2 View: Emergency Medicine PAs & NPs

By The Center for Medical EducationEducation

2 View: Emergency Medicine PAs & NPs episodes

February 04 53 - Workplace violence takes a murderous turn, Epinephrine dosing, Baloxavir Marboxil, synthetic opioids, C-Spine clearance for Peds and more!
Welcome to Episode 53 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
News Reports
Mission Local. (2025, December). Timeline of the fatal stabbing at a San Francisco hospital. https://missionlocal.org/2025/12/sf-hospital-killing-timeline/
YouTube. (n.d.). News report on stabbing at SFG [Video]. https://www.youtube.com/watch?v=JAGzwGwJcXI
Segment 1: The Wet Read (1 min | YouTube Short)
JournalFeed. (2020). Epinephrine 0.3 mg or 0.5 mg for anaphylaxis? https://journalfeed.org/article-a-day/2020/anaphylaxis-guidelines-2020/
JournalFeed. (2020). Anaphylaxis guidelines for 2020. https://journalfeed.org/article-a-day/2020/anaphylaxis-guidelines-2020/
Hayden, F. G., Sugaya, N., Hirotsu, N., Lee, N., de Jong, M. D., Hurt, A. C., … Baloxavir Marboxil Study Group. (2018). Baloxavir marboxil for uncomplicated influenza in adults and adolescents. New England Journal of Medicine, 379(10), 913–923. https://www.nejm.org/doi/full/10.1056/NEJMoa1716197
Wang, Y., Chen, L., & Zhang, Y. (2021). Clinical efficacy and safety of baloxavir marboxil in the treatment of influenza: A systematic review and meta-analysis of randomized controlled trials. Journal of Infection. https://www.sciencedirect.com/science/article/pii/S0163445321000512
Segment 2: Dry Scan (2–3 min | TikTok)
JournalFeed. (2023). New PECARN C-spine rule. https://journalfeed.org/article-a-day/2023/new-pecarn-c-spine-rule/
JournalFeed. (2023). C-spine clearance in kids: What you need to know. https://journalfeed.org/article-a-day/2023/c-spine-clearance-kids/
JournalFeed. (2024). New, dangerous synthetic opioids hit the streets. https://journalfeed.org/article-a-day/2024/new-dangerous-synthetic-opioids/
JournalFeed. (2024). Synthetic opioids: The nitazene wave. https://journalfeed.org/article-a-day/2024/synthetic-opioids-nitazenes/
Segment 3: Oral Contrast (10 min | YouTube / Instagram)
JournalFeed. (2023). Can we spot potentially violent patients at the door? https://journalfeed.org/article-a-day/2023/spot-violent-patients/
JournalFeed. (2023). What precedes and leads to workplace violence? https://journalfeed.org/article-a-day/2023/workplace-violence-healthcare/
JournalFeed. (2024). Healthcare violence is too high—3 ways to break the cycle. https://journalfeed.org/article-a-day/2024/healthcare-violence-cycle/
Our social media:
TikTok: https://www.tiktok.com/@ccme_courses
Instagram: https://www.instagram.com/ccme_courses
Facebook: https://www.facebook.com/CenterForMedicalEducation

LinkedIn: https://www.linkedin.com/in/rickbukata
Our podcasts:
The 2 View Podcast (Free):
Subscribe on Apple Podcasts https://apple.co/3rhVNZw
Subscribe on Google Podcasts: http://bit.ly/2MrAHcD
Subscribe On Spotify: http://spoti.fi/3tDM4im
Risk Management Monthly Podcast (Paid CME):
https://www.ccme.org/riskmgmt
** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
The information in this video is for informational purposes only and not for the purpose of providing legal advice. You should contact your attorney to obtain advice with respect to any particular issue or problem. Nothing here should be construed to form an attorney-client relationship. **
emergencymedicine #cme
51 min
January 16 52 - Medical Myths in the ER
Welcome to Episode 52 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
NSAIDs
National Institutes of Health. (2022). Nonsteroidal antiinflammatory drugs. LiverTox: Clinical and research information on drug-induced liver injury. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK548614/
LFTs / Drug-Induced Liver Injury
