The Trauma Pro

DECEMBER 6, 2024

The debate over incidental appendectomy has waxed and waned over the years. And for the most part, it has nearly permanently waned in general surgical cases for now. But every once in a while, I am asked about incidental appendectomy during trauma laparotomy. Is it a good idea? What reasons could there possibly be for doing it? In the old days, we would frequently do an incidental appendectomy because… well, just because we were there.

Operations 147

Operations Administration Wellness 147

EMDocs

DECEMBER 1, 2024

Authors: Grant Gerstner, DO (EM Resident Physician, San Antonio, TX); Kyle Smiley, MD (EM Resident Physician, San Antonio, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

EMS 104

EMS Infectious Diseases Shock Airway Management 104

Emergency Medicine Cases

DECEMBER 3, 2024

On this month's EM Quick Hits podcast: Ross Prager on TEE in cardiac arrest, Justin Morgenstern on nebulized ketamine for analgesia in the ED, Hans Rosenberg & Krishin Yadav on standardizing cellulitis management, Mathew McArther on latest studies on subcutaneous insulin protocols in DKA, Jennifer C. Tang on documenting differential diagnoses medicolegal tips.

Documentation/Coding 102

Documentation/Coding EMS Resuscitation 102

St. Emlyn

DECEMBER 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed Uncover the truth about alcohol poisoning. Find out how toxic alcohols can be ingested accidentally or intentionally and the serious consequences they can have with a focus on Emergency medicine management. #FOAMed @stemlyns The post Toxic alcohol poisoning: What do we know about fomepizole, methanol and ethylene glycol?

Poisoning 104

Poisoning 104

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

First 10 EM

DECEMBER 2, 2024

Despite being widely talked about in glowing terms, the original WOMAN trial was clearly negative, with no benefit in their primary outcome, and no change in all cause mortality, and therefore no hint of benefit. (There is a lot of confusion about what disease specific mortality means when this paper is discussed, but it only […] The post WOMAN-2: TXA has no role in postpartum hemorrhage appeared first on First10EM.

Outcomes 91

Outcomes EMS 91

EMDocs

DECEMBER 6, 2024

Authors: Haley Dusek, MD (Emergency Medicine Resident, Carolinas Medical Center ); Erik Fisher, MD (Emergency Medicine Attending/Medical Toxicologist, Carolinas Medical Center) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); and Brit Long, MD (@long_brit) Case: A 27-

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

PEMBlog

DECEMBER 4, 2024

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , we explore pertussis, also known as whooping cough – a disease that remains a public health challenge despite widespread vaccination efforts. We will review the clinical presentation, diagnostic strategies, management protocols, infection control practices, and vaccination updates.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

EM Ottawa

DECEMBER 5, 2024

Quantitative End-Tidal CO2 (ETCO2) was in vogue for a while, and seemingly some centres adopted it as standard of care, while others found that it did not make a significant clinical impact so it fell out of style and left to ‘practitioner preference’ With increasing experience and use, we have mounting evidence to do a […] The post Quantitative End-Tidal CO2 – the New Scoop appeared first on EMOttawa Blog.

Resuscitation 66

Resuscitation 66

EMCrit

DECEMBER 1, 2024

John Holcomb, author of the PROPPR trial, on massive transfusion in 2024 EMCrit Project by Scott Weingart, MD FCCM.

Resuscitation 138

Resuscitation 138

ACEP Now

DECEMBER 6, 2024

By some definitions, you could call former Maryland state legislator Dan Morhaim, MD, FACEP, a retired emergency physician. He thinks of it as re-deployed. Dr. Morhaim spent more than two decades in the Maryland House of Delegates, fighting for legislation to protect health care workers and patients before his final legislative term ended in 2019. His health care focus included hospital efficiency, physician and patient satisfaction, and emergency department (ED) wait times, as well as a host of

Emergency Department 98

Emergency Department Hospitals Wellness 98

Don't Forget the Bubbles

DECEMBER 2, 2024

Merry Christmas and Season’s Greetings! With millions of journal articles published yearly, it is impossible to keep up. An international team joining DFTB Bubble Wrap from Aghia Sophia Childrens Hospital ED , Athens, Greece, tell us what is new in thepaediatric literature Led by Spyridon Karageorgos, a Paediatrician enthusiastic about Paediatric Emergency Medicine, reducing antibiotic use in paediatric patients, and Medical Education.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

97

97

Core Medical Group

DECEMBER 3, 2024

This year's Core Cares Wrapped is here! See how our team has given back in 2024 and how we practiced this fundamental value this year.

82

82

ACEP Now

DECEMBER 6, 2024

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly. FIGURE 1. Initial ECG demonstrating inferolateral ST segment elevation and anteroseptal depression, just prior to cardiac arrest.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

Core Ultrasound

DECEMBER 5, 2024

Unlock the foundational skills you need to perform ultrasound-guided nerve blocks in this detailed tutorial! In Part 1 of this two-part series, we dive into the basics, including needle selection, general methods, and safety protocols. You’ll also learn step-by-step techniques for performing forearm, femoral and tibial nerve blocks, complete with practical tips and sonographic guidance.

Ultrasounds 40

Ultrasounds 40

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

91

91

AED Leader

DECEMBER 6, 2024

In a world where every second counts during a cardiac emergency, preparedness can mean the difference between life and death. The alarming statistics surrounding heart diseases underscore the pressing need for effective emergency response systems globally. As a leader in advanced medical technology, Stryker has made significant strides in enhancing cardiac emergency preparedness, introducing innovative solutions and forging vital partnerships.

