Sun, 22 Mar 2026 15:38:49 -0400 https://www.emresus.com/ en-us © 2026 Is That a Thing? yes 3ec68ab7-e3be-5d93-8f85-6431837d27d7 Dr Anthony Hackett episodic false Buzzsprout (https://www.buzzsprout.com) Emergency Medicine, critical care, resuscitation, trauma, research, clinical medicine Dr Anthony Hackett https://storage.buzzsprout.com/qw0tv08lgm68e3cl01fgvrj6clbj?.jpg https://www.emresus.com/ Penicillin and Cephalosporin Cross Allergy Dive deep into the history of medicine to explore the origins of penicillin and the development of cephalosporins.  From the dank corners of Alexander Fleming's lab to the sewers of Sardinia we explore the history and controversy behind some of the most common antibiotics.  We will also discuss whether or not penicillin allergy is real and if you can give a penicillin allergic patient a cephalosporin and still keep your license to practice medicine.

]]> Dive deep into the history of medicine to explore the origins of penicillin and the development of cephalosporins.  From the dank corners of Alexander Fleming's lab to the sewers of Sardinia we explore the history and controversy behind some of the most common antibiotics.  We will also discuss whether or not penicillin allergy is real and if you can give a penicillin allergic patient a cephalosporin and still keep your license to practice medicine.

]]> Dr Anthony Hackett Buzzsprout-12146635 Mon, 30 Jan 2023 10:00:00 -0600 2038 3 1 full false Magnesium: Super molecule or super myth This episode explores the history and use of magnesium in modern medicine from discovery to its modern applications.  We examine the data regarding magnesium for everything from eclampsia, headache, asthma and even arrhythmia.    Is magnesium a super drug or just voodoo? 

]]> This episode explores the history and use of magnesium in modern medicine from discovery to its modern applications.  We examine the data regarding magnesium for everything from eclampsia, headache, asthma and even arrhythmia.    Is magnesium a super drug or just voodoo? 

]]> Dr Anthony Hackett Buzzsprout-11714021 Thu, 17 Nov 2022 09:00:00 -0600 1894 2 5 full false Aspirin: the worlds most used drug This episode explores the fascinating history of aspirin and dives deep into the recent recommendations regarding not using aspirin for the primary prevention of cardiac disease.  This is part one of a multi-part series on NSAIDS, drugs we use every day but take for granted the most.

]]> This episode explores the fascinating history of aspirin and dives deep into the recent recommendations regarding not using aspirin for the primary prevention of cardiac disease.  This is part one of a multi-part series on NSAIDS, drugs we use every day but take for granted the most.

]]> Dr Anthony Hackett Buzzsprout-11292358 Fri, 09 Sep 2022 19:00:00 -0500 1674 2 4 full false First trimester bleeding: Can we prevent first trimester miscarriage? This episode dives deep into one of the more common issues in emergency medicine: first trimester bleeding.  Traditionally, it has been a topic that both doctors and patients have felt helpless about but in this cast we review the physiology and reams of new evidence that can help us make outcomes better for these patients.  

]]> This episode dives deep into one of the more common issues in emergency medicine: first trimester bleeding.  Traditionally, it has been a topic that both doctors and patients have felt helpless about but in this cast we review the physiology and reams of new evidence that can help us make outcomes better for these patients.  

]]> Dr Anthony Hackett Buzzsprout-11094182 Sun, 07 Aug 2022 11:00:00 -0500 2408 2 3 full false Cannabinoid hyperemesis syndrome Disclaimer: Please excuse the audio quality of this episode, it’s a great talk we had some connection issues while recording this month due to distance and location of our hosts. 

This cast explores why and how cannabinoids cause hyperemesis and looks at why the prevalence of this syndrome has increased in clinical practice.  We also explore what treatments actually work for these patients.

]]> Disclaimer: Please excuse the audio quality of this episode, it’s a great talk we had some connection issues while recording this month due to distance and location of our hosts. 

This cast explores why and how cannabinoids cause hyperemesis and looks at why the prevalence of this syndrome has increased in clinical practice.  We also explore what treatments actually work for these patients.