American Association for the Study of Liver Diseases. (2023). Practice guidance on drug, herbal, and dietary supplement–induced liver injury. Hepatology. Retrieved from https://journals.lww.com/hep/fulltext/2023/03000/aasld_practice_guidance_on_drug,_herbal,_and.28.aspx
Toxicology Screening
StatPearls Publishing. (2023). Toxicology screening. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK499901/
Academy of Diagnostic & Laboratory Medicine. (2023). Testing for drugs of misuse to support the emergency department. Retrieved from https://myadlm.org/science-and-research/academy-guidance/testing-for-drugs-of-misuse-to-support-the-emergency-department
CT Utilization / Imaging
American College of Emergency Physicians. (2022). The renewed necessity of robust clinical judgment in CT scan utilization. ACEP Now. Retrieved from https://www.acepnow.com/article/the-renewed-necessity-of-robust-clinical-judgment-in-ct-scan-utilization/
Appropriate Testing / Overuse Context
Melnick, E. R., et al. (2023). GRACE-2: Guidelines for reasonable and appropriate care in the emergency department. Academic Emergency Medicine. Retrieved from https://onlinelibrary.wiley.com/doi/10.1111/acem.14495
More from us:
Our CME courses:
EM Boot Camp: https://courses.ccme.org/course/embootcamp/about
EM Boot Camp Pharmacology Workshop: https://bit.ly/2I44xld
Bouncebacks! Medical & Legal: https://courses.ccme.org/education/bouncebacks-medical-and-legal
Mastering Emergency Imaging: https://courses.ccme.org/education/mastering-emergency-imaging
Advanced EM Boot Camp: https://courses.ccme.org/course/advancedbootcamp/about
Advanced ECG Workshop: https://bit.ly/aembc-ecg
Advanced Imaging Workshop: https://bit.ly/aembc-imaging
EM & Acute Care: https://courses.ccme.org/course/ema/about
National EM Board Review: https://courses.ccme.org/course/nembr/about
High Risk Emergency Medicine: https://courses.ccme.org/course/hrem
The Heart Course: https://courses.ccme.org/course/theheartcourse
The Cadaver-Based Procedures & Suturing Courses: https://courses.ccme.org/course/cadaver
EM:Prep LLSA Review: https://courses.ccme.org/course/em-prep/about
EMCert Module Mastery: https://courses.ccme.org/course/emcertmodule
USC Trauma Course: https://courses.ccme.org/course/usc-trauma
ACOEP Scientific Assembly: https://courses.ccme.org/course/acoep
Mastering Acute Care Charting - 2023 Updates: https://courses.ccme.org/course/macc
Flourishing in Medicine: https://courses.ccme.org/course/flourishing-in-medicine
The DEA Licensee SUD Training Course: https://courses.ccme.org/course/dea
ACOFP On-Demand: https://courses.ccme.org/education/acofp25-clinical-selects
The Airway and Lung Course: https://courses.ccme.org/education/airway
Mastering Pediatric Emergencies: https://courses.ccme.org/course/pediatric-em
Innovations in ED Management: https://courses.ccme.org/course/innovationsined
American Osteopathic Association Courses: https://aoa.coursehost.net
EM Cases Summit: https://courses.ccme.org/education/em-cases-summit-2024
IncrEMentuM Conference – On-Demand: https://courses.ccme.org/education/incrementum-2025
Our social media:
TikTok: https://www.tiktok.com/@ccme_courses
Instagram: https://www.instagram.com/ccme_courses
Facebook: https://www.facebook.com/CenterForMedicalEducation

LinkedIn: https://www.linkedin.com/in/rickbukata
Our podcasts:
The 2 View Podcast (Free):
Subscribe on Apple Podcasts https://apple.co/3rhVNZw
Subscribe on Google Podcasts: http://bit.ly/2MrAHcD
Subscribe On Spotify: http://spoti.fi/3tDM4im
Risk Management Monthly Podcast (Paid CME):
https://www.ccme.org/riskmgmt
** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
The information in this video is for informational purposes only and not for the purpose of providing legal advice. You should contact your attorney to obtain advice with respect to any particular issue or problem. Nothing here should be construed to form an attorney-client relationship. **
emergencymedicine #cme
1 hr 2 min
December 16, 2025 51 - Fitness, Gabapentin, Diverticulitis, and more...
