EMplify by EB Medicine

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the April 2026 Emergency Medicine Practice article, Wide Complex Tachycardia in the Emergency Department: An Updated Approach to Diagnosis and Management.

Introduction – 0:11
Article Overview – 2:02
Top 5 Bedside Steps – 7:54
Sodium Channel Blockade – 9:26
Hyperkalemia – 11:53
SVT with Aberrancy – 12:47
WPW & Accessory Pathway – 13:34
AFib with Accessory Pathway – 14:09
Monomorphic VT – 19:01
Polymorphic VT / Torsades – 20:08
Bidirectional VT – 21:29
Pacemaker-Mediated Tachycardia – 22:30
Pre-Hospital Considerations – 24:52
Stable vs. Unstable Assessment – 27:58
Diagnostic Studies – 29:42
Treatment – 38:00
Risk Management Pitfalls – 44:49
Wrap-Up – 49:44

Subscribers, take the CME test here.
Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD interviews Jack Teitel on the topic of AI in medicine.
Introduction & Welcome — 0:17
Jack's Background in Healthcare AI — 0:58
Brief History of AI — 3:57
The "Perfect Storm" That Created Modern AI — 5:48
From General to Specialized: Fine-Tuning AI for Medicine — 7:04
LLM Confidence & the Sycophancy Problem — 13:01
The Benchmark Problem — 14:25
Building Your Own Personal AI Benchmark — 17:44
Can You "Turn Off" AI Sycophancy? — 20:00
RAG Systems & How Specialty AI Tools Work — 22:09
Choosing the Right AI Tool for Clinical Use — 26:18
Why 95% of AI Pilots Fail in Deployment— 28:10
How to Ask AI Questions Well (Prompt Quality) — 31:25
Knowledge Base Currency & Sam's Drug Withdrawal Test — 35:06
Closing & Contact Info — 37:12

For more about Jack Teitel - Title-AI.com Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD and Dr. Dana Klavansky, MD discuss the March 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Severe Traumatic Brain Injury

Introduction & Welcome (0:15)
Guest Introduction (0:55)
Epidemiology of Severe TBI (2:37)
Pathophysiology: Primary vs. Secondary TBI (4:24)
Types of Hemorrhage and Hematomas (5:25)
Classification (7:31)
Mild vs. Moderate vs. Severe TBI
Impact Loading vs. Inertial Loading
Differential Diagnosis (9:22)
Prehospital Care (9:42)
Emergency Department History (13:33)
Diagnostics (15:13)
CT Scan and the A-B-B-B-C Approach
Repeat CT Timing
Bedside Ultrasound for Optic Nerve Sheath Diameter
Pupillometry
Biomarkers
Treatment (24:52)
Airway Management
Ventilation and CO2 Targets
Hyperosmolar Therapy: Hypertonic Saline and Mannitol
Cerebral Perfusion Pressure
Blood Pressure Goals
Temperature Management
Coagulopathy Management
Seizure Prophylaxis and EEG Monitoring
Tiered ICP Management (35:29)
Surgical Indications (38:40)
Prognosis (40:33)
Special Topics (41:30)
Sports Injuries and CTE
Tranexamic Acid (CRASH-3 Trial)
Wrap-Up (43:46)

Subscribers, take the CME test here.

Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Acute Coronary Occlusion

00:00 - Introduction & Welcome
01:21 - Episode Overview: Acute Coronary Occlusion
02:06 - Why This Topic Matters: Statistics & New Guidelines
03:35 - Nomenclature: ACO vs STEMI/NSTEMI
06:15 - Differential Diagnosis for STEMI
07:41 - Pre-Hospital Care & EMS Role
11:37 - Patient History & Presenting Symptoms
12:28 - Physical Examination Findings
14:54 - EKG: The Most Important Test
17:00 - STEMI Definition & Criteria
20:32 - STEMI Equivalents: Scarbosa Criteria
22:40 - Smith Modified Scarbosa Criteria
24:10 - Hyperacute T Waves
25:30 - Posterior STEMI
28:40 - De Winter Sign
29:38 - Non-STEMI EKG Findings
31:30 - AVR ST Elevation
32:47 - Wellens Syndrome
33:54 - Reciprocal ST Segment Changes
36:15 - Inferior MI Patterns
37:54 - Laboratory Testing
39:51 - Imaging: Chest X-Ray & Echocardiography
42:25 - Supplemental Oxygen: What the Evidence Shows
44:50 - Analgesia & Pain Management
46:35 - Pharmacotherapy: Aspirin & Antiplatelet Agents
49:18 - Reperfusion Therapies & Thrombolytics
53:05 - Cardiac Arrest in STEMI Patients
53:55 - Closing Remarks & CME Information

Subscribers, take the CME test here.Emergency Medicine Residents, get your free subscription by writing [email protected]

In this episode, Sam Ashoo, MD interviews Jeff Willis, MD on the topic of pre-litigation review, being a medical expert, and common pitfalls leading to medical malpractice cases.
0:15 Introduction
0:51 Guest Introduction
1:20 Jeff's Background
2:00 Current Work
3:37 How He Got Started
6:57 Pre-Litigation vs. Expert Witness
8:01 Four Components of Malpractice Cases
13:55 Case Review Statistics
17:11 When Cases Get Filed
18:58 Common Patterns in Cases
19:55 Documentation Best Practices
22:06 Shift Handoff Problems
25:56 Bounce Backs
27:25 Medical Record Volume
30:00 Audit Trails
32:53 Communication with Consultants
41:35 Conflicting Documentation
43:46 Getting Started in This Work
47:37 Closing

Emergency Medicine Residents, get your free subscription by writing [email protected]