Best Roger Musa Podcasts (2025)

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Pericardial Effusion Management in the Hospitalized Patient: Decoding the 2025 ACC Guidance—Size vs. Speed, Tamponade, and Etiology-Driven Intervention 31:08

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1h ago31:08

31:08

In this episode of Hospital Medicine Unplugged, we cut through pericardial effusion in the inpatient setting—spot it fast with TTE, act early on tamponade, spare procedures when safe, and tailor to cause. We open with the do-firsts: focused history/exam (dyspnea, chest pressure/fullness, pulsus paradoxus), ECG, CRP/ESR, CBC/chemistry ± troponin if …

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Inpatient Gout Management Deep Dive: Treat-to-Target Strategies, Comorbidity Minefields, and Why You Must Protect the Heart 32:17

1h ago32:17

32:17

In this episode of Hospital Medicine Unplugged, we sprint through inpatient gout—confirm the diagnosis, kill the flare fast (safely), and treat to target so patients stop bouncing back. We open with the do-firsts: aspirate the joint or tophus when feasible to see MSU crystals under polarized light—doubles as a septic arthritis rule-out. If aspirati…

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Surviving Septic Shock: Hour-1 Bundle, Dynamic Fluid Management, and the Post-ICU Burden in the Hospitalized Patient 37:18

2h ago37:18

37:18

In this episode of Hospital Medicine Unplugged, we sprint through septic shock—treat it like the medical emergency it is: move fast, restore perfusion, hit early antibiotics, control the source, and individualize hemodynamics. We open with the do-firsts: rapid recognition via Sepsis-3 (infection + organ dysfunction; shock = vasopressors to keep MAP…

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HHS Masterclass: Fluids First, Insulin Later—The High-Stakes Management of Hyperosmolar Hyperglycemic State in the Hospitalized Patient 31:09

2h ago31:09

31:09

In this episode of Hospital Medicine Unplugged, we sprint through hyperosmolar hyperglycemic state (HHS)—spot early, rehydrate hard (safely), fix electrolytes, start insulin after fluids, and hunt the trigger. We open with the do-firsts: ABCs, tele, frequent vitals, bedside neuro checks, and labs that matter—glucose, BMP with corrected Na⁺, calcula…

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Thyroid Storm Survival Guide: Rapid Diagnosis and the 4 Pillars of Multimodal Therapy of Thyrotoxicosis for Critically Ill Patients 25:43

2h ago25:43

25:43

In this episode of Hospital Medicine Unplugged, we sprint through thyrotoxicosis and thyroid storm—recognize early, stabilize in the ICU, stop hormone effects fast, and line up definitive therapy. We open with the do-firsts: high-acuity triage, tele + frequent vitals, broad labs (TSH↓, free T4/T3↑), cultures/CXR/UA if infection suspected, and an im…

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Meningitis Pearls in the Hospitalized Patient: Zero-Delay Antibiotics and the 4 Pillars of Evidence-Based Management 34:46

1d ago34:46

34:46

In this episode of Hospital Medicine Unplugged, we blitz through bacterial meningitis—recognize fast, give antibiotics now, add steroids early, and never delay care for tests. We open with the do-firsts: minutes matter. Draw blood cultures → start empiric IV antibiotics immediately (don’t wait for CT/LP) → add dexamethasone before or with the first…

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Acute Hypercalcemia Crisis in the Hospitalized Patient: Evidence-Based Management, Triage, and The Denosumab vs. Bisphosphonate Dilemma 33:51

1d ago33:51

33:51

In this episode of Hospital Medicine Unplugged, we sprint through hypercalcemia—recognize fast, rehydrate hard, block bone resorption, and fix the cause. We open with the do-firsts: confirm true hypercalcemia (ionized preferred; corrected total if needed), grab PTH → PTHrP/25-OH D/1,25-(OH)₂D, BMP/Phos/Mg, ECG for shortened QT, and scan meds (thiaz…

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Hypocalcemia in the Hospitalized Patient: Master the ICU Paradox and Achieve Precision Calcium Management Using ATA and KDIGO Guidelines 33:50

