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

Shock 161

Shock Resuscitation 161

PulmCCM

FEBRUARY 5, 2025

Neurologists’ job just got harder. Patients who present with ischemic stroke more than 4.5 hours after symptom onset generally do not receive intravenous thrombolytics (tPA or TNK). That’s because outside that accepted window, the risk of intracranial hemorrhage was believed to outweigh the benefits of thrombolytics in restoring blood flow to at-risk brain tissue.

Stroke 101

Stroke Documentation/Coding Outcomes 101

EM Ottawa

FEBRUARY 6, 2025

Medicine often carries an aura of mystiquea profession elevated by society as a noble calling, a higher pursuit. But for those of us in the trenches, the reality is far simpler (: medicine is a job. A demanding, high-stakes, and sometimes unforgiving job, but a job nonetheless. This isnt a dismissal of its importance but […] The post There IS Beauty in Medicine appeared first on EMOttawa Blog.

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Mind The Bleep

FEBRUARY 2, 2025

Often one of the scariest things you can do as you will most likely be speaking to a more senior colleague in an unfamiliar speciality. However, as an F1, you may well know the patient best and therefore you may be best placed to refer the patient. Our Webinar Introduce yourself and say on whose behalf you are making the referral Remember, you hold all the information about the patient and are therefore in the driving seat Use the SBAR approach and you wont go far wrong Know why you are referrin

Radiology 96

Radiology Radiology Sepsis Documentation/Coding 96

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!

Outcomes

The Skeptics' Guide to EM

FEBRUARY 1, 2025

Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Dr. Tabitha Cheng Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well.

Pediatrics 82

Pediatrics EMS Emergency Department Research 82

Sensible Medicine

FEBRUARY 18, 2025

For decades, the treatment of acute appendicitis was appendectomy. Nobody even questioned this treatment approach. The appendix was acutely inflamed, at risk of perforation, it needed to be removed. The idea that there could be a simple, non-surgical management could not have been imagined. But, eventually evidence would accumulate casting doubt on this paradigm.

Outcomes 91

Outcomes Research Emergency Department Pediatrics 91

PulmCCM

FEBRUARY 27, 2025

Balanced crystalloids are considered to be probably superior to normal saline as a resuscitation fluid in critically ill patients. But there are multiple balanced crystalloid products available, with varying compositions. Does the choice of balanced solution make a difference in patient outcomes from critical illness? Balanced solutions are formulated with electrolyte and solute concentrations closer to plasma’s, compared to normal saline’s simple composition of sodium and chloride (

Resuscitation 95

Resuscitation Outcomes Research 95

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.

Psychiatric 91

Psychiatric Emergency Department EMS Outcomes 91

Mind The Bleep

FEBRUARY 2, 2025

This is a tricky area to cover as it can be challenging to us both personally and professionally when things dont go well with a colleague, particularly when we know that this might impact patient care and/or our own mental health. The longer these negative interactions go on, the more likely they are to significantly impact on outcomes for our patients, our colleagues and ourselves.

Documentation/Coding 98

Documentation/Coding Outcomes Burns Wellness 98

St. Emlyn

FEBRUARY 7, 2025

St.Emlyn's - Emergency Medicine #FOAMed This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care.

Evidence-Based Practice 78

Evidence-Based Practice Research Resuscitation 78

RebelEM

FEBRUARY 24, 2025

Background In 1979, Hiroshi Natori was the first to appreciate the sonographic changes that occur in the inferior vena cava (IVC)s diameter with ventilation in spontaneously breathing patients, mechanically ventilated patients, and those with carcinogenic and tuberculoid cardiac tamponade. 1 They noticed how spontaneously breathing patients had their IVC collapse with inspiration; and ventilated patients had their IVC dilate during positive pressure ventilation.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

First 10 EM

FEBRUARY 24, 2025

I have covered calcium channel blockers for atrial fibrillation a number of times. If you are pursuing a rate control approach, calcium channel blockers probably result in more rapid control. Thus, if you are trying to send these patients home, they might be a good choice. However, for long term management, cardiologists seem to prefer […] The post Diltiazem for atrial fibrillation: does calcium pretreatment help?

EMS 72

EMS 72

EB Medicine

FEBRUARY 5, 2025

In this episode, Sam Ashoo, MD interviews Erin D'Agostino, MD about the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Pathophysiology Types of Traumatic Brain Injuries Pre-Hospital Care Critical History and Physical Examination Neurological Assessment and Monitoring Laboratory and Imaging Studies Emergency Department Treatment Surgical Interventions and Considerations Patient DemographicsSummary of major points disc

Emergency Department 70

Emergency Department Hospitals 70

The Skeptics' Guide to EM

FEBRUARY 22, 2025

Reference: Agnello et al. Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.

Sepsis 61

Sepsis Infectious Diseases Emergency Department Pediatrics 61

Mind The Bleep

FEBRUARY 2, 2025

Here we assume you know the basics , and instead we focus on the common pitfalls with tips on how to be safe & well reasoned. Not all FY1s have the opportunity to clerk patients but the underlying principles are of great value if youre doing an FY1-led ward round. Be Thorough The expectation is that you are slow and thorough if you rush you can make mistakes & you end up spending more time worrying than seeing patients.

