PODCAST · science
EMRA*Cast
by Emergency Medicine Residents' Association
The Emergency Medicine Residents' Association (EMRA) is the voice of emergency medicine physicians-in-training and the future of our specialty. EMRA*Cast is created "for Residents, by Residents."
Episodes
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Attending Advice for the Transition After Residency
It happens overnight: You go from being a trainee to working as an attending – and the senior-level confidence you felt just 24 hours earlier can't even be spotted with the donut of truth. What's a new attending to do? In her final episode as an EMRA*Cast fellow, host Blythe Fiscella, MD, shares…
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The Nightmare Nosebleed
A seemingly routine pediatric nosebleed quickly became one of the most frightening cases of my career when a five-year-old with undiagnosed immune thrombocytopenia (ITP) developed life-threatening epistaxis. In this episode, we walk through the case and explore why dissolvable hemostatic agents…
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Things I Messed Up So You Don't Have To: Lessons from a 5-Year Residency
In this solo episode, Dr. Blythe Fiscella shares 11 hard-won lessons from the emergency department — covering everything from procedures and airway management to communication and clinical uncertainty. Whether you're a resident or a seasoned clinician, there's something here for everyone.
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Bridging Health and Humanity: The Signed-Out Patient
In this mini episode of our "Bridging Health and Humanity" series on EMRA*Cast, Dr. Natalie Hernandez speaks with EM:RAP's Dr. Matt Delaney about patient vulnerability during transitions of care, focusing on what clinicians should do when receiving sign-out.
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Managing OUD in the ED
The opioid epidemic has become supercharged in the past 10-15 years, first with the widespread replacement of heroin by the more potent fentanyl and more recently with the introduction of alpha agonists such as xylazine and medetomidine into the drug supply. Peter Lorenz, MD, sits down with...
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The High-Stakes Hand: ED Injuries That Matter
Hand injuries may look minor, but missed diagnoses can mean permanent disability. In this episode, EMRA*Cast host Maiya Smith, MD, is joined by PGY-3 Orthopedic Surgery resident Dr. Tyler Thorne to break down the high-yield hand exam and walk through can't-miss cases like Seymour fractures…
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(Not So) MicroSkills! With Adaira Landry & Resa E. Lewiss
This episode of EMRA*Cast delves into the making of "MicroSkills: Small Actions, Big Impact," a powerful book by Drs. Adaira Landry and Resa Lewiss. Much like the book itself, the conversation breaks down a big topic (how to be successful at life) into snackable stories. Join host D'Monte Farley…
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Bridging Health and Humanity: AI in EM
In this EMRA*Cast episode of Bridging Health and Humanity, host Natalie Hernandez speaks with Dr. Maya Yiadom, MD, MPH, MSCI, an associate professor and director of Precision Analytics and Data Integration in Emergency Medicine at Stanford, about how artificial intelligence is reshaping emergency...
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On Becoming a People Doctor
This week on EMRA*Cast, Dr. Jay Kaplan shares compelling insights on the evolution of emergency medicine and the art of being a 'people doctor.' Join host Blythe Fiscella, MD, for a heartfelt conversation that's sure to inspire! Get tips on overcoming moral injury, finding your fit in medicine…
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Kratom: The Gas Station "Supplement" That Brings Patients to the ED with Special Guest Dr. Sean Nordt
Dr. Sean Nordt is an emergency physician, toxicologist, pharmacist, and educator with deep expertise at the intersection of clinical toxicology, addiction medicine, and frontline emergency care. As a former Poison Center director, he brings a wealth of insight to a discussion with host Dr. Lauren...
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HIV and HCV Screening in the ED
The CDC and ACEP both recommend opt-out screening for HIV in most emergency departments, though this practice is far from widespread. Host Peter Lorenz, MD, sits down with Emory University's Emma Sizemore, MD, MPH, to discuss the nuances of implementing an opt-out HIV and HCV screening program in...
