Always On EM - Mayo Clinic Emergency Medicine
Episodes
GRAND ROUNDS - Dr. Neha Raukar - Head's Up! When is that lump more than a bump?
01 Dec 2025
Contributed by Lukas
In this final chapter of the 2025 season of Always on EM, Alex and Venk are thrilled to share an amazing Grand Rounds recording from the esteemed educ...
Chapter 47 - Hidden Killer of the Healthy - An "Intimal" Discussion of Spontaneous Coronary Artery Dissection
01 Nov 2025
Contributed by Lukas
Dr Sharonne Hayes, Professor of cardiovascular medicine and founding director of Mayo Clinic women’s heart clinic, and Dr. Marysia Tweet, Associate ...
Chapter 46 - Dont be salty, be phosphorescent! - Sodium, magnesium, and phosphorus in the ED
01 Sep 2025
Contributed by Lukas
Dr. Jim Gregoire, consultant nephrologist and master educator, joins the show again to talk about electrolytes this time. He breaks down practicalitie...
Grand Rounds - Dr. John Schupbach - Battling big food, big pharma, and big health
01 Aug 2025
Contributed by Lukas
In this chapter, Dr. Schupbach analyzes the business of healthcare and a way he believes can let patients wage war on the mis-alligned incentives. Thi...
Chapter 45 - Airway to Heaven: A Primer on Mechanical Ventilation for Emergency Providers
05 Jul 2025
Contributed by Lukas
Dr. Harish Kinni, a triple-board-certified emergency medicine and critical care physician and assistant professor at the Mayo Clinic, provides an over...
Grand Rounds - Dr. Taylor Christian - First do no harm: the history and origin of medical racism
15 Jun 2025
Contributed by Lukas
This is a capstone presentation from Chief Resident of Mayo Clinic Emergency Medicine, Dr. Taylor Christian. Teaser: Can we fulfill our oath to “...
Chapter 44 - Withdrawal warriors battle with barbs! Phenobarbital as a treatment for alcohol withdrawal
01 Jun 2025
Contributed by Lukas
Is it possible that the cutting edge therapy for alcohol withdrawal care is one of the older tools in our bag? Possibly! In this chapter, one of the r...
Grand Rounds - Dr Fiterman Molinari - Cardiac Arrest: when Standard Care is Not Enough
14 May 2025
Contributed by Lukas
In this grand rounds, Dr. Daniel Fiterman Molinari challenges the status quo of cardiac arrest care with thought provoking takes on the literature. Ta...
Chapter 43 - Code Brown: When the runs run the room! - Management of Acute Diarrheal Emergencies
01 May 2025
Contributed by Lukas
Diarrhea is one of the more common concerns in emergency medicine worldwide and in the United States, yet we often do not spend enough time understand...
Grand Rounds - Dr. Lauren Chernick - Designing Digital Interventions to Improve Adolescent Sexual Health
14 Apr 2025
Contributed by Lukas
The rapid evolution of digital health is transforming emergency care, but how do we design and implement technologies that truly meet patient needs? T...
Chapter 42 - Yes, I can help - Feeling empowered to help with in-flight emergencies
01 Apr 2025
Contributed by Lukas
Alex and Venk discuss the fundamental differences of caring for people during an in-flight emergency: what changes with oxygen and pressure, what is a...
Grand Rounds - Dr. Alexander Ginsburg - Integrating Palliative Care in the ED: Streamlined Solutions to Minimize Provider Burden
14 Mar 2025
Contributed by Lukas
In this Grand Rounds chapter, Dr. Alex Ginsburg, board certified in both emergency medicine and palliative care, and physician leader practicing in bo...
Chapter 41 - Conversations toward cohesive practice - Optimizing the emergency physician and APP interface
01 Mar 2025
Contributed by Lukas
The variety of practice models in the United States emergency healthcare system is numerous and most of them involve both physicians as well as advanc...
