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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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Feb 11, 2019

Not all post tonsillectomy bleeds are created equal, and not all portend decompensation into hemorrhagic shock (though some do). Emergency physician Gene Hern and ENT surgeon Clay Finley give their thoughts on approach and management.  


Nov 7, 2018

Hyperkalemia is one of, if not the most, common electrolyte abnormalities we see. But much of what we do in treatment is what someone told us to do when we were young learners. In this episode we debunk hyperkalemia myths and discuss an evidence based approach to management. For more great content check out 


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...


May 4, 2018

Rob and Tom Deloughery discuss management of actively bleeding patients who have been prescribed anticoagulation medications.