St. Emlyn
MARCH 20, 2025
St.Emlyn's - Emergency Medicine #FOAMed Should ketamine be used for opioid-dependent patients in acute pain? A recent randomized controlled trial explores the effectiveness of low-dose ketamine (LDK) as an adjunct to morphine in emergency settings. Results show significant short-term pain reduction and reduced opioid requirements, with manageable side effects.
EMDocs
MARCH 18, 2025
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of massive hemoptysis. Episode 116: Massive Hemoptysis Definition: Hemoptysis is expectoration of blood from the respiratory tract; ranges from mild with small streaks of blood to cardiopulmonary compromise (1-5). Massive hemoptysis: no clear definition, ranges from 50 mL in a single expectoration to 100 mL in 24 hours to over 1 L in 48 hours.
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Pediatric Education
MARCH 16, 2025
Patient Presentation A 34 month-old male came to the emergency room with a history of acute choking/coughing and the mother was worried he has swallowed a coin. She had left him unattended for a couple of minutes and found him playing with her purse. She used both choking and coughing to describe him seeming to have an acute problem with something in his mouth.
American Medical Compliance
MARCH 21, 2025
In the Promoting Dignity and Respect in Patient Care Training, healthcare providers learn how to uphold patients rights, communicate with respect, and recognize potential biases that may affect care. The course emphasizes the importance of patient confidentiality, privacy, and person-centered care. Providers gain practical strategies to ensure every patient feels valued and heard.
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!
ACEP Now
MARCH 21, 2025
A record number of medical students matched into emergency medicine, according to results released Friday, March 21, 2025, by the National Resident Matching Program. More than 3,000 applicants matched into the specialty. Out of 3,068 positions, just 65 positions went unfilled, a 97.9 percent fill rate. The number of available positions increased by 42 from 2024.
EMCrit
MARCH 15, 2025
I've seen the following sequence of events several times. I can't prove the exact causality, but I have a strong suspicion about what is going on here. You can be the judge. clinical presentation A patient presents for management of a pleural effusion. A pigtail chest drain is inserted without difficulty or complication. The drain […] EMCrit Project by Josh Farkas.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
PulmCCM
MARCH 17, 2025
Virtually all critically ill patients experience pain, anxiety, sleep disturbance, agitation, or a combination of these bothersome symptoms. Relieving these burdens should be considered a fundamental aspect of caring for the most seriously ill. Sedatives and analgesics can also be overused, slowing patients’ recovery or increasing their likelihood of disability.
The Bottom Line
MARCH 21, 2025
Whats new in the Critical Care literature monthly updates
EMergucate
MARCH 18, 2025
The following ECG is from a 40yr old male patient: What is your diagnosis and management of this patient?
Board Bombs
MARCH 16, 2025
Measles is making a comeback! Learn how to recognize key symptoms, prevent misdiagnosis, and manage MMR infections in the emergency department. Stay prepared for this highly contagious disease. Measles is making a comeback! Learn how to recognize key symptoms, prevent misdiagnosis, and manage MMR infections in the emergency department. Stay prepared for this highly contagious disease.
Sensible Medicine
MARCH 15, 2025
We publish this well-written account of a vaccine injury from a regular Sensible Medicine reader. As an editor, I had a conversation with her and reviewed basic documents to confirm the factual content. I will limit comments to paid subscribers. JMM Like many in February 2021, I had listened for months to public health authorities and followed the recommendations to “flatten the curve” of Covid-19.
The Bottom Line
MARCH 21, 2025
Whats new in the Critical Care literature monthly updates
The Trauma Pro
MARCH 18, 2025
Here’s the last one… for now. If you have followed this blog for any period of time, you are aware of the skepticism I bring to bear when I am reading new material or learning about new ideas. Why is this? Because it is very difficult in this day and age to ascertain the veracity of anything we see, hear, or read. This is not new compared to, say, a hundred years ago.
