The Trauma Pro

FEBRUARY 14, 2025

The Advanced Trauma Life Support course lists “classes of hemorrhage”, and various other sources list a similar classification for shock. I’ve not been able to pinpoint where these concepts came from, exactly. But I am sure of one thing: you will be tested on it at some point in your lifetime. Here’s the table used by the ATLS course: The question you will always be asked is: What class of hemorrhage (or what % of blood volume loss) is the first to demonstrate systolic hy

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Shock Resuscitation 147

Science Based Medicine

FEBRUARY 14, 2025

$160 million is a lot of money, especially when you consider its not just money. It's lost dreams, careers, and discoveries. The post Open Letter II: President Levin, There Are Now 160 Million Reasons Why You Shouldnt Have Censored We Want Them Infected Doctors first appeared on Science-Based Medicine.

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St. Emlyn

FEBRUARY 11, 2025

St.Emlyn's - Emergency Medicine #FOAMed This months St Emlyns podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. Plus, insights from major conferences like EUSEM 2024.

Airway Management 72

Airway Management Poisoning Pediatrics Resuscitation 72

EMDocs

FEBRUARY 12, 2025

Authors: Ahmed Mashal (Emergency Medicine Resident, Atrium Healths Carolinas Medical Center); Ann-Jeannette Geib, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Healths Carolinas Medical Center) // Reviewed by: Christopher Counts, MD (Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A

Best Practices 53

Best Practices Documentation/Coding Radiology Radiology 53

Clinical Correlations

FEBRUARY 14, 2025

By Daniel Martinez-Krams Peer Reviewed You are rounding on your patients, and your team is discussing a 52-year-old man with HIV who came in with shortness of breath and fever and was found to have pneumonia.

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Science Based Medicine

FEBRUARY 13, 2025

Electrolyte drinks are very popular - but are they necessary? The post Do you need to drink electrolytes? first appeared on Science-Based Medicine.

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NRC Health

FEBRUARY 12, 2025

After the opening workshop, we're taking attendees on The World-Famous Studio Tour at Universal Studios Hollywood! The post Join the Pediatric Collaborative for a special evening at Universal Studios Hollywood appeared first on NRC Health.

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Pediatrics 52

Life in the Fast Lane

FEBRUARY 9, 2025

Chris Nickson Clonidine Critical Care Compendium entry for Clonidine (pharmacology)

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Science Based Medicine

FEBRUARY 10, 2025

When used responsibly botulinum toxin is very safe, but patients should be especially vigilant about cosmetic treatments done outside a medical setting. The post Botulinum Toxin: A tale of medicine, beauty, and danger first appeared on Science-Based Medicine.

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Intensive Blog

FEBRUARY 14, 2025

As prepared by Chris Nickson, here are the practice written questions from a recent CICM Second Part exam practice session at The Alfred ICU, with recommended reading from LITFL.com Critical Care Compendium and other FOAM sources: Q1. A 34-year-old patient presents to the emergency department with a suspected recreational drug overdose and is intubated for a low Glasgow Coma Scale (GCS).

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Psychiatric Forensics PPE 52

PEMBlog

FEBRUARY 10, 2025

Ketamine is an amazing drug for procedural sedation in the Emergency Department. Kids also look wild when they’re on it – some people call that look the “K-Hole.” Imagine a creepy industrial metal song about that… go ahead… I’ll wait. Lyrics Welcome to the K hole Now you’re deep inside Not responding to stimuli But your eyes are open wide We can reduce your fracture straight no pain without a wait side effects include emesis laryngospasm, agitation

Fractures 52

Fractures Emergency Department 52

The Trauma Pro

FEBRUARY 11, 2025

In the last two posts, I’ve examined the phenomenon of delayed diagnosis or missed injury. I believe that there are only two fundamental reasons why this occurs: Insufficient diagnostic technique – A good physical exam and/or specific diagnostic techniques were not performed. Or rarely, the injury cannot be readily detected by existing techniques and technology.

Radiology 127

Radiology Radiology Fractures 127

Sensible Medicine

FEBRUARY 8, 2025

Professor Jeffrey Flier is a distinguished service professor and Higginson Professor of Physiology and Medicine at Harvard Medical School. He is the former dean of Harvard Medical School. We talked about the recent (and sudden) change in NIH funding. First a note on Professor Flier. He is not a normal medical school dean. He is active online. He speaks candidly, often critically.

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Academics Research Administration 118

American Medical Compliance

FEBRUARY 11, 2025

Patients who receive restorative nursing care are 32% less likely to be readmitted to the hospital than those receiving standard care, as reported in the Journal of the American Geriatrics Society. This is because the principles of restorative nursing go beyond basic medical careit actively engages patients in their recovery through mobility training, self-care support, and personalized rehabilitation.

