EMRA*Cast

Fear drove Dr. Amal Mattu to master EKGs, and it's made him one of EM's most beloved educators. Hear his advice on learning from misses, building an EKG habit, and why AI isn't ready to take over your EKGs just yet.

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.