TamingtheSRU
Episodes
When Seconds Count: Can Drone-AED Networks Change OHCA Survival?
26 Mar 2026
Contributed by Lukas
Survival after out‑of‑hospital cardiac arrest hinges often on getting an AED to the patient within minutes - but in most communities (especially m...
Trip, Slip, Scan? Rethinking Head CTs in the Elderly
15 Dec 2025
Contributed by Lukas
Ground-level falls are a leading reason older adults get head CTs in the ER, largely because current rules treat age 65 as a risk factor by itself. Y...
A PSA on TXA: Updated recommendations for TXA in Trauma
23 Nov 2025
Contributed by Lukas
Tranexamic acid (TXA) is an anti-fibrinolytic that may reduce hemorrhage and improve survival in trauma. While early studies raised safety concerns, n...
When More is Less: Re-examining CTA use in GI Bleeds
07 Nov 2025
Contributed by Lukas
Gastrointestinal bleeding is a frequent and potentially life-threatening presentation in the ED. With CT angiography increasingly being used as a firs...
COPY That: Re-thinking Pyelonephritis Protocols in the Emergency Department
03 Oct 2025
Contributed by Lukas
Pyelonephritis is a commonly treated diagnosis in the emergency department. With resistance rates climbing to the first-line recommended fluoroquinolo...
Choice of Pressor in Pediatric Septic Shock
29 Sep 2025
Contributed by Lukas
Septic shock remains a leading cause of pediatric mortality, but the choice of first-line vasoactive agent has long been debated. Dr Newton, a PGY-3, ...
Dr Kotei discusses a scoping review of the placebo and nocebo effects.
23 Sep 2025
Contributed by Lukas
In the ED, your words can be as powerful as your meds. In this episode, PGY-3 Dr Kotel unpacks the science of placebo and nocebo, showing how communic...
When Lung-Protective Ventilation Isn’t Brain-Protective? A Look at the PROLABI Trial
25 Jun 2025
Contributed by Lukas
Lung-protective ventilation (LPV), characterized by low tidal volumes and appropriate PEEP, is a cornerstone in managing patients with acute respirato...
Is Old Age a Reason to Scan a Cervical Spine?
18 Jun 2025
Contributed by Lukas
Many clinical decision rules exclude elderly patients from the derivation cohorts. So the question remains unanswered do all elderly patients need ce...
Using Sound Waves to Help a Cric
11 Jun 2025
Contributed by Lukas
It is well known that ultrasound has exploded in its application in both diagnostics and procedures and has ultimately revolutionized the way we pract...
NIPPV vs OM for preox
27 May 2025
Contributed by Lukas
More than 1.5 million critically ill adults undergo tracheal intubation each year in the United States. Hypoxemia is a common and serious complication...
Is Hyperoxemia in Trauma Bad?
07 May 2025
Contributed by Lukas
Severe trauma is the leading cause of death worldwide for adults younger than 50 years of age. Acute traumatic life support (ATLS) guidelines endorse ...
Can D-dimer be Used and Useful in High Pre-Test Probability PE Patients?
30 Apr 2025
Contributed by Lukas
We know that the d-dimer can be a helpful test for patients who have a low pre-test probability of pulmonary embolism. But can the test be pushed into...
Oral Nitro for Food Bolus Impaction
10 Apr 2025
Contributed by Lukas
Can a nitro slurry help with food bolus impaction? Glucagon and effervescent beverages have limited evidence for benefit. Can an old drug used in a n...
Pediatric Septic Score
31 Oct 2024
Contributed by Lukas
Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. This study substituted age adjusted vital sign...
Is Your Head Spinning? The Sudbury Vertigo Risk Score
18 Sep 2024
Contributed by Lukas
There is a wide variation in practice, particularly in obtaining neuro-imaging in patients presenting with vertigo. Many patients are imaged and subje...
Sniffing out Sepsis - Vibes vs Scoring Systems?
24 Jul 2024
Contributed by Lukas
Sepsis remains an increasingly common emergency department condition that is tied to higher morbidity and mortality across the United States as well ...