]]> Dr Anthony Hackett Buzzsprout-10931993 Sat, 09 Jul 2022 14:00:00 -0500 2000 2 2 full false Steroids in cardiac arrest This episode examines the role of corticosteroids in cardiac arrest and in the post-arrest state.  We look at literature from several well-known trials and examine whether or not steroids improve survival and neurologic outcomes.

]]> This episode examines the role of corticosteroids in cardiac arrest and in the post-arrest state.  We look at literature from several well-known trials and examine whether or not steroids improve survival and neurologic outcomes.

]]> Dr Anthony Hackett Buzzsprout-10786326 Mon, 13 Jun 2022 15:00:00 -0500 1196 2 1 full false Mysteries and myths about fever in medicine This episode explores fever from its physiology and function to common conceptions (or misconceptions?) about fever.  We dive into how high of a fever is safe, when does a high fever mean serious illness, and do people really run hot (or cold)?  We also use the evidence to answer whether or not vaccine-related fever is a thing and if teething and fever are actually related in children.

]]> This episode explores fever from its physiology and function to common conceptions (or misconceptions?) about fever.  We dive into how high of a fever is safe, when does a high fever mean serious illness, and do people really run hot (or cold)?  We also use the evidence to answer whether or not vaccine-related fever is a thing and if teething and fever are actually related in children.

]]> Dr Anthony Hackett Buzzsprout-10569001 Fri, 06 May 2022 02:00:00 -0500 1896 1 12 full false Antibiotics in diverticulitis (?) This episode explores whether some patients with diverticulitis can be treated without antibiotics and if so who are these patients.  Additionally, when we chose an antibiotic for patients going home on them which one is best the old standard ciprofloxacin and Flagyl combination or augmentin?

]]> This episode explores whether some patients with diverticulitis can be treated without antibiotics and if so who are these patients.  Additionally, when we chose an antibiotic for patients going home on them which one is best the old standard ciprofloxacin and Flagyl combination or augmentin?

]]> Dr Anthony Hackett Buzzsprout-10371791 Sun, 03 Apr 2022 19:00:00 -0500 1730 1 11 full false Is nitroglycerin still useful in modern medicine This episode examines the history and development of nitroglycerin from volatile dynamite component to essential cardiac medication.  We examine the use of nitroglycerin in historic and modern times and its relevance as a cardiac medication in the post-PCI era.  We also dive deep into equivalent doses of nitro when given as a paste, drip, or tabs.  Finally, we look at the effective dose of nitro in several different conditions and explore whether or not there's any mortality benefit gained from nitro use.

]]> This episode examines the history and development of nitroglycerin from volatile dynamite component to essential cardiac medication.  We examine the use of nitroglycerin in historic and modern times and its relevance as a cardiac medication in the post-PCI era.  We also dive deep into equivalent doses of nitro when given as a paste, drip, or tabs.  Finally, we look at the effective dose of nitro in several different conditions and explore whether or not there's any mortality benefit gained from nitro use.

]]> Dr Anthony Hackett Buzzsprout-10134689 Wed, 23 Feb 2022 23:00:00 -0600 1725 1 10 full false What is the optimal blood pressure in trauma...and should we ever use vasopressors in trauma? This episode discussed two major concepts, the optimal blood pressure target for trauma patients and the use of vasopressors in trauma (WHAT!).  We look at the use of permissive hypotension in trauma and discuss its applications and indications as well as its history.  This of course is merely a prelude to our discussion of the use of pressors in trauma, which many of us know is true sacrilege... or is it?  We examine the question through the lens of the AVERT-SHOCK trial and discuss this in-depth.

]]> This episode discussed two major concepts, the optimal blood pressure target for trauma patients and the use of vasopressors in trauma (WHAT!).  We look at the use of permissive hypotension in trauma and discuss its applications and indications as well as its history.  This of course is merely a prelude to our discussion of the use of pressors in trauma, which many of us know is true sacrilege... or is it?  We examine the question through the lens of the AVERT-SHOCK trial and discuss this in-depth.

