Ken Grauer, MD
FEBRUARY 1, 2025
I was sent the ECG in Figure-1 obtained from a previously healthy man his 60s, who contacted EMS ( E mergency M edical S ervices ) for new-onset severe burning CP ( C hest P ain ) that radiated to the jaw and throat. On seeing the ECG in Figure-1 the EMS crew activated the cath lab. QUESTION: Do you agree with this decision by the EMS crew to activate the cath lab?
Mind The Bleep
FEBRUARY 2, 2025
As a new F1 in August, it can feel like quite a daunting task to verify a death, particularly if you have never seen this done before. This step by step guide will take you through the process of death verification to help make this task easier as you settle into your new role. Verifying a Death You will usually be asked to verify a death by nursing staff from the ward the patient is on.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Science Based Medicine
JANUARY 29, 2025
Shrug, move on and never admit you were wrong The post The willful blindness of RFK Jrs supporters first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
FEBRUARY 2, 2025
Written by Pendell Meyers A man in his 60s presented with acute chest pain. Here is his triage ECG: What do you think? There is sinus rhythm with clear LVH. Leads V5-6 are suspicious for upright, enlarged T waves that are possibly inappropriate for the QRS complex, especially V6. But without a baseline for comparison, it would be difficult for me to say that it is specific and diagnostic for OMI.
Sensible Medicine
JANUARY 30, 2025
A limited mask mandate is returning to my state this week. In 2023, the Maryland Department of Health (DOH) adopted a standard for return to universal masking in healthcare facilities when hospitalizations with respiratory viruses (covid, influenza, or RSV) reach a level of 10 cases per 100,000 population. Maryland has a population of 6.3 million and about 10,000 licensed hospital beds, so that works out to about 6% of hospital beds.
ECG Guru
JANUARY 30, 2025
In this 12-lead ECG there is a bradycardic rhythm, which is regular, heart rate about 45 bpm. The QRS complexes are narow. What is this rhythm called? There are no P waves present, and no flutter or fibrillation waves can be seen. There are 2 possibilities: 1. There is a sinus arrest with a junctional escape rhythm. The junctional rhythm either cannot conduct retrograde to the atria (therefore no inverted retrograde P wave can be seen) or the retrograde P wave is hidden in the QRS complex (atria
Science Based Medicine
JANUARY 31, 2025
Defenders of Dr. Vinay Prasad fake a concern about tone to intimidate critics and create a safe space for his misinformation. The post Defenders of Dr. Vinay Prasads Vulgar, Vengeful Vitriol Have No Right to Sanctimoniously Scold Anyone About Decorum 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.
.jpg) |
The Skeptics' Guide to EM
FEBRUARY 1, 2025
Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Dr. Tabitha Cheng Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well.
EMCrit
FEBRUARY 4, 2025
EMCrit RACC-Lit for January 2025 All the literature goodness! EMCrit Project by Scott Weingart, MD FCCM.
Northwestern EM Blog
FEBRUARY 4, 2025
Written by: Dean Hayes (NUEM 27) Edited by: Andrew Long (NUEM 25 ) Expert Commentary by: Rafael Lima, MD A mid 20s male presents to the ED after seizure-like activity. Per the patient's partner at bedside, he had a 2-3 minute convulsive episode and the description is consistent with a likely seizure. The patient has never had a seizure before and is A&Ox4 upon arrival to the ED with reassuring examination.
Science Based Medicine
FEBRUARY 4, 2025
If confirmed, Kennedy will keep trashing science and will continue exploiting the trashed science he helps create for his own benefit. The post The Trashing of Science by Robert F Kennedy Jr first appeared on Science-Based Medicine.
Mind The Bleep
FEBRUARY 2, 2025
This is a tricky area to cover as it can be challenging to us both personally and professionally when things dont go well with a colleague, particularly when we know that this might impact patient care and/or our own mental health. The longer these negative interactions go on, the more likely they are to significantly impact on outcomes for our patients, our colleagues and ourselves.
