Avsnitt
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Recorded at the 2026 Massachusetts ACEP Annual Meeting, this episode of ACEP Frontline features Dr. Ryan Stanton in conversation with Dr. Alice Bukhman on the unique challenges of caring for patients in custody. Emergency physicians frequently care for individuals who arrive under law enforcement supervision, creating situations where patient rights, medical ethics, safety, and legal considerations can intersect in complex ways. Dr. Bukhman discusses the physician's primary obligation to the patient, regardless of custodial status, while exploring practical issues including privacy, informed consent, decision-making capacity, restraints, interactions with law enforcement, and requests for medical clearance or forensic information. The conversation also addresses strategies for navigating difficult encounters, protecting the therapeutic relationship, and ensuring that medical decisions remain grounded in the patient's best interests. Whether you practice in a busy urban trauma center or a rural emergency department, this episode provides practical guidance for managing some of the most nuanced and challenging situations emergency physicians encounter while reinforcing the principles that define patient-centered emergency care.
Mentioned in this episode:
ACEP26
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What do you do when a patient arrives with a venomous snakebite? Which bites are truly dangerous, when should antivenom be used, and what are the biggest myths that continue to circulate about snakebite management? On this episode of So What?, host Dr. Howie Mell sits down with one of the nation's leading experts on snake envenomation, Dr. Spencer Greene, for a practical, evidence-based discussion on the diagnosis and management of snakebites. From identifying clinically significant envenomations to avoiding outdated treatments that can do more harm than good, they break down what emergency clinicians need to know when every minute counts. The conversation explores initial assessment, laboratory evaluation, indications for antivenom, management of pit viper bites, patient disposition, and common misconceptions surrounding tourniquets, incision and suction, and other persistent folklore. Dr. Greene also shares clinical pearls from years of treating snakebite victims and discusses how emergency physicians can approach these uncommon but high-stakes cases with confidence. Whether you practice in an area where venomous snakes are common or simply want to be prepared for the unexpected, this episode delivers practical takeaways that can immediately impact patient care.
In this episode:
Initial evaluation of suspected snake envenomation Pit viper versus nonvenomous bites When antivenom is indicated—and when it isn't Laboratory testing and ongoing monitoring Common myths and management pitfalls Disposition, observation, and follow-up recommendations Practical pearls for emergency cliniciansMentioned in this episode:
ACEP26
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Saknas det avsnitt?
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Recorded at ACEP's Leadership and Advocacy Conference in Washington, DC, this episode of ACEP Frontline features a conversation between Dr. Ryan Stanton and communications strategist Brad Fitch on the art and science of effective advocacy. As emergency medicine faces increasing challenges at the local, state, and federal levels, the ability to communicate clearly and persuasively has never been more important. Fitch shares practical strategies for engaging policymakers, the media, hospital leaders, and the public, emphasizing the importance of message discipline, storytelling, and relationship building. The discussion explores how emergency physicians can better articulate the value of the emergency department as the nation's healthcare safety net, translate complex healthcare issues into meaningful messages, and advocate effectively for patients and the specialty. Whether speaking with legislators on Capitol Hill or stakeholders in your own community, this episode offers valuable insights into how thoughtful communication can strengthen emergency medicine's voice and advance meaningful policy change.
Mentioned in this episode:
ACEP26
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On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with Dr. Thom Mayer, emergency physician, leadership expert, and Medical Director of the NFL Players Association, for an inspiring conversation about restoring purpose, culture, and leadership in emergency medicine. Drawing from decades of experience leading teams in healthcare, sports, and crisis environments, Dr. Mayer discusses why culture is not a byproduct of the emergency department, but rather the foundation upon which performance, resilience, and patient care are built. The discussion explores the challenges facing today's emergency departments, including burnout, overcrowding, and workforce pressures, while emphasizing that physician leadership remains one of the most powerful tools for creating positive change. Dr. Mayer shares practical insights on leading through adversity, fostering trust, developing high-performing teams, and reconnecting clinicians with the mission that brought them to emergency medicine. This episode is a powerful reminder that while circumstances may be difficult, strong leadership and intentional culture can transform the emergency department experience for physicians, staff, and patients alike.
Mentioned in this episode:
ACEP26
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On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with political analyst and publisher of Inside Elections, Nathan Gonzales, for a timely discussion on the current political landscape in Washington, DC, and what it means for healthcare and emergency medicine. Recorded during ACEP’s Leadership and Advocacy Conference, the conversation explores the aftermath of recent elections, the shifting balance of power on Capitol Hill, and the key issues driving decision-making in Congress and the administration. Gonzales provides insight into the political environment, the challenges facing lawmakers, and the factors that will shape upcoming election cycles. The discussion also highlights what physicians and healthcare advocates should expect moving forward, offering valuable perspective on how the political climate influences healthcare policy, advocacy efforts, and the future of emergency medicine.
