ACEP Nowcast

Paul Jansson, MD, MS, joins host Amy Faith Ho, MD, MPH, FACEP, to discuss his ACEP Now Critical Care Time column on extubation in the emergency department. Jansson shares practical guidance on patient selection, sedation management, spontaneous breathing trials, palliative extubation, and multidisciplinary teamwork, highlighting how safe ED extubation can reduce ICU utilization and help patients avoid the complications of prolonged mechanical ventilation.

K. Scott Burnham, DO, joins host Amy Faith Ho, MD, MPH, FACEP, to discuss his ACEP Now article, “The Mental Health Discharge Gap Emergency Physicians Must Talk About,” and his book, “Lifeline: What to Do After a Mental Health Crisis.” Burnham shares how his experiences as both an emergency physician and a patient shaped his perspective on mental health care, and outlines practical steps emergency physicians can take to support patients during the critical post-discharge period.
https://www.amazon.com/dp/B0H17RYXQQ
https://kevinmd.com/2026/09/physician-mental-health-and-the-shame-of-asking-for-help.html

Duncan Grossman, DO, MSED, joins host Amy Faith Ho, MD, MPH, FACEP, to discuss his ACEP Now article, "'No More H’s and T’s' – An Action Based Paradigm for Managing Cardiac Arrest." Grossman discusses the flaws of the popular mnemonic and proposes a new action-based approach to treat cardiac arrest in the ED.

Jamie Syrett, MD, MBA, FACEP, joins host Amy Faith Ho, MD, MPH, FACEP, to discuss his ACEP Now article on point-of-care EEG and its potential role in emergency medicine. Syrett explains how bedside EEG can help physicians identify seizure activity more quickly, reduce unnecessary transfers, and support care in hospitals without immediate neurology access.

Host Amy Faith Ho, MD, MPH, FACEP, welcomes Dr. Tsion Firew to discuss the systematic and sustainable nuances of global health infrastructure. Dr. Firew, the chair of emergency medicine residency at Africa Health Sciences University in Rwanda and an associate professor at New York University, shares pearls for shifting from short-term medical missions to localized systems building, navigating frontline clinical protocols during a deadly Marburg virus outbreak, and balancing the personal and professional demands of international emergency medicine.