PODCAST · science
ACEP Frontline - Emergency Medicine
by Ryan A. Stanton MD, FACEP
ACEP Frontline, hosted by Dr. Ryan Stanton, features in-depth conversations on the hottest topics in emergency medicine and critical care.
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500
Immune Therapy Considerations with Dr. Abigail Leibowitz
In this first installment of the Frontline Weekend Playlist, hear Dr. Abigail Leibowitz present an update on immune-based cancer therapies from the Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. She reviews immune checkpoint inhibitors and CAR T-cell therapy, focusing on the recognition and management of immune-related complications encountered in the ED and highlighting why emergency physicians must understand today’s rapidly evolving oncology treatments.
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499
Building Outside the ED Alt Care Models with Dr. Erik Blutinger
On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with Dr. Erik Blutinger during the ACEP Partner Collaborative to discuss how emergency medicine is expanding beyond the traditional walls of the emergency department. As healthcare continues to evolve, emergency physicians are uniquely positioned to meet patients where they are, whether through community-based care, mobile health initiatives, telemedicine, observation services, or innovative care delivery models. Dr. Blutinger explores the growing opportunities for emergency physicians to extend their expertise beyond the ED while maintaining the specialty's core mission of delivering high-quality, patient-centered acute care. The conversation also examines how these new models can improve access, reduce disparities, strengthen healthcare systems, and create exciting career pathways for emergency physicians. This episode challenges listeners to rethink the boundaries of emergency medicine and consider how the specialty can continue to innovate, lead, and serve patients wherever they need us most.
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498
Peripartum Emergencies and Cardiomyopathy with Dr. Anna Engeln
Recorded at the 4th Annual Colorado ACEP Leadership Symposium and EM: High Risk – Can't Miss Conference in Beaver Creek, this episode of ACEP Frontline features a presentation by Dr. Anna Engeln on the recognition and management of peripartum emergencies, with a special focus on peripartum cardiomyopathy. While postpartum patients are encountered less frequently in many emergency departments, they can present with rapidly evolving, life-threatening conditions that require a high index of suspicion. Dr. Engeln reviews the physiologic changes of the postpartum period, highlights red flags that distinguish normal recovery from serious pathology, and discusses the evaluation and management of low frequency but high risk peripartum emergencies. The session places particular emphasis on recognizing peripartum cardiomyopathy, a potentially devastating diagnosis that can masquerade as common postpartum complaints. Through practical clinical pearls and evidence-based recommendations, this presentation equips emergency physicians with the tools to identify these high-risk conditions early and provide timely, lifesaving care for postpartum patients.
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497
AI Now and Things to Come with Dr. Jesse Pines
Recorded at the Colorado ACEP EM: High Risk – Do Not Miss Conference in Beaver Creek, this episode of ACEP Frontline hosted by Dr. Ryan Stanton features a presentation from Dr. Jesse Pines on the rapidly evolving role of artificial intelligence in emergency medicine. AI is already changing the way emergency physicians document, interpret data, communicate, and make clinical decisions, but where is the technology headed next? Dr. Pines reviews the current state of AI in emergency medicine, separating practical applications from hype while examining the opportunities, limitations, and risks that accompany these powerful tools. He also looks beyond today's capabilities to read some of the tea leaves for the future, discussing how AI is likely to reshape clinical practice, education, operations, and physician leadership over the coming years. Whether you're an AI enthusiast or a skeptic, this session provides a thoughtful, evidence-informed look at how emergency physicians can prepare for a future in which artificial intelligence becomes an increasingly important part of emergency care.
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496
Illinois Wins and Hosting ACEP26 with Dr. Kristen Donaldson
Recorded from the right field seats during a Chicago White Sox game, this special short episode of ACEP Frontline features Dr. Ryan Stanton with Illinois ACEP President Dr. Kristen Donaldson. The conversation highlights recent legislative victories that are strengthening emergency medicine and improving patient care across Illinois, while offering insights into the advocacy efforts that made those successes possible. Looking ahead, Dr. Donaldson shares what attendees can expect at ACEP26 as emergency physicians from around the world gather in Chicago for emergency medicine's premier educational event. From advocacy to education, this quick conversation captures the excitement surrounding the specialty and the momentum building for an outstanding Scientific Assembly in one of America's great cities.
