PulmCCM

APRIL 7, 2025

Let’s start with something we can all agree on: families are good. When we fall ill, our families rally to our side, to protect, to console, to ensure we get the help we need to recover. If we cannot communicate for ourselves, our families are there to do so for us, and their authority to do so is enshrined in law. This is based partly on the Western ethical principle of autonomy: our family members know us well and (it’s generally agreed) can best ascertain what care we would agree

Documentation/Coding 114

Documentation/Coding Outcomes Research CPR 114

EMDocs

APRIL 7, 2025

Author: Abdo Zeinoun MD, Clinical Ultrasound Fellow, Department of Emergency Medicine, Rutgers New Jersey Medical School // Reviewed by: Stephen Alerhand, MD ( @SAlerhand) ; Steve Fields, MD Patient Case A 60 year-old male with a history of hypertension presents with worsening right knee pain over the last 3 days. He reports chronic knee pain for years, now intensified to the point of making walking painful, along with swelling.

Emergency Department 113

Emergency Department Ultrasounds Dislocations Fractures 113

St. Emlyn

APRIL 8, 2025

St.Emlyn's - Emergency Medicine #FOAMed In this episode of the St Emlyns Podcast, Iain and Simon reflect on IncrEMentuM 2025, skills fade in rare procedures, arterial line placement, and emerging evidence in cardiac arrest and resuscitative hysterotomy. Essential listening for emergency clinicians. The post Podcast – Monthly Round Up February 2025 – Skills Fade, Resusciation Targets and more appeared first on St.Emlyn's.

Resuscitation 80

Resuscitation 80

The Skeptics' Guide to EM

APRIL 5, 2025

Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Dr. Brandon Ho Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's.

Pediatrics 83

Pediatrics Emergency Department Outcomes Research 83

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

Taming the SRU

APRIL 10, 2025

Background Esophageal food impaction (EFI) occurs at an estimated rate of 13 episodes per 100,000 people annually. Medical management is typically attempted before resorting to endoscopy to reduce procedural risks and resource use. Glucagon remains the most widely used medication. Other treatments include carbonated beverages, benzodiazepines, and, more recently, nitroglycerin.

Outcomes 63

Outcomes Administration Research 63

Sensible Medicine

APRIL 10, 2025

I’ve already gotten pretty bored reading about AI in medicine. So many of the articles cover the same ground, either breathlessly celebrating AI’s promise or bemoaning the brave new world on the horizon. This article from Dr. Mendoza made me feel embarrassed that I have not even considered this angle. Adam Cifu This Substack is reader-supported.

Hospitals 58

Hospitals 58

ACEP Now

APRIL 7, 2025

Emergency physicians across the United States are facing increasing financial and operational pressures threatening their ability to provide lifesaving care, according to a new report authored by RAND and supported by the Emergency Medicine Policy Institute (EMPI). An ACEP press release underscores the urgent need for policy and payment reforms to preserve the essential role of emergency departments in the U.S. health care system.

Emergency Department 52

Emergency Department Operations 52

EB Medicine

APRIL 8, 2025

In this episode, Sam Ashoo, MD interviews Patrick O'Malley MD about his career in emergency medicine, The Laceration Course , and the power of connection with our patients. Dr. Patrick O'Malley's Journey in Emergency Medicine The Laceration Course: Origins and Evolution The EM Docs Side Hustle Facebook Group The Patient That Changed My Life For More Information: The Laceration Course, The Abscess Course, and more.

EMS 70

EMS 70

Mind The Bleep

APRIL 10, 2025

Welcome back to our series on AI in Healthcare. Article 2 will cover the main types of AI and try to answer the question Will AI replace human healthcare professionals in the future?. AI can be categorised into 4 main types based on ability and function. Types of AI : Type 1: Reactive machines – These AI systems have no memory and are task specific.

