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ACEP Frontline

ACEP Frontline, hosted by Dr. Ryan Stanton, features in-depth conversations on the hottest topics in emergency medicine and critical care.

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29 episodes
a few times a week
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Today · 29 min
Treating Opioid Use Disorder with Dr. Evan Schwarz
Recorded live at Michigan ACEP at Mackinac, Dr. Ryan Stanton talks with Dr. Evan Schwarz, a UCLA emergency physician, medical toxicologist, and addiction medicine specialist, about the evolving landscape of substance use disorder in the ED. Dr. Schwarz explains why opioid overdose deaths are trending down despite what emergency physicians see day to day, and how the drug supply has shifted from prescription opioids and heroin to fentanyl, kratom, xylazine, and medetomidine adulterants. The conversation covers practical buprenorphine dosing, including why higher doses are often needed and safe, how to use the COW score to assess readiness, microdosing for patients not yet ready to start, and the role of harm reduction and peer recovery coaches in getting patients into treatment. Dr. Schwarz will present this topic again at ACEP26 in Chicago.
Friday · 25 min
Managing LVAD Emergencies with Dr. Marianne Wallis
In this Frontline Weekend Playlist episode, hear Dr. Marianne Wallis, Assistant Professor at the University of Colorado School of Medicine, present on LVAD emergencies from the Fourth Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. Using a case-based approach, she covers how LVADs work, how to read the controller and alarms, and how to recognize and manage the most common emergencies — pump thrombus, suction events, arrhythmias, infection, and bleeding. The throughline: these patients can largely be managed like any other, with key exceptions — defibrillation and cardioversion are safe, and chest compressions are reserved for cases where the device itself is failing.
September 7 · 17 min
Investing in Emergency Medicine Research with Dr. Christopher Baugh
Recorded in Dallas at the Partner Collaborative, Dr. Ryan Stanton welcomes back Dr. Christopher Baugh, MD, MBA, FACEP, chair-elect of the Emergency Medicine Foundation (EMF), for a conversation on the role of specialty-specific research in emergency medicine. Dr. Baugh discusses EMF's 50-plus year history funding over 700 investigators, how the foundation's scientific review committee and volunteer board evaluate grant applications, and why supporting early-career researchers, including students and residents, is a key priority. The two also discuss how AI and large datasets are lowering barriers to high-quality research, how EMF structures industry-sponsored grants at arm's length to protect research integrity, and how the foundation is funded primarily through donations.
September 4 · 25 min
Joint Reduction Techniques with Dr. Gannon Sungar
In this Frontline Weekend Playlist episode, hear Dr. Gannon Sungar, DO, present "Syringes, Rocket Launchers, and Rum: Common Reduction Techniques in the Emergency Department" from the Fourth Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. Rather than a comprehensive review, Dr. Sungar highlights a handful of practical, often-overlooked techniques for three of the ED's most common dislocations. For the mandible, he compares the syringe and extraoral techniques as gentler alternatives to the traditional intraoral approach. For the shoulder, he covers scapular manipulation as a universal adjunct along with the no-sedation Cunningham and Fares techniques, plus the shoulder-elbow method as a sedated rescue. For the hip, he walks through the Captain Morgan and rocket launcher techniques as safer alternatives to the classic Bigelow maneuver, along with the hip-foot fulcrum for tougher cases. The throughline: patience, positioning, and mechanical advantage can often beat brute force — a useful addition to any emergency physician's toolkit.
August 31 · 28 min
EM Guideline Updates: Practical Take-Home Changes with Dr. Michael McCrea
In this episode of ACEP Frontline, Dr. Ryan Stanton is joined by Dr. Michael McCrea to discuss his Michigan Emergency Medicine Assembly lecture, “2 AM Guideline Updates,” a practical review of recent evidence and guideline changes affecting emergency medicine practice. He highlights key updates in ACLS and PALS, pulmonary embolism risk stratification and disposition, ischemic stroke management, and ACEP’s updated aortic dissection clinical policy, focusing on take-home changes clinicians can apply at the bedside.
August 28 · 31 min
Post-Pandemic EM Job Market with Dr. Leon Adelman
In this Frontline Weekend Playlist episode, hear Dr. Leon Adelman present “The Post-Pandemic Emergency Physician Job Market: Disasters, Disruptions, and Dynamism” from the Fourth Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. He examines the evolving business landscape of emergency medicine, discussing consolidation, private equity, the No Surprises Act, reimbursement trends, and the forces shaping the emergency physician job market after the COVID-19 pandemic.
August 24 · 24 min
ACEP Advocacy Priorities with Ryan McBride
In this episode of ACEP Frontline, Dr. Ryan Stanton is joined by Ryan McBride, ACEP’s Senior Director of Federal Government Affairs, to discuss ACEP’s federal advocacy priorities and the College’s efforts on behalf of emergency physicians and their patients. They explore the challenges of advancing policy in Congress, provide an update on the No Surprises Act and independent dispute resolution process, and highlight ways members can stay engaged with ACEP’s advocacy work.
August 21 · 25 min
Immune Therapy Considerations with Dr. Abigail Leibowitz
In this first installment of the Frontline Weekend Playlist, hear Dr. Abigail Leibowitz present an update on immune-based cancer therapies from the Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. She reviews immune checkpoint inhibitors and CAR T-cell therapy, focusing on the recognition and management of immune-related complications encountered in the ED and highlighting why emergency physicians must understand today’s rapidly evolving oncology treatments.
August 17 · 23 min
Salary Transparency and ACEP's Compensation Survey with Dr. Rob Anderson
