EMplify by EB Medicine

In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the May 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Serious and High-Risk Infections in the Febrile Returning Traveler.

0:16 — Podcast Introduction
1:08 — Episode Introduction
7:30 — Malaria
13:55 — Dengue
17:33 — Enteric Fever (Typhoid/Paratyphoid)
20:53 — Leptospirosis
22:43 — Clinical Presentations
26:33 — Diagnostic Testing
33:17 — Treatment
38:59 — Special Populations & Risk Pitfalls
43:05 — Closing Pearls & Outro

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Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

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

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Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

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 resident@ebmedicine.net

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 resident@ebmedicine.net

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 resident@ebmedicine.net