Welcome to Episode 51 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Segment 1
Rodríguez, M. Á., Quintana-Cepedal, M., Cheval, B., Thøgersen-Ntoumani, C., Crespo, I., & Olmedillas, H. (2025, October 7). Effect of exercise snacks on fitness and cardiometabolic health in physically inactive individuals: Systematic review and meta-analysis. British Journal of Sports Medicine. Advance online publication. https://doi.org/10.1136/bjsports-2025-110027
Rodgers, L. (2025, October 17). As pickleball continues to gain players, injuries are increasing. JAMA. https://doi.org/10.1001/jama.2025.18833
Segment 2
Baos, S., Lui, M., Walker-Smith, T., Pufulete, M., Messenger, D., Abbadi, R., Batchelor, T., Casali, G., Edwards, M., Goddard, N., Abu Hilal, M., Alzetani, A., Vaida, M., Martinovsky, P., Saravanan, P., Cook, T., Malhotra, R., Simpson, A., Little, R., Wordsworth, S., Stokes, E., Jiang, J., Reeves, B., Culliford, L., Collett, L., Maishman, R., Chauhan, N., McCullagh, L., McKeon, H., Abbs, S., Lamb, J., Gilbert, A., Hughes, C., Wynick, D., Angelini, G., Grocott, M., Gibbison, B., & Rogers, C. A. (2025). Gabapentin for pain management after major surgery: A placebo-controlled, double-blinded, randomized clinical trial (the GAP Study). Anesthesiology, 143(4), 851-861. https://doi.org/10.1097/ALN.0000000000005655
NEJM Journal Watch. (2024, December 30). Growing evidence of harms associated with gabapentinoid drugs. JWatch. https://www.jwatch.org/na58203/2024/12/30/growing-evidence-harms-associated-with-gabapentinoid-drugs
Moeindarbari, S., Beheshtian, N., & Hashemi, S. (2022). Cerebral vein thrombosis in a woman using oral contraceptive pills for a short period of time: A case report. Journal of Medical Case Reports, 16, Article 260. https://doi.org/10.1186/s13256-022-03473-w
Peckham, A. M., Evoy, K. E., Ochs, L., & Covvey, J. R. (2018). Gabapentin for off-label use: Evidence-based or cause for concern? Substance Abuse: Research and Treatment, 12, 1178221818801311. https://doi.org/10.1177/1178221818801311
The 2 View: Emergency Medicine PAs & NPs. (2025, January 22). 41 – RCVS and CVT, CPR care science, prehospital tourniquets, blood pressure [Audio podcast episode]. Fireside. https://2view.fireside.fm/41
Strahan, A. E., Rikard, S. M., Schmit, K. M., Zhang, K., Guy, G. P., Jr., & [Additional Authors]. (2025). Trends in dispensed gabapentin prescriptions in the United States, 2010 to 2024. Annals of Internal Medicine. Advance online publication. https://doi.org/10.7326/ANNALS-25-01750
Segment 3
Brown, R. F., Lopez, K., Smith, C. B., & Charles, A. (2025). Diverticulitis: A review. JAMA, 334(13), 1180-1191. https://doi.org/10.1001/jama.2025.10234
Carr, S., & Velasco, A. L. (2024, July 25). Colon diverticulitis. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK541110/
Bob Tubbs on Emergency Radiology: https://youtu.be/Jg1JG67eoJQ
Our social media:
TikTok: https://www.tiktok.com/@ccme_courses
Instagram: https://www.instagram.com/ccme_courses
Facebook: https://www.facebook.com/CenterForMedicalEducation

LinkedIn: https://www.linkedin.com/in/rickbukata
Our podcasts:
The 2 View Podcast (Free):
Subscribe on Apple Podcasts https://apple.co/3rhVNZw
Subscribe on Google Podcasts: http://bit.ly/2MrAHcD
Subscribe On Spotify: http://spoti.fi/3tDM4im
Risk Management Monthly Podcast (Paid CME):
https://www.ccme.org/riskmgmt
** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
emergencymedicine #cme
1 hr 20 min
November 10, 2025 50 - WHO and Tropical Diseases, Sneakily Sick Kids, Older Nurses, and D-Dimer | The 2 View
About this Episode
Episode 50 of “The 2 View” – BNPs, D-Dimers, and Sneakily Sick Kids
Segment 1A - Needs of older nurses
Clendon JA, Walker L. Nurses aged over 50 and their perceptions of flexible working: The experiences and needs of older nurses in relation to flexible working and the barriers and facilitators to implementation within workplaces. J Nurs Manag. 2016;24:336-346. doi:10.1111/jonm.12325
Segment 1B - WHO and Tropical Diseases
Special Programme for Research and Training in Tropical Diseases. World Health Organization. Accessed August 19, 2025. https://tdr.who.int/about-us
Segment 2A - BNP
Silvers SM, Gemme SR, Hickey S, et al. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Heart Failure Syndromes. Ann Emerg Med. 2019;49(2): 232–241.
