This podcast account features all of the audio clips from the Academic Life in Emergency Medicine (ALiEM) educational blog site. http://www.ALiEM.com
ACEP E-QUAL 52: How to build a Bridge Program and pay for it | Opioid Initiative
Speakers:
Arianna Campbell, PA-C (Marshall Medical Center)
Aimee Moulin, MD FACEP (Professor of Emergency Medicine at University of California Davis, Chief of the Division of Addiction Medicine)
Host: Jason Woods, MD (Assistant Professor of Pediatrics - Emergency Medicine, University of Colorado)
Audio engineer: Kellen Vu (Stanford University)
12/11/2022 • 25 minutes, 46 seconds
ACEP E-QUAL 51: Stroke Systems of Care
Guest: Edward Jauch MD, MS (Chief of System Research, Mission Health System, Asheville, NC)
Host: Jason Woods MD
References:
Jauch EC, Cucchiara B, Adeoye O, Meurer W, Brice J, Chan YY, Gentile N, Hazinski MF. Part 11: adult stroke: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S818-28. doi: 10.1161/CIRCULATIONAHA.110.971044. Erratum in: Circulation. 2011 Oct 11;124(15):e404. PMID: 20956227.
Dall TM, Storm MV, Chakrabarti R, Drogan O, Keran CM, Donofrio PD, Henderson VW, Kaminski HJ, Stevens JC, Vidic TR. Supply and demand analysis of the current and future US neurology workforce. Neurology. 2013 Jul 30;81(5):470-8. doi: 10.1212/WNL.0b013e318294b1cf. Epub 2013 Apr 17. PMID: 23596071; PMCID: PMC3776531.
Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, Cabanas JG, Cone DC, Diercks DB, Foster JJ, Meeks RA, Travers AH, Welsford M. Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S397-413. doi: 10.1161/CIR.0000000000000258. PMID: 26472992.
Adeoye O, Nyström KV, Yavagal DR, Luciano J, Nogueira RG, Zorowitz RD, Khalessi AA, Bushnell C, Barsan WG, Panagos P, Alberts MJ, Tiner AC, Schwamm LH, Jauch EC. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update. Stroke. 2019 Jul;50(7):e187-e210. doi: 10.1161/STR.0000000000000173. Epub 2019 May 20. Erratum in: Stroke. 2020 Apr;51(4):e70. PMID: 31104615.
6/17/2022 • 33 minutes, 49 seconds
ACEP E-QUAL 50: tPA for Stroke and Litigation
This episode is a rapid fire review of litigation issues surrounding the provision of (or lack of provision of) tPA for stroke.
Guests:
Latha Ganti, MD, MS, MBA
Professor of Emergency Medicine & Neurology ,University of Central Florida College of Medicine
Joshua N. Goldstein MD, PhD
Professor of Emergency Medicine, Harvard Medical School
Host: Jason Woods MD
References:
Chernyshev OY, Martin-Schild S, Albright KC, Barreto A, Misra V, Acosta I, Grotta JC, Savitz SI. Safety of tPA in stroke mimics and neuroimaging-negative cerebral ischemia. Neurology. 2010 Apr 27;74(17):1340-5. doi: 10.1212/WNL.0b013e3181dad5a6. Epub 2010 Mar 24. PMID: 20335564; PMCID: PMC2875935.
Gebel JM, Sila CA, Sloan MA, Granger CB, Mahaffey KW, Weisenberger J, Green CL, White HD, Gore JM, Weaver WD, Califf RM, Topol EJ. Thrombolysis-related intracranial hemorrhage: a radiographic analysis of 244 cases from the GUSTO-1 trial with clinical correlation. Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries. Stroke. 1998 Mar;29(3):563-9. doi: 10.1161/01.str.29.3.563. PMID: 9506593.
Kass J et al. CONTINUUM (MINNEAP MINN) 2020;26(2, CEREBROvascular disease): 499-505
6/17/2022 • 33 minutes, 25 seconds
ACEP E-QUAL 49: Code Stroke | Optimizing ED Stroke Response
Guest: Adam Oostema, MD MS FACEP (Associate Professor of EM, Michigan State University College of Human Medicine)
Host: Jason Woods MD
Select References:
National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995 Dec 14;333(24):1581-7. doi: 10.1056/NEJM199512143332401. PMID: 7477192.
Saver JL, Gornbein J, Starkman S. Graphic reanalysis of the two NINDS-tPA trials confirms substantial treatment benefit. Stroke. 2010 Oct;41(10):2381-90. doi: 10.1161/STROKEAHA.110.583807. Epub 2010 Sep 9. PMID: 20829518; PMCID: PMC2949055.
Kwiatkowski TG et al. Effects of tissue plasminogen activator for acute ischemic stroke at one year. National Institute of Neurological Disorders and Stroke Recombinant Tissue Plasminogen Activator Stroke Study Group. N Engl J Med. 1999 Jun 10;340(23):1781-7. doi: 10.1056/NEJM199906103402302. PMID: 10362821.
