a recording of Dr. Kyle Hess, emergency medicine pharmacy resident, speaking at grand rounds on the utility of high-dose insulin therapy for selected cardiac medication overdoses.
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
2023-05-1440 minAlways On EM - Mayo Clinic Emergency MedicineChapter 18 - a Joint Venture - A guided tour of Rheumatoid ArthritisRheumatoid arthritis is a challenging disease with variable presentations and complex medications that can make providing emergency care challenging. Dr. John Davis, Vice Chair of Division of Rheumatology at Mayo Clinic sits down with us to help us move easier through RA for our patients.
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
Kaeley et al. The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review. Arthritis Research & Therapy. 2020;22:1
Hor...2023-05-011h 35Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Alyson McGregor - How sex and gender based research impacts the delivery of emergency careDr. Alyson McGregor is an emergency physician and champion for health equity with regards to sex and gender. She gave an important and incredible talk to our department about the importance of recognizing the differences between sexes and genders and how that can and should impact our clinical care and research.
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda; @McGregorMD
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
Dr. McGregor’s website: www.alysonmcgregormd.com
2023-04-1457 minAlways On EM - Mayo Clinic Emergency MedicineChapter 17 - LactatED: A stat consult on optimizing lactation in the EDPossibly the first ever podcast dedicated to optimizing the experience of lactating persons in the ED, Alex and Venk sit down with Dr. Sarah Dodd, assistant professor of anesthesiology at Mayo Clinic and passionate champion for optimizing the care of lactating persons throughout healthcare. Lengthy ED visits have the potential to begin a cascade that hastens the end of milk production, and is a significant source of stress for lactating persons and families. We have an opportunity to do better. Learn how to navigate medications, procedural sedation, long ED length-of-stay and more!
CONTACTS
T...2023-04-011h 03Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Laura Burke - Emergency Physicians as leaders of high-value healthcareDr. Laura Burke is a health sciences researcher and assistant professor of emergency medicine at Harvard Medical School. She gave a reaffirming grand rounds talk to us, packed full of evidence to support the concept that emergency medicine and emergency physicians provide an incredible quality of service and value to the healthcare system overall. Listen in!
Articles she references throughout are listed below in chronological order.
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda; @LauraBurke20
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
Email - AlwaysOnEM@gmail.com
...2023-03-1449 minAlways On EM - Mayo Clinic Emergency MedicineChapter 16 - Sorry Taylor, there is no bad blood - a discussion on transfusionsDr. Justin Kreuter, Transfusion Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about transfusion in its many dimensions. We talk through a model of evaluation for patients with life threatening bleeding, how to interpret tests, the science behind the 1:1:1 ratio of trauma transfusion practice and much much more!
CONTACTS
Twitter - @AlwaysOnEM; @VenkBellamkonda; @KreuterMD
Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch; @KreuterMD
Email - AlwaysOnEM@gmail.com
REFERENCES & LINKS
Lab medicine rounds podcast link: https://news.mayocliniclabs.com/homepage/podcasts-2/lab-medicine-rounds/
Holcomb JB...2023-03-011h 53Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Amy Zeidan - Health and health rights of immigrants in the USIn this episode, Alex and Venk give the virtual stage to Dr. Amy Zeidan from Emory University. She is an experienced and passionate advocate for helping those most in need - particularly immigrants to the United States. She gave Grand Rounds to our department January 24, 2023 and we share that with you here.
Summary
The United States immigration system is exceedingly complex and results in barriers to care for structurally vulnerable immigrant populations. Immigration status alone is a social determinant of health with historical, economic, social and political implications related to healthcare 'access'. As a res...2023-02-1452 minAlways On EM - Mayo Clinic Emergency MedicineChapter 15 - Don’t Stop Me Now! - Preexcitation and WPWDr. Abhishek Deshmukh, Cardiologist specializing in electrophysiology at Mayo Clinic, joins Alex and Venk on the podcast to talk about Wolff Parkinson White Syndrome and other supraventricular tachycardias. We will review the underlying pathophysiology, and how the specific electrical conduction pathway should determine how you treat your patient. He brings a pragmatic approach to this complex topic that you will be able to implement on your very next shift.