Documentation/Coding 52

Documentation/Coding Research Outcomes Administration 52

St. Emlyn

APRIL 7, 2025

St.Emlyn's - Emergency Medicine #FOAMed RCEM 2025 Day 3 explored mental health, autism, palliative care, high-intensity users, and modern transfusion and diabetes management in the ED. The post RCEM Conference 2025: Reflections from Day 3 appeared first on St.Emlyn's.

Emergency Department 69

Emergency Department 69

ACEP Now

APRIL 8, 2025

Did you know that by merely being an ACEP member, you are automatically a member of the International Federation of Emergency Medicine (IFEM)? IFEM is a federation of 70 emergency medicine organizations from around the world. The member organizations (i.e., ACEP) pays the membership fee, so you dont have to. IFEMs vision is a world where all people, in all countries, have access to high-quality emergency medical care.

Emergency Department 52

Emergency Department Ultrasounds Pediatrics EMS 52

Dr. Smith's ECG Blog

APRIL 8, 2025

I gave this Grand Rounds to UC Riverside a couple weeks ago. It is my most up to date lecture on OMI NOMI and Use of AI, especially the Queen of Hearts, in the Diagnosis of Occlusion MI.

EKG/ECG 62

EKG/ECG 62

EMergucate

APRIL 8, 2025

This weeks ECG is from a 50yr old patient who has taken a large polypharmacy OD. Your team is working on gaining collateral to establish what has been taken.

EKG/ECG 52

EKG/ECG 52

NRC Health

APRIL 10, 2025

NRC Healths 2025 Experience Perspective Report reveals key trends and strategies to build trust, navigate generational shifts, and meet evolving consumer expectations in healthcare. The post A new era of trust: NRC Healths 2025 Experience Perspective Report reveals insights to elevate the healthcare experience appeared first on NRC Health.

Leadership 40

Leadership 40

ACEP Now

APRIL 8, 2025

Answer : The correct answer is d) large bowel obstruction. Large bowel obstructions may be partial or complete. Patients present with severe abdominal distension and inability to pass stool or flatus. Patients presenting secondary to colorectal malignancy often have a history of alternating diarrhea and constipation over the preceding weeks to months and may have had bleeding per rectum.

52

52

Don't Forget the Bubbles

APRIL 7, 2025

What is the pituitary gland? The thyroid may be known as the queen of hormones, but the pituitary gland is the true master controller of the endocrine system. Sitting at the base of the brain, this tiny gland orchestrates the function of key endocrine organs, including the thyroid, adrenal glands, and reproductive system. Its influence extends across growth, puberty, metabolism, and the bodys response to stress, making it essential for normal development and homeostasis.

Dehydration 72

Dehydration Pediatrics Administration Seizures 72

Sensible Medicine

APRIL 9, 2025

In the Spring of 2008, I was stationed aboard the La Rabida Children's hospital. The hospital was perched on a peninsula that jut into Lake Michigan on Chicago's South Side. Outside all the windows spilled tranquil blue water. We could have been in the Pacific. The patients were a mix of kids who were hospitalized for a treatable conditions, like diabetic keto acidosis, as well as those who were incurable, like a cute 2 year old boy with a brain stem tumor that grew relentlessly after neurosurge

Hospitals 103

Hospitals Pediatrics PPE CDC 103

NRC Health

APRIL 10, 2025

NRC Healths 2025 Experience Perspective Report reveals key trends and strategies to build trust, navigate generational shifts, and meet evolving consumer expectations in healthcare. The post A new era of trust: NRC Healths 2025 Experience Perspective Report reveals insights to elevate the healthcare experience appeared first on NRC Health.