12h ago33:50

33:50

In this episode of Hospital Medicine Unplugged, we blitz through hypocalcemia—measure ionized calcium, treat symptoms now, fix the cause, and avoid reflex over-correction in the ICU. We open with the do-firsts: confirm with ionized Ca (total Ca lies in hypoalbuminemia), check Mg/Phos/Cr, PTH, 25-OH D, ECG for QT prolongation, and scan the story (ne…

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The Hospitalist's Roadmap for Inpatient Hepatic Encephalopathy: Crisis Management, Pitfalls, and the Protein Paradox 30:51

12h ago30:51

30:51

In this episode of Hospital Medicine Unplugged, we power through hepatic encephalopathy—find the trigger fast, start lactulose early, layer rifaximin when needed, and protect the airway and the brain. We open with the do-firsts: stabilize ABCs, grade mental status (West Haven), check glucose/electrolytes, and hunt precipitants—infection (incl. SBP)…

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Pneumothorax Paradigm Shift in the Hospitalized Patient: When to Watch, When to Tube, and Why POCUS Changes Everything 24:44

13h ago24:44

24:44

In this episode of Hospital Medicine Unplugged, we tackle pneumothorax in the inpatient world—stabilize first, size it right, choose the least invasive path that’s safe, and never miss tension physiology. We open with the first five minutes: is the patient stable? Check vitals and work of breathing, then confirm with imaging—CXR first-line, POCUS f…

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Hypernatremia's High Stakes: Customized Correction Rates and the Catastrophic Risk of Over-Correction in the Hospitalized Patient 30:02

23m ago30:02

30:02

In this episode of Hospital Medicine Unplugged, we tackle hypernatremia—spot it early, fix the water–salt mismatch, and keep brains safe while you correct. We open with who’s at risk and why it matters: older adults, nursing-home residents, cognitively impaired, immobilized, and ICU patients (prevalence up to 27%). Consequences aren’t subtle: delir…

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Airway First, Artery Next: Mastering the Evidence-Based Management of Massive Hemoptysis (ACCP/ACR Guidelines) in the Hospitalized Patient 37:59

7h ago37:59

37:59

In this episode of Hospital Medicine Unplugged, we dive into massive hemoptysis—stabilize fast, protect the airway, localize the bleed, and stop it for good. We start with the killer reality: mortality isn’t from bleeding out, it’s from asphyxiation. Even small volumes can flood the airways and crash oxygenation. Massive hemoptysis = ≥200 mL/24 h o…

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Hypertensive Crisis in the Hospitalized Patient: Urgency vs. Emergency, Avoiding Harm, and Mastering the ACC/AHA Guidelines 27:51

2h ago27:51

27:51

In this episode of Hospital Medicine Unplugged, we break down hypertensive crisis—separating urgency from emergency, tailoring the pace of reduction, and choosing the right IV agent for the right patient. We open with the definitions: • Hypertensive emergency = BP >180/120 with acute target-organ damage (brain, arteries, retina, kidneys, heart). Th…

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Early vs. Late Enteral Nutrition in the Hospitalized Patients: Evidence-Based Enteral Nutrition and the High-Protein, Low-Calorie Paradox 27:17

2h ago27:17

27:17

In this episode of Hospital Medicine Unplugged, we tackle enteral nutrition (EN) in hospitalized patients—screen early, start within 24–48 h when indicated, tailor the route and formula, and prevent complications like refeeding syndrome. We start with the definitions and routes: • Short-term (<4–6 weeks): NG, NJ, or nasoduodenal tubes. • Long-term …

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Primary Aldosteronism in the Hospitalized Patient: Master the AHA/ACC Guidelines for Diagnosis and Organ-Sparing Management in the Acute Care Setting 31:56

2h ago31:56

31:56

In this episode of Hospital Medicine Unplugged, we break down hyperaldosteronism—recognize fast, test smart, and treat to protect the heart and kidneys. We start with the big picture: primary aldosteronism (PA) drives up to 10% of hypertension cases, especially resistant hypertension, and carries outsized risks—atrial fibrillation, stroke, MI, CKD—…

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HAP and VAP Decoded: Mastering MDRO Risk, Empiric Therapy, and the 7-Day Standard for Hospital Pneumonia 37:05