Grand Rounds - Dr. Brit Long - Choose your own adventure - High risk diseases in the emergency department
14 Feb 2025
Contributed by Lukas
Legendary emergency medicine educator, Dr. Brit Long, gave grand rounds in Rochester in a highly interactive experience covering high risk, yet low fr...
Chapter 40 - The Full Bird and Fumar de Cystica - an EM guide to the gallbladder
01 Feb 2025
Contributed by Lukas
Dr. Henry Schiller, Professor of Surgery, Liutenant Colonel in the US Army Reserve, and Mayo Clinic Teaching Hall of Fame inductee rejoins the show to...
Grand Rounds - Dr. Lekshmi Kumar - Response to Recovery; Elevating trauma care with prehospital blood transfusions
15 Jan 2025
Contributed by Lukas
Dr. Lekshmi Kumar, Associate Professor of Emergency Medicine at Emory University / Grady Hospital system in Atlanta, Georgia and the EMS director or t...
Chapter 39 - Unbreak My Heart - Decompensation in a Person with Aortic Stenosis
01 Jan 2025
Contributed by Lukas
Dr. Trina Augustin, assistant professor of both anesthesiology and perioperative medicine as well as emergency medicine takes us on a deep dive into t...
Grand Rounds - Dr. Adiba Matin - Climate Change and Emergency Medicine
14 Dec 2024
Contributed by Lukas
In this final episode of the third season of the Always on EM podcast, we share a grand rounds recording of Dr. Adiba Matin, former resident at Mayo C...
Chapter 38 - Appendicitis strikes back: Next level diagnosis, myths, and management Appendicitis in the ED
01 Dec 2024
Contributed by Lukas
Dr. David Turay, trauma consultant physician at Mayo Clinic, sits down with Alex and Venk to talk about appendicitis! Have you wondered about ultras...
Chapter 37.5 - Nonaccidental trauma in children, part two.
14 Nov 2024
Contributed by Lukas
Dr. Mark Mannenbach, emeritus pediatric emergency physician, former chairperson of pediatric emergency medicine at Mayo Clinic and career long advocat...
Chapter 37 - Nonaccidental trauma in children, part one.
01 Nov 2024
Contributed by Lukas
Dr. Mark Mannenbach, emeritus pediatric emergency physician, former chairperson of pediatric emergency medicine at Mayo Clinic and career long advocat...
Chapter 36 - The Butterfly Effect - Principles of Supply Chain Management
14 Oct 2024
Contributed by Lukas
Dr. Pritish Tosh, consultant physician in Infectious Diseases, and Supply Chain Management specialist for Mayo Clinic talks through the relationship b...
Chapter 35 - Diffusing the fuse - Violence in the emergency department
01 Oct 2024
Contributed by Lukas
Dr. Sarayna McGuire is an emergency physician who has been investigating workplace violence in the ED and in the prehospital setting. She and Dr. Case...
Grand Rounds - Dr. Samit Shah - Seeing the invisible: Angina and Nonobstructive Coronary Arteries (ANOCA)
14 Sep 2024
Contributed by Lukas
Ischemic heart disease is a leading cause of morbidity and mortality. While atherosclerotic coronary artery disease (CAD) is the focus of most outpati...
Chapter 34 - Gyne Logic on Gynecologic Emergencies - Discussion about PID, Torsion, Ectopic and more
01 Sep 2024
Contributed by Lukas
Dr. Adela Cope breaks down pelvic inflammatory disease, tubo-ovarian abscess, ovarian torsion, ectopic pregnancy and more in this densely packed chapt...
Grand Rounds - Dr. Rich Griffey - Subcutaneous Insulin in Diabetic Ketoacidosis (SQUID Protocol)
14 Aug 2024
Contributed by Lukas
This past winter, Dr. Rich Griffey, healthcare quality leader from Washington University School of Medicine and Emergency Medicine, came to present gr...
Chapter 33 - it’s not all iodine and shellfish - A fresh take on contrast related anaphylaxis
01 Aug 2024
Contributed by Lukas
Dr. Ronna Campbell, professor of emergency medicine, and passionate anaphylaxis researcher schools Alex and Venk on several issues related to contrast...
