In this episode, Sam Ashoo, MD interviews Ashley Weisman, MD about her career in rural emergency medicine, and the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department 

Interview with Dr. Ashley Wiseman

• Introduction of Dr. Wiseman: Emergency physician specializing in rural ER.
• Dr. Wiseman’s Background: Overview of her work and responsibilities in rural hospitals and academia.
• Experience in Rural Medicine: 
• Contrast with urban and academic practice.
• Stories of practical challenges and learning experiences in remote areas like Kotzebue, Alaska.

Practicing Skills in Rural Medicine

• Discussion of skill retention: Importance of continuously applying and practicing critical skills.
• Resources and Training: Role of fellowship, networking, and practical experiences for skill enhancement.

Advocacy for Rural Emergency Medicine

• Work with ACEP: Dr. Wiseman’s efforts in advocating for rural EM at the national level.
• Collaboration Between Rural and Academic Centers: Importance of knowledge exchange and mutual support.

Focus on Traumatic Intracranial Hemorrhage (ICH)

• Introduction to the February Article: Traumatic ICH in rural settings.
• Key Points from the Article:
• Importance of basic neurocritical care practices.
• Practical adjustments and simplified approaches in care.
• Dr. Wiseman’s Contribution: How her experiences shaped the content and practical advice for rural medicine.

Conclusion

• Upcoming Contributions: Announcing more contributions and resources from Dr. Wiseman.
• Access the In Rural Life (IRrL*) content here.
• Emergency Medicine Residents, get your free subscription by writing [email protected]

Managing Traumatic Intracranial Hemorrhage in the Rural Setting: EMP: IRrL* 

If you practice in a rural environment, you know that managing a patient with traumatic ICH can present challenges with diagnostic and treatment resources, personnel, training, and transport. Dr. Weisman has created resources for emergency clinicians, IRrL* (In Rural Life*) that EB Medicine is proud to share with subscribers.   

Resources for emergency clinicians managing patients with traumatic ICH in rural settings include: 

• Checklist for Managing Traumatic Intracranial Hemorrhage in Rural Life (IRrL): 7 steps to providing neurocritical care in resource-limited settings.
• Simulation for Critical Access Neurocritical Care: Saving Brain Hours from Tertiary Care: A customizable simulation designed for you and your team to practice managing patients with brain injury.