Stroke 99

Stroke Administration Best Practices Wellness 99

Science Based Medicine

FEBRUARY 12, 2025

It’s always good (and frustratingly rare) to see the mainstream media get it right when it comes to pseudoscience in medicine. Too often the narrative is – scientists are baffled at this alternative “one easy trick” to improve your health. Most mainstream articles on pseudoscience in medicine frame their reporting around a positive anecdote, and at best throw in some token skepticism […] The post BBC Takes On Appeal to Nature Fallacy first appeared on Science-Based

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ACEP Now

FEBRUARY 11, 2025

Medicare was initially developed to provide health insurance to address the health care needs of Americans aged 65 and older, many of whom lacked adequate insurance coverage and the capacity to keep up with general workforce requirements. Medicare has long been the cornerstone of health care for millions of Americans and, therefore, often sets the benchmark for health care reimbursement.

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Hospitals Emergency Department Wellness Outcomes 80

Don't Forget the Bubbles

FEBRUARY 10, 2025

A new path to explore What is the problem? Survival rates for babies born very pretermbefore 32 weeks of gestationhave improved significantly in recent decades. However, this progress also means that more babies are surviving with serious complications related to preterm birth. In the United Kingdom, neonatal care is routinely funded until babies reach 44 weeks corrected gestational age (CGA).

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Hospice Outcomes Emergency Department Hospitals 80

American Medical Compliance

FEBRUARY 14, 2025

image source: [link] Workplace harassment is a widespread issue, and healthcare is no exception. In healthcare settings, harassment not only impacts employees but also affects patient care and safety. A global survey by ILO-Lloyds Register Foundation-Gallup found that 17.9% of workers have experienced psychological harassment, 8.5% have faced physical harassment, and 6.3% reported experiencing sexual harassment, with women being particularly vulnerable.

Teamwork 85

Teamwork Leadership Patient Safety Wellness 85

Sensible Medicine

FEBRUARY 14, 2025

Pitchers and catchers. George Vecsey probably said it best. Just say it out loud, the mantra that gets some of us through the winter. Pitchers and catchers, pitchers and catchers. Like NPR republishing Susan Stamberg's cranberry relish recipe or every dance school putting on The Nutcracker each December, I think Sensible Medicine needs a tradition. So here, in honor of the start of spring training, when pitchers and catchers report for duty, a Friday Reflection that I first posted on Feb 17, 202

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Outcomes Hospitals 72

Dr. Smith's ECG Blog

FEBRUARY 14, 2025

Written by Pendell Meyers A man in his 30s presented with acute upper midline abdominal pain and nausea. He described it as radiating into his chest, like "pressure", and "burning". Vitals were within normal limits except bradycardia. Here is his triage ECG: What do you think? Sinus bradycardia, normal QRS. There is STE in several leads including I, aVL, and V2, with STD in II and aVF.

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EKG/ECG Burns 63

EMDocs

FEBRUARY 10, 2025

Today on the emDOCs cast Brit Long interviews Zachary Aust on a mental model for the airway and intubation. Episode 114: Airway/Intubation Mental Model Model: Airway Meds have been pushed… 60 second timer Breathe: 4 count in, 4 count hold, 4 count out, 4 count hold To control our adrenaline surge Light Gripthe laryngoscope (2 finger grip) To avoid over aggressive tongue control Scissorthe mouth open EVLI Epiglottoscopy Light grip following the curvature of the blade looking for landmarks a

Airway Management 60

Airway Management Emergency Department EMS 60

American Medical Compliance

FEBRUARY 14, 2025

Asthma is a chronic respiratory condition that affects millions of individuals worldwide. Proper respiratory management can significantly reduce symptoms. This blog post will explore the key components of Comprehensive Asthma Management Training for Nurses. Whether you’re a nurse looking to deepen your knowledge or a healthcare provider seeking to enhance your team’s skills, this guide will equip you with the tools necessary to provide optimal care to asthma patients.

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Emergency Department CDC 52

Sensible Medicine

FEBRUARY 11, 2025

At Sensible Medicine, we invite debate and discussion. Recently we published a piece broadly supportive of RFK Jr , written by a Danish vaccine researcher, Dr. Schaltz-Buchholzer. In response, we feature a critical letter by Sensible Medicine writer and editor Adam Cifu. I also include a reply from Dr. Schaltz-Buchholzer. Let us know if you enjoy this format.

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Research CDC Pediatrics Outcomes 62

Dr. Smith's ECG Blog

FEBRUARY 8, 2025

Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina. The patient was pain free on arrival, and below are the prior and new ECG.

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EKG/ECG Emergency Department Wellness 66

Total Medical ComplianceHIPAA

FEBRUARY 13, 2025

OSHA: Why is OSHA Ending The COVID-19 Healthcare Rulemaking? A: OSHA has decided to focus on creating a broader Infectious Disease Standard instead of a COVID-19-specific rule for healthcare workers. This approach was always intended to replace the temporary COVID-19 rule and allows OSHA to protect workers from a wide range of infectious diseases, not just COVID-19.

