SAEM Podcasts

Post-anesthesia negative behavioral changes in children are well documented in surgical and anesthesia literature, and these changes can last for days to weeks. It is not known if this is true for children receiving procedural sedation in the emergency department. We speak with Dr Jean Pearce about her her study was to evaluate the proportion of pediatric patients who experience negative post-discharge behaviors in the 1-2 weeks after procedural sedation for fracture reduction in the emergency department, and to determine predictors of negative post-discharge behaviors among study subjects. 

Human Factors (HF) is a scientific discipline that examines how human characteristics affect the utility of tools, technologies, and work environments. Patient simulation has been used extensively in health care training, but simulation also plays a large role in HF research and design -- perhaps it's time for clinicians working with simulation to have more interaction with HF designers to create better, clinician-friendly technologies. We interview Dr. Emily Hayden, lead author of "Human Factors and Simulation in Emergency Medicine", a product of the 2017 AEM Consensus Conference, "Catalyzing System Change Through Health Care Simulation: Systems, Competency, Outcomes."

Bedside teaching in a busy emergency department is a challenge for all academic emergency physicians. In this podcast, Dr Rory Merritt interviews Dr Chris Merritt (no relation!) about his recent AEM Education and Training publication, "Not Another Bedside Lecture: Active Learning Techniques for Bedside Instruction."  Learn three quick and easy-to-implement techniques to facilitate more active learning in a time-pressured environment. 

In rural critical access hospitals, the presentation of an anticoagulated patient with significant hemorrhage poses numerous difficulties, including the fact that reversal agents 4-factor PCC and FFP are often not stocked. This month's selected paper presents a unique protocol for delivering and administering 4-factor PCC via air ambulance when transferring the patient from the rural setting to tertiary care.

The objective was to evaluate the feasibility, safety, and preliminary efficacy of four-factor prothrombin complex concentrate (4-factor PCC) administration by an air ambulance service prior to or during transfer of patients with warfarin-associated major hemorrhage to a tertiary care center for definitive management (interventional arm) compared to patients receiving 4-factor PCC following transfer by air ambulance or ground without 4-factor PCC treatment (conventional arm).

Over 35 million alcohol-impaired (AI) patients are cared for in emergency departments (EDs) annually. Emergency physicians are charged with ensuring AI patients’ safety by identifying resolution of alcohol induced impairment. Dr Eric Lee interviews Dr Jason Hack about his recent article in AEM and the Hack's Impairment Index Score. 

Unintentional submersion is a leading cause of death in kids under 14 in the US. A question for the emergency physician is what cohort of 'near drowning' patients can be safely sent home from the emergency department following a period of observation.

In this episode of AEM Early Access Dr Eric Lee speaks with Dr Rohit Shenoi about his recent AEM Article entitled, "The Pediatric Submersion Score Predicts Children at Low Risk for Injury Following Submersions." This article supports a simple scoring classification to identify low risk pediatric submersion victims who can be safely discharged after an eight hour observation period rather than be admitted to the hospital. 

With growing attention being paid to health care costs, Dr Todd Lyons and his colleagues recently studied risk factors, patterns, and costs associated with patients whose care is fragmented across multiple emergency departments. Dr Anu Ganapathy interviews Dr Lyons about his group's findings and their recent article in Academic Emergency Medicine.

Global Health experiences are becoming more and more common in emergency medicine training programs. However, because of the diverse opportunities and experiences within global health, developing a standard curriculum and assessment tools is challenging. In this podcast, Dr Katherine Douglass discusses her recent AEM Education and Training publication, "Development of a Global Health Milestones Tool for Learners in Emergency Medicine: A Pilot Project."

Disparities in salary and rank exist among full time US academic emergency medicine faculty, even after controlling for factors such as clinical hours and training. There are also gender and minority disparities in rank and leadership positions. We discuss these findings, being published in October's Academic Emergency Medicine journal, with lead author Dr Tracy Madsen. 

In this episode, Dr. Thomas Ross interviews Dr. Alexis Cournoyer about his research on BLS/ACLS outcome associations in out-of-hospital cardiac arrest in a cohort of over 7000 adults, as well as a subgroup of extracorporeal CPR candidates.