Mentioned in this episode:
ACEP26
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From the halls of Holy Cross College and the Massachusetts ACEP Conference, ACEP Frontline talks with Dr. Lauren Westafer for a high-yield discussion on two of emergency medicine’s most impactful diagnoses: aortic dissection and pulmonary embolism. Dr. Westafer breaks down the evolving evidence behind D-dimer testing, including the 2026 practice-changing data and ACEP clinical policy updates supporting the use of the Aortic Dissection Detection Risk Score combined with D-dimer to help safely risk stratify select patients with suspected acute aortic syndromes. The conversation explores how this approach may reduce unnecessary advanced imaging while maintaining patient safety, along with practical pearls for identifying the patients who still warrant immediate CTA evaluation. The episode also reviews modern pulmonary embolism diagnosis and management, discussing risk stratification, and disposition decisions. It is a practical, evidence-based conversation focused on improving diagnostic accuracy, reducing over-testing, and delivering high-value emergency care.
Mentioned in this episode:
ACEP26
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Recorded live at the ACEP Leadership and Advocacy Conference, this episode of ACEP Frontline features a timely conversation with Dr. Sean Michael, Regional Chief Medical Officer for Centers for Medicare & Medicaid Services. As emergency departments across the country continue to face unprecedented crowding, prolonged boarding, staffing strain, and access challenges, Dr. Michael joins us to discuss how CMS is viewing the crisis and what potential policy “levers” may help address the growing nationwide problem. From hospital throughput and inpatient capacity to quality measures and accountability, we explore how federal policy could influence meaningful change for patients, physicians, hospitals, and the emergency care system as a whole.
Mentioned in this episode:
ACEP26
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On this episode of ACEP Frontline, Ryan Stanton discusses the growing national conversation surrounding the corporate practice of medicine (CPOM) and Oregon’s landmark SB 951 legislation. Using the recent PeaceHealth news in Eugene as a backdrop, Dr. Stanton breaks down what CPOM means, why states are increasingly examining corporate influence in healthcare, and how Oregon lawmakers, led by Ben Bowman, crafted one of the strongest physician autonomy laws in the country. The episode explores the intent behind the legislation, including protecting independent medical judgment, preserving the physician-patient relationship, and limiting non-clinical interference in care decisions. Dr. Stanton also highlights the role of the Oregon Chapter of the American College of Emergency Physicians and emergency physicians in shaping the discussion, while examining the broader implications these legislative efforts may have for emergency medicine, healthcare access, staffing models, and physician-led patient care nationwide.
Mentioned in this episode:
ACEP26
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In this episode of ACEP Frontline, we sit down with Dr. David Carlberg to discuss eosinophilic esophagitis (EoE), an increasingly recognized inflammatory condition of the esophagus that can present with food impactions, difficulty swallowing, chest discomfort, and chronic reflux-like symptoms. Dr. Carlberg breaks down the underlying causes of EoE, including the role of allergic and immune-mediated responses, while highlighting the importance of recognizing the condition in both pediatric and adult patients presenting to the emergency department. The conversation also explores diagnostic considerations and current management strategies ranging from dietary modifications and proton pump inhibitors to topical steroids and endoscopic interventions. The episode wraps with a reminder for emergency physicians to check out the ACEP POC Smart Phrase on EoE for practical bedside guidance and streamlined documentation support.
Supported by Sanofi.
Mentioned in this episode:
ACEP26
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In this episode of ACEP Frontline, we sit down with Dr. Aaron Kuzel from the University of Louisville to discuss one of the most pressing challenges in healthcare today, protecting and expanding access to emergency care in rural America. From hospital closures and workforce shortages to increasing healthcare deserts across the country, rural communities continue to face growing barriers to timely emergency treatment. Dr. Kuzel shares his perspective on the critical role emergency physicians play in ensuring high-quality, lifesaving care regardless of a patient’s ZIP code. The conversation explores why physician-led emergency care matters, the unique challenges facing smaller and rural emergency departments, and how advocacy at the state and national level is essential to preserving access for vulnerable populations. We also dive into the role of organized emergency medicine through American College of Emergency Physicians and how advocacy efforts are shaping policies focused on patient safety, workforce development, reimbursement, and sustainable rural healthcare systems. Whether discussing boarding, transfer delays, or maintaining specialty access in underserved regions, this episode highlights why emergency medicine remains the healthcare safety net for communities large and small. It’s a timely and important conversation about the future of emergency care, and the ongoing fight to ensure every patient has access to physician-led emergency medicine when they need it most.
