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Podcast of ExBEM

Welcome to the Podcast of ExBem, the podcast of experience based emergency medicine, where dogma is challenged and new ideas born from clinical experience are explored.  If you agree with these ideas, great. If you disagree, all the better...  explain why in the comments section.  The podcast is also available on iTunes and subscriptions are free.

Nov 29, 2021

What percentage of the patients that we admit to the hospital do we harm?  On this episode I reveal why when those charged with making the decision to admit forget the answer to this question, our specialty and our whole medical system pay the price.

Nov 1, 2021

The hypothesis:  Emergency physicians are providing less effective care now than twenty years ago.

The Proof: longer wait times, more overcrowding, more cost, less job satisfaction.

Who's to blame: us (among others)

In this episode I take a hard look inward and discuss where emergency medicine has sabotaged...

Sep 24, 2021

Covid 19 has exposed a dirty little secret that emergency physicians have helped keep for decades- there is not enough to go around.  Unfortunately the way things are headed, those best equipped to deal with the reality of limited medical resources are being pushed  aside - with predictable consequences.

Aug 30, 2021

The specialty of Emergency Medicine sprang into being in order to fill a need.  I'm concerned that we've lost sight of that need as we train those to whom we will pass the torch.  On this episode I begin a discussion of how and why our specialty developed and why keeping our fragile medical system afloat rests on our...

Jul 26, 2021

Pretending that there exists an "opiate crisis" obscures our society's real, much more difficult health crisis. On this episode I discuss what these real problems are and why accepting the delusion that opiates are the issue is leading us down a treacherous path.