Grand Rounds - Dr. Ken Milne - Old Fashioned Doctors
14 Jul 2024
Contributed by Lukas
Dr. Ken Milne presents his talk entitled, “Old Fashioned Doctors,” to Mayo Clinic Emergency Medicine as our keynote speaker for our annual researc...
Chapter 32 - You’re invited to our block party! - Emergency department Ultrasound guided regional anesthesia
01 Jul 2024
Contributed by Lukas
Dr. Lacey Shiue, emergency ultrasound faculty, sits down with Alex and Venk to talk through ultrasound guided nerve blocks and plane blocks. We talk t...
Grand Rounds - Dr. Matthew Hamilton - The History of Homosexuality and Medicine
15 Jun 2024
Contributed by Lukas
In this final chapter of the academic year 2023-2024, we celebrate our graduating EM class of residents by spotlighting a senior capstone presentation...
Chapter 31 - Legal landmines and lifeboats: Understanding legal risk in emergency medicine
01 Jun 2024
Contributed by Lukas
Alex and Venk talk through the medicolegal aspects of practicing emergency medicine with emergency physician and attorney, Dr. Rachel Lindor. She is p...
Grand Rounds - Dr. John Wilson - Updates in Tuberculosis "The gift that keeps on giving"
14 May 2024
Contributed by Lukas
Dr. John Wilson, consultant in the division of infectious diseases at Mayo Clinic, and professor of medicine, director of Tuberculosis consultations a...
Chapter 30 - Two minutes to midnight: Critical overview of hemoptysis
01 May 2024
Contributed by Lukas
Dr. Dagny Anderson, a specialist in the division of pulmonary and critical care medicine at Mayo Clinic, joins Alex and Venk to talk about both life t...
Grand Rounds - Dr. Michael Wilson - What your psychiatrist isn't telling you about suicide prevention in the ED
14 Apr 2024
Contributed by Lukas
Whether or not emergency physicians believe that patients with thoughts of self-harm belong in the ED, they are coming to your ED anyway. According to...
Chapter 29 - How to save a life - A primer on ECPR and ED ECMO
01 Apr 2024
Contributed by Lukas
Dr. Suraj Yalamuri, Mayo Clinic Anesthesiology Critical Care and Cardiovascular Medicine Consultant, joins Alex and Finch to talk about the fundamenta...
Grand Rounds - Dr. Rebecca Leff - Fit for Purpose: Emergency Medicine Physicians and Humanitarian Response in Complex Emergencies
14 Mar 2024
Contributed by Lukas
Dr. Leff shares, in her senior resident capstone presentation, a primer on humanitarian efforts, what are basic principles of aid, how to identify the...
Chapter 28 - Cant stop the bleeding - Mastering epistaxis
01 Mar 2024
Contributed by Lukas
Dr. Mike Olson, former EM PA and now ENT attending sits down to talk about epistaxis with Alex and Venk. We go through a pragmatic approach to epistax...
Chapter 27.5 - Unbundling the bundle - Part two of sepsis
14 Feb 2024
Contributed by Lukas
Dr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best prac...
Chapter 27 - Machiavelli's Hectic Fever - Part one of sepsis
01 Feb 2024
Contributed by Lukas
Dr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best prac...
Grand Rounds - Dr. Dougie Moss - Chart-onomics
14 Jan 2024
Contributed by Lukas
In this chapter, Dr. Dougie Moss, final year EM resident presents his Capstone presentation on best charting practices to match reimbursement to the c...
Chapter 26 -Sick young person with spots - Meningococcemia in the ED
01 Jan 2024
Contributed by Lukas
Alex and Venk talk through a previous case where they care for a young person with meningococcemia on a night shift. We review the disease, what to wa...