Mentioned in this episode:
ACEP26
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At the 2026 ACEP Leadership and Advocacy Conference in Washington, D.C., The Frontline sits down with emergency physicians turned state legislators Arvind Venkat and Tim Reeder for a candid conversation about bringing frontline experience into the halls of government. From balancing overnight shifts with legislative sessions to navigating the realities of healthcare policy, both physicians share how emergency medicine uniquely prepares doctors to advocate for patients beyond the bedside. The discussion explores the challenges of policy making, the importance of physician voices in government, and how emergency physicians can influence meaningful change at the local, state, and national levels.
Mentioned in this episode:
ACEP26
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In this episode of ACEP Frontline, we sit down with Joseph Leary, DO, MPH, to explore how a single decision in a rural community can ripple across an entire health care system. Early in his career, while working as an emergency physician in the small mining town of Craig, Colorado, Dr. Leary witnessed the abrupt closure of a labor and delivery unit at a critical access hospital, an event that would shape his path into health policy and advocacy.
He shares how that closure didn’t just affect obstetric care, but fundamentally altered emergency preparedness in the region. With fewer resources, physician departures, and pregnant patients left without local options, the impact was immediate and far-reaching.
Dr. Leary reflects on that pivotal moment and how it sparked a deeper question: how can frontline physicians influence the systems that shape patient care? His journey offers a powerful look at the intersection of emergency medicine, rural health, and policy, and why physician voices are essential in these conversations.
This episode highlights the real-world consequences of health care decisions and the growing need for advocacy to protect access and outcomes in vulnerable communities.
Mentioned in this episode:
ACEP26
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In this episode of ACEP Frontline, we hear from longtime friend of the show, Dr. Jason Adler, one of the most knowledgeable and respected voices in the world of revenue cycle management (RCM). Dr. Adler pulls back the curtain on the increasingly complex and often frustrating tactics used by insurers, including downcoding, denials, and other strategies that directly impact emergency physicians and the care we provide.
This is more than a conversation about billing, it’s a deep dive into the financial realities that shape emergency medicine today. Dr. Adler breaks down how these “insurer games” work, why they matter, and how they ultimately affect not just physician compensation, but the sustainability of emergency departments across the country.
Understanding how your paycheck comes together is no longer optional, it’s essential. As corporate payers continue to prioritize profits, often at the expense of frontline care, physicians must be informed, engaged, and ready to advocate. This episode equips you with the insight needed to recognize these challenges and reinforces the importance of continuing the fight for fair reimbursement and the value of emergency medicine.
If you’ve ever wondered where your work and your worth gets lost in the system, this is an episode you won’t want to miss.
This is from Colorado ACEP and their conference.
Mentioned in this episode:
ACEP26
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We join the Learning Lounge at Accelerate to hear from Dr. Mimi Lu with some of the most common and dangerous toxicology related encounters that we may encounter from the "convenience store". This is geared towards the pediatric population, but great information about threats that may seem benign because they are not restricted.
ACEP Frontline is transitioning to a new hosting platform. If you only listen to the podcast from SoundCloud, we will no longer be updating that site. We will still be present on all other common platforms and nothing will change there. If you only use SoundCloud, please subscribe to the podcast on any of the common podcast player platforms. Thank you! -
How many times per shift(no matter what you do) do you get interrupted? Are you a good multitasker? In this session from Maine ACEP, we hear how these countless interruptions impact your flow, efficiency and (possibly) quality. Dr. Perron has a couple of exercises and then provides some tips and strategies to mitigate the impact of task interruptions in EM.
Mentioned in this episode:
ACEP26
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In this episode, we chat with podcast regular and peds EM champion, Dr. Marianne Gausche-Hill, about her topics and leadership within the ACEP Pediatric Emergency Medicine Assembly as a part of Accelerate. We get the best nuggets of each talk and then wrap with a plug for the Pediatric Readiness Project.
Mentioned in this episode:
ACEP26
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In this episode, we talk about mentorship and the tips and opportunities we have as emergency physicians. Dr. Matthew Stull is a long time educator with the ACEP Teaching Fellowship and we sit down at Accelerate26 in San Diego.
Mentioned in this episode:
ACEP26
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In this episode, we feature a series of discussions and a Q&A from the Pediatric EM Assembly at ACEP Accelerate in San Diego. We talk about back yard envenomations, poisons, and a number of peds humor moments.
Mentioned in this episode:
ACEP26
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Part two of two. In this episode, Dr. Howie Mell sits down with Dr. Ken Milne about recent data and evidence on the use of cervical collars and cervical motion restriction. The question the work to answer is whether it's time for the C-collar to follow backboards and dinosaurs into the relative history of medicine.
Mentioned in this episode:
ACEP26
- Visa fler
