Sensible Medicine

JANUARY 23, 2025

Two health obsessions that I’ve never really understood are the supposed benefits of vitamin D (for every imaginable ill) and harm of seed oils. Dr. Bobby Dubois thinks a lot about the evidence behind health recommendations on his podcast. His research has led him to a pretty clear opinion about the role of seed oils in health and disease. Attentive Sensible Medicine readers will note that his take is a bit different from that expressed in a recent post.

Wellness 111

Wellness Stroke Research 111

EM Literature of Note

JANUARY 21, 2025

The last decade or so featured a rather notable increase in palatability for the conservative management of appendicitis. Why undergo surgery for a condition antibiotics can cure? You wouldn’t take out your bladder for a urinary tract infection, would you? This latest randomized trial adds to the evidence surrounding the “antibiotics first” strategy for appendicitis by expanding it to children.

Operations 92

Operations Hospitals 92

St. Emlyn

JANUARY 21, 2025

St.Emlyn's - Emergency Medicine #FOAMed Learn more about the Ten Second Triage tool in this interview recorded at Tactical Trauma 24. The post Podcast – Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24 appeared first on St.Emlyn's.

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122

Emergency Medicine Journal

JANUARY 21, 2025

Trauma remains a significant cause of mortality and morbidity. Non-compressible torso haemorrhage is one of the key drives of these mortality data. Our contemporary management has focused on damage control resuscitation, with a focus on haemorrhage control, haemostatic resuscitation and permissive hypotension. The evidence for permissive hypotension lacks the robustness as other treatments, such as tranexamic acid.

Resuscitation 91

Resuscitation 91

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

Sensible Medicine

JANUARY 21, 2025

Sensible Medicine is spoiled with great submissions. A challenge we face is needing to pass on articles which are interesting, thoughtful, and well-argued but which fall outside our lane – articles that are not even “medicine adjacent” This article, the second we have published by Charles Silver, pushes the edge of the envelope. I think there is enough of the intersection of medicine and society for us to publish this, especially as public health and politics seems to be gettin

Shock 102

Shock Wellness 102

PEMBlog

JANUARY 21, 2025

The concurrent circulation of influenza, respiratory syncytial virus (RSV), COVID-19, and norovirus during peak viral seasons presents a diagnostic challenge in pediatric emergency settings. Differentiating these pathogens based on clinical presentation is crucial for targeted management, minimizing unnecessary diagnostic tests, and optimizing healthcare resources.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Pediatrics Dehydration Outcomes 52

Emergency Medicine Journal

JANUARY 21, 2025

This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlighted each paper’s main findings, key limitations and clinical bottom line.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

RebelEM

JANUARY 21, 2025

Background: The current standard care for evaluating pulmonary embolism (PE) advises against D-dimer testing in patients with a high clinical probability. European and American guidelines emphasize a sequential diagnostic approach based on pretest probability assessment using either a formal clinical decision instrument (e.g., Wells’ , Revised Geneva ) or clinical gestalt.

EMS 45

EMS Research Wellness Outcomes 45

The Skeptics' Guide to EM

JANUARY 18, 2025

Date: January 7, 2025 Dr. Dara Kass Guest Skeptics: Dr. Dara Kass is an emergency medicine physician, public health leader, and advocate passionate about equity and healthcare reform. She founded FemInEM, promoting gender equity in emergency medicine, and champions organ donation reform after donating part of her liver to her youngest son. Dr. Kass is dedicated to expanding reproductive healthcare access and educating the public on healthcare policy.

Academics 46

Academics Emergency Department EMS Outcomes 46

Board Bombs

JANUARY 19, 2025

Live from New Orleans! We're telling you the ultimate secret to managing back pain in the ED. You'll never guess what works the best to treat acute low back pain (and you might be disappointed to hear it- let's be real!). Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here.

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52

Emergency Medicine Journal

JANUARY 21, 2025

A short systematic review was undertaken to assess whether intradermal sterile water injections (ISWI) provide effective pain relief in adult patients presenting to the Emergency Department (ED) with renal colic. MEDLINE, Embase, Cochrane and Google Scholar databases were searched, identifying seven relevant studies. Study information, patient characteristics, key results and methodological weaknesses were tabulated.

Emergency Department 52

Emergency Department Research 52

The Evolution & Medicine Review

JANUARY 24, 2025

The abstract deadline is February 3 for the 10th annual meeting of the International Society for Evolution, Medicine, and Public Health will be at Vanderbilt University in Nashville this year, just before a big symposium to celebrate the centenary of the Scopes trial.

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52

Life in the Fast Lane

JANUARY 23, 2025

Mark Corden Funtabulously Frivolous Friday Five 362 Funtabulously Frivolous Friday Five 362 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

Fractures 52

Fractures 52

Greater Sydney Area HEMS

JANUARY 23, 2025

Visit the post for more.

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52

Emergency Medicine Journal

JANUARY 21, 2025

Background Extreme weather events due to human activities have significantly increased the frequency and severity of hydrological disasters like floods, impacting human health and healthcare systems worldwide. This study analyses the patterns of emergency service utilisation of the May 2023 flood in Romagna, Italy, and specifically investigates the differences in emergency department (ED) visits and mortality between individuals exposed and not exposed to the flood.

