EMRA*Cast

Elevated lactate - even the phrase is ambiguous and unwelcome. But it can also be a key to treating the patient in front of you. EMRA*Cast host Lauren Rosenfeld, MD, peels back the layers of the lactate conundrum with the one and only Haney Mallemat, MD, of Critical Care Now and ResusX.

It happens overnight: You go from being a trainee to working as an attending – and the senior-level confidence you felt just 24 hours earlier can't even be spotted with the donut of truth. What's a new attending to do? 
In her final episode as an EMRA*Cast fellow, host Blythe Fiscella, MD, shares a hodgepodge of actionable advice from EM attendings as she transitions from residency to starting as an attending at the same institution.

A seemingly routine pediatric nosebleed quickly became one of the most frightening cases of my career when a five-year-old with undiagnosed immune thrombocytopenia (ITP) developed life-threatening epistaxis. In this episode, we walk through the case and explore why dissolvable hemostatic agents may be an underutilized first-line option, incorporating insights from ENT that may change your practice the next time pressure, Afrin, and traditional packing fail.

In this solo episode, Dr. Blythe Fiscella shares 11 hard-won lessons from the emergency department — covering everything from procedures and airway management to communication and clinical uncertainty. Whether you're a resident or a seasoned clinician, there's something here for everyone.

In this mini episode of our "Bridging Health and Humanity" series on EMRA*Cast, Dr. Natalie Hernandez speaks with EM:RAP's Dr. Matt Delaney about patient vulnerability during transitions of care, focusing on what clinicians should do when receiving sign-out.