EMplify by EB Medicine

<p>In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the April 2026 Emergency Medicine Practice article, <a href="https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-wide-complex-tachycardia" style="color:rgb(0,80,165);">Wide Complex Tachycardia in the Emergency Department: An Updated Approach to Diagnosis and Management</a>.</p><p></p><ul><li>Introduction – 0:11</li><li>Article Overview – 2:02</li><li>Top 5 Bedside Steps – 7:54</li><li>Sodium Channel Blockade – 9:26</li><li>Hyperkalemia – 11:53</li><li>SVT with Aberrancy – 12:47</li><li>WPW &amp; Accessory Pathway – 13:34</li><li>AFib with Accessory Pathway – 14:09</li><li>Monomorphic VT – 19:01</li><li>Polymorphic VT / Torsades – 20:08</li><li>Bidirectional VT – 21:29</li><li>Pacemaker-Mediated Tachycardia – 22:30</li><li>Pre-Hospital Considerations – 24:52</li><li>Stable vs. Unstable Assessment – 27:58</li><li>Diagnostic Studies – 29:42</li><li>Treatment – 38:00</li><li>Risk Management Pitfalls – 44:49</li><li>Wrap-Up – 49:44</li></ul><p></p><p>Subscribers, take the CME test <a href="https://www.ebmedicine.net/cme/cardiovascular/emergency-medicine-wide-complex-tachycardia" style="color:rgb(0,80,165);">here</a>.</p><p>Emergency Medicine Residents, get your free subscription by writing [email protected]</p>

In this episode, Sam Ashoo, MD interviews Jack Teitel on the topic of AI in medicine. <p></p><ul><li>Introduction &amp; Welcome — 0:17</li><li>Jack's Background in Healthcare AI — 0:58</li><li>Brief History of AI — 3:57</li><li>The "Perfect Storm" That Created Modern AI — 5:48</li><li>From General to Specialized: Fine-Tuning AI for Medicine — 7:04</li><li>LLM Confidence &amp; the Sycophancy Problem — 13:01</li><li>The Benchmark Problem — 14:25</li><li>Building Your Own Personal AI Benchmark — 17:44</li><li>Can You "Turn Off" AI Sycophancy? — 20:00</li><li>RAG Systems &amp; How Specialty AI Tools Work — 22:09</li><li>Choosing the Right AI Tool for Clinical Use — 26:18</li><li>Why 95% of AI Pilots Fail in Deployment— 28:10</li><li>How to Ask AI Questions Well (Prompt Quality) — 31:25</li><li>Knowledge Base Currency &amp; Sam's Drug Withdrawal Test — 35:06</li><li>Closing &amp; Contact Info — 37:12</li></ul><p></p>For more about Jack Teitel - <a href="https://title-ai.com">Title-AI.com</a> Emergency Medicine Residents, get your free subscription by writing [email protected]<p></p>

<p>In this episode, Sam Ashoo, MD and Dr. Dana Klavansky, MD discuss the March 2026 Emergency Medicine Practice article, <a href="https://www.ebmedicine.net/topics/trauma/emergency-medicine-severe-traumatic-brain-injury">Emergency Department Evaluation and Management of Severe Traumatic Brain Injury</a></p><p></p><ul><li>Introduction &amp; Welcome (0:15)</li><li>Guest Introduction (0:55)</li><li>Epidemiology of Severe TBI (2:37)</li><li>Pathophysiology: Primary vs. Secondary TBI (4:24)</li><li>Types of Hemorrhage and Hematomas (5:25)</li><li>Classification (7:31)</li><li class="ql-indent-1">Mild vs. Moderate vs. Severe TBI</li><li class="ql-indent-1">Impact Loading vs. Inertial Loading</li><li>Differential Diagnosis (9:22)</li><li>Prehospital Care (9:42)</li><li>Emergency Department History (13:33)</li><li>Diagnostics (15:13)</li><li class="ql-indent-1">CT Scan and the A-B-B-B-C Approach</li><li class="ql-indent-1">Repeat CT Timing</li><li class="ql-indent-1">Bedside Ultrasound for Optic Nerve Sheath Diameter</li><li class="ql-indent-1">Pupillometry</li><li class="ql-indent-1">Biomarkers</li><li>Treatment (24:52)</li><li class="ql-indent-1">Airway Management</li><li class="ql-indent-1">Ventilation and CO2 Targets</li><li class="ql-indent-1">Hyperosmolar Therapy: Hypertonic Saline and Mannitol</li><li class="ql-indent-1">Cerebral Perfusion Pressure</li><li class="ql-indent-1">Blood Pressure Goals</li><li class="ql-indent-1">Temperature Management</li><li class="ql-indent-1">Coagulopathy Management</li><li class="ql-indent-1">Seizure Prophylaxis and EEG Monitoring</li><li>Tiered ICP Management (35:29)</li><li>Surgical Indications (38:40)</li><li>Prognosis (40:33)</li><li>Special Topics (41:30)</li><li class="ql-indent-1">Sports Injuries and CTE</li><li class="ql-indent-1">Tranexamic Acid (CRASH-3 Trial)</li><li>Wrap-Up (43:46)</li></ul><p></p><p>Subscribers, take the CME test <a href="https://www.ebmedicine.net/cme/trauma/emergency-medicine-severe-traumatic-brain-injury">here</a>. </p><p></p><p>Emergency Medicine Residents, get your free subscription by writing [email protected]</p>

