Always On EM - Mayo Clinic Emergency Medicine

By Alex Finch; Venk Bellamkonda

What's Always On EM - Mayo Clinic Emergency Medicine about?

Hosts, Alex Finch, MD and Venk Bellamkonda, MD explore topics relevant to the practice, education or research of emergency medicine. Enjoy interviews with people on the front lines, thought leaders from around the world, and the comedy and drama of life when it intersects with emergency care.

Email: [email protected]

Download our free app to listen on your phone

Always On EM - Mayo Clinic Emergency Medicine episodes:

06.15.2024
Grand Rounds - Dr. Matthew Hamilton - The History of Homosexuality and Medicine
In this final chapter of the academic year 2023-2024, we celebrate our graduating EM class of residents by spotlighting a senior capstone presentation by Dr. Matthew Hamilton covering the intersection of homosexuality and medicine. In this presentation, he aims for...
06.01.2024
Chapter 31 - Legal landmines and lifeboats: Understanding legal risk in emergency medicine
Alex and Venk talk through the medicolegal aspects of practicing emergency medicine with emergency physician and attorney, Dr. Rachel Lindor. She is previous chair of research for Mayo Clinic Emergency Medicine in Scottsdale Arizona and holds both MD & JD...
05.14.2024
Grand Rounds - Dr. John Wilson - Updates in Tuberculosis "The gift that keeps on giving"
Dr. John Wilson, consultant in the division of infectious diseases at Mayo Clinic, and professor of medicine, director of Tuberculosis consultations at Mayo Clinic presents updates in Tuberculosis for Mayo Clinic Emergency Medicine Grand Rounds back in February. CONTACTS X - @AlwaysOnEM;...
05.01.2024
Chapter 30 - Two minutes to midnight: Critical overview of hemoptysis
Dr. Dagny Anderson, a specialist in the division of pulmonary and critical care medicine at Mayo Clinic, joins Alex and Venk to talk about both life threatening hemoptysis and non-lifethreatening hemoptysis. In this chapter we review what we need to...
04.14.2024
Grand Rounds - Dr. Michael Wilson - What your psychiatrist isn't telling you about suicide prevention in the ED
Whether or not emergency physicians believe that patients with thoughts of self-harm belong in the ED, they are coming to your ED anyway. According to the Centers for Disease Control, ED visit rates for nonfatal self-harm increased 42% among persons...
04.01.2024
Chapter 29 - How to save a life - A primer on ECPR and ED ECMO
Dr. Suraj Yalamuri, Mayo Clinic Anesthesiology Critical Care and Cardiovascular Medicine Consultant, joins Alex and Finch to talk about the fundamentals of ECMO and ECPR. This is a great way to get caught up on this emerging science so that...
03.14.2024
Grand Rounds - Dr. Rebecca Leff - Fit for Purpose: Emergency Medicine Physicians and Humanitarian Response in Complex Emergencies
Dr. Leff shares, in her senior resident capstone presentation, a primer on humanitarian efforts, what are basic principles of aid, how to identify the key health needs of populations affected by crises and how EM clinicians can respond to those...
03.01.2024
Chapter 28 - Cant stop the bleeding - Mastering epistaxis
Dr. Mike Olson, former EM PA and now ENT attending sits down to talk about epistaxis with Alex and Venk. We go through a pragmatic approach to epistaxis, discuss some nuance cases including telangiectasia, hypertension, and anticoagulation. interventions are key, what...
02.14.2024
Chapter 27.5 - Unbundling the bundle - Part two of sepsis
Dr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best practices in today's emergency medicine. This is the second part of the two part series. Do...
02.01.2024
Chapter 27 - Machiavelli's Hectic Fever - Part one of sepsis
Dr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best practices in today's emergency medicine. Do you know how Sepsis is defined currently? What is...
01.14.2024
Grand Rounds - Dr. Dougie Moss - Chart-onomics
In this chapter, Dr. Dougie Moss, final year EM resident presents his Capstone presentation on best charting practices to match reimbursement to the care we deliver. Take a listen to better understand the new billing expectations of our documentation. CONTACTS X -...
01.01.2024
Chapter 26 -Sick young person with spots - Meningococcemia in the ED
Alex and Venk talk through a previous case where they care for a young person with meningococcemia on a night shift. We review the disease, what to watch for, how to treat it, and go over some of the residue...
