Cardiovascular matters is here to give you the best information available concerning the causes, symtoms, treatments and prevention of health related issues stemming from cardiovascular disease.
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Hosts, Alex Finch, MD and Venk Bellamkonda, MD explore topics relevant to the practice, education or research of emergency medicine. Enjoy interviews with people on the front lines, thought leaders from around the world, and the comedy and drama of life when it intersects with emergency care. Follow us on X: @AlwaysOnEM Email: AlwaysOnEM@gmail.com
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Mye rart Cover art photo provided by Kevin Niu on Unsplash: https://unsplash.com/@kevinzk429
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An NPTE podcast for Physical Therapy students looking to get some extra time with test prep on the go. From the brewers of the PT Pintcast.
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Quest for Healing: Bi-weekly support and inspiration for your Medical Medium® health journey
Kerstin Ramstrom
Explore extraordinary healing stories achieved through Medical Medium’s teachings and other alternative healing modalities plus practical solutions to help you live your healthiest life. Hosted by Kerstin Ramstrom, who has followed Medical Medium’s teachings since 2015. After struggling with chronic illness for decades, Kerstin pursued her quest for healing by overhauling her eating habits after learning about the healing power of fruits and vegetables and by pursuing emotional healing strat ...
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Chapter 36 - The Butterfly Effect - Principles of Supply Chain Management
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Dr. Pritish Tosh, consultant physician in Infectious Diseases, and Supply Chain Management specialist for Mayo Clinic talks through the relationship between our clinical delivery of care and the strength of our supply chain practices. Our recent experiences with facemasks in the pandemic, the daily threats to medication access, and the events of re…
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Ep. 18 - Special Edition: Pioneering Limb Salvage - Dr. Walker's Award-Winning Approach to Peripheral Artery Disease
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In this special edition of the Cardiovascular Matters podcast, host Terry Roberts sits down with Dr. Craig Walker, the founder of the Cardiovascular Institute of the South, to discuss his groundbreaking work in the field of peripheral artery disease (PAD) and limb salvage. Dr. Walker shares his personal journey, the challenges he has faced, and the…
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Chapter 35 - Diffusing the fuse - Violence in the emergency department
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Dr. Sarayna McGuire is an emergency physician who has been investigating workplace violence in the ED and in the prehospital setting. She and Dr. Casey Clements, who is the chief safety officer for Rochester Mayo Clinic campus talk with Venk and Alex about the violence in the emergency department. The scope of the problem is staggering, the impact …
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Grand Rounds - Dr. Samit Shah - Seeing the invisible: Angina and Nonobstructive Coronary Arteries (ANOCA)
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Ischemic heart disease is a leading cause of morbidity and mortality. While atherosclerotic coronary artery disease (CAD) is the focus of most outpatient and inpatient evaluations for cardiovascular symptoms, up to two thirds of patients suffer from myocardial ischemia with non-obstructive coronary arteries (INOCA). Patients with INOCA have unique …
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Ep. 17 - Acute Limb Ischemia: A Medical Emergency Requiring Prompt Intervention
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In this episode of Cardiovascular Matters, we delve into the critical topic of acute limb ischemia, a medical emergency that requires immediate attention. Dr. Walker, a renowned vascular specialist, provides a comprehensive overview of this condition, highlighting the importance of early diagnosis and prompt treatment. Key Points Discussed: Acute l…
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Ep. 16 - Critical Limb Ischemia: Approaches to Treating Critical Limb Ischemia
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In this episode of Cardiovascular Matters, Dr. Craig Walker and Terry Roberts discuss the critical issue of critical limb ischemia (CLI), a severe form of peripheral artery disease. They explore the historical treatment approaches, the evolution of minimally invasive interventions, and the importance of a comprehensive approach to limb salvage. The…
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Chapter 34 - Gyne Logic on Gynecologic Emergencies - Discussion about PID, Torsion, Ectopic and more
