The Trauma Pro
MARCH 10, 2025
All trauma professionals need to keep up with the current thinking in their field. There are a variety of ways to do this, including lectures, courses, online curricula, meetings, and reading journal articles. The last method requires a bit of skill and patience. Many research papers are dry, long, and hard to read. Quite a few people do not have the patience to wade through them and get lost in all the details.
Don't Forget the Bubbles
MARCH 10, 2025
Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.
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Sensible Medicine
MARCH 10, 2025
The Journal of the American Medical Association published an actual randomized controlled trial for coronary artery calcium (CAC). As a skeptic of this imaging test, I saw the headline and thought: finally, we will learn whether patients who have their chest radiated have better outcomes. Better outcomes, such as fewer heart attacks or strokes, or longer life, is why we interact with healthcare.
The Skeptics' Guide to EM
MARCH 8, 2025
Reference: Pessano S, et al. Positioning for lumbar puncture in newborn infants. Cochrane Database Syst Rev. December 2023 Date: February 7, 2025 Dr. Lauren Rosenfeld Guest Skeptic: Dr. Lauren Rosenfeld is a PGY-3 emergency medicine resident at George Washington University. She is also a new podcast host for Emergency Medicine Residents Association (EMRA) Cast Series.
EM Ottawa
MARCH 10, 2025
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.
The Trauma Pro
MARCH 12, 2025
Okay, heres another one! But it’s a doozy. Its the most important one I live by. It ensures that you dont get bogged down by habit, custom, dogma, ignorance, or just plain laziness. Question everything! If someone ever says, but thats the way I/we always do it, or thats what the policy says, or even I read a good paper/chapter on this, take it with a really big grain of salt.
Science Based Medicine
MARCH 11, 2025
Stored blood quickly loses its effectiveness, so how can we improve the situation? The post Innovations in Blood Transfusions Will Save Lives first appeared on Science-Based Medicine.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
PulmCCM
MARCH 10, 2025
This is part of 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, when, or why it should be made.
Greater Sydney Area HEMS
MARCH 5, 2025
Dr Penny Wilson, GP Obstetrician ( @nomadicgp on X ), joined us recently at a GSA-HEMS Education Day to discuss key peri-partum emergencies in the context of pre-hospital and retrieval medicine. The recognition and management of cord prolapse, breech delivery and shoulder dystocia are discussed in her talk, now on our YouTube channel. For additional revision, or preparation for pre-hospital & retrieval examinations, you may also wish to check out some of the training videos produced by the P
ACEP Now
MARCH 11, 2025
The treatment of patients with pulmonary embolism (PE) has evolved substantially over the past few decades. Many patients with PE can be discharged directly from the emergency department (ED). Advanced therapies such as catheter-directed treatments (CDT) are now available in many centers, and anticoagulants such as low-molecularweight heparins (LMWH) and direct oral anticoagulants (DOACs) have been developed, which obviate the need for frequent laboratory monitoring and dose titration in many pa
St. Emlyn
MARCH 11, 2025
St.Emlyn's - Emergency Medicine #FOAMed This epiode of the St Emlyns Podcast features Dr. Dan Dworkis discussing high-performance teams, excellence in crisis, and how emergency clinicians can continuously improve under pressure. The post Podcast – High Performing Teams with Dan Dworkis at Tactical Trauma 24 appeared first on St.Emlyn's.
EMDocs
MARCH 9, 2025
Authors: Zac Crenshaw, DO (EM Resident Physician, Mizzou Columbia, MO); Jessica Pelletier, DO, MHPE (Assistant Professor of EM/Assistant Residency Director, Mizzou Columbia, MO) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited revie
Science Based Medicine
MARCH 12, 2025
It didn’t take long for concerns about RFKs unscientific ideological approach to healthcare to manifest. We are in the middle of a measles outbreak – the exact kind of situation for which we need a strong federal response. The person in charge of that response, RFK Jr., is a notorious anti-vaccine crank who is not a scientist or healthcare expert, even though […] The post Vitamin A Does Not Treat or Prevent Measles first appeared on Science-Based Medicine.
