The Trauma Pro
FEBRUARY 21, 2025
Let’s get started with the Laws of Trauma! After pursuing any discipline for an extended period, one begins to see the common threads and underlying principles of their area of expertise. Ive been trying to crystallize these for years, and today Im going to share one of the most basic laws of trauma care. The First Law of Trauma Any anomaly in your trauma patient is due to trauma, no matter how unlikely it may seem.
Science Based Medicine
FEBRUARY 21, 2025
There is no doubt the "studies" in this journal will conclude We Want Them Infected doctors were right about everything the whole time; mitigation measure were an epic catastrophe while COVID was a harmless cold for everyone but grandma. The post Misinformation Doctors Start a Misinformation Journal to Spread Misinformation first appeared on Science-Based Medicine.
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The Trauma Pro
FEBRUARY 14, 2025
The Advanced Trauma Life Support course lists “classes of hemorrhage”, and various other sources list a similar classification for shock. I’ve not been able to pinpoint where these concepts came from, exactly. But I am sure of one thing: you will be tested on it at some point in your lifetime. Here’s the table used by the ATLS course: The question you will always be asked is: What class of hemorrhage (or what % of blood volume loss) is the first to demonstrate systolic hy
Sensible Medicine
FEBRUARY 17, 2025
John is sick, so I have big shoes to fill. Today’s study of the week is a cancer trial. I know many of you aren’t cancer doctors, and you are thinking about skipping this essay. Let me assure you: you will learn something. The trial has issues with control arm, skewed randomization (2:1), drop out and endpoints. It is a rollercoaster ride of critical appraisal.
Science Based Medicine
FEBRUARY 14, 2025
$160 million is a lot of money, especially when you consider its not just money. It's lost dreams, careers, and discoveries. The post Open Letter II: President Levin, There Are Now 160 Million Reasons Why You Shouldnt Have Censored We Want Them Infected Doctors first appeared on Science-Based Medicine.
American Medical Compliance
FEBRUARY 21, 2025
AMC (American Medical Compliance) has achieved a major milestone by expanding into the UAE, Saudi Arabia, and the broader Middle East, reinforcing its position as a key player in global healthcare compliance. At the forefront of this initiative, AMC President Mark Gutweiler led the companys participation in Arab Health 2025 , one of the worlds most prestigious healthcare exhibitions , held in Dubai.
Emergency Medicine Journal
FEBRUARY 21, 2025
We thank the authors for their commentary 1 on the Subarachnoid Haemorrhage in the Emergency Department (SHED) study. 2 We agree that the lack of ethnicity reported in the SHED study is a limitation affecting the generalisability of our findings, as highlighted in the discussion. This study was first designed in 2018 for primary implementation by the Trainee Emergency Research Network (TERN), a group of resident emergency medicine clinicians with variable access to research nurse support or acad
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Science Based Medicine
FEBRUARY 15, 2025
Although many doctors who spread COVID misinformation act as if its in poor taste to bring it up today, we don't need their permission to remember. The post Dont Worry About the NIH From the Same Doctors Who Brought You Dont Worry About COVID. first appeared on Science-Based Medicine.
American Medical Compliance
FEBRUARY 21, 2025
Monitoring vital signs is a fundamental aspect of patient care, providing critical insights into a patient’s health status. Accurate measurement and interpretation of vital signs can help detect early signs of deterioration, enabling timely interventions. This course will cover essential techniques for measuring vital signs, interpreting readings, recognizing early warning signs of patient decline, and ensuring proper documentation.
Emergency Medicine Journal
FEBRUARY 21, 2025
We wish to commend the authors of the recent study, ‘Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study’, for their insightful contributions to the understanding of subarachnoid haemorrhage (SAH) diagnostics. 1 However, we believe that certain aspects merit further discussion, particularly regarding the implications of their findings for clinical practice and equity in healthcare.
ACEP Now
FEBRUARY 18, 2025
Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. The patient reported consuming plant needles obtained online in a suicide attempt several hours prior. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.
Sensible Medicine
FEBRUARY 21, 2025
Of all the inane compliance videos, courses, and quizzes I have been forced to tolerate during my career, the only memorable one was this video , made by (for?) the Cleveland Clinic. If you haven’t watched it, it is actually worth five minutes of your time. It reminds me that I never truly know what other people are living with and that I am privileged to do what I do.
