
Hosted by ACEP Frontline · EN

Recorded at the 4th Annual Colorado ACEP Leadership Symposium and EM: High Risk – Can't Miss Conference in Beaver Creek, this episode of ACEP Frontline features a presentation by Dr. Anna Engeln on the recognition and management of peripartum emergencies, with a special focus on peripartum cardiomyopathy. While postpartum patients are encountered less frequently in many emergency departments, they can present with rapidly evolving, life-threatening conditions that require a high index of suspicion. Dr. Engeln reviews the physiologic changes of the postpartum period, highlights red flags that distinguish normal recovery from serious pathology, and discusses the evaluation and management of low frequency but high risk peripartum emergencies. The session places particular emphasis on recognizing peripartum cardiomyopathy, a potentially devastating diagnosis that can masquerade as common postpartum complaints. Through practical clinical pearls and evidence-based recommendations, this presentation equips emergency physicians with the tools to identify these high-risk conditions early and provide timely, lifesaving care for postpartum patients.

Recorded at the Colorado ACEP EM: High Risk – Do Not Miss Conference in Beaver Creek, this episode of ACEP Frontline hosted by Dr. Ryan Stanton features a presentation from Dr. Jesse Pines on the rapidly evolving role of artificial intelligence in emergency medicine. AI is already changing the way emergency physicians document, interpret data, communicate, and make clinical decisions, but where is the technology headed next? Dr. Pines reviews the current state of AI in emergency medicine, separating practical applications from hype while examining the opportunities, limitations, and risks that accompany these powerful tools. He also looks beyond today's capabilities to read some of the tea leaves for the future, discussing how AI is likely to reshape clinical practice, education, operations, and physician leadership over the coming years. Whether you're an AI enthusiast or a skeptic, this session provides a thoughtful, evidence-informed look at how emergency physicians can prepare for a future in which artificial intelligence becomes an increasingly important part of emergency care.

Recorded from the right field seats during a Chicago White Sox game, this special short episode of ACEP Frontline features Dr. Ryan Stanton with Illinois ACEP President Dr. Kristen Donaldson. The conversation highlights recent legislative victories that are strengthening emergency medicine and improving patient care across Illinois, while offering insights into the advocacy efforts that made those successes possible. Looking ahead, Dr. Donaldson shares what attendees can expect at ACEP26 as emergency physicians from around the world gather in Chicago for emergency medicine's premier educational event. From advocacy to education, this quick conversation captures the excitement surrounding the specialty and the momentum building for an outstanding Scientific Assembly in one of America's great cities.

Recorded at the Colorado ACEP High Risk: Do Not Miss Conference in Beaver Creek, this episode of ACEP Frontline features Dr. Ryan Stanton and a presentation by Dr. Scott Branney on a growing trend in trauma and resuscitation, prehospital whole blood. As more EMS systems adopt whole blood programs, the discussion explores the evidence supporting earlier transfusion, the impact on patients with life-threatening hemorrhage, and why bringing blood to the point of injury has the potential to change outcomes. Dr. Branney shares practical lessons from developing the Colorado Whole Blood Coalition program, addressing common barriers including logistics, storage, regulatory considerations, cost, stakeholder engagement, and maintaining blood supply. The conversation also highlights opportunities for EMS agencies, trauma centers, and healthcare systems to collaborate in expanding access to this lifesaving therapy while ensuring quality and safety. Whether your system is considering its first whole blood program or looking to optimize an existing one, this episode provides practical insights into overcoming obstacles and advancing modern trauma care before the patient ever reaches the emergency department.

Recorded at the 2026 Massachusetts ACEP Annual Meeting, this episode of ACEP Frontline features Dr. Ryan Stanton in conversation with Dr. Alice Bukhman on the unique challenges of caring for patients in custody. Emergency physicians frequently care for individuals who arrive under law enforcement supervision, creating situations where patient rights, medical ethics, safety, and legal considerations can intersect in complex ways. Dr. Bukhman discusses the physician's primary obligation to the patient, regardless of custodial status, while exploring practical issues including privacy, informed consent, decision-making capacity, restraints, interactions with law enforcement, and requests for medical clearance or forensic information. The conversation also addresses strategies for navigating difficult encounters, protecting the therapeutic relationship, and ensuring that medical decisions remain grounded in the patient's best interests. Whether you practice in a busy urban trauma center or a rural emergency department, this episode provides practical guidance for managing some of the most nuanced and challenging situations emergency physicians encounter while reinforcing the principles that define patient-centered emergency care.