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Dr. Adela Cope breaks down pelvic inflammatory disease, tubo-ovarian abscess, ovarian torsion, ectopic pregnancy and more in this densely packed chapter of Always on EM. Tune in as Alex and Venk also try to figure out which one has the correct mental model of PID and who will ask the first stupid question. CONTACTS X - @AlwaysOnEM; @VenkBellamkonda…
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Ep. 15 - Understanding Peripheral Artery Disease: Causes, Symptoms, and Preventive Measures
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In this episode of Cardiovascular Matters, Dr. Craig Walker and Terry Roberts delve into the critical topic of peripheral artery disease (PAD). They highlight the alarming prevalence of PAD, with an estimated 25 million Americans affected, and emphasize its deadly nature, noting that a person with a new PAD diagnosis is as likely to die of a heart …
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Ep. 14 - Understanding & Managing High Blood Pressure: Men's health Preventative Screening Guide
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In this in-depth podcast, cardiologist Dr. Craig Walker provides a thorough overview of high blood pressure (hypertension) - one of the leading risk factors for heart disease and stroke. Dr. Walker explains what blood pressure is and why it's important to control. He discusses the various causes of high blood pressure, including both primary (essen…
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Grand Rounds - Dr. Rich Griffey - Subcutaneous Insulin in Diabetic Ketoacidosis (SQUID Protocol)
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This past winter, Dr. Rich Griffey, healthcare quality leader from Washington University School of Medicine and Emergency Medicine, came to present grand rounds on a new way to care for patients with mild to moderate DKA, which they call the SQuID protocol. This talk serves to inspire us to look even at some of our well established conditions and s…
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Chapter 33 - it’s not all iodine and shellfish - A fresh take on contrast related anaphylaxis
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Dr. Ronna Campbell, professor of emergency medicine, and passionate anaphylaxis researcher schools Alex and Venk on several issues related to contrast-related anaphylaxis. She helps clarify an approach to managing ED situations where a contrasted CT is desired yet the patient has documented anaphylaxis to iodine, or how to treat a patient who retur…
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Jimmy McKay hosts a webinar hosted by the Academy of Orthopedic Physical Therapy to answer frequently asked questions about becoming an orthopedic clinical specialist (OCS) Key Topics Covered: - Prerequisites and eligibility requirements for taking the OCS exam - Realistic timeframes for preparing for the OCS exam - Recommended study materials and …
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Dr. Ken Milne presents his talk entitled, “Old Fashioned Doctors,” to Mayo Clinic Emergency Medicine as our keynote speaker for our annual research day. In this talk, he goes through 10 ideas that were proposed in an article by Dr. Herbert Fred as potential ways that old-fashioned doctors may practice medicine more effectively or more palatably tha…
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Ep. 13 - Understanding PCSK9 Inhibitors for Cholesterol-Lowering: Men's health Preventative Screening Guide
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Dr. Craig Walker and Terry Roberts discuss a new class of injectable cholesterol-lowering drugs called PCSK9 inhibitors. These medications provide an additional option for lowering LDL ("bad") cholesterol beyond statin therapy alone. Dr. Walker explains how PCSK9 normally works to block the recycling of LDL receptors in the liver, preventing furthe…
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Ep. 12 - Understanding Cholesterol-Lowering Medications: Men's health Preventative Screening Guide
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Join Dr. Craig Walker as he provides an in-depth look at cholesterol-lowering medications, with a focus on statins. In this informative discussion, Dr. Walker breaks down the science behind these life-saving drugs, explaining how they work to reduce cholesterol production and increase its removal from the body. Learn about the two main types of sta…
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Chapter 32 - You’re invited to our block party! - Emergency department Ultrasound guided regional anesthesia
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Dr. Lacey Shiue, emergency ultrasound faculty, sits down with Alex and Venk to talk through ultrasound guided nerve blocks and plane blocks. We talk through key differences in commonly used medications, how to manage toxicity from those medications as well as a detailed discussion of several different specific blocks including: Erector Spinae Plane…
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Ep. 11 - Men's health Preventative Screening Guide: Don't Wait for Symptoms!!