Grand Rounds - Dr. Aaron Klassen - Out of hospital cardiac arrest - Challenges and Changes
14 Dec 2023
Contributed by Lukas
It is no surprise that outcomes are poor for patients who already meet one definition for 'death' even before the point of their first medical contact...
Chapter 25 - The one where Alex finally gets to ask about REBOA - Hematomas
01 Dec 2023
Contributed by Lukas
This chapter we talk with Dr. Henry Schiller, trauma surgeon and professor of surgery at Mayo Clinic, about a variety of hematomas including Morel Lav...
Grand Rounds - Dr. Heather Murray - Diagnostic error in the ED - Lets talk about it
14 Nov 2023
Contributed by Lukas
In this episode, Dr. Heather Murray, from Queen's University Department of Emergency Medicine presents the landscape of diagnostic errors in emergency...
Chapter 24 - In the heat of the moment - Neonatal fever
01 Nov 2023
Contributed by Lukas
Neonatal fever can raise the temperature of the entire clinical pod along with the baby, but it doesnt have to. Join as Dr. Meghan Cain, chair of the ...
Grand Rounds - Dr. Arya Mohabbat - Central Sensitization: a syndrome of multiple difficult-to-explain chronic debilitating symptoms
14 Oct 2023
Contributed by Lukas
So many people come to emergency departments with unexplained recurrent pains, fatigues, gastrointestinal symptoms and more - when there seems like no...
Chapter 23 - A mother’s love -Peripartum Cardiomyopathy
01 Oct 2023
Contributed by Lukas
Dr. Katie Young, co-director of the cardioobstetrics clinic here at Mayo Clinic sits down to talk about peripartum cardiomyopathy. This is something w...
Grand Rounds - Dr. Alex Niven - Difficult airway management, an intensivist’s perspective
14 Sep 2023
Contributed by Lukas
In this chapter, Dr. Alex Niven, renowned critical care physician and educator, provides a mirror for us to see our current state of emergency airway ...
Chapter 22 -Did she just say hemosuccus pancreaticus? - Gastrointestinal bleeding in the emergency department
01 Sep 2023
Contributed by Lukas
Dr. Nayantara Coelho-Prabhu, Mayo Clinic gastroenterologist specializing in the care of patients with gastrointestinal bleeding and endoscopy, talks t...
Grand Rounds - Dr. Shannon McNamara - Safety 1 to Safety 2 - A paradigm shift to improve performance in a complex world
14 Aug 2023
Contributed by Lukas
Is healthcare more like an airplane, a flock of birds, or a mayonnaise? Why does it matter? In this talk, Dr. McNamara, emergency physician and patien...
Chapter 21 - Chickity Check Yo’ Self Before Yo’ Wreck Yo Self! Tick borne infections
01 Aug 2023
Contributed by Lukas
Drs. Alex Finch and Venk Bellamkonda talk through tick related infectious diseases including Lyme Disease, Rocky Mountain Spotted Fever, Ehrlichiosis,...
Grand Rounds - Dr. Kharmene Sunga - Can You Hear Me Now? How To Speak Like An Emergency Physician
14 Jul 2023
Contributed by Lukas
Dr. Kharmene Sunga, Mayo Clinic emergency medicine consultant physician, specializing in simulation, diversity equity and inclusion, and education sha...
Chapter 20 - Relaxin to the maxin - Intrathecal baclofen pumps in the ED
01 Jul 2023
Contributed by Lukas
Ms Lisa Beck, assistant professor of nursing and a clinical nurse specialist in the department of physical medicine and rehabilitation, shares her exp...
Grand Rounds - Dr. Laura Walker & Dr. Katharina Kohler - Network Science Applied to Healthcare
14 Jun 2023
Contributed by Lukas
This is really two separate episodes put together - Dr. Walker delivered grand rounds on network science applications to emergency medicine and it was...
Chapter 19 - Sugar, we’re goin down swinging! - Pediatric diabetic ketoacidosis
01 Jun 2023
Contributed by Lukas
Dr. Mark Mannenbach, emeritus pediatric emergency medicine faculty of Mayo Clinic and former chairperson of the division of pediatric emergency medici...
