Episodes

In this episode, we’re joined by Dr. Kathryn Hawk and Dr. Scott Weiner, emergency physicians and co-founder of the E-QUAL Opioid and Alcohol Use Disorder Initiative. Listen in as they discuss the improvement of emergency care for substance use disorders, particularly opioid use disorder, and the importance of evidence-based treatment and qualitative research. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on ...

In this episode, we’re joined by Dr. Matt Salzman, an emergency physician, board certified in EM, Medical Toxicology, and Addiction Medicine. We will explore the emergence of xylaxine in the US illicit drug supply and its impact on fentanyl use and withdrawal symptoms. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's episode or want to reach out to the team? Email us at equal@acep.org

In this episode, we’re joined by Dr. Alan Nager director of emergency medicine at Children's hospital, and Dr. Ba'Gah, a pediatrician and pediatric psychiatrist at Children's in Orange County. Drs. Alan Nager and Ba'Gah discuss their experiences implementing the California Bridge program for treating opioid use disorder in pediatric populations. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's episod...

In this episode, we’re joined by Dr. Stephen Rollnick, a clinical psychologist and Honorary Distinguished Professor in the School of Medicine, Cardiff, UK. He is also the co-founder of motivational interviewing. Please join us as we discuss the application of motivational interviewing in the U.S. healthcare system, the importance of respecting patient autonomy, and the benefits of this approach for both the patient and the practitioner. Learn more about E-QUAL here: https://www.acep.org/administ...

In this episode, we’re joined by Dr. Deepa Camenga and Dr. Chris Buresh. Dr. Camenga is a pediatric addiction specialist at Yale and lead investigator of a new project an E-QUAL that is focused on treating opioid use disorder in kids and adolescents. Dr. Chris Buresh is board certified in both pediatric and emergency medicine and is currently at University of Washington in Seattle. Listen in as Drs. Camenga and Buresh emphasize the importance of early intervention and treatment for OUD in young ...

In this episode, we’re joined by Dr. Puneet Gupta, an emergency physician and Assistant Medical Director for the Los Angeles County Fire Department, to explore the critical role of prehospital stroke care. Drawing on his extensive experience in EMS, Dr. Gupta shares insights on improving the continuity of care from the field to the emergency department—and how better coordination can lead to better outcomes for stroke patients. Learn more about E-QUAL here: https://www.acep.org/administration/qu...

In this episode, we sit down with Dr. Vasisht Srinivasan, emergency physician and neurointensivist at the University of Washington, to unpack the latest in anticoagulation reversal. From cutting-edge trials to updated guidelines, Dr. Srinivasan breaks down the evolving evidence and what it means for frontline care. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's episode or want to reach out to the t...

In this episode, we’re joined by Dr. Chris Richards, Medical Director of the University of Cincinnati Health Mobile Stroke Unit, to dive into the world of mobile stroke care. Dr. Richards breaks down what a mobile stroke unit is, how it works in the field, and the data that’s driving its success. Tune in to learn how this innovative approach is transforming stroke treatment before patients even reach the hospital. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/em...

In this episode, we welcome Dr. Reinier Van Tonder, Medical Director of a 60,000 visit ED and also the ED's point of contact of the PERT Team, to present and discuss a challenging PE case he saw in the ED. Dr. Van Tonder will talk through the evidence based decision making of the case, the treatment plan and the patient outcomes. Tune in to gain valuable insights into the complexities of diagnosing and managing VTE, as Dr. Van Tonder shares his expertise on navigating these challenging cases in ...

In this episode, we welcome back Dr. Christopher Kabrhel, an Emergency Physician and leading clot researcher at Massachusetts General Hospital, to explore the groundbreaking PERT (Pulmonary Embolism Response Team) approach. Dr. Kabrhel explains how PERT teams were established, their crucial role in managing PE cases, and the profound impact they have on patient outcomes. Whether you're a healthcare professional or just interested in medical advancements, this conversation offers valuable insight...

In this episode, we chat with Dr. Christopher Kabrhel, an Emergency Physician and leading expert in clot research at Massachusetts General Hospital, about the complexities of managing pulmonary embolism (PE). Dr. Kabrhel breaks down the process of risk stratification, offering practical insights on how to assess PE severity and determine the appropriate treatment options. From understanding when to escalate care to selecting advanced therapies, this conversation is essential for anyone involved ...

Join us as we sit down with Dr. Laura Westafer, Emergency Physician and PE Researcher at Baystate Medical Center, to discuss best practices for managing low-risk VTE patients. 💡 In this insightful conversation, Dr. Westafer shares practical tips for treatment, addresses the challenges of safely discharging patients, and breaks down the latest research on PE emergency care. Don't miss this deep dive into the current state of VTE management! 🔗 Learn more about the E-QUAL Network: https://www.acep....