Contacts:
TWITTER - @AlwaysOnEM; @VenkBellamkonda; @Abhishek_mbbs
INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
EMAIL - AlwaysOnEM@gmail.com
2023-02-011h 07Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Liz Goldberg - Five Traits of Exceptional People
Exceptional individuals display five common traits according to former FBI agent, Joe Navarro, an expert in non-verbal communication. These include: self-mastery, observation, communication, action, and psychological comfort. Most clinicians would agree that the therapeutic effect we have on patients has little to do with the medication we provide, but more what is communicated verbally and nonverbally during the interaction. But, how do we hone these skills? And importantly, how do we become masters of the art of medicine, so we can provide comfort and healing in the most complex of encounters - to the geriatric patient in acute crisis...2023-01-141h 00Always On EM - Mayo Clinic Emergency MedicineChapter 14 - Urine the know - Dialysis, Renal Failure and moreAlex and Venk sit down with Dr. Jim Gregoire, Mayo Clinic Nephrology, to talk through a variety of emergency nephrology topics. We talk through dialysis related issues including the different types of peritoneal dialysis and their complications. Following that we talk through acute kidney injury with a focus on how we should approach this as emergency practitioners. Finally, we talk through some electrolyte issues that are not commonly discussed in our specialty.
2023-01-011h 34Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Sergey Motov - Acute Pain Management in the EDDr. Sergey Motov, gave this presentation on acute pain management to the Mayo EM Grand Rounds audience in the fall of 2022.
Pain is the most common reason for people to seek care in the Emergency Department. The current laws and regulations have significantly affected ED Clinician’s ability to provide effective, efficient and safe pain relief by worsening opiophobia, by repurposing non-analgesic medications for pain control and by proliferation of dangerous drug-drug combinations. This talks is set to discuss the current state of ED analgesia when it comes to acute pain management with a primary focus on wh...2022-12-141h 09Always On EM - Mayo Clinic Emergency MedicineChapter 13 - Can’t Breathe Without You - Angioedema and Awake Tracheal IntubationDr. Ben Sandefur, Emergency Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about angioedema and awake tracheal intubation. He reviews the different types of angioedema in a format designed to assist the emergency department practitioner with decision making and prognostication. This is followed by a description of how to prepare for and lead a team and patient through awake tracheal intubation using fiberoptic and video laryngoscopy techniques.
Contacts
TWITTER - @AlwaysOnEM; @VenkBellamkonda
INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
EMAIL - AlwaysOnEM@gmail.com
...2022-12-011h 09Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Victor Montori - On CareThis is a recording of Dr. Victor Montori's grand rounds presentation to Mayo Clinic Emergency Medicine challenging us to rethink the care we provide to our patients and the community as a whole.
He will be discussing the movement toward careful and kind care he calls the Patient Revolution. This movement seeks to turn away from industrialized healthcare – a form of healthcare in which the care of patients is a means to an end, in which patients are processed, and in which cruelty happens routinely and care by happy accident. He challenges us to turn towa...2022-11-1457 minAlways On EM - Mayo Clinic Emergency MedicineChapter 12 - A lion, a House, and the mystery - Lupus and the EDDr. Uma Thanarajasingam, Rheumatology attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about how to approach patients with symptoms that span multiple organ systems and we are considering Lupus or when the patient has known Lupus when they present. We talk about Catastrophic Antiphospholipid antibody syndrome, immunochemistry and much more!
