Annals of Emergency Medicine
Annals of Emergency Medicine is a podcast connected to the peer-reviewed journal of the same name. Hosts Ryan Radecki, MD, MS, and Rory Spiegel, MD, discuss recently published articles and topics relevant to emergency medicine. Each episode provides expert commentary and analysis for emergency physicians and clinicians. The show focuses on current research, clinical practice, and issues affecting the field.
Episodes
August 2026
In the August episode of the Annals of Emergency Medicine podcast, Rory and Ryan discuss pediatric ED observation for blunt abdominal trauma, sex differences in syncope outcomes, a digital decision aid for STI testing, ECPR for pediatric cardiac arrest, and much more.
July 2026
On the July episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss social vulnerability in EMS recognition, ED social care approaches, pediatric prehospital readiness, and much more.
June 2026
On the June episode of the Annals of Emergency Medicine podcast, Ryan and Rory cover nonoperative treatment of appendicitis, the real-world impact of ED mistriage, how ED boarding drives early clinical deterioration, and uptake of telemedicine for ED follow-up care.
May 2026
On the May episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss the expanding role of ambient AI scribes in emergency department documentation, pediatric safety topics ranging from sentinel injury recognition to diagnostic quality measurement, risk stratification for complications following pharyngitis and neck infections, and high-stakes neurological questions around biomark
April 2026
On the April episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss rapid rule-out with high-sensitivity troponin, use of pulse wave doppler to identify ROSC in cardiac arrest, non-research payments to emergency physicians and much more.
March 2026
On this month's episode of the Annals of Emergency Medicine podcast, Ryan and Rory are joined by guest Dr. Andrea Klein and discuss treatment of opioid use disorder in the ED, experience and competency during intubation, vasopressors in sepsis, and much more.
February 2026
On the February issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss adjunctive therapies of headaches, distributions of stroke centers, corneal foreign body removal and much more.
January 2026
On this month's episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss TXA in trauma, scores to predict large vessel occlusions in stroke, atrial fibrillation, and much more.
December 2025
On the December issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss ultrasound to assist in the diagnosis of septic arthritis, targeted temperature management in post-cardiac arrest care, the safety of ketamine for procedural sedation, and much more.
November 2025
On this month's episode of the Annals podcast, Ryan and Rory discuss psychedelic trips, out-of-hospital airway management, delirium in older adults, and much more.
October 2025
Join Ryan and Rory for the October 2025 episode of the Annals of Emergency Medicine podcast, where they discuss occult ventricular fibrillation, stress testing for chest pain, and much more.
September 2025
In the September 2025 episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss EMTALA, sepsis bundles, emergency department crowding, and more.
August 2025
In the August issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss point-of-care high sensitivity troponins, intubation practices in community emergency medicine and much more.
July 2025
In the July issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss treatments for agitated delirium in children, albumin for septic shock, and much more.
June 2025
In the June 2025 Annals podcast, Ryan and Rory discuss attrition rates for ED clinicians, web-based POCUS training, the risk of delayed respiratory failure in opioid overdoses, and much more.
May 2025
In this month's epsiode, Ryan and Rory discuss the burden of pediatric behavioral visits on the emergency department, out-of-hospital ketamine for agitated delirium, outcomes in eCPR, and much more.
April 2025
In the April edition of the Annals of Emergency Medicine podcast, Rory and Ryan discuss ketamine for prehospital seizures, firearm injuries in the ED, and the best therapies for headaches.
March 2025
In the March issue of the Annals of Emergency Medicine podcast, Rory and Ryan discuss cephalosporins for outpatient pyelonephritis, ED-initiated buprenorphine programs, cervical cancer screening in the ED and much more.
February 2025
In this month's episode, Ryan and Rory discuss TXA administration in pediatric trauma, trends in respiratory viral testing, a novel clinical decision rule for vertigo and much more.
January 2025
In this month's Annals of Emergency Medicine podcast, Ryan and Rory ring in the New Year discussing the ideal paralytic in RSI, GI risk assessment scores and much more.
December 2024
In the December Annals of Emergency Medicine podcast, Ryan and Rory discuss time to routine screening for pediatric abuse, intubation rates in patients receiving parenteral olanzapine with and without a parenteral benzodiazepine, analgesia for renal colic, and much much more.
November 2024
In the November issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss time to targeted temperature management, PE diagnostic pathways, AI assistant STEMI recognition, and much much more.
October 2024
In the October 2024 Annals podcast, Ryan and Rory discuss use of acupuncture in the ED, the use of ketamine in pain management, the cost of boarding, and much more.
September 2024
In the September issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss HIV screening, sepsis decision tools and much much more.
August 2024
In this month's podcast, Rory and Ryan discuss racial and socioeconomic disparities evident in inappropriate antibiotic prescribing in the ED, harnessing the power of generative AI for clinical summaries, and much more!
July 2024
This month, Rory and Ryan discuss intubation rate and success as well as COVID-19 Infections among emergency health care personnel.
June 2024
In this month's episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss US-guided regional nerve blocks, outpatient pharmacies in pediatric EDs, Canadian emergency physician burnout, and much more.