American Medical Compliance
MARCH 6, 2025
The Accountability Training for Healthcare Personnel is designed to educate healthcare providers (HCPs) on the importance of accountability in healthcare settings. This training equips healthcare professionals with the skills and knowledge needed to enhance accountability, improve patient safety, and foster a positive work culture. What You Will Learn: The role of personal responsibility Ethical obligations healthcare providers have toward patients Effective decision-making strategies to enhance
ACEP Now
MARCH 10, 2025
You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. They ask you if you would be willing to serve as the teams medical director. As expected, you have several questions.
Ken Grauer, MD
MARCH 8, 2025
The ECG in Figure-1 was obtained from a middle-aged man who presents to the ED ( E mergency D epartment ) with 6 hours of chest pain. He is hemodynamically stable. QUESTION: As per the title of this blog post How many important findings can you identify? Figure-1: The initial ECG in today's case obtained from a middle-aged man with 6 hours of chest pain. ( To improve visualization I've digitized the original ECG using PMcardio ).
EMDocs
MARCH 12, 2025
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Scott Mitsko, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley); Molly Rinkevich, PharmD (Emergency Pharmacy Resident, 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.
Science Based Medicine
MARCH 7, 2025
Myths spread by contrarian doctors to minimize COVID are being recycled to minimize measles. The anti-vaccine circle is complete. The post Everything Old Is New Again, Again first appeared on Science-Based Medicine.
Pediatric EM Morsels
MARCH 7, 2025
Kids get hurt. And they get sick. Its inevitable. Whether their fingers get caught accidentally in a car door or bedroom door slamming closed, or they trip and fall while running on their uncooperative little toddler legs , or catching all the germs as their immune systems slowly struggle to fight off every known virus to mankind. While most of the time, the injuries and illnesses are minor and self-resolving, every once in a while, there is major injury or illness, and significant bleeding is i
ACEP Now
MARCH 10, 2025
A 28-year-old man presented with agitation. He was brought in by police and was restrained because of threats of biting and hitting police. The patient refused any additional medical care and stated, I know my rights! You cant hold me against my will. When the emergency physician recommended vital signs, a history, and physical examination, the patient began hitting and biting staff, yelling obscenities, and threatening legal action.
PEMBlog
MARCH 10, 2025
Measles is dancing yet again and I think we all know why. With an attack rate of 90%+ if you are not vaccinated you are at risk. Lyrics [Verse] Fevers high, eyes are red, runny nose, stuck in bed. inside cheeks, tiny spots Koplik’s calling all the shots. Rash spreads fast, head to toemeasles, no, dont say it’s so! Too late now, the virus stayscomplications on the way.
The Trauma Pro
MARCH 5, 2025
Heres another one. Ive seen the clinical problems and poor outcomes that can arise from ignoring it many times over the years. Youve ordered a CT or a conventional x-ray image. The result comes back in your EMR. You take a quick glance at the summary at the bottom of the report. No abnormal findings are listed. So now, in your own mind and in any sign-outs that you provide, the image is normal.
St. Emlyn
MARCH 6, 2025
St.Emlyn's - Emergency Medicine #FOAMed Review the publication from London's Air Ambulance of their fascinating data on the survivability from resuscitative thoracotomy. @stemlyns #FOAMed The post JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest – data from 21 years at London’s Air Ambulance appeared first on St.Emlyn's.
Dr. Smith's ECG Blog
MARCH 6, 2025
Written by Pendell Meyers Don't miss Ken Grauer's excellent assessment at the bottom. With no context, what do you think this rhythm is? Smith comments : Wide complex tachycardia. The differential diagnosis of WCT is: 1) Sinus tachycardia with "aberrancy" (in this case RBBB and LAFB), but there are no P-waves and the QRS morphology is not typical of simple RBBB/LAFB.
ACEP Now
MARCH 9, 2025
As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. After years of training to fully undress a patient for an exam at ABEM General Hospital, patients may now routinely be treated in street clothes sitting in a hallway chair.
Science Based Medicine
MARCH 5, 2025
An excellent article on the BBC gives a good overview of the continuing controversy over universal lockdowns as a pandemic mitigation strategy during COVID. We now have significant data about how various countries around the world fared compared to their mitigation strategy. Interestingly, this data is unlikely to resolve the controversy. But it can inform our decisions for the next pandemic – […] The post Looking Back 5 Year Later Were Lockdowns Worth It?