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Infectious Diseases Documentation/Coding 52

American Medical Compliance

FEBRUARY 13, 2025

Diabetes ranks as one of the most prevalent chronic conditions worldwide, impacting millions across age groups. Healthcare providers must understand the complexities of diabetes management to provide effective care and improve outcomes. By diagnosing and monitoring blood glucose levels, managing lifestyle changes, and implementing pharmacological interventions, a comprehensive approach is essential.

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Outcomes Wellness 52

Sensible Medicine

FEBRUARY 12, 2025

What we expect students to do to get into medical school -- and then match into a desirable residency -- is absurd. Why do we do this? Because we won’t admit that we can’t predict who will be a successful doctor. Because there are too many good applicants for the spots we have. Because we are too lazy, or cheap, to invest the time and energy to get to know our applicants.

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Research Academics 58

PulmCCM

FEBRUARY 13, 2025

A collection of interesting articles and news that didn’t get a full write-up. -Ed. Strokes Endovascular treatment of smaller occlusions Mechanical thrombectomy improves outcomes in patients with ischemic strokes with occlusions of large arterial branches in the anterior (and very occasionally posterior) circulation. In two randomized trials enrolling 543 patients in Europe and the Middle East, endovascular treatment of smaller or more distal occlusions did not lead to improved functional

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Research Stroke CPR Outcomes 52

Total Medical ComplianceHIPAA

FEBRUARY 13, 2025

HIPAA is a cornerstone of patient privacy in healthcare, but ensuring compliance is not just the responsibility of IT or the compliance team. Every staff member, from receptionists to clinicians to administrative personnel, plays a vital part in safeguarding Protected Health Information (PHI). Heres an overview of the responsibilities different roles have in maintaining HIPAA compliance.

Documentation/Coding 52

Documentation/Coding Best Practices Administration 52

EM Ottawa

FEBRUARY 13, 2025

Procedural sedation (PS) is a cornerstone of Emergency Medicine, frequently employed in the Emergency Department (ED) to facilitate painful or anxiety-provoking procedures while ensuring patient comfort. The goal is to achieve optimal sedation while allowing for rapid recovery and minimizing complications. Despite its routine use, PS requires meticulous preparation, risk stratification, and vigilance for potential […] The post Snooze Control: Procedural Sedation 101 appeared first on EMOtt

Emergency Department 52

Emergency Department Pediatrics Resuscitation 52

American Medical Compliance

FEBRUARY 12, 2025

Wound care is a vital part of patient management, especially for advanced practice registered nurses (APRNs) and registered nurses (RNs) treating complex, chronic, and high-risk wounds. As medical technology and treatments evolve, healthcare professionals must stay current with the latest practices and evidence-based strategies. The Advanced Wound Care Management Certification for APRN and RN Training offers in-depth knowledge and hands-on skills to help nurses excel in this specialized field.

Outcomes 52

Outcomes Patient Safety Wellness 52

ACEP Now

FEBRUARY 11, 2025

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent. He was notably diaphoretic, tachycardic, and severely agitated, requiring physical restraint by multiple security and medical team members for patient and staff s

Poisoning 52

Poisoning Administration Emergency Department Wellness 52

NRC Health

FEBRUARY 11, 2025

NRC Health is proud to partner with UC Health, a relationship designed to support the evolving needs of the patients, consumers, and broader communities UC Health serves. UC Health will leverage NRC Healths innovative and trusted Market Insights and Community Insights solutions to truly understand the unique needs, behaviors, and preferences of consumers in todays complex healthcare landscape.

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Board Bombs

FEBRUARY 8, 2025

Breathtaking performances at the Grammy's this year. Speaking of breathtaking, let's talk TB! 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, Wosiki-Kuhn, Marlena. 250. This is Tuberculosis- ain't no hold 'em. February 10th, 2025. Accessed [date].

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EMS 52

JournalFeed

FEBRUARY 8, 2025

The JournalFeed podcast for the week of Feb 4-7, 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 : Patients who received as-needed antihypertensive medications while hospitalized had higher risk for acute kidney injury (AKI).

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Outcomes Hospitals 52

ACEP Now

FEBRUARY 11, 2025

Around the world, acute pain is the most common reason for patients to present to the emergency department (ED). 1 Regional anesthesia services are typically provided by anesthesiologists; however, there are various reasons why not all hospital models can support a dedicated service line run by anesthesiologists including physician shortage. 2 As the ACEP considers ultrasound guided regional anesthesia a core skill, this leaves a unique opportunity for hospital systems to leverage emergency phys

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Emergency Department Fractures Ultrasounds Hospitals 52

Maria Yang, MD

FEBRUARY 13, 2025

Yang the Elder died at the age of 77 on February 8th, 2025. He would not approve of this obituary. Mourning his death are his two older brothers, but his favorite (and only) child misses him the most. He was born in Yangzhou, China, though, six months later, his parents scooped him and his three older brothers up and left the country. They settled in Taiwan and it was there that he met his future wife (who preceded him in death).

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Military Operations 40