In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the June 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Thyroid Emergencies

• Introduction to Thyroid Emergencies
• Understanding Decompensated Hypothyroidism
• Thyroid Storm: The Other Extreme
• Differential Diagnosis and Complications
• Medication Triggers and Patient History
• Physical Examination Findings
• Laboratory Analysis
• Scoring Systems and Risk Assessment
• Introduction to Treatment Approaches
• Managing Decompensated Hypothyroidism
• Treating Thyroid Storm
• Special Considerations and Populations
• Risk Management Pitfalls

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 May 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Chronic Neurologic Disease: Parkinson Disease, Myasthenia Gravis, and Multiple Sclerosis

• Importance of maintaining medication schedule for Parkinson's patients
• Strategies for ensuring patients receive their medications promptly
• Overview of Carbidopa Levodopa's mechanism of action

• Description of the disease mechanism
• Importance of assessing respiratory function
• Diagnostic alternatives like the negative inspiratory force test and counting test
• Discussion on appropriate emergency department actions and treatments including steroids, plasmapheresis, and IVIG

• Description of the disease mechanism
• Description of the typical patient demographic
• Discussion on the varied presentation of MS
• Treatment strategies including high-dose steroids and Baclofen

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

In this episode, Sam Ashoo, MD interviews Rob Orman, MD about ways to manage the trauma inflicted by the ER.

• Discussing Trauma in Emergency Medicine
• Personal Experiences with Trauma
• The Impact of Suppression
• Defining Trauma and Its Effects
• Integration vs. Disintegration
• Debriefing and Coping Mechanisms
• The Driveway Debrief
• Nurse and Physician Dynamics
• Reflective Solitude vs. Isolation
• Creating Narratives During Trauma
• Dropping Anchor Technique
• Body-Oriented Resets
• Post-Incident Rituals
• Addressing Lowercase t Traumas
• Therapy and Trauma Pathways

For more about Rob Orman and physician coaching: https://roborman.com/