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5 gg fa

Drowning: Rescue, Resuscitation, and Prevention

Drowning deaths have increased in recent years, making it more important than ever for emergency physicians manage effectively. In this episode, Corey Williams, MD, reviews current drowning terminology, the pathophysiology that drives treatment decisions, and practical pearls for resuscitation, observation, and disposition. We also discuss common misconceptions and key prevention strategies to share with patients and families (and your own!). Guest: Corey Williams, MD; Host: Kim Bambach, MD; Audio editor: Nick Roesel Key Learning Points: Use the modern drowning terminology: Fatal or non-fatal drowning (with or without morbidity). Avoid outdated terms such as near drowning, dry drowning, and secondary drowning. Demographics: Young children, adolescent males, and patients with alcohol use, seizure disorders, or developmental disabilities are at highest risk for drowning. Pathophysiology: Drowning is primarily a hypoxic injury. In cardiac arrest, provide ventilations in addition to chest compressions. Compression-only CPR is not sufficient. Hypothermia: Consider hypothermia when a patient has a drowning event, even in warmer months. Active rewarming remains a critical part of management. Trauma: Consider cervical spine injury only when the mechanism or examination raises concern (e.g., diving injuries, unwitnessed events, neurologic deficits). Mythbusting: Fresh water versus salt water does not change management. Clinically significant electrolyte abnormalities from aspiration are unlikely. A normal initial chest X-ray does not rule out delayed pulmonary injury. Patients with non-fatal drowning who remain asymptomatic should generally be observed for at least 4 hours before discharge. Routine prophylactic antibiotics and steroids are not recommended after drowning unless there is concern for heavily contaminated water exposure. Prevention matters: Early swim lessons, four-sided pool fencing, close supervision, and CPR training for caregivers remain the most effective ways to reduce drowning-related morbidity and mortality. Further Reading: Davis CA, Schmidt AC, Bierens JJLM, et al. Wilderness Medical Society clinical practice guidelines for the treatment and prevention of drowning: 2024 update. Wilderness Environ Med. 2024;35(1):101-120. doi:10.1016/j.wem.2023.12.004. Dezfulian C, McCallin TE, Bierens J, Dunne CL, Idris AH, Kiragu A, Mahgoub M, Shenoi RP, Szpilman D, Terry M, Tijssen JA, Tobin JM, Topjian AA; on behalf of the American Heart Association and the American Academy of Pediatrics. 2024 American Heart Association and American Academy of Pediatrics focused update on special circumstances: resuscitation following drowning: an update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024;150(23):e473-e501. doi:10.1161/CIR.0000000000001274. Szpilman D, Bierens JJLM, Handley AJ, Orlowski JP. Drowning. N Engl J Med. 2012;366(22):2102-2110. doi:10.1056/NEJMra1013317. American Academy of Pediatrics. Prevention of drowning. Pediatrics. 2021.

5 gg fa

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30 min
15 mag

Episode 55: Jim Phelan & Jonathan Culler — Edith Wharton’s “Roman Fever”

In this episode of the Project Narrative Podcast, Jim Phelan and Jonathan Culler discuss Edith Wharton’s “Roman Fever,” which was first published in Liberty Magazine in 1934, and then included in her 1936 collection, The World Over. Jonathan Culler is the class of 1916 Professor Emeritus at Cornell University. Culler has been one of the most distinguished and productive literary and critical theorists of his generation. Among his 11 single-authored books are: the 1975 volume, Structuralist Poetics: Structuralism, Linguistics, and the Study of Literature, which won the MLA’s James Russell Lowell Prize for the best book by an MLA member in that year; the 1982 volume, On Deconstruction: Theory and Criticism After Structuralism, which lucidly explicated the then still emerging movement called deconstruction; and the 1997 book, Literary Theory: A Very Short Introduction, which has been translated into more than 25 languages. Throughout his career, Culler has conducted extended engagements with narrative, narrative theory, and lyric theory, and in 2015, he published Theory of the Lyric. Among Culler’s many recognitions are his elections to several distinguished scholarly groups, including: the American Academy of Arts and Sciences, 2001; the American Philosophical Society, 2006; and the British Academy, 2020. The International Society for the Study of Narrative has selected Culler as the winner of the Wayne C. Booth Lifetime Achievement Award for 2026.

