EMRA*Cast

In the wake of this year's Supreme Court positions, treating OB/GYN emergencies according to standards of care can now result in criminal or civil charges for you and your patients in some states. Major medical societies have come out against the Dobbs v. Jackson decision that overturned Roe and Casey. While EMTALA currently provides some support for emergency physicians, state laws and local prosecutors still might try to take you to court. Understanding your state's law and interpretation by your institution is crucial. On this episode host Kate Joyce (@sceneisnotsafe) talks with attorney Carmel Shachar (@CarmelShachar), policy analyst Cat Duffy (@catduffy), EM resident Jessica Adkins Murphy (@DrAdkinsMurphy), and OB/GYN resident Andrea Contreras about keeping your job and patients safe in today's legal and political landscape.

On June 24, 2022, the United States Supreme Court overturned the landmark decision Roe v. Wade, a legal precedent protecting a citizen's constitutional right to abortion. The highly politicized decision comes with significant consequence for those of us in health care – especially in states with abortion trigger bans. EMRA*Cast Host Shreyans Sanghvi, DO, joins EM Resident Editor-in-Chief Jessica Adkins Murphy, MD, (@DrAdkinsMurphy) to explore this deeply personal, subjective, and contentious topic.

On June 24, 2022, the United States Supreme Court overturned the landmark decision Roe v. Wade, a legal precedent protecting a citizen's constitutional right to abortion. The highly politicized decision comes with significant consequence for those of us in health care – especially in states with abortion trigger bans. EMRA*Cast Host Shreyans Sanghvi, DO, joins EM Resident Editor-in-Chief Jessica Adkins Murphy, MD, (@DrAdkinsMurphy) to explore this deeply personal, subjective, and contentious topic.

When you received your employment contract after matching into residency, did you read it? Was there any question you would sign it, no matter what it said? The structure of medical training and board certification creates an unequivocal power differential when it comes to residency employment contracts. EMRA*Cast host Matt Dillon, MD, (@mdmd_8889) talks with UCLA union members Anna Yap, MD, (@annayap) and Kenneth Kim, MD, about the power of a unified resident body.

Disaster medicine has long focused on how to prepare for mass casualty incidents - but there are special considerations for emergency physicians to take into account in the case of terror attacks. In this episode, host Kim Bambach, MD, and Sriram Venkatesan, FAWM, discuss the niche of counterterrorism medicine with Derrick Tin, MBBS, senior fellow in Disaster and Counterterrorism Medicine at BIDMC/Harvard Medical School.

The health care job market has been a roller coaster in recent years - especially in the nation's safety net of emergency medicine. What's a soon-to-be-graduate to do? Host Ranjita Raghavan, MD, shares some job search pearls and perils from Saadia Akhtar, MD, FACEP, and Maria Moreira, MD, FACEP.

Some baked-in practices in medicine don't hold up to closer inspection. This episode of EMRA*Cast turns attention to the use of sodium bicarbonate in cardiac arrest. Host Matt Dillon, MD, (@mdmd_8889) recently spoke with clinical ED pharmacist Mike Perza, PharmD, BCPS, (@pillpushermike) and Dustin Slagle, MD, regarding sodium bicarbonate use during cardiac arrest and why you might want to think twice.

Congratulations on graduating residency! Do yourself a big favor and listen to this advice from Dr. Christina Shenvi and Dr. Nikki Binz, brought you by EMRA*Cast host Dr. Kim Bambach. Start off on the right foot with BHAG, ikigai, and proper spycraft at a new job. You got this!

Your patient has an arterial bleed and a tenuous airway. You've got 1 unit of blood, no vent, and no hospital within hours. Welcome to the world of austere medicine. Host Kate Joyce, MD, MPH (@sceneisnotsafe) and USAF Lt Col Regan Lyon, MD, FACEP, discuss the challenges of treating patients in the most extreme scenarios.

Hemorrhagic shock can be tricky to manage – yet there's no shortage of (sometimes conflicting) guidelines regarding massive transfusion. When do you make the call to activate massive transfusion protocol? How early is too early? What happens if you wait too long? Dr. Sara Crager simplifies this crucial decision-making process with EMRA*Cast host Ranjita Raghavan.