TEG for Cirrhotic Bleeding
17 Jul 2024
Contributed by Lukas
In patients with cirrhosis and ongoing bleeding, it can be challenging to determine whether or not patients are hyper or hypocoagulable. Traditional m...
TXA in Severe Trauma - A Metanalysis
02 Jul 2024
Contributed by Lukas
In this journal club recap, Dr Sarah Moulds recaps a recent meta-analysis of papers looking at the therapeutic effect of TXA in patients with severe t...
Shock Differently - Out of Hospital Cardiac Arrest
28 Jun 2024
Contributed by Lukas
Out of hospital cardiac arrest (OOHCA) represents a great cause of morbidity and mortality. Approximately 350,000 cardiac arrests occur in North Ameri...
Sterile v NonSterile
12 Jun 2024
Contributed by Lukas
In this most recent Journal Club recap podcast, Dr. Cole Davis covers a paper investigating the use of sterile vs clean gloves for laceration repair i...
Is the Cuff Enough?
17 Apr 2024
Contributed by Lukas
In this journal club breakdown, we analyze an article examining the relationship between invasive arterial line blood pressure measurements and non-in...
STEROCHA Trial: 'Roids to the Rescue?
27 Mar 2024
Contributed by Lukas
Can the addition of high-dose methylprednisolone to the treatment of out-of-hospital cardiac arrest make a meaningful difference? In this post-hoc ana...
SQUID Protocol
12 Mar 2024
Contributed by Lukas
In this podcast, Dr Charlie Brower PGY-3 at the University of Cincinnati leads a discussion of a recent journal club article looking at the impact of ...
Serratus Anterior Plane Blocks
03 Nov 2023
Contributed by Lukas
Pain from rib fractures can be severely limiting in the acute setting. In this recap from our most recent Journal Club, Dr Olivia Gobble leads us thr...
US For Shoulder Dislocation
27 Oct 2023
Contributed by Lukas
Ultrasound is an increasingly ubiquitous tool to augment the physical exam in the Emergency Department. Dr Jazmyn Shaw walks us through a paper that ...
Lever Test
20 Oct 2023
Contributed by Lukas
Dr Casey Glenn walks through a study analyzing the 'lever test' for the diagnosis of ACL tears in the acute setting. Given significant swelling and p...
Induction Reduction and Had Video Finally Killed the DL?
22 Sep 2023
Contributed by Lukas
In this journal club podcast we break down 2 articles. Do we need to reduce doses of ketamine or etomidate in RSI to avoid post-intubation hypotensio...
Qi/KT - Acute Liver Failure
01 Sep 2023
Contributed by Lukas
Drs. Wilson and Arnold discuss the latest research that went into their development of a protocol for managing Acute Liver Failure
Hunting for Invasive Bacterial Illness in Infants with a Positive UA
03 Jul 2023
Contributed by Lukas
Dr Marlena Wosiski-Kuhn recaps a recent journal club covering the paper by Mahajan and colleagues: Serious Bacterial Infections in Young Febrile Infan...
Sick or Not Sick through a Sniff - EtCO2 at Triage
11 Jun 2023
Contributed by Lukas
Boarding of admitted patients in the ED and subsequent overcrowding of ED’s continues to plague hospitals in the United States and Internationally. ...
Clovers
05 May 2023
Contributed by Lukas
Dr Gillespie breaks down the recently published CLOVERS trial that looked into the early administration of vasopressors in sepsis
IV Metoprolol vs Diltiazem for A fib with Concomitant Heart Failure
22 Apr 2023
Contributed by Lukas
The management of atrial fibrillation with rapid ventricular response is often complicated by the presence of heart failure with reduced ejection frac...
Diastolic Shock Index
30 Mar 2023
Contributed by Lukas
Early recognition and resuscitation of patients in septic shock are critical skills for an emergency medicine physician. Many clinical decision-making...
CTs in SAH - Does Time Even Matter
02 Feb 2023
Contributed by Lukas
In this podcast, Dr. Justin Milligan covers a recently published retrospective review that could inform our future practice. We all rely on a negativ...
What Drip After the Drop - Post Cardiac Arrest Hypotension
18 Nov 2022
Contributed by Lukas
During a cardiac arrest resuscitation, finally palpating a pulsatile flow beneath your gloved fingertips brings a sense of satisfaction like no other....