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495
Pre-Hospital Whole Blood with Dr. Scott Branney
Recorded at the Colorado ACEP High Risk: Do Not Miss Conference in Beaver Creek, this episode of ACEP Frontline features Dr. Ryan Stanton and a presentation by Dr. Scott Branney on a growing trend in trauma and resuscitation, prehospital whole blood. As more EMS systems adopt whole blood programs, the discussion explores the evidence supporting earlier transfusion, the impact on patients with life-threatening hemorrhage, and why bringing blood to the point of injury has the potential to change outcomes. Dr. Branney shares practical lessons from developing the Colorado Whole Blood Coalition program, addressing common barriers including logistics, storage, regulatory considerations, cost, stakeholder engagement, and maintaining blood supply. The conversation also highlights opportunities for EMS agencies, trauma centers, and healthcare systems to collaborate in expanding access to this lifesaving therapy while ensuring quality and safety. Whether your system is considering its first whole blood program or looking to optimize an existing one, this episode provides practical insights into overcoming obstacles and advancing modern trauma care before the patient ever reaches the emergency department.
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494
Caring for Those in Custody with Dr. Alice Bukhman
Recorded at the 2026 Massachusetts ACEP Annual Meeting, this episode of ACEP Frontline features Dr. Ryan Stanton in conversation with Dr. Alice Bukhman on the unique challenges of caring for patients in custody. Emergency physicians frequently care for individuals who arrive under law enforcement supervision, creating situations where patient rights, medical ethics, safety, and legal considerations can intersect in complex ways. Dr. Bukhman discusses the physician's primary obligation to the patient, regardless of custodial status, while exploring practical issues including privacy, informed consent, decision-making capacity, restraints, interactions with law enforcement, and requests for medical clearance or forensic information. The conversation also addresses strategies for navigating difficult encounters, protecting the therapeutic relationship, and ensuring that medical decisions remain grounded in the patient's best interests. Whether you practice in a busy urban trauma center or a rural emergency department, this episode provides practical guidance for managing some of the most nuanced and challenging situations emergency physicians encounter while reinforcing the principles that define patient-centered emergency care.
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493
So What: Snakebites with Spencer Greene
What do you do when a patient arrives with a venomous snakebite? Which bites are truly dangerous, when should antivenom be used, and what are the biggest myths that continue to circulate about snakebite management? On this episode of So What?, host Dr. Howie Mell sits down with one of the nation's leading experts on snake envenomation, Dr. Spencer Greene, for a practical, evidence-based discussion on the diagnosis and management of snakebites. From identifying clinically significant envenomations to avoiding outdated treatments that can do more harm than good, they break down what emergency clinicians need to know when every minute counts. The conversation explores initial assessment, laboratory evaluation, indications for antivenom, management of pit viper bites, patient disposition, and common misconceptions surrounding tourniquets, incision and suction, and other persistent folklore. Dr. Greene also shares clinical pearls from years of treating snakebite victims and discusses how emergency physicians can approach these uncommon but high-stakes cases with confidence. Whether you practice in an area where venomous snakes are common or simply want to be prepared for the unexpected, this episode delivers practical takeaways that can immediately impact patient care. In this episode: Initial evaluation of suspected snake envenomation Pit viper versus nonvenomous bites When antivenom is indicated—and when it isn't Laboratory testing and ongoing monitoring Common myths and management pitfalls Disposition, observation, and follow-up recommendations Practical pearls for emergency clinicians
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492
Communicating Advocacy with Brad Fitch
Recorded at ACEP's Leadership and Advocacy Conference in Washington, DC, this episode of ACEP Frontline features a conversation between Dr. Ryan Stanton and communications strategist Brad Fitch on the art and science of effective advocacy. As emergency medicine faces increasing challenges at the local, state, and federal levels, the ability to communicate clearly and persuasively has never been more important. Fitch shares practical strategies for engaging policymakers, the media, hospital leaders, and the public, emphasizing the importance of message discipline, storytelling, and relationship building. The discussion explores how emergency physicians can better articulate the value of the emergency department as the nation's healthcare safety net, translate complex healthcare issues into meaningful messages, and advocate effectively for patients and the specialty. Whether speaking with legislators on Capitol Hill or stakeholders in your own community, this episode offers valuable insights into how thoughtful communication can strengthen emergency medicine's voice and advance meaningful policy change.
