Welcome to MEDive! This is the podcast surfacing for a deeper understanding of acute care. If you’re like us – an acute care medical professional who sometimes wants to go beyond the surface – you’ve come to the right place. We’ll navigate the common currents of emergency medicine, occasionally plunging into the depths to truly grasp the ’why’ behind what we do.
Get ready to explore the evidence, challenge assumptions, and elevate your practice - coming to you from Toronto, Canada.
Let’s dive in!
Disclaimer: please remember, MEDive is an educational resource created specifically for medical professionals. The content discussed is for informational purposes and intended to deepen the understanding of acute care topics. It is not a substitute for professional medical advice, diagnosis, or treatment for the general public. Always consult with a qualified healthcare provider for any medical concerns.
This episode walks through five emergency medicine reads from the week of June 8, 2026, with a focus on separating useful clinical signal from misleading noise. It argues that most ED return visits are not errors and that bounce-back rates are a poor blunt quality metric; reviews the weak evidence for routine antibiotics in uncomplicated strep throat and makes the case for more shared decision-making; highlights that the new ACR epigastric pain guidance mostly confirms current practice, especially CT for suspected perforation and restraint for low-risk dyspepsia; summarizes two critical care papers showing that refractory septic shock identifies a very high-mortality group and that delays to antibiotics in neutropenic sepsis worsen outcomes; and closes with a sober look at ambulance offload delays, noting that while they clearly prolong ED stays and likely cause harm, the evidence for direct mortality impact remains surprisingly thin.
10 Jun 2026
Zworth Reading Issue #9
This episode highlights three practical EM takeaways: current evidence does not show supraglottic airways outperform bag-valve-mask ventilation for BLS providers in cardiac arrest, acute liver failure requires early recognition and escalation, and aggressive blood pressure lowering after successful thrombectomy may be harmful.
This is a quick, high-yield weekly update emphasizing solid fundamentals, source-based caution where evidence is thin, and awareness of adjacent-specialty data that can shape ED decision-making.
25 May 2026
Zworth Reading Issue #4
This week’s update highlights a prospective study showing that an initial 12 mg dose of adenosine significantly improves first-dose conversion rates for stable SVT compared to the traditional 6 mg approach. The episode also delivers critical insights into diagnosing pediatric ischemic strokes within the treatment window, managing crashing pulmonary embolisms, and evaluating the latest literature on semaglutide for alcohol use disorder.
25 May 2026
Zworth Reading Issue # 7
A rapid, high-yield emergency medicine roundup covering this week’s most important papers, practice updates, and clinical pearls — from naloxone in PEA arrest and bicarbonate in severe metabolic acidosis to alcohol withdrawal, lower GI bleeding, pulmonary arterial hypertension, and sepsis-induced atrial fibrillation. This episode focuses on what may change bedside care, what remains uncertain, and where the evidence deserves a more skeptical read.
19 May 2026
Zworth Reading #6
This week’s episode of ZWORTH Reading: Max’s EM Weekly Update breaks down critical Emergency Medicine literature, highlighting that azithromycin provides zero clinical benefit for preschool wheezers, while a massive review of nearly 68,000 cases confirms that IV ketamine is exceptionally safe for pediatric sedation. The update also reviews advanced aortic POCUS techniques, airway optimization for critically ill obese patients, and challenges a nationwide study claiming intramuscular naloxone is superior to intranasal administration due to significant unmeasured confounders.
1 Jul 2025
A summary of the AI code of conduct in healthcare and medicine- by the National Academy of Science
This episode breaks down the National Academy of Medicine’s new AI Code of Conduct, outlining a framework for the safe, effective, and ethical use of artificial intelligence to tackle pressing healthcare challenges.
9 Jun 2025
Red and Painful Eye: Adult and Pediatric Differential Diagnosis and Management
In this episode, we dive into the complexities of diagnosing and managing ”red eye,” a common yet varied ophthalmic condition. From understanding its diverse causes—ranging from benign to sight-threatening—we explore effective clinical approaches, management strategies, and the importance of age-specific considerations, particularly in pediatric cases.
6 Jun 2025
Acute Pediatric Resuscitation - keep calm and resus on
This podcast delves into critical pediatric emergency care topics, including the principles of managing cardiac arrest, septic shock, and Brief Resolved Unexplained Events (BRUEs) in children. It emphasizes timely interventions, family involvement, and strategies to improve outcomes during pediatric resuscitations.
5 Jun 2025
Pediatric Pain and Sedation in the ED and Acute Care settings
This podcast offers a comprehensive dive into pediatric procedural sedation and analgesia, tracing the evolution of pain management from historical perspectives to current best practices. It covers various agents, non-pharmacologic interventions, monitoring protocols, and addresses the critical issue of oligoanesthesia, all while highlighting key organizational guidelines.
5 Jun 2025
Acute care and Emergency Medicine: Applying Covey's 7 Habits of effectiveness
Emergency medicine physicians face stressors like burnout and trauma. Stephen Covey’s ”Inside-Out” paradigm emphasizes character ethics and personal responsibility. Applying Covey’s ”7 Habits,” such as being proactive and sharpening the saw, fosters resilience, well-being, and leadership. These principles enhance effectiveness and patient outcomes in this demanding field.
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