NRC Health
FEBRUARY 19, 2025
This years lineup includes many great presentations, including a session focused on reclaiming the practices of resilience by focusing on the power to find the I within resiliency. The post Pediatric Collaborative Preview | How caregiver wellness shapes experiences appeared first on NRC Health.
Sensible Medicine
FEBRUARY 17, 2025
John is sick, so I have big shoes to fill. Today’s study of the week is a cancer trial. I know many of you aren’t cancer doctors, and you are thinking about skipping this essay. Let me assure you: you will learn something. The trial has issues with control arm, skewed randomization (2:1), drop out and endpoints. It is a rollercoaster ride of critical appraisal.
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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.
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.
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!
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.
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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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.
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.
NRC Health
FEBRUARY 19, 2025
This years lineup includes many great presentations, including a session focused on reclaiming the practices of resilience by focusing on the power to find the I within resiliency. The post Peds Collab Preview | How caregiver wellness shapes experiences appeared first on NRC Health.
Life in the Fast Lane
FEBRUARY 18, 2025
Michael Gibbs MD Neuroimaging Cases 008 Intraventricular rupture of brain abscess (IVROBA). Second in our Neuroimaging case study series with Teresa Crow, Troy Carnwath, Scott DiMeo, L.
The Evolution & Medicine Review
FEBRUARY 17, 2025
By Joe Alcock Many advances in the care of critically ill patients over time have involved intervening less aggressively. A recent perspective by DAmico and colleagues (1) builds on that tradition of less is more. In Protective Hemodynamics: C.L.E.A.R.! the authors urge caution in treating low blood pressure with fluids or vasopressor medications. DAmico, F.
Board Bombs
FEBRUARY 15, 2025
Boost your EM knowledge with high-yield, rapid pearls! In this episode, we cover life-saving tips for thyroid storm, beta-blocker overdose, heat stroke, SAH, and Ludwigs all in under 10 minutes. Perfect for EM boards or quick clinical refresher. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here.
PulmCCM
FEBRUARY 17, 2025
Cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year. When a patient is failing to recover spontaneous circulation, the clinician in charge must decide whether and when to cease resuscitation efforts. Moments after he or she says “stop,” the person will be declared legally dead. It’s an awesome and humbling responsibility, the ultimate life-and-death decision.
Life in the Fast Lane
FEBRUARY 15, 2025
Chris Nickson Fusariosis CCC entry for fusariosis / Fusarium infections (infectious disease)
Ken Grauer, MD
FEBRUARY 15, 2025
The ECG in Figure-1 was obtained from a middle-aged woman who presented to the ED ( E mergency D epartment ) for epigastric pain that had begun ~1 hour earlier. The epigastric pain began during dinner. She was diagnosed in the ED as having gastritis. The 1st Troponin was not elevated. QUESTIONS: How would you interpret the initial ECG in Figure-1? Does the negative initial Troponin rule out an acute event?
The Trauma Pro
FEBRUARY 18, 2025
It’s been five years since I published my Laws of Trauma, and it’s time to dust them off again. In the meantime, I’ve added a couple of new ones. But before I start publishing them I’d like to take a moment to share “McSwain’s Rules of Patient Care.” I met Norm McSwain when I was junior faculty at the University of Pennsylvania.
Sensible Medicine
FEBRUARY 20, 2025
As always, we are happy to feature articles that expand on ideas discussed on Sensible Medicine – even when the author agrees more with Dr. Prasad than with me. Today, we welcome back Dr. Raudasoja, who last published with us about a year ago. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.
St. Emlyn
FEBRUARY 16, 2025
St.Emlyn's - Emergency Medicine #FOAMed Background Resuscitative hysterotomy, also known as perimortem caesarean section, is a high-stakes, time-critical intervention performed in pregnant women who experience cardiac arrest. It’s also one of the most daunting HALO […] The post Maternal and Neonatal Outcomes Following Resuscitative Hysterotomy for OHCA.
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 ).
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.