2h ago37:05

37:05

In this episode of Hospital Medicine Unplugged, we tackle hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP)—spot early, culture smart, treat right, and prevent relentlessly. We open with the definitions: HAP = ≥48 h after admission in non-ventilated patients; VAP = ≥48 h after intubation. Both drive ICU stays, mortality, a…

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Acute Hepatitis in the Hospitalized Patient: Triage, Scores, and the Critical Race Against Liver Failure (ALF vs. ACLF) 38:20

7h ago38:20

38:20

In this episode of Hospital Medicine Unplugged, we sprint through acute hepatitis—find the cause fast, stabilize early, risk-stratify smart, treat the etiology, and don’t miss ALF. We open with the do-firsts: airway/breathing/circulation, focused exam (jaundice, asterixis, volume), and a broad lab bundle—AST/ALT, bilirubin, INR/PT, albumin, CBC, BM…

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Osteomyelitis in the Hospitalized Patient: Master the MRSA, MRI, and Mandatory Biopsy Rules for Hospitalists 35:01

7h ago35:01

35:01

In this episode of Hospital Medicine Unplugged, we sprint through osteomyelitis—spot early, culture smart, hit bugs hard, cut dead bone, mobilize the team. We open with the do-firsts: risk scan (diabetes, PAD, trauma/surgery, prosthetics, IVDU, MRSA exposure), focused exam for focal bony pain, warmth, swelling, sinus tracts, and labs (ESR/CRP↑ > WB…

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Beyond Acid Reflux: Mastering the Complex Inpatient Diagnosis and Tailored Management of Esophagitis 26:13

3d ago26:13

26:13

In this episode of Hospital Medicine Unplugged, we sprint through esophagitis—spot it fast, pin the cause, heal the mucosa, prevent complications. We open with the do-firsts: identify alarm features (dysphagia, weight loss, GI bleed, IDA), review meds (bisphosphonates, NSAIDs, tetracyclines), immune status, tube size/position, and supine time. Fram…

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Hypokalemia in the Hospitalized Patient: The 0.05 Rule, IV Safety Protocols, and Why You Must Check the Mag 28:51

1d ago28:51

28:51

In this episode of Hospital Medicine Unplugged, we sprint through hypokalemia—define fast, find the source, replete safely, prevent rebounds. We open with the do-firsts: confirm K+ <3.5 mmol/L (<3.0 severe), review meds (loop/thiazide diuretics, insulin, steroids), check GI losses, volume/BP, and get serum/urine electrolytes + acid–base. ECG if sym…

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Hyperkalemia Crisis Protocol: Acute Management Playbook and the Calcium Conundrum in High-Stakes Hospital Medicine 31:38

1d ago31:38

31:38

In this episode of Hospital Medicine Unplugged, we power through hyperkalemia—confirm fast, monitor the heart, stabilize the membrane, shift K⁺ in, and remove K⁺ out—while fixing the cause and keeping RAASi on board when safe. We open with the do-firsts: repeat K⁺ to exclude pseudohyperkalemia; 12-lead ECG + telemetry; hunt triggers (AKI/CKD, meds,…

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Status Epilepticus for the Hospitalist: Master the 5-Minute Crisis and Escalating Refractory Care 27:45

3d ago27:45

27:45

In this episode of Hospital Medicine Unplugged, we blitz status epilepticus (SE)—recognize at 5 minutes, give a full benzo dose fast, load a second-line ASD without delay, and escalate to ICU infusions + EEG when needed. We open with the do-firsts (0–5 min): ABCs, oxygen, lateral positioning, monitors, IV/IO access, check glucose (give thiamine → d…

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Acute Brain Failure in the Hospitalized Patient: Mastering the Evidence-Based Prevention and Management of Delirium in Acute Care 42:53

3d ago42:53

42:53

In this episode of Hospital Medicine Unplugged, we race through delirium in hospitalized adults—spot it early, fix the causes, deploy bundles, and medicate only when safety’s at stake. We open with the scale and stakes: delirium hits ~11–42% of general inpatients and up to 87% of older surgical patients, driving falls, longer LOS, institutionalizat…

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Acute Myocarditis in the Hospital Setting: Triage, Targeted Therapy, and the Genetics of Sudden Death 26:45

