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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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40 episodes
a few times a week
Avg 29 min
English

Episodes 40

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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 · 29 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 · 19 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 · 20 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 · 22 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.
June 15 · 27 min
Rallying the ED Culture with Dr. Thom Mayer
On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with Dr. Thom Mayer, emergency physician, leadership expert, and Medical Director of the NFL Players Association, for an inspiring conversation about restoring purpose, culture, and leadership in emergency medicine. Drawing from decades of experience leading teams in healthcare, sports, and crisis environments, Dr. Mayer discusses why culture is not a byproduct of the emergency department, but rather the foundation upon which performance, resilience, and patient care are built. The discussion explores the challenges facing today's emergency departments, including burnout, overcrowding, and workforce pressures, while emphasizing that physician leadership remains one of the most powerful tools for creating positive change. Dr. Mayer shares practical insights on leading through adversity, fostering trust, developing high-performing teams, and reconnecting clinicians with the mission that brought them to emergency medicine. This episode is a powerful reminder that while circumstances may be difficult, strong leadership and intentional culture can transform the emergency department experience for physicians, staff, and patients alike.
June 8 · 28 min
Inside Politics with Nathan Gonzales
On this episode of ACEP Frontline, Dr. Ryan Stanton sits down with political analyst and publisher of Inside Elections, Nathan Gonzales, for a timely discussion on the current political landscape in Washington, DC, and what it means for healthcare and emergency medicine. Recorded during ACEP’s Leadership and Advocacy Conference, the conversation explores the aftermath of recent elections, the shifting balance of power on Capitol Hill, and the key issues driving decision-making in Congress and the administration. Gonzales provides insight into the political environment, the challenges facing lawmakers, and the factors that will shape upcoming election cycles. The discussion also highlights what physicians and healthcare advocates should expect moving forward, offering valuable perspective on how the political climate influences healthcare policy, advocacy efforts, and the future of emergency medicine.
June 1 · 40 min
D-Dimer for Dissection and Evidence Update with Dr. Lauren Westafer
From the halls of Holy Cross College and the Massachusetts ACEP Conference, ACEP Frontline talks with Dr. Lauren Westafer for a high-yield discussion on two of emergency medicine’s most impactful diagnoses: aortic dissection and pulmonary embolism. Dr. Westafer breaks down the evolving evidence behind D-dimer testing, including the 2026 practice-changing data and ACEP clinical policy updates supporting the use of the Aortic Dissection Detection Risk Score combined with D-dimer to help safely risk stratify select patients with suspected acute aortic syndromes. The conversation explores how this approach may reduce unnecessary advanced imaging while maintaining patient safety, along with practical pearls for identifying the patients who still warrant immediate CTA evaluation. The episode also reviews modern pulmonary embolism diagnosis and management, discussing risk stratification, and disposition decisions. It is a practical, evidence-based conversation focused on improving diagnostic accuracy, reducing over-testing, and delivering high-value emergency care.
May 25 · 32 min
CMS on Boarding with Dr. Sean Michael
Recorded live at the ACEP Leadership and Advocacy Conference, this episode of ACEP Frontline features a timely conversation with Dr. Sean Michael, Regional Chief Medical Officer for Centers for Medicare & Medicaid Services. As emergency departments across the country continue to face unprecedented crowding, prolonged boarding, staffing strain, and access challenges, Dr. Michael joins us to discuss how CMS is viewing the crisis and what potential policy “levers” may help address the growing nationwide problem. From hospital throughput and inpatient capacity to quality measures and accountability, we explore how federal policy could influence meaningful change for patients, physicians, hospitals, and the emergency care system as a whole.
May 19 · 43 min
Oregon CPOM Discussion with Rep. Ben Bowman