What do you do when a patient arrives with a venomous snakebite? Which bites are truly dangerous, when should antivenom be used, and what are the biggest myths that continue to circulate about snakebite management? On this episode of So What?, host Dr. Howie Mell sits down with one of the nation's leading experts on snake envenomation, Dr. Spencer Greene, for a practical, evidence-based discussion on the diagnosis and management of snakebites. From identifying clinically significant envenomations to avoiding outdated treatments that can do more harm than good, they break down what emergency clinicians need to know when every minute counts. The conversation explores initial assessment, laboratory evaluation, indications for antivenom, management of pit viper bites, patient disposition, and common misconceptions surrounding tourniquets, incision and suction, and other persistent folklore. Dr. Greene also shares clinical pearls from years of treating snakebite victims and discusses how emergency physicians can approach these uncommon but high-stakes cases with confidence. Whether you practice in an area where venomous snakes are common or simply want to be prepared for the unexpected, this episode delivers practical takeaways that can immediately impact patient care. In this episode: Initial evaluation of suspected snake envenomation Pit viper versus nonvenomous bites When antivenom is indicated—and when it isn't Laboratory testing and ongoing monitoring Common myths and management pitfalls Disposition, observation, and follow-up recommendations Practical pearls for emergency clinicians

Recorded at ACEP's Leadership and Advocacy Conference in Washington, DC, this episode of ACEP Frontline features a conversation between Dr. Ryan Stanton and communications strategist Brad Fitch on the art and science of effective advocacy. As emergency medicine faces increasing challenges at the local, state, and federal levels, the ability to communicate clearly and persuasively has never been more important. Fitch shares practical strategies for engaging policymakers, the media, hospital leaders, and the public, emphasizing the importance of message discipline, storytelling, and relationship building. The discussion explores how emergency physicians can better articulate the value of the emergency department as the nation's healthcare safety net, translate complex healthcare issues into meaningful messages, and advocate effectively for patients and the specialty. Whether speaking with legislators on Capitol Hill or stakeholders in your own community, this episode offers valuable insights into how thoughtful communication can strengthen emergency medicine's voice and advance meaningful policy change.

On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with Dr. Thom Mayer, emergency physician, leadership expert, and Medical Director of the NFL Players Association, for an inspiring conversation about restoring purpose, culture, and leadership in emergency medicine. Drawing from decades of experience leading teams in healthcare, sports, and crisis environments, Dr. Mayer discusses why culture is not a byproduct of the emergency department, but rather the foundation upon which performance, resilience, and patient care are built. The discussion explores the challenges facing today's emergency departments, including burnout, overcrowding, and workforce pressures, while emphasizing that physician leadership remains one of the most powerful tools for creating positive change. Dr. Mayer shares practical insights on leading through adversity, fostering trust, developing high-performing teams, and reconnecting clinicians with the mission that brought them to emergency medicine. This episode is a powerful reminder that while circumstances may be difficult, strong leadership and intentional culture can transform the emergency department experience for physicians, staff, and patients alike.

On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with political analyst and publisher of Inside Elections, Nathan Gonzales, for a timely discussion on the current political landscape in Washington, DC, and what it means for healthcare and emergency medicine. Recorded during ACEP’s Leadership and Advocacy Conference, the conversation explores the aftermath of recent elections, the shifting balance of power on Capitol Hill, and the key issues driving decision-making in Congress and the administration. Gonzales provides insight into the political environment, the challenges facing lawmakers, and the factors that will shape upcoming election cycles. The discussion also highlights what physicians and healthcare advocates should expect moving forward, offering valuable perspective on how the political climate influences healthcare policy, advocacy efforts, and the future of emergency medicine.

From the halls of Holy Cross College and the Massachusetts ACEP Conference, ACEP Frontline talks with Dr. Lauren Westafer for a high-yield discussion on two of emergency medicine’s most impactful diagnoses: aortic dissection and pulmonary embolism. Dr. Westafer breaks down the evolving evidence behind D-dimer testing, including the 2026 practice-changing data and ACEP clinical policy updates supporting the use of the Aortic Dissection Detection Risk Score combined with D-dimer to help safely risk stratify select patients with suspected acute aortic syndromes. The conversation explores how this approach may reduce unnecessary advanced imaging while maintaining patient safety, along with practical pearls for identifying the patients who still warrant immediate CTA evaluation. The episode also reviews modern pulmonary embolism diagnosis and management, discussing risk stratification, and disposition decisions. It is a practical, evidence-based conversation focused on improving diagnostic accuracy, reducing over-testing, and delivering high-value emergency care.