PODCAST · health
The SimKit Podcast
by SimKit
A Medical Education company focused on bringing procedural training to the clinician. Our free podcast covers a breadth of topics in Emergency Medicine.
Episodes
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Chasing the White Whale: What the Literature Says About Simulation and Patient Outcomes
This podcast episode delves into the effectiveness of simulation in trauma patient care, with some extrapolation to general medical care. It reviews a comprehensive study published in the American Journal of Emergency Medicine that assesses how various simulation methods impact team efficiency,...
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Nasal Fiberoptic Rescue: Angioedema and the Awake Airway
Severe oropharyngeal angioedema forces clinicians into uncomfortable territory: a dynamic airway with few good options and little margin for error. In this episode, Dr. Brett Johnson joins the SimKit Podcast to debrief a case of profound tongue angioedema managed with awake nasal fiberoptic...
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Switching Without Breaking: Performing Across Different ED Environments
Navigating various healthcare environments as an Emergency Medicine physician can be challenging. Each setting demands unique skills, adaptability, and preparedness. This post explores how physicians can effectively prepare for shifts across different healthcare facilities. We'll delve into 'way...
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Loud and Clear for the Room: Improving Communication in Emergency Care
In this episode, we're joined by Will Barry and Ross Orpit, co-hosts of the Loud and Clear Podcast, an EMS-focused continuing education platform built to bridge the gap between paramedic school and the realities of practice in the field. Will is a flight paramedic with 16 years of experience in...
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The Good Vice: Why Small Indulgences Prevent Burnout
In the hustle and bustle of our professional lives, especially in high-stakes fields like emergency medicine, we often find ourselves juggling a multitude of demands. Amidst these pressures, we inevitably seek ways to unwind, reward ourselves, and regain our sense of balance. This brings us to an...
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Joint Ventures: Atraumatic Knee Pain in the ED from the Orthopod's perspective
Navigating through the nuances of atraumatic knee pain can be challenging for healthcare providers, especially in the fast-paced ED. The latest episode of the SimKit podcast offers valuable perspectives from Dr. Robert Parisien, a seasoned orthopedic specialist, and host Dr. Jason Hine, who…
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Just Do What I Do: Teaching Procedures to Medical Professionals
In the fast-paced environment of medical practice, teaching procedures is a crucial skill that extends beyond simple knowledge transfer. In this podcast we delve into the intricacies of educating medical professionals on procedural skills, emphasizing the importance of structured methodologies…
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Hip Tricks: Battle of the Blocks
Today's post focuses on a significant study comparing peri capsular nerve group (PENG) block and fascia iliac block for managing acute pain in hip fracture patients. Conducted by D Pietro et al., this research, published in Anesthesia in December 2025, offers insights into pain relief techniques...
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Under the Skin: A Necrotizing Fasciitis Story
In our latest episode of the SimKit podcast, we dive into a riveting discussion with physician assistant (PA) extraordinaire, Shawn Stepp, to delve into a complicated case of necrotizing fasciitis. This post breaks down the conversation into five key sections, each shedding light on different...
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Mastering Intubations: Learning Curves and the Quest for Competency
Understanding the learning curves in medical procedures is crucial, especially when it comes to such a critical skill as intubation. In this post, we delve into an Annals study of learning curves in intubation mastery. It sparks conversation about learning curves, forgetting curves, number vs...
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Drug Overdose Deaths: Are we winning or losing less badly?
Addressing substance use disorder (SUD) remains a pressing issue, not just for healthcare providers but society as a whole. A recent article published in JAMA Network Open, titled "The Decline in Drug Overdose Deaths by Region, Substance, and Demographics," provides critical insights into the...
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Critical Access and Critical Decisions: Rural Hematemesis
Emergency Medicine requires a preparedness for the worst case scenarios, the most critically ill patients, the most complex care, and the most rare procedures that could potentially save a life. That is what we are trying to do at SimKit, by providing education on High Acuity, Low Occurrence…
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Get Out On Time!: Patient Care & Charting Efficiency
In this podcast we review structures for efficient charting and patient care, leading to improved flow and less end-of-shift catch up work. To view the video form of this podcast, check it out on our site. Click HERE for our detailed shownotes! (https://simkit.co/podcast/)
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A Case of Dental Pain and Altered Mental Status
This 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...
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A Case of Facial Swelling
In 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...
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Leading with the Headline: Serious Illness Conversations in the ED
In 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...
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Burnout Brass Tax w Rob Orman
In 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...
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Piece of Cake: DKA/HHS Update Part II with George Willis
The 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...
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Piece of Cake: DKA/HHS Update Part I with Dr. George Willis
The 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...
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The Cost of Boarding w Dr. Schreyer & Dr. Canellas
Boarding 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…
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The Rusty Scalpel's Edge- keeping your skills in rare procedures
Are 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...
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It's all about Conduction: Calcium's Role in Hyperkalemia
The 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...
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Stroking Out in the Community with Evie Marcolini
Managing 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...
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Under Pressure
Posterior 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…
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Fever Time!- Biomarkers and Clinical Decision Rules performance by length of infant fever
Fever 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...
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Sip On This: GRACE-4
Raise 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…
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The Twin Kiss of Death- Boarding and Crowding in the ED and How to Prevent It with Dr. Kraftin Schreyer
In 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…
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Be The Driver (or Balancer)- Getting The Most Out Of Your Clinical Rotations
This 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/)
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The Corporate Practice of Medicine Part 2- the rise and fall of Envision and what it means for practicing docs with Dr. Robert McNamara
In 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...
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The Corporate Practice of Medicine Part 1- the rise and fall of Envision and what it means for practicing docs
In 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...
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Airway Alchemy: Status Epilepticus - Intubation and Management
Status 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?…
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Fat to Fab- Ozempic, Trulicity, the celebrity weight loss craze with GLP-1 agonists and what it means for Emergency clinicians
Ozempic 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.…
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Keep 'Em Cool, But Not Too Cool- AHA recs on TTM in post-ROSC care with Dr. Mike Burla
In 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/)
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Slowww Down, Man. Myxedema Coma: A Case and Review
Myxedema 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...
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Intubating Asthatics
There 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...
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The Beans or Brain?- The ACORN trial and effects of cefepime and pip-tazo on neuro and renal outcomes
In 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...
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The Awake Shoulder Reduction- the way of the future
Anterior 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...
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The (Un)common Cric- Incidence of Surgical Airway in Modern Medicine
How 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/)
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Efficient and Effective Clinical Teaching
Teaching 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...
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Distinguished or Deadly?- Physician Age and Its Association with Patient Mortality
In 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...
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Emergency 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...
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Rum Fits to DTs- Spectrum and Treatment of Alcohol Withdrawal
Alcohol 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...
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Emergency Medicine Mansplaining - Gender Equality & How We Can Move Toward It
For 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...
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Post-ROSC care with Dr. Mike Burla
In 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...
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Tick Talk- Lyme and other tickborne illnesses with Dr. Jeff Holmes
In 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...
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Work Life Balance with Rob Orman
The 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...
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Make It Stop!!- Vent Alarms and What To Do with Dr. Andrew Phillips
Vent 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...
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The Ketamine Spectrum with Sergey Motov & Ryan Marino: Part 2 Procedural Sedation, RSI, and chemical takedowns
Ketamine 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...
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The Ketamine Spectrum with Sergey Motov & Ryan Marino: Part 1 Analgesic Dosing
Ketamine 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...
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Trimming the Fat of Note Bloat: 2023 Documentation Guidelines Broken Down with Jason Adler
2023 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/)
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