15 mag

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49 min
29 apr

Thin Air, High Stakes: Altitude Medicine

Dr. Jonathan Thompson dives into the fascinating world of high-altitude medicine, explaining how hypoxia affects the body and lead to conditions like acute mountain sickness (AMS), high-altitude cerebral edema (HACE), and high-altitude pulmonary edema (HAPE). He highlights how hypoxia is a universal concept relevant to emergency and critical care medicine, and that understanding altitude illness can improve care for patients, whether you practice on a mountain or not! Bio: Dr. Jonathan Thompson is a former Green Beret in the U.S. Army Special Forces and former U.S. Army Special Operations Mountaineering Instructor that taught in Colorado, Alaska, and Wyoming. He completed a Masters in Physiology at the University of Michigan with a thesis on nitrate supplementation in the prevention and treatment of acute high-altitude illnesses. He is an annual, returning guest lecturer (2020-present) at the University of Michigan’s Department of Physiology instructing undergraduate and graduate students on high-altitude physiology, pathophysiology of acute altitude illnesses, and relevant treatments. Guest: Jonathan Thompson, MD, MS; Host: Kim Bambach, MD; Audio editor: Nick Roesel Key Learning Points: The unifying concept: hypoxia Decreased oxygen delivery impairs cellular metabolism and underlies all altitude illness. Risk of altitude illnesses begins around 5,000 feet Risk increases with rapid ascent and poor acclimatization. The classic setup is flying in and ascending quickly. Physiologic response to altitude Hypoxia triggers the hypoxic ventilatory response → ↑ respiratory rate and tidal volume ↑ sympathetic activity → ↑ heart rate and blood pressure Respiratory alkalosis from hyperventilation → renal compensation → bicarbonate excretion → diuresis Over weeks, erythropoietin → ↑ red blood cell mass Altitude Illness Spectrum Acute Mountain Sickness (AMS): Symptoms include headache, nausea, fatigue, and insomnia. This is usually mild but a warning sign. High Altitude Cerebral Edema (HACE): Characterized by neurologic dysfunction, such as ataxia and altered mental status. HACE can be life-threatening. High Altitude Pulmonary Edema (HAPE): A form of non-cardiogenic pulmonary edema. Symptoms include dyspnea at rest, cough, pink frothy sputum. HAPE is the leading cause of death. Treatment Descent is the definitive treatment. Give oxygen if available (but it’s usually not in austere environments). Give Acetazolamide for AMS and HACE (both prevention and treatment) Give Dexamethasone for HACE (remember “HACE is AMS on steroids!”). Give Nifedipine for HAPE. The Bottom Line: The best treatment is descent, and everything else is a bridge. When you’re out adventuring, don’t forget to go slow to acclimatize! Check out Dr. Thompson’s lecture for the World Extreme Medicine Organization here! Other Resources: Wilderness Medical Society Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update Auerbach PS, Cushing TA, Harris NS, eds. Auerbach’s Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2016.