Dehydration 97

Dehydration Documentation/Coding Wellness 97

St. Emlyn

FEBRUARY 11, 2025

St.Emlyn's - Emergency Medicine #FOAMed This months St Emlyns podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. Plus, insights from major conferences like EUSEM 2024.

Airway Management 75

Airway Management Poisoning Pediatrics Resuscitation 75

JournalFeed

FEBRUARY 22, 2025

The JournalFeed podcast for the week of Feb 17-21, 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: This RCT found that just-in-time coaching increased first pass success prior to infant intubations by inexperienced clinicians in the operating room.

Operations 52

Operations 52

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.

EKG/ECG 52

EKG/ECG Seizures Emergency Department EMS 52

American Medical Compliance

FEBRUARY 24, 2025

This Women’s Health and Birth Control Training for Healthcare Personnel equips healthcare providers with essential knowledge on women’s health, covering common health conditions and birth control options. Providers explore various birth control methods, their effectiveness, and best counseling practices. The course debunks myths and misconceptions, ensuring accurate patient education.

Outcomes 52

Outcomes Research Wellness 52

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.

EMS 52

EMS 52

Mind The Bleep

FEBRUARY 2, 2025

It is important for resident doctors to understand what the discharge planning process involves so you can have an active role in multidisciplinary team meetings. This article focuses on discharging home with an appropriate package of care but discharge planning also involves discharging to different types of homes ( which is discussed in another article ).

Hospitals 95

Hospitals 95

St. Emlyn

FEBRUARY 25, 2025

St.Emlyn's - Emergency Medicine #FOAMed Discover how the GoodSAM app is revolutionizing emergency response, from cardiac arrest alerts to real-time video triage and crime prevention. Learn how you can get involved today. The post Podcast – GoodSam App Update with Mark Wilson at LTC appeared first on St.Emlyn's.

Resuscitation 86

Resuscitation 86

JournalFeed

FEBRUARY 1, 2025

The JournalFeed podcast for the week of Jan 27-31, 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. Tuesday Spoon Feed: There was no difference in patient centered outcomes between trauma patients who received either restrictive or liberal oxygen therapy in this RCT.

Hospitals 52

Hospitals Outcomes 52

PEMBlog

FEBRUARY 10, 2025

Ketamine is an amazing drug for procedural sedation in the Emergency Department. Kids also look wild when they’re on it – some people call that look the “K-Hole.” Imagine a creepy industrial metal song about that… go ahead… I’ll wait. Lyrics Welcome to the K hole Now you’re deep inside Not responding to stimuli But your eyes are open wide We can reduce your fracture straight no pain without a wait side effects include emesis laryngospasm, agitation

Fractures 52

Fractures Emergency Department 52

American Medical Compliance

FEBRUARY 24, 2025

This course equips healthcare providers with techniques to improve patient interactions and outcomes. Participants master active listening and communication strategies to understand patient needs and convey empathy. The course addresses cultural, language, and literacy challenges to help providers connect with diverse patients. Honing these skills boosts patient satisfaction, trust, and creates a more inclusive, efficient healthcare environment.

Teamwork 52

Teamwork Outcomes 52

NRC Health

FEBRUARY 6, 2025

Join us for the Pediatric Collaborative Roundtable Sessions for a fast-paced, engaging event where youll connect with healthcare leaders, learn from case studies, and explore strategies to enhance patient care, utilize data-driven decision-making, and foster interdisciplinary collaboration. The post Find inspiration during the Peds Collaborative Roundtable Sessions appeared first on NRC Health.

Pediatrics 52

Pediatrics 52

EMCrit

FEBRUARY 23, 2025

The Stellate Ganglion Block for Electrical Storm EMCrit Project by Scott Weingart, MD FCCM.

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St. Emlyn

FEBRUARY 4, 2025

St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why its a systemic issue rather than an individual failure, and what changes are needed to maintain competency. The post Podcast – Skills Fade with Nathalie Pattyn at Tactical Trauma 24 appeared first on St.Emlyn's.

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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).

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Psychiatric Forensics PPE 52

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.

CPR 40

CPR Hospitals 40

EM Ottawa

FEBRUARY 6, 2025

Methodology 3/5 Usefulness 2/5 Hoppe JA, et al. Ann Emerg Med. 2024 Jan;83(1):3-13. Question and Methods: The study evaluated whether integrating prescription drug monitoring program (PDMP) tools with clinical decision support in EHR workflows improved PDMP usage and opioid prescribing practices using a stepped-wedge design. Findings: PDMP usage improved modestly during clinical alerts (23.8%), but […] The post Implementation of Electronic Health Record Integration and Clinical Decision Su

Emergency Department 40

Emergency Department 40

Life in the Fast Lane

FEBRUARY 6, 2025

Chris Nickson Prazosin Critical Care Compendium pharmacology entry for prazosin.

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EMCrit

FEBRUARY 4, 2025

EMCrit RACC-Lit for January 2025 All the literature goodness! EMCrit Project by Scott Weingart, MD FCCM.

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71

The Evolution & Medicine Review

FEBRUARY 28, 2025

In person and on zoom.

52

52

Core Medical Group

FEBRUARY 25, 2025

Meet Crislenny, an Allied Healthcare Recruiter looking to help you land the assignment of your dreams.

52

52

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.

Research 52

Research 52