Science Based Medicine
MARCH 4, 2025
"RFK Jr. switching sides on vaccines now is like an arsonist urging people to put out the fire he started." The post RFK Jr.: Vaccines Not Only Protect Individual Children From Measles, But Also Contribute To Community Immunity first appeared on Science-Based Medicine.
St. Emlyn
MARCH 4, 2025
St.Emlyn's - Emergency Medicine #FOAMed The St Emlyns Podcast features Dr. Jeff Kerrie discussing hyperbaric medicine. Discover how HBOT works, its role in treating dive-related injuries, and its expanding applications in emergency and critical care. The post Podcast – Hyperbaric Medicine with Jeff Kerrie at LTC appeared first on St.Emlyn's.
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PulmCCM
FEBRUARY 27, 2025
Balanced crystalloids are considered to be probably superior to normal saline as a resuscitation fluid in critically ill patients. But there are multiple balanced crystalloid products available, with varying compositions. Does the choice of balanced solution make a difference in patient outcomes from critical illness? Balanced solutions are formulated with electrolyte and solute concentrations closer to plasma’s, compared to normal saline’s simple composition of sodium and chloride (
EMDocs
MARCH 4, 2025
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of the adult patient with meningitis. Episode 115: Adult Meningitis Background: Meningitis is an inflammation of the subarachnoid space, the leptomeninges, and cerebrospinal fluid. Associated with a variety of causes, but a bacterial infection is one of the more dangerous ones.
The Skeptics' Guide to EM
MARCH 1, 2025
Reference: Bannelier et al. Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embolism: Ancillary analysis of three European studies. AEM Feb 2025 Date: February 27, 2025 Guest Skeptic:Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School Baystate.
Science Based Medicine
FEBRUARY 28, 2025
The many doctors who are just now realizing that misinformation wasn't "COVID hysteria nonsense" have a lot of catching up to do to understand how the forces they've legitimized the led to this moment. The post Welcome to the Resistance UCSF Doctors first appeared on Science-Based Medicine.
PEMBlog
MARCH 4, 2025
In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Plus, well discuss whether M. pneumoniae even needs to be treated in the first place!
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Sensible Medicine
FEBRUARY 27, 2025
As many readers know, I hold a highly skeptical view of CAC scans. Andrew Foy and I have made the case against CAC scans for any use. In today’s guest post, Zachary Robert Caverley argues that CAC scans should remain uncovered by medical insurance. JMM The coronary artery calcium (CAC) score – an estimation of coronary atherosclerotic plaque via calcium build-up on CT – has been promoted as a powerful predictive tool for estimating the chance of future cardiovascular (CV) event
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
EMDocs
MARCH 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: High-Dose Inhaled Steroids for Acute Asthma Spoon Feed Nebulized high-dose inhaled corticosteroid plus a short acting beta-agonist reduced emergency department length of stay in adult asthma exacerbation.
PulmCCM
MARCH 4, 2025
Anemia is the norm among critically ill patients, who were historically transfused to normal or near-normal hemoglobin levels in the hope of optimizing their physiology and chances for recovery. In 1999, the Transfusion Requirements in Critical Care (TRICC) trial demonstrated that in a mix of patients with critical illness, restricting red blood cell transfusion to those with hemoglobin <7 g/dL did not worsen outcomes.
The Evolution & Medicine Review
FEBRUARY 28, 2025
In person and on zoom.
Science Based Medicine
FEBRUARY 27, 2025
I’m taking a few weeks away from the blog. So today, an open thread with a request for suggestions on topics that you feel have been unexplored by the blog. Let me (and the other contributors) know the questions you have and what subjects you want to see addressed. Or use this to comment on anything else, SBM-related. The floor is yours. […] The post Open Thread: The Floor is Yours first appeared on Science-Based Medicine.
JournalFeed
MARCH 1, 2025
The JournalFeed podcast for the week of Feb 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. Thursday Spoon Feed : Nebulized high-dose inhaled corticosteroid use in addition to short acting beta-agonist therapy may reduce emergency department length of stay in adult asthma exacerbation, but additional studies are necessary.
Northwestern EM Blog
MARCH 1, 2025
Written by: Emily Goins (NUEM 26) Edited by: August Grace (NUEM 24 ) Expert Commentary by: Maren Leibowitz, MD Acute respiratory distress syndrome (ARDS) is a condition that is characterized by poor oxygenation and ventilation as a result of diffuse alveolar and endothelial injury in the lungs. There are several etiologies including viral pneumonia, bacterial pneumonia, sepsis, trauma, and pancreatitis.
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.
Dr. Smith's ECG Blog
MARCH 1, 2025
A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He states that it feels like burning and pressure, like GERD. He reports this was similar to how he felt when he had his heart attack 4 years prior, now s/p 4 stents. (The history gives a subtle hint that this might be another acute OMI.) Patient normally takes lisinopril 40 mg daily, atorvastatin 80 mg daily, and ASA 81 daily.
