Bougie as a Backup? Why I’m Moving It to Plan A
A 2024 meta-analysis of 18 studies and 9,151 patients on whether a bougie improves first-attempt intubation success — and when to reach for it.
Look Before You Leap: What the JAMA 2024 Video Laryngoscopy Trial Means for Your Airway Practice
A JAMA 2024 cluster-randomized trial found video laryngoscopy sharply cut multiple intubation attempts vs direct. Here's how it should change your practice.
Fluoride causes low IQ?
A 2025 JAMA Pediatrics paper linked fluoride to lower IQ in kids, and the headlines ran wild. Dr Cois, an ER physician, reads the actual study — PICO, results, and the cherry-picking tactic that weaponized it. You’ll learn where the signal is real, where it vanishes, and what to tell worried patients.
Read a Paper Like a Scientist: An ED Doctor’s Three-Question Framework for Health Information
Misinformation is the #1 short-term global risk. An ED physician shares the three-question framework doctors use to evaluate any medical paper.
I Paid $9 for a Drug My Pharmacy Said Cost $90. Here’s What’s Actually Going On.
An ER doctor explains why GoodRx can be cheaper than insurance, how Pharmacy Benefit Managers (PBMs) set drug prices, and 3 steps to cut your prescription costs at the counter.
The Paper That Made Me Rename Normal Saline
In the SALT-ED trial of 13,347 noncritically ill adults receiving IV fluids in the emergency department, balanced crystalloids (mainly lactated Ringer's) reduced major adverse kidney events at 30 days compared with normal saline (4.7% vs 5.6%; adjusted OR 0.82, 95% CI 0.70–0.95, P=0.01). There was no difference in hospital-free days. The proposed mechanism is the supraphysiologic chloride load in saline, which causes hyperchloremic metabolic acidosis.
The Boring Longevity Playbook: Why I Stopped Trusting Supplement Stacks
An emergency physician's evidence-based playbook for longevity — the 5 Tier 1 pillars that actually work, plus a free 16-week roadmap.
The Biggest Sleep Mistake Shift Workers Make (And It's Not Caffeine)
An ER physician's evidence-based sleep playbook for night-shift workers. Four circadian behaviours plus three environmental levers you can apply tonight.
Abdominal Pain ER Visit: 4 Diagnoses We Cannot Miss
An ER doctor walks through what really happens when you come in with abdominal pain — the 4 diagnoses we cannot miss, and why most cases come back to food.
What Actually Happens When You Come to the ER with Chest Pain
When you arrive at the Emergency Department with chest pain, your doctor evaluates three main body systems: the heart, the lungs, and the gastrointestinal tract. The first tests are typically an ECG and bloodwork (including troponin), often followed by a chest X-ray. If a heart attack is suspected, you may be sent directly to the cath lab. Additional imaging — such as a CT angiogram — is reserved for higher-risk presentations like suspected pulmonary embolism or aortic dissection.
The Ultimate Supplement Guide: What the Evidence Actually Says About What's in Your Medicine Cabinet
An Emergency physician walks through the evidence for creatine, vitamin D, omega-3, peptides, and more. What to keep, what to throw out.
The War on Protein: How Much You Actually Need, Where to Get It, and Why None of It Matters Without the Weights
Evidence-based protein targets by goal and age, why source matters, and why resistance training is non-negotiable. Emergency physician breaks it down.
There Are No Healthy Humans on an Unhealthy Planet
An ER doctor breaks down how climate change is already affecting your patients — and a practical Educate, Mitigate, Advocate framework for healthcare workers and the public.
Your Cholesterol Is Not a TikTok. Here’s What the Evidence Actually Says About Blood Testing.
This episode of Overheard in the Emergency Room goes deeper — including a full walkthrough of the USPSTF and ADA prevention frameworks, a detailed breakdown of the 2026 AHA/ACC dyslipidemia guideline, and evidence-based mythbusting on the large-fluffy-LDL claim and supplement-linked lab panels.
Why the US Healthcare System Is So Expensive — And What We Can Actually Do About It
An ER doctor explains why US healthcare costs so much, delivers so little, and what Medicare for All, the Great Healthcare Plan, and EMBRACE propose to fix it.
Your Gut Is Lying to You (And Social Media Is Making It Worse)
An ER doctor breaks down the gut microbiome: what it does, how to improve it, and why the carnivore 'gut reset' trend sent a patient to hospital.
Why Weight Loss Is So Hard (And What Actually Works)
Dr. Adrian Cois breaks down one of the most misunderstood medical conditions in modern healthcare: obesity.
Fluoride causes low IQ?
Do we really need to be worried about fluoride in the water in Australia or the US causing reduced IQ?
Metabolic Disease - The Ultimate Guide
Here we discuss all the highlights of metabolic disease - how common is it, how much it costs, how it happens and what you can do about it.