May 2024
In this episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss clinical decision rules for isolated subdural hematomas, blunt head injury in geriatric patients, and much more.
April 2024
In this episode of the Annals of Emergency Medicine podcast, Ryan and Rory are joined by Giovanni Rodriguez to discuss social determinants of health in the pediatric population, pediatric sepsis, home remedies for button battery ingestion, and much more.
March 2024
In the March edition of the Annals of Emergency Medicine podcast, Ryan and Rory discuss airway management in pediatric out-of-hospital cardiac arrest, ultrasound for the diagnosis of acute cholecystitis, and much more.
February 2024
In this month's episode of the Annals of Emergency Medicine podcast, Ryan and Rory discuss disparities associated with electronic behavioral alerts and physical restraints, the bougie use in tracheal intubations, and syncope while driving.
January 2024
In the January issue of the Annals of Emergency Medicine podcast, Rory and Ryan discuss alert fatigue, ransomware and ED hacking attacks, and a diverse assortment of topics relevant to emergency care.
December 2023
In the December podcast for Annals of Emergency Medicine, Rory and Ryan are joined by guest host Tehreem Rehman to discuss such topics as cost-shifting economics, emergency department crowding, and a diverse assortment of topics relevant to geriatric emergency medicine.
November 2023
In the November issue of the Annals of Emergency Medicine podcast, Rory and Ryan are joined by returning guest host Jay Pershad to discuss ETCO2 in post-OHCA patients, defining cardiac standstill in pediatric arrests, EM residents' views on end-of-life conversations, and much, much more.
October 2023
In the October issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss sedative doses and the risk of hypotension in RSI, the HEART, temporal trends in cardiac arrest and much more.
September 2023
In this issue of the Annals of Emergency Medicine podcast, Ryan and Rory discuss COVID-related ED boarding, the initiation of buprenorphine in the ED, and much, much more.
August 2023
In the August edition of the Annals of Emergency Medicine podcast, Rory and Ryan discuss cannabinoid hyperemesis syndrome, the link between CO poisoning and epilepsy, lower back pain in the ED, and much more.
July 2023
In the July edition of the Annals of Emergency Medicine podcast, Ryan and Rory discuss health inequities in the emergency department, the risk of inducing opioid withdrawal with IM naloxone, and much more.
June 2023
On this month’s episode of the Annals of Emergency Medicine podcast, Ryan and Rory are joined by guest host Danya Khoujah to discuss the pediatric bougie, out-of-hospital management of COPD, the efficacy of CPR on a mattress vs the floor, and much more.
May 2023
In the May issue of Annals of Emergency Medicine Ryan and Rory discuss the use of femoral doppler in cardiac arrest, pulmonary embolisms diagnostic pathways, and how often we do procedures in the Emergency Department
April 2023
In the April issue of the Annals of Emergency Medicine podcast Ryan and Rory discuss vital signs in children, assessing competency in US curriculum, prescription drug monitoring programs effects on rates of adolescent overdose and much much more
March 2023
On this month's issue of the Annals of Emergency Medicine podcast Rory and Ryan discuss the ideal oxygen level when managing patients with acute traumatic brain injury, the optimal dosing strategy for diltiazem in patients with atrial fibrillation and RVR, and the risk delayed hemorrhage in patients on antithrombotic medications with mild head injury.
February 2023
In this month's episode Rory and Ryan talk about Emergency Responder's impact on medicine, Administering Buprenorphine to overdose survivors, implementation of the modified C-Spine rule by paramedics, the frequency of Emergency Department visits during pregnancy and more!
January 2023
Rory and Ryan start off the new year discussing telehealth outcomes in patients with sepsis, COVID-19 patients discharged on supplemental O2, documenting social risk factors in the ED, and much more.
December 2022
In the December issue of the Annals Rory and Ryan discuss Predictors of Laryngospasm, intervention to reduce computer tomography usage and much more
November 2022
In this month’s podcast Rory and Ryan discuss Imaging choices in the ED based on patient's order and shift timing, Telehealth providers their effectiveness, safety and its longevity and much more.
October 2022
On the October Podcast Ryan and Rory discuss the effects of COVID-19 on the economy of emergency care, the modified sgarbossa criteria and the utility of frailty instruments in the emergency department.
September 2022
In the September issue of the Annals of Emergency Medicine Podcast Ryan and Rory discuss TXA for nosebleeds, the optimal AED for drug induced seizures, IV fluids in septic children and much much more
August 2022
On the August issue of the Annals of Emergency Medicine Podcast, Ryan and Rory discuss the state of the EM workforce, aerosol generation for various pre-oxygenation devices, blood pressure management in TBI and much much more
July 2022
In the July edition of the Annals of Emergency Medicine Podcast Ryan and Rory discuss health inequities in the ED, the risk of inducing opioid withdrawal with IM naloxone, and much more
June 2022
In the June issue of the podcast Ryan and Rory discuss US for diagnosing rib fractures, low-risk syncope, social media competencies and much much more.