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A Safer Opioid? Buprenorphine for Acute Pain in the ED
Buprenorphine is well-known for opioid use disorder—but what about for acute pain? Drs. Terry Ahern and Jon Lee join host Maiya Smith to discuss low-dose buprenorphine for pain management in the emergency room, covering pharmacology, dosing, patient selection, and why it may be a safer, underused...
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"Diversify Your Life" with Dr. Fred Kency
One talk with Dr. Fred Kency, and you will appreciate not only a strong work ethic, but also ingenuity and a passion for all aspects of the field of medicine. Join EMRA*Cast host Dr. D'Monte "TP" Farley for a stimulating conversation on ways to stay inspired and motivated in your career....
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Bridging Health and Humanity: Gender-Affirming Care Saves Lives
In this episode of EMRA*Cast's "Bridging Health and Humanity," host Natalie Hernandez interviews Dr. Jailyn Avila about the importance of gender-affirming care in the emergency department. Dr. Avila highlights the significant health disparities and challenges faced by LGBTQIA+ patients, including…
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LVADs: Care for Mechanical Hearts
Whether you're days from becoming an attending or just trying to figure out how to get a BP on a pulseless patient, this episode will help you go from fear to confidence in managing LVADs in the emergency department. Join EMRA*Cast host Dr. Maiya Smith and guest Dr. Anna Ciullo as they review how...
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Essential Tips on Laceration Repair for ER Physicians
Laceration repair is not uncommon in the emergency department. In this episode, we get some expert tips for emergency physicians from a plastic surgery colleague. Join Dr. Kimberly Fiscella of Albany Medical Center and host Dr. Blythe Fiscella of ChristianaCare to pick up some essential pearls on...
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From the ED to The Pitt: Dr. Mel Herbert on Medicine, Storytelling, and the Power of Hollywood
In this EMRACast episode, hosts Lauren Rosenfeld and D'Monte Farley sit down with Dr. Mel Herbert, emergency physician, educator, and writer/medical consultant for The Pitt, the hit TV drama inspired by life in the emergency department.
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Primary Care in the ED
The emergency department offers critical access to health care in our broken system. An important skillset of the modern emergency medicine physician is a set of low-risk, low-time commitment, high-benefit interventions for the management of chronic diseases. In this episode, we discuss the...
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"I Used to Be" with Dr. Rob Lowe
Career-switching into medicine as a second profession might not be typical, but it's not out of reach - just ask Dr. Rob Lowe, an aerospace engineer for 6+ years before trading in his flight simulator for a stethoscope. Dr. Lowe joins the show to detail his previous experiences, discuss...
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Bridging Health and Humanity: Barriers and Borders
In this episode of "Bridging Health and Humanity," hosted by Dr. Natalie Hernandez, the focus is on the effects of current immigration policies and enforcement tactics on the health of vulnerable communities. The discussion features Dr. Rose Diaz and Dr. Sarah Lopez, both advocates for immigrant...
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12 Essential Tips for New Emergency Medicine Interns
July is the most exciting time of the year in the hospital - especially in the Emergency Department, when all of the new interns show up! Get 12 pieces of advice for interns reporting for their first shifts, courtesy of EMRA*Cast host Blythe Fiscella, MD, and guests Andrew Toron, MD (chief...
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Gun Violence: From Practice to Policy, with Dr. Cedric Dark
It was the tweet heard far and wide: When the NRA claimed doctors "should stay in their lane," physicians took aim at firearm safety as a matter of public health, policy, advocacy, and patient care. EMRA*Cast host Lauren Rosenfeld, MD, dives into this issue with author and policy guru Cedric…
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In Defense of Succinylcholine
When it comes to the airway, roc rocks and succ sucks, right? You've heard it more than once. But EMRA*Cast host Peter Lorenz, MD, presents a nuanced argument in defense of succinylcholine, with guests Mike Perza, PharmD, and Patricia Simmer, MD.
