PulmCCM
MARCH 24, 2025
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.
First 10 EM
MARCH 24, 2025
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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St. Emlyn
MARCH 20, 2025
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.
Emergency Medicine Journal
MARCH 25, 2025
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.
American Medical Compliance
MARCH 21, 2025
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.
ACEP Now
MARCH 21, 2025
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.
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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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.
The Bottom Line
MARCH 21, 2025
Whats new in the Critical Care literature monthly updates
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.
Ken Grauer, MD
MARCH 22, 2025
The ECG in Figure-1 is from a man in his 60s who presented to the ED ( E mergency D epartment ) for new-onset CP ( C hest P ain ). The patient reported intermittent CP for the past 2-3 days prior to this episode. Tonight's epsiode began ~1 hour prior to arrival in the ED. His CP severity =10/10 at the time the ECG in Figure-1 was recorded. QUESTION: In view of the above history: How would you interpret the initial ECG in Figure-1 ?
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.
The Bottom Line
MARCH 21, 2025
Whats new in the Critical Care literature monthly updates
Dr. Smith's ECG Blog
MARCH 19, 2025
Case submitted by Andrew Grimes, Advanced Care paramedic, with additions from Jesse McLaren and Smith An 84-year-old male with a notable cardiac history (CABG, multiple stents) woke at 0500hrs with pressure in his chest, diaphoresis, and light-headedness. He presented to a rural ED at approximately 0630hrs. Since he was recovering from a recent bout of Influenza-like illness and said yes to several ILI screening questions at triage, his chest tightness and diaphoresis were initially attributed t
EM Ottawa
MARCH 20, 2025
You are working in the low acuity zone of the ED when you encounter your first patient. Shes a 75-year-old female with a history of hypertension, diabetes and total right hip replacement 1.5 months ago presenting with left leg swelling and pain. You see the patient and calculate a Well’s score of 3. Your D-Dimer […] The post In the Shallow: An ED Approach to Superficial Vein Thrombosis appeared first on EMOttawa Blog.
Don't Forget the Bubbles
MARCH 21, 2025
We already know that nasal high-flow (NHF) apnoeic oxygenation is safe and effective in the controlled environment of elective theatre intubation and that it improves first-attempt success rates in neonates. But does it hold up in the unpredictable world of emergency paediatric intubation ? Thats exactly what Shane George et al. set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergen
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.
American Medical Compliance
MARCH 24, 2025
Medication errors are serious legal responsibilities of nurses and are often a deadly issue in healthcare. According to the Institute of Medicine , more than 7,000 people die each year due to medication-related mistakes. One in every 131 outpatient deaths and one in every 854 inpatient deaths can be traced back to these errorsmany of which are preventable.
Sensible Medicine
MARCH 24, 2025
It was my second ever ESC meeting. In Barcelona in 2014. The BioPace trial comparing standard RV pacing vs biventricular pacing was presented as a hot-line trial. BiV pacing was all the rage at the time. The three lead system (one lead in the RA, one in the RV and the third in the coronary sinus to pace the LV) had been shown to improve patients with heart failure and left bundle branch block.
EMDocs
MARCH 20, 2025
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.
The Skeptics' Guide to EM
MARCH 23, 2025
Date: March 23, 2025 I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team for putting on one of the best conferences ever. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in ten minutes.However, This was an international audience, with many of the close to 600 attendees having English as their second language.
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.
Dr. Smith's ECG Blog
MARCH 23, 2025
Written by Pendell Meyers, sent by anonymous, with additions by Smith A man in his 40s had acute chest pain and called EMS. EMS arrived and recorded this ECG: What do you think? Here is the PMcardio Queen of Hearts interpretation of the ECG: STEMI equivalent detected. Inferior and posterior OMI without STEMI criteria. If you think the Queen of Hearts is so sensitive because it sacrifices specificity, you would be wrong.
