Things EM Docs Wish Consultants Would Stop Giving Them Crap About

Recorded live at the AOA/ACOEP scientific assembly in Las Vegas, John Casey and Tanner Gronowski sit down with community emergency physician Matt (long-time listener first time guest and Tanner's now co-worker) to bridge the gap between academic medicine and the community ED trenches. In this episode, the crew tackles the top friction points between emergency physicians and inpatient consultants—breaking down what specialists often misunderstand about acute resuscitation, patient throughput, and why the Emergency Department operates the way it does. In this episode, we cover: The "Incomplete" Workup: Why safe dispositions and ruling out life threats matter more than ordering specialized outpatient labs at 3:00 AM. Rethinking the "Social Admit": Why functional decline isn't a "soft" admission—and how PT/OT and Case Management help protect vulnerable patients. Pain Management & Sedation Pushback: Treating acute pain and securing compromised airways without letting theoretical "masked exams" delay compassionate care. Consulting Early vs. Waiting on Results: The art of giving specialists an early heads-up on operative cases and ICU transfers. Asymptomatic Hypertension: Navigating unnecessary ED referrals for high blood pressure readings without end-organ symptoms. The 20-Year Medical History Fallacy: Why EM docs are built for the "quick, clean snap" of acute stabilization rather than longitudinal chronic disease deep dives. Bonus Riff: Navigating patients who ask to film procedures in the ED and managing family presence during procedural sedations. Connect with EM Over Easy: Website & Blog: https://emovereasy.com Follow us on Instagram, X, and LinkedIn: @EMOverEasy