4d ago26:45

26:45

In this episode of Hospital Medicine Unplugged, we tackle myocarditis in hospitalized patients—recognize fast, stratify risk, escalate support, and target therapy when needed. We start with the do-firsts: triage to the right care setting, exclude obstructive coronary artery disease, and launch diagnostic testing with ECG, hs-troponin, natriuretic p…

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Acute Pericarditis in the Hospitalized Patient: Master Risk Stratification, NLRP3, and Why Steroids Cause Relapse 27:42

3d ago27:42

27:42

In this episode of Hospital Medicine Unplugged, we sprint through pericarditis—diagnose fast, cool the inflammation, prevent tamponade, crush recurrences. We open with the do-firsts: history/exam (rub), ECG, CRP/ESR + leukocytosis/fever, and TTE to size the effusion and exclude tamponade/constriction. CMR is reasonable in complicated/recurrent/ince…

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Atrial Flutter for Hospitalists: Inpatient Management, Stroke Risk, and the Ablation Advantage 28:04

5d ago28:04

28:04

In this episode of Hospital Medicine Unplugged, we sprint through atrial flutter—spot the sawtooth, choose the fastest safe path to sinus, and keep strokes off the table. We open with the do-firsts: confirm the rhythm and triage the “why.” Grab a 12-lead ECG—regular narrow tachycardia with classic sawtooth F-waves (atrial ~240–300 bpm, often 2:1 AV…

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DVT Prophylaxis in Hospitalized Patients: Master the High-Stakes Balance of VTE and Bleeding Risk in Hospital Medicine 25:42

3d ago25:42

25:42

In this episode of Hospital Medicine Unplugged, we sprint through inpatient VTE prevention—screen fast, prophylax right, and use system nudges so clots don’t slip through. We open with the do-firsts: risk-stratify at admission and again daily. Use Padua/IMPROVE for medical patients, Caprini for surgical; pair with a bleeding check (IMPROVE-Bleed or…

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Metabolic Acidosis in the Hospitalized Patient: The Anion Gap, Bicarb Controversy, and Why Your Patient’s pH is Killing Their Heart 36:54

4d ago36:54

36:54

In this episode of Hospital Medicine Unplugged, we dive into metabolic acidosis—how to identify it quickly, match treatment to the underlying cause, and manage it effectively to avoid complications. We start by confirming the diagnosis—check arterial blood gas (ABG) and serum electrolytes for a low pH and bicarbonate (HCO₃⁻). Next, calculate the an…

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Metabolic Alkalosis in the Hospitalized Patient: The Silent Killer Driving Poor Outcomes in the ICU (Workup, Management, and Why the Urine Chloride Te... 29:16

3d ago29:16

29:16

In this episode of Hospital Medicine Unplugged, we dive deep into metabolic alkalosis, a common but often overlooked acid-base disturbance in hospitalized patients. From pathophysiology to evidence-based management, we’ll explore strategies for both acute and chronic cases, especially in critically ill patients. We begin with the fundamentals: meta…

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The Hospitalist’s Management of Epistaxis: Evidence-Based Management, From ABCs to Topical TXA and Anticoagulation Tightropes 23:56

7d ago23:56

23:56

In this episode of Hospital Medicine Unplugged, we discuss epistaxis—from initial management to preventing recurrence, with evidence-based strategies for hospitalized patients. We start with stabilization—the priority is always airway, breathing, and circulation. Massive epistaxis can compromise hemodynamic stability, so monitoring vital signs and …

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Acute Compartment Syndrome: Beat the Clock, Save the Limb: Diagnosis, Delta P, and Emergency Fasciotomy 28:56

3d ago28:56

28:56

In this episode of Hospital Medicine Unplugged, we tackle compartment syndrome—diagnose early, intervene fast, and prevent long-term complications. We start with the essentials: pain management and serial assessments. The hallmark symptom is pain out of proportion to the injury. Administer analgesics promptly, but adjust based on the severity. For …

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SIADH in the Hospitalized Patient: Master the Evidence-Based Diagnosis and Safe Management of Hyponatremia (Urea vs. Vaptans) 30:15

3d ago30:15

30:15

In this episode of Hospital Medicine Unplugged, we dive into Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)—diagnose it early, treat fluid imbalances, and carefully manage hyponatremia. We start with the essentials: identify and treat reversible causes first. Whether it’s medications, malignancy, or pulmonary/CNS disorders, addres…