12.14.2023
Grand Rounds - Dr. Aaron Klassen - Out of hospital cardiac arrest - Challenges and Changes
It is no surprise that outcomes are poor for patients who already meet one definition for 'death' even before the point of their first medical contact. But for nearly half of certain patients with out-of-hospital cardiac arrest, good neurologic outcomes...
12.01.2023
Chapter 25 - The one where Alex finally gets to ask about REBOA - Hematomas
This chapter we talk with Dr. Henry Schiller, trauma surgeon and professor of surgery at Mayo Clinic, about a variety of hematomas including Morel Lavellee lesions, retroperitoneal hematomas, rectus sheath and more! Alex even gets to ask a question about...
11.14.2023
Grand Rounds - Dr. Heather Murray - Diagnostic error in the ED - Lets talk about it
In this episode, Dr. Heather Murray, from Queen's University Department of Emergency Medicine presents the landscape of diagnostic errors in emergency medicine from the perspective of why they might occur, what can be done when they happen, and how we...
11.01.2023
Chapter 24 - In the heat of the moment - Neonatal fever
Neonatal fever can raise the temperature of the entire clinical pod along with the baby, but it doesnt have to. Join as Dr. Meghan Cain, chair of the division of pediatric and adolescent emergency medicine at Mayo Clinic, talks through...
10.14.2023
Grand Rounds - Dr. Arya Mohabbat - Central Sensitization: a syndrome of multiple difficult-to-explain chronic debilitating symptoms
So many people come to emergency departments with unexplained recurrent pains, fatigues, gastrointestinal symptoms and more - when there seems like no way we can help them, Dr. Mohabbat offers us some insight into what might be happening and how...
10.01.2023
Chapter 23 - A mother’s love -Peripartum Cardiomyopathy
Dr. Katie Young, co-director of the cardioobstetrics clinic here at Mayo Clinic sits down to talk about peripartum cardiomyopathy. This is something we will likely consider many times in our careers for patients with shortness of breath in and around...
09.14.2023
Grand Rounds - Dr. Alex Niven - Difficult airway management, an intensivist’s perspective
In this chapter, Dr. Alex Niven, renowned critical care physician and educator, provides a mirror for us to see our current state of emergency airway management - for its opportunities for improvement, innovations and best practices. This evidence fueled presentation...
09.01.2023
Chapter 22 -Did she just say hemosuccus pancreaticus? - Gastrointestinal bleeding in the emergency department
Dr. Nayantara Coelho-Prabhu, Mayo Clinic gastroenterologist specializing in the care of patients with gastrointestinal bleeding and endoscopy, talks through many aspects of acute GI bleeding. She helps to clarify the prioritization of medications, when to incorporate imaging, broadens our differentials...
08.14.2023
Grand Rounds - Dr. Shannon McNamara - Safety 1 to Safety 2 - A paradigm shift to improve performance in a complex world
Is healthcare more like an airplane, a flock of birds, or a mayonnaise? Why does it matter? In this talk, Dr. McNamara, emergency physician and patient safety champion, explores the question through the story of how she found herself at...
08.01.2023
Chapter 21 - Chickity Check Yo’ Self Before Yo’ Wreck Yo Self! Tick borne infections
Drs. Alex Finch and Venk Bellamkonda talk through tick related infectious diseases including Lyme Disease, Rocky Mountain Spotted Fever, Ehrlichiosis, Babesiosis and more! Tick related illnesses are prevalent this time of year, so take a moment to brush up on...
07.14.2023
Grand Rounds - Dr. Kharmene Sunga - Can You Hear Me Now? How To Speak Like An Emergency Physician
Dr. Kharmene Sunga, Mayo Clinic emergency medicine consultant physician, specializing in simulation, diversity equity and inclusion, and education shares a guide for how to communicate (both through listening and speaking) most effectively when it counts. TEASER There's no place like the Emergency...
07.01.2023
Chapter 20 - Relaxin to the maxin - Intrathecal baclofen pumps in the ED
Ms Lisa Beck, assistant professor of nursing and a clinical nurse specialist in the department of physical medicine and rehabilitation, shares her experiences over a career in caring for persons with intrathecal baclofen pumps for managing spinal cord injury related...