Leadership 40

Leadership 40

ACEP Now

APRIL 8, 2025

Still Time for LAC, Registration Open for ACEP25 Registration is open for ACEP25 in Salt Lake City. Get $100 off when you register by April 30. Join your emergency medicine friends in Salt Lake City from September 7-11 for ACEP25, the worlds largest emergency medicine conference. The Section Hall Crawl is back. The ACEP25 Block Party is set for 5 p.m. on September 9, and Olympic gold medalist Scott Hamilton will share his inspiring journey of resilience – from childhood illness to canc

Leadership 52

Leadership Wellness 52

PulmCCM

APRIL 10, 2025

If this email gets cut off, click the title to view the whole post online or in the Substack app. -Ed. SEPSIS Aspirin For Sepsis (ASP-SEPSIS trial) Could a simple aspirin help cure sepsis? No. Of course not. But like acetaminophen, aspirin is cheap and widely available and has anti-inflammatory properties, so it’s catnip for clinical trialists.

CDC 40

CDC Stroke Sepsis Radiology 40

EM Ottawa

APRIL 10, 2025

Antimicrobial resistance (AMR) is not a distant threatit is an evolving crisis that already affects patients in emergency departments (EDs) worldwide. The World Health Organization has identified AMR as one of the top global public health threats. Between 2025 and 2050, AMR is projected to cause 39.1 million deaths directly and contribute to an additional […] The post Antibiotic Resistance – bad bugs, bad bugs, whatcha gunna do?

Emergency Department 58

Emergency Department Infectious Diseases 58

Ken Grauer, MD

APRIL 5, 2025

You are told that the ECG in Figure-1 has generated 2 different interpretations among emergency care providers. These 2 interpretations are: i ) That the wider beats in the long lead II rhythm strip are PVCs ( P remature V entricular C ontractions ) ; vs , ii ) That the wider beats ( ie, beats #2; 5,6; and #8,9 ) are PACs ( P remature A trial C ontractions ) with the QRS widening being the result of aberrant conduction.

EKG/ECG 277

EKG/ECG 277

ACEP Now

APRIL 8, 2025

Question : A 76 year old man presents with abdominal pain, nausea and vomiting. The abdominal radiograph is shown. What is the diagnosis? a. Cecal volvulus b. Large bowel obstruction c. Small bowel obstruction d. Sigmoid volvulus See the answer here. The post Visual Dx Question: What’s Causing Abdominal Pain, Nausea and Vomiting? appeared first on ACEP Now.

52

52

The Trauma Pro

APRIL 11, 2025

Backboards are made to get messy. Every time your friendly EMS provider brings you a patient, they invariably have to swab it down to give the next patient a reasonably sanitary surface to lie on. But sometimes the boards get downright nasty, and the cleanup job is a major production. Enter… the backboard washer. I saw one of these for the first time at a Level III hospital in Ohio.

EMS 147

EMS Hospitals 147

Dr. Smith's ECG Blog

APRIL 11, 2025

While at ACC, I received this text message from a former resident: Good morning Steve! Hope youre doing well. Just curious what you think of this? He writes: "To me, the downsloping ST in V2/V3 is always OMI until proven otherwise. Also looks hyperacute inferior." "I activated cath lab, cardiologist is not impressed. Trop pending." Smith : "It is diagnostic of OMI!

EKG/ECG 119

EKG/ECG Wellness 119

Trigger Lab

APRIL 6, 2025

A cura di Alice Galesi Gli anestetici inalatori rappresentano una classe farmacologica caratterizzata da un rapido onset e offset, una bassa solubilit ematica e un’escrezione quasi esclusivamente polmonare.

97

97

ACEP Now

APRIL 9, 2025

When I was an inpatient pharmacy manager in 2013, my hospital was visited by the California Department of Public Health (CDPH), concerned about droperidol and ECG monitoring, or rather, lack thereof. Fast forward to now, and it seems droperidol is still a favorite punching bag for CDPH. Despite all the buzzwords (Evidence-based medicine! Guideline directed!