May 2022
On the May issue of the Annals of Emergency Medicine Rory and Ryan discuss buprenorphine prescriptions in the ED, models to track gun violence, agitation code response teams and much more
April 2022
On the April edition of the Annals of Emergency Medicine Podcast, Rory and Ryan discuss video laryngoscope in kids, the state of geriatric emergency departments, and much, much more.
March 2022
On the March episode of the Annals of Emergency Medicine Podcast Ryan and Rory discuss the efficacy of nerve blocks for headaches, pediatric head trauma, trauma outcomes in rural vs urban medical centers.
February 2022
On the February episode of the Annals of Emergency Medicine podcast, Rory and Ryan discuss ultra-rapid rule-out strategies using a high-sensitivity troponin, time-to-airway management in OHCA, and much more.
January 2022
Rory and Ryan start the new year by discussing the state of EM, fixed vs weight-based PCC dosing, the risk of DVT in patients with ankle fractures, and much more.
December 2021
In the December issue of Annals, Rory and Ryan discuss video vs direct laryngoscope, all things ketamine, the state of the EM workforce, and the existence and relevance of the median glossoepiglottic fold.
November 2021
In this month’s podcast, Rory and Ryan discuss POCUS for intussusception, availability heuristic, clinicians adherence to PPE guidelines and much more.
October 2021
On the October Podcast Ryan and Rory discuss the effects of COVID-19 on the economy of emergency care, the modified sgarbossa criteria and the utility of frailty instruments in the emergency department.
September 2021
This month, Rory and Ryan discuss the utility tetanus decision support, risk of TBI in small infants, cephalosporin resistance, and much, much more!
August 2021
Rory and Ryan discuss Droperidol, the HEART Score, machine learning's ability to predict ICU admission, and much much more.
July 2021
This month's episode covers articles revisiting the COVID-19 peak from late 2020, Emergency Department throughput, and a massive project from New South Wales describing test ordering variation.
June 2021
In the June issue of the Annals of Emergency Medicine podcast, Rory and Ryan examine the feasibility of out-of-hospital evaluations for chest pain, the utility of lab screening for acetaminophen and salicylate ingestions, the use of haloperidol for cannabis hyperemesis syndrome, and much more.
May 2021
In the May issue of the Annals of Emergency Medicine Podcast Rory and Ryan discuss stress-related effects of living in proximity to gun violence, harm-reduction in programs in the ED, awareness during rapid sequence intubation, and much more.
April 2021
Hypertension in the ED, ultrasound for COVID, Prediction models for sepsis, and chest pain decision tools in the ED. All this and more on the April issue of the Annals of Emergency Medicine podcast
March 2021
In the March issue of the podcast Rory and Ryan discuss extraglottic airway devices, prehospital bougie use, the ideal approach to a resuscitative thoracotomy and much more.
February 2021
Another great month of articles in which Ryan and Rory discuss the prehospital management of TBI, nursemaid elbows, the utility of medical scribes, and much much more.
January 2021
Ryan and Rory ring in 2021 discussing normocellular meningitis, resistant UTIs, non-invasive oxygen delivery devices and their respective risk to healthcare workers, and much more
December 2020
Ryan and Rory end 2020 discussing fall prevention in the elderly, peer support following an opioid overdose, the optimal benzodiazepine for the treatment of alcohol withdrawal and much more.
November 2020
The November issue of the Annals of Emergency Medicine Podcast: COVID-19, where did all the “other” patients go, high-sensitivity troponin assays effect on diagnostic reclassification and operational stressors in the ED. Rory and Ryan discuss these topics and much more!
October 2020
The October podcast has a little bit of everything – COVID-19, machine learning, new treatment options for hemorrhage and urticaria, and more!
September 2020
In this geriatric issue, we discuss tools to identify elder abuse as well as predict prolonged hospitalization in an elderly population. In addition, we examine complications due to 2C-B ingestions, dive into the hyperangulated vs standard geometry VL debate, and even discuss some educational strategies for podcasting
August 2020
This month’s podcast has it all - from x-waivers, to safety trigger tools, to the glorious diminishment of contrast-induced nephropathy from the radiology guidelines
July 2020
Welcome to the fascinating world of network meta-analyses! We're going to apply them to atrial fibrillation, pneumothoraces, and skin and soft-tissue infections, among other highlights of this issue.
June 2020
In this June issue, Rory and Ryan have Dr. Lauren Westafer on as a special guest to discuss lactation accommodations in the emergency department. Also covered are discharge lounges, pediatric sepsis, and managing pediatric concussion.
May 2020
In this month's episode, we recap the May 2020 edition of Annals of Emergency Medicine. Listen in to learn about a variety of topics!
April 2020
In this month's episode, we recap the April 2020 edition of Annals of Emergency Medicine and discuss some of the recent COVID literature. Listen in!
February 2020
In this episode, we recap the February 2020 edition of Annals of Emergency Medicine.
January 2020
In this month's episode, we recap the January 2020 edition of Annals of Emergency Medicine.
March 2020
In this month's episode, we took a little different approach than usual because of COVID-19 crisis. We spend the first half of the podcast discussion articles from the March 2020 edition of Annals of Emergency Medicine. In the second half, we talk about all things COVID-19.
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