Basic Life Support 52

Basic Life Support Resuscitation Outcomes Hospitals 52

ACEP Now

DECEMBER 6, 2024

As voters across the country braced for uncertainty heading into Election Day 2024, emergency physicians could rest assured that the National Emergency Medicine Political Action Committee (NEMPAC) was looking out for their best interests. Although ACEP members have differing opinions on issues that drove voters to the polls, most agree on the pressing challenges facing emergency medicinepatient boarding, workplace violence, defending emergency medicine against insurer bad practices, and creating

Hospitals 98

Hospitals Research 98

EMergucate

DECEMBER 3, 2024

The x-ray is from a toddler with fever and abdominal pain. What can be seen? Answer will be posted later.

EMS 52

EMS 52

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

85

85

AED Leader

DECEMBER 3, 2024

In emergencies, every second counts, and having the right tools can mean the difference between life and death. Automated External Defibrillators (AEDs) are vital devices that deliver shocks to restore normal heart rhythms, making them essential in emergency response situations. Understanding their significance can empower first responders to act swiftly and effectively during critical moments, that is why AED training needs to be encouraged.

Resuscitation 52

Resuscitation Shock CPR Operations 52

ACEP Now

DECEMBER 6, 2024

What does your program offer that residents cant get anywhere else? We see a high volume of critically ill patients within our department (approximately 210,000 visits per year). Our catchment area is extensive, including all of Delaware and portions of Maryland, New Jersey, and Pennsylvania. Our three campuses that we work at are within 35 minutes of each other and provide a diverse patient population.

EMS 96

EMS Wellness Hospitals 96

Life in the Fast Lane

DECEMBER 2, 2024

Chris Nickson ICM Clinical Refresher Course Returning to the clinical coalface after a prolonged absence is inherently challenging. The good thing is there are courses that can help you get back in the swing of things.

52

52

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

82

82

AED Leader

DECEMBER 2, 2024

When every second counts in a cardiac emergency, the strategic placement of Automated External Defibrillators (AEDs) can be a lifesaver. These devices are designed to restore a normal heart rhythm during sudden cardiac arrest (sca), and their effectiveness hinges significantly on how accessible they are in critical moments. Understanding the importance of AED locations and the factors that contribute to their optimal accessibility can’t be overstated.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

ACEP Now

DECEMBER 6, 2024

A 46-year-old female with a prior medical history of asthma presented to the emergency department with shortness of breath and wheezing. After three DuoNeb treatments and 16 mg of dexamethasone, her wheezing improved; however, she continued to report shortness of breath on exertion. Given the persistent symptoms, a cardiac point-of-care ultrasound was obtained.

Emergency Department 64

Emergency Department Ultrasounds Hospitals Research 64

Board Bombs

NOVEMBER 30, 2024

You've survived Thanksgiving, now survive managing a pediatric airway obstruction by foreign body. This case will make you wish your in-laws came back to visit for Christmas. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 241.

Pediatrics 52

Pediatrics 52

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

81

81

Ken Grauer, MD

NOVEMBER 30, 2024

I was sent this tracing — and told that providers thought that the rhythm was 3rd-degree ( ie, complete ) AV block. Do YOU agree? Figure-1: The initial ECG in today’s case. NOTE: The tracing in Figure-1 is an 8-lead rhythm strip ( and not a complete 12-lead ECG ). This offers the advantage of providing 8 leads with simultaneously-recorded viewpoints of the same 7 beats that we see in this tracing.

EKG/ECG 323

EKG/ECG Documentation/Coding Wellness 323

Pediatric EM Morsels

DECEMBER 6, 2024

Rashes are, as we know, a common complaint in the pediatric ER and one of the most difficult things to diagnose ( in my opinion ). Many of them look the same and distinguishing between what is a benign rash vs something sinister can always be a challenge. As we sort through the potential concerning ailments, it is also good to keep in mind the stereotypic causes of mild pediatric rashes.

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

Sensible Medicine

DECEMBER 5, 2024

A new bill in the US House aims to ban DEI in medical schools. It raises the questions: What specifically is banned? Are the points valid? and Can medical education be legislated? Let’s consider these points What specifically is banned? & Are the Points Valid? I hate when I read lay press articles that summarize what a bill does. Almost always it doesn’t accurately summarize the language.

Operations 130

Operations Administration 130

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

81

81

Dr. Smith's ECG Blog

NOVEMBER 30, 2024

Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled ‘inferior STEMI’. Using principles of hyperacute T waves, do any have inferior occlusion MI? Patient 1 : 60 year old with shortness of breath Patient 2 : 40 year old with chest pain Patient 3 : 65 year old with chest pain Patient 4 : 55 year old, prior inferior MI, with chest pain See this recent post on the new and evolving science of hyperacute T waves, including 1.

EKG/ECG 119

EKG/ECG Outcomes 119

The Trauma Pro

DECEMBER 3, 2024

In my last post, I described the Pediatric Readiness Score and its components. Today, I’ll explain why maintaining a high score may benefit your trauma center and what it costs to do so. Research groups at the Oregon Health Sciences University and the University of Utah combined multiple data sources to estimate current levels of ED pediatric readiness, the cost to achieve it, the number of pediatric deaths in emergency departments, and the number of potential lives saved if readiness is m

Pediatrics 113

Pediatrics Emergency Department Research Hospitals 113

Sensible Medicine

DECEMBER 3, 2024

Evidence, trust, and clear-thinking are core beliefs here at Sensible Medicine. What struck me most when I read this essay from electrophysiologist, Dr. Joseph Marine, was his change in attitude regarding the SARS-CoV-2 vaccine. There is much to learn from the public health handling of the pandemic. How the current leaders lost the confidence of respected doctors is surely one of the most important lessons for the new health team.

CDC 129

CDC Outcomes Hospitals Wellness 129

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

Resuscitation 81

Resuscitation 81