• Assorted Groin Injuries, Hemorrhoid ECMO Update, Massive TIA with hemarthrosis risk, and Percretia to Iliac vessels
    Dec 9 2025

    Join Mawi and Shelly for a discussion on how people are presenting with groin injuries, an update to the previously discussed case that progressed to ECMO, a rock and a hard place with a cerebral ischemic event in a patient with a recent shoulder surgery, and a patient with percretia to bilateral iliac vessels.

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    1 hr
  • Insurance, Stylettes, PACU Placement, and Angioedema
    Nov 20 2025

    Mawi, Sarah Stewart Holland from Pantsuit Politics, and Shelly discuss Insurance dysfunction, Angioedema adventures, and massive esophageal hemorrage to start with. Mawi and Shelly continue to discuss stylette dysfunction during intubation, putting PACU patients in backwards, and a pediatric internal decapitation.

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    1 hr and 7 mins
  • Halloween 2025
    Oct 30 2025

    Shelly, Mawi, and Paul discuss austere anesthesia, Mawi's Trauma, and Paul's salvation of a lobster. Enjoy the hosts and listen to Paul's Halloween EMT story.

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    53 mins
  • Cath Lab, Echo Probe Recs, Septic Abdomens
    Sep 26 2025

    Explicit. Mawi and Shelly discuss hemorrhoidectomies that go to ECMO, throat pressure that when released resuscitates patients, and septic guts gone wild. Join the hosts for their usual banter and story telling behind the scenes. Shelly loses it on a Mawi story and has to go Explicit.

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    52 mins
  • Vape Lungs, TEE Insertion Problems, Benzos for Seizures, Trach if necessary
    Sep 4 2025

    Mawi and Shelly discuss problems with oxygenating Vape lungs, challenges with cardiologists putting in TEE probes, and use of the Clear Sight device from an anecdotal perspective. Join the hosts for a frank discussion on what's been going on in the medicine.

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    1 hr and 8 mins
  • Spleen Rupture, Bleeding, Bowel Obstructions Oh My!!!!!
    Aug 28 2025

    One of the funniest episodes we've had. Really irreverant side commentary. Good clinical discussions for learners. Discussed aggressive resuscitation, treating acidosis, and treating hyperkalemia. Come on a trip with the Wise Guys.

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    1 hr and 4 mins
  • Department Conflict, Echos of Adventure, Good and Bad Decisions
    Jun 13 2025

    Shelly, Mawi, and David discuss a listener mail on interdepartmental conflict, cautionary tales of addressing valvular disease and anesthesia, and language barriers complicating care.

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    59 mins
  • Resuscitation, pH management, POCUS, and more....
    May 1 2025

    Shelly, Mawi, Paul, and Stephen have a great discussion on volume resuscitation strategies, maximum blood products given, and what to give when pH is whack. The nephrologist has some knowledge to drop....

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    1 hr and 3 mins