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.

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. […]

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 […]