29 apr

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26 min
09/07/2025

Unlocking Your Potential: Coaching in Emergency Medicine

How can you become your best professional self? What does it mean to have a coach in medicine? In this episode of Crash Cart EM, Drs. Rob Rainer (Med Ed Fellow) and Kim Bambach (Core Faculty) sit down with Dr. Geremiah Emerson (Associate Program Director) to explore coaching as a reflective, goal-driven practice that helps physicians reach their potential. Dr. Emerson breaks down how coaching differs from mentorship, advising, and sponsorship, using a practical framework focused on internal motivation and inquiry. He also shares how The Ohio State’s EM program has embraced the R2C2 model to support structured coaching conversations. We also dive into how coaching fosters metacognitive skills, reflective practice, and a growth mindset– key tools for navigating the challenges of residency and building a meaningful career. Whether you’re a resident finding your path or a faculty member supporting others, this episode is full of insight on unlocking potential through coaching. Hosts: Rob Rainer, MD; Kim Bambach, MD Guest: Geremiha Emerson, MD Editor: Kim Bambach, MD 1. Coaching vs. Mentorship, Advising, and Sponsorship Coaching = Internally driven, question-based. Coaches help you meet your professional goals by encouraging you to reflect on your motivations, strengths, and opportunities for growth. Coaches might not share your exact professional interests, but they guide your growth. Mentorship = Externally driven, question-based. A mentor builds a longitudinal relationship with aligned professional interests to their mentee. Advising = Internally driven, answer-based. Advisors offer specific guidance on your career. Sponsorship = Externally driven, answer-based. Sponsors offer specific career opportunities. 2. The Role and Value of a Coach Helps residents identify goals, reflect on performance, and stay connected to purpose. Coaching encourages self-inquiry and a growth mindset. Supports long-term fulfillment- not just surviving residency, but thriving after it. 3. Structure Matters: R2C2 Framework R2C2 = Relationship-building, Reactions, Content, Coaching for outcomes Relationship building: building respect, trust, and understanding the learner’s perspective Reactions: exploring the learner’s cognitive and emotional reactions to feedback, with active listening from the coach Content: clarify objective facts and details related to performance, identifying patterns and areas of focus Coaching: define goals together, share accountability, and make an explicit plan Provides coaches with clear structure to guide reflection and promote meaningful dialogue. 4. How to Be a Good Coach and Coachee Coaches: Understand coaching isn’t about getting answers but asking the right questions that stimulate reflection. Coachees: Come with a growth mindset and willingness to self-reflect. Vulnerability is key to growth: bring your challenges honestly. The coach-coachee relationship should foster psychological safety. 5. Coaching and Resident Well-Being Coaching aligns with wellness efforts like OSU’s GROW program. Reflective skills gained through coaching support resilience, self-compassion, and career longevity. Resources: AMA Coaching Guide R2C2 Framework

09/07/2025

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21 min
24/02/2025

Cultivating Excellence: Leading a Teaching & Learning Office for Student Success

Join us for an insightful conversation on the pivotal role of educational leadership in fostering a culture of teaching excellence and student success. Our guest, Dr. Anika Anthony, shares a wealth of knowledge and experiences that are sure to inspire educators and administrators alike. Join us for a thought-provoking conversation that delves into the heart of academia, uncovering the intricacies of leading a Teaching & Learning Office and the pivotal role it plays in shaping the educational journey for both faculty and students.

24/02/2025

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35 min
19/02/2024

Breaking Boundaries: Inclusive Leadership in Academia

Join us as we take a deep dive into why inclusive leadership is not only essential but transformative in the academic realm. In this thought-provoking episode, Dr. Wendy Smooth shines a light on the significance of inclusive leadership within the teams of educational institutions, unraveling the impact it has on campus life, research, and learning. By the end of the episode, listeners will have a better understanding of the imperative of inclusive leadership, best practices, and discover practical steps that can be taken to foster inclusivity.

19/02/2024

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20 min
12/11/2025

Episode 48: Jim Phelan & Catherine Belling — Susan Onthank Mates’s “Laundry”

In this episode of the Project Narrative Podcast, Jim Phelan and Catherine Belling discuss “Laundry” by Susan Onthank Mates, originally published in Mates’s 1994 collection, The Good Doctor. Catherine Belling is Associate Professor of Medical Education at Northwestern University’s Feinberg School of Medicine in Chicago. Belling teaches in the MA program in Medical Humanities and Bioethics. She directs the medical students, medical humanities seminars, and teaches in the four-year Clinical Ethics Curriculum and Bioethics Graduate Scholars Program. Belling is a two time winner of prizes from the Society for Literature Science and the Arts. Her 2010 essay in Narrative, “Narrating Oncogenesis,” won the Schachterle Prize for Best Essay by an Untenured Scholar, and her 2012 book, A Condition of Doubt: The Meanings of Hypochondria, won the 2013 Kendrick Book Prize. Belling served as editor-in-chief of Literature and Medicine from 2013 to 2018. Her current book project has the working title, Morbid and Disturbing: Medicine and Horror and Horror in Medicine.