Contacts:
TWITTER - @AlwaysOnEM; @VenkBellamkonda
INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
EMAIL - AlwaysOnEM@gmail.com
2022-11-011h 20Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Brian Patterson - Predictive analytics to prevent falls after ED visitsSPEAKER: Brian Patterson, MD, University of Wisconsin
He discusses the experience at UW conceiving, designing, and implementing a program, which incorporates a machine-learning algorithm for real-time calculation of fall risk for all older adults who visit the ED. The talk will include the rationale for using automation to improve public health referrals from the ED, techniques used to create the intervention, and issues surrounding the design and governance of similar interventions.
TWITTER @BPatterson; @AlwaysOnEM; @VenkBellamkonda
INSTAGRAM @AlwaysOnEM
EMAIL AlwaysOnEM@Gmail.com
2022-10-141h 04Always On EM - Mayo Clinic Emergency MedicineChapter 11 - What’s cooler than being cool? Ice Cold! - Hypothermic Cardiac ArrestDr. Doug Brown is an emergency physician and expert in wilderness medicine and mountain rescue with a special career focus on hypothermic cardiac arrest. He has been instrumental in building the rescue and resuscitation practices in Vancouver region of Canada and has published his work in the New England Journal of Medicine. Dr. Brown talks with Alex and Venk about a bunch of very COOL topics!
Contacts:
TWITTER - @AlwaysOnEM; @VenkBellamkonda
INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch
EMAIL - AlwaysOnEM@gmail.com
References:
1...2022-10-011h 24Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Sara Crager - Reframing ShockSPEAKER: Sara Crager, MD, UCLA Emergency Medicine
When it comes to shock, we have developed a blood pressure addiction. Our propensity for a laser-like focus on blood pressure frequently hobbles our ability to promptly diagnose and optimally manage shock patients. This lecture aims to facilitate a more naunced approach to shock through an expanded mental model of shock pathophysiology combined with an iterative hypothesis testing strategy for clinical problem solving
TWITTER @SaraCrager; @AlwaysOnEM; @VenkBellamkonda
INSTAGRAM @AlwaysOnEM
EMAIL AlwaysOnEM@Gmail.com
2022-09-121h 06Always On EM - Mayo Clinic Emergency MedicineChapter 10 - Deserts and Reservoirs - A Map of the EM WorkforceThere has been discussion nationally about the potential for a mismatch in the needs of the United States and the emergency physician workforce. Alex and Venk talk with Dr. Christopher Bennett, from Stanford Emergency Medicine about what he has learned and how he perceives the situation moving forward after spending a significant amount of time researching the EM workforce.
TWITTER: @AlwaysOnEM; @VenkBellamkonda; @CLeeBennett
INSTAGRAM: @Always On EM; @Venk_like_vancomycin; @ASFinch
GMAIL: AlwaysOnEM@gmail.com
References:
1. Bennett CL, et al. National Study of the Emergency Ph...2022-09-0144 minAlways On EM - Mayo Clinic Emergency MedicineChapter 9 - Monkeys, Chickens, and Dustin Hoffman - MonkeypoxDr. Pritish Tosh, Infectious Disease attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about Monkeypox, especially how it compares and contrasts to Smallpox and Chickenpox. Stick around to the end where an addendum is added to discuss the July 2022 New England Journal of Medicine case series on Monkeypox.
Contacts:
@AlwaysOnEM - TWITTER
AlwaysOnEM@gmail.com
@VenkBellamkonda - TWITTER
References:
1. Thornhill JP, et al. Monkeypox Virus Infection in Humans across 16 countries - April-June 2022. N Engl J Med. 2022 Jul 21. doi: 10.1056/NEJMoa2207323. Online ahead o...2022-08-012h 40Always On EM - Mayo Clinic Emergency MedicineChapter 8 - A loss of power - Myasthenia Gravis and Guillain-Barre SyndromesDr. Lyell Jones, award winning neurologist educator, joins us on the podcast to talk about Myasthenia Gravis, Guillain-Barre Syndrome and neuromuscular weakness.