Lamberta M, Chertoff A. BNP Level in the Emergency Department: Does it Change Management? EMDocs. June 20, 2016. Accessed November 4, 2025. https://www.emdocs.net/bnp-level-in-the-emergency-department-does-it-change-management/
Maisel AS, Krishnaswamy P, Nowak RM, et al. Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med. 2002;347(3):161-167. doi: 10.1056/NEJMoa020233
Segment 2B - D-Dimer
Wolf SJ, Hahn SA, Nentwich LM, et al. Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected acute venous thromboembolic disease. Ann Emerg Med. 2018;71(5):e59–e109. doi:10.1016/j.annemergmed.2018.03.006
Righini M, Van Es J, Den Exter PL, et al. Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism: The ADJUST-PE study. JAMA. 2014;311(11):1117–1124. doi:10.1001/jama.2014.2135
van der Hulle T, Cheung WY, Kooij S, et al. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): A prospective, multicentre, cohort study. Lancet. 2017;390(10091):289–297. doi:10.1016/S0140-6736(17)30885-1
Kearon C, de Wit K, Parpia S, et al. Diagnosis of pulmonary embolism with D-dimer adjusted to clinical probability. N Engl J Med. 2019;381(22):2125–2134. doi:10.1056/NEJMoa1909159
Lim w, Le Gal G, Bates SM, et al. American Society of Hematology 2018 guidelines for management of venous thromboembolism: Diagnosis of venous thromboembolism. Blood Adv. 2018;2(22):3226-3256. doi:10.1182/bloodadvances.2018024828
Kabrhel C, Jaff MR, Channick RN. D-dimer. StatPearls. June 22, 2025. Accessed November 4, 2025. https://www.ncbi.nlm.nih.gov/books/NBK431064/
Tripodi A, Lippi G. How we manage a high D-dimer. Haematologica. 2020;106(6):1491-1494. doi:10.3324/haematol.2020.248344
Segment 3: Sneakily Sick Kids
Kocher MS, Zurakowski D, Kasser JR. Differentiating between septic arthritis and transient synovitis of the hip in children: An evidence-based clinical prediction algorithm. J Bone Joint Surg Am. 1999;81(12):1662-1670. doi:10.2106/00004623-199912000-00002
Caird MS, Flynn JM, Leung YL, et al. Factors distinguishing septic arthritis from transient synovitis of the hip in children: a prospective study. J Bone Joint Surg Am. 2006;88(6): 1251-1257. doi:10.2106/JBJS.E.00216
Recurring Sources
Center for Medical Education. http://ccme.org
The Proceduralist. http://www.theproceduralist.org
The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. http://www.thesgem.com
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
1 hr 5 min
September 22, 2025 49 – New IDSA Complicated UTI Guidelines, Pediatric Nicotine OD, Hepatitis C Screening in the ED, High-Risk Delta Troponins | The 2 View
About this Episode
Episode 49 of “The 2 View” – New IDSA Complicated UTI Guidelines, Pediatric Nicotine OD, Hepatitis C Screening in the ED, High-Risk Delta Troponins
Segment 1A – Pediatric Nicotine Ingestion
Madelyn O, Hays HL, Kistamgari S, et al. Nicotine Ingestions Among Young Children: 2010–2023. Pediatrics. 2025;156(2):e2024070522. doi:10.1542/peds.2024-070522.
Segment 1B – Finger Thoracostomy and Traumatic Pneumothorax/Hemothorax
Blank, J, de Moya MA. Traumatic pneumothorax and hemothorax: What you need to know. J Trauma Acute Care Surg. Published online July 3, 2025. doi:10.1097/TA.0000000000004692
Beyer CA, Ruf AC, Alshawi AB, Cannon JW. Management of traumatic pneumothorax and hemothorax. Curr Probl Surg. 2025;63. doi:10.1016/j.cpsurg.2024.101707.
Weingart, S. EMCrit 62 – Needle vs. Knife II: Needle Thoracostomy (Decompression)? EMCrit. Published online December 11, 2011. https://emcrit.org/emcrit/needle-finger-thoracostomy/
Lange C, Sharma M. Podcast #223 - ATLS Episode 4: Thoracic Trauma (Chapter 4). Total EM. October 27, 2020.
https://www.totalem.org/emergency-professionals/podcast-223-atls-episode-4-thoracic-trauma-chapter-4
Segment 2A – Hepatitis C Screening in EDs
Haukoos J, Rothman RE, Galbraith JW, et al. Hepatitis C Screening in Emergency Departments: The DETECT Hep C Randomized Clinical Trial. JAMA. 2025;334(6):497–507. doi:10.1001/jama.2025.10563
Segment 2B – Serial HS-Troponin Patterns
Huggins C, Saltarell Ni, Swoboda TK, et al. Kinetic changes in high-sensitivity cardiac troponin for risk stratification of emergency department chest pain patients. Am J Emerg Med. 2025;93:176-181. doi:10.1016/j.ajem.2025.04.010.