On this episode of ACEP Frontline, Dr. Ryan Stanton is joined by Dr. Rob Anderson, clinician co-founder of Marit Health, to discuss the ACEP Emergency Physician Compensation Survey and why salary transparency matters for every stage of an emergency physician’s career. The conversation explores the limitations of broad regional averages and the value of current, local data that reflects compensation models, workload, benefits, employment structure, and other factors that shape the true value of a position. Dr. Anderson explains how participation can help physicians better understand their market, negotiate with confidence, and compare opportunities more effectively, whether they are employed, independent contractors, or working under productivity-based models. The discussion also highlights the importance of this information for residents entering their first contract, since an early compensation decision can influence earnings throughout a career. With emergency medicine already among the most represented specialties in the survey, this episode is a call for physicians to contribute their data, strengthen transparency, and help ensure emergency physicians are paid fairly for their training, expertise, and work.
August 10 · 45 min
Aortic Dissection Decision Tool with Dr. Rob Ohle and Brian Brantley
On this episode of ACEP Frontline, Dr. Ryan Stanton is joined by Dr. Rob Ohle and aortic dissection survivor Brian Brantley for a discussion on one of emergency medicine's most challenging diagnoses. Through Brian's powerful firsthand account of surviving a Type A aortic dissection, the conversation highlights the importance of recognizing that acute aortic syndromes rarely read the textbook. Dr. Ohle shares practical, evidence-based strategies for improving diagnostic accuracy, including the critical role of a thorough history, targeted risk assessment, physical examination, appropriate use of D-dimer, point-of-care ultrasound, and current ACEP clinical guidance. The discussion also reviews initial emergency department management, time-sensitive treatment priorities, and practical bedside pearls that can help physicians recognize this rare but potentially fatal condition before it's too late. Brian also discusses his work with the John Ritter Foundation, emphasizing the importance of public awareness, understanding family history, and supporting survivors and their families. This episode is a reminder that while acute aortic syndromes may be uncommon, maintaining a high index of suspicion and following a systematic approach can make the difference between life and death.
August 3 · 30 min
ACEP Advocacy Win for Physicians with Dr. Tony Cirillo
On this episode of ACEP Frontline, Dr. Ryan Stanton chats with ACEP President Dr. Tony Cirillo to discuss a major advocacy victory that reinforces one of the core principles of emergency medicine: physician-led emergency care. The conversation explores the collaborative efforts between ACEP, state chapters, the American Medical Association, and the American College of Surgeons that resulted in updated ACS Committee on Trauma Level IV trauma center standards requiring physician staffing in emergency departments. Dr. Cirillo shares the behind-the-scenes story of how relationship building, strategic advocacy, and persistent engagement helped shape this important outcome, while highlighting the critical role state chapters played in defending physician-led care. The discussion also examines Kentucky's legislative efforts surrounding physician staffing, the importance of maintaining emergency medicine as a physician-led specialty, and why advocacy often succeeds through collaboration rather than confrontation. This episode provides a firsthand look at how ACEP works every day to protect patients, support emergency physicians, and advance the specialty, often through efforts that members may not see but benefit from every day.
July 30 · 20 min
The Naloxone Project with Dr. Anderson and Dr. Neuenschwander
On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with Drs. Stephen Anderson and James "Big Jim" Neuenschwander for a powerful conversation on expanding access to recovery resources for patients with opioid use disorder. The discussion highlights the critical role emergency departments play in initiating medications for opioid use disorder (MOUD), providing naloxone, and creating meaningful connections to ongoing treatment and recovery services. The guests discuss The Naloxone Project and its efforts to increase access to this lifesaving medication while reducing barriers for patients and communities affected by the opioid epidemic. Dr. Anderson also shares the deeply personal experiences that have fueled his commitment to this work, offering a moving perspective on why compassion, evidence-based care, and reducing stigma are essential to improving outcomes. Together, they explore practical strategies for emergency physicians to move beyond treating overdose alone and become a pivotal bridge to recovery. This episode is an inspiring reminder that every encounter in the emergency department represents an opportunity to save a life, restore hope, and change the trajectory of a patient's future.
July 27 · 21 min
Building Outside the ED Alt Care Models with Dr. Erik Blutinger
On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with Dr. Erik Blutinger during the ACEP Partner Collaborative to discuss how emergency medicine is expanding beyond the traditional walls of the emergency department. As healthcare continues to evolve, emergency physicians are uniquely positioned to meet patients where they are, whether through community-based care, mobile health initiatives, telemedicine, observation services, or innovative care delivery models. Dr. Blutinger explores the growing opportunities for emergency physicians to extend their expertise beyond the ED while maintaining the specialty's core mission of delivering high-quality, patient-centered acute care. The conversation also examines how these new models can improve access, reduce disparities, strengthen healthcare systems, and create exciting career pathways for emergency physicians. This episode challenges listeners to rethink the boundaries of emergency medicine and consider how the specialty can continue to innovate, lead, and serve patients wherever they need us most.
July 20 · 30 min
Peripartum Emergencies and Cardiomyopathy with Dr. Anna Engeln
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.
July 13 · 51 min
AI Now and Things to Come with Dr. Jesse Pines
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.
July 9 · 8 min
Illinois Wins and Hosting ACEP26 with Dr. Kristen Donaldson
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.
July 6 · 41 min
Pre-Hospital Whole Blood with Dr. Scott Branney
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.
June 29 · 20 min
Caring for Those in Custody with Dr. Alice Bukhman
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.
June 25 · 54 min
So What: Snakebites with Spencer Greene
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
June 22 · 23 min
Communicating Advocacy with Brad Fitch
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.

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