EMRA*Cast

Buprenorphine is well-known for opioid use disorder—but what about for acute pain? Drs. Terry Ahern and Jon Lee join host Maiya Smith to discuss low-dose buprenorphine for pain management in the emergency room, covering pharmacology, dosing, patient selection, and why it may be a safer, underused analgesic.  

One talk with Dr. Fred Kency, and you will appreciate not only a strong work ethic, but also ingenuity and a passion for all aspects of the field of medicine. Join EMRA*Cast host Dr. D'Monte "TP" Farley for a stimulating conversation on ways to stay inspired and motivated in your career.  Publisher's note: This conversation was recorded at the ACEP Leadership and Advocacy Conference 2025, where emergency medicine visits Capitol Hill en masse to advocate for patients and practitioners. The EMRA Representative Council will hold its Spring Representative Council meeting in conjunction with LAC in April 2026.

In this episode of EMRA*Cast's "Bridging Health and Humanity," host Natalie Hernandez interviews Dr. Jailyn Avila about the importance of gender-affirming care in the emergency department. Dr. Avila highlights the significant health disparities and challenges faced by LGBTQIA+ patients, including a reluctance to seek care in the ED due to fear of discrimination and past negative experiences. The conversation covers the critical aspect of treating trans patients with the same respect and care as cis patients, avoiding irrelevant medical questions, and implementing small changes in practice to create a supportive environment. Dr. Avila shares personal experiences as a transgender woman, emphasizes the necessity of advocacy, and provides actionable steps for clinicians to improve the care and trust of LGBTQIA+ patients. The episode also addresses the impact of recent restrictive policies on the health care of trans individuals and calls for education, advocacy, and systemic change to support this vulnerable population.

Whether you're days from becoming an attending or just trying to figure out how to get a BP on a pulseless patient, this episode will help you go from fear to confidence in managing LVADs in the emergency department. Join EMRA*Cast host Dr. Maiya Smith and guest Dr. Anna Ciullo as they review how to assess perfusion, manage complications, and decide on CPR. From pump thrombosis to GI bleeds, we help you stay calm and take control.

Laceration repair is not uncommon in the emergency department. In this episode, we get some expert tips for emergency physicians from a plastic surgery colleague. Join Dr. Kimberly Fiscella of Albany Medical Center and host Dr. Blythe Fiscella of ChristianaCare to pick up some essential pearls on suturing and skin/soft tissue injury management in the ER.