ACEP Frontline

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.

In this episode of ACEP Frontline, recorded live from ACEP26 in Chicago, Dr. Ryan Stanton is joined by Matthew Pavlichko, host of the RT Sidebar Podcast, and Dr. Jessica Whittle to discuss the recognition and significance of increased work of breathing in emergency medicine patients. They explore the clinical importance of identifying respiratory distress early, the role of objective assessment and team-based care, and practical strategies for using work of breathing as an early warning sign of serious underlying illness before patient deterioration occurs.

In this Frontline Weekend Playlist episode, hear Dr. Jesse Pines present “The Current and Future of Artificial Intelligence in Emergency Departments” at the Fourth Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. He explores the rapidly evolving role of AI in emergency medicine, discussing current applications such as ambient documentation, clinical decision support, chart summarization, and quality improvement while examining the opportunities, limitations, and future implications of AI for emergency physicians.

Recorded at ACEP26 Scientific Assembly in Chicago, Dr. Ryan Stanton talks with Dr. Matthew Roginski, an emergency physician and intensivist at Dartmouth Hitchcock Medical Center, about the underused and controversial medications that come into play when septic or distributive shock stops responding to the basics. Dr. Roginski lays out a tiered approach, starting with fluids, norepinephrine, and vasopressin, then adding steroids, epinephrine, bicarbonate, and calcium, and finally turning to last-resort options such as methylene blue, angiotensin II, and hydroxocobalamin. He is candid about how thin the evidence gets at each step, including the serotonin syndrome risk with methylene blue. Just as important is his emphasis on a resuscitation checkpoint, a built-in pause to ask whether the data are right and the diagnosis is correct. He also encourages community physicians to build relationships with intensivists and pharmacists before the 3 AM crisis.

In this Frontline Weekend Playlist episode, hear Dr. Patrick Kneeland present “Elevating Our Game: Cultivating Connected Transformation in Healthcare Settings” at the Fourth Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. He explores the drivers of professional well-being, psychological safety, and team culture, sharing practical leadership strategies for fostering connection, collaboration, resilience, and meaningful change in complex healthcare environments.