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Sickle Cell Crisis in the Hospitalized Patient: Pain Protocols, Balanced Fluids, and Why You Must Review Hydroxyurea Now 36:50

3d ago36:50

36:50

In this episode of Hospital Medicine Unplugged, we tackle sickle cell disease (SCD)—manage pain, prevent complications, and optimize long-term care. We start with the essentials: rapid pain management and early intervention. For vaso-occlusive crisis (VOC), opioids should be administered within 1 hour of presentation, with individualized dosing bas…

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NAFLD & NASH in the Hospitalized Patient: The Hospitalist’s Guide to Fibrosis Triage, Comorbidity Control, and Advanced Management 41:05

4d ago41:05

41:05

In this episode of Hospital Medicine Unplugged, we tackle NAFLD—screen smart, stage fibrosis fast, and treat the heart to save the liver. We open with the do-firsts: targeted case-finding, not blanket screening. Prioritize patients with obesity, T2D, metabolic syndrome. Start with FIB-4 (age/AST/ALT/platelets): <1.3 (or <2.0 if >65) = low risk; 1.3…

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Ascites Management in Cirrhosis: AASLD Guidelines, SBP, and HRS-AKI Explained 29:00

4d ago29:00

29:00

In this episode of Hospital Medicine Unplugged, we sprint through ascites—tap early, diurese smarter, and keep kidneys/brains out of trouble while you line up the definitive plan. We open with the do-firsts: confirm the syndrome and name the driver. Diagnostic paracentesis on arrival (don’t wait for the CT): send cell count/diff (SBP if PMN ≥250/µL…

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Pleural Effusions in the Hospitalized Patient: A Hospitalist’s Evidence-Based Roadmap for Diagnosis, POCUS, and Tailored Management 25:37

4d ago25:37

25:37

In this episode of Hospital Medicine Unplugged, we sprint through pleural effusions—scan smart, tap safer, and match treatment to mechanism so your patients breathe easier with fewer procedures. We open with the do-firsts: confirm the effusion and triage the “why.” Go POCUS-first (size, septations, safe pocket), use CXR for laterality, save CT for …

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Rhabdomyolysis in the Hospitalized Patient: The High-Stakes Guide to Early Diagnosis, AKI Prevention, and Fluid Resuscitation 26:33

4d ago26:33

26:33

In this episode of Hospital Medicine Unplugged, we sprint through rhabdo—spot it early (even without the classic triad), flood fast, and keep kidneys out of trouble. We open with the do-firsts: confirm the syndrome and size the risk. Order CK (diagnostic at >5× ULN; think >5,000 IU/L non-exertional, >10,000 IU/L exertional), BMP (K⁺/Cr), Ca/Mg/Phos…

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Pressure Injuries in Hospitalized Patients: Why Your Braden Score Isn’t Enough and the Multicomponent Protocols That Truly Save Skin and Billions 29:12

4d ago29:12

29:12

In this episode of Hospital Medicine Unplugged, we cut through pressure injuries—who to flag on day 1, which beds and dressings actually help, and how to run a wound plan that heals instead of lingers. We open with the do-firsts: risk-stratify (Braden + clinical judgment), full head-to-toe skin check with stage + size + photo, float the heels now, …

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Mastering Evidence-Based Goals of Care: Your Guide to Structured, High-Quality GOC Discussions and EHR-Driven Equity 38:10

4d ago38:10

38:10

In this episode of Hospital Medicine Unplugged, we cut through goals-of-care (GOC) conversations—who to flag, what to say, how to document it so the whole team actually uses it. We open with the do-firsts: identify the right patients (surprise question “Would I be surprised…?”, acute deterioration, high-risk admits, ≥2 recent hospitalizations). Pre…

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Acute Pancreatitis Deep Dive: Nailing the First 48 Hours—Fluids, Necrosis, and the Step-Up Survival Strategy 32:12

5d ago32:12

32:12

In this episode of Hospital Medicine Unplugged, we demystify acute pancreatitis—diagnose fast, hydrate smart, feed early, and know when to escalate. We open with getting the diagnosis and severity right: use the rule of 2/3 (typical pain, lipase/amylase >3× ULN, or imaging) and stage by revised Atlanta (mild, moderately severe, severe). BISAP/APACH…