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491
Rural Access and Advocacy with Dr. Aaron Kuzel - ACEP LAC
In this episode of ACEP Frontline, we sit down with Dr. Aaron Kuzel from the University of Louisville to discuss one of the most pressing challenges in healthcare today, protecting and expanding access to emergency care in rural America. From hospital closures and workforce shortages to increasing healthcare deserts across the country, rural communities continue to face growing barriers to timely emergency treatment. Dr. Kuzel shares his perspective on the critical role emergency physicians play in ensuring high-quality, lifesaving care regardless of a patient’s ZIP code. The conversation explores why physician-led emergency care matters, the unique challenges facing smaller and rural emergency departments, and how advocacy at the state and national level is essential to preserving access for vulnerable populations. We also dive into the role of organized emergency medicine through American College of Emergency Physicians and how advocacy efforts are shaping policies focused on patient safety, workforce development, reimbursement, and sustainable rural healthcare systems. Whether discussing boarding, transfer delays, or maintaining specialty access in underserved regions, this episode highlights why emergency medicine remains the healthcare safety net for communities large and small. It’s a timely and important conversation about the future of emergency care, and the ongoing fight to ensure every patient has access to physician-led emergency medicine when they need it most.
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490
ER to the House with Dr. Venkat and Dr. Reeder - ACEP LAC
At the 2026 ACEP Leadership and Advocacy Conference in Washington, D.C., The Frontline sits down with emergency physicians turned state legislators Arvind Venkat and Tim Reeder for a candid conversation about bringing frontline experience into the halls of government. From balancing overnight shifts with legislative sessions to navigating the realities of healthcare policy, both physicians share how emergency medicine uniquely prepares doctors to advocate for patients beyond the bedside. The discussion explores the challenges of policy making, the importance of physician voices in government, and how emergency physicians can influence meaningful change at the local, state, and national levels.
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489
Downcodes and Denials with Dr. Jason Adler - CO ACEP
In this episode of ACEP Frontline, we hear from longtime friend of the show, Dr. Jason Adler, one of the most knowledgeable and respected voices in the world of revenue cycle management (RCM). Dr. Adler pulls back the curtain on the increasingly complex and often frustrating tactics used by insurers, including downcoding, denials, and other strategies that directly impact emergency physicians and the care we provide.This is more than a conversation about billing, it’s a deep dive into the financial realities that shape emergency medicine today. Dr. Adler breaks down how these “insurer games” work, why they matter, and how they ultimately affect not just physician compensation, but the sustainability of emergency departments across the country.Understanding how your paycheck comes together is no longer optional, it’s essential. As corporate payers continue to prioritize profits, often at the expense of frontline care, physicians must be informed, engaged, and ready to advocate. This episode equips you with the insight needed to recognize these challenges and reinforces the importance of continuing the fight for fair reimbursement and the value of emergency medicine.If you’ve ever wondered where your work and your worth gets lost in the system, this is an episode you won’t want to miss.This is from Colorado ACEP and their conference.
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488
Poisons from the Convenience Store with Dr. Mimi Lu - Accelerate26
We join the Learning Lounge at Accelerate to hear from Dr. Mimi Lu with some of the most common and dangerous toxicology related encounters that we may encounter from the "convenience store". This is geared towards the pediatric population, but great information about threats that may seem benign because they are not restricted. ACEP Frontline is transitioning to a new hosting platform. If you only listen to the podcast from SoundCloud, we will no longer be updating that site. We will still be present on all other common platforms and nothing will change there. If you only use SoundCloud, please subscribe to the podcast on any of the common podcast player platforms. Thank you!
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487
Task Interruptions and the Impact on EM Physicians with Dr. Perron - MEACEP
How many times per shift(no matter what you do) do you get interrupted? Are you a good multitasker? In this session from Maine ACEP, we hear how these countless interruptions impact your flow, efficiency and (possibly) quality. Dr. Perron has a couple of exercises and then provides some tips and strategies to mitigate the impact of task interruptions in EM.
