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Emerge in EM

Mohamed Hagahmed, MD

15 episodes

3 weeks ago

Send us a text In this episode of EMERGE, I sit down with Dr. Ricky Tripp to dive deep into the challenges and best practices of managing trauma in pregnancy. As your host, I guide the conversation through the latest evidence and NAEMSP guidance, real-life stories, and practical pearls that every clinician should know when faced with these high-risk, low-frequency events. We discuss the unique physiology of pregnancy, how to spot and manage shock, and the critical nuances of trauma assessment...

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Send us a text In this episode of EMERGE, I sit down with Dr. Ricky Tripp to dive deep into the challenges and best practices of managing trauma in pregnancy. As your host, I guide the conversation through the latest evidence and NAEMSP guidance, real-life stories, and practical pearls that every clinician should know when faced with these high-risk, low-frequency events. We discuss the unique physiology of pregnancy, how to spot and manage shock, and the critical nuances of trauma assessment...

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Episodes (15/15)

Emerge in EM

E15: Trauma in pregnancy: Perspectives and practices for clinicians

Send us a text In this episode of EMERGE, I sit down with Dr. Ricky Tripp to dive deep into the challenges and best practices of managing trauma in pregnancy. As your host, I guide the conversation through the latest evidence and NAEMSP guidance, real-life stories, and practical pearls that every clinician should know when faced with these high-risk, low-frequency events. We discuss the unique physiology of pregnancy, how to spot and manage shock, and the critical nuances of trauma assessment...

3 weeks ago

57 minutes

Emerge in EM

E14: 7-Hydroxymitragynine (7-OH) toxicity with Dr. Pizon

Send us a text In this episode of EMERGE, I sit down with my friend and colleague, Dr. Tony Pizon, Chief of Medical Toxicology at UPMC, to dive into a topic that’s been showing up more and more in our emergency departments: 7-Hydroxymitragynine (7-OH). I wanted to understand what 7-OH is, how it’s connected to Kratom, and why it’s suddenly making headlines. Tony and I break down the science, discuss the clinical effects, and talk about why products like vapes and gummies containing 7-OH are s...

1 month ago

25 minutes

Emerge in EM

E13: Trauma talks with Zaf Qasim

Send us a text In this episode of EMERGE, I had the pleasure of speaking with Zaf Qassim, an associate professor of emergency medicine, about critical interventions in trauma care. We discussed the TRAUMOX2 trial, which questions the reflexive use of high-flow oxygen in trauma patients and suggests that a restrictive oxygen strategy can reduce atelectasis without increasing other complications. We then contrasted delayed sequence intubation (DSI) with rapid sequence intubation (RSI) in trauma...

2 months ago

37 minutes

Emerge in EM

E12: Medetomidine toxicity and withdrawal

Send us a text This episode of the EMERGE, join me and Dr. Mike Lynch, an expert in emergency medicine, medical toxicology, and addiction medicine. The discussion delves into the public health emergency of medetomidine-related toxicity and withdrawal. Dr. Lynch shares insights from real cases, emphasizing the clinical red flags and management strategies for medetomidine withdrawal. We discuss the transition from Xylazine to medetomidine in the drug supply, the role of naloxone, and the risks ...

3 months ago

41 minutes

Emerge in EM

E11: DDX- SCAPE

Send us a text 🎙️ Podcast Episode Intro – DDX:SCAPE | Picklesburgh Pulmonary Panic What happens when a 50-year-old man suddenly can’t breathe—right in the middle of the Picklesburgh festival? 🥒😯 Join Dr. Hagahmed and Dr. Addy as they walk through a high-stakes emergency case of acute dyspnea in a patient with a history of hypertension, hyperlipidemia, and diabetes. From scene safety and rapid assessment to high-flow oxygen, CPAP, and beyond, they break down the critical steps in recognizing a...

4 months ago

33 minutes

Emerge in EM

E10: Measles deep dive

Send us a text Understanding Measles: Recognition, Pathophysiology, and Management in Emergency Settings Join Dr. Mohamed Hagahmed and Dr. Sylvia Owusu-Ansah in this essential discussion on measles. They cover critical topics such as recognizing measles in emergency settings, understanding its presentation and pathophysiology, and the latest strategies in treatment and prevention. This episode is packed with vital information for healthcare providers, especially in the context of a resurgenc...

6 months ago

19 minutes

Emerge in EM

E9: EtCO2 vs PCO2 in critically ill prehospital patients

Send us a text In this episode, I'm joined by Dr. Chris Martin-Gill to discuss the critical evaluation of the correlation between end-tidal CO2 and partial pressure of CO2 (PCO2) in acutely ill patients. The episode covers the importance of end-tidal CO2 in the prehospital setting, primarily for verifying airway placement and assessing ventilation adequacy. Dr. Martin-Gill discusses a significant study that he co-authored that analyzed data from over 6,400 patients, finding large discre...

