The Trauma Pro
MARCH 12, 2025
Okay, heres another one! But it’s a doozy. Its the most important one I live by. It ensures that you dont get bogged down by habit, custom, dogma, ignorance, or just plain laziness. Question everything! If someone ever says, but thats the way I/we always do it, or thats what the policy says, or even I read a good paper/chapter on this, take it with a really big grain of salt.
Sensible Medicine
MARCH 12, 2025
As of Aug 30, 2024, the US FDA has granted approval for Comirnaty (Pfizer) and Spikevax (Moderna) and emergency use authorization for Novavax for use in fall 2024 COVID-19 vaccine programs. 1,2 Moderna and Pfizer have manufactured mRNA vaccines targeting the KP.2 SARS-CoV-2 variant, a descendent of the JN.1 strain, whereas the Novavax recombinant protein platform targets the JN.1 variant.
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The Trauma Pro
MARCH 10, 2025
All trauma professionals need to keep up with the current thinking in their field. There are a variety of ways to do this, including lectures, courses, online curricula, meetings, and reading journal articles. The last method requires a bit of skill and patience. Many research papers are dry, long, and hard to read. Quite a few people do not have the patience to wade through them and get lost in all the details.
Don't Forget the Bubbles
MARCH 10, 2025
Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.
EM Ottawa
MARCH 10, 2025
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.
The Skeptics' Guide to EM
MARCH 8, 2025
Reference: Pessano S, et al. Positioning for lumbar puncture in newborn infants. Cochrane Database Syst Rev. December 2023 Date: February 7, 2025 Dr. Lauren Rosenfeld Guest Skeptic: Dr. Lauren Rosenfeld is a PGY-3 emergency medicine resident at George Washington University. She is also a new podcast host for Emergency Medicine Residents Association (EMRA) Cast Series.
EMDocs
MARCH 12, 2025
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Scott Mitsko, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley); Molly Rinkevich, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley) // 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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
PulmCCM
MARCH 10, 2025
This is part of 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, when, or why it should be made.
ACEP Now
MARCH 11, 2025
The treatment of patients with pulmonary embolism (PE) has evolved substantially over the past few decades. Many patients with PE can be discharged directly from the emergency department (ED). Advanced therapies such as catheter-directed treatments (CDT) are now available in many centers, and anticoagulants such as low-molecularweight heparins (LMWH) and direct oral anticoagulants (DOACs) have been developed, which obviate the need for frequent laboratory monitoring and dose titration in many pa
St. Emlyn
MARCH 11, 2025
St.Emlyn's - Emergency Medicine #FOAMed This epiode of the St Emlyns Podcast features Dr. Dan Dworkis discussing high-performance teams, excellence in crisis, and how emergency clinicians can continuously improve under pressure. The post Podcast – High Performing Teams with Dan Dworkis at Tactical Trauma 24 appeared first on St.Emlyn's.
EMDocs
MARCH 9, 2025
Authors: Zac Crenshaw, DO (EM Resident Physician, Mizzou Columbia, MO); Jessica Pelletier, DO, MHPE (Assistant Professor of EM/Assistant Residency Director, Mizzou Columbia, MO) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited revie
EB Medicine
MARCH 12, 2025
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the March 2025 Emergency Medicine Practice article, Emergency Department Management of Knee Pain Common Etiologies of Knee Pain Risk Factors and Statistics Infectious Causes of Knee Pain Pre-Hospital Care and EMS History and Physical Exam Imaging Guidelines Ottawa Knee Rule and X-Ray Necessity Imaging Modalities for Knee Effusion Ultrasound for Tendon Injury and Arthrocentesis CT and MRI in Knee Injury Diagnosis Lab Tests for Septic Knee
Dr. Smith's ECG Blog
MARCH 10, 2025
Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled normal by the computer (GE Marquette SL) algorithm. What do you think? Theres normal sinus rhythm, first degree AV block, early R wave, normal voltages. Theres hyperacute T waves in I/aVL with reciprocal inferior ST depression, diagnostic of high lateral occlusion MI.
ACEP Now
MARCH 10, 2025
You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. They ask you if you would be willing to serve as the teams medical director. As expected, you have several questions.