]]> Dr Anthony Hackett Buzzsprout-9933087 Sat, 22 Jan 2022 16:00:00 -0600 2098 1 9 full false Roid rage! Corticosteroids in emergency medicine Today we explore the nuances of corticosteroid use and indications in the emergency department with Dr. Kyle Mcatee.  We delve into when steroids should be used and what the evidence behind steroids is in certain commonly encountered scenarios such as sore throat, anaphylaxis, and many others.  We also answer what the appropriate dose of steroids is and whether or not all steroids are created equal.  

]]> Today we explore the nuances of corticosteroid use and indications in the emergency department with Dr. Kyle Mcatee.  We delve into when steroids should be used and what the evidence behind steroids is in certain commonly encountered scenarios such as sore throat, anaphylaxis, and many others.  We also answer what the appropriate dose of steroids is and whether or not all steroids are created equal.  

]]> Dr Anthony Hackett Buzzsprout-9780777 Thu, 23 Dec 2021 12:00:00 -0600 2327 1 8 full false Choosing IV Size and Location for CT scans This brief episode examines the right size and location for peripheral IV's for contrasted CT scanning in the emergent setting.  We also explore whether External Jugular IV's, hand IV's and central lines can be used for CT imaging.

]]> This brief episode examines the right size and location for peripheral IV's for contrasted CT scanning in the emergent setting.  We also explore whether External Jugular IV's, hand IV's and central lines can be used for CT imaging.

]]> Dr Anthony Hackett Buzzsprout-9621123 Sat, 27 Nov 2021 13:00:00 -0600 1646 1 7 full false Contrast Chronicles Part II: IV Contrast Allergy This episode is part 2 in our contrast chronicles and tackles the mythical beast of iodine, shellfish, and contrast allergy.  Join us as we explore the evidence behind contrast allergy, contrast mediated anaphylaxis and anaphylactoid reactions.  We take a retro look back to the original papers from the 70’s and 80’s all the way through the present day.  On this deep dive, we will also explore the efficacy of pretreatment for these reactions and the utility of this strategy in the Emergent setting.

]]> This episode is part 2 in our contrast chronicles and tackles the mythical beast of iodine, shellfish, and contrast allergy.  Join us as we explore the evidence behind contrast allergy, contrast mediated anaphylaxis and anaphylactoid reactions.  We take a retro look back to the original papers from the 70’s and 80’s all the way through the present day.  On this deep dive, we will also explore the efficacy of pretreatment for these reactions and the utility of this strategy in the Emergent setting.

]]> Dr Anthony Hackett Buzzsprout-9386700 Mon, 18 Oct 2021 04:00:00 -0500 1910 1 6 full false Does IV contrast cause kidney injury? In this episode, we dissect the controversy surrounding contrast-induced nephropathy (CIN) and modern IV contrast dye.  Dr. Thomas Ulmer joins us to look at the science and history of IV contrast and CIN.    Turn down your lights, get out your collection of vintage CT scout films, and listen in as we discuss whether it's safe to scan that suspected dissection with a creatinine of 5 or in Hugh's case that mild gastroenteritis with a GFR of 35.

]]> In this episode, we dissect the controversy surrounding contrast-induced nephropathy (CIN) and modern IV contrast dye.  Dr. Thomas Ulmer joins us to look at the science and history of IV contrast and CIN.    Turn down your lights, get out your collection of vintage CT scout films, and listen in as we discuss whether it's safe to scan that suspected dissection with a creatinine of 5 or in Hugh's case that mild gastroenteritis with a GFR of 35.

]]> Dr Anthony Hackett Buzzsprout-9224743 Sun, 19 Sep 2021 22:00:00 -0500 1944 1 6 full false Targeted temperature management for post-cardiac arrest patients in 2021 On this cast, we do a deep dive into the origins, history, and evidence behind targeted temperature management (TTM) with our special guest Dr. Thomas Riney.  We discuss the key studies and debate the evidence on length of cooling and ideal temperature for post-cardiac arrest patients and whether or not TTM is a thing after the publication of the TTM2 trial this year.  

