
Think back over your career in medicine to the patient encounters that are most memorable to you. Are they good ones or bad ones? Were they tragic, ending in a…
Think back over your career in medicine to the patient encounters that are most memorable to you. Are they good ones or bad ones? Were they tragic, ending in a…
We’re continuing to review the ACEP guidelines and today, we’re going to talk more about the policies of acute venous thromboembolic disease. Please remember, we have three catastrophic blog clots…
I want to share a message with the physicians who retain advanced practitioners. If you are a doctor and you hire nurse practitioners or physician assistants, this message is directly…
I want to pass along information that really changes what you do when a patient is in front of you. Now, we’re continuing our series on the ACEP guidelines. These…
Every time I’ve had a patient with carbon monoxide poisoning, I’ve never really known exactly what to do. The ACEP has some guidelines on carbon monoxide poisoning I want to…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute where our goal is promoting clinical excellence. Our focus is for the advanced emergency medicine practitioners, nurse practitioners…
What’s the difference between urgent care and emergency medicine? Urgent care is the initial intention. You don’t think they’re getting admitted; you think they’re going home. Once you think they’re…
When it comes to sore throats, don’t just know the basics. Master them. Diagnosing Rheumatic Fever To diagnose rheumatic fever, you need evidence of a recent strep infection (typically using…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute where our goal is promoting clinical excellence. Our focus is for the advanced emergency medicine practitioners, nurse practitioners…
The patient I hate to see most in the world is geriatric vertigo. For a long time, I worked in a hospital that considered vertigo a nuisance complaint. Give them…
Infectious disease can be almost overwhelming. However, if you look at the fundamental basics, it’s not that hard. You have to know your infectious diseases because PAs and NPs are…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute where our goal is promoting clinical excellence. Our focus is for the advanced emergency medicine practitioners, nurse practitioners…
There are three catastrophic blood clots that everybody needs to know. It doesn’t matter what field of medicine you’re in. You need to know these three blood clots like the…
If you work in primary care, emergency medicine or urgent care, I think it’s important to have updated information on the latest antibiotics for common medical problems. I’ve gone through…
There are a bunch of things in medicine that I never really understood the gravity of until I got into clinical practice. I didn’t quite understand how big a deal…
Hi, I’m Dave Pierce. I’m an emergency medicine attendant in Buffalo, New York. I’m going to share with you how to present a case. This applies to residents, PAs and…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute, where our whole goal is promoting clinical excellence. Our focus is for the advanced practitioners: emergency medicine, nurse…
There was a really cool course that I was an instructor for called ACLS-EP, Advanced Cardiac Life Support for Experienced Providers. It was like an ACLS on steroids and it…
Here’s the deal. You’re getting into medicine or you are in medicine. This is the biggest lesson. I hope you can hear this. I hope you don’t take as long…
I get the fascination with trauma, especially if you work EM or EMS. I get to lecture at EM and EMS conferences, and I ask paramedics, “Hey, what topic do…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute where our goal is promoting clinical excellence. Our focus is for the advanced emergency medicine practitioners, nurse practitioners…
Positive pregnancy tests. Look for the classic triad of unilateral belly pain, amenorrhea (a missed a period, the patient saying, “I didn’t have a period for a while”), and a…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute, where our whole goal is promoting medical excellence. Our focus is on advanced practitioners of emergency medicine, nurse…
Are you thinking about joining us at this year’s Emergency Medicine LIVE in Niagara Falls/Buffalo, New York? Here’s what to expect at Emergency Medicine Institute’s CME Conference on October 2nd…
One of the things that’s most important when working in emergency medicine, or any aspect of medicine really, especially if you’re a student, is the level of initiative that you…
Summertime means warm weather, a break from school and family vacations. While most people look forward to this time of year, for emergency departments it means more trauma injuries, and…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute where our whole goal is promoting clinical excellence. Our focus is for the advanced emergency medicine practitioners, nurse…
As emergency medicine practitioners, we see trauma on a weekly, daily and hourly basis. While there are hundreds or maybe thousands of patients that pass through our emergency department doors…
Burnout is a constant problem in emergency medicine. As physicians, physician assistants and nurse practitioners, our jobs are constantly pulling us in a dozen directions. Eventually, this takes a toll…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute, where our goal is promoting clinical excellence. Our focus is the advanced practice nurse, emergency medicine nurse practitioners…
Liver function tests can be incredibly confusing, even for advanced practitioners. We’re going to simplify them today. There are five main liver function tests that we’ll cover: AST, ALT, CCT,…
Welcome to Talk EM, brought to you by the Emergency Medicine Institute, where our goal is promoting clinical excellence. Today we’re going to talk about preventing burnout in medicine. It’s…
Today, we’re talking about urinalysis. I recently went on a medical mission trip to Madagascar and we had limited labs, but we could always do a urine dipstick. The U/A…
Today’s episode of Talk EM is brought to you by the Emergency Medicine Institute. Now, the Emergency Medicine Institute stresses to train PAs and nurse practitioners working in emergency medicine…
In part 1 of our four-part series on chest pain, featured speaker John Bielinski discusses cognitive bias and the implications for emergency medicine professionals. John empowers listeners to explore and…
Chest pain can be catastrophic. In emergency medicine or in any acute setting there are five causes of chest pain that must be considered when assessing a patient Pericarditis ACS…
It’s critically important as an APP to have the courage to ask for what you need. If you need a physician to see a patient – you need to lead…
Don’t be afraid to be wrong. It’s that simple. In medicine when discussing care, it’s critical to think deeply. Too often providers get a good subjective and objective exam, yet…
David Pierce, MD is a board-certified emergency medicine physician who practices in Buffalo, NY. Dr. Pierce graduated from New York Medical College in 2000 and completed his residency at State University…
During this episode of TalkEM John Belinksi interviews Michelle Mullaney, a Physician Assistant that specializes in Primary Care Medicine. John reflects on his experiences working in an Urgent Care setting…
Step 1 Diagnosis Diagnosing cardiac tamponade is difficult as signs and symptoms often mimic those associated with other conditions. Low blood pressure, distended veins, and muffled heart sounds are signs…
Cardiac tamponade occurs when fluid fills the pericardial sac surrounding the heart. If gone untreated the condition will lead to cardiac arrest, which requires surgical intervention to relieve tamponade.
Advances in medicine continuously transform the industry. Protocols for the screening, testing, and diagnosing of medical conditions are constantly changing to keep up with modern medicine. As a result the…
Improving the Patient Experience with Effective Communication In the first installment of our Emergency Medicine Institute podcast series, Dr. David Pierce reflects on his experiences working in the Emergency Department….
Improving the Patient Experience with Effective Communication In the first installment of our Emergency Medicine Institute podcast series, Dr. David Pierce reflects on his experiences working in the Emergency Department….
Noninvasive Testing for Cardiac Conditions Classifying patients that are at risk for symptomatic coronary artery disease, such as myocardial infraction or sudden cardiac death is a daunting task. One that…
Communication and collaboration are the foundations for a successful Emergency Department team. When commitment to providing the highest quality care serves as the bounding agent for medical teams we observe…
An ACUTE aortic dissection is a spontaneous process, which is hard to predict. Due to the nature of the condition the results are often fatal. Patients that make it to…
Working in Emergency Medicine can be challenging and unpredictable. In order to be successful you need to have the winning mindset! Every time you go into work you need to…
Prevent Life Threatening Delays Break the constraints of traditional medicine by challenging your perception of acute care. Historically healthcare systems limit themselves by utilizing disease and symptoms to determine medical…