EM Ottawa

JANUARY 9, 2025

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa

Shock 111

Shock Emergency Department Infectious Diseases Sepsis 111

Science Based Medicine

JANUARY 10, 2025

Defenders of the GBD won't tell you what it actually said. I will. The post Defenders of the Great Barrington Declaration Neither Know Nor Care What it Proposed. The Deliberate Erasure of the We Want Them Infected Movement Has Succeeded. first appeared on Science-Based Medicine.

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Dr. Smith's ECG Blog

JANUARY 7, 2025

(This was created by Arron Pearce ( [link] ) Online QT calculator for wide QRS (LBBB, RBBB, etc.

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Emergency Medicine Cases

JANUARY 7, 2025

Dr. Patricia Lee is an EM physician in Calgary, Alberta and an Assistant Professor at the University of Calgary in the Department of Emergency Medicine. She reached out to me after listening to Episode 200 How EM Experts Think Part 1 as a longtime supporter of EM Cases, to highlight the importance of recognizing challenges that female-identifying EM physicians may face before, during and after ED shifts.

EMS 106

EMS Leadership Resuscitation 106

St. Emlyn

JANUARY 13, 2025

St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

Administration 70

Administration Research Outcomes 70

EB Medicine

JANUARY 7, 2025

In this episode, Sam Ashoo, MD interviews Nicholas Stark, MD, MBA & Zaid Altawil, MD about the Emergency Medicine Innovation Collaborative 1. Discussion on EMIC - Overview of the collaborative - Background and formation during the pandemic in late 2021 2. Growth of EMIC - Expansion from three members to over 500 - Focus areas: Education, mentorship, opportunity 3.

EMS 80

EMS 80

EMDocs

JANUARY 8, 2025

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // 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.

EKG/ECG 73

EKG/ECG EMS Academics Emergency Department 73

Science Based Medicine

JANUARY 12, 2025

If only they had let more unvaccinated children suffer and die from COVID, we wouldn't be in this position today. The post Science-Based Satire: My Patients are Refusing the MMR Because the CDC Added the COVID Vaccine to the Routine Vaccine Schedule first appeared on Science-Based Medicine.

CDC 77

CDC 77

St. Emlyn

JANUARY 7, 2025

St.Emlyn's - Emergency Medicine #FOAMed Mastering likelihood ratios can transform your diagnostic skills. In this podcast with Rick and Greg, discover how likelihood ratios can enhance decision-making and improve patient care. The post Podcast – Likelihood Ratios: Critical Appraisal Nugget 12 appeared first on St.Emlyn's.

Research 102

Research 102

ALiEM

JANUARY 13, 2025

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

Academics 67

Academics Emergency Department 67

EMDocs

JANUARY 11, 2025

Author: Christopher Blanton, MD, MBA (EM Resident, UTSW / Dallas, TX); Joslin Gilley-Avramis, MD (EM Attending Physician, UTSW / Parkland Memorial Hospital) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

EMS 72

EMS Sepsis Shock Fluid Resuscitation 72

ECG Guru

JANUARY 13, 2025

This ECG was sent to me by a friend, I don't know if he did it himself. The question was whether a heart attack can be recognized here. The patient is a 55-year-old man who has typical angina pectoris lasting more than 1 hour. What can you answer?

EKG/ECG 73

EKG/ECG 73

Life in the Fast Lane

JANUARY 8, 2025

Chris Nickson Come join the 2025 Clinician Educator Incubator! Expressions of interest are now open for the sixth Clinician Educator Incubator - EOIs close Feb 10th 2025.

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Emergency Medicine Cases

JANUARY 7, 2025

In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we best streamline thorough data gathering for each case so that we don't miss key data points?

Documentation/Coding 90

Documentation/Coding EMS 90

ALiEM

JANUARY 10, 2025

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted. The patients mother noticed her sons left pupil was dilated and unresponsive to light the morning of presentation.

Pediatrics 64

Pediatrics Documentation/Coding Academics Administration 64

EM Ottawa

JANUARY 13, 2025

Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.

Hospitals 75

Hospitals Outcomes Resuscitation 75

Dr. Smith's ECG Blog

JANUARY 13, 2025

A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.

Hyperthermia / Hypothermia 74

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 74

American Medical Compliance

JANUARY 8, 2025

Nursing homes should serve as sanctuaries of care, compassion, and safety for the elderly and vulnerable. Yet, abuse within these settings remains a pervasive and often hidden crisis, impacting countless individuals worldwide. Alarmingly, approximately 1 in 6 individuals aged 60 or older have experienced some form of abuse in community settings, including nursing homes, according to the World Health Organization (WHO).

Incident Reporting 74

Incident Reporting Documentation/Coding Dehydration Burns 74

PulmCCM

JANUARY 13, 2025

A restrictive approach to red blood cell transfusion (e.g., transfusion to Hb ≥7-8 g/dL) is recommended in most critically ill patients after a mortality benefit was noted in the 1999 TRIC trial. Should patients with acute myocardial infarction, or cardiac disease generally, be transfused to the same hemoglobin targets as other critically ill patients?

Blood Transfusions 52

Blood Transfusions Outcomes 52

Northwestern EM Blog

JANUARY 7, 2025

Written by: Ashley Segobiano, MD (NUEM 28). Edited by: Nicholas Maurer, MD, MPH (NUEM 26). Expert Review by : Molly Estes, MD Molly Estes, MD Emergency Medicine Physician, Assistant Professor at Feinberg School of Medicine Northwestern Memorial Hospital, Feinberg School of Medicine How To Cite This Post: [Peer-Reviewed, Web Publication] Segobiano, A.