Segment 3 - Updated IDSA Guidelines on Complicated Urinary Tract Infections
Splete H. IDSA Updates Guidelines on Complicated UTIS. Medscape. Published online July 18, 2025.
https://www.medscape.com/viewarticle/idsa-updates-guidelines-complicated-utis-2025a1000j3l
Trautner BW, Cortes-Penfield NW, Gupta K, et al. Complicated Urinary Tract Infections (cUTI): Clinical Guidelines for Treatment and Management. IDSA. Published online July 17, 2025.
https://www.idsociety.org/practice-guideline/complicated-urinary-tract-infections/
Roberts M, Sharma M. 34 - Pertussis, Computer Interpretation of EKGs, Tuberculosis, Fluoroquinolone Side Effects. The 2 View. Published online April 10, 2024.
https://2view.fireside.fm/34
Roberts M, Sharma M. 46 - Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges. The 2 View. Published online June 11, 2025.
https://2view.fireside.fm/46
Bonus Reference – Ponytail Headache
Blau JN. Ponytail Headache: A Pure Extracranial Headache. Headache. 2004;44(5):411-413. doi: 10.1111/j.1526-4610.2004.04092.x.
Recurring Sources
Center for Medical Education. http://ccme.org
The Proceduralist. http://www.theproceduralist.org
The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. http://www.thesgem.com
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
46 min
August 10, 2025 48 – Burn Tx, Marijuana & CV Risk, Ocular Syphilis, and HSV 1 & 2 | The 2 View
About this Episode
Episode 48 of “The 2 View” – Burn Tx, Marijuana & CV Risk, Ocular Syphilis, and HSV 1 & 2
Segment 1 – Thermal Burn Treatment
Levin NJ, Erben Y, Li Y, et al. Edited by Muacevic A, Adler JR. A Systematic Review and Meta-Analysis Comparing Burn Healing Outcomes Between Silver Sulfadiazine and Aloe vera. Cureus. 2022;14(10):e30815. Accessed August 11, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC9621733/
Aziz Z, Abdul Rasool Hassan B. The effects of honey compared to silver sulfadiazine for the treatment of burns: A systematic review of randomized controlled trials. Burns. 2017;43(1):50-57. Accessed August 11, 2025.
https://pubmed.ncbi.nlm.nih.gov/27576926/
Segment 2A – Marijuana and Cardiovascular Risk
Mohammadi L, Navabzadeh M, Jimenez-Tellez N, et al. Association of Endothelial Dysfunction With Chronic Marijuana Smoking and THC-Edible Use. JAMA Cardiol. Published online May 28, 2025. doi:10.1001/jamacardio.2025.1399. Accessed August 11, 2025.
https://jamanetwork.com/journals/jamacardiology/fullarticle/2834540
Storck W, Elbaz M, Vindis C, et al. Eifling KP, Gaudio FG, Dumke C, et al. Cardiovascular risk associated with the use of cannabis and cannabinoids: a systematic review and meta-analysis. Heart. Published online June 17, 2025. doi:10.1136/heartjnl-2024-325429. Accessed August 11, 2025.
https://pubmed.ncbi.nlm.nih.gov/40527600/
Page II RL, Allen LA, Kloner RA, et al. Medical Marijuana, Recreational Cannabis, and Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation. 2020;142(10);e131-152.
https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000883
Segment 2B – Ocular Syphilis
Zhou LR, Kirupaharan N, Birkenstock MK. Incidence and Prevalence of Syphilitic Uveitis and Associated Ocular Complications in the TriNetX Database. Am J Ophthalmol. 2025;277:387-394.
https://www.sciencedirect.com/science/article/pii/S0002939425002843
Segment 3 - HSV 1 & 2
Langenberg AGM, Corey L, Ashley RL, et al. A Prospective Study of New Infections with Herpes Simplex Virus Type 1 and Type 2. N Engl J Med. 1999;341:1432-1438.
https://www.nejm.org/doi/full/10.1056/nejm199911043411904
Lebrun-Vignes B, Bouzamondo A, Dupuy A, et al. A meta-analysis to assess the efficacy of oral antiviral treatment to prevent genital herpes outbreaks. J Am Acad Dermatol. 2007;57(20):238-246.