EMCrit
MARCH 23, 2025
Let's talk about starting patients on milrinone. Milrinone is part of a group of medications that I would regard as quasi-titratable. They have an awkward half-life of roughly ~0.5-3 hours. Other medications in this group might include diltiazem, labetalol, and perhaps nicardipine. These drugs can be given as a continuous infusion, but they're not easy […] EMCrit Project by Josh Farkas.
Sensible Medicine
MARCH 19, 2025
Colton Lipfert is an incoming medical student at an east coast medical school. He has worked in the vkprasadlab for the last few years and recently shadowed. When I finished shadowing Dr. Vinay Prasad, I was convinced I had to become an oncologist. When I told him this, he was a little surprised. The day’s work had been downright ordinary for him.
Core Medical Group
MARCH 19, 2025
Wondering what life is really like as a travel healthcare provider? Recently, we got to connect with a few of our talented travelers about their journeys with CoreMedical Group. From a first assignment to more experienced travelers, we loved getting to catch up with our staff in the field. Get to know some of our travelers and their favorite parts about traveling, working with Core, and some of the amazing adventures theyve been on.
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.
Dr. Smith's ECG Blog
MARCH 25, 2025
Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. Her symptoms began while getting off the bus. She described the pain as moderate in severity, and said it had come and gone several times over the next few hours before ultimately resolving. On day of presentation, the pain returned and was very severe with associated dyspnea and vomiting.
Don't Forget the Bubbles
MARCH 24, 2025
What is Dexmedetomidine? Dexmedetomidine (Dexmed) is a highly selective alpha-adrenoreceptor agonist that can provide anxiolysis, sedation , and analgesia. Alpha-adrenoreceptors are found all over the body and reduce the fight-or-flight (sympathetic) response. Dexmed targets the alpha-adrenoreceptors in the brainstem and spinal cord. In the brainstem, it works on the ponsa crucial hub that helps regulate breathing, sleep, and automatic body functions.
Sensible Medicine
MARCH 21, 2025
One of my patients recently had an executive physical. The eight-page report arrived in my in-basket. This happens regularly enough, two or three times a month, that it shouldn’t bother me anymore. This essay is about why it still does. This Substack is reader-supported. To receive all posts, consider becoming a paid subscriber. I joke that my practice has evolved to become a selective one.
PEMBlog
MARCH 24, 2025
Does it take a catchy post-grunge alt rock song to remind you that all patient with croup should get a dose of dexamethasone before disposition? Does it? No? OK, well, um, the evidence is great that dex reduces the rate of return visits to Emergency Departments and Doctor’s offices. So there’s that. Lyrics [chorus] Dex! Dex! Dex! Go! Dex!
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
EM Ottawa
MARCH 24, 2025
Methodology: 3.5/5 Usefulness: 4/5 Taccone FS, et al. JAMA. 2024 Nov 19;332(19):1623-1633. Question and Methods: This multicenter, randomized trial aimed to determine the optimal hemoglobin transfusion threshold in patients with acute brain injury, comparing a restrictive transfusion strategy (hgb <70g/L) with a liberal strategy (hgb<90g/L) to assess their impact on neurological outcomes.
NRC Health
MARCH 24, 2025
NRC Health is honored to be named the winner of Medallias 2024 New Partner Award! This prestigious recognition reflects our commitment to transforming healthcare experiences and the powerful impact of our partnership with Medallia. It is a testament to our dedication to improving every touchpoint of the healthcare journeyfrom patient interactions to employee engagement.
Sensible Medicine
MARCH 20, 2025
Regular readers of Sensible Medicine will understand that this post by Rebecca Silverman needs no introduction. Adam Cifu Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. Every 5-7 years, we each have to renew our licenses and passports, take our cars for inspections, replace major home appliances, or hire a contractor to fix a broken pipe.
EMergucate
MARCH 24, 2025
This week’s ECG is from a 61yr male presents 3/7 post TKR with sudden onset SOB: Please state your diagnosis … Continue reading →
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