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ERcast Lite

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

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Dec 20, 2015

Emergency Medicine legend Amal Mattu reveals his deepest secrets

  • How he became "Too Tall Amal"
  • Al Sacchetti does a bait and switch- setting up Amal for a huge career in emergency cardiology
  • The unexpected path to becoming the world's leading educator on EKGs
  • The Mattu Top 5 movies of all time
  • Rituals before going...


Dec 1, 2015

Reuben Strayer from empdates.com is our guest to discuss proper dosing of ketamine.

Take home message: At very low dose, you get analgesia with minimal effect on perception and emotion. At a very high dose, you’re going to get dissociation. In between high and low doses, you don’t know what kid of response you’re...


Nov 23, 2015

Jeff Kline is one of the world's leading researchers in thromboembolism. He's also a dad, bodybuilder, former wrestler, and philosopher. 


Nov 7, 2015

What I do in the in the first 90 seconds of a code…

We want to avoid simultaneous action paralysis: the feeling that multiple things need to happen at once and then nothing gets done. In a code, it seems like everything has to HAPPEN RIGHT THIS SECOND. While it can feel that way, it’s not the case.

My sequence of...


Nov 2, 2015

Torsades de pointes is very bad.  It easily degenerates into Ventricular Fibrillation (VF) and that’s sudden cardiac death.  How many cases of torsades have you seen in your career? Are your ready for it when you see it? Let’s see, there’s magnesium...uh, and then I seem to recall that drug isoproterenol (that...