The Trauma Pro
APRIL 4, 2025
The use of prophylactic antibiotics in patients with facial fractures has been controversial since forever. Some trauma professionals argue that these fractures, many of which involve a sinus or the mouth, should be considered as open fractures. Several studies on the use of antibiotics prophylactically, preoperatively, and postoperatively have shown a significant amount of variability.
EMDocs
APRIL 3, 2025
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Christian Daniello, MD (Staff Physician, Geisinger Wyoming Valley) // 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.
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American Medical Compliance
MARCH 31, 2025
Sexual harassment is a serious issue that impacts workplaces across all industries, but in healthcare facilities, the stakes are especially high. The unique dynamics of healthcarelong hours, high-stress situations, and frequent close interactions with colleagues, patients, and visitorscreate conditions where incidents of harassment can more easily occur.
The Skeptics' Guide to EM
APRIL 1, 2025
Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic was the zombie idea that emergency department crowding is due to non-urgent patients.You can click on this LINK and get a PDF copy of my slides. The YouTube video of the presentation with the Q&A session featuring rural physician Dr.
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!
PulmCCM
APRIL 3, 2025
In a March 2025 guideline update, the major U.S. critical care society advised that all critically ill patients should receive “enhanced mobilization” or rehabilitation, over and above usual physical therapy. As only a minority of hospitals even provide ordinary physical therapy to mechanically ventilated patients on a routine basis, the advisement is largely symbolic or aspirational. “Enhanced” rehabilitation can include such activities as helping patients stand at bedsi
RebelEM
APRIL 2, 2025
Introduction: In this episode of Rebel Cast, host Marco Propersi, along with co-hosts Steve Hockman and Kim Baldino, delve into the practice and importance of street medicinethe direct delivery of healthcare to homeless and unsheltered individuals. Special guests Dr. Jim O’Connell, a pioneer of street medicine, and Dr. Ed Egan, a recent street medicine fellowship graduate, share their experiences and insights on serving this vulnerable population.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
ECG Guru
MARCH 30, 2025
This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. It is also a good teaching case for discussing treatment options when the diagnosis may be uncertain or controversial. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. My approach has always been more clinical - how is this rhythm affecting the patient and what are the chances it will deteriorate?
Don't Forget the Bubbles
MARCH 31, 2025
With millions of journal articles published yearly, it is impossible to keep up.This month, the team from The Bridge will give us a whistle-stop tour of what’s new in Paeds literature. The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT.
EM Ottawa
MARCH 31, 2025
Methodology: 4/5 Usefulness: 2/5 Arleth T, et al. JAMA. 2025;333(6):479489. doi:10.1001/jama.2024.25786 Question and Methods: This multicentered randomized control trial allocated trauma patients to a liberal or restrictive oxygen strategy for 8 hours to examine outcomes of death and/or respiratory complications. Findings: The study found there was no difference between the groups with outcome of death […] The post Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Rando
RebelEM
MARCH 31, 2025
Bottom Line Up Top: A negative D-Dimer likely excludes significant pulmonary embolism (PE) in all patients but the low chance of getting a negative result makes a D-Dimer first approach of low clinical utility in the high pre-test probability group. Clinical Scenario: A 45-year-old man with malignant melanoma presents with right-sided pleuritic chest pain for 3 days.
ECG Guru
MARCH 30, 2025
This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. It is also a good teaching case for discussing treatment options when the diagnosis may be uncertain or controversial. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. My approach has always been more clinical - how is this rhythm affecting the patient and what are the chances it will deteriorate?
EMCrit
APRIL 3, 2025
NeuroMuscular Emergencies are tough without neurology, but you can do it and do it well! Casey Albin is here to help. EMCrit Project by Scott Weingart, MD FCCM.
Core Ultrasound
APRIL 2, 2025
In this video, we demonstrate the technique for performing an ultrasound-guided interfascial shoulder plane block (IPB) a simple, effective, and motor-sparing alternative to the interscalene block for treating shoulder pain in the Emergency Department. Non-Rotator Cuff Exam Rotator Cuff Exam Courses The post 5 Min Sono Interfascial Shoulder Plane Block first appeared on Core Ultrasound.
Ultrasound Gel
MARCH 31, 2025
Delia and Creagh travel to Houston, Texas to regale audience members of the American College of Osteopathic Emergency Physicians (ACOEP) Scientific Assembly with their tales of ultrasound literature misadventures. [link] Delia and Creagh travel to Houston, Texas to regale audience members of the American College of Osteopathic Emergency Physicians (ACOEP) Scientific Assembly with their tales of ultrasound literature misadventures.
Ken Grauer, MD
MARCH 29, 2025
The ECG in Figure-1 was obtained from an older man with a history of coronary disease who presented to the ED ( E mergency D epartment ) alert, but complaining of chest tightness since the previous night. The consulting cardiologist interpreted this tracing as SVT ( S upra V entricular T achycardia ) with QRS widening due to aberrant conduction. QUESTIONS: How would YOU intepret the ECG in Figure-1 ?
EMCrit
MARCH 31, 2025
All the lit goodness for March 2025 EMCrit Project by Scott Weingart, MD FCCM.
Dr. Smith's ECG Blog
MARCH 30, 2025
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from sleep around midnight. He described it as substernal, non-radiating, 7 out of 10 intensity. His ECG obtained around 4 AM is shown. ECG 1 What do you think? I texted this ECG to Dr. Smith without any information and he immediately replied: "combination of precordial swirl and South African Flag sign, with Swirl predominating.
