Shows
The SimKit PodcastA Case of Dental Pain and Altered Mental StatusThis episode features the presentation of a complex case involving a patient with altered mental status, facial swelling, and dental pain. The discussion highlights key elements of diagnostic reasoning and the importance of maintaining a broad differential when evaluating high-risk patients. The case ultimately underscores the need for vigilance in recognizing rare but life-threatening conditions and using the history, physical, and work-up to nail the diagnosis.
2025-07-2846 min
The SimKit PodcastA Case of Facial SwellingIn this episode, we dive into the case of a patient who presents with facial swelling—a common complaint with a wide differential. We walk through the clinical reasoning process, exploring key questions, potential red flags, and common diagnostic traps. As the case unfolds, we highlight the importance of thinking beyond the obvious before ultimately revealing the true diagnosis. Tune in for a thoughtful discussion packed with pearls you can apply on your next shift.
2025-07-2137 min
The SimKit PodcastLeading with the Headline: Serious Illness Conversations in the EDIn this episode, we discuss a procedure so impactful that it can influence the direction of care and the patient’s subsequent hospital course. This procedure is the act of having a serious illness conversation. We talked to Dr. Neena Kashyap, an emergency medicine trained and now palliative care fellow at Cooper University Hospital. After today’s discussion, we hope that you will be better prepared to engage patients and their families in these often difficult conversations.
2025-04-2739 min
The SimKit PodcastBurnout Brass Tax w Rob OrmanIn this episode, Jason Hine speaks with Rob Orman, a renowned emergency physician and coach, about his career transition from emergency medicine to physician coaching. The conversation covers preventive measures for burnout, effective communication with hospital administrators, strategies for self-care before, during, and after shifts, and the importance of task management. Orman emphasizes the need for personalization and intentional strategies in preventing burnout.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2025-04-1056 min
The SimKit PodcastPiece of Cake: DKA/HHS Update Part II with George WillisThe American Diabetes Association released a consensus report in 2024 on the management of the hyperglycemic crises: DKA and HHS. Our goal is to give you some insight into the latest recommendations on the management of these critical presentations using this report and Dr. George Willis as our guide!
In Part II, we continue our deep dive into with a focus on diagnostic criteria updates and new treatment guidelines. We break down the latest consensus statement and discuss how these changes impact clinical practice.
Click HERE for our detailed shownotes!
(https://simkit.co/pod...2025-02-1857 min
The SimKit PodcastPiece of Cake: DKA/HHS Update Part I with Dr. George WillisThe American Diabetes Association released a consensus report in 2024 on the management of the hyperglycemic crises: DKA and HHS. Our goal is to give you some insight into the latest recommendations on the management of these critical presentations using this report and Dr. George Willis as our guide!
In Part I, we discuss epidemiology, pathophysiology, and clinical presentation of DKA/HHS. In Part II, we will discuss diagnosis and clinical management.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2025-02-0344 min
The SimKit PodcastThe Cost of Boarding w Dr. Schreyer & Dr. CanellasBoarding plagues Emergency Departments the country (world?) over. It negatively impacts patient satisfaction, staff wellbeing, patient safety, among others. But what does it cost the hospital/healthcare system?
A recent article in Annals tries to answer that question. We sat down with first author and our friendly neighborhood Operations specialist to look at this article and the true cost of boarding.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2025-01-2141 min
The SimKit PodcastThe Rusty Scalpel's Edge- keeping your skills in rare proceduresAre you dangerous when it comes to preforming rare procedures like cric, transvenous pacing, and Blakemore tube placement? Do you have a means to keep the rust away? In this podcast we review an article on mental practice and how we all should be practicing to keep ourselves sharp.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2024-12-2218 min
The SimKit PodcastIt's all about Conduction: Calcium's Role in HyperkalemiaThe 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.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2024-12-0908 min
The SimKit PodcastStroking Out in the Community with Evie MarcoliniManaging 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.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2024-12-021h 01
The SimKit PodcastUnder PressurePosterior 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.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2024-11-1739 min
The SimKit PodcastFever Time!- Biomarkers and Clinical Decision Rules performance by length of infant feverFever 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.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2024-11-0517 min
The Shift Report14. Jason Hine: A Novel Approach to Procedural Skill TrainingThe Shift Report welcomes Dr. Jason Hine of SimKit, a medical education company that trains Emergency Medicine clinicians to boost their confidence in their procedural skills.