2022-07-0259 minAlways On EM - Mayo Clinic Emergency MedicineChapter 7 - Too Wide, Too Fast - Ventricular Tachycardia (Vtach)Alex and Venk talk with Dr. Nandan Anavekar, cardiac intensivist, about wide complex tachycardias - antitachycardia pacing, balloon pumps, dual sequential cardioversion, vasopressors, beta blockers and more!
SHOW: @AlwaysOnEM | @VenkBellamkonda | EMBlog.mayo.edu | AlwaysOnEM@gmail.com
GUEST: @NandanAnavekar | @MayoCVFellows | @MayoClinicCV
2022-06-011h 16Always On EM - Mayo Clinic Emergency MedicineChapter 6 - Simulation is the sincerest form of flattery - Medical SimulationThe Always On crew is joined by Dr. Jessica Schoen who is a world expert in medical simulation who shares perspectives on simulation fellowship as well how to uplift community emergency medicine practice through simulation.
2022-05-0150 minAlways On EM - Mayo Clinic Emergency MedicineChapter 5 - Newer Medicine for Older Adults - Geriatric Emergency MedicineDr. Lauren Southerland, president of ACEP and former president of SAEM geriatric EM sections and Associate Professor of Emergency Medicine at Ohio State University, joins the show and truly inspires us to think differently about how we approach the care of older patients. She talks us through four models for providing geriatric emergency care, what does an ideal setup for older patients look like, what should we be doing to train future geriatrics-capable emergency physicians and much more! Please listen and check out the companion piece in the Mayo Clinic EM Blog.
Tweet Dr. Southerland @LSGeriatricEM
2022-04-011h 03Always On EM - Mayo Clinic Emergency MedicineChapter 4 - Pump it up! - Left Ventricular Assist Device (LVAD)Left ventricular assist devices (LVADs) can feel incredibly complex and these patients can inspire fear or trepidation in many healthcare providers. In this episode, we talk through the basics of LVADs from taking vital signs, to managing alarms, and evaluating common issues all with the experience and insights of our wonderful guest, Sarah Schettle, PA-C in Cardiovascular Surgery at Mayo Clinic. She is an incredible educator and breaks this topic down into really digestable and applicable pieces.
Check out a summary on the Mayo Clinic EM Blog
2022-03-011h 11Always On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. John Schupbach - Disrupting Healthcare - Reengineering the Business ModelThis is a challenge for us to think about the model of healthcare delivery differently by Dr. John Schupbach, resident, Mayo Clinic Emergency Medicine.
2022-02-1456 minAlways On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Felix Ankel & Dr. Daniel Cabrera - Fusion Skills - the frog, the fox, and the electric sheepThis is a recording of Drs. Ankel and Cabrera, renowned educators presenting grand rounds to the departments of emergency medicine at Mayo Clinic. They make a bold prediction for how the practice of emergency medicine will evolve and how the next generation of physicians will be challenged to practice differently.
2022-02-071h 05Always On EM - Mayo Clinic Emergency MedicineChapter 3 - Capacity or no capacity, that is the question - Decision Making CapacityIn this episode, we talk through a systematic way for determining if a person has capacity to make a decision in the emergency department. We also talk through special circumstances such as when a person has consumed alcohol, etc.
2022-02-0131 minAlways On EM - Mayo Clinic Emergency MedicineGrand Rounds - Dr. Sarayna McGuire - The Art of the Level Violet ResuscitationThis is a recording of Dr. Sarayna McGuire, chief resident, grand rounds presentation about utilizing a team-based approach to violent patient encounters in the emergency department2022-01-2053 minAlways On EM - Mayo Clinic Emergency MedicineChapter 2 - Doing it for the laughs - Nitrous Oxide in the EDGuest speaker, Dr. Jim Homme talks through the role of Nitrous Oxide in emergency medicine practice
2022-01-1848 minAlways On EM - Mayo Clinic Emergency MedicineChapter 1 - Who are Alex and Venk?As we get started on this podcast journey, we want you to know who we are, where we coming from, and where we hope to go with the podcast.
2022-01-1823 min