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.

Ultrasounds 83

Ultrasounds Hospitals 83

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.

Hospitals 83

Hospitals Resuscitation 83

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?

77

77

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.

Ultrasounds 75

Ultrasounds Patient Safety Hospitals Wellness 75

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!

Outcomes

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.

CPR 59

CPR Hospitals Resuscitation Outcomes 59

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.

Emergency Department 62

Emergency Department 62

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.

Ultrasounds 52

Ultrasounds Dehydration Academics Hospitals 52

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.

85

85

EMCrit

MARCH 23, 2025

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

85

85

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

Academics 40

Academics Leadership Administration Research 40

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.

Ultrasounds 52

Ultrasounds Research Operations Hospitals 52

JournalFeed

MARCH 29, 2025

The JournalFeed podcast for the week of March 24-28, 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. Tuesday Spoon Feed : A large meta-analysis of ICU RCT subgroups finds decreased mortality in patients with traumatic brain injury treated with normal saline vs. crystalloid and an increase in those without.

52

52

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.

66

66

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

49

49

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.

52

52

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.

Outcomes 52

Outcomes Hospitals CPR Resuscitation 52

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.

40

40

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.

Research 91

Research Outcomes 91

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 ?

EKG/ECG 372

EKG/ECG Hospitals 372

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.

EKG/ECG 105

EKG/ECG Shock 105

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.

Research 52

Research EMS Hospitals 52

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.

Administration 98

Administration Documentation/Coding Wellness 98

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.

Outcomes 95

Outcomes Hospitals Wellness 95

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.

82

82

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.

EKG/ECG 80

EKG/ECG EMS Outcomes Wellness 80

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.

Sepsis 52

Sepsis Emergency Department Administration Outcomes 52

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.

73

73

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.

Hospitals 73

Hospitals Wellness 73

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.

Pediatrics 59

Pediatrics Emergency Department Research Hyperthermia / Hypothermia 59

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.

EKG/ECG 63

EKG/ECG Shock Documentation/Coding Hospitals 63

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.

Hospitals 52

Hospitals 52

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 Department 59

Emergency Department Wellness Infectious Diseases 59

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.

Outcomes 54

Outcomes Blood Transfusions 54

Stop and Think

MARCH 26, 2025

The American College of Cardiology will meet in Chicago this weekend. The European Heart Rhythm Association gathers in Vienna. Since I was invited to EHRA, I leave for Vienna on Friday. I don’t like that the meetings conflict, but I am a heart rhythm doctor first, and a cardiologist second. ACC always features important trials. I will cover these in spoken form on the This Week in Cardiology podcast and in written form at TheHeart.org | Medscape Cardiology.

52

52

EMergucate

MARCH 25, 2025

A 40yr male patient presents with OOHCA.

EMS 52

EMS 52

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

Mass Casualty Incidents 52

Mass Casualty Incidents 52