Sensible Medicine
FEBRUARY 5, 2025
At Sensible Medicine, we are committed to publishing a range of views. On a number of topics we have done this. From masking, to colon cancer screening, to the nomination of Robert F. Kennedy Jr, and beyond. We have had debates on this platform, which is something that we don't see on any other websites in medicine. During the course of this, a few things have come up, which we want to address.
St. Emlyn
FEBRUARY 4, 2025
St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why its a systemic issue rather than an individual failure, and what changes are needed to maintain competency. The post Podcast – Skills Fade with Nathalie Pattyn at Tactical Trauma 24 appeared first on St.Emlyn's.
JournalFeed
FEBRUARY 1, 2025
The JournalFeed podcast for the week of Jan 27-31, 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: There was no difference in patient centered outcomes between trauma patients who received either restrictive or liberal oxygen therapy in this RCT.
Science Based Medicine
JANUARY 30, 2025
Please recognize that you are now influencing the national public health policy and understand that being in authority is a very different job than simply questioning authority The post An Open Letter to Dr. Vinay Prasad first appeared on Science-Based Medicine.
Mind The Bleep
FEBRUARY 2, 2025
As a resident doctor, you will have face situations where you have to convey potentially distressing information, whether it is explaining a diagnosis or blood results to a patient or giving difficult news to relatives. Breaking bad news well is an essential communication skill which can strengthen the relationship between a patient and a doctor and create an environment where the patient and/or their families feel respected and supported.
Sensible Medicine
FEBRUARY 3, 2025
We are back with a riveting discussion
The Evolution & Medicine Review
JANUARY 31, 2025
Carrera, S. C., Godoy, I., Gault, C. M., Mensing, A., Damm, J., Perry, S. E., & Beehner, J. C. (2025). Stress responsiveness in a wild primate predicts survival across an extreme El Nio drought. Science Advances, 11(4), eadq5020.
The Bottom Line
JANUARY 30, 2025
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections BALANCE Investigators. NEJM 2024; DOI: 10.1056/NEJMoa2404991 Clinical Question In hospitalised patients with bloodstream infections (BSI), is antibiotic treatment for 7 days, compared to treatment for 14 days, non-inferior with respect to mortality at 90 days?
Board Bombs
FEBRUARY 1, 2025
You intubate. and then your patient codes. What did you do wrong? When is "ABC" the wrong order? Let's dive into this nuanced topic in critical care. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake. 249. Clean kill: how intubation kills your pt.
Mind The Bleep
FEBRUARY 2, 2025
Often one of the scariest things you can do as you will most likely be speaking to a more senior colleague in an unfamiliar speciality. However, as an F1, you may well know the patient best and therefore you may be best placed to refer the patient. Our Webinar Introduce yourself and say on whose behalf you are making the referral Remember, you hold all the information about the patient and are therefore in the driving seat Use the SBAR approach and you wont go far wrong Know why you are referrin
Thinking Critical Care
JANUARY 31, 2025
It was so great to meet, hang out and talk ECPR with Paris’ SAMU ECPR leader Lionel Lamhaut last month in Montreal, a city we are actively trying to bring pre-hospital ECPR to, thanks to the relentless work of Lawrence Leroux. In the meantime, we are super excited to host the North American Premiere of Lionel’s famous pre-hospital ECMO course and open the registration for a two day, small-group affair with hands on workshops, lectures and discussions with ECPR experts.
NRC Health
JANUARY 30, 2025
Ryan Hatt, Director of Customer Success at NRC Health, and Tom Kirby, Senior Director of Strategic Marketing and Intelligence at UPMC, discussed the importance of brand strength amid new competition from companies like Amazon and Dollar General during a special recording of SHSMDs Rapid Insights podcast. The post Building resilience in healthcare through brand strength appeared first on NRC Health.
EMDocs
FEBRUARY 1, 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: Can We Use PERC-35 to Rule Out PE in Younger Patients? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinic
Pediatric Education
FEBRUARY 2, 2025
PediatricEducation.org is taking a short break. The next case will be published on 2/10/25. In the meantime, please take a look at the different Archives and Curriculum Maps listed at the top of the page. We appreciate your patronage, Donna DAlessandro and Michael DAlessandro, curators.