Sensible Medicine
APRIL 3, 2025
“I have no idea what you are talking about Your mouth moves only with someone's hand up your ass” - Radiohead In the fall of 2007, Radiohead released In Rainbows. I download the album to my mp3 player, and relished it. I listened in the car, on the shuttle, and walking to OB-GYN rounds, as a 3rd year medical student. I was rotating at a suburban hospital staffed by UChicago residents and my days began at 4:15 am, when I would wake, grab a coffee, and begin my commute through Chicago&
EMDocs
APRIL 1, 2025
Today on the emDOCs cast with Brit Long ( @long_brit) , we cover cavernous sinus thrombosis (CST). Episode 117: Cavernous Sinus Thrombosis What is CST? Thrombophlebitic disease of the cavernous sinuses with clot formation. Most commonly begins with a sinus or facial infection, which may spread to the cavernous sinus, but it may be associated with other conditions (aseptic).
EMCrit
APRIL 2, 2025
You've got questions, I've got answers (maybe??)! EMCrit Project by Scott Weingart, MD FCCM.
St. Emlyn
MARCH 30, 2025
St.Emlyn's - Emergency Medicine #FOAMed What nearly dying can teahc us about living - teh fabulous Matt Morgan at The Big Sick 2025 The post Life 2.0 – What the dead can teach us about living – Matt Morgan at TBS 2025 appeared first on St.Emlyn's.
Emergency Medicine Cases
APRIL 1, 2025
How do you predict which intermediate-risk patients will suddenly deteriorate? What role do risk scores, biomarkers, imaging, and hemodynamics play in decision-making? Should these patients receive anticoagulation alone, or is thrombolysis warranted? When should you consider catheter-directed or surgical interventions? This podcast focuses us to think critically about risk stratification, early interventions and escalation in care in PE.
PEMBlog
MARCH 31, 2025
The target sign is the pathognomonic thing seen on ultrasound in diagnosing intussusception. Also, air contrast enemas basically involve using a medical grade bike pump to reduce the stuck intestines… which is cool. Lyrics [verse] telescoping further than I ever thought we’d go intermittent painful crying episodes [verse] ileum and colon currant jelly poop intestine slowly dying turning into goop [chorus] Intussusception ultrasound target sign air contrast enema after treatment you&#
Dr. Smith's ECG Blog
APRIL 2, 2025
A 30 year old African American Male presented to the ED with chest pain that occurred the day before. It had been 6-7/10 in intensity and lasted for about 10 minutes, and was associated with strenuous activity. It radiated to the left arm and was associated with SOB. There was no pain on the day of presentation. Here is the ED ECG: What do you think?
EMDocs
MARCH 29, 2025
We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Should We Use Normal Saline vs Balanced Fluid for TBI? Spoon Feed This large meta-analysis of ICU RCT subgroups found decreased mortality in patients with traumatic brain injury treated with normal saline vs. crysta
First 10 EM
APRIL 1, 2025
Pulmonary embolism is probably discussed far more than is truly necessary. It receives more attention than almost any other pathology. We endlessly debate the best algorithms for diagnosis. We add new decision tools almost yearly. However, if there is one aspect of pulmonary embolism that might be under-discussed it is the management of massive and […] The post Management of intermediate and high risk pulmonary embolism (aka submassive/massive PE) appeared first on First10EM.
PulmCCM
MARCH 31, 2025
By providing a noninvasive way to rapidly assess physiology at the bedside, ultrasonography seems to hold the potential to revolutionize the practice of critical care. Many of its expert proponents would say it already has. In February 2025, the major U.S. critical care society issued a guideline update authored by a cadre of those experts, recommending bedside ultrasound should be used to help manage the vast majority of critically ill patients.
PDC Healthcare
APRIL 1, 2025
Welcoming newborns into the world is a tremendous job for Labor and Delivery (L&D) nurses because they have two patients mother and baby needing support and protection. Newborns complicate care and identification because they are typically indistinguishable and speechless. This vulnerability prompted the American Academy of Pediatrics to approach The Joint Commission, seeking […] The post Protecting the Tiniest Patients: Simple ID Solutions to Prevent Newborn Misidentification and St
Life in the Fast Lane
MARCH 31, 2025
James Miers and John Mackenzie Procedure: Central Venous Catheter (IJV) Emergency Procedure: Radial Arterial Line, with a guide made in partnership with a recent publication in Emergency medicine Australasia
First 10 EM
MARCH 31, 2025
The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for Winter 2025 appeared first on First10EM.
JournalFeed
MARCH 29, 2025
The JournalFeed podcast for the week of March 24-28, 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 : A large meta-analysis of ICU RCT subgroups finds decreased mortality in patients with traumatic brain injury treated with normal saline vs. crystalloid and an increase in those without.
Pediatric Education
MARCH 30, 2025
Patient Presentation A term female was born by Cesaarean section to a G1P1 female after prolonged labor, failure to progress and a difficult extraction. The Apgar scores were 8 and 9, but the infant was noticed to not be moving her right arm very well. The pertinent physical exam showed respirations of ~30/minute, and a heart rate ~150 beats/minute.
PEMBlog
APRIL 4, 2025
This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on the approach to unvaccinated or undervaccinated children aged 336 months presenting to the ED with fever. Host Brad Sobolewski reviews differences in immune response, risk for serious and invasive bacterial infections, and outlines evaluation strategies including labs, imaging, and empiric antibiotics.
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