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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.

Dec 30, 2019

To understand the mysteries of medicine we are taught basic concepts we then use construct cognitive frameworks that allows us to interpret information, make predictions and formulate interventions.  But what if the original concepts are wrong? Experience has proven to me that many dogmatically held beliefs in medicine...


Nov 30, 2019

Can  a non critically ill patient's physical exam yield information that is not more precisely derived from laboratory testing, imaging, or other technology?  Certainly.  In this episode, I discuss aspects of the physical exam that remain not only clinically relevant, but essential to understanding a patients...


Oct 31, 2019

If we are being honest, most emergency physicians will admit that our physical exams have become subservient to technology as we evaluate our patients.  Does this mean that the physical exam is now just an archaic ritual?  Not so fast, my friends.  In this episode I describe those aspects of my physical examination I...


Sep 30, 2019

The big reveal! The top two negative changes to befall the practice of emergency medicine are finally unveiled.  How these have evolved and why they constitute a powerful malignant influence is examined.  


Sep 1, 2019

I move on to discussion of the "big ticket item" changes that have impacted the practice of emergency medicine one the last four decades. I outline what drives these changes and how they errode the quality of care provided in our emergency departments .