06.14.2023
Grand Rounds - Dr. Laura Walker & Dr. Katharina Kohler - Network Science Applied to Healthcare
This is really two separate episodes put together - Dr. Walker delivered grand rounds on network science applications to emergency medicine and it was inspiring. Though because it was such a visual talk, Alex and I had a conversation with...
06.01.2023
Chapter 19 - Sugar, we’re goin down swinging! - Pediatric diabetic ketoacidosis
Dr. Mark Mannenbach, emeritus pediatric emergency medicine faculty of Mayo Clinic and former chairperson of the division of pediatric emergency medicine sits down with Alex and Venk to talk about pediatric diabetic ketoacidosis. We review tips and tricks from a...
05.14.2023
Grand Rounds - Kyle Hess, PharmD - High Dose Insulin therapy for calcium channel and beta blocker overdose
This is a recording of Dr. Kyle Hess, emergency medicine pharmacy resident, speaking at grand rounds on the utility of high-dose insulin therapy for selected cardiac medication overdoses. CONTACTS Twitter - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - [email protected]
05.01.2023
Chapter 18 - a Joint Venture - A guided tour of Rheumatoid Arthritis
Rheumatoid arthritis is a challenging disease with variable presentations and complex medications that can make providing emergency care challenging. Dr. John Davis, Vice Chair of Division of Rheumatology at Mayo Clinic sits down with us to help us move easier...
04.14.2023
Grand Rounds - Dr. Alyson McGregor - How sex and gender based research impacts the delivery of emergency care
Dr. Alyson McGregor is an emergency physician and champion for health equity with regards to sex and gender. She gave an important and incredible talk to our department about the importance of recognizing the differences between sexes and genders and...
04.01.2023
Chapter 17 - LactatED: A stat consult on optimizing lactation in the ED
Possibly the first ever podcast dedicated to optimizing the experience of lactating persons in the ED, Alex and Venk sit down with Dr. Sarah Dodd, assistant professor of anesthesiology at Mayo Clinic and passionate champion for optimizing the care of...
03.14.2023
Grand Rounds - Dr. Laura Burke - Emergency Physicians as leaders of high-value healthcare
Dr. Laura Burke is a health sciences researcher and assistant professor of emergency medicine at Harvard Medical School. She gave a reaffirming grand rounds talk to us, packed full of evidence to support the concept that emergency medicine and emergency...
03.01.2023
Chapter 16 - Sorry Taylor, there is no bad blood - a discussion on transfusions
Dr. Justin Kreuter, Transfusion Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about transfusion in its many dimensions. We talk through a model of evaluation for patients with life threatening bleeding, how to interpret...
02.14.2023
Grand Rounds - Dr. Amy Zeidan - Health and health rights of immigrants in the US
In this episode, Alex and Venk give the virtual stage to Dr. Amy Zeidan from Emory University. She is an experienced and passionate advocate for helping those most in need - particularly immigrants to the United States. She gave Grand...
02.01.2023
Chapter 15 - Don’t Stop Me Now! - Preexcitation and WPW
Dr. Abhishek Deshmukh, Cardiologist specializing in electrophysiology at Mayo Clinic, joins Alex and Venk on the podcast to talk about Wolff Parkinson White Syndrome and other supraventricular tachycardias. We will review the underlying pathophysiology, and how the specific electrical conduction...
01.14.2023
Grand Rounds - Dr. Liz Goldberg - Five Traits of Exceptional People
Exceptional individuals display five common traits according to former FBI agent, Joe Navarro, an expert in non-verbal communication. These include: self-mastery, observation, communication, action, and psychological comfort. Most clinicians would agree that the therapeutic effect we have on patients has...
01.01.2023
Chapter 14 - Urine the know - Dialysis, Renal Failure and more
Alex and Venk sit down with Dr. Jim Gregoire, Mayo Clinic Nephrology, to talk through a variety of emergency nephrology topics. We talk through dialysis related issues including the different types of peritoneal dialysis and their complications. Following that we...
12.14.2022
Grand Rounds - Dr. Sergey Motov - Acute Pain Management in the ED