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486
Peds EM Chest Pain, Fevers, Sedation and Readiness Round-up with Dr. Marianne Gausche-Hill
In this episode, we chat with podcast regular and peds EM champion, Dr. Marianne Gausche-Hill, about her topics and leadership within the ACEP Pediatric Emergency Medicine Assembly as a part of Accelerate. We get the best nuggets of each talk and then wrap with a plug for the Pediatric Readiness Project.
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485
Acing the Test on Mentorship with Dr. Matthew Stull - Accelerate26
In this episode, we talk about mentorship and the tips and opportunities we have as emergency physicians. Dr. Matthew Stull is a long time educator with the ACEP Teaching Fellowship and we sit down at Accelerate26 in San Diego.
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484
Pedsapalooza from PEM Assembly at Accelerate26
In this episode, we feature a series of discussions and a Q&A from the Pediatric EM Assembly at ACEP Accelerate in San Diego. We talk about back yard envenomations, poisons, and a number of peds humor moments.
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483
The Evaluation and Management of Pediatric Shock with Dr. Al Sacchetti - Accelerate26
In this episode from Accelerate 2026, we talk with peds EM legend and educator, Dr. Al Sacchetti, about the evaluation and management of shock in the pediatric EM population. Great information and nuggets for when children present to us in the ED.
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482
So What: Are C-Collars on the Path of the Dinosaurs - Part 2 of 2
Part two of two. In this episode, Dr. Howie Mell sits down with Dr. Ken Milne about recent data and evidence on the use of cervical collars and cervical motion restriction. The question the work to answer is whether it's time for the C-collar to follow backboards and dinosaurs into the relative history of medicine.
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481
Case Study: Standardized Protocol and Treatment of the Migraine Patient in the ED
In this episode, we review advancements in migraine care and the standardization that can help physicians and other practitioners take the pain out of managing this condition, treating and preventing symptoms. https://drive.google.com/file/d/1YqEz5Ih_lmOnAk7nJsddfu8uXb3dYVjr/view?usp=sharing Supported by Pfizer
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480
So What: Are C-Collars on the Path of the Dinosaurs - Part 1 of 2
In this episode, Dr. Howie Mell sits down with Dr. Ken Milne about recent data and evidence on the use of cervical collars and cervical motion restriction. The question the work to answer is whether it's time for the C-collar to follow backboards and dinosaurs into the relative history of medicine.
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479
A Career Resuscitation - Mastering the Negotiation with Dr. Christina Shenvi - Accelerate26
In this episode, we visit with frequent Frontline guest and education guru, Dr. Christina Shenvi, as we talk about "mastering the negotiation" with tips, pitfalls, and skills to ensure your next contract is fair and the best possible for you and your career in EM.
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478
PEM Stim with Drs. Amato and Fox - #Accelerate26
We catch up with Dr. Chris Amato and Dr. Sean Fox from the Pediatric Emergency Medicine Assembly about some of the hot topics and practice changing updates.
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477
Three Year Well Chart Check - Documentation Review with Dr. Jason Adler
In this episode from ACEP Accelerate, we talk Dr. Jason Adler about documentation trends and tips to maximize reimbursement for work performed as well as efficiency in emergency medicine. We are 3 years into the new documentation guidelines and it's time for a "3 Year Well Chart Check".
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476
An Evolution in EM Training and Education with Dr. W. Gannon Sungar - CoACEP
In this episode, we learn about some of the evolutions in resident physician education and training with some of the tips to connect to the current generation of learners.
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475
Announcing AskEMDI - The Ai Key to Millions of Patient Visits with Dr. Ed Barthell
In this episode, we talk about the newly released Ai tool, AskEMDI. This is an early manifestation of the tool that allows researchers and others to data mine millions of ED cases and charts comb emergency specific data. This episode is the announcement of the early manifestation of the tool and your invitation to help test it out. We talk with Dr. Ed Barthell, emergency physician and tech creator that has helped lead the team moving EMDI into the modern era.
