TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine

Brian Lin is an impressive physician with expert knowledge in wound management and care. It was well worth the visit to talk to him in person about some of the more intricate parts of wound management. At SEMPA 360 this year he gave so many pearls that there is no doubt he was a treasure to the conference. If you could not make it this year or want a reminder of some of the key points, check out the notes and listen to the podcast.

​Medicine is slow to change, and using #FOAMed can be a challenge at times if you feel stuck and unable to speed up the process. Today, we talk about some tips that could help you better move things along in your department and among colleagues.

​We have two previous guests today that are returning to talk about a familiar topic: sepsis. There has been a lot of coverage recently but we want to cover it from a different angle by getting back to basics while including some of the key updates from recent literature and guidelines. This recording was originally made for the Emergency Quality Network (E-QUAL) which is part of the American College of Emergency Physicians (ACEP). It was our pleasure to work with ACEP to provide this content and we hope you enjoy it, as well.

Today we are covering a study on a medication not commonly used in the United States or most of the world: Shenfu. It is not discussed much but does have implications as a potential cure for sepsis and has been used in China for the last two decades. Given the recent discussions about cures for sepsis based on other studies, it seemed appropriate to talk about something with a growing body of evidence that most of the world may be ignoring without a good reason.

We have all been there before. The consult that just does not go to plan. Most of us first experience it as students and it can drive us mad. Recently, while at the Podcasting Course in Lexington, Kentucky a fun and brief podcast was made covering the subject. This was a group project and hopefully this will remind us to cover more content on "soft skills" such as consults and daily interactions. Mainly, the things not covered in any sort of medical texts at least on a regular basis.

Major Jonathan Monti, PA-C is our first SEMPA 360 posting from the recent 2017 conference. We were able to talk to a variety of people at the conference thanks to the staff there and we truly appreciate their help. For the first time ever, SEMPA had what they call the "EMPA of the Year" award and this went to the very deserving Major Monti. We had the exclusive chance to interview him immediately after the award and his thoughts are included here.

Rob Orman is back again for another fun week where we continue his "grab bag" interview. I need to make a quick warning that there is some language in this podcast so if you are easily offended please be warned now. However, language is very brief and minimal at best. This interview was done in a lot of fun and we hope you find it entertaining, too.

We just came back from SEMPA 360 and it was a blast! But today, we have a two part interview with Rob Orman. The first half, today's discussion, is all about patient satisfaction. Next week, we will further our "grab bag" discussion with some other interesting questions that others wanted to hear from Rob about, but all I can say is you do not want to miss the pearls from the interview so make sure to listen to both!

Acutely decompensated CHF can be a highly dangerous condition and one that needs immediate management. Previous Resuscitation Leadership Academy (RLA) student Michelle Perkins comes on for her debut to discuss management of this condition.

This week's podcast is all about hypertension. Like a previous podcast, #13 on abscess management, this podcast is in response to a recent Skeptic's Guide to Emergency Medicine (SGEM) post that TOTAL EM was featured on. We want to add to that discussion by expanding on clinically important hypertension in the emergency department. This primer will most likely only be the start to future discussions on deeper reviews about hypertension that we need to be concerned about in emergencies.