Science Based Medicine
MARCH 3, 2025
Measles is back, and so are all the old antivax tropes about the disease and the vaccine. Unfortunately, there's an antivaxxer in charge. The post Measles is back, and so are all the old antivax tropes about it first appeared on Science-Based Medicine.
Sensible Medicine
MARCH 6, 2025
There are two groups of workers at hospitals and medical centers. There are those of us who, at times in our daily work, come into contact with blood, s**t, p**s and pus and there are those who don't. The first time I put my hand in blood was when I was a medical student and didn't see the pooling puddle on the patient’s bed. The last time I came into contact with p**s was on rounds in the last month.
American Medical Compliance
MARCH 3, 2025
Healthcare facilities are fast-paced environments where patient care is the top priority. However, ensuring a safe workplace is just as critical. The California Division of Occupational Safety and Health (Cal/OSHA) enforces regulations to protect healthcare workers from hazards, yet many facilities still face violations that lead to fines, legal issues, and, most importantly, employee injuries.
The Trauma Pro
MARCH 3, 2025
Here’s my first pediatric-specific law. Any time I give a pediatric talk, I mention it. This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest. Similarly, extremely sick children are often brought to the ED by parents or other caregivers.
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.
Science Based Medicine
MARCH 5, 2025
"Journalist" Paul Thacker defends Dr. Jay Bhattacharya and the Great Barrington Declaration by rehashing the same old deceptive rhetoric. The post Paul Thacker relitigates criticisms of Dr. Jay Bhattacharya and the Great Barrington Declaration first appeared on Science-Based Medicine.
Sensible Medicine
MARCH 3, 2025
Co-editor of Sensible Medicine Vinay Prasad and two colleagues published a remarkable study last week regarding the length of antidepressant drug trials vs duration of therapy in the real world. The median trial duration was 8 weeks while real-world use of these drugs is 5 years. Few trials lasted long enough to monitor for withdrawal symptoms or included taper protocols.
Dr. Smith's ECG Blog
MARCH 3, 2025
This was written by Hans Helseth. A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. She awoke in the morning with sharp chest pain which worsened throughout the morning. As her pain worsened, so did her dyspnea. She was found by paramedics with an oxygen saturation of 64%, but could not tolerate BiPAP during transport due to claustrophobia.
The Trauma Pro
FEBRUARY 28, 2025
Youve just received a young male who had been stabbed under his right arm in your emergency department. Hes awake, talking, and very friendly. He met your trauma activation criteria, so you are cruising through the full evaluation. Lines in, blood drawn, clothes off. He wonders aloud if all this is really necessary. Then, on FAST exam, you see it. A pericardial stripe that looks like a mix of liquid and clotted blood.
The Bottom Line
FEBRUARY 28, 2025
NAVIGATE: Early noninvasive ventilation in general wards for acute respiratory failure Monti et al. for the NAVIGATE Study Group, BJA Feb 2025. doi:10.1016/j.bja.2024.11.
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?
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 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.
Stop and Think
MARCH 2, 2025
I presented Friday at the Western AF symposium. Program director Nassir Marrouche usually asks me to present something provocative. My session assignment this year was a roundtable on the management of AF during the “blanking period” after ablation. I took the opportunity to propose eliminating the blanking period. I give credit for this idea to Drs.
Don't Forget the Bubbles
MARCH 3, 2025
With millions of journal articles published yearly, it is impossible to keep up. This month, the team from Royal Manchester Childrens ED highlights the diversity of current paediatric literature, ranging from air pollution, wheeze, trauma, surgery, to sadly but inevitably, child death. Royal Manchester Childrens Hospital (RMCH) is a tertiary and major trauma centre in the North-West of England.
Greater Sydney Area HEMS
MARCH 6, 2025
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Sensible Medicine
FEBRUARY 28, 2025
Given that I have had little to do with teaching medical students for the last two and a half years, I’ve had a strange winter. Five students, from four different medical schools, have reached out to me for advice before they start their clinical rotations. 1 I’ve come away from every one of these interactions feeling like I failed to give really good advice.
American Medical Compliance
MARCH 6, 2025
The ever-evolving healthcare industry demands strong leadership to drive meaningful change. Leaders in healthcare training implement new protocols, foster a culture of continuous learning, and improve patient care. This course equips healthcare professionals with the knowledge and skills to lead impactful training programs. Whether guiding a team through compliance updates or improving interdisciplinary collaboration, effective leadership ensures that teams not only learn best practices.
RebelEM
FEBRUARY 28, 2025
Bottom Line Up Top: Replacing the nail into the eponychial fold doesnt appear to be critical to nail regrowth and cosmetic outcomes of finger injuries with nail avulsion. Clinical Scenario: A 6-year-old boy presents to the Peds ED with an injury to their left 2nd digit. The finger was caught in a car door, injuring the nail and nail bed. On presentation, the patient has a linear laceration the full length of the nailbed and the nail has been avulsed.
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