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Vacation Gone Deadly: Toxins in Paradise
In this episode of EMRA*Cast's "Vacation Gone Deadly: Toxins in Paradise," hosts Maiya Smith, MD, and Lauren Rosenfeld, MD, speak with Kenneth Katz, MD, a toxicologist and practicing EM physician at Lehigh Valley Health, about toxins you might encounter while traveling, inspired by Season Three…
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Emergency Psychiatry Consults
Mental health concerns drive a large number of emergency department visits in the United States. When a patient presents with an acute crisis, it's important for emergency medicine and psychiatry to work as a seamless team. Drs. D'Monte Farley and Caylon Pettis talk about how to ensure an…
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Navigating EM Residency
Navigating EM residency can be tricky and often difficult. EMRA*Cast host Nishant Gogna, DO, presents a group discussion navigating the tips, tricks, and pitfalls to watch out for in your EM residency, with Joanne Bethencourt, DO, PGY-3 and chief resident at UF Health Shands Hospital; Mario...
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Pediatric Physical Exam Essentials: Strategies and Best Practices
This episode of EMRA Cast features Dr. Jody Kieffer, a pediatric EM attending physician at Nemours Children's Hospital. Dr. Blythe Fiscella, EMRA*Cast host, gets expert advice on examination strategies for pediatric patients. Learn about newborn-specific exams, strategies, and holding techniques…
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Patient Satisfaction with Dr. Gus Garmel
In this bonus episode co-produced with Vital, we're talking patient satisfaction: how to create a meaningful connection in a short amount of time, and why it matters. (Spoiler alert: It's not all about metrics.) Join EMRA*Cast alumni Masood Mohammed and guest Gus Garmel for this…
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Listen to your HEART (score): Documentation and Litigation with Dr. Michael Weinstock
In this episode, @ucmax_show host and @embouncebacks author Dr. Michael Weinstock chats with EMRA*Cast's Dr. Lauren Rosenfeld, breaking down documentation to avoid litigation with a focus on a common presentation: chest pain. Learn how to use the HEART score and avoid a courtroom.
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Intubated and Hypoxic: Managing a Worst-Case Scenario
Refractory hypoxemia in the intubated patient is one of the scariest situations any emergency physician can face. In this episode of EMRA*Cast, Drs. Peter Lorenz and Steven Haywood discuss a stepwise approach to managing this worst-case scenario.
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Talking with Residents: The Mistakes We Make
Mistakes are an unavoidable part of medical training. Yet, they're often under-discussed, contributing to feelings of burnout and isolation. In this episode, host Maiya Smith, MD, is joined by residents Lulu Weindruch, DO, Stephanie Michael, DO, and Jarred Millard, MD, as they share their…
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Social EM and T.R.A.P. Medicine with Dr. Italo Brown
EMRA*Cast's D'Monte Farley talks to social EM leader Italo Brown, MD, MPH, of Stanford University, about how and why to build doctor-patient trust and make care more accessible at the community level. In the spotlight: T.R.A.P. Medicine and a unique barbershop initiative.
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Bridging Health and Humanity: Capacity and Consent
Decision-making capacity is a key component of patient autonomy. In this episode, host Natalie Hernandez, MD, MPH, and guest Ilene Claudius, MD, discuss potential challenges to assessing capacity and obtaining consent - particularly among the pediatric population.
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Things to Consider on Your First EM Job Hunt
There's more to consider for your first EM job than just locations, hours, and pay. EMRA*Cast host Nishant Gogna, DO, presents a fireside chat about other things to consider on your first job hunt with Ryan Kirby, MD, market president for IES and former PD of John Peter Smith Hospital in Fort…
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Mastering Non-Invasive Positive Pressure Ventilation in the ED
Every great resuscitationist needs to understand the fine points of keeping your patients breathing - not only by securing an airway, but also by understanding ongoing ventilation. In this episode, EMRA*Cast host Blythe Fiscella, MD, reviews pearls and pitfalls of NIPPV with critical care expert...
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Candid Lessons with Richard Cantor
Known for candid perspectives and sense of humor, pediatric emergency guru Dr. Richard Cantor shares how PEM reminds residents to be present with patients. The organic nature of PEM requires us to use all five senses, engage with patients and their families, and see past burdensome EMRs. Dr.…
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Everybody Eats!