Dr. Hine is an Emergency Medicine physician with an interest in the role of academia/education in improving recruitment, retention, and satisfaction amongst community providers. He's also deeply passionate about digital education (blogs and podcasts) and procedural skill set decay.
Check out SimKit on these social platforms:
IG: https://www.instagram.com/simkit.co/
LI: https://www.linkedin.com/company/simkitllc/
FB: https...2024-10-3024 min
The SimKit PodcastSip On This: GRACE-4Raise 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.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2024-08-2934 min
Stimulus - Learn Tools to Crush It in Your Medical CareerSo You Want To Start A Business | Going all in on the side hustleMany of us have ideas that could make a great business. Most of the ideas, however, never see the light of day. It can feel like a big leap from physician to entrepreneur. So how do you do it? We speak with Dr. Jason Hine, the founder of SimKit, and see how he went from community emergency medicine doctor to successful business owner. In this episode, we cover how Jason started his business, accounting for the knowledge gap between clinician and entrepreneur, setting boundaries, why saying hell yes has a critical proviso, the inevitable oscillation between passion a...2024-08-1242 min
The SimKit PodcastThe Twin Kiss of Death- Boarding and Crowding in the ED and How to Prevent It with Dr. Kraftin SchreyerIn 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.
Click HERE for our detailed shownotes!
(https://simkit.co/p...2024-07-2932 min
The SimKit PodcastBe The Driver (or Balancer)- Getting The Most Out Of Your Clinical RotationsThis 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/)
2024-07-1721 min
The SimKit PodcastThe Corporate Practice of Medicine Part 2- the rise and fall of Envision and what it means for practicing docs with Dr. Robert McNamaraIn 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...2024-06-2529 min
The SimKit PodcastThe Corporate Practice of Medicine Part 1- the rise and fall of Envision and what it means for practicing docsIn 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...2024-06-2506 min
The SimKit PodcastAirway Alchemy: Status Epilepticus - Intubation and ManagementStatus 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/)
2024-06-1845 min
The SimKit PodcastFat to Fab- Ozempic, Trulicity, the celebrity weight loss craze with GLP-1 agonists and what it means for Emergency cliniciansOzempic 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 t...2024-05-1413 min
The SimKit PodcastKeep 'Em Cool, But Not Too Cool- AHA recs on TTM in post-ROSC care with Dr. Mike BurlaIn 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/)
2024-04-2631 min
The SimKit PodcastSlowww Down, Man. Myxedema Coma: A Case and ReviewMyxedema 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/)
2024-03-2648 min
The SimKit PodcastIntubating AsthaticsThere 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/)
2024-03-1552 min
The SimKit PodcastThe Beans or Brain?- The ACORN trial and effects of cefepime and pip-tazo on neuro and renal outcomesIn 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/)
2024-02-2021 min
The SimKit PodcastThe Awake Shoulder Reduction- the way of the futureAnterior 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/)
2024-02-1617 min
The SimKit PodcastThe (Un)common Cric- Incidence of Surgical Airway in Modern MedicineHow 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/)
2023-12-1415 min
The SimKit PodcastEfficient and Effective Clinical TeachingTeaching 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/)
2023-11-2820 min
The SimKit PodcastDistinguished or Deadly?- Physician Age and Its Association with Patient MortalityIn this podcast, we review an Annals article published in Sept 2023 that showed an association between provider's age and patient mortality, with an increase in mortality rates for clinicians 50 and older.
The Article
Miyawaki A, Jena AB, Burke LG, Figueroa JF, Tsugawa Y. Association Between Emergency Physician's Age and Mortality of Medicare Patients Aged 65 to 89 Years After Emergency Department Visit. Ann Emerg Med. 2023 Sep;82(3):301-312.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
2023-11-1116 min
The SimKit PodcastEmergency Medicine Mansplaining - Gender Equality & How We Can Move Toward It Part 2 with Dr. Megan Healy
If you have not yet, check out Part 1 of Gender Equity in the Emergency Department with Dr. Kimon Ioannides where we talked about the role men play in moving toward gender equity in the ED.
