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ERCAST

Welcome to ERCast, a focused discussion on the questions, quagmires and known unknowns we face everyday in the emergency department.

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Oct 8, 2018

A first hand account of the emergency department response to the 2017 Las Vegas strip shooting that left 59 dead and over 800 wounded. Discussion of preparation with 20 minutes warning, how to keep patients flowing as they enter the hospital as well as once they’re in the treatment area, effective triage, critical...


Sep 4, 2018

Britt Long, MD and Rob Orman, MD discuss emergency department management of patients with complications of cirrhosis.


Aug 6, 2018

  • Few patients are more challenging in the ED than the asthmatic in extremis who is recalcitrant to standard therapy.  Asthma is different than other causes of severe respiratory distress.  And there are different forms of asthma as well.

  • Besides cricoid pressure, magnesium, and slowing down ventilations, how else...


Jul 1, 2018

The pendulum never seems to stop swinging when it comes to the efficacy of epinephrine in cardiac arrest.  

20-25 years ago, the push was to use escalating doses of epinephrine starting at 1 mg and increasing to 3 mg, then 5 mg, and continuing at 5 mg as needed.  Some protocols started directly with 5 mg and continued...


Jun 3, 2018

Internist Neda Freyha sprinkles some IM in the ED - how to interpret TSH levels and why aspirin is no longer recommended for a-fib thromboprophylaxis.