St. Emlyn
JANUARY 13, 2025
St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.
The Bottom Line
JANUARY 16, 2025
Whats new in the Critical Care literature monthly updates
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Science Based Medicine
JANUARY 17, 2025
This is what it looks like when doctors treat the pandemic as an intellectual parlor game. The post Dr. Jay Bhattacharya Was Nice to Someone During a Debate. That Doesnt Erase the Consequences of His Misinformation. first appeared on Science-Based Medicine.
PulmCCM
JANUARY 15, 2025
Pulse oximeters for healthcare and consumer use are calibrated on patients with lighter skin. Manufacturers have recognized the devices’ suboptimal performance in darker-skinned patients for decades, but they have faced no serious regulatory or legal pressure to act. In 2013, FDA issued a suggestion that manufacturers test devices on patients “with a range of skin pigmentations.” But the standard was lax: only two darkly pigmented subjects, or 15% of the total pool were needed.
EM Ottawa
JANUARY 13, 2025
Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.
The Bottom Line
JANUARY 16, 2025
Whats new in the Critical Care literature monthly updates
Sensible Medicine
JANUARY 15, 2025
If Robert F. Kennedy Jr. is confirmed as the next secretary of the Department of Health and Human Services, and if he carries out even part of his agenda , he will be a consequential -- and controversial -- cabinet secretary. I am concerned about some of his stances , including his record of objecting to vaccines, but in other areas, starting with addiction, his vision and values could transform lives.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Northwestern EM Blog
JANUARY 14, 2025
Written by: Sasha Becker, MD (NUEM 27) Edited by: Mara Bezerko (NUEM 25) Expert Commentary by : Aaron Wibberley, MD Expert Commentary This is a very nice summary by Dr. Becker and Dr. Bezerko of a troublesome-appearing rhythm occasionally encountered in the emergency department. Thankfully, the majority of presentations are benign. Our role as emergency providers is to risk-stratify for, or rule out, dangerous underlying etiologies of AIVR.
EM Literature of Note
JANUARY 16, 2025
This little article has made the rounds, primarily by those who critique it for its many flaws. However, the underlying themes can still be valid, even if an article has limitations. This is a “there is variation in emergency physician admitting practices” article. Literally every practicing physician working in a hospital environment knows there is a broad spectrum of skill, approach to acute illness, and level of risk-tolerance.
Science Based Medicine
JANUARY 12, 2025
If only they had let more unvaccinated children suffer and die from COVID, we wouldn't be in this position today. The post Science-Based Satire: My Patients are Refusing the MMR Because the CDC Added the COVID Vaccine to the Routine Vaccine Schedule first appeared on Science-Based Medicine.
EMDocs
JANUARY 11, 2025
Author: Christopher Blanton, MD, MBA (EM Resident, UTSW / Dallas, TX); Joslin Gilley-Avramis, MD (EM Attending Physician, UTSW / Parkland Memorial Hospital) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
ECG Guru
JANUARY 13, 2025
This ECG was sent to me by a friend, I don't know if he did it himself. The question was whether a heart attack can be recognized here. The patient is a 55-year-old man who has typical angina pectoris lasting more than 1 hour. What can you answer?
ALiEM
JANUARY 13, 2025
A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.
Dr. Smith's ECG Blog
JANUARY 13, 2025
A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.
EMCrit
JANUARY 15, 2025
More amazing discussion with Liz Crowe EMCrit Project by Scott Weingart, MD FCCM.
St. Emlyn
JANUARY 14, 2025
St.Emlyn's - Emergency Medicine #FOAMed The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour. The post Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more appeared first on St.Emlyn's.
PulmCCM
JANUARY 13, 2025
A restrictive approach to red blood cell transfusion (e.g., transfusion to Hb ≥7-8 g/dL) is recommended in most critically ill patients after a mortality benefit was noted in the 1999 TRIC trial. Should patients with acute myocardial infarction, or cardiac disease generally, be transfused to the same hemoglobin targets as other critically ill patients?
Dr. Smith's ECG Blog
JANUARY 17, 2025
ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review
The Evolution & Medicine Review
JANUARY 16, 2025
The 14th-century Black Death, as depicted by Gilles Le Muisit in 1349, was caused byYersinia pestis.
Advanced Medical Reviews
JANUARY 16, 2025
Did you know that job satisfaction among physicians drops consistently until they've been in practice for more than 30 years? For many, burnout prevents them from ever making it that far. However, providing physician peer review services is a great way to ease the stress of the job and help keep you moving forward.
EMergucate
JANUARY 14, 2025
The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.
NRC Health
JANUARY 14, 2025
In healthcare, the pursuit of exceptional patient care is paramount. However, a fundamental yet often overlooked component in delivering the highest-quality care is the experience of healthcare employees. The post Prioritizing the employee experience to transform healthcare appeared first on NRC Health.