Dr. Smith's ECG Blog
MARCH 19, 2025
Case submitted by Andrew Grimes, Advanced Care paramedic, with additions from Jesse McLaren and Smith An 84-year-old male with a notable cardiac history (CABG, multiple stents) woke at 0500hrs with pressure in his chest, diaphoresis, and light-headedness. He presented to a rural ED at approximately 0630hrs. Since he was recovering from a recent bout of Influenza-like illness and said yes to several ILI screening questions at triage, his chest tightness and diaphoresis were initially attributed t
EM Ottawa
MARCH 20, 2025
You are working in the low acuity zone of the ED when you encounter your first patient. Shes a 75-year-old female with a history of hypertension, diabetes and total right hip replacement 1.5 months ago presenting with left leg swelling and pain. You see the patient and calculate a Well’s score of 3. Your D-Dimer […] The post In the Shallow: An ED Approach to Superficial Vein Thrombosis appeared first on EMOttawa Blog.
Don't Forget the Bubbles
MARCH 21, 2025
We already know that nasal high-flow (NHF) apnoeic oxygenation is safe and effective in the controlled environment of elective theatre intubation and that it improves first-attempt success rates in neonates. But does it hold up in the unpredictable world of emergency paediatric intubation ? Thats exactly what Shane George et al. set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergen
Sensible Medicine
MARCH 17, 2025
When a doctor does an angiogram during an ST-elevation MI (STEMI), there is a culprit occlusion but often other partial occlusions. The question is: should the doctor stent just the culprit obstruction or all the obstructions? This is a controversial topic in cardiology—not only to sort out the best way to handle STEMI, but more so about how it informs the nature of stable CAD.
EMDocs
MARCH 20, 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.
PEMBlog
MARCH 17, 2025
There are several things you can do to increase your likelihood of success when performing a lumbar puncture in children. Local anesthesia! Early stylet removal! Needle bevel to the hips! Lyrics [CHORUS] Three LPs and one DJ Spinal tap procedure learn the right way [VERSE] Yo, roll the kid side lying tight Or upright holder if that seems right! Early sty let removal, thats the trick, Steady with the hands, dont move too quick!
Dr. Smith's ECG Blog
MARCH 17, 2025
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. It has been stuttering, lasting 10 minutes at a time with associated diaphoresis. His ECG obtained around 8 AM is shown: ECG 1 My guess is most blog readers will make this diagnosis without too much difficulty.
Sensible Medicine
MARCH 19, 2025
Colton Lipfert is an incoming medical student at an east coast medical school. He has worked in the vkprasadlab for the last few years and recently shadowed. When I finished shadowing Dr. Vinay Prasad, I was convinced I had to become an oncologist. When I told him this, he was a little surprised. The day’s work had been downright ordinary for him.
The Skeptics' Guide to EM
MARCH 15, 2025
Date: February 22, 2025 Guest Skeptic: Nicholas Peoples, who is a medical student at Baylor College of Medicine in Houston, Texas. Nicks career has been an exciting blend of global health and emergency medicine. In 2015, Nick was part of the first-ever class to study at Duke Universitys new campus in China, where he earned a masters degree in global health.
Core Medical Group
MARCH 19, 2025
Wondering what life is really like as a travel healthcare provider? Recently, we got to connect with a few of our talented travelers about their journeys with CoreMedical Group. From a first assignment to more experienced travelers, we loved getting to catch up with our staff in the field. Get to know some of our travelers and their favorite parts about traveling, working with Core, and some of the amazing adventures theyve been on.
Don't Forget the Bubbles
MARCH 17, 2025
Which first-line treatment protocol is most likely to be successful? Our most commonly used scabicides in the UK are topical Permethrin 5% cream and oral Ivermectin. This is represented in the guidance given by NICE (National Institute of Clinical Excellence) and BSPAD (British Society for Paediatric and Adolescent Dermatology). Despite multiple systematic reviews , there has long been a debate about which of these is best as the first line and in what protocol (e.g., single dose, repeated dose)
Sensible Medicine
MARCH 21, 2025
One of my patients recently had an executive physical. The eight-page report arrived in my in-basket. This happens regularly enough, two or three times a month, that it shouldn’t bother me anymore. This essay is about why it still does. This Substack is reader-supported. To receive all posts, consider becoming a paid subscriber. I joke that my practice has evolved to become a selective one.
