About

I could never decide whether I wanted to be a science teacher or an emergency physician. Little did I know, that internal conflict would lead to this! The inspiration for ERcast came from all of the great education we get during a ‘curbside consult’ or, in other words, asking our buddies in other specialties how they manage particular problems. If we could only get those conversations out in the open.

When this show first started in January 2010, I was going to call it “Pediatric Emergency Orthopedics.” I’m not joking. My neighbor was a peds ortho spine surgeon and I figured the two of us could talk about this oft neglected topic. If you’ve listened for a while, you know that that never really came to fruition (although we have had some sweet peds ortho chats).

My goal with ERcast is to demystify to aspects of medicine that make us anxious, normalize the seeming insanity of the job, and dissect the practices and thought processes of masters in the field. This is mostly done through interviews, but sometimes via monologues and lectures.

As far as what I do during the rest of my time, I’m a community emergency physician who loves cycling, reading, family, and binge watching Netflix.

 

Comments

  1. Marshall Frank

    Hi -- I am trying to subscribe via email. I’m not sure if this is the correct place to enter my information but when I click on “subscrive via email” link I do not get directed to a place to enter my information. Thanks for a great blog/podcast.

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  2. Jeff Pepin

    Rob,
    I wanted to start off by telling you what a huge fan I am of your podcast. You’re truly doing a great service to our specialty.
    I’m writing to you about a series of comments you made in your last podcast, “Afib Unleashed…” In a few occasions you mentioned getting shocked if you were to touch a patient during cardioversion. A few years ago I read this article from Circulation on “Hands On Defibrillation”. Essentially the article discusses the fact that it is safe to touch a patient during defibrillation. So like any curious ER resident I had to try it. During my first code after reading the article I asked the charge nurse to defibrillate the patient while I was wearing my gloves and doing CPR. To my surprise I felt nothing but the contraction of my patients muscles and NO SHOCK. Since that first code nearly 2 years ago I’ve continued this practice and still have not felt a shock. I know that Amal Mattu has also discussed this before on his podcast as well. Anyway, the article is: http://circ.ahajournals.org/cgi/content/full/117/19/2510
    I’d be interested to hear what you think of this after you read the article.

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      emergencypdx

      You are righter than right on that one! It is indeed supported by the literature and experience, but before the conversation, I never had the balls to do it. Now I have hands on chest whenever electricity is being given, including the towel trick during AF cardioversion that Randy talked about in the podcast. The first time I did it, I took off all metal as a crowd of ED staff gathered outside the room to watch my impeding electrocution. To be honest, I thought I was going to get welded, but much like you describe, was pleasantly surprised when all I felt was the muscle contraction. Granted, the first patient I did it on weighed 300#, so there was quite a kick!

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      emergencypdx

      Hi Bill,

      Looked into setting up CME at the podcast launch but it is a huge undertaking that costs a surprisngly large fortune to initiate and maintain. So the short answer to your question…unfortulately not.

  3. Andrew Sloas

    Dr. Orman,
    Just wanted to tell you that I’m a huge fan and avid listener. Really enjoyed peds elbow and syncope; like all your other casts, well done!

    I just started my own site called the PEM ED Podcast. (Pediatric Emergency Medicine for the general adult-trained ED provider) and wanted to know what you thought. http://www.pemed.org

    Keep them coming!

    Andy

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  5. Evan Ohlman

    Dr. Orman,

    This is Evan Ohlman, PA-Student at Wichita State University in KS. I LOVE listening to your pod-cast. I believe you would be surprised (maybe you already know) that many of your listeners are mid-level providers (at least based on the ER PA’s I know). I think it would be really neat if you could dedicate a pod-cast (even a mini one) to the use of mid-levels and if they do or do not actually improve outcomes for patients. What are some positives and what are some negatives? What do we, as mid-levels, need to improve on the most? What is our role in ER setting when working w/ a doc OR when we are all alone? What are our limits? When should we consult our supervising doc? Let’s face it, med-levels are a huge part of medicine today… and I would LOVE to hear what you would have to say about us… you have provided a tone of education for me ESPECIALLY how to use evidence based medicine. Thanks man.

    Kind Regards,
    Evan Ohlman

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