Emergency Department 52

Emergency Department Administration EKG/ECG Resuscitation 52

Sensible Medicine

APRIL 7, 2025

Patients who present with acute fluid accumulation and congestion due to heart failure often develop something called a pleural effusion. Photo credit: healthdirect.gov.au/pleural-effusion The fluid is not in the lung, but around the lung. It compresses the lung, creating shortness of breath, chest pressure, and other symptoms. We call such a fluid accumulation extra-vascular because it is not inside the blood vessels.

Radiology 71

Radiology Radiology Outcomes Hospitals 71

Dr. Smith's ECG Blog

APRIL 6, 2025

This was written by one of our really fine 3rd year residents, Katie Buerk. This case was a 69 year old male, brought in by ambulance, after being found unresponsive in bed by family earlier that day. He had last been seen 3-7 days ago. For the medics, he was bradycardic in the 20-30s. They were unable to obtain a blood pressure. On arrival to the ED, he was breathing spontaneously, had faint pulses, and was cool to the touch.

EKG/ECG 110

EKG/ECG CPR Shock Sepsis 110

PEMBlog

APRIL 7, 2025

Walking pneumonia is the familiar name for a lung infection caused by Mycoplasma pneumoniae. It’s kinda hard to diagnose. But if you’re right a good ‘ole Z-Pack will work. Lyrics [CHORUS] Myc check one two walking pneumonia infects you [VERSE] Mycoplasma on the rise infections in toddlers that’s a surprise coughing and body aches symptoms subtle chest X-Ray hedge read no rebuttal?

Infectious Diseases 66

Infectious Diseases 66

NRC Health

APRIL 11, 2025

In this episode of the Beckers Healthcare Podcast, Erica Carbajal speaks with Jennifer Baron, Chief Experience Officer at NRC Health, and Kathryn Peisert, Editor in Chief & Senior Director at TGI, about the critical role of trust in shaping the future of patient experience. The post The trust factor: Elevating patient experience in 2025 and beyond appeared first on NRC Health.

Leadership 52

Leadership 52

EM Ottawa

APRIL 7, 2025

Methodology: 2.5/5 Usefulness: 2/5 Bannelier H, et al. Acad Emerg Med. 2025 Feb;32(2):116-122. doi: 10.1111/acem.15032. Editorial: D-dimer in high-risk pulmonary embolism workup. Question and Methods: The authors performed a post-hoc analysis of three European studies to determine if D-dimer can be used to safely exclude PE in high-risk patients. Findings: In patients deemed high risk […] The post Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embol

Wellness 52

Wellness 52

Dr. Smith's ECG Blog

APRIL 9, 2025

A middle-age woman with no previous cardiac history called 911 for chest pain. This was her prehospital ECG: What do you think? There is sinus rhythm with RBBB and obvious LAD OMI (proximal LAD occlusion): hyperacute T-waves in I, aVL and minimal STE in V1, V2. This is diagnostic of Acute LAD OMI In case you are wondering what the Queen thought, here she is: Notice that she also diagnoses Low Ejection Fraction.

EKG/ECG 62

EKG/ECG Resuscitation Administration Shock 62

RCEM Learning

APRIL 7, 2025

The post EC Incubator Forum April 2025 appeared first on RCEMLearning.

52

52

JournalFeed

APRIL 5, 2025

The JournalFeed podcast for the week of March 31 to April 4, 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 : For pediatric ED patients, NSAIDs, ketamine, and mid-high potency opioids all reduced pain compared to placebo, with NSAIDs also reducing the need for rescue medication.

Pediatrics 52

Pediatrics 52

Pediatric Education

APRIL 6, 2025

Patient Presentation A 15-year-old female came to clinic for her health supervision visit. She had recently moved to the area and was known to have fibromyalgia. She said she had already seen a local rheumatologist, psychologist and physical therapist and was happy with her care as was her mother. The past medical history showed she had been diagnosed at age 13 after about 15 months of extremity pain, fatigue, academic/concentration problems and depressed mood.

Pediatrics 40

Pediatrics Psychiatric Academics Fractures 40