In this podcast, we are joined by Megan Healy, an emergency medicine physician, who is the current Program Director at Temple University Emergency Medicine Residency program. Not only is she the Co-chair of the Women Faculty Committee at the medical school, but she has also done work at the national level within AAEM and the Women in Emergency...2023-10-2329 min
The SimKit PodcastRum Fits to DTs- Spectrum and Treatment of Alcohol WithdrawalAlcohol use disorder and withdrawal in the Emergency Department is as commonplace as a turkey sandwich. Despite this, there is wide variation on how we categorize and treat withdrawal. In this podcast, we organize withdrawal symptoms and structuralize an approach to the withdrawing patient.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
2023-09-2527 min
The SimKit PodcastEmergency Medicine Mansplaining - Gender Equality & How We Can Move Toward ItFor a long time, medicine has been a "good ol' boys club" and in the areas of gender inequity, sexism, and patriarchy. This old way of thinking in medicine really does fall on the wrong side of history. Thankfully, we have made progress, but so much more work needs to be done. With the lay press and productions like the Barbie movie bringing patriarchy back into the spotlight, we thought it would be a good time to discuss gender (in)equity and Emergency Medicine mansplaining. We are joined by Kimon Ioannides to talk gender inequalities in Emergency Medicine.
2023-08-2225 min
The SimKit PodcastPost-ROSC care with Dr. Mike BurlaIn this interview we talk about the nuances of providing care to the patient we just brought back from the dead. From Temperature to hemodynamics, we dive into the current guidelines and literature to help drive better patient care and outcomes.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
2023-08-0234 min
The SimKit PodcastTick Talk- Lyme and other tickborne illnesses with Dr. Jeff HolmesIn this talk we dive into all things tickborne- Lyme, anaplasmosis, babesiosis, Rocky Mountain Spotted fever, and the like. These little creepy crawlers carry a whole slew of pathogens they can pass to their host. Join Dr. Jason Hine and Dr. Jeff Holmes in this walk through the different vector-borne illnesses, how to diagnose and treat them.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
2023-07-1758 min
The SimKit PodcastWork Life Balance with Rob OrmanThe balance of work and life can sometimes feel artificial. Isn't work part of my life? Should I see it that way? How can I think about and structure my life to be my happiness, most productive self?
In this podcast we sit down with Dr. Rob Orman, creator/host of the Stimulus Podcast, physician life-coach, and world-renowned EM educator to talk about life, work, the interplay between the two, and ways to strike a healthy balance.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
And Click HERE to c...2023-06-131h 06
The SimKit PodcastMake It Stop!!- Vent Alarms and What To Do with Dr. Andrew PhillipsVent management is a integral skill for the Emergency Medicine doctor, but it is a tricky art. We sat down with Dr. Andrew Phillips, EM and Critical Care trained physician and founder and Editor in Chief of EMCoach, an AI powered board review suite to talk about vent alarms, what they mean, and what to do about them.
Click HERE for our detailed shownotes (https://simkit.co/podcast/)
And Click HERE to check out EMCoach (https://www.emcoach.org/)
2023-05-1826 min
The SimKit PodcastThe Ketamine Spectrum with Sergey Motov & Ryan Marino: Part 2 Procedural Sedation, RSI, and chemical takedownsKetamine is a uniquely versatile drug. From low dose ketamine for pain control (Part 1) to procedural sedation, RSI, and chemical takedowns (this podcast, Part 2), this drug is versatile. But it needs to be used with care and attention to dosing, side effects, and adjuncts. Join us as we walk through the spectrum of use with true experts on the topic- Sergey Motov and Ryan Marino.
In Part 2 we focus on the use of Ketamine for Procedural Sedation, RSI, and the chemical takedown.
Click HERE for our detailed shownotes.
(https://si...2023-04-1630 min
The SimKit PodcastThe Ketamine Spectrum with Sergey Motov & Ryan Marino: Part 1 Analgesic DosingKetamine is unique in its spectrum of use. From low dose ketamine for pain control to procedural sedation and analgesia, this drug is versatile, but needs to be used with care and attention to dosing, side effects, and adjuncts. Join us as we walk through the spectrum of use with true experts on the topic- Sergey Motov and Ryan Marino.
In Part 1 we focus on the use of Ketamine for Pain.
Click HERE for our detailed shownotes.
(https://simkit.co/podcast/)
2023-04-0433 min
The SimKit PodcastTrimming the Fat of Note Bloat: 2023 Documentation Guidelines Broken Down with Jason Adler2023 brought sweeping changes to the way our notes are billed. We break down the changes in these Documentation Guidelines with Dr. Jason Alder.
Click HERE for our detailed shownotes.