American Medical Compliance
FEBRUARY 21, 2025
Effective pain management is essential for improving patient outcomes and quality of life. Pain Management for Healthcare Providers Training equips professionals with the knowledge to understand pain perception, implement individualized treatment plans, and apply evidence-based guidelines. This course covers both pharmacological and non-pharmacological approaches, emphasizing safe and appropriate opioid use.
Emergency Medicine Journal
FEBRUARY 21, 2025
Editor’s note: EMJ has partnered with the journals of multiple international emergency medicine societies to share from each a highlighted research study, as selected by their editors. This edition will feature an abstract from each publication.
Emergency Medicine Cases
FEBRUARY 18, 2025
Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients dont always fit the stereotypemany appear healthy, have normal BMI, or present with vague GI, cardiac, or neurological symptoms.
NRC Health
FEBRUARY 19, 2025
This years lineup includes many great presentations, including a session focused on reclaiming the practices of resilience by focusing on the power to find the I within resiliency. The post Pediatric Collaborative Preview | How caregiver wellness shapes experiences appeared first on NRC Health.
Science Based Medicine
FEBRUARY 18, 2025
Pondering the future of a few infections. As to the image, consider it a metaphor of before and after where Jesus is a stand in for science or public health or whatever you want him to be. Except a promoter of peace and helping the poor. Not in 2025 anyway. See [link] for more. The post Its the end of the world as I know it. And I feel fine. first appeared on Science-Based Medicine.
American Medical Compliance
FEBRUARY 21, 2025
Building trust and integrity is the cornerstone of successful healthcare delivery. The values of trust and integrity guide every interaction between healthcare providers, patients, and colleagues. In this course, we will explore the essential components of fostering truth and maintaining integrity in healthcare settings. As healthcare professionals, maintaining these principles is vital for building strong patient relationships.
Emergency Medicine Journal
FEBRUARY 21, 2025
This month’s update is by the Emergency Medicine team at the Mater Misericordiae University Hospital. 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.
Life in the Fast Lane
FEBRUARY 18, 2025
Michael Gibbs MD Neuroimaging Cases 008 Intraventricular rupture of brain abscess (IVROBA). Second in our Neuroimaging case study series with Teresa Crow, Troy Carnwath, Scott DiMeo, L.
NRC Health
FEBRUARY 19, 2025
This years lineup includes many great presentations, including a session focused on reclaiming the practices of resilience by focusing on the power to find the I within resiliency. The post Peds Collab Preview | How caregiver wellness shapes experiences appeared first on NRC Health.
The Evolution & Medicine Review
FEBRUARY 17, 2025
By Joe Alcock Many advances in the care of critically ill patients over time have involved intervening less aggressively. A recent perspective by DAmico and colleagues (1) builds on that tradition of less is more. In Protective Hemodynamics: C.L.E.A.R.! the authors urge caution in treating low blood pressure with fluids or vasopressor medications. DAmico, F.
Clinical Correlations
FEBRUARY 14, 2025
By Daniel Martinez-Krams Peer Reviewed You are rounding on your patients, and your team is discussing a 52-year-old man with HIV who came in with shortness of breath and fever and was found to have pneumonia.
Emergency Medicine Journal
FEBRUARY 21, 2025
A shortcut review of the literature was conducted to examine the sensitivity and specificity of point-of-care ultrasound (POCUS) in detecting paediatric skull fractures. A total of 162 publications were screened by title and abstract, 13 studies underwent full text review, and after review of bibliographies of meta-analyses and systematic reviews, a total of 6 articles were included.
Life in the Fast Lane
FEBRUARY 15, 2025
Chris Nickson Fusariosis CCC entry for fusariosis / Fusarium infections (infectious disease)
First 10 EM
FEBRUARY 17, 2025
The decision between mechanical thrombectomy and catheter directed thrombolysis for pulmonary embolism is not one that most emergency physicians are making. Most (like me) probably dont even have access to such therapies, which might be a good thing, as both therapies remain completely unproven. However, I thought I would share the PEERLESS trial as a […] The post PEERLESS: Interventional therapies for pulmonary embolism appeared first on First10EM.