Recurring Sources
Center for Medical Education. http://ccme.org
The Proceduralist. http://www.theproceduralist.org
The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. http://www.thesgem.com
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
55 min
July 01, 2025 47 - Mastering Emergency Radiology with Robert Tubbs, MD | The 2 View
Welcome to Episode 47 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
New CCME Courses: Mastering Emergency Imaging with Dr. Robert Tubbs and Dr. Adam Janicki
https://courses.ccme.org/education/mastering-emergency-imaging
American Academy of Radiology Appropriateness
https://www.acr.org/Clinical-Resources/Clinical-Tools-and-Reference/Appropriateness-Criteria
Dr. David Schwartz: Emergency Radiology Textbook
https://www.amazon.com/Emergency-Radiology-David-T-Schwartz/dp/0071409173
The Usual Links
CCME www.ccme.org
SGEM: www.thesgem.com
The Proceduralist: www.theproceduralist.org
Old Procedural Pause videos: https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
1 hr 4 min
June 11, 2025 46 - Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges | The 2 View
About this Episode
Episode 46 of “The 2 View” – Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges
Segment 1A – Music Therapy In the ED
Edited by Chaphalkar A. Music therapy eases pain and anxiety in the ED. Medscape. May 2, 2025.
https://www.medscape.com/viewarticle/music-therapy-eases-pain-and-anxiety-emergency-department-2025a1000apm
Episode 1. The 2 View. 2view.fireside.fm. Published January 11, 202.
https://2view.fireside.fm/1
Segment 1B – Heat Stroke Guidelines
Barletta JF, Palimeri TL, Toomy SA, et al. Society of Critical Care Medicine Guidelines for the Treatment of Heat Stroke. Crit Care Med. 2025; 53(2):p e490-e500.
https://journals.lww.com/ccmjournal/fulltext/2025/02000/society_of_critical_care_medicine_guidelines_for.22.aspx
Eifling KP, Gaudio FG, Dumke C, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update. Wildness Environ Med. 2024;35(1_suppl):112S-127S.
https://journals.sagepub.com/doi/10.1177/10806032241227924
Hawkins SC, David F. An Evidence-Based Guide to Heat Stress. Image. Raw Medicine.
https://rawmedicine.org/episodes/f/episode-6-heat-emergencies-with-tod-schimelpfenig-and-tim-durkin Published July 1, 2018.
Segment 2A – Cephalosporins for Outpatient Treatment of Pyelonephritis
Gupta K, Hooton TM, Naber, KG, et al. International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Inf Dis. 2011;52(5):e103-120.
https://academic.oup.com/cid/article/52/5/e103/388285
Koehl J, Spolsdoff D, Negaard B, et al. Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study. Ann Emerg Med. 2025;85(3):240-248. https://www.annemergmed.com/article/S0196-0644(24)01140-5/abstract
Segment 2B - Ouropouche Virus
Clinical Overview of Oropouche Virus Disease. Centers for Disease Control and Prevention. May 8, 2025.
https://www.cdc.gov/oropouche/hcp/clinical-overview/index.html
Glatter RD, Sader Neves Ferreira J. Why Is Oropouche Spreading so Fast? Medscape. May 19, 2025.
https://www.medscape.com/viewarticle/why-oropouche-spreading-so-fast-2025a1000cgb
Segment 3 - Discharging Patients
Safe Discharge From The Emergency Department. Ann Emerg Med. 2019;74(5):e95.
https://www.annemergmed.com/article/S0196-0644(19)30622-5/abstract
Ward, M. When And How Should Clinicians View Discharge Planning as Part of a Patient’s Care Continuum? AMA J Ethics. 2023;25(12):e866-872.
https://journalofethics.ama-assn.org/article/when-and-how-should-clinicians-view-discharge-planning-part-patients-care-continuum/2023-12
Some Points to Consider Before Discharging a Patient, from Mike and Martha:
History / Physical
• Abnormal vital signs – treated/explained
• Timely repeat vital signs relative to discharge
• Addressed all concerns raised in your history-taking and nursing notes
• Pertinent history & exam positives/negatives
Diagnostics / Decision-Making
• Reviewed all diagnostics ordered
• Documented abnormalities, explained their significance, & directed follow-up
• Adequately considered differential diagnosis

• Even in a non-acute setting, adequately ruled out life/limb/organ threats
• Appropriately documented communication with staff, consultants, pt’s family
• Documented patient declining any diagnostics/treatment and their reasons

• Documented any reasonable attempts at an alternative plan
• Documented assessment of pt’s capacity to make informed medical decisions
General Documentation
• Reviewed “smart phrases” word-for-word to ensure they apply to this pt
• Documented use of language services in accordance with institution policies
• Documented all appropriate diagnoses (including abnormal vital signs and abnormal diagnostics as appropriate)
Discharge Plan
• A discharge plan that make sense for this patient, including taking social determinants of health into consideration
• Patient can reasonably attend follow-up visits
• Follow-up timeframe is appropriate for patient
• Patient can afford or obtain essential medications and treatments
• Discharge instructions and return precautions, especially for high-risk issues (chest/abdo pain, wounds, infections, fx, splints/casts, controlleds)?