Mind The Bleep
FEBRUARY 2, 2025
Here we assume you know the basics , and instead we focus on the common pitfalls with tips on how to be safe & well reasoned. Not all FY1s have the opportunity to clerk patients but the underlying principles are of great value if youre doing an FY1-led ward round. Be Thorough The expectation is that you are slow and thorough if you rush you can make mistakes & you end up spending more time worrying than seeing patients.
The Trauma Pro
FEBRUARY 4, 2025
Missed injuries (or delayed diagnosis in polite conversation) are the bane of any trauma program. Trauma professionals want to know that theyve identified all significant injuries in their patients so no future harm will occur due to them. But what exactly is a missed injury? The definitions tend to vary a bit, which is why their incidence varies so widely in the literature (1 – 39%).
NRC Health
JANUARY 29, 2025
This years lineup includes many great presentations, including a discussion focused on the human side of healthcare providers and the case for compassionate care. The post Peds Collab Preview | Embracing compassionate care appeared first on NRC Health.
Sensible Medicine
FEBRUARY 2, 2025
A pause in NIH study sections has been met with fear and anxiety from researchers. At many universities, including mine, professors live on soft money. No grants? If you are assistant professor, you can be asked to pack your desk. If you are a full professor, the university slowly cuts your pay until you see yourself out. Everyone talks about you afterwards, calling you a failed researcher.
Stop and Think
JANUARY 29, 2025
Robert F Kennedy, Jr will face confirmation hearings today. Health will be in the news. I want to write a few things about the MAHA movement. There is much to be happy about, but there are areas to clarify. Stop and Think is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. I have long advocated for healthy living measures—especially for our children.
Mind The Bleep
FEBRUARY 2, 2025
A lot of your time as an FY1 will be spent on the phone to various other specialities. Youll come across patients with infections in all your rotations, and – if they dont present with one – it may develop during admission. So, its a good idea to make talking to Microbiology as productive (and painless!) as possible. Calling micro for advice Calling other specialities to ask advice was always a palm-sweating, tongue-tying experience for me.
The Trauma Pro
JANUARY 31, 2025
There is a presumption that more education and attainment of more advanced skills lead to greater expertise in just about any field. The same argument holds true for prehospital provider training. Training to be an ALS provider (advanced EMT or paramedic) should add extra value in patient care over and above BLS training (emergency medical responder or EMT).
St. Emlyn
JANUARY 29, 2025
St.Emlyn's - Emergency Medicine #FOAMed In this podcast, explore how Dr. Matt Hoopers concept of "compassionate resuscitation" integrates palliative care principles into emergency medicine, focusing on quality end-of-life care for patients, families, and providers. The post Podcast – Compassionate Resuscitation with Matt Hooper at LTC appeared first on St.Emlyn's.
Sensible Medicine
FEBRUARY 3, 2025
Last week the FDA approved a novel non-opioid pain medication. The drug is called suzetrigine (Journavx). A Google search brings up news releases from Vertex , and news coverage—which are essentially the same and lacking links to the evidence. I aimed to provide readers the evidence for this new drug. This was much more difficult to find. Some things to set out first: I am not a pain specialist; my analysis is one of a Neutral Martian.
Science Based Medicine
JANUARY 29, 2025
I lived and worked through the transition in medicine from completely paper-based documentation to completely digital-based – using an electronic medical record (EMR). There is no question, the EMR system is much better. Access to information, communication, ordering tests, tracking results, and documenting visits are all much easier with an EMR.
Mind The Bleep
FEBRUARY 2, 2025
It is important for resident doctors to understand what the discharge planning process involves so you can have an active role in multidisciplinary team meetings. This article focuses on discharging home with an appropriate package of care but discharge planning also involves discharging to different types of homes ( which is discussed in another article ).
Expert insights. Personalized for you.
409 
.jpg)
Let's personalize your content