In this episode, we’re joined by Dr. Peter Steel, Vice Chair of Clinical Services at Weill Cornell in New York City. Dr. Steel discusses the exciting frontier of care transitions for the VTE patient population. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's episode or want to reach out to the team? Email us at equal@acep.org

In this episode, we’re joined by Dr. Jeff Kline, an Emergency Physician and the Associate Chair of Research in the Department of Emergency Medicine at Wayne State University. Dr. Kline has conducted extensive research on VTE care over many years and is here to share his insights on the current direction of the data. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's episode or want to reach out to the ...

In this episode, we’re joined by Dr. Kelly Bookman, Senior Medical Director for the Emergency Department Service Line at UCHealth, which spans multiple sites across Colorado. Dr. Bookman has spearheaded several projects focused on embedding clinical decision support pathways at the point of care for VTE patients. She discusses how these pathways have streamlined processes, enabling quicker calculations, efficient note-taking, and seamless order placements. Learn more about E-QUAL here: https://w...

In this episode, we're joined by Dr. Bo Stubblefield, an Emergency Physician at Vanderbilt University Medical Center, who brings a wealth of knowledge from his research on VTE. Dr. Stubblefield will discuss current anticoagulation guidelines and recommendations, address challenging cases, and offer tips to help translate the science to the bedside. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's epi...

In this episode, we're joined by Bill Malcolm, ACEP's Program Director of Data Quality and Science, who brings a compelling perspective as both a recent VTE patient and a key contributor to developing VTE quality metrics. He shares his firsthand journey of receiving treatment in the ED while actively shaping the very measures that represent the care received by patients like himself. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/...

"On today's episode, we introduce the VTE series of Qual-ED, led by Drs. Arjun Venkatesh and John Sather. We discuss what you can expect throughout this series, why VTE care is important in emergency medicine, and the importance of developing and utilizing VTE quality metrics. Learn more about E-QUAL here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's episode or want to reach out to the team? Email us at equal@acep.org"

On today's episode, we chat with Dr. Josh Goldstein, Director of Neurological Emergencies at Massachusetts General Hospital, about all things intracranial hemorrhage. We discuss the findings from the INTERACT 3 trial, bundles of care and how ICH can be better approached in the ED. Resources mentioned in this episode: https://www.thelancet.com/article/S0140-6736(23)00806-1/fulltext Learn more about E-QUAL and register here: https://www.acep.org/administration/quality/equal/emergency-quality-netwo...

On today's episode, we chat with Dr. Nnenna Ejesieme, an Emergency Physician at Methodist Hospital in Dallas, TX about caring for stroke patients in low-resourced settings. We discuss what it is like being a part of the stroke care team at rural hospitals and how to work through staffing and resource limitations while maintaining quality. Resources mentioned in this episode: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307290/ Learn more about E-QUAL and register here: https://www.acep.org/admi...

On today's episode, we welcome Dr. Alexis LaPietra, who is the System Director of Addiction Medicine at RWJ Barnabus Health in New York City and an emergency physician. Listen in as Dr. LaPietra works her way through a gauntlet of tough pain management cases for OUD patients. Learn more about E-QUAL and register here: https://www.acep.org/administration/quality/equal/emergency-quality-network-e-qual/ Do you have feedback on today's episode, want an E-QUAL demo or just want to reach out to the te...

On today's episode, we welcome Dr. Adam Oostema, Emergency Physician, stroke researcher and lead EMS consultant for the state of Michigan's pre-hospital stroke program. We will discuss the quality of pre-hospital stroke care and how we can connect that care with the work being done in the ED in order to drive better outcomes for stroke patients. Resources mentioned in this episode: https://www.researchgate.net/publication/377918498_Abstract_WP93_Providing_Stroke_Reports_to_Emergency_Medical_Serv...

"On today's episode, we welcome Dr. Shantanu Agrawal, who is Chief Health Officer of Elevance Health and an emergency physician. Listen in as Dr. Agrawal helps us answer tough questions like: what is the role of insurance companies in addressing SUD care and social determinants of health in the ED? How do you build a time horizon for substance use disorder or food insecurity patients when you're in a business that operates on an annual basis? Will prior authorization be the key to reducing inapp...

On today's episode, we welcome Dr. Chris Carpenter, Emergency Physician, Vice Chair of Implementation and Innovation at The Mayo Clinic, and lead author on the SAEM GRACE-3 guidelines, and Dr. Bruce Lo, Chief of Emergency Medicine at Sentara Norfolk General Hospital and lead author on the ACEP Clinical Policy on Acute Ischemic Stroke. We will discuss the current recommendations from both SAEM and ACEP on approaching a dizzy patient in the ED and we will also breakdown some difficult cases. Resou...