EMCrit Podcast

Kei Ouchi, an emergency physician who studies palliative care and goals-of-care communication, talks about practical steps for end-of-life conversations in the ED. Short, structured approaches are discussed: asking what families know, breaking bad news clearly, assessing baseline function, eliciting precise values, offering patient-centered recommendations, and using time-limited trials to balance dignity and treatment.

Exploring team leadership in high-pressure resuscitation situations, the podcast delves into gender biases, exceptional leadership in pediatric care, effective communication in emergencies, and supervising critical procedures. Discussions include strategies for trust-building, knowledge-sharing, and delegating tasks for successful outcomes.

Sarah Krager, a critical care clinician specializing in right ventricular failure and pulmonary hypertension. She walks through bedside RV assessment, when invasive monitoring is useful, and practical choices between diuresis, inhaled nitric oxide, and nebulized milrinone. Listens for tips on delivery methods, rapid effects, and strategies for massive PE, ECMO prep, and when to avoid chronic PH meds in acute care.