Newest Podcast Videos
Case of the Month: January 2026
Swami and Jan kick off 2026 with a deep dive into a classic emergency medicine challenge: evaluating a patient with sudden chest pain and deciding whether aortic dissection is truly on the table. From clinical gestalt to the nuances of the Aortic Dissection Detection Risk Score, they walk through the real-time decision making, pitfalls, and practical considerations that shape this high-stakes diagnosis. Along the way, they unpack imaging choices, the role of D-dimer, when to act fast, and how to keep your threshold sharp without over-testing. It’s a thoughtful, case-based look at risk, uncertainty, and what it takes to get it right in the ED.
Case of the Month: December 2025
Swami and Jan are back with a case of the month! A 33-week pregnant patient came in with what seemed like a straightforward complaint, but her story quickly took a turn. As we worked through the differential, none of the usual explanations fully fit, and each test brought us a step closer to an unexpected answer. This case was a reminder that even familiar symptoms can hide something deeper. A good nudge to slow down, rethink, and let the workup guide you.
Case of the Month: November 2025
Miz joins Swami for this month’s case! When a 45-year-old woman comes into the ED in shock just hours after hip surgery, the team runs through the usual suspects — hemorrhage, sepsis, pulmonary embolism — but the answer lies elsewhere. In this episode, Swami and Miz break down a real case of adrenal crisis, the subtle clues that can lead you there, and why thinking about it early can save a life. They also dive into what’s new at EM:RAP — from revamped Fundamentals video series (EBM, Trauma, Ultrasound) to INVICTUS Encore, the first and only oral board review course designed for ABEM’s new exam format. S
Case of the Month: October 2025
Case of the Month: October 2025 This month's case comes from a fast track shift that starts out like any other—but takes an unexpected turn. A middle-aged patient presents with penile pain, something you might assume is STI-related or minor trauma. But as the story unfolds, the history and background push you to think beyond the usual suspects. The patient isn’t sexually active, has a chronic condition that changes the risk profile, and the exam reveals findings that don’t quite fit the common explanations. Suddenly, what felt like a straightforward case forces you to broaden your differential. From vascular processes to infectious concerns, this is a reminder that serious pathology can hide behind seemingly routine complaints. We’ll dig into what key questions you need to ask, what clues should raise red flags, and how to manage when the diagnosis isn’t common—or easy. Even in fast track, the unexpected shows up, and knowing how to recognize it can make all the difference.
Case of the Month: September 2025
This month, Jan and Swami return with not one, but two thought-provoking cases. In the first, a patient presents with pneumonia after receiving inadequate prior treatment. How do you move the case forward without placing blame on the previous doctor? Jan shares her approach to reframing the conversation with patients, focusing on next steps instead of dwelling on the past, while Swami reflects on his constructive exchange with the patient’s PCP. Then, the dynamic duo take on a different challenge: a patient who’s run out of their anxiety medication. The discussion opens up questions around benzodiazepine dependence, withdrawal, patient education, and strategies for long-term treatment. There is more to medicine than clinical knowledge, and together, these cases highlight the art of practicing medicine. Navigating these complex, sometimes uncomfortable scenarios with both honesty and compassion is a critical aspect of overall job satisfaction.