Mon.Apr 14, 2025

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Size Matters: The Impact of Cuff Size on Blood Pressure

RebelEM

Background: Accurate blood pressure (BP) measurement is essential in the emergency department (ED), where it serves as a key marker of hemodynamic stability and informs critical management decisions. Improper technique and incorrect cuff sizing can lead to falsely high or low readings, impacting patient care. The issue of BP cuff size has been studied in manual BP cuffs previously, but there is scant literature on automatic BP cuffs.

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emDOCs Podcast – Episode 118: Lisfranc Injury

EMDocs

Today on the emDOCs cast with Brit Long ( @long_brit) , we cover the Lisfranc injury. Episode 118: Lisfranc Injury What is it? The Lisfranc joint complex is a tarso-metatarsal articulation named for Jacques Lisfranc (1790-1847), one of Napoleons battlefield surgeons. A Lisfranc injury is any injury/disruption to this joint complex. Exist along a spectrum: minor subluxation to fracture and dislocation.

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"Sepsis bundles": No good evidence of benefit

PulmCCM

SEP-1, the Centers for Medicare & Medicaid Services (CMS)’s much-maligned sepsis “quality” measure, was the brainchild of a small group of insiders conceived in the early- to mid-2000s. Given how SEP-1 has aged, it should be no surprise it was an ugly baby. Its genesis was led by Dr. Emmanuel Rivers, who back then was a superstar in critical care after publication in the New England Journal of Medicine of the randomized trial he led claiming that “early goal-directed

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ACEP4U: UAB Achieves First-Ever Emergency Department Accreditation from ACEP 

ACEP Now

When somebody is sick or injured in and around Birmingham, Alabama, several options exist for care. But only one has received ACEPs Emergency Department Accreditation Program (EDAP) stamp of approval. The University of Alabama at Birmingham is the first EDand only for nowto attain this accreditation. UAB was notified in late February of this achievement after several months of navigating the process and supplying information to back up the vision and prove it meets the requirements.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Providing feedback and defining excellence in medicine

First 10 EM

There appears to be wide agreement that we are not good at providing feedback in medicine. I have attended many seminars and read many papers on this topic, and despite believing this is an essential role in medical education, I still fail routinely. I have received a lot of advice. I should start by setting […] The post Providing feedback and defining excellence in medicine appeared first on First10EM.

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Endovascular Treatment of Stroke Due to Medium-Vessel Occlusion

EM Ottawa

Methodology: 5/5 Usefulness: 4/5 Goyal M, et al. N Engl J Med. 2025 Feb 5. doi: 10.1056/NEJMoa2411668. Question and Methods:This multi-center, open label RCT of 530 patients presenting with medium-sized vessel stroke within 12h of last seen well compared functional outcomes at 90-days between EVT with standard medical care and standard medical care alone.

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Tech Bros Require Regular Relooks at the Seminal Evidence in Coronary Artery Disease

Sensible Medicine

Not every week, but most weeks I read social media posts about getting your heart checked. It could be lifesaving. The pleas often start with a coronary artery calcium scan—which could then lead to a coronary angiogram with possible stent placement. It’s a compelling story. Heart disease is a leading killer. Sudden cardiac death or massive heart attack can be the first symptom.

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Liberate Methadone: An Introduction for the Emergency Medicine Physician

ACEP Now

We are in the midst of the worst overdose crisis in American history, with greater than 100,000 deaths in the last year on record. 1 Overdose is the leading cause of death among Americans 40-years-old and younger, accounting for more deaths than homicide, suicide, motor vehicle accidents, gun violence, and cancer. 2 Within emergency medicine, we bear witness to this crisis first-hand, as we care for patients with opioid use disorder (OUD) during emergencies, post-overdose, for chronic concerns d

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Medical Music Mondays: The Antidote Song

PEMBlog

There are some antidotes – though not many – that we can give for common ingestions. If only there were a children’s song that would stick in our brains to help us remember them. if only… Lyrics You got NAC for acetaminophen For opioids, naloxone just squirt it in! Toxic alcohols, like methanol and ethylene glycol Treat em with ethanol get em drunk, yall!

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Paediatric Keloid Disorder

Don't Forget the Bubbles

A guide for the first contact clinician Jamie is 15 and presents to the ED 3 weeks after an operation following a left-sided shoulder dislocation. They are worried about a thickened scar at one of the port sites from the operation What is keloid? Keloid disorder refers to a group of conditions that lead to excessive scar formation, resulting in keloids and hypertrophic scars.

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Optimizing Pediatric Trauma Care: Evidence-Based Guidance for Emergency Physicians

ACEP Now

No scenario demands more rapid, high-stakes decision-making than pediatric traumathe leading cause of death for childrenwhere timely interventions significantly influence outcomes. 1,2 Despite trauma care advancements, disparities in practice, resources, and training persist, impacting survival and recovery. 3-6 While pediatric trauma centers (PTCs) provide specialized care, 43 percent of children live more than 30 miles from one, and over 80 percent receive initial treatment in non-pediatric fa