Trending Articles

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Sexual Harassment Prevention for Healthcare Facilities

American Medical Compliance

Sexual harassment is a serious issue that impacts workplaces across all industries, but in healthcare facilities, the stakes are especially high. The unique dynamics of healthcarelong hours, high-stress situations, and frequent close interactions with colleagues, patients, and visitorscreate conditions where incidents of harassment can more easily occur.

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ECG Pointers: Slow and Steady Wins the … Pacemaker?

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Christian Daniello, MD (Staff Physician, Geisinger Wyoming Valley) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource.

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Sepsis Screening Decreases Mortality. Well, not really.

Sensible Medicine

“Don’t worry about reading – you won’t be able to keep your eyes open. The only thing you need to learn this year is how to differentiate sick people from not sick people.” So said my program director during my internship. This comment might be one of the reasons I’ve been skeptical of sepsis screening. If there is one thing a medicine resident or hospitalist should be able to do well is identify the patients who are sick and need attention.

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emDOCs Podcast – Episode 116: Massive Hemoptysis

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of massive hemoptysis. Episode 116: Massive Hemoptysis Definition: Hemoptysis is expectoration of blood from the respiratory tract; ranges from mild with small streaks of blood to cardiopulmonary compromise (1-5). Massive hemoptysis: no clear definition, ranges from 50 mL in a single expectoration to 100 mL in 24 hours to over 1 L in 48 hours.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Ottawa DVT PoCUS Handbook

EM Ottawa

TheOttawa DVT PoCUS Handbookis a peer-reviewed, practical guide designed to support emergency clinicians in the bedside diagnosis of deep vein thrombosis using point-of-care ultrasound (PoCUS). Developed by emergency medicine physicians at The Ottawa Hospital, this resource is tailored for learners and practitioners at all levels including medical students, residents, and staff physicians who […] The post Ottawa DVT PoCUS Handbook appeared first on EMOttawa Blog.

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SGEM Xtra Zombie Idea: ED Crowding is Due to Non-Urgent Patients

The Skeptics' Guide to EM

Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic was the zombie idea that emergency department crowding is due to non-urgent patients.You can click on this LINK and get a PDF copy of my slides. The YouTube video of the presentation with the Q&A session featuring rural physician Dr.

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Should we be giving ketamine to opioid users in acute pain?

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Should ketamine be used for opioid-dependent patients in acute pain? A recent randomized controlled trial explores the effectiveness of low-dose ketamine (LDK) as an adjunct to morphine in emergency settings. Results show significant short-term pain reduction and reduced opioid requirements, with manageable side effects.

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NIV vs HFNC to prevent re-intubation in patients with obesity

The Bottom Line

Humidified Non-Invasive Ventilation versus High-Flow Therapy to Prevent Reintubation in Patients with Obesity Hernndez et al. AJRCCM 2025. DOI: 10.1164/rccm.202403-0523OC Clinical Question In obese adult patients at intermediate risk for hypoxaemic extubation failure, does non-invasive ventilation (NIV) therapy with active humidification compared to use of high-flow nasal oxygen (HFNO or HFNC) reduce all-cause reintubation within 7 days after extubation?

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Let them eat: Emergency department patients should be encouraged to eat and drink

First 10 EM

Are patients allowed to eat in your department? Do you field endless phone calls from nurses asking whether a patient is allowed to eat? Have you ever witnessed a confrontation between a nurse and a patient or family member over NPO status? The concept of forcing emergency patients to remain nil by mouth on the […] The post Let them eat: Emergency department patients should be encouraged to eat and drink appeared first on First10EM.

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Should age influence duration of CPR for cardiac arrests in the hospital?

PulmCCM

This is a series of articles on the duration of CPR for in-hospital cardiac arrest. An index to all posts in the series can be found here: Introduction Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year, physicians receive no formal guidance or training on how long it should be performed.

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Podcast – Excellence in Debriefing with Richard Lyon at LTC

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Richard Lyon shares insights from his powerful presentation on the importance of detailed case learning and debriefing both in hospital and pre-hospital settings. The post Podcast – Excellence in Debriefing with Richard Lyon at LTC appeared first on St.Emlyn's.

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Medical Malpractice Insights: Fibroids Found on Ultrasound

EMDocs

Heres another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

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Instructors' Collection ECGs: Complete AV Block

ECG Guru

This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. It is also a good teaching case for discussing treatment options when the diagnosis may be uncertain or controversial. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. My approach has always been more clinical - how is this rhythm affecting the patient and what are the chances it will deteriorate?