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474
Observation Medicine and EM with Dr. Meredith Busman - ACEP Accelerate26
In this episode, we talk with Dr. Meredith Busman about the implementation and operations of ED and EM based observation medicine. We discuss why this is right in the wheelhouse of EM as well as some of the pearls/pitfalls of the plan.
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473
The New Sheriff in Town - ACEP ED Michael Fraser
In this episode, we talk with the new executive director of the American College of Emergency Physicians, Michael Fraser. We took some time at the AMA State Advocacy Summit to chat about his background and vision for emergency medicine and "The College".
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472
Frontline Author Series - 99 Ways to Die by Dr. Ashely Alker
In this episode, we talk with emergency physician and author, Dr. Ashely Alker about her new book, 99 Ways to Die and How to Avoid Them.
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471
Anti-Amyloid Therapies and ARIA - Highlighting the Pearls of the POC Tool with Dr. Christina Shenvi
In this episode, we get an update on Anti-Amyloid therapies and ARIA, along with the new POC tool to help physicians navigate these therapeutics and how they may impact patients in the emergency department. We talk with Dr. Christina Shenvi who introduced us to ARIA earlier in the year and now we have more evidence and a POC tool. Supported by Eli Lilly, USA
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470
The Race for EM and Ultramarathon World Records with Dr. Anne Flower
In this episode, we catch up with emergency physician, Dr. Anne Flower, about her success in running, winning her first every marathon, winning and taking down a 31-year old record in the Leadville 100, and then winning and breaking the ultra-world-record at a 50 mile race in southern Illinois. You can catch her in the NY Times and multiple other media outlets.
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469
So What, Frontline Edition - Ketamine vs Etomidate NEJM with Dr. Howie Mell
In this episode, we breakdown the new article and research looking at ketamine and etomidate for intubation. Dr. Mell breaks down the article and what it really means for emergency medicine and airway management. We have this article..."So What" with Dr. Howie Mell
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468
The Crashing ED Airway Tips and Tools with Drs. Bruce Lo and Deb Diercks
In this episode, we talk about the evolution of airway management and tools in the emergency department. We discuss the stepwise progression of patient condition with the options for management. We discuss tips and tools to support emergency physicians. Episode supported by Fisher & Paykel Healthcare
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467
Airline Safety in the ED with Dr. Torree Mcgowan
In this episode we talk with Dr. Torree McGowan on how the lessons and safety culture of the aviation industry can translate into emergency medicine. From "staying ahead of the plane" to checklists and verbal confirmations, we show keeping a plane in the air can keep our patients safe and improve outcomes. #ACEP25
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466
The Research Extravaganza with Drs. Limkakeng and Panacek
In this episode, we talk about the growth and popularity of the ACEP Research Forum and what that means for emergency medicine based research.
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465
Story Time and Tall Tales of Truth with Marv Wayne
In this episode, we talk with EM legend, entrepreneur, and great story teller, Dr. Marvin Wayne, about his adventures through medicine and life. If you are in EM, surgery, interventional radiology, or critical care, you have likely used his "Cook-Wayne" catheter at some point, but that's just the tip of the iceberg. Join us for some ACEP25 story time from SLC.
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464
Dollars and Cents with the White Coat Investor - Dr. Jim Dahle
In this episode, we talk with Dr. Jim Dahle with some tips and tricks on making your income and dollars work for you! He is the face and voice of finances in EM and we pick his brain for some of his vast fund of knowledge.
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463
You Have Been Sued, Now What with Dr. Michael Bresler
Malpractice claims an an unfortunate reality in medicine. Almost every physician will get sued at some point, much of the time caught up in a blanket filing. In this segment with Dr. Michael Bresler, we provide guidance and tips on dealing with a malpractice lawsuit. He's worked for both sides and now wants to help you!!!