Ingall TJ et al. Findings from the reanalysis of the NINDS tissue plasminogen activator for acute ischemic stroke treatment trial. Stroke. 2004 Oct;35(10):2418-24. doi: 10.1161/01.STR.0000140891.70547.56. Epub 2004 Sep 2. PMID: 15345796.
Emberson J et al. Stroke Thrombolysis Trialists' Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet. 2014 Nov 29;384(9958):1929-35. doi: 10.1016/S0140-6736(14)60584-5. Epub 2014 Aug 5. PMID: 25106063; PMCID: PMC4441266.
Hacke W et al. ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008 Sep 25;359(13):1317-29. doi: 10.1056/NEJMoa0804656. PMID: 18815396.
Alper BS et al. Thrombolysis with alteplase 3-4.5 hours after acute ischaemic stroke: trial reanalysis adjusted for baseline imbalances. BMJ Evid Based Med. 2020 Oct;25(5):168-171. doi: 10.1136/bmjebm-2020-111386. Epub 2020 May 19. PMID: 32430395; PMCID: PMC7548536.
Powers WJ et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2019 Dec;50(12):e344-e418. doi: 10.1161/STR.0000000000000211. Epub 2019 Oct 30. Erratum in: Stroke. 2019 Dec;50(12):e440-e441. PMID: 31662037.
6/17/2022 • 38 minutes, 52 seconds
The Leader’s Library 6: New Rules of Work
Join us in the sixth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is New Rules of Work: The Muse Playbook for Navigating the Modern Workplace by Alexandra Cavoulacos and Kathryn Minshew. Come sign up! https://www.aliem.com/leaders-library-new-rules-of-work-sign-up-book-club/
3/14/2022 • 3 minutes, 19 seconds
ACEP E-QUAL 48: Supporting New Buprenorphine Providers
In this episode from ACEP E-QUAL, we feature Dr. Jeanmarie Perrone (@JMPerroneMD), Professor of Emergency Medicine and the Director of the Center for Addiction Medicine and Policy at the University of Pennsylvania.
Host: Jason Woods, MD
Sound Engineer: Kellen Vu
3/4/2022 • 19 minutes, 37 seconds
ACEP E-QUAL 47: Harm Reduction in the Emergency Department
In this episode from ACEP E-QUAL, Dr. Bill Soares is an Associate Professor of EM and Director of Harm Reduction Services in the Deptartment of Emergency Medicine at Bay State Medical Center. He also serves as a Fellow at the Institute of Health Care Delivery and Population Science at the University of Massachusetts Chan School of Medicine.
Host: Jason Woods, MD
Sound Engineer: Kellen Vu
3/4/2022 • 24 minutes, 16 seconds
ACEP E-QUAL 46: Opioids and Social Emergency Medicine
In this episode from ACEP E-QUAL, Dr. Elizabeth Samuels discusses a social emergency medicine approach to opioid use disorder.
Guest: Elizabeth A. Samuels, MD MPH MHS, Brown Emergency Medicine
Host: Jason Woods MD
Select references:
Weiner SG, Baker O, Bernson D, Schuur JD. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Ann Emerg Med. 2020 Jan;75(1):13-17. doi: 10.1016/j.annemergmed.2019.04.020. Epub 2019 Jun 20. PMID: 31229387; PMCID: PMC6920606.
Wakeman SE, Larochelle MR, Ameli O, et al. Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder. JAMA Netw Open. 2020;3(2):e1920622. doi:10.1001/jamanetworkopen.2019.20622
Larochelle MR, Bernson D, Land T, Stopka TJ, Wang N, Xuan Z, Bagley SM, Liebschutz JM, Walley AY. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study. Ann Intern Med. 2018 Aug 7;169(3):137-145. doi: 10.7326/M17-3107. Epub 2018 Jun 19. PMID: 29913516; PMCID: PMC6387681.
Kilaru AS, Xiong A, Lowenstein M, et al. Incidence of Treatment for Opioid Use Disorder Following Nonfatal Overdose in Commercially Insured Patients. JAMA Netw Open. 2020;3(5):e205852. Published 2020 May 1. doi:10.1001/jamanetworkopen.2020.5852
D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA. Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA. 2015 Apr 28;313(16):1636-44. doi: 10.1001/jama.2015.3474. PMID: 25919527; PMCID: PMC4527523.
