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.

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. […]

No CPR in Trauma Arrest?

In October 2013, Scotty Weingart was on the show and suggested that closed chest CPR has no role in traumatic cardiac arrest. It made sense because, after all, the things that cause a traumatic arrest won’t be helped by closed chest compressions. Tension pneumothorax, pericardial tamponade, hypovolemia from exsanguination – pushing on the chest isn’t going […]

Amal Mattu on Low Risk Chest Pain

Something very cool is happening in emergency medicine, specifically low risk chest pain. What I mean by that is figuring out who is low risk and what to do about it. This is one of the biggest areas of CYA, for the uninitiated, cover your ass, medicine. And for good reason, it’s a big cause […]

Revenge of the Nerd: Coronary CT? Ehhh, no

A follow up to our interview with Judd Hollander on the use of Coronary CT Angiography in the emergency department. Bonus section: A measles primer Direct Download Guest post by Rory Spiegel, A.K.A Captain Basil, A.K.A EM NERD In today’s age of Modern Medicine, we consistently favor the objective findings provided by medical technology over the more […]

The bell tolls for renal colic CT

Use of CT scans for the evaluation of renal colic increased 10 fold between 1996 to 2007. Is this good for patients? Have they benefitted from the detailed information that CT scanning? The answer is no. Several studies have revealed that we are not only irradiatiting patients at an increasingly alarming rate, their outcomes are […]

A requiem for oral contrast

Interested in trying your hand at medical podcasting for Primary Care RAP? Listen to the show and then send me a note rob@hippoeducation.com DIRECT DOWNLOAD   Enteral contrast for CT diagnosis of appendicitis Commentators: Sanjay Arora MD and Michael Menchine MD Written summary courtesty of EMRAP. Author: Marlowe Majoewski Drake FT et al. Enteral Contrast in […]