Intensive Blog
FEBRUARY 14, 2025
As prepared by Chris Nickson, here are the practice written questions from a recent CICM Second Part exam practice session at The Alfred ICU, with recommended reading from LITFL.com Critical Care Compendium and other FOAM sources: Q1. A 34-year-old patient presents to the emergency department with a suspected recreational drug overdose and is intubated for a low Glasgow Coma Scale (GCS).
Emergency Medicine Education
FEBRUARY 20, 2025
A pre-post study conducted in North Carolina compared multi-dose epinephrine with single-dose epinephrine in adult non-traumatic out-of-hospital cardiac arrest (OHCA) patients. The authors concluded that patients with bystander CPR and a shockable rhythm who received only a single dose of epinephrine had a higher survival rate to hospital discharge compared to those who did not receive bystander CPR and had multiple doses of epinephrine.
Emergency Medicine Journal
FEBRUARY 21, 2025
Hidradenitis suppurativa (HS) is a complex, chronic skin disease characterised by painful inflammatory nodules, abscesses, dermal tunnels, sinus tracts and fistulae with a predilection for intertriginous skin. HS carries a substantial disease burden due to its prevalence, associated comorbidities and quality of life impacts and is associated with high healthcare resource utilisation.
EMDocs
FEBRUARY 21, 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.
PulmCCM
FEBRUARY 17, 2025
Cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year. When a patient is failing to recover spontaneous circulation, the clinician in charge must decide whether and when to cease resuscitation efforts. Moments after he or she says “stop,” the person will be declared legally dead. It’s an awesome and humbling responsibility, the ultimate life-and-death decision.
American Medical Compliance
FEBRUARY 19, 2025
Hypoxia can lead to severe complications if not addressed promptly and effectively. As healthcare professionals, understanding the complexities of managing hypoxia is crucial to providing high-quality care. This training course is designed to equip healthcare personnel with the knowledge and practical skills needed to recognize, assess, and manage hypoxic patients.
Ken Grauer, MD
FEBRUARY 15, 2025
The ECG in Figure-1 was obtained from a middle-aged woman who presented to the ED ( E mergency D epartment ) for epigastric pain that had begun ~1 hour earlier. The epigastric pain began during dinner. She was diagnosed in the ED as having gastritis. The 1st Troponin was not elevated. QUESTIONS: How would you interpret the initial ECG in Figure-1? Does the negative initial Troponin rule out an acute event?
Emergency Medicine Journal
FEBRUARY 21, 2025
Emergency medicine (EM) advanced clinical practitioners (ACPs) are an innovative autonomous multiprofessional non-medical practitioner (NMP) workforce in EDs. Historically from nursing and paramedicine backgrounds, regulated by their primary professional regulatory bodies, they already possess considerable clinical experience pre-ACP training. ACP qualification is underpinned by Masters-level education in conjunction with extensive work-based assessments and independent non-medical prescribing w
The Trauma Pro
FEBRUARY 18, 2025
It’s been five years since I published my Laws of Trauma, and it’s time to dust them off again. In the meantime, I’ve added a couple of new ones. But before I start publishing them I’d like to take a moment to share “McSwain’s Rules of Patient Care.” I met Norm McSwain when I was junior faculty at the University of Pennsylvania.
Sensible Medicine
FEBRUARY 15, 2025
In a NYTimes op-ed by former NCI and NIH director, and Nobel Laureate, Harold Varmus, Varmus argues that future NIH director Jay Bhattacharya is wrong to tie NIH funding to academic freedom. He calls the plan “outlandish” Varmus’ claim begs the questions: What is academic freedom? Is there a public interest to incentivize universities that honor it?
St. Emlyn
FEBRUARY 16, 2025
St.Emlyn's - Emergency Medicine #FOAMed Background Resuscitative hysterotomy, also known as perimortem caesarean section, is a high-stakes, time-critical intervention performed in pregnant women who experience cardiac arrest. It’s also one of the most daunting HALO […] The post Maternal and Neonatal Outcomes Following Resuscitative Hysterotomy for OHCA.
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