Science Based Medicine
MARCH 11, 2025
Stored blood quickly loses its effectiveness, so how can we improve the situation? The post Innovations in Blood Transfusions Will Save Lives first appeared on Science-Based Medicine.
American Medical Compliance
MARCH 13, 2025
Ensuring equal access to healthcare isnt just a legal requirement its a fundamental responsibility. Every patient, regardless of background, deserves fair and equitable care. Compliance of Section 1557 of the Affordable Care Act (ACA) reinforces this by prohibiting discrimination and holding healthcare providers accountable for fostering an inclusive environment.
EM Ottawa
MARCH 13, 2025
How did ultrasound become a cornerstone of emergency medicine? What ultrasound skills should an emergency physician in Canada possess? And with the rise of handheld devices and AI-driven diagnostics, where is PoCUS in emergency medicine headed? Here, we are going to explore the evolution of PoCUS, from its origins to its projected future. First, we […] The post Echos of the Future: PoCUS in EM appeared first on EMOttawa Blog.
Ken Grauer, MD
MARCH 8, 2025
The ECG in Figure-1 was obtained from a middle-aged man who presents to the ED ( E mergency D epartment ) with 6 hours of chest pain. He is hemodynamically stable. QUESTION: As per the title of this blog post How many important findings can you identify? Figure-1: The initial ECG in today's case obtained from a middle-aged man with 6 hours of chest pain. ( To improve visualization I've digitized the original ECG using PMcardio ).
ACEP Now
MARCH 10, 2025
A 28-year-old man presented with agitation. He was brought in by police and was restrained because of threats of biting and hitting police. The patient refused any additional medical care and stated, I know my rights! You cant hold me against my will. When the emergency physician recommended vital signs, a history, and physical examination, the patient began hitting and biting staff, yelling obscenities, and threatening legal action.
Science Based Medicine
MARCH 13, 2025
When Islamic Medicine Kills the Ayatollah! The post Islamic Medicine and the Biopolitics of Antiscience in Iran first appeared on Science-Based Medicine.
American Medical Compliance
MARCH 12, 2025
This Tuberculosis, Hepatitis, and HIV Awareness and Prevention Training educates healthcare providers on how these diseases spread, their symptoms, and effective prevention methods. Providers will learn infection control measures tailored to each disease and standard techniques to reduce transmission risks in healthcare settings. Understanding these practices helps them protect themselves, their patients, and colleagues, ensuring a safer healthcare environment.
Pediatric EM Morsels
MARCH 7, 2025
Kids get hurt. And they get sick. Its inevitable. Whether their fingers get caught accidentally in a car door or bedroom door slamming closed, or they trip and fall while running on their uncooperative little toddler legs , or catching all the germs as their immune systems slowly struggle to fight off every known virus to mankind. While most of the time, the injuries and illnesses are minor and self-resolving, every once in a while, there is major injury or illness, and significant bleeding is i
PEMBlog
MARCH 10, 2025
Measles is dancing yet again and I think we all know why. With an attack rate of 90%+ if you are not vaccinated you are at risk. Lyrics [Verse] Fevers high, eyes are red, runny nose, stuck in bed. inside cheeks, tiny spots Koplik’s calling all the shots. Rash spreads fast, head to toemeasles, no, dont say it’s so! Too late now, the virus stayscomplications on the way.
ACEP Now
MARCH 10, 2025
Satonofuji Hisashi has been a career sumo wrestler since 1996. He is no champion wrestlerin fact, he is far from it. His highest attained rank was in the Makushita division in 2005, the third highest of six sumo divisions. Traditionally, the most elite wrestlers sat in a curtained area at the arenamakushita did not and the name thus translates to below the curtain.
Science Based Medicine
MARCH 14, 2025
I only feel comfortable suggesting an RCT of routine vaccines because I am confident it wouldn't get off the ground. The post RFK Jr: Recruit Dr. Vinay Prasad to Run an RCT of the Routine Vaccine Schedule first appeared on Science-Based Medicine.