Recurring Sources
Center for Medical Education. http://ccme.org
The Proceduralist. http://www.theproceduralist.org
The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. http://www.thesgem.com
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to.
1 hr 26 min
May 02, 2025 45 - Intoxicated Patients, Propranolol, Snake Bites, and more... | The 2 View
Welcome to Episode 45 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 45 of “The 2 View” – All things toxicology: the intoxicated patient, propranolol overdose and suicide, snake bites, and a special guest.
Segment 1 – The intoxicated patient
Kaufman J, Fitzpatrick P, Tosif S, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ. The BMJ. Published April 7, 2017.
https://www.bmj.com/content/357/bmj.j1341
Kraaijvanger N, Raven W, van Dijken T, Gresnigt F. The PIRATE mnemonic: providing a structured approach in the care for intoxicated patients at the emergency department. Int J Emerg Med. Educational Advances in Emergency Medicine. BMC: Part of Springer Nature. Published March 1, 2024
https://intjem.biomedcentral.com/articles/10.1186/s12245-024-00606-4
Thiessen P. A simple new technique for collecting urine in infants. Thischangedmypractice.com. The University of British Columbia. Faculty of Medicine: This Changed My Practice (TCMP) by UBC CPD. Published November 18, 2015.
https://thischangedmypractice.com/new-technique-for-collecting-urine-in-infants/
Van Oyen A, Barney N, Grabinski Z, et al. Urine Toxicology Test for Children With Altered Mental Status. Aap.org. Pediatrics. Case Reports. American Academy of Pediatrics: Dedicated to the Health of All Children. Published October 6, 2023.
https://publications.aap.org/pediatrics/article/152/5/e2022060861/194346/Urine-Toxicology-Test-for-Children-With-Altered?autologincheck=redirected
Segment 2 – Propranolol overdose and suicide
Khalid MM, Galuska MA, Hamilton RJ. Beta-Blocker Toxicity. In: StatPearls. StatPearls Publishing. NIH: National Library of Medicine – National Center for Biotechnology Information. Published July 28, 2023.
https://www.ncbi.nlm.nih.gov/books/NBK448097/
Srettabunjong S. Fatal Self-Poisoning With Massive Propranolol Ingestion in a Young Male Physician. Am J Forensic Med Pathol. PubMed®. NIH: National Library of Medicine – National Center for Biotechnology Information. Published September 2017.
https://pubmed.ncbi.nlm.nih.gov/28691951/
Segment 3 – Snake bites
Rohl S, Meredith M, Anderson, T, et al. Comparing the Use of Crotaline-Polyvalent Immune Fab (Ovine) Versus Observation in Children. Pediatric Emergency Care: Dedicated to the Care of the Ill or Injured Child. Lww.com. Published November 2024.
https://journals.lww.com/pec-online/abstract/2024/11000/comparing_the_use_of_crotaline_polyvalent_immune.19.aspx
Snake bites. Wikem.org. WikiEM. Last edited March 17, 2021.
https://wikem.org/wiki/Snake_bites
Toxicology resources
Goldfrank LR, Flomenbaum NE, Howland MA, et al. Goldfrank’s Toxicologic Emergencies. 8th ed. McGraw-Hill Medical; 2006.
Katz K, O’Connor A, Amaducci AM. EMRA and ACMT Medical Toxicology Guide: 2nd Edition.; 2022.
National Poison Data System. Poisoncenters.org. America’s Poison Centers: Treatment, Education, Prevention. Accessed April 9, 2025. https://poisoncenters.org/national-poison-data-system
Poison Control: National Capital Poison Center. Poison.org. Accessed April 9, 2025. https://www.poison.org/
*Segment 4 – Special guest: Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN, CEN, CCRN, of Arizona
*
Linkedin.com. Accessed April 9, 2025. https://www.linkedin.com/in/nancy-denke-dnp-acnp-bc-fnp-bc-faen-a62851
Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN, CEN, CCRN, of Arizona. ENA Hall of Honor. Published July 26, 2024. Accessed April 9, 2025. https://hall-of-honor.org/nancy-denke
PodBean Development. Talking Toxicology: A Recipe for Disaster (Nancy Denke). BCEN & Friends Podcast. PodBean. Published March 7, 2023.
https://bcenandfriends.podbean.com/e/talking-toxicology-a-recipe-for-disaster-nancy-denke/
*Recurring Sources
*
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
1 hr 18 min
March 31, 2025 44 - Fraud, Tourniquet Application, Young Cardiac Arrest, IAE, The Pitt , and more... | The 2 View
Welcome to Episode 44 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 44 of “The 2 View” – The Pitt, Cardiac Arrest in Young People, and Influenza Associated Encephalopathy.