12/11/2025

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52 min
10/07/2025

Democracy’s Paper Trail: Election Records, Safety, and Reform

Professor Rebecca Green, Director of the Election Law Program at William & Mary Law School, joins us to explore the evolving landscape of election administration and transparency. She discusses the implications of public records requests on election officials, the importance of archiving in democratic systems, and how state-level policies can foster (or hinder) trust in the electoral process. Resources Mentioned: • Freedom of Information Act (FOIA) • National Association of Election Officials (Election Center) Like, Share, and Subscribe to support independent conversations on law & democracy. Connect with Us: X: @lawdemocracypodEmail: lawanddemocracypodcast@gmail.comAbout Rebecca Green Rebecca Green is a Professor of Law at William & Mary Law School where she teaches courses in Election Law, Redistricting & GIS, Privacy Law, Alternative Dispute Resolution and Contract Law. Professor Green directs the Election Law Program, a joint project of the Law School and the National Center for State Courts. ELP provides resources for judges deciding election disputes. In 2013, Professor Green co-founded Revive My Vote to assist Virginians with prior felony convictions regain the right to vote. In 2018, Professor Green joined the National Task Force on Election Crises, a cross-partisan group convened to prevent and mitigate a range of election crises. In 2020, Green helped students co-found the Alliance of Students at the Polls (ASAP), a group mobilizing a national network of law students to support U.S. election

10/07/2025

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47 min
30/07/2025

How are elections being conducted in America today? 2024 SPAE report and mid-decade redistricting

In this episode, our panel of Election Law experts: Steve, Terri, Tony, and Matt, break down the latest findings from the MIT Election Data + Science Lab’s 2024 Survey of the Performance of American Elections (SPAE).Part One dives into key takeaways from the SPAE report, including: • The evolving role of vote-by-mail post-pandemic • Record-breaking voter turnout in 2020 and 2024 • Improvements in wait times for both early and Election Day voting • The ongoing partisan divide in mail voting behavior Part Two explores the topic of mid-decade redistricting. With President Trump urging Texas governor and legislature to redistrict in advance of the 2026 midterms, states across the political spectrum are discussing the possibility of adopting the very unusual practice of redistricting in the middle of a decade. Our experts unpack the legal, political, and democratic implications and what it could mean for future elections. Stay tuned for future episodes as we continue to track this developing story. Key Data Points from the 2024 SPAE Report: • Voting by mail: The use of mail ballots in 2024 decreased from pandemic-era levels but stayed above historical norms. The percentage of voters casting ballots by mail decreased to 29%, down from 43% in 2020 but up from 21% in 2016. • The 2020 and 2024 presidential contests were among the highest-turnout elections in the past century. The 66% turnout rate in 2020 was the highest since 1908, and 2024’s rate of 64% was the second highest, tied with 1960. The last two midterm elections also featured unusually high turnout levels, with rates not seen since the 1960s. • Average wait times for both Election Day and early voters decreased. Eleven percent of voters on Election Day waited over 30 minutes to cast their ballots, compared to 14% in 2020. Fifteen percent of early voters experienced wait times exceeding 30 minutes, a decrease from 21% in 2020. • The partisan divide in mail voting continued, with more Democrats than Republicans utilizing this method, although the gap narrowed because of declining usage among Democrats. Resources & References: • MIT Election Lab Report: How We Voted in 2024: https://electionlab.mit.edu/research/… • Pew Research: Voter Turnout 2020–2024: https://www.pewresearch.org/politics/…

30/07/2025

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37 min
25/09/2025

Putting People First with Eric Lenard at Johnson & Johnson

In this episode, Eric Lenard, VP of Global Services Finance at Johnson & Johnson, speaks with Jen Knox Shanahan about how courageous leadership means staying true to your values, embracing risk, and leading with empathy. He reflects on his own growth, the importance of celebrating people as well as results, and how a culture of […]

25/09/2025

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51 min

Discover Ohio State, a mission-driven land grant university, home to the Wexner Medical Center and world-class graduate, undergraduate and research programs.