]]> On this cast, we do a deep dive into the origins, history, and evidence behind targeted temperature management (TTM) with our special guest Dr. Thomas Riney.  We discuss the key studies and debate the evidence on length of cooling and ideal temperature for post-cardiac arrest patients and whether or not TTM is a thing after the publication of the TTM2 trial this year.  

]]> Dr Anthony Hackett Buzzsprout-9076349 Mon, 23 Aug 2021 19:00:00 -0500 2806 1 5 full false REBOA: Is it ready for primetime? In this episode, we discuss the history and development of resuscitative endovascular balloon occlusion of the aorta (REBOA) and its application in civilian and military trauma.  We explore the reasons behind the surge in REBOA research as well as the recent controversy associated with REBOA.  We look at its application in the civilian and military realm and argue that in these settings where injury patterns may differ, REBOA may have different specific roles.  In either case, the specific indications are relatively narrow and REBOA is not a panacea for all trauma.

]]> In this episode, we discuss the history and development of resuscitative endovascular balloon occlusion of the aorta (REBOA) and its application in civilian and military trauma.  We explore the reasons behind the surge in REBOA research as well as the recent controversy associated with REBOA.  We look at its application in the civilian and military realm and argue that in these settings where injury patterns may differ, REBOA may have different specific roles.  In either case, the specific indications are relatively narrow and REBOA is not a panacea for all trauma.

]]> Dr Anthony Hackett Buzzsprout-8944020 Thu, 29 Jul 2021 12:00:00 -0500 2042 1 4 full false Going Viral: Respiratory virus panels and their utility in febrile children In this episode, we take a deep dive into the utility of respiratory viral panels.  Are respiratory viral panels (RVP) a sure-fire way to find out what ails a febrile child?  How accurate are these tests and what does it really mean if a febrile child has a positive RVP?  Here we explore the diagnostic biases that these tests can create and discuss the evidence behind them and their place in the Emergency care setting.

]]> In this episode, we take a deep dive into the utility of respiratory viral panels.  Are respiratory viral panels (RVP) a sure-fire way to find out what ails a febrile child?  How accurate are these tests and what does it really mean if a febrile child has a positive RVP?  Here we explore the diagnostic biases that these tests can create and discuss the evidence behind them and their place in the Emergency care setting.

]]> Dr Anthony Hackett Buzzsprout-8746556 Tue, 22 Jun 2021 14:00:00 -0500 2224 1 3 full false Intermediate risk pulmonary embolism treatment This episode focuses on treatment options for intermediate-risk pulmonary emboli (PE).  We define the intermediate-risk (or submassive )PE and controversies surrounding its detection including imaging and laboratory evaluation.  Evidence suggests that it is not only the PE that makes it intermediate risk but also the kind of patient that we find the PE in.  Most of our time in the episode we discuss therapies, specifically thrombolytics, and the evidence and controversy behind their use in this entity.

]]> This episode focuses on treatment options for intermediate-risk pulmonary emboli (PE).  We define the intermediate-risk (or submassive )PE and controversies surrounding its detection including imaging and laboratory evaluation.  Evidence suggests that it is not only the PE that makes it intermediate risk but also the kind of patient that we find the PE in.  Most of our time in the episode we discuss therapies, specifically thrombolytics, and the evidence and controversy behind their use in this entity.

]]> Dr Anthony Hackett Buzzsprout-8568244 Sat, 22 May 2021 13:00:00 -0500 1993 1 2 full false Calcium in major trauma and traumatic hemorrhage This episode discusses the role of calcium in trauma patients and whether or not the lethal triad of trauma should be updated to the lethal diamond to include calcium.

]]> This episode discusses the role of calcium in trauma patients and whether or not the lethal triad of trauma should be updated to the lethal diamond to include calcium.

]]> Dr Anthony Hackett Buzzsprout-8284942 Fri, 23 Apr 2021 17:00:00 -0500 1840 1 1 full false