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In this episode of Cardiovascular Matters, Dr. Craig Walker discusses the importance of regular preventative health screenings for men to assess risk factors and detect early signs of cardiovascular disease. He recommends basic blood tests to check cholesterol levels, inflammation markers, and overall health. Additional tests like calcium scoring o…
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Grand Rounds - Dr. Matthew Hamilton - The History of Homosexuality and Medicine
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In this final chapter of the academic year 2023-2024, we celebrate our graduating EM class of residents by spotlighting a senior capstone presentation by Dr. Matthew Hamilton covering the intersection of homosexuality and medicine. In this presentation, he aims for the learner to be able to recognize pivotal movements in LGBTQ+ history and civil ri…
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Chapter 31 - Legal landmines and lifeboats: Understanding legal risk in emergency medicine
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Alex and Venk talk through the medicolegal aspects of practicing emergency medicine with emergency physician and attorney, Dr. Rachel Lindor. She is previous chair of research for Mayo Clinic Emergency Medicine in Scottsdale Arizona and holds both MD & JD degrees. She outlines how the most commonly litigated conditions (MI, orthopedics etc) still o…
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Ep. 10 - The Link Between Obesity and Chronic Disease: A Deeper Dive into SGLT2 Inhibitors
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In this educational podcast, Dr. Walker discusses the latest research on a new class of diabetes drugs called SGLT2 inhibitors like Jardiance. He explains how these medications work by blocking glucose reabsorption in the kidneys, causing it to be excreted in urine. While initially developed and approved for diabetes, extensive clinical trials have…
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Ep. 9 - The Obesity Epidemic and New Medication Options for Weight Loss
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In this episode of the Cardiovascular Matters podcast, host Dr. Craig Walker discusses the growing problem of obesity in America and revolutionary new medication options that are helping people safely and effectively lose weight. Dr. Walker explains how obesity increases the risk of heart disease, diabetes and other serious health conditions. He th…
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Grand Rounds - Dr. John Wilson - Updates in Tuberculosis "The gift that keeps on giving"
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Dr. John Wilson, consultant in the division of infectious diseases at Mayo Clinic, and professor of medicine, director of Tuberculosis consultations at Mayo Clinic presents updates in Tuberculosis for Mayo Clinic Emergency Medicine Grand Rounds back in February. CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Inst…
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Ep. 8 - Understanding Obesity: Causes, Treatments and Prevention
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This podcast discusses obesity as a major health problem and explores new medical treatments that are safe, effective and help patients feel better. The host Dr. Craig Walker and guest Terry Roberts discuss causes of obesity, health risks, challenges with past treatments and promising new medications. Terry Roberts provides context for the episode …
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Chapter 30 - Two minutes to midnight: Critical overview of hemoptysis
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Dr. Dagny Anderson, a specialist in the division of pulmonary and critical care medicine at Mayo Clinic, joins Alex and Venk to talk about both life threatening hemoptysis and non-lifethreatening hemoptysis. In this chapter we review what we need to be doing in the emergency department, while also shedding light on what our teammates in other speci…
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Ep. 7 - Post-Procedure Care and Follow Up for Venous Disease Treatments
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In this episode of Cardiovascular Matters, Dr. Craig Walker discusses the post-procedure care and follow up for patients who have undergone treatments for venous disease. He covers different types of procedures like stenting of the iliac veins, removal of deep vein clots, and closure of superficial and perforator veins. Dr. Walker explains the reco…
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Ep. 6 - Understanding Perforator Veins and Their Role in Non-Healing Ulcers
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This episode of Cardiovascular Matters explores perforator veins and their role in non-healing leg ulcers with Dr. Craig Walker. Dr. Walker discusses how perforator veins connect deep and superficial leg veins, and how they can cause high pressure that prevents ulcer healing. Perforator veins are connections between deep and superficial leg veins T…
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Ep. 5 - Do you have peripheral artery disease? And does it matter?