Grand Rounds - Kyle Hess, PharmD - High Dose Insulin therapy for calcium channel and beta blocker overdose
14 May 2023
Contributed by Lukas
This is a recording of Dr. Kyle Hess, emergency medicine pharmacy resident, speaking at grand rounds on the utility of high-dose insulin therapy for s...
Chapter 18 - a Joint Venture - A guided tour of Rheumatoid Arthritis
01 May 2023
Contributed by Lukas
Rheumatoid arthritis is a challenging disease with variable presentations and complex medications that can make providing emergency care challenging. ...
Grand Rounds - Dr. Alyson McGregor - How sex and gender based research impacts the delivery of emergency care
14 Apr 2023
Contributed by Lukas
Dr. Alyson McGregor is an emergency physician and champion for health equity with regards to sex and gender. She gave an important and incredible talk...
Chapter 17 - LactatED: A stat consult on optimizing lactation in the ED
01 Apr 2023
Contributed by Lukas
Possibly the first ever podcast dedicated to optimizing the experience of lactating persons in the ED, Alex and Venk sit down with Dr. Sarah Dodd, ass...
Grand Rounds - Dr. Laura Burke - Emergency Physicians as leaders of high-value healthcare
14 Mar 2023
Contributed by Lukas
Dr. Laura Burke is a health sciences researcher and assistant professor of emergency medicine at Harvard Medical School. She gave a reaffirming grand ...
Chapter 16 - Sorry Taylor, there is no bad blood - a discussion on transfusions
01 Mar 2023
Contributed by Lukas
Dr. Justin Kreuter, Transfusion Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about transfusion in its many dimensions...
Grand Rounds - Dr. Amy Zeidan - Health and health rights of immigrants in the US
14 Feb 2023
Contributed by Lukas
In this episode, Alex and Venk give the virtual stage to Dr. Amy Zeidan from Emory University. She is an experienced and passionate advocate for helpi...
Chapter 15 - Don’t Stop Me Now! - Preexcitation and WPW
01 Feb 2023
Contributed by Lukas
Dr. Abhishek Deshmukh, Cardiologist specializing in electrophysiology at Mayo Clinic, joins Alex and Venk on the podcast to talk about Wolff Parkinson...
Grand Rounds - Dr. Liz Goldberg - Five Traits of Exceptional People
14 Jan 2023
Contributed by Lukas
Exceptional individuals display five common traits according to former FBI agent, Joe Navarro, an expert in non-verbal communication. These include: ...
Chapter 14 - Urine the know - Dialysis, Renal Failure and more
01 Jan 2023
Contributed by Lukas
Alex and Venk sit down with Dr. Jim Gregoire, Mayo Clinic Nephrology, to talk through a variety of emergency nephrology topics. We talk through dialys...
Grand Rounds - Dr. Sergey Motov - Acute Pain Management in the ED
14 Dec 2022
Contributed by Lukas
Dr. Sergey Motov, gave this presentation on acute pain management to the Mayo EM Grand Rounds audience in the fall of 2022. Pain is the most common re...
Chapter 13 - Can’t Breathe Without You - Angioedema and Awake Tracheal Intubation
01 Dec 2022
Contributed by Lukas
Dr. Ben Sandefur, Emergency Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about angioedema and awake tracheal intubati...
Grand Rounds - Dr. Victor Montori - On Care
14 Nov 2022
Contributed by Lukas
This is a recording of Dr. Victor Montori's grand rounds presentation to Mayo Clinic Emergency Medicine challenging us to rethink the care we provide ...
Chapter 12 - A lion, a House, and the mystery - Lupus and the ED
01 Nov 2022
Contributed by Lukas
Dr. Uma Thanarajasingam, Rheumatology attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about how to approach patients with symptom...