Family Presence During Cardiac Arrest Resuscitations
11 Nov 2022
Contributed by Lukas
Cardiac arrests are an inevitable reality for emergency medicine providers. There is often a debate on whether family members presence during CPR will...
Doppler US For Pulse Checks
04 Nov 2022
Contributed by Lukas
Palpating a pulse during a resuscitation can be more challenging than it seems. Digital palpation of femoral pulses may lack sensitivity and specifici...
A Life Saving Bolus? Fluids at the Time of Intubation
31 Aug 2022
Contributed by Lukas
In this podcast, Dr. Courtney Kein breaks down a recently published article examining the effects of a bolus of IVF at the time of intubation. Does a...
Bougie so Bougie
24 Aug 2022
Contributed by Lukas
In this Journal Club paper breakdown, Dr Bailee Stark recaps the findings of a recently published study by Driver et al looking at the effect of bougi...
Tube Thoracostomy - Tiny Tubes for Bloody Effusions
17 Aug 2022
Contributed by Lukas
In this Journal Club podcast, PGY-3 Tony Fabiano breaks down a paper from the Journal of Trauma comparing the effectiveness and patient perception of ...
ECG to Activation
26 May 2021
Contributed by Lukas
Time is myocardium, and minimizing door-to-activation time improves outcomes in patients with acute coronary occlusion. There are a number of existing...
The Danger of the OMI
19 May 2021
Contributed by Lukas
The paradigm of STEMI vs NSTEMI is one of the most well known in Emergency Medicine. Could a change in thinking shift this paradigm to OMI vs NOMI an...
How Good is a Post-ROSC EKG?
12 May 2021
Contributed by Lukas
One of the first tests ordered for a patient with ROSC following cardiac arrest is an EKG. Many of these EKGs are profoundly abnormal. Current practic...
Droperidol for Agitation - Part 3
19 Apr 2021
Contributed by Lukas
This is part 3 of 3 recapping our most recent journal club where we looked at the evidence for the safety and efficacy of droperidol for treating acut...
Droperidol for Agitation in the ED - Part 2
12 Apr 2021
Contributed by Lukas
This is our second in a 3 part series looking at the evidence for the safety and efficacy of droperidol for acute agitation in the ED. In this episod...
Droperidol for Agitation - Part 1
06 Apr 2021
Contributed by Lukas
This is part 1 of our 3 part series recapping our most recent journal club. In this podcast, Dr Jeff Hill leads a discussion of a paper by Calver et ...
Hold the Bicarb?
10 Feb 2021
Contributed by Lukas
This is the final of 3 podcasts recapping our most recent journal club. In this podcast Dr. Olivia Urbanowicz walks us through a meta-analysis by Wu ...
Clear! A Change in Paradigm for Defibrillation?
03 Feb 2021
Contributed by Lukas
In this, our second podcast recapping our most recent journal club, Dr. Colleen Laurence summarizes a recent pilot study by Cheskes et al looking at s...
Beta Blockers for Refractory V Fib/Tac
27 Jan 2021
Contributed by Lukas
This is our first of 3 podcasts recapping our most recent journal club. In this podcast, Dr. Sarah Wolochatiuk summarizes the meta-analysis by Gottli...
Trio of Trauma - Journal Club Recap
26 Oct 2020
Contributed by Lukas
We cover a trio of papers related to the care of the trauma patient - should we be adding some vasopressin in patients needing 6 units of blood? Is VL...
A Trio of Ketamine
09 Sep 2020
Contributed by Lukas
A dive into 3 articles looking at the use of ketamine in the Emergency Department. 01:23 - Slow vs rapid infusion of ketamine for pain control in the...
Updates in Pediatric Cardiac Arrest
06 May 2020
Contributed by Lukas
We recap 3 recently published articles that look at various aspects of caring for pediatric cardiac arrest patients. Is Epi helpful? Therapeutic hypo...
What to Do about the Flu?
28 Feb 2020
Contributed by Lukas
In this podcast, we recap our most recent journal club which look at 3 papers on the topic on influenza. One recently published in the BMJ looking at...