The Trauma Pro
MARCH 7, 2025
Healthcare is a complex affair, and sometimes things don’t go entirely as planned. Occasionally, an elective OR may not be available the next day. This is especially true now in the COVID age with hospitals decreasing their OR capabilities. Or it may take longer than usual to medically clear a frail patient for surgery. But here is something to keep at top of mind: Your patient is at their healthiest as they roll in through the emergency department door Yes, major trauma patients are sick,
PulmCCM
MARCH 13, 2025
Patients in septic shock are under extreme stress and have high levels of circulating catecholamines. Catecholamine toxicity has been postulated to worsen the organ failure associated with severe sepsis. Vasopressor infusions with norepinephrine and epinephrine could theoretically add to catecholamine toxicity. Infusions of ultra-short acting beta blockers such as esmolol and landiolol have been investigated as adjunctive therapies for patients with septic shock who have persistent tachycardia a
Dr. Smith's ECG Blog
MARCH 9, 2025
Written by Hans Helseth Hans is an EKG tech who is applying to medical school. EKG interpretation skills have little to do with one's level of education. In fact, much of what passes for EKG education can actually harm one's interpretation skills. A 62 year old man with hyperlipidemia presented to a rural emergency department with 7 hours of 3/10 chest pain.
ACEP Now
MARCH 9, 2025
As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. After years of training to fully undress a patient for an exam at ABEM General Hospital, patients may now routinely be treated in street clothes sitting in a hallway chair.
Science Based Medicine
MARCH 7, 2025
Myths spread by contrarian doctors to minimize COVID are being recycled to minimize measles. The anti-vaccine circle is complete. The post Everything Old Is New Again, Again first appeared on Science-Based Medicine.
Emergency Medicine Cases
MARCH 11, 2025
On this month's EM Quick Hits podcast: Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome, Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiac arrest, Matthew McArther on recognition and ED management of dengue fever, Andrew Petrosoniak on imaging decision making in trauma in older patients, Brit Long & Michael Gotlieb on recognition and management of TTP.Please consider a donation to EM Cases to help ensure continued Free Open Acc
Sensible Medicine
MARCH 7, 2025
FH is a 66-year-old woman who comes in for an urgent visit because she has been feeling woozy for two days. She is very anxious, almost distraught, because she thinks these symptoms are the same as the ones that her sister had before she died of a hemorrhagic stroke. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.
Dr. Smith's ECG Blog
MARCH 8, 2025
Written by Willy Frick Disclaimer at the outset: Some aspects of this case are not completely clear to me, and approach being unknowable. I've presented the case as best I understand it, but I can see good arguments for other interpretations. A woman in her late 60s presented after a car crash. Her husband was driving and she was a passenger. They were hit at high speed.
ACEP Now
MARCH 11, 2025
A 16-year-old male presents to the emergency department (ED) with his mother with the chief complaint of intermittent abdominal pain and constipation for several weeks. There are no red flag symptoms for an underlying surgical cause and review of systems is otherwise unremarkable. Vital signs include a heart rate of 50, blood pressure 85/40, temperature of 35.9 C (96.6 F).
American Medical Compliance
MARCH 12, 2025
This Globally Harmonized System (GHS) Standard Training gives healthcare providers essential skills in chemical classification and hazard communication. They will learn GHS core elements, including standardized labels, classification criteria, and hazard pictograms. This knowledge helps them identify hazards quickly, follow safety regulations, and protect themselves and patients.
JournalFeed
MARCH 8, 2025
New! Download the JournalFeed iPhone app ! The JournalFeed podcast for the week of March 3-7, 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. Monday Spoon Feed : Guidelines recommended low molecular weight heparin (LMWH) for most patients with acute pulmonary embolism (PE), but we often choose unfractionated heparin (UFH).
Sensible Medicine
MARCH 13, 2025
I am thrilled to welcome Dr. Todd Stern to Sensible Medicine. Todd and I have worked together for years. He had the office next to me when I arrived at The University of Chicago in 1997. At the end of each day, I would run the decisions I had made by him, and he would tell which sounded good and which I might want to reconsider. He has supported me with not only deep knowledge of medicine but with the humor he brings to the occasional drudgery of our work.
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