E14: 7-Hydroxymitragynine (7-OH) toxicity with Dr. Pizon
Send us a textIn 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 so concerning—especially when they’re packaged to look like candy and marketed as “natural.”We share real cases, practical management tips (including when and how to use naloxone), and highlight the risks for kids and the importance of public health reporting. My goal with this conversation is to give you the latest insights, actionable advice, and a better understanding of how to recognize and manage this emerging toxicology threat.Whether you’re a fellow healthcare professional or just want to stay informed about what’s happening in emergency medicine, I hope you find this episode as eye-opening and useful as I did.
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E13: Trauma talks with Zaf Qasim
Send us a textIn 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 patients, highlighting how DSI can significantly reduce peri-intubation hypoxia. Lastly, we explored a study comparing non-invasive blood pressure monitoring to arterial BP monitoring in critically ill patients, emphasizing the inaccuracies of non-invasive methods, especially in severe cases, and the value of using arterial lines. The episode aims to encourage clinicians to reexamine traditional practices and adopt evidence-based approaches for better patient outcomes.Links to papers discussed in this episode:https://jamanetwork.com/journals/jama/fullarticle/2827980https://pubmed.ncbi.nlm.nih.gov/37058727/https://pubmed.ncbi.nlm.nih.gov/39192296/
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E12: Medetomidine toxicity and withdrawal
Send us a textThis 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 of misidentifying opioid-related cases. Key points include the need for extended observation in the ED, the potential requirement for ICU care, and the effectiveness of dexmedetomidine in managing severe withdrawal symptoms. The episode also highlights the importance of medication for opioid use disorder (MOUD) and the evolving drug supply landscape.
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E11: DDX- SCAPE
Send us a text🎙️ Podcast Episode Intro – DDX:SCAPE | Picklesburgh Pulmonary PanicWhat 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 and managing SCAPE—Sympathetic Crashing Acute Pulmonary Edema—a diagnosis that goes beyond your typical CHF flare.You’ll hear key insights into:How to prioritize ABCs under pressureWhen to think SCAPE vs. CHFThe role of nitroglycerin and non-invasive ventilationWhy early recognition saves livesBy the end, the patient stabilizes—but not before offering powerful teaching points for every emergency provider.🎥 Want to see the case play out?Watch the full video on our YouTube channel: EMERGE in EM👉 https://youtube.com/@emergeinem?si=27-MFKEHQKRXGVhHSubscribe, listen, and always be ready to ask:What would you do?
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E10: Measles deep dive
Send us a textUnderstanding Measles: Recognition, Pathophysiology, and Management in Emergency SettingsJoin 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 resurgence in measles cases due to declining immunization rates. Learn about the role of vaccinations, complications like ADEM and SSPE, and the importance of PPE in practice. This conversation is recorded live from the SNMA AMEC conference, addressing both clinical knowledge and public health awareness.Find pictures of measles rash and how it looks in dark skin individuals in my social media post: https://www.instagram.com/reel/DHLaF4Lxjef/?igsh=Y205enNpeDJzbTM400:00 Introduction to Measles00:41 Current Measles Outbreaks and Concerns02:03 Understanding Measles Pathophysiology06:05 Recognizing Measles Symptoms09:56 Treatment and Prevention Strategies11:22 Pre-Hospital Care for Measles16:27 Prophylaxis and Final Thoughts
Emerge in EM is a dynamic podcast dedicated to exploring the cutting edge of Emergency Medicine Education, Resuscitation, and Global health Empowerment. Each episode brings together leading experts, frontline healthcare professionals, and change-makers from around the world to discuss the latest advancements, case studies, and innovations shaping the field of EM. Whether you're a seasoned emergency physician, an aspiring medical student, or a global health enthusiast, Emerge in EM delivers insightful conversations and practical knowledge to elevate your skills and broaden your understanding of life-saving care. Tune in for in-depth discussions that not only address clinical excellence but also emphasize the global movement towards equity and empowerment in emergency medicine.
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