Emergency Department 52

Emergency Department Wellness 52

Core Medical Group

JANUARY 23, 2025

Meet traveling physical therapist, Mark Zajac! Get to know Mark and how he found CoreMedical Group as well as his favorite things about traveling with us.

Wellness 52

Wellness 52

Life in the Fast Lane

JANUARY 21, 2025

Parvathy Suresh Kochath, Georgina Beech, Leon Lam and Jennifer Davidson CT Case 098 A 60-year-old female with past history of lung cancer, treated with radiotherapy one year prior, has a routine surveillance CT as an outpatient.

Radiology 52

Radiology Radiology 52

EMergucate

JANUARY 21, 2025

The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.

EKG/ECG 52

EKG/ECG 52

Emergency Medicine Journal

JANUARY 21, 2025

Background Growing numbers of avoidable low-acuity visits to emergency departments (ED) are a major health policy concern globally and are thought to contribute to ED crowding. This study explores the differences in the utilisation of low-acuity ED visits between culturally and linguistically diverse (CaLD) migrants and English-speaking background (ESB) population.

Emergency Department 52

Emergency Department 52

Board Bombs

JANUARY 19, 2025

Live from New Orleans! We're telling you the ultimate secret to managing back pain in the ED. You'll never guess what works the best to treat acute low back pain (and you might be disappointed to hear it- let's be real!). Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here.

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52

Ken Grauer, MD

JANUARY 18, 2025

The ECG in Figure-1 was obtained from an older woman who presented to the ED ( E mergency D epartment ) because of a syncopal episode. She was asymptomatic at the time this ECG was recorded. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Is there AV block? If so What kind? Figure-1: The initial ECG in today's case. ( To improve visualization I've digitized the original ECG using PMcardio ).

EKG/ECG 257

EKG/ECG Wellness 257

Sensible Medicine

JANUARY 19, 2025

Today’s guest column is by Dr. Frederik Schaltz-Buchholzer. He is Danish expert in vaccine science, who is supportive of US reforms. How can be possibly be enthusiastic about RFK Jr? And enthusiastic despite writing, “[Mr Kennedy] focuses on topics that are potentially important/relevant, and then unfortunately often exaggerates or distorts the facts.” So what are the facts, and what are the distortions?

Administration 145

Administration Pediatrics Research Outcomes 145

Emergency Medicine Journal

JANUARY 21, 2025

Background Sex-based disparities in acute coronary syndrome (ACS) presentations exist and women often have worse outcomes after an ACS event. Calling the emergency medical services (EMS) initiates prehospital diagnosis and treatment and reduces in-hospital time to treatment. This study aims to identify factors affecting the intention to call EMS and EMS usage in Australian women and men.

EMS 52

EMS Hospitals Outcomes 52

Dr. Smith's ECG Blog

JANUARY 24, 2025

Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD) presented with acute substernal chest pressure with diaphoresis which woke him from sleep just after midnight. He said it felt like "someone ripped [his] heart out." Ominous. While walking into the ED, the patient had an episode of "dizziness" causing him to fall onto his stomach.

EKG/ECG 125

EKG/ECG Hospitals Wellness 125

Ken Grauer, MD

JANUARY 24, 2025

I was sent the ECG in Figure-1 without clinical information. I interpreted the rhythm as AFib ( A trial F ibrillation ). QUESTION: Do you see anything else? Figure-1: The initial ECG in today's case. Take another LOOK. To facilitate description I've numbered the beats in Figure-2. Figure-2: I've numbered the beats from Figure-1. Confession: I initially looked at this tracing too quickly.

EKG/ECG 238

EKG/ECG Stroke 238

Sensible Medicine

JANUARY 24, 2025

I frequently get asked whether learning critical appraisal is still important. The argument is that with the complex ways that industry – pharma and device makers — manipulates trials, appraising trials is hopeless unless you have at least an MPH. I totally disagree with this sentiment. A little bit of common sense, an understanding of study design, and some basic stats can carry you a very long way.

Research 120

Research Hospitals Outcomes Wellness 120

Emergency Medicine Journal

JANUARY 21, 2025

Background Evidence regarding high-dose inhaled corticosteroids (HDICS) in asthma exacerbations in adults is insufficient. This study compares the treatment outcomes of HDICS as add-on therapy to the outcomes of standard treatment in adult patients with acute asthma exacerbation in the ED. Methods This was a single-centre, triple-blind, randomised controlled trial conducted in the ED in Thailand between March 2022 and April 2023.

Hospitals 52

Hospitals Outcomes 52

Dr. Smith's ECG Blog

JANUARY 23, 2025

This was written by Hans Helseth. He just graduated from college. He has no medical training, but he has read this blog for years. He is an ECG tech who hopes to go to medical school. He has never been poisoned by the STEMI/NSTEMI paradigm because he has never been to medical school. Lucky Hans. You don't need to have medical training to recognize OMI on the ECG.

EKG/ECG 