Dr. Sergey Motov, gave this presentation on acute pain management to the Mayo EM Grand Rounds audience in the fall of 2022. Pain is the most common reason for people to seek care in the Emergency Department. The current laws and...
12.01.2022
Chapter 13 - Can’t Breathe Without You - Angioedema and Awake Tracheal Intubation
Dr. Ben Sandefur, Emergency Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about angioedema and awake tracheal intubation. He reviews the different types of angioedema in a format designed to assist the emergency department...
11.14.2022
Grand Rounds - Dr. Victor Montori - On Care
This is a recording of Dr. Victor Montori's grand rounds presentation to Mayo Clinic Emergency Medicine challenging us to rethink the care we provide to our patients and the community as a whole. He will be discussing the movement toward careful...
11.01.2022
Chapter 12 - A lion, a House, and the mystery - Lupus and the ED
Dr. Uma Thanarajasingam, Rheumatology attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about how to approach patients with symptoms that span multiple organ systems and we are considering Lupus or when the patient has known...
10.14.2022
Grand Rounds - Dr. Brian Patterson - Predictive analytics to prevent falls after ED visits
SPEAKER: Brian Patterson, MD, University of Wisconsin He discusses the experience at UW conceiving, designing, and implementing a program, which incorporates a machine-learning algorithm for real-time calculation of fall risk for all older adults who visit the ED. The talk will...
10.01.2022
Chapter 11 - What’s cooler than being cool? Ice Cold! - Hypothermic Cardiac Arrest
Dr. Doug Brown is an emergency physician and expert in wilderness medicine and mountain rescue with a special career focus on hypothermic cardiac arrest. He has been instrumental in building the rescue and resuscitation practices in Vancouver region of Canada...
09.12.2022
Grand Rounds - Dr. Sara Crager - Reframing Shock
SPEAKER: Sara Crager, MD, UCLA Emergency Medicine When it comes to shock, we have developed a blood pressure addiction. Our propensity for a laser-like focus on blood pressure frequently hobbles our ability to promptly diagnose and optimally manage shock patients. This...
09.01.2022
Chapter 10 - Deserts and Reservoirs - A Map of the EM Workforce
There has been discussion nationally about the potential for a mismatch in the needs of the United States and the emergency physician workforce. Alex and Venk talk with Dr. Christopher Bennett, from Stanford Emergency Medicine about what he has learned...
08.01.2022
Chapter 9 - Monkeys, Chickens, and Dustin Hoffman - Monkeypox
Dr. Pritish Tosh, Infectious Disease attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about Monkeypox, especially how it compares and contrasts to Smallpox and Chickenpox. Stick around to the end where an addendum is added...
07.01.2022
Chapter 8 - A loss of power - Myasthenia Gravis and Guillain-Barre Syndromes
Dr. Lyell Jones, award winning neurologist educator, joins us on the podcast to talk about Myasthenia Gravis, Guillain-Barre Syndrome and neuromuscular weakness.
06.01.2022
Chapter 7 - Too Wide, Too Fast - Ventricular Tachycardia (Vtach)
Alex and Venk talk with Dr. Nandan Anavekar, cardiac intensivist, about wide complex tachycardias - antitachycardia pacing, balloon pumps, dual sequential cardioversion, vasopressors, beta blockers and more! SHOW: @AlwaysOnEM | @VenkBellamkonda | EMBlog.mayo.edu | [email protected] GUEST: @NandanAnavekar | @MayoCVFellows | @MayoClinicCV
05.01.2022
Chapter 6 - Simulation is the sincerest form of flattery - Medical Simulation
The Always On crew is joined by Dr. Jessica Schoen who is a world expert in medical simulation who shares perspectives on simulation fellowship as well how to uplift community emergency medicine practice through simulation.
04.01.2022
Chapter 5 - Newer Medicine for Older Adults - Geriatric Emergency Medicine
Dr. Lauren Southerland, president of ACEP and former president of SAEM geriatric EM sections and Associate Professor of Emergency Medicine at Ohio State University, joins the show and truly inspires us to think differently about how we approach the care...
03.01.2022
Chapter 4 - Pump it up! - Left Ventricular Assist Device (LVAD)
Left ventricular assist devices (LVADs) can feel incredibly complex and these patients can inspire fear or trepidation in many healthcare providers. In this episode, we talk through the basics of LVADs from taking vital signs, to managing alarms, and evaluating...