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What Do Kids Choke On?

Pediatric Education

Patient Presentation A 34 month-old male came to the emergency room with a history of acute choking/coughing and the mother was worried he has swallowed a coin. She had left him unattended for a couple of minutes and found him playing with her purse. She used both choking and coughing to describe him seeming to have an acute problem with something in his mouth.

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Traumatic brain injuries in civilian war victims in Afghanistan

Emergency Medicine Journal

Background Traumatic brain injuries (TBIs) are a common cause of morbidity and mortality in war zones. Currently, the vast majority of reports on war-related TBIs concern soldiers, and little is known about this condition in civilians. Methods This is a retrospective observational study from the EMERGENCY NGO hospital for civilian war victims in Kabul, Afghanistan.

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The 90th Bubble wrap DFTB X The Bridge

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up.This month, the team from The Bridge will give us a whistle-stop tour of what’s new in Paeds literature. The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT.

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SonoPro Tips and Tricks for Peripheral IV Access

Northwestern EM Blog

Written by: Courtney Premer-Barragan (NUEM 25) Edited by: Peter Serina, MD (NUEM 22) Expert Commentary by : John Bailitz, MD Welcome to the NUEM SonoPro Tips and Tricks Series where Local and National Sono Experts team up to take you scanning from good to great for a particular diagnosis or procedure. For those new to the probe, we recommend first reviewing the basics in the incredible FOAMed Introduction to Bedside Ultrasound Book , 5 Minute Sono , and POCUS Atlas.

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Instructors' Collection ECGs: AV Block

ECG Guru

This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. It is also a good teaching case for discussing treatment options when the diagnosis may be uncertain or controversial. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. My approach has always been more clinical - how is this rhythm affecting the patient and what are the chances it will deteriorate?

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Guideline Update: Early mobilization advised for all ICU patients

PulmCCM

In a March 2025 guideline update, the major U.S. critical care society advised that all critically ill patients should receive “enhanced mobilization” or rehabilitation, over and above usual physical therapy. As only a minority of hospitals even provide ordinary physical therapy to mechanically ventilated patients on a routine basis, the advisement is largely symbolic or aspirational. “Enhanced” rehabilitation can include such activities as helping patients stand at bedsi

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Diagnostic accuracy of prehospital ultrasound in detecting lung injury in patients with trauma: a systematic review and meta-analysis

Emergency Medicine Journal

Background Ultrasound is now readily available in the prehospital setting and its use has been highlighted as one of the top research priorities in prehospital care. Clinical examination remains the standard care for diagnosing lung injury in the prehospital setting, yet this can be challenging and has poor diagnostic accuracy. This review evaluates the accuracy of prehospital ultrasound for the diagnoses of pneumothorax, haemothorax and pulmonary contusions in patients with trauma.

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Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Randomized Clinical Trial

EM Ottawa

Methodology: 4/5 Usefulness: 2/5 Arleth T, et al. JAMA. 2025;333(6):479489. doi:10.1001/jama.2024.25786 Question and Methods: This multicentered randomized control trial allocated trauma patients to a liberal or restrictive oxygen strategy for 8 hours to examine outcomes of death and/or respiratory complications. Findings: The study found there was no difference between the groups with outcome of death […] The post Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Rando

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Promoting Dignity and Respect in Patient Care Training

American Medical Compliance

In the Promoting Dignity and Respect in Patient Care Training, healthcare providers learn how to uphold patients rights, communicate with respect, and recognize potential biases that may affect care. The course emphasizes the importance of patient confidentiality, privacy, and person-centered care. Providers gain practical strategies to ensure every patient feels valued and heard.

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Match Results Amplify Enthusiasm for EM

ACEP Now

A record number of medical students matched into emergency medicine, according to results released Friday, March 21, 2025, by the National Resident Matching Program. More than 3,000 applicants matched into the specialty. Out of 3,068 positions, just 65 positions went unfilled, a 97.9 percent fill rate. The number of available positions increased by 42 from 2024.

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PulmCrit Wee: Michelin Chest Syndrome

EMCrit

I've seen the following sequence of events several times. I can't prove the exact causality, but I have a strong suspicion about what is going on here. You can be the judge. clinical presentation A patient presents for management of a pleural effusion. A pigtail chest drain is inserted without difficulty or complication. The drain […] EMCrit Project by Josh Farkas.