(https://simkit.co/podcast/)
2023-03-2244 min
The SimKit PodcastWe’re Thinking About It Wrong: The CTA vs. LP Debate for Subarachnoid HemorrhageA debate continues in the subarachnoid hemorrhage (SAH) work up on what is the best follow up test - CTA or LP? This is the wrong question. Find out what question you should be asking and how to best answer it.
Click HERE for our detailed shownotes.
(https://simkit.co/podcast/)
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Cover image source: https://commons.wikimedia.org/wiki/File:Computed_tomography_of_human_brain_%2821%29.png Department of Radiology, Uppsala University Hospi...2023-03-0818 min
The SimKit PodcastSmart is Sexy - Answering Clinical Questions with Justin MorgensternLet's face it- smart is sexy. You know that clinician that seems to just... know everything? They can give you the best current evidence and summarize it in a succinct, poignant way. We all know that person, and we all want to be that person. Knowing what your talking about with your colleagues and patients is alluring, it's captivating, it's downright sexy. Because SMART IS SEXY. Well, we brought on Justin Morgenstern from First10EM to bring your sexy back and give you what you need to answer your clinical questions.
Click HERE for our d...2023-02-2132 min
The SimKit PodcastThe Power of Stress - Stress Inoculation in Procedural TrainingIn this podcast we review how you can use stress to your advantage and how to instill stress in your training for better retention and preparedness.
Click HERE or below of below for our shownotes, including room control elements, equipment lists, and more.
Check out more of what SimKit has to offer
www.simkit.co
2023-02-0807 min
The SimKit PodcastLittle Airways, Big Nightmares with Ilene ClaudiusWe sat down with Ilene Claudius to discuss pediatric airway management, particularly in cases of oropharyngeal foreign body.
Click HERE of below for our shownotes, including room control elements, equipment lists, and more.
Check out more of what SimKit has to offer
www.simkit.co
2023-01-2534 min
The SimKit PodcastThe Subclavian Line - The Line of ChampionsClick HERE for our detailed shownotes, including graphical depictions, ultrasound video footage, and references.
https://simkit.co/podcast/the-subclavian-line-the-line-of-champions/
Check out more of what SimKit has to offer
2022-12-2616 min
The SimKit PodcastCrics, Critical Access, and Critical Care with Scott WeingartWe sat down with the great Scott Weingart of the EMCrit blog and podcast (@emcrit) to talk about the toughest case I ever managed. The conversation covers procedural competency, stress mitigation, skillset decay, critical access, critical care, and a whole lot more.
Check out our podcast page for the full transcript.
https://simkit.co/podcast/crics-critical-access-critical-care/
Check out more of what SimKit has to offer.
www.simkit.co
2022-11-2538 min
Quantum Nativesd0us - Simkit (ornine mortar mix)https://soundcloud.com/d0us - Simkit (https://soundcloud.com/ornine mortar mix)
from "Retrig" (QNRX018)
released 1st July 2019
original found on "Voicestealer" (QNR018)
cover by Aerth2019-07-0102 min
The DownEast Emergency Medicine PodcastThe Subclavian Line: the resuscitation line of championsCheck out the post on SimKit for shownotes, references, and more.
Which central venous catheter (CVC) is best for our patients? Is it the internal jugular (IJ), subclavian, or femoral? We all have our go-to, which I would argue for most, is the ultrasound (US) guided IJ. But is that what is best? Is it recommended by our medical societies? To answer this question we dive into the literature . . . I think you’ll be surprised by what we find. (Hint: it’s the Subclavian!!)
Author: Jason Hine MD
Peer Re...2019-04-2109 min
Quantum Nativesd0us - Simkithttps://soundcloud.com/d0us - Simkit
from "Voicestealer" (QNR018)
released 2nd July 20182018-07-0203 min
One Life LeftOne Life Left -- s12e11 -- #270 -- And Still Undefeated (sort of)This week's show was a little bit weird. Firstly, this week's Super-Special Guest Jon Hare said that we were part of the videogame industry. Obviously he hadn't read the results of this year's GMAs. Secondly, Jon provided us with an actual EXCLUSIVE!!! first play of the remix/demo version of Goal Scoring Superstar Hero to put on the show. We thought the only EXCLUSIVES!!! we could reveal were the colour of the game. And in case you're wondering, the main colour of Jon's new game Sociable Soccer is green, unless it's snowing in which case it's white.
...2015-12-021h 03