Intrathecal Baclofen Withdrawal - Research Corner
04 Feb 2020
Contributed by Lukas
In this latest episode of our Research Corner series, Dr. Hill sits down with PGY-3 Adam Gottula, MD and Amanda Peck, PharmD to discuss their recently...
Prehosptial Stroke Triage Research Corner
05 Nov 2019
Contributed by Lukas
Over the past 5 years, there has been a dramatic expansion of the treatment strategies used to treat patients with acute ischemic stoke. As some of t...
No Lung, No Problem! - VV ECMO
21 Oct 2019
Contributed by Lukas
Transporting a VV ECMO and sweating? Hearing beeps in your sleep and fearing the flow alarm? Bolster your VV ECMO knowledge with Dr. Liz Powell and Pa...
Sepsis Roundup - Journal Club Recap
04 Oct 2019
Contributed by Lukas
We recap a trio of recent articles looking into various aspects of the care and management of patients with sepsis. Are balanced fluids truly better ...
Heat Emergencies - 2019 Updates with Dr. Mel Otten
27 Aug 2019
Contributed by Lukas
Dr. Mel Otten, tox and wilderness guru and past president of the Wilderness Medical Society, takes us through his new 2019 WMS Guidelines on the preve...
Controversies in Kidney Stones
07 Aug 2019
Contributed by Lukas
Flank pain and pain due to ureterolithiasis are common ED presentations. There exist, however, a number of controversies when you dive into the liter...
ROSC with No STEMI
30 Jun 2019
Contributed by Lukas
Should patient who have a V fib or V tac cardiac arrest take a trip to the cardiac Cath lab even if their post-ROSC EKG shows no evidence of ST-elevat...
Air Care Series: Intro to LVADs
19 Jun 2019
Contributed by Lukas
Dr. Adam Gottula interviews Paige Barger and Liz Powell, MD on the basics of LVADs and how to troubleshoot them prehospital and in the ED
Temporal Arteritis
14 Jun 2019
Contributed by Lukas
Temporal Arteritis by UC Department of Emergency Medicine
A Really Swollen Leg
14 Jun 2019
Contributed by Lukas
A Really Swollen Leg by UC Department of Emergency Medicine
The A Fib Chicken and Egg and An Unusual Cause of Sepsis
14 Jun 2019
Contributed by Lukas
The A Fib Chicken and Egg and An Unusual Cause of Sepsis by UC Department of Emergency Medicine
Telling Tall Tales: Dogma in Emergency Medicine
14 Jun 2019
Contributed by Lukas
Telling Tall Tales: Dogma in Emergency Medicine by UC Department of Emergency Medicine
Pneumonia Alphabet Soup
14 Jun 2019
Contributed by Lukas
Pneumonia Alphabet Soup by UC Department of Emergency Medicine
A Weakness in the Heart?
14 Jun 2019
Contributed by Lukas
A Weakness in the Heart? by UC Department of Emergency Medicine
Air Care Series: Cardiogenic Shock
14 Jun 2019
Contributed by Lukas
Air Care Series: Cardiogenic Shock by UC Department of Emergency Medicine
Bug Juice Potpourri
14 Jun 2019
Contributed by Lukas
Bug Juice Potpourri by UC Department of Emergency Medicine
An Evidence Based Approach to Cardiac Arrest
14 Jun 2019
Contributed by Lukas
An Evidence Based Approach to Cardiac Arrest by UC Department of Emergency Medicine
The Last Gasp
14 Jun 2019
Contributed by Lukas
The Last Gasp by UC Department of Emergency Medicine
Pre-Hospital Ultrasound
14 Jun 2019
Contributed by Lukas
Pre-Hospital Ultrasound by UC Department of Emergency Medicine
Whole Blood: More than the Sum of Its Components
14 Jun 2019
Contributed by Lukas
Whole Blood: More than the Sum of Its Components by UC Department of Emergency Medicine
Rhogam Redux
14 Jun 2019
Contributed by Lukas
Rhogam Redux by UC Department of Emergency Medicine
A Pain in the Neck
14 Jun 2019
Contributed by Lukas
A Pain in the Neck by UC Department of Emergency Medicine
It's Not Just the Flu
14 Jun 2019
Contributed by Lukas
It's Not Just the Flu by UC Department of Emergency Medicine
The Future of Airway Management
14 Jun 2019
Contributed by Lukas
The Future of Airway Management by UC Department of Emergency Medicine
Troublesome Tracheostomies
14 Jun 2019
Contributed by Lukas
Troublesome Tracheostomies by UC Department of Emergency Medicine
The Role of CCTA in the Evaluation of Chest Pain in the ED
14 Jun 2019
Contributed by Lukas
The Role of CCTA in the Evaluation of Chest Pain in the ED by UC Department of Emergency Medicine
A Significant Clot: Treatment Options for Submassive PEs
14 Jun 2019
Contributed by Lukas
A Significant Clot: Treatment Options for Submassive PEs by UC Department of Emergency Medicine
Unsolved Mysteries: Contrast Induced Nephropathy
14 Jun 2019
Contributed by Lukas
Unsolved Mysteries: Contrast Induced Nephropathy by UC Department of Emergency Medicine
Vasopressin: A Second Class Pressor?