Hospitals 59

Hospitals 59

EMergucate

JANUARY 14, 2025

The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.

EKG/ECG 52

EKG/ECG 52

NRC Health

JANUARY 14, 2025

In healthcare, the pursuit of exceptional patient care is paramount. However, a fundamental yet often overlooked component in delivering the highest-quality care is the experience of healthcare employees. The post Prioritizing the employee experience to transform healthcare appeared first on NRC Health.

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Life in the Fast Lane

JANUARY 11, 2025

Michael Gibbs MD Adult Ortho Cases 004 Shoulder Dislocations. Adult Orthopedic case interpretation.

Dislocations 52

Dislocations Ultrasounds Radiology Radiology 52

The Evolution & Medicine Review

JANUARY 11, 2025

The Faculty of Science at the University of Turku, Finland, invites applications for a fixed-term postdoctoral researcher position at the Department of Biology. Employment begins in February 2025 at the earliest or upon agreement, and lasts until the end of December 2026.

Research 52

Research 52

SCGH ED

JANUARY 9, 2025

Australian Resuscitation Council (ARC) Flowchart KEMH Neonatal Resuscitation Algorithm: The post Neonatal Resuscitation Algorithms: appeared first on Charlie's ED.

Resuscitation 52

Resuscitation 52

Greater Sydney Area HEMS

JANUARY 9, 2025

Visit the post for more.

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52

NRC Health

JANUARY 8, 2025

The NRC Health 2025 Pediatric Collaborative is truly a cant-miss experience, with exceptional presentations that will stir innovative ideas. Check out a preview of one of the sessions! The post Peds Collab Preview | Join NRC Health experts for an interactive workshop appeared first on NRC Health.

Pediatrics 52

Pediatrics 52

EMergucate

JANUARY 7, 2025

80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following PH = 7.

COPD 52

COPD 52

St. Emlyn

JANUARY 14, 2025

St.Emlyn's - Emergency Medicine #FOAMed The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour. The post Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more appeared first on St.Emlyn's.

Resuscitation 52

Resuscitation 52

EM Literature of Note

JANUARY 9, 2025

This is yet another one of those “Get With The Guidelines” stroke analyses, a retrospective dredge with massive imbalances between groups followed by statistical adjustments capable of turning out whichever result suits an author list with a full, dense printed page of pharma and stroke technology conflicts of interest. In that respect, the study is unremarkable.

Stroke 74

Stroke Documentation/Coding EMS Administration 74

The Bottom Line

JANUARY 9, 2025

Acetaminophen for Prevention and Treatment of Organ Dysfunction in Critically Ill Patients With Sepsis Ware. JAMA 2024. doi:10.1001/jama.2024.8772 Clinical Question In critically ill adult patients with sepsis does the administration of acetaminophen compared to placebo increase the number of days alive and free of organ support to day 28?

Sepsis 65

Sepsis Administration 65

Northwestern EM Blog

JANUARY 14, 2025

Written by: Sasha Becker, MD (NUEM 27) Edited by: Mara Bezerko (NUEM 25) Expert Commentary by : Aaron Wibberley, MD Expert Commentary This is a very nice summary by Dr. Becker and Dr. Bezerko of a troublesome-appearing rhythm occasionally encountered in the emergency department. Thankfully, the majority of presentations are benign. Our role as emergency providers is to risk-stratify for, or rule out, dangerous underlying etiologies of AIVR.

Emergency Department 52

Emergency Department Wellness 52

American Medical Compliance

JANUARY 14, 2025

A 2023 systematic review published in BMC Nursing revealed a strong connection between clinical nurse competence and patient safety culture, underscoring the transformative impact of comprehensive training on nursing skills. Restorative nursing stands as a cornerstone of healthcare, dedicated to enhancing patients’ quality of life by helping them regain or maintain their highest levels of function and independence.

Best Practices 62

Best Practices Evidence-Based Practice Teamwork Patient Safety 62

Sensible Medicine

JANUARY 10, 2025

MM is a 55-year-old man with recurrent pneumonia. He initially presented with a fever, chills and a lobar infiltrate. Symptoms resolved with antibiotics but recurred a week later. During his second course of treatment, further evaluation with a CT scan showed the infection to be post-obstructive, occurring distal to compression of a secondary bronchus by severe scoliosis.

Wellness 79

Wellness Hospitals 79

St. Emlyn

JANUARY 10, 2025

St.Emlyn's - Emergency Medicine #FOAMed Day 2 of the London Trauma Conference delivered impactful discussions on trauma care innovations, including advanced resuscitation strategies, rib fracture management, and prehospital interventions. The post Talking Trauma – London Trauma Conference 2024 Day 2 appeared first on St.Emlyn's.

Fractures 40

Fractures Resuscitation 40

PEMBlog

JANUARY 13, 2025

Appendicitis! Rock Opera! McBurney’s point! Epic! Lyrics [Chorus] So Appy to see you Said the Surgeon to the doc Take out that appendix while I’m on the clock [Verse] Pain was vague then moved last night In the quadrant lower right Vomit and some hopping pain A fever now, can you explain? McBurney’s point and rebound Next step is an ultrasound Call the surgeon, call them quick Appendicitis made him sick [Chorus} So Appy to see you Said the Surgeon to the doc Take out that appen

Ultrasounds 52

Ultrasounds 52

JournalFeed

JANUARY 11, 2025

The JournalFeed podcast for the week of Jan 6 10, 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. Wednesday Spoon Feed : Tranexamic acid reduces the risk of life-threatening postpartum bleeding with no measurable increased risk of thrombosis.

COPD 52

COPD Emergency Department 52