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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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Nov 20, 2017

If you’ve ever cared for an autistic patient, I suspect you have seen that there are stress points for you, the patient, the family, staff... everyone involved. A medical facility, especially a hospital or emergency department, is an extremely challenging environment for someone with autism. As medical providers, we...


Nov 6, 2017

Dr Kenji Inaba is a trauma surgeon at the University of Southern California. He is also the director of their surgical ICU,  one of the most widely published trauma researchers with over 400 publications, and a reserve officer with the Los Angeles police department. You'd think with that kind of background, he would...


Oct 30, 2017

What is your real motivation when making medical decisions? Is it 'what's in the patient's best interest' or is it 'what will keep me from getting sued'? The reflexive answer is, of course,  the former, but if you really do some soul-searching, there's probably a bit of the latter as well. In this episode,...


Oct 23, 2017

Have you ever watched a volleyball game and seen the ball fall between two players? What happened there? It was probably inadequate or insufficient communication as to who was going to make the play. The same thing happens in almost every professional arena: mistakes are made because of poor communication. In...


Sep 30, 2017

Megan Spyres, toxicologist and emergency physician at LA County-USC, gives a primer on diagnosing and treating Wernicke's encephalopathy. The title of this post "What you don't know about Wernicke's encephalopathy" is more from my perspective than a commentary on what you, the listener, may know. After all, you might be...