What's Always On EM - Mayo Clinic Emergency Medicine about?

Download our free app to listen on your phone

Always On EM - Mayo Clinic Emergency Medicine episodes:

Grand Rounds - Dr. Matthew Hamilton - The History of Homosexuality and Medicine

Chapter 31 - Legal landmines and lifeboats: Understanding legal risk in emergency medicine

Grand Rounds - Dr. John Wilson - Updates in Tuberculosis "The gift that keeps on giving"

Chapter 30 - Two minutes to midnight: Critical overview of hemoptysis

Grand Rounds - Dr. Michael Wilson - What your psychiatrist isn't telling you about suicide prevention in the ED

Chapter 29 - How to save a life - A primer on ECPR and ED ECMO

Grand Rounds - Dr. Rebecca Leff - Fit for Purpose: Emergency Medicine Physicians and Humanitarian Response in Complex Emergencies

Chapter 28 - Cant stop the bleeding - Mastering epistaxis

Chapter 27.5 - Unbundling the bundle - Part two of sepsis

Chapter 27 - Machiavelli's Hectic Fever - Part one of sepsis

Grand Rounds - Dr. Dougie Moss - Chart-onomics

Chapter 26 -Sick young person with spots - Meningococcemia in the ED

Grand Rounds - Dr. Aaron Klassen - Out of hospital cardiac arrest - Challenges and Changes

Chapter 25 - The one where Alex finally gets to ask about REBOA - Hematomas

Grand Rounds - Dr. Heather Murray - Diagnostic error in the ED - Lets talk about it

Chapter 24 - In the heat of the moment - Neonatal fever

Grand Rounds - Dr. Arya Mohabbat - Central Sensitization: a syndrome of multiple difficult-to-explain chronic debilitating symptoms

Chapter 23 - A mother’s love -Peripartum Cardiomyopathy

Grand Rounds - Dr. Alex Niven - Difficult airway management, an intensivist’s perspective

Chapter 22 -Did she just say hemosuccus pancreaticus? - Gastrointestinal bleeding in the emergency department

Grand Rounds - Dr. Shannon McNamara - Safety 1 to Safety 2 - A paradigm shift to improve performance in a complex world

Chapter 21 - Chickity Check Yo’ Self Before Yo’ Wreck Yo Self! Tick borne infections

Grand Rounds - Dr. Kharmene Sunga - Can You Hear Me Now? How To Speak Like An Emergency Physician

Chapter 20 - Relaxin to the maxin - Intrathecal baclofen pumps in the ED

Grand Rounds - Dr. Laura Walker & Dr. Katharina Kohler - Network Science Applied to Healthcare

Chapter 19 - Sugar, we’re goin down swinging! - Pediatric diabetic ketoacidosis

Grand Rounds - Kyle Hess, PharmD - High Dose Insulin therapy for calcium channel and beta blocker overdose

Chapter 18 - a Joint Venture - A guided tour of Rheumatoid Arthritis

Grand Rounds - Dr. Alyson McGregor - How sex and gender based research impacts the delivery of emergency care

Chapter 17 - LactatED: A stat consult on optimizing lactation in the ED

Grand Rounds - Dr. Laura Burke - Emergency Physicians as leaders of high-value healthcare

Chapter 16 - Sorry Taylor, there is no bad blood - a discussion on transfusions

Grand Rounds - Dr. Amy Zeidan - Health and health rights of immigrants in the US

Chapter 15 - Don’t Stop Me Now! - Preexcitation and WPW

Grand Rounds - Dr. Liz Goldberg - Five Traits of Exceptional People

Chapter 14 - Urine the know - Dialysis, Renal Failure and more

Grand Rounds - Dr. Sergey Motov - Acute Pain Management in the ED

Chapter 13 - Can’t Breathe Without You - Angioedema and Awake Tracheal Intubation

Grand Rounds - Dr. Victor Montori - On Care

Chapter 12 - A lion, a House, and the mystery - Lupus and the ED

Grand Rounds - Dr. Brian Patterson - Predictive analytics to prevent falls after ED visits

Chapter 11 - What’s cooler than being cool? Ice Cold! - Hypothermic Cardiac Arrest

Grand Rounds - Dr. Sara Crager - Reframing Shock

Chapter 10 - Deserts and Reservoirs - A Map of the EM Workforce

Chapter 9 - Monkeys, Chickens, and Dustin Hoffman - Monkeypox

Chapter 8 - A loss of power - Myasthenia Gravis and Guillain-Barre Syndromes

Chapter 7 - Too Wide, Too Fast - Ventricular Tachycardia (Vtach)

Chapter 6 - Simulation is the sincerest form of flattery - Medical Simulation

Chapter 5 - Newer Medicine for Older Adults - Geriatric Emergency Medicine

Chapter 4 - Pump it up! - Left Ventricular Assist Device (LVAD)

Other shows like Always On EM - Mayo Clinic Emergency Medicine: