A focused discussion on the questions, quagmires and known unknowns we face everyday in the emergency department.
Curbside consults with specialists, different takes from ED docs the world over, procedures, product reviews and the down low nitty gritty of emergency medicine. Find us on Google+
Each episode of Ercast covers a single issue and tries to tease out all the relevant elements that affect your practice without overstuffing your frontal cortex. It’s for physicians and anyone interested in a bare bones look at emergency care.

Chronic Pain Part 2: Medication

This is part two of a two part series on chronic pain. Pearls: Set realistic expectations when treating patients with chronic pain. For the vast majority of patients, antidepressants are the first-line pharmacologic choice for the treatment of chronic pain. Patients who present after the acute phase of a painful condition, whether it’s 1 week or 2 […]

Chronic Pain

Part one of a two part series on caring for patients with chronic pain Pearls: With few exceptions, opiate therapy should be reserved for the short-term treatment of acute somatic pain due to tissue injury. Patients with acute pain should be informed early on that once tissue healing starts, opiates will be discontinued and the […]

Pediatric C-spine Clearance

When we want to clinically clear the adult cervical spine, what do we do? We whip out a handy dandy decision instrument. Canadian C-spine? Yes! NEXUS? Boom, you betcha! But when it comes to kids, there’s just nothing out there that even resembles a prospectively validated clearance tool. We’re left with are gestalt, experience, and […]

Scott Weingart on the State of Things

Scott Weingart is a thought leader in critical care and emergency medicine medicine. His EMCrit podcast has changed the game in medical education and improved care of crucially ill patients across the planet. ERCast sat down with Scott to get his opinion on beer, medical education, FOAMed, critical care, podcasting, and life in general. DIRECT […]

The Subarachnoid Enigma

Six hours means so much when it comes to subarachnoid hemorrhage. That is the inflection point when blood may no longer look like fresh blood on a CT. Several studies have shown that a negative ct done within 6 hours of headache onset effectively excludes clinically significant bleeding (extrapolated to mean aneurysmal subarachnoid hemorrhage). Of course […]

Can fever melt the brain?

Can a fever get so high that it causes brain damage? That question was posed to us by a listen with a recent patient whose temperature reached 106.9 Fahrenheit. Andy Sloas from the PEM ED podcast returns to ERCast to gives his take on cooling, workup, and the difference between heat exposure and infectious fever. […]