14 Jun 2019
Contributed by Lukas
Vasopressin: A Second Class Pressor? by UC Department of Emergency Medicine
Dealing with the Wheezes
14 Jun 2019
Contributed by Lukas
Dealing with the Wheezes by UC Department of Emergency Medicine
The ED Approach to the MVC Patient Part 2
14 Jun 2019
Contributed by Lukas
The ED Approach to the MVC Patient Part 2 by UC Department of Emergency Medicine
The ED Approach to the MVC Patient Part 1
14 Jun 2019
Contributed by Lukas
The ED Approach to the MVC Patient Part 1 by UC Department of Emergency Medicine
Anti-Arrythmics - What Good Are They?
14 Jun 2019
Contributed by Lukas
Anti-Arrythmics - What Good Are They? by UC Department of Emergency Medicine
Airway Nightmares in the Field
14 Jun 2019
Contributed by Lukas
Airway Nightmares in the Field by UC Department of Emergency Medicine
Grey Matters
14 Jun 2019
Contributed by Lukas
Grey Matters by UC Department of Emergency Medicine
Out of Hospital Cardiac Arrest Part 2
14 Jun 2019
Contributed by Lukas
Out of Hospital Cardiac Arrest Part 2 by UC Department of Emergency Medicine
Out of Hospital Cardiac Arrest Part 1 - On Pit Crews and Situational Awareness
14 Jun 2019
Contributed by Lukas
Out of Hospital Cardiac Arrest Part 1 - On Pit Crews and Situational Awareness by UC Department of Emergency Medicine
Lessons from the Front - Prehospital Care of the Trauma Patient
14 Jun 2019
Contributed by Lukas
Lessons from the Front - Prehospital Care of the Trauma Patient by UC Department of Emergency Medicine
Pre-Hospital STEMI Care - EMS Week
14 Jun 2019
Contributed by Lukas
Pre-Hospital STEMI Care - EMS Week by UC Department of Emergency Medicine
Pre-Hospital Stroke Care - EMS Week
14 Jun 2019
Contributed by Lukas
Pre-Hospital Stroke Care - EMS Week by UC Department of Emergency Medicine
A Look into the Code STEMI
14 Jun 2019
Contributed by Lukas
A Look into the Code STEMI by UC Department of Emergency Medicine
Take My Breath Away
14 Jun 2019
Contributed by Lukas
Take My Breath Away by UC Department of Emergency Medicine
Flights: A Lonely Road Recap
14 Jun 2019
Contributed by Lukas
Flights: A Lonely Road Recap by UC Department of Emergency Medicine
Altered States
14 Jun 2019
Contributed by Lukas
Altered States by UC Department of Emergency Medicine
The Approach to the Dizzy Patient
14 Jun 2019
Contributed by Lukas
The Approach to the Dizzy Patient by UC Department of Emergency Medicine
Not Your Typical REBOA Podcast
14 Jun 2019
Contributed by Lukas
Not Your Typical REBOA Podcast by UC Department of Emergency Medicine