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Welcome to Cardiovascular Matters, a podcast dedicated to discussing all aspects of cardiovascular health and disease. Today we're joined by Dr. Craig Walker, a leading cardiologist and expert in peripheral artery disease. Dr. Walker will help us understand what PAD is, who is affected, and why early detection and treatment is so important for over…
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Grand Rounds - Dr. Michael Wilson - What your psychiatrist isn't telling you about suicide prevention in the ED
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Whether or not emergency physicians believe that patients with thoughts of self-harm belong in the ED, they are coming to your ED anyway. According to the Centers for Disease Control, ED visit rates for nonfatal self-harm increased 42% among persons 10 years or older, and visits for suicidal ideation, self-directed violence, or both increased 25.5%…
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Ep. 4 - What is a Pulmonary Embolism? A Guide to Diagnosis and Life-Saving Treatments
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In this informative episode of the Cardiovascular Matters podcast, host Dr. Craig Walker sits down with his colleague Terry Roberts to discuss pulmonary embolisms (PEs) in comprehensive detail. PEs, which occur when blood clots travel to the lungs, are a serious cardiovascular condition that can quickly become life-threatening if not properly diagn…
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Ep. 3 - Healing Venous Ulcers: New Hope Through Minimally Invasive Procedures
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Have you or a loved one struggled with painful, persistent venous ulcers? In this episode of Cardiovascular Matters, Dr. Craig Walker sheds light on venous disease - a common condition that often goes undiagnosed and untreated. Dr. Walker's interest in venous issues began early in his career while working to open blocked arteries and access the hea…
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Chapter 29 - How to save a life - A primer on ECPR and ED ECMO
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Dr. Suraj Yalamuri, Mayo Clinic Anesthesiology Critical Care and Cardiovascular Medicine Consultant, joins Alex and Finch to talk about the fundamentals of ECMO and ECPR. This is a great way to get caught up on this emerging science so that you'll be ready to provide the best resuscitative care for your patients when your system is ready too.…
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Ep. 2 - Varicose Veins: Getting to the Root of Venous Issues: Iliac Vein Compression and Beyond
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Dr. Craig Walker and Terry Roberts discuss varicose veins and other venous disorders on this episode of Cardiovascular Matters. They delve deeper into obstructive venous disorders like iliac vein compression syndrome, also known as May-Thurner syndrome In this episode, Dr. Walker sits down with host Terry Roberts to explore causes of venous obstruc…
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Grand Rounds - Dr. Rebecca Leff - Fit for Purpose: Emergency Medicine Physicians and Humanitarian Response in Complex Emergencies
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Dr. Leff shares, in her senior resident capstone presentation, a primer on humanitarian efforts, what are basic principles of aid, how to identify the key health needs of populations affected by crises and how EM clinicians can respond to those needs with the greatest impact. She will discuss how to engage responsibly and to anticipate how humanita…
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Ep. 1 - Understanding Varicose Veins: A Comprehensive Look at Causes, Symptoms and Treatments
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In the premiere episode of Cardiovascular Matters, hosts Dr. Craig Walker and Terry Roberts delve into a comprehensive explanation of varicose veins and venous insufficiency. Dr. Walker begins by providing context on the prevalence of venous disease, affecting over half of Americans. However, it is often misunderstood due to a lack of public educat…
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Chapter 28 - Cant stop the bleeding - Mastering epistaxis
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Dr. Mike Olson, former EM PA and now ENT attending sits down to talk about epistaxis with Alex and Venk. We go through a pragmatic approach to epistaxis, discuss some nuance cases including telangiectasia, hypertension, and anticoagulation. interventions are key, what patients are most likely to suffer a bad outcome and more. CONTACTS X - @AlwaysOn…
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