Segment 1 – Fraud and Conspiracy and Schemes, Oh My!
Florida Physician Assistant Pleads Guilty to a $7.3 Million Health Care Fraud Conspiracy. United States Attorney’s Office: District of New Hampshire. United States Department of Justice. Justice.gov. December 3, 2024.
https://www.justice.gov/usao-nh/pr/florida-physician-assistant-pleads-guilty-73-million-health-care-fraud-conspiracy
Nurse Practitioner Sentenced To Five Years In Prison For $11.2 Million Disability Loan Fraud Scheme. United States Attorney’s Office: Sothern District of New York. United States Department of Justice. Justice.gov. February 5, 2025.
https://www.justice.gov/usao-sdny/pr/nurse-practitioner-sentenced-five-years-prison-112-million-disability-loan-fraud
The Board of Certification for Emergency Nursing. BCEN. February 17, 2023.
http://www.bcen.org
Segment 2 – Prehospital Tourniquet Application
Rittblat M, Gendler S, Tsur N, Radomislensky I, Ziv A, Bodas M. The cost of saving lives: Complications arising from prehospital tourniquet application. WILEY Online Library. Acad Emerg Med. December 16, 2024.
https://onlinelibrary.wiley.com/doi/10.1111/acem.15070
The Center for Medical Education. 2 View: Emergency medicine PAs & NPs: 41 - RCVS and CVT, CPR Care Science, Prehospital Tourniquets, Blood Pressure. 2 View: Emergency Medicine PAs & NPs. January 22, 2025.
https://2view.fireside.fm/41
Segment 3 – Cardiac Arrest in Young People
Chia MYC, Lu QS, Rahman NH, et al. Characteristics and outcomes of young adults who suffered an out-of-hospital cardiac arrest (OHCA). NIH: National Library of Medicine – National Center for Biotechnology Information. PubMed. Resuscitation. February 2017.
https://pubmed.ncbi.nlm.nih.gov/27923113/
Parekh S. Teen athlete saved after cardiac arrest speaks out: What to know about lifesaving role of CPR, AEDs in schools. GMA. ABC News. September 6, 2024.
https://www.goodmorningamerica.com/wellness/story/teen-athlete-saved-after-cardiac-arrest-speaks-lifesaving-113460919
The Center for Medical Education. 2 View: Emergency medicine PAs & NPs: 42 - Pink Cocaine, Holiday Heart Syndrome, Pertussis, Research Updates, and More! 2 View: Emergency Medicine PAs & NPs. February 12, 2025.
https://2view.fireside.fm/42
Tseng Z, Nakasuka K. Out-of-Hospital Cardiac Arrest in Apparently Healthy, Young Adults. JAMA Network. Jamanetwork.com. February 20, 2025.
https://jamanetwork.com/journals/jama/article-abstract/2830678
Segment 4 – Influenza Associated Encephalopathy
Fazal A, Reinhart K, Huang S, et al. Reports of Encephalopathy Among Children with Influenza-Associated Mortality - United States, 2010-11 Through 2024-25 Influenza Seasons. CDC: Morbidity and Mortality Weekly Report (MMWR) Morb Mortal Wkly Rep. February 27, 2025.
https://www.cdc.gov/mmwr/volumes/74/wr/mm7406a3.htm
Surtees R, DeSousa C. Influenza virus associated encephalopathy. NIH: National Library of Medicine – National Center for Biotechnology Information. PMC: PubMed Central. Arch Dis Child. June 2006.
https://pmc.ncbi.nlm.nih.gov/articles/PMC2082798/
Segment 5 – The Pitt
Max. The Pitt | official trailer | Max. Accessed March 27, 2025. https://www.youtube.com/watch?v=ufR_08V38sQ
The Pitt. Max. Accessed March 27, 2025. https://www.max.com/shows/pitt-2024/e6e7bad9-d48d-4434-b334-7c651ffc4bdf
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
Trivia Question: Send answers to [email protected]
Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
1 hr 17 min

About 2 View: Emergency Medicine PAs & NPs

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The 2 View is a podcast featuring EM clinicians Martha Roberts NP and Michael Sharma PA. The podcast discusses hot topics in EM and urgent care for advanced practice providers. The podcasts features…