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The Evidence-Based Inpatient Pathway for Acute Choledocholithiasis: Guidelines, Risks, and Single-Stage Solutions 35:49

7d ago35:49

35:49

In this episode of Hospital Medicine Unplugged, we demystify acute choledocholithiasis—who needs urgent decompression, how to clear the duct, and how to prevent the encore. We open with the sick first: suspected cholangitis or biliary sepsis = urgent ERCP (<24 h) for decompression and cultures, alongside IV fluids and broad-spectrum antibiotics. If…

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Acute COPD Exacerbation (AECOPD) Evidence Unlocked: 5-Day Steroids, 88-92% Oxygen, and NIV First for Hypercapnic Respiratory Failure 28:37

6d ago28:37

28:37

In this episode of Hospital Medicine Unplugged, we cut through inpatient COPD exacerbations—how to stabilize fast, choose the right meds, and know when to put the mask on. We open with the do-firsts: grab a chest X-ray and ABG to rule in AECOPD and rule out the mimics (pneumonia, HF, PE) and acute respiratory acidemia. Start controlled O₂ targeting…

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Acute Infective Endocarditis: Deep Dive into Rapid Diagnosis, Antibiotics, and the Critical Surgery Call 34:04

5d ago34:04

34:04

In this episode of Hospital Medicine Unplugged, we cut through acute infective endocarditis—how to confirm it fast, start the right drugs, and know when the valve team needs to move. We open with the do-firsts: draw three sets of blood cultures from separate sticks, then start empiric IV therapy—vancomycin + ceftriaxone for most native valves (dapt…

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Hyponatremia Emergency: The Evidence-Based Roadmap to Correction, ODS Prevention, and the Desmopressin Clamp Strategy 38:40

5d ago38:40

38:40

In this episode of Hospital Medicine Unplugged, we cut through inpatient hyponatremia—how to triage by symptoms and acuity, push 3% safely, prevent overcorrection, and fix the cause. We open with the do-firsts: confirm it’s true hypotonic hyponatremia (check measured serum osmolality; correct Na for glucose), assess duration (<48 h vs >48 h), and s…

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Cellulitis Roadmap for the Hospitalist: 5-Day Treatment, MRSA Myths, and Why Your Patient Keeps Coming Back 27:32

6d ago27:32

27:32

In this episode of Hospital Medicine Unplugged, we demystify inpatient cellulitis—who to admit, what to cover, and when to stop. We open with the right patients: nonpurulent, warm, tender, spreading erythema—and the red flags for a bed (systemic toxicity, rapid progression, immunocompromise, failed outpatient therapy, hand/face, or NSTI concern). U…

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Pyelonephritis in the Hospitalized Patient: Mastering Evidence-Based Management, Antibiotic Stewardship, and the IV-to-Oral Shift 30:45

6d ago30:45

30:45

In this episode of Hospital Medicine Unplugged, we get practical about inpatient pyelonephritis—how to stop sepsis, protect kidneys, and prevent complications. We open at the door: recognize sepsis, two IV lines + fluids, draw urine and blood cultures (don’t delay antibiotics for tough sticks), check creatinine and lactate, and assess for obstructi…

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Fidaxomicin First, FMT Future in C. Difficile Colitis: Mastering CDI Diagnosis, Recurrence Prevention, and the Microbiome Shift 27:18

7d ago27:18

27:18

In this episode of Hospital Medicine Unplugged, we tackle Clostridioides difficile infection (CDI) on the wards—fast, practical, guideline-driven care from test ordering to recurrence prevention. We open with the first moves: test only the right patient—≥3 unformed stools in 24 h (or ileus/toxic megacolon). Use a two-step algorithm: GDH + toxin EIA…

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Acute Ischemic Stroke: Reperfusion, Supportive Care, and the Great Shift from Time-Based to Tissue-Based Management 32:55

10d ago32:55

32:55

In this episode of Hospital Medicine Unplugged, we demystify PFO workup and closure after ischemic stroke—who to test, who to close, and how to run a tight inpatient pathway. We open with the right patients: nonlacunar, embolic-appearing infarcts in adults 18–60 with no better cause on initial workup. Everyone gets vascular imaging, inpatient rhyth…