American Medical Compliance
MARCH 21, 2025
The Effective Communication with Patients and Families Training equips healthcare providers with essential skills to enhance patient care through clear, compassionate, and age-appropriate communication. Participants will learn active listening techniques to ensure patients and families feel heard, strategies for expressing empathy, and the value of involving family members in care.
The Evolution & Medicine Review
MARCH 19, 2025
Applicationsare now being accepted for the 2025 Evolutionary Medicine Summer Institute (EMSI), which will focus on Overcoming Resistance: Harnessing Evolutionto control Cancer, Infectious Diseases, and Pests May 19-23 at North Carolina State University in Raleigh, NC The workshop will introduce participants to the diversity of evolutionary approaches that have emerged to control disease, including adaptive therapy, combination drug therapy, […]
Medical Law
MARCH 18, 2025
NordstrandBlack PC is thrilled to announce that we will be offering three college scholarships this year. Each of our Reach for the Summit scholarships is for $750 , and the contest is open to current college students and high school seniors who plan to pursue a four-year college degree. You can learn more about contest rules and details here. For over 30 years, NordstrandBlack PC has been helping people in Santa Barbarawe feel honored to live and work in this wonderful community and give back i
Sensible Medicine
MARCH 20, 2025
Regular readers of Sensible Medicine will understand that this post by Rebecca Silverman needs no introduction. Adam Cifu Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. Every 5-7 years, we each have to renew our licenses and passports, take our cars for inspections, replace major home appliances, or hire a contractor to fix a broken pipe.
American Medical Compliance
MARCH 20, 2025
The Professional Conduct Training teaches healthcare providers essential principles for maintaining a respectful, collaborative, and ethical workplace. Providers will learn strategies for teamwork to enhance patient care, recognize professional and unprofessional behavior, and understand the importance of respect and dignity in healthcare settings. Mastering these skills fosters a positive work environment, strengthens patient trust, and ensures high standards of care.
NRC Health
MARCH 17, 2025
Healthcare employee burnout poses a significant threat, impacting both staff retention and the quality of patient care. A recent NRC Health webcast explored effective strategies to combat burnout by focusing on fostering trust, granting control, and implementing continuous listening practices within healthcare organizations. The post Enhancing healthcare workforce well-being: Strategies for success appeared first on NRC Health.
Greater Sydney Area HEMS
MARCH 16, 2025
Some patients require transfer with medical equipment that we may not deal with frequently, or at least in the context of an inter-hospital environment. Examples of such equipment include external ventricular drains (EVDs) and temporary pacing wires. Our very own Dr Ruan Vlok spoke at the Greater Sydney HEMS Education Day on 9th October 2024 about just this subject, and the talk(s) are now on our YouTube channel.
Mind The Bleep
MARCH 16, 2025
We’ve partnered with Doctors Paycheck to provide a comprehensive webinar on Understanding Resident Doctors’ Pay. The session aims to equip doctors with essential knowledge about their salary , common pay errors, and strategies to optimise their take-home pay. They’re also offering our audience an exclusive code for 20% off their calculators at the end of this article – the calculators are well worth checking out because it makes spotting errors really easy!
American Medical Compliance
MARCH 20, 2025
The Operating Room Protocols Training equips healthcare providers with essential guidelines to enhance surgical safety, prevent complications, and improve patient outcomes. With millions of surgeries performed worldwide, surgical safety remains a critical public health concern.This training covers key surgical protocols, including patient safety measures, procedural checklists, and best practices for preventing in-hospital complications, ensuring a higher standard of care in surgical settings.
PulmCCM
MARCH 20, 2025
Normal sleep patterns aren’t just altered in critically ill, mechanically ventilated patients—often, they’re virtually wiped out by the use of heavy sedatives around the clock. Natural circadian rhythms are further disrupted by the ICU’s absence of natural light, and frequent awakenings from sleep due to discomfort, noise, and interventions.
Emergency Medicine Education
MARCH 21, 2025
We often tend to spend more time on pediatric resuscitation and CPR compared to adults. However, the question remains: what is the optimal duration of resuscitation efforts in these patients before considering termination? A recent retrospective study from Japan addressed this issue and found that fewer than 1% of children achieved favorable neurological outcomes (defined as moderate disability or better at one month) when CPR exceeded 64 minutes.
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