On this episode of ACEP Frontline, Ryan Stanton discusses the growing national conversation surrounding the corporate practice of medicine (CPOM) and Oregon’s landmark SB 951 legislation. Using the recent PeaceHealth news in Eugene as a backdrop, Dr. Stanton breaks down what CPOM means, why states are increasingly examining corporate influence in healthcare, and how Oregon lawmakers, led by Ben Bowman, crafted one of the strongest physician autonomy laws in the country. The episode explores the intent behind the legislation, including protecting independent medical judgment, preserving the physician-patient relationship, and limiting non-clinical interference in care decisions. Dr. Stanton also highlights the role of the Oregon Chapter of the American College of Emergency Physicians and emergency physicians in shaping the discussion, while examining the broader implications these legislative efforts may have for emergency medicine, healthcare access, staffing models, and physician-led patient care nationwide.
May 11 · 19 min
EoE in EM with Dr. David Carlberg
In this episode of ACEP Frontline, we sit down with Dr. David Carlberg to discuss eosinophilic esophagitis (EoE), an increasingly recognized inflammatory condition of the esophagus that can present with food impactions, difficulty swallowing, chest discomfort, and chronic reflux-like symptoms. Dr. Carlberg breaks down the underlying causes of EoE, including the role of allergic and immune-mediated responses, while highlighting the importance of recognizing the condition in both pediatric and adult patients presenting to the emergency department. The conversation also explores diagnostic considerations and current management strategies ranging from dietary modifications and proton pump inhibitors to topical steroids and endoscopic interventions. The episode wraps with a reminder for emergency physicians to check out the ACEP POC Smart Phrase on EoE for practical bedside guidance and streamlined documentation support. Supported by Sanofi.
May 5 · 23 min
Rural Access and Advocacy with Dr. Aaron Kuzel - ACEP LAC
In this episode of ACEP Frontline, we sit down with Dr. Aaron Kuzel from the University of Louisville to discuss one of the most pressing challenges in healthcare today, protecting and expanding access to emergency care in rural America. From hospital closures and workforce shortages to increasing healthcare deserts across the country, rural communities continue to face growing barriers to timely emergency treatment. Dr. Kuzel shares his perspective on the critical role emergency physicians play in ensuring high-quality, lifesaving care regardless of a patient’s ZIP code. The conversation explores why physician-led emergency care matters, the unique challenges facing smaller and rural emergency departments, and how advocacy at the state and national level is essential to preserving access for vulnerable populations. We also dive into the role of organized emergency medicine through American College of Emergency Physicians and how advocacy efforts are shaping policies focused on patient safety, workforce development, reimbursement, and sustainable rural healthcare systems. Whether discussing boarding, transfer delays, or maintaining specialty access in underserved regions, this episode highlights why emergency medicine remains the healthcare safety net for communities large and small. It’s a timely and important conversation about the future of emergency care, and the ongoing fight to ensure every patient has access to physician-led emergency medicine when they need it most.
April 30 · 44 min
ER to the House with Dr. Venkat and Dr. Reeder - ACEP LAC
At the 2026 ACEP Leadership and Advocacy Conference in Washington, D.C., The Frontline sits down with emergency physicians turned state legislators Arvind Venkat and Tim Reeder for a candid conversation about bringing frontline experience into the halls of government. From balancing overnight shifts with legislative sessions to navigating the realities of healthcare policy, both physicians share how emergency medicine uniquely prepares doctors to advocate for patients beyond the bedside. The discussion explores the challenges of policy making, the importance of physician voices in government, and how emergency physicians can influence meaningful change at the local, state, and national levels.
April 27 · 28 min
Doctor Goes to Washington with Dr. Joseph Leary - ACEP LAC
In this episode of ACEP Frontline, we sit down with Joseph Leary, DO, MPH, to explore how a single decision in a rural community can ripple across an entire health care system. Early in his career, while working as an emergency physician in the small mining town of Craig, Colorado, Dr. Leary witnessed the abrupt closure of a labor and delivery unit at a critical access hospital, an event that would shape his path into health policy and advocacy. He shares how that closure didn’t just affect obstetric care, but fundamentally altered emergency preparedness in the region. With fewer resources, physician departures, and pregnant patients left without local options, the impact was immediate and far-reaching. Dr. Leary reflects on that pivotal moment and how it sparked a deeper question: how can frontline physicians influence the systems that shape patient care? His journey offers a powerful look at the intersection of emergency medicine, rural health, and policy, and why physician voices are essential in these conversations. This episode highlights the real-world consequences of health care decisions and the growing need for advocacy to protect access and outcomes in vulnerable communities.

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