Grand Rounds - Dr. Brian Patterson - Predictive analytics to prevent falls after ED visits
14 Oct 2022
Contributed by Lukas
SPEAKER: Brian Patterson, MD, University of Wisconsin He discusses the experience at UW conceiving, designing, and implementing a program, which incor...
Chapter 11 - What’s cooler than being cool? Ice Cold! - Hypothermic Cardiac Arrest
01 Oct 2022
Contributed by Lukas
Dr. Doug Brown is an emergency physician and expert in wilderness medicine and mountain rescue with a special career focus on hypothermic cardiac arre...
Grand Rounds - Dr. Sara Crager - Reframing Shock
12 Sep 2022
Contributed by Lukas
SPEAKER: Sara Crager, MD, UCLA Emergency Medicine When it comes to shock, we have developed a blood pressure addiction. Our propensity for a laser-lik...
Chapter 10 - Deserts and Reservoirs - A Map of the EM Workforce
01 Sep 2022
Contributed by Lukas
There has been discussion nationally about the potential for a mismatch in the needs of the United States and the emergency physician workforce. Alex ...
Chapter 9 - Monkeys, Chickens, and Dustin Hoffman - Monkeypox
01 Aug 2022
Contributed by Lukas
Dr. Pritish Tosh, Infectious Disease attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about Monkeypox, especially how it compares ...
Chapter 8 - A loss of power - Myasthenia Gravis and Guillain-Barre Syndromes
01 Jul 2022
Contributed by Lukas
Dr. Lyell Jones, award winning neurologist educator, joins us on the podcast to talk about Myasthenia Gravis, Guillain-Barre Syndrome and neuromuscula...
Chapter 7 - Too Wide, Too Fast - Ventricular Tachycardia (Vtach)
01 Jun 2022
Contributed by Lukas
Alex and Venk talk with Dr. Nandan Anavekar, cardiac intensivist, about wide complex tachycardias - antitachycardia pacing, balloon pumps, dual sequen...
Chapter 6 - Simulation is the sincerest form of flattery - Medical Simulation
01 May 2022
Contributed by Lukas
The Always On crew is joined by Dr. Jessica Schoen who is a world expert in medical simulation who shares perspectives on simulation fellowship as wel...
Chapter 5 - Newer Medicine for Older Adults - Geriatric Emergency Medicine
01 Apr 2022
Contributed by Lukas
Dr. Lauren Southerland, president of ACEP and former president of SAEM geriatric EM sections and Associate Professor of Emergency Medicine at Ohio Sta...
Chapter 4 - Pump it up! - Left Ventricular Assist Device (LVAD)
01 Mar 2022
Contributed by Lukas
Left ventricular assist devices (LVADs) can feel incredibly complex and these patients can inspire fear or trepidation in many healthcare providers. I...
Grand Rounds - Dr. John Schupbach - Disrupting Healthcare - Reengineering the Business Model
14 Feb 2022
Contributed by Lukas
This is a challenge for us to think about the model of healthcare delivery differently by Dr. John Schupbach, resident, Mayo Clinic Emergency Medicine...
Grand Rounds - Dr. Felix Ankel & Dr. Daniel Cabrera - Fusion Skills - the frog, the fox, and the electric sheep
07 Feb 2022
Contributed by Lukas
This is a recording of Drs. Ankel and Cabrera, renowned educators presenting grand rounds to the departments of emergency medicine at Mayo Clinic. The...
Chapter 3 - Capacity or no capacity, that is the question - Decision Making Capacity
01 Feb 2022
Contributed by Lukas
In this episode, we talk through a systematic way for determining if a person has capacity to make a decision in the emergency department. We also tal...
Chapter 2 - Doing it for the laughs - Nitrous Oxide in the ED
18 Jan 2022
Contributed by Lukas
Guest speaker, Dr. Jim Homme talks through the role of Nitrous Oxide in emergency medicine practice
Chapter 1 - Who are Alex and Venk?
18 Jan 2022
Contributed by Lukas
As we get started on this podcast journey, we want you to know who we are, where we coming from, and where we hope to go with the podcast.