Food is routinely withheld from patients entering the emergency department in order to prevent the theoretical risk of aspiration should they require operative intervention or procedural sedation. This practice is not evidence-based and does more harm than good. EMRA*Cast host Peter Lorenz, MD…
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Weight Loss Drugs: What Do We Need to Know?
We're seeing a LOT more medications like Ozempic in the emergency department nowadays. In fact, 12% of U.S. adults have used a GLP-1 drug! So, what do we need to know about these drugs? Dr. Megan Boysen Osborn, Professor of Emergency Medicine at the University of California Irvine, discusses…
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Transition to Attending-hood
The transition from being a resident to an attending may be daunting for some. But have no fear, EMRA*Cast host Lizzii Le sits down with Gus Garmel, an Adjunct Clinical Professor of EM at Stanford University, author of multiple books on clinical education, to discuss this topic.
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Views from Program Leadership
Students navigating the ERAS Application Cycle - or any residency application process - face a lot of stress and anxiety. Knowing the answer to every possible question is difficult, but having individuals with expertise in your corner is beneficial. Dr. Arlene Chung, current Vice Chair of…
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Navigating Leadership in Emergency Medicine
Being a leader in emergency medicine, whether in the department or on the administrative side, is easier said than done. So, what are the skills a good leader should have, and what practices should they absolutely avoid? In this episode, host Masood Mohammed (@DocMooseEM) sits down with emergency...
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Acetaminophen Overdose: Updated Guidance
Acetaminophen is widely available over the counter in the United States, increasing the risk of overdose (both acute and chronic). Several factors contribute to the complexity of managing this tricky condition in the emergency department, but until recently, there has been no true standardized...
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When Patients Be Fibbin'
Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it's even safe to treat. In this episode, Ray Isenburg and host Will Smith discuss the basics of AFib, how to treat it (both chemically and/or...
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The Dead Gut
Some pathologies are true can't-miss diagnoses. Get into one such condition with EMRA*Cast host Will Smith, MD, and EM guru Matthew DeLaney, MD. In this episode you will learn a very simple and comprehensive workup for mesenteric ischemia.
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Pharmacy Pearls with Mike Perza
Let's hear it for the pharmacists who make every emergency medicine shift easier and safer. EMRA*Cast host Dustin Slagle, MD, picks up some pearls from Mike Perza, PharmD, BCPS.
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Calm in Chaos: Managing Stress and Leading Resuscitations
A patient isn't breathing, 8 people are talking at once, alarms are alarming, and you have a whole roster of concerns and options running through your mind. How do you control your reaction, prioritize your response, and step up as a leader for your team and your patient?
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The Art of Managing Non-Physician Providers
Physician-led health care teams are a gold standard in emergency medicine. There's an art to learning how to lead that team, especially in today's climate. EMRA*Cast host Masood Mohammed, DO, MS, FAAEM, dives into the details with physician/attorney/national leader Ricky Dhaliwal, MD, JD.
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Managing the Crashing Intubated Patient
Let's talk about the crashing intubated patient. What's your strategy? What if the nearest ICU requires transport? EM/intensivist Andrew Phillips gives EMRA*Cast host Kyle Duke some high-yield tips that you'll want to hear, too.
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Contract Negotiations: How to Negotiate Like a Boss!
EMRA*Cast host Chris Reilly, MD, and NYU Grossman School of Medicine's Stacey Frisch, MD, MS-HPED, discuss effective strategies and key considerations for EM physicians during contract negotiations, with insights on preparation, priorities, and potential pitfalls.
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Frequently Asked Questions
How many episodes does EMRA*Cast have?
EMRA*Cast currently has 100 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is EMRA*Cast about?
The Emergency Medicine Residents' Association (EMRA) is the voice of emergency medicine physicians-in-training and the future of our specialty. EMRA*Cast is created "for Residents, by Residents."
How often does EMRA*Cast release new episodes?
EMRA*Cast has 100 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to EMRA*Cast?
You can listen to EMRA*Cast on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts EMRA*Cast?
EMRA*Cast is created and hosted by Emergency Medicine Residents' Association.
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