American Medical Compliance
MARCH 31, 2025
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.
EM Ottawa
MARCH 27, 2025
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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St. Emlyn
MARCH 25, 2025
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.
The Bottom Line
MARCH 26, 2025
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?
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!
EMDocs
MARCH 28, 2025
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.
ECG Guru
MARCH 30, 2025
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?
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Don't Forget the Bubbles
MARCH 31, 2025
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.
Northwestern EM Blog
MARCH 27, 2025
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.
The Skeptics' Guide to EM
APRIL 1, 2025
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.
ECG Guru
MARCH 30, 2025
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?
Emergency Medicine Journal
MARCH 25, 2025
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.
EM Ottawa
MARCH 31, 2025
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
RebelEM
MARCH 31, 2025
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.
St. Emlyn
MARCH 27, 2025
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.
Sensible Medicine
MARCH 28, 2025
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
Emergency Medicine Journal
MARCH 25, 2025
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.
Ultrasound Gel
MARCH 31, 2025
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.
EMCrit
MARCH 31, 2025
All the lit goodness for March 2025 EMCrit Project by Scott Weingart, MD FCCM.
St. Emlyn
MARCH 28, 2025
St.Emlyn's - Emergency Medicine #FOAMed From pragmatic frailty care to neurodiversity in medicine and creating safer cultures, Day 2 of RCEM 2025 blended sharp clinical insights with systems thinking. The post RCEM Conference 2025: Reflections from Day 2 appeared first on St.Emlyn's.
Life in the Fast Lane
MARCH 28, 2025
Kane Guthrie and Mike Cadogan LITFL Update 044 Update 044. Sending you FOAMed content from around the globe. Latest trends and best articles so thatyoustay top of your field.
Emergency Medicine Journal
MARCH 25, 2025
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.
Clinical Correlations
MARCH 25, 2025
By Matthew Ross Peer Reviewed In 1910, Ezra Hayman was on top of the world. The 26-year-old Nebraska native was a young ear, nose, and throat doctor studying abroad in Vienna, then one of the most prominent scientific and intellectual hubs in Europe. One.
Sensible Medicine
MARCH 27, 2025
The Bandim Health Project, which follows a population of more than 200,000 individuals in urban and rural Guinea-Bissau , is associated with the University of Southern Denmark (SDU) and headed by Professor Christine Stabell Benn. This research group has long contended that live (attenuated) vaccines have beneficial nonspecific effects (NSE) beyond the target disease(s) and that non-live vaccines have detrimental NSE, even lethal ones.
Ken Grauer, MD
MARCH 29, 2025
The ECG in Figure-1 was obtained from an older man with a history of coronary disease who presented to the ED ( E mergency D epartment ) alert, but complaining of chest tightness since the previous night. The consulting cardiologist interpreted this tracing as SVT ( S upra V entricular T achycardia ) with QRS widening due to aberrant conduction. QUESTIONS: How would YOU intepret the ECG in Figure-1 ?
Dr. Smith's ECG Blog
MARCH 30, 2025
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from sleep around midnight. He described it as substernal, non-radiating, 7 out of 10 intensity. His ECG obtained around 4 AM is shown. ECG 1 What do you think? I texted this ECG to Dr. Smith without any information and he immediately replied: "combination of precordial swirl and South African Flag sign, with Swirl predominating.
Emergency Medicine Journal
MARCH 25, 2025
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.
EMDocs
APRIL 1, 2025
Today on the emDOCs cast with Brit Long ( @long_brit) , we cover cavernous sinus thrombosis (CST). Episode 117: Cavernous Sinus Thrombosis What is CST? Thrombophlebitic disease of the cavernous sinuses with clot formation. Most commonly begins with a sinus or facial infection, which may spread to the cavernous sinus, but it may be associated with other conditions (aseptic).
PEMBlog
MARCH 31, 2025
The target sign is the pathognomonic thing seen on ultrasound in diagnosing intussusception. Also, air contrast enemas basically involve using a medical grade bike pump to reduce the stuck intestines… which is cool. Lyrics [verse] telescoping further than I ever thought we’d go intermittent painful crying episodes [verse] ileum and colon currant jelly poop intestine slowly dying turning into goop [chorus] Intussusception ultrasound target sign air contrast enema after treatment you&#
St. Emlyn
MARCH 30, 2025
St.Emlyn's - Emergency Medicine #FOAMed What nearly dying can teahc us about living - teh fabulous Matt Morgan at The Big Sick 2025 The post Life 2.0 – What the dead can teach us about living – Matt Morgan at TBS 2025 appeared first on St.Emlyn's.
Dr. Smith's ECG Blog
MARCH 27, 2025
This was sent to me by a former resident who is outstanding at reading ECGs for OMI. "Hi Steve wonder what you think of this ecg in a 60 yo woman w cp, known CAD" Presentation ECG (ECG 1): Here is her previous from one week prior when she presented with heart failure and trops were "negative" (ECG 2): My response: "They both look like active ischemia.
Emergency Medicine Journal
MARCH 25, 2025
‘8:42’ ‘They called it’ Moments earlier, a firefighter had stormed from outside the patient’s room to the ambulance bay, his face a dark cloud as he muttered profanities. Soon after, a nurse walked past as she tried, and failed, to hold back tears. It was less than an hour into my ride-along interview with a police officer.
EMDocs
MARCH 29, 2025
We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Should We Use Normal Saline vs Balanced Fluid for TBI? Spoon Feed This large meta-analysis of ICU RCT subgroups found decreased mortality in patients with traumatic brain injury treated with normal saline vs. crysta
Sensible Medicine
MARCH 26, 2025
I want to start a new series on Sensible Medicine. It’s called: I Learned about Medicine From That; These are first hand accounts since I started in medicine in 2005. This is about the first patient I took care of who died. -Vinay Prasad This Substack is reader-supported. To receive new posts and support our work, consider becoming a free or paid subscriber.
PulmCCM
MARCH 31, 2025
By providing a noninvasive way to rapidly assess physiology at the bedside, ultrasonography seems to hold the potential to revolutionize the practice of critical care. Many of its expert proponents would say it already has. In February 2025, the major U.S. critical care society issued a guideline update authored by a cadre of those experts, recommending bedside ultrasound should be used to help manage the vast majority of critically ill patients.
Emergency Medicine Cases
APRIL 1, 2025
How do you predict which intermediate-risk patients will suddenly deteriorate? What role do risk scores, biomarkers, imaging, and hemodynamics play in decision-making? Should these patients receive anticoagulation alone, or is thrombolysis warranted? When should you consider catheter-directed or surgical interventions? This podcast focuses us to think critically about risk stratification, early interventions and escalation in care in PE.
Emergency Medicine Journal
MARCH 25, 2025
Warner et al 1 describe the use of oral tranexamic acid (TXA) as a novel treatment for remote or mass casualty incident (MCI) trauma. It should save lives with negligible risk of harm while being cheap, readily available and easy to administer. In other words, it could be the disaster equivalent of aspirin for acute coronary syndromes. It represents a realistic treatment anywhere the Gold Standard for haemorrhage (intravenous TXA) is not readily available and as such could be a viable approach t
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