American Medical Compliance
JANUARY 14, 2025
A 2023 systematic review published in BMC Nursing revealed a strong connection between clinical nurse competence and patient safety culture, underscoring the transformative impact of comprehensive training on nursing skills. Restorative nursing stands as a cornerstone of healthcare, dedicated to enhancing patients’ quality of life by helping them regain or maintain their highest levels of function and independence.
Life in the Fast Lane
JANUARY 11, 2025
Michael Gibbs MD Adult Ortho Cases 004 Shoulder Dislocations. Adult Orthopedic case interpretation.
The Evolution & Medicine Review
JANUARY 11, 2025
The Faculty of Science at the University of Turku, Finland, invites applications for a fixed-term postdoctoral researcher position at the Department of Biology. Employment begins in February 2025 at the earliest or upon agreement, and lasts until the end of December 2026.
Clinical Correlations
JANUARY 16, 2025
By Ella Feiner Peer Reviewed In a world abundant with food and sedentary lifestyles, the global prevalence of cardiometabolic disease has reached alarming levels.
Science Based Medicine
JANUARY 15, 2025
My hospital just reinstituted mask mandates for all staff working with patients. They also advise patients to wear masks while in the hospital, but have not made it a requirement. I still have a stash of N95 masks so it was easy, and all too familiar, for me to comply, but I admit it created an unpleasant flash-back. All things considered, I […] The post COVID Is Still Here, But Changing first appeared on Science-Based Medicine.
PEMBlog
JANUARY 13, 2025
Appendicitis! Rock Opera! McBurney’s point! Epic! Lyrics [Chorus] So Appy to see you Said the Surgeon to the doc Take out that appendix while I’m on the clock [Verse] Pain was vague then moved last night In the quadrant lower right Vomit and some hopping pain A fever now, can you explain? McBurney’s point and rebound Next step is an ultrasound Call the surgeon, call them quick Appendicitis made him sick [Chorus} So Appy to see you Said the Surgeon to the doc Take out that appen
JournalFeed
JANUARY 11, 2025
The JournalFeed podcast for the week of Jan 6 10, 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. Wednesday Spoon Feed : Tranexamic acid reduces the risk of life-threatening postpartum bleeding with no measurable increased risk of thrombosis.
NRC Health
JANUARY 15, 2025
Join us in Los Angeles, March 1920, for the 2025 Pediatric Collaborative with Childrens Hospital Los Angeles. Engage with your peers in pediatrics, embrace best practices, and collaborate on strategies to prioritize human-centered care. This years lineup includes many great presentations, including a session that aims to illuminate the importance of health literacy as a foundational element of patient care.
Dr. Smith's ECG Blog
JANUARY 11, 2025
Written by Pendell Meyers An adult man presented with acute chest pain. He appeared critically ill. He had undergone stenting of the LAD several weeks ago (unclear whether elective for stable symptoms, or in response to acute coronary syndrome). Here is his triage ECG: Here is the digitized version with higher image quality: He was rushed to the resuscitation area for "unstable VTach.
EM Ottawa
JANUARY 16, 2025
A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to trauma. Its no surprise that workplace injuries involving the hand account for nearly 500,000 cases annually in […] The post Nailed it!
The Skeptics' Guide to EM
JANUARY 11, 2025
Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023 Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating on the promotion of eudaimonia and optimal performance.
Sensible Medicine
JANUARY 11, 2025
It is my pleasure to introduce this guest post by Joseph Marine. He is the author of popular prior posts including: Why Doctors Should Learn to Stop Worrying and Love MAHA. Here, he gives clear guidance for how the CDC can work to restore the trust that the agency forfeited with idiotic guidance, such as: 2 year olds should wear a mask, and kids should sit 6 feet apart on the bus.
ALiEM
JANUARY 17, 2025
An otherwise healthy 11-year-old female presented to the Emergency Department (ED) with one week of scalp pain and discharge. Her symptoms began as a dry and itchy rash in the scalp area that was unresponsive to triamcinolone 0.1% ointment. She was initially seen in clinic and was diagnosed with an abscess of the scalp and treated with Trimethoprim/ Sulfamethoxazole (TMP-SMX) for seven days.
EMDocs
JANUARY 14, 2025
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the management of Guillain-Barr syndrome. For the presentation and ED evaluation of GBS, please see Part 1. Episode 112: Guillain-Barr Syndrome Part 2 ED treatment: IVIG and plasma exchange are the main treatment modalities. Both seem equally effective, but combining them does not improve outcomes.
Dr. Smith's ECG Blog
JANUARY 15, 2025
This was submitted by Hans Helseth, who is applying to med school and who is working as an EKG tech right now. Smith : This patient presented years ago, but came in again while Hans was working. He looked back in time in the patient's chart and saw these ECGs and immediately recognized that they manifested subtle OMI. Also : See Ken Grauer's excellent comments at the bottom.
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