<p>In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, <a href="https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-acute-coronary-occlusion" style="color:rgb(0,80,165);">Emergency Department Diagnosis and Management of Acute Coronary Occlusion</a></p><p></p><p>00:00 - Introduction &amp; Welcome</p><p>01:21 - Episode Overview: Acute Coronary Occlusion</p><p>02:06 - Why This Topic Matters: Statistics &amp; New Guidelines</p><p>03:35 - Nomenclature: ACO vs STEMI/NSTEMI</p><p>06:15 - Differential Diagnosis for STEMI</p><p>07:41 - Pre-Hospital Care &amp; EMS Role</p><p>11:37 - Patient History &amp; Presenting Symptoms</p><p>12:28 - Physical Examination Findings</p><p>14:54 - EKG: The Most Important Test</p><p>17:00 - STEMI Definition &amp; Criteria</p><p>20:32 - STEMI Equivalents: Scarbosa Criteria</p><p>22:40 - Smith Modified Scarbosa Criteria</p><p>24:10 - Hyperacute T Waves</p><p>25:30 - Posterior STEMI</p><p>28:40 - De Winter Sign</p><p>29:38 - Non-STEMI EKG Findings</p><p>31:30 - AVR ST Elevation</p><p>32:47 - Wellens Syndrome</p><p>33:54 - Reciprocal ST Segment Changes</p><p>36:15 - Inferior MI Patterns</p><p>37:54 - Laboratory Testing</p><p>39:51 - Imaging: Chest X-Ray &amp; Echocardiography</p><p>42:25 - Supplemental Oxygen: What the Evidence Shows</p><p>44:50 - Analgesia &amp; Pain Management</p><p>46:35 - Pharmacotherapy: Aspirin &amp; Antiplatelet Agents</p><p>49:18 - Reperfusion Therapies &amp; Thrombolytics</p><p>53:05 - Cardiac Arrest in STEMI Patients</p><p>53:55 - Closing Remarks &amp; CME Information</p><p></p>Subscribers, take the CME test <a href="https://www.ebmedicine.net/cme/cardiovascular/emergency-medicine-acute-coronary-occlusion" style="color:rgb(0,80,165);">here</a>.Emergency Medicine Residents, get your free subscription by writing [email protected]<p></p>

In this episode, Sam Ashoo, MD interviews Jeff Willis, MD on the topic of pre-litigation review, being a medical expert, and common pitfalls leading to medical malpractice cases. <p></p><ul><li>0:15 Introduction</li><li>0:51 Guest Introduction</li><li>1:20 Jeff's Background</li><li>2:00 Current Work</li><li>3:37 How He Got Started</li><li>6:57 Pre-Litigation vs. Expert Witness</li><li>8:01 Four Components of Malpractice Cases</li><li>13:55 Case Review Statistics</li><li>17:11 When Cases Get Filed</li><li>18:58 Common Patterns in Cases</li><li>19:55 Documentation Best Practices</li><li>22:06 Shift Handoff Problems</li><li>25:56 Bounce Backs</li><li>27:25 Medical Record Volume</li><li>30:00 Audit Trails</li><li>32:53 Communication with Consultants</li><li>41:35 Conflicting Documentation</li><li>43:46 Getting Started in This Work</li><li>47:37 Closing</li></ul><p></p>Emergency Medicine Residents, get your free subscription by writing [email protected]<p></p><p></p>