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Outcomes from out-of-hospital cardiac arrest in nursing and care homes: a cohort study

Emergency Medicine Journal

Background Out-of-hospital cardiac arrest (OHCA) primarily affects older adults. Individuals in nursing homes are often elderly with significant comorbidities. Nursing homes are staffed by healthcare workers, able to respond immediately to cardiac arrest, including provision of bystander cardiopulmonary resuscitation (CPR). We aimed to describe the characteristics, treatments and outcome of individuals sustaining an OHCA in nursing and care home settings in England.

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Is the D-Dimer Useful in High-Probabilty Pulmonary Embolism?

RebelEM

Bottom Line Up Top: A negative D-Dimer likely excludes significant pulmonary embolism (PE) in all patients but the low chance of getting a negative result makes a D-Dimer first approach of low clinical utility in the high pre-test probability group. Clinical Scenario: A 45-year-old man with malignant melanoma presents with right-sided pleuritic chest pain for 3 days.

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I have been doing this for 10 years

First 10 EM

I have been doing this for 10 years now. I am not sure what the future holds. I am not sure what First10EM will look like in another 10 years. I am not sure these words will be published (although if you are reading it, I guess we have our answer). This is an exercise […] The post I have been doing this for 10 years appeared first on First10EM.

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Sedation and Analgesia Guideline Update

PulmCCM

Virtually all critically ill patients experience pain, anxiety, sleep disturbance, agitation, or a combination of these bothersome symptoms. Relieving these burdens should be considered a fundamental aspect of caring for the most seriously ill. Sedatives and analgesics can also be overused, slowing patients’ recovery or increasing their likelihood of disability.

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5 Min Sono – Interfascial Shoulder Plane Block

Core Ultrasound

In this video, we demonstrate the technique for performing an ultrasound-guided interfascial shoulder plane block (IPB) a simple, effective, and motor-sparing alternative to the interscalene block for treating shoulder pain in the Emergency Department. Non-Rotator Cuff Exam Rotator Cuff Exam Courses The post 5 Min Sono Interfascial Shoulder Plane Block first appeared on Core Ultrasound.

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Identifying the walk-in wounded: paediatric major trauma patients self-presenting to a paediatric major trauma centre

Emergency Medicine Journal

Previous research has shown that many children with injuries consistent with the definition of major trauma are brought to the ED by their carers without activation of pre-hospital resources. Such children who ‘self-present’ may not be identified as promptly or receive trauma team activation (TTA) compared with those arriving by ambulance. 1 Relatively little is known about this patient group, the injuries that bring them to the ED or the severity of their injuries.

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EMCrit 397 – Philosophy of Arterial Lines in the ED – A Debate in Absentia

EMCrit

A discussion of some arterial line philosophy, accuracy, and ease of placement. EMCrit Project by Scott Weingart, MD FCCM.

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RCEM Conference 2025: Reflections from Day 1

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Day 1 at RCEM Conference 2025 tackled identity, innovation, wellbeing, and risk in Emergency Medicine. Key insights from Joey Godfrey on St Emlyns. The post RCEM Conference 2025: Reflections from Day 1 appeared first on St.Emlyn's.

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Supporting Third Stage Academic Medicine Physicians

Sensible Medicine

The career of the academic medicine doctor nicely breaks down into three parts. The first part, beginning right after training, is spent honing a craft and working to establish an academic niche: clinical excellence, research, education, or administration. In phase two, that early work pays off. The assistant or associate professor becomes a respected clinician, an educator developing or directing courses, a funded and published researcher, or an administrator with leadership roles within a depa

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GEL Live! Podcast Palooza

Ultrasound Gel

Delia and Creagh travel to Houston, Texas to regale audience members of the American College of Osteopathic Emergency Physicians (ACOEP) Scientific Assembly with their tales of ultrasound literature misadventures. [link] Delia and Creagh travel to Houston, Texas to regale audience members of the American College of Osteopathic Emergency Physicians (ACOEP) Scientific Assembly with their tales of ultrasound literature misadventures.

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Journal update monthly top five

Emergency Medicine Journal

This month’s update is by the Emergency Department Team, Wexham Park Hospital, Slough, Frimley Health NHS Foundation Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlighted the main findings, key limitations and clinical bottom line for each paper.

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EMCrit RACC-Lit Review – March 2025

EMCrit

All the lit goodness for March 2025 EMCrit Project by Scott Weingart, MD FCCM.

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