St. Emlyn
FEBRUARY 18, 2025
St.Emlyn's - Emergency Medicine #FOAMed The St Emlyns podcast delves into moral injury in healthcare with Dr. Caroline Leech. Learn how repeated exposure to ethical dilemmas leads to distress and explore strategies to mitigate its impact on clinicians. The post Podcast – Moral Injury with Caroline Leech at Tactical Trauma 24 appeared first on St.Emlyn's.
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.
Dr. Smith's ECG Blog
FEBRUARY 20, 2025
This is what the providers in the ED understood on patient arrival: Patient called 911 for syncope, then had witnessed PEA arrest after medics arrived. Not a shockable rhythm. Resuscitated with chest compressions, epinephrine. Here is the written paramedic report available after all the events were over: Patient was seen by witnesses to become unresponsive.
ACEP Now
FEBRUARY 19, 2025
A 29-year-old Hispanic American man with no significant medical history presented to the emergency department (ED) with a progressively worsening respiratory and systemic illness. His symptoms had begun two weeks prior, initially as a mild cough, congestion, and shortness of breath. About one week later, he started experiencing generalized body aches, nausea, and vomiting.
St. Emlyn
FEBRUARY 15, 2025
St.Emlyn's - Emergency Medicine #FOAMed This week I read a great article in the EMJ by Dan Horner and Rich Carden on new resuscitation targets. notably the use of diastolic blood pressure. DBP is the […] The post Is Diastolic Blood Pressure the New Resuscitation Target appeared first on St.Emlyn's.
Don't Forget the Bubbles
FEBRUARY 17, 2025
Two-liner A look at the evolving concept of venous congestion and the haemodynamic assessment in critically ill children and adults. The literature exploring its nuances continues to grow in adults but remains poorly understood in paediatric populations.[1] Fred is a 3-year-old boy who presents to the emergency department. He was previously healthy and presented with a 3-day history of cough, fevers, low appetite, and decreased energy.
Emergency Medicine Cases
FEBRUARY 17, 2025
On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves.
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.
Dr. Smith's ECG Blog
FEBRUARY 16, 2025
The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented with two days of midsternal and epigastric pain, described as both "sharp" and squeezing." There was associated nausea, vomiting, and dyspnea. He said the pain was worse with supination and improved with upright posture.
EMDocs
FEBRUARY 18, 2025
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA) // 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. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource. Please check it out.
Sensible Medicine
FEBRUARY 19, 2025
One of the ways I am dealing with empty nest syndrome is by accepting invitations to visit other medical centers. These visits have been absolute pleasures. Giving talks is enjoyable and a bit of an ego boost. Getting to visit the local museums and see old friends who live in the area is a treat. The real highlight, though, is sitting and talking in person to colleagues who have previously only been virtual.
ACEP Now
FEBRUARY 19, 2025
What does your program offer that residents cant get anywhere else? The University of Utah Emergency Medicine program offers exceptional training due to our large catchment area and rotations at both rural/underserved sites and two Level 1 trauma centers. We support our residents individual journeys and know no two residents are the same. We offer elective time in both PGY2 and PGY3 years to allow residents to further customize their training experience.
Dr. Smith's ECG Blog
FEBRUARY 18, 2025
Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. He had worked overnight the night before and presented to the hospital after his shift. His first recorded blood pressure was 88/53 mm Hg. Here is his presenting ECG: What do you think? The ECG shows sinus rhythm. The T waves are suspiciously symmetric, but not hyperacute looking.
Emergency Medicine Journal
FEBRUARY 21, 2025
This month’s update is by the Emergency Medicine team at the Mater Misericordiae University Hospital. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlighted the main findings, key limitations and clinical bottom line for each paper.
EB Medicine
FEBRUARY 18, 2025
In this episode, Sam Ashoo, MD interviews Ashley Weisman, MD about her career in rural emergency medicine, and the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Interview with Dr. Ashley Wiseman Introduction of Dr. Wiseman: Emergency physician specializing in rural ER. Dr.
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