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462
The Role of POCUS in EM Resuscitation with Dr. Matt Fields
Resuscitative Ultrasound in Emergency Medicine: Dr. Matt Fields on the Future of POCUS & AI In this episode of ACEP Frontline, host Dr. Ryan Stanton sits down with Dr. Matt Fields, Ultrasound Director at Thomas Jefferson University, to discuss how point-of-care ultrasound (POCUS) is revolutionizing resuscitation in emergency medicine. Dr. Fields breaks down the RUSH and HI-MAP protocols, shares practical steps for community emergency physicians to integrate resuscitative ultrasound, and explores how AI and new technology are pushing the boundaries of diagnostic speed, accuracy, and efficiency. Key Topics: How to use POCUS in undifferentiated shock RUSH & HI-MAP protocols explained Quick diagnostic insights under 5 minutes Billing and reimbursement opportunities for ultrasound use The future of AI in emergency medicine and ultrasound interpretation
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461
Be the CEO of your Life with Dr. Christina Shenvi
In this episode, Dr. Christina Shenvi gives us some challenges, tips, and opportunities to take control of our lives and become out own best CEO.
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460
Frontline Headliners with Dr. Amal Mattu
In this episode of Frontline Headliners, we talk with the EM cardiology and EKG guru, Dr. Amal Mattu. We talk about his upbringing and how he got into emergency medicine and eventually because the face of EM EKGs.
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459
ACEP Frontline Public Edition - So What: The Tylenol Takedown with Dr. Howie Mell
In this episode, we breakdown the research and evidence used for the HHS and Administrative announcement that Tylenol "may" cause autism. We dive into what it really means and where all the major medical associations sit with regard to the announcement. We also have a reveal at the end of a new addition to the Frontline Podcast Network. Mentioned in this episode:ACEP26
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458
Healthcare Workplace: Should You Stay or Should You Go with Dr. Harry Severance
In this episode, we talk with Dr. Harry Severance about shifts in hospital governance, structure, and problems that strain the EM workforce.
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457
Frontline Headliners with Dr. Mel Herbert
In this first interview of the "Frontline Headliners" series, we talk with EM:RAP founder and education leader, Dr. Mel Herbert. We talk about his childhood, growing up, and the path that led him to be where he is today. www.MelHerbert.com
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456
The Breakdown of Breakbone Fever - Dengue Fever
In this episode, we get a breakdown of the increase in Dengue Fever cases in the US and how the expansion of mosquito habitats are putting more of the country at risk. This project is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award NU50CK0000567-03-00 funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.
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455
Frontline Headliners with Dr. Olen Netteburg - EM Missionary of Motivation
In this episode, we replay the recording of our live Frontline Headliners series from #ACEP25 in Salt Lake City. Dr. Netteburg is one of three episodes we hosted at the conference. He is well known for his missionary work in Chad and his adventures with his family. We dive into his history with stories along the way.
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454
ACEP Talking The Pitt with Noah Wyle - ACEP25
In this episode, I get a few minutes with the star of the HBO/Max hit, The Pitt. We talk about his commitment to the accuracy of the ED care as well as a message to emergency physicians.
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453
ACEP Frontline with Olympic Champion and 4x World Champion Scott Hamilton - SA25
In this episode, I talk with Olympic figure skating champion and 4X world champion Scott Hamilton about is medical challenges, blessings, and path through life that led him to a mission of cancer research and treatment.
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452
The Eyes Have It with Ocular Emergencies - Dr. Sungar - CoACEP
In this episode, we talk about ocular trauma and emergencies that present to the emergency department, featuring Dr. W Gannon Sungar. The neat take home is that eye trauma emergencies are rarely and immediate time sensitive emergency and can be addressed urgently with follow-up or transfer. The 4th Annual Emergency Medicine: High Risk - Can't Miss conference is coming up 11/6 and 11/7. Great conference and incredible setting. Check out more info at www.coacep.org.
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451
ARIA - Alzheimer's Treatments and Risk in the ED with Dr. Christina Shenvi
In this episode, we talk with Dr. Christina Shenvi about ARIA, a finding associated with an early stage Alzheimer's infusion that can impact stroke and VTE care. The MRI of choice per neuroradiology are the T2 weighted and flare images seen on most routine head MRIs. The gradient recall echo are best for bleed and microhemorrhage. These are all part of a routine MRI. I would note in the order that you are looking for ARIA. Supported by Eli Lilly and Company
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ABOUT THIS SHOW
ACEP Frontline, hosted by Dr. Ryan Stanton, features in-depth conversations on the hottest topics in emergency medicine and critical care.
HOSTED BY
Ryan A. Stanton MD, FACEP
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