Hawk KF, D’Onofrio G, Chawarski MC, et al. Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine. JAMA Netw Open. 2020;3(5):e204561. doi:10.1001/jamanetworkopen.2020.4561
12/21/2021 • 23 minutes, 38 seconds
INFODEMIC 01: Introduction and COVID-19 Update
This session for the INFODEMIC Conference features speakers, Dr. Seema Yasmin and Dr. Yvonne Maldonado. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 15 minutes, 17 seconds
INFODEMIC 02: Vaccine Confidence
This session for the INFODEMIC Conference features speaker, Dr. Heidi Larson. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 5 minutes, 46 seconds
INFODEMIC 03: Vaccine Hesitancy
This session for the INFODEMIC Conference features speakers, Drs. Agnes Binagwaho, Aida Habtezion, and Gloria Giraldo, and moderated by Dr. Seema Yasmin. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 41 minutes, 17 seconds
INFODEMIC 04: COViD-19 and the Distrust of Healthcare
This session for the INFODEMIC Conference features speakers, Dr. Italo Brown. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 14 minutes, 6 seconds
INFODEMIC 05: Achieving COVID-19 Vaccine Equity
This session for the INFODEMIC Conference features speakers, Danielle Pacia, Lisa Menning, and Tom Bollyky, and moderated by William Haseltine. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 39 minutes, 15 seconds
INFODEMIC 06: The Role of Social Media Companies
This session for the INFODEMIC Conference features speakers, Dr. Anne Merritt, Aaron Berman, and Brian Clarke, and moderated by Dr. Renee DiResta. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 34 minutes, 17 seconds
INFODEMIC 07: Leveraging Physician Influencers: The New Public Health Educators
This session for the INFODEMIC Conference features speaker, Dr. Vin Gupta. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 14 minutes, 5 seconds
INFODEMIC 08: Do Social Media Influencers Affected Vaccination Rates?
This session for the INFODEMIC Conference features speakers, Jessica Malaty Rivera and Dr. Sanjay Juneja, and moderated by Dr. Cedric "James" Rutland. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 37 minutes, 32 seconds
INFODEMIC 09: Role of Governments and Religious Leaders in Mitigating Disinformation
This session for the INFODEMIC Conference features speakers, Mayor Adrian Perkins and Rev. Dr. Gabriel Salguero, and moderated by Dr. Matthew Strehlow. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 28 minutes, 57 seconds
INFODEMIC 10: Ethical Imperatives for Social MediaCompanies and Influencers to Act
This session for the INFODEMIC Conference features speakers, Drs. Travis Rieder, Nancy Berlinger, and Arthur Caplan. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.
10/6/2021 • 36 minutes, 48 seconds
INFODEMIC 11: Conclusion
The conclusion session for the INFODEMIC Conference features speaker, Dr. Seema Yasmin. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions
10/6/2021 • 5 minutes, 28 seconds
Protecting Frontline American Healthcare Workers Fighting COVID-19: Lessons from South Korea
Join us in this Q&A session with Dr. Doo Ryeon Chung, MD PhD, Director of Infection Prevention and Control at Samsung Medical Center in Seoul, South Korea. He will be sharing key lessons and strategies for preventing COVID-19 transmission within hospitals, including PPE standards, workflows, infrastructure, and workforce management.
Host: Ron C. Li, MD (Stanford)
Guest: Doo Ryeon Chung, MD, PhD
Podcast Engineer: Kellen Vu (Stanford)
4/19/2020 • 50 minutes, 53 seconds
SAEM RLS 08: Exception From Informed Consent (Dr. Jill Baren)
Guest host, Dr. Michelle Lin chats with Dr. Jill Baren (University of Pennsylvania) on the whys, hows, and behind-the-scenes stories about conducting research under the Exception From Informed Consent (EFIC) regulation. Spoiler alert: It is not for the timid or impatient.
3/7/2019 • 25 minutes, 2 seconds
SAEM RLS 07: Writing a Winning Abstract for a Scientific Meeting (Dr. Daren Beam)
Co-hosted by Drs. Mary and Nate Haas, this episode of the SAEM's Research Learning Series features Dr. Daren Beam (Indiana University) on how to write a winning abstract for a scientific meeting or conference. Take notes and apply his practical pearls of do's and don'ts, while also hearing some funny, behind-the-scenes stories about his time as a research coordinator for the PERC rule.
1/3/2019 • 16 minutes, 31 seconds
SAEM RLS 06: How to Turn Your Interest into Research (Dr. Zachary Meisel)
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. Zachary Meisel (University of Pennsylvania) on how to turn your interest into research. Get inspired by his career path from prehospital research to narratives in evidence-based medicine.
1/3/2019 • 28 minutes, 31 seconds
SAEM RLS 05: Dealing with Grant Proposal Rejections (Dr. Rob Ehrman)
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. Rob Ehrman (Wayne State) on why grant proposals get rejected and how to deal with them.
9/7/2018 • 18 minutes, 31 seconds
SAEM RLS 04: Writing Good Specific Aims on Grant Applications (Dr. Mike Puskarich)
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. Mike Puskarich (University of Minnesota) on writing high-quality specific aims in your grant proposal. He shares the key do's and don'ts that make or break a grant writeup.
9/7/2018 • 15 minutes, 30 seconds
SAEM RLS 03: Common IRB Pitfalls (Dr. James Paxton)
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. James Paxton on common IRB pitfalls based on his experience as the Chairman of Wayne State University's Institutional Review Board.