The Trauma Pro
MARCH 7, 2025
Healthcare is a complex affair, and sometimes things don’t go entirely as planned. Occasionally, an elective OR may not be available the next day. This is especially true now in the COVID age with hospitals decreasing their OR capabilities. Or it may take longer than usual to medically clear a frail patient for surgery. But here is something to keep at top of mind: Your patient is at their healthiest as they roll in through the emergency department door Yes, major trauma patients are sick,
Sensible Medicine
MARCH 5, 2025
Harm is often mentioned as a disembodied statistic. Perhaps, a footnote beneath a belabored list of flowery benefits. Even under the spotlight it deserves, the visceral reality of harm is euphemized. We tiptoe around the topic, careful to avoid admission to our own errors. There is a lot of discussion of harm on Sensible Medicine. It can originate from poorly designed studies, bad regulators, and conflicts of interest.
Dr. Smith's ECG Blog
MARCH 9, 2025
Written by Hans Helseth Hans is an EKG tech who is applying to medical school. EKG interpretation skills have little to do with one's level of education. In fact, much of what passes for EKG education can actually harm one's interpretation skills. A 62 year old man with hyperlipidemia presented to a rural emergency department with 7 hours of 3/10 chest pain.
ACEP Now
MARCH 10, 2025
Satonofuji Hisashi has been a career sumo wrestler since 1996. He is no champion wrestlerin fact, he is far from it. His highest attained rank was in the Makushita division in 2005, the third highest of six sumo divisions. Traditionally, the most elite wrestlers sat in a curtained area at the arenamakushita did not and the name thus translates to below the curtain.
Emergency Medicine Cases
MARCH 11, 2025
On this month's EM Quick Hits podcast: Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome, Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiac arrest, Matthew McArther on recognition and ED management of dengue fever, Andrew Petrosoniak on imaging decision making in trauma in older patients, Brit Long & Michael Gotlieb on recognition and management of TTP.Please consider a donation to EM Cases to help ensure continued Free Open Acc
American Medical Compliance
MARCH 11, 2025
The Hazard Communication Standard (HazCom) and GHS Standard Training equips healthcare providers with essential knowledge of OSHA’s HazCom requirements. Providers learn to classify hazardous chemicals using the Globally Harmonized System (GHS), interpret GHS criteria and pictograms, and understand Safety Data Sheet (SDS) formats. This training also teaches proper handling of hazardous chemicals, effective hazard communication, and appropriate spill response actions.
Sensible Medicine
MARCH 7, 2025
FH is a 66-year-old woman who comes in for an urgent visit because she has been feeling woozy for two days. She is very anxious, almost distraught, because she thinks these symptoms are the same as the ones that her sister had before she died of a hemorrhagic stroke. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.
Dr. Smith's ECG Blog
MARCH 8, 2025
Written by Willy Frick Disclaimer at the outset: Some aspects of this case are not completely clear to me, and approach being unknowable. I've presented the case as best I understand it, but I can see good arguments for other interpretations. A woman in her late 60s presented after a car crash. Her husband was driving and she was a passenger. They were hit at high speed.
ACEP Now
MARCH 11, 2025
A 16-year-old male presents to the emergency department (ED) with his mother with the chief complaint of intermittent abdominal pain and constipation for several weeks. There are no red flag symptoms for an underlying surgical cause and review of systems is otherwise unremarkable. Vital signs include a heart rate of 50, blood pressure 85/40, temperature of 35.9 C (96.6 F).
JournalFeed
MARCH 8, 2025
New! Download the JournalFeed iPhone app ! The JournalFeed podcast for the week of March 3-7, 2025. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed : Guidelines recommended low molecular weight heparin (LMWH) for most patients with acute pulmonary embolism (PE), but we often choose unfractionated heparin (UFH).
American Medical Compliance
MARCH 11, 2025
Healthcare providers can enhance their clinical performance through the How to Give and Receive Feedback in Healthcare Training course, which highlights the importance of effective feedback in healthcare settings. This course equips providers with key principles for delivering constructive feedback, fostering a culture where feedback is embraced as a tool for growth rather than criticism.
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