EM:RAP Physician-founded and physician-run for over 20 years.
65,000 subscribers cannot be wrong! At EM:RAP, we believe what you do matters.

Emergency Medicine Reviews and Perspectives (EM:RAP) was founded in September of 2001 with a simple mission: provide the best medical education to emergency medicine practitioners everywhere. For more than twenty years, EM:RAP has passionately pursued this goal. In doing so, we have become the most listened to audio program in emergency medicine, with more listeners than the total number of emergency physicians in the United States. Today, EM:RAP continues to expand its mission through emergency medicine and beyond with a culture of continuous innovation. We’ve developed educational products that have re-defined standards for medical education, and we continue to challenge ourselves by developing new technologies, employing expertise from fields beyond medicine, and re-imagining what makes learning powerful. EM:RAP’s commitment to medical education also extends beyond national borders. To date, clinicians from over 160 countries have relied on EM:RAP for cutting-edge, mission critical education. Our products have made a difference in patients’ lives amidst public health crises, active warzones, and resource limited settings. While access to expert emergency medical care is expected in high resource nations, in many lower resource communities emergency medicine is still in its infancy. Through our nonprofit, EM:RAP Global Outreach, we are connecting a global community of scholarship that provides outreach and education where high-quality emergency care is needed most. We are a team of doctors, educators, designers, videographers, audio engineers, and artists, dedicated to improving healthcare by transforming medical education. More importantly, we are people who believe everyone deserves access to the highest level of medical care. We believe that great education makes great clinicians, and great clinicians take great care of patients.

12/20/2025

Scott Weingart joins the Critical Care Mailbag to break down why rapid, aggressive escalation is key in status epilepticus and why intubation isn’t a failure. Swami also covers where ketamine may fit into the traditional benzo-benzo-propofol algorithm.
Listen now: https://www.emrap.org/episode/whatsyourstatus/criticalcaremai19

12/19/2025

Are the modified Brain Injury Guidelines (mBIG) really safe?
This free segment on EMA this month gives emergency clinicians what they need to keep in mind when applying mBIG in the real world. Listen in as Sanjay and Mike break down this multicenter analysis with the insight you expect every month.
This study offers some promising results — fewer CTs, fewer neurosurgery consults, and shorter hospital stays — but a 1.6% deterioration rate in mBIG 1 and 2 patients means we can’t celebrate without caution. 👉

Catch the full discussion — available FREE in the EM:RAP app

12/18/2025

Is a “one-time” IV antibiotic dose before discharge still worth considering?
Swami and Megan review when IV antibiotics before discharge may help patients with pyelonephritis—and when they’re unnecessary. This conversation highlights updated IDSA guidance, practical prescribing pearls, and why IV ceftriaxone remains a reasonable option when discharging patients on fluoroquinolones or bactrim. A nuanced take on balancing evidence, stewardship, and real-world practice.

12/17/2025

When was the last time you place a Right IJ catheter? Could you do one today if called on?
This new guided imagery video is designed for mental rehearsal of placing a right internal jugular central venous catheter. Through step-by-step narration, you are guided to visualize the procedure from preparation to completion, using ultrasound guidance, sterile technique, and the mnemonic “Now We Can Do Lines” to reinforce proper sequence and flow.
By engaging your focus, breathing, and procedural memory, this video helps build confidence, improve technical fluency, and prepare you to perform internal jugular central line placement smoothly and safely in real clinical settings. When you need to do it you need to do it right!

12/17/2025

When is an antiviral actually worth it for your flu patient?
In this short clip from this month's FREE segment, Bryan Hayes and Gita sift through the latest evidence, highlight which drug classes still matter, and discuss the surprising findings from the 2025 JAMA meta-analysis. From oseltamivir’s limited benefit to baloxavir’s potential advantage in high-risk populations, they help you navigate real contraindications, side effects, and timing. Practical, nuanced education for you and your patients.

✨ Fresh Updates on CorePendium ✨Newly updated chapters are live—packed with high-yield insights and real-world clinical ...
12/16/2025

✨ Fresh Updates on CorePendium ✨
Newly updated chapters are live—packed with high-yield insights and real-world clinical takeaways to help you stay sharp at the bedside.

📚 Included with your EM:RAP subscription
📱 Get the most out of it on the CorePendium app and carry the entire library in your pocket—wherever your shift (or life) takes you.

12/15/2025

When to Tap? When should you absolutely perform a diagnostic paracentesis in the ED?
SBP can be incredibly subtle, and missing it carries real consequences. In this clip, Swami and Scott explain why casting a wide diagnostic net matters—and how a simple tap can be the difference between early recognition and delayed care. Part 2 is focused on procedural tips and tricks to level up your knowledge base about the Z-track - Anesthesia - Catheter Placement and more.
🎧 Give this 2-part segment a listen, and you’ll be tapping like a pro on your next shift.

12/13/2025

Feeling like the fundoscopic exam is more “guess and hope” than “see and confirm”?
You’re not alone—and that’s exactly why we created this short and sweet video series. We’ll walk through everything from controlling light intensity to navigating refractive differences, from distinguishing aperture settings to using the red-free filter to improve contrast on vessels.
You’ll see practical demos of how to start from the red reflex, to how to track vessels toward the optic disc, and how to bring the macula into view.
We also cover using the PanOptic scope so you can compare both approaches and choose what works best for you in your practice.
EM:RAP makes fundoscopy clear, repeatable, and clinically useful.

Watch now! https://www.emrap.org/hd/episode/fundoscopicexam

12/12/2025

A pneumonia diagnosis, a missed PE, and a lawsuit. This case from the EM:RAP Risk Management series breaks down how better documentation could have changed everything.

12/11/2025

TEE during cardiac arrest isn’t just a cool tool—it can immediately change management.

In this discussion, Haney and Swami explore how TEE helps identify reversible causes like tamponade and PE, allows uninterrupted compressions, and offers unmatched rhythm clarity in peri-arrest patients.
They also walk through logistics:
• What training and systems are required
• When it’s worth deploying during a code
• Why is ETT intubation required to use TEE
• And why TTE still plays a critical role when TEE isn’t available
If your team is thinking about adding TEE to your resuscitation toolbox, this conversation is a must.

🎧 Listen to the entire episode and see how TEE can sharpen your resuscitation decisions.

12/09/2025

Anticholinergic toxicity can be tricky, but finding what you need shouldn’t be. With the CorePendium app, you can jump straight from the toxidrome to the bedside approach in seconds. Search “anticholinergic,” open the chapter, and quickly move between rapid evaluation, physical exam findings, and treatment—all organized exactly how your brain wants it.
CorePendium is included with your EM:RAP subscription—just download the separate app and you’re ready to go.

🚨 New content alert on CorePendium! 🚨Fresh chapters and updates just landed—explore the newest insights and keep your kn...
12/09/2025

🚨 New content alert on CorePendium! 🚨
Fresh chapters and updates just landed—explore the newest insights and keep your knowledge razor-sharp.

📲 Bonus: Your EM:RAP subscription includes FREE access to the CorePendium app. Download today and carry the whole textbook with you!

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