7 months ago

22 minutes

Emerge in EM

E8: Submerge-Paper Deep Dive: NIPPV for COPD exacerbation (HAPPEN Trial)

Send us a text 🚑 PICO Breakdown: The HAPPEN Trial on NPPV for COPD 🫁 P - Population: Patients with acute exacerbation of COPD and persistent hypercapnia (PaCO₂ > 45 mmHg) after 6 hours of low-intensity NPPV. 👥 300 patients (Mean Age: 73 years, 68% Male) I - Intervention: High-Intensity NPPV - Tidal volume of 10-15 mL/kg using higher inspiratory positive airway pressure (IPAP). C - Comparison: Low-Intensity NPPV - Tidal volume of 6-10 mL/kg using lower IPAP. O - Outcome: 🌟 65% ↓ Risk of mee...

9 months ago

24 minutes

Emerge in EM

E7: Prehospital trauma care

Send us a text In this episode of EMERGE, I am joined by Dr. Frank Guyette, an emergency physician and EMS expert from the University of Pittsburgh and the medical director of STAT Medevac. Dr. Guyette offers insights into pre-hospital trauma care, discussing critical topics such as the trauma triad and diamond of death, the complexities of hypocalcemia in trauma patients, and evolving practices in fluid management. He also delves into the latest research and protocols, including the controve...

9 months ago

38 minutes

Emerge in EM

E6: Submerge-Paper Deep Dive: Prehospital stroke severity scales and Door-To-Puncture times

Send us a text In this episode of the EMERGE Podcast, I'm joined by Dr. Jon McMahon, an EMS fellow, to discuss the significance of a paper analyzing the impact of prehospital stroke severity scales in stroke patients. Dr. McMahon shares his background and highlights the importance of EMS in improving door-to-puncture times for stroke patients. We delve into the details of the study, which uses the Cincinnati Prehospital Stroke Scale and MRACE score to assess stroke severity and prioritize tre...

10 months ago

16 minutes

Emerge in EM

E5: Urologic emergencies

Send us a text Critical Urologic Emergencies Explained: Insights with Dr. Joseph Acquaye In this insightful episode of EMERGE, I'm honored to host Dr. Joseph Acquaye as he delves into common urologic emergencies encountered in the emergency department and ICU. Dr. Acquaye shares his journey into urology, the significance of men's health, and the importance of addressing healthcare disparities. The discussion covers detailed protocols and techniques for managing acute urinary retention, kidne...

10 months ago

44 minutes

Emerge in EM

E4: Submerge: Paper Deep Dive (Fluid in septic HF pts)

Send us a text 🚨 Submerge into the complexities of fluid resuscitation in septic patients with heart failure! 🩺 Join me and Dr. Addy Kothare as we dissect an #EmergencyMedicine paper that challenges our current practice when caring for these patients. 📚 https://doi.org/10.1016/j.ajem.2023.08.006

11 months ago

12 minutes

Emerge in EM

E3: Pediatric seizures

Send us a text Have you ever felt anxious dealing with pediatric seizures? Get expert guidance on our latest EMERGE episode with Dr. Sylvia Owusu-Ansah! Tune in for essential tips on pre-hospital and in-hospital seiures management. Don't miss out on boosting your emergency care skills!

11 months ago

1 hour

Emerge in EM

E2: Post-cardiac arrest care

Send us a text In the October episode, Dr. Ankur Doshi and I are discussing the care of the post cardiac arrest patient. For the past 20 years, Dr. Doshi has been a clinician, educator, and researcher in the fields of emergency medicine and cardiac arrest. In 2010, he joined the University of Pittsburgh Medical Center’s Post Cardiac Arrest team. Since 2019, he has been the clinical director of this unique service line across the UPMC network of hospitals. Dr. Doshi has authored or co-au...

1 year ago

31 minutes

Emerge in EM

E1: Pearls and Pitfalls When Intubating the Crashing Patient

Send us a text Dr. Obiajulu Anozie joins me to discuss the challenges, pearls, and pitfalls when managing the airway of a crashing patient. Dr. Anozie (known for his Instagram page @icuexplained) is a dedicated critical care physician with a passion for providing physiologically driven, life-saving medical care. Born in Canada to Nigerian parents, Dr. Obiajulu Anozie brings a unique perspective to the healthcare field, blending diverse cultural insights with advanced medical ex...

1 year ago

48 minutes