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.
Ken Grauer, MD
FEBRUARY 21, 2025
The ECG in Figure-1 was obtained from a previously healthy middle-aged man who presented to the ED ( E mergency D epartment ) with new-onset CP ( C hest P ain ) that began ~1 hour earlier. QUESTION: The title I chose for todays Blog post is, This ECG tells a story. What is the Story that this initial ECG tells? Figure-1: The initial ECG in today's case obtained from a middle-aged man with CP. ( To improve visualization I've digitized the original ECG using PMcardio ).
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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.
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.
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!
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.
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 Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Life in the Fast Lane
FEBRUARY 21, 2025
Chris Nickson Melioidosis Melioidosis is a severe infectious disease caused by the bacterium Burkholderia pseudomallei. It is widespread in Southeast Asia and Northern Australia, with increasing recognition in other tropical and subtropical regions. It presents with a wide range of clinical manifestations, from localized infections to severe sepsis and septic shock.
American Medical Compliance
FEBRUARY 21, 2025
The Social Determinants of Health (SDOH) Training is designed to equip healthcare providers with essential knowledge about the factors beyond medical care that impact patient health. Understanding SDOH is critical, as social and environmental conditions, such as economic stability, education, healthcare access, and community support, play a significant role in health outcomes.
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
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.
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
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.
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
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.
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
Emergency Medicine Journal
FEBRUARY 21, 2025
Background Attempting to improve emergency care (EC) advanced clinical practitioner (ACP) training, Health Education England (HEE) South West (SW) implemented a pilot, whereby emergency departments (ED) were provided with enhanced funding and support to help ED consultants deliver teaching and supervision to EC ACPs to ensure more timely completion of EC ACP training compared with previous cohorts training in the region.
Emergency Medicine Journal
FEBRUARY 21, 2025
Thoracostomies, and subsequent placements of chest tubes (CTs), are a standard procedure in several domains of medicine. In emergency medicine, thoracostomies are indicated to release a relevant hemothorax or pneumothorax, particularly a life-threatening tension pneumothorax. In many cases, an initial finger-assisted thoracostomy is followed by placement of a CT to ensure continuous decompression of blood and air.
Emergency Medicine Journal
FEBRUARY 21, 2025
Emergency care is under significant pressure around the world with increased demand and case complexity and severe limitations on physical and human resources. Meeting demand will need a renewed focus on securing an appropriate workforce. The development of a multiprofessional workforce under the supervision of a trained emergency medicine specialist both enriches the skills and experience in the team and maximises the capacity of the department to provide safe quality care.
Emergency Medicine Journal
FEBRUARY 21, 2025
Objectives Underutilisation of thrombolysis is a major problem in patients with stroke in Bangladesh as patients do not arrive within the therapeutic window due to delays in their way to emergency department. This study aims to assess the time delay from patients’ symptom onset to arrival in the hospital and the factors that are associated with it.
Emergency Medicine Journal
FEBRUARY 21, 2025
Clinical introduction A 15-year-old boy presented to the emergency department with a 24-hour history of vomiting and abdominal pain. This was the second such episode after rugby training over the past month. He was doing other exercise regularly with no ill effects. On clinical assessment, he appeared pale, was vomiting and had tenderness throughout the left abdomen.
Emergency Medicine Journal
FEBRUARY 21, 2025
Background Advanced cardiovascular life support (ACLS) for cardiac arrest is a cornerstone of emergency care and yet remains poorly studied in low- and middle-income countries. We characterised the clinical epidemiology and outcomes of cardiac arrest and ACLS in an ED in central Haiti, a lower middle-income country with a nascent emergency care system.
Emergency Medicine Journal
FEBRUARY 21, 2025
Introduction Civilian healthcare workers (HCW) and medical facilities are directly and indirectly impacted by armed conflict. In the Russia-Ukraine war, acute trauma care needs grew, the workforce was destabilised by HCW migrating or shifting roles to meet conflict needs, and facilities faced surge events. Chemical, biological, radiological, nuclear and explosive (CBRNE) exposure risks created unique preparedness needs.
Emergency Medicine Journal
FEBRUARY 21, 2025
Dementia, the great thief of our times, robs peoples’ memories of who they are and who they were and can break the heart and spirit of those caring for them. Unpaid carers supporting someone with dementia undoubtedly saves health economies billions each year, this does not include the unquantifiable value of carers in the ED setting where they can be enormously helpful, advocating for and providing accurate clinical details of their loved one.
Emergency Medicine Journal
FEBRUARY 21, 2025
Objective Care partners play a vital role in supporting persons living with dementia (PLWD) in using medical services. We conducted a meta-synthesis to explore care partner perspectives of ED care for PLWD, as well as healthcare provider (HCP) perceptions of care partner roles within the ED, to identify care gaps and facilitators across the ED continuum.
Emergency Medicine Journal
FEBRUARY 21, 2025
Background Emergency department (ED) crowding causes increased mortality. Professionals working in crowded departments feel unable to provide high-quality care and are predisposed to burnout. Awareness of the impact on patients, however, is limited to metrics and surveys rather than understanding perspectives. This project investigated patients’ experiences and identified mitigating interventions.
Emergency Medicine Journal
FEBRUARY 21, 2025
Welcome to the March 2024 issue of the Emergency Medicine Journal. Charles Dickens opined "March days when the sun shines hot and the wind blows cold: when it is summer in the light, and winter in the shade." This issue encapsulates the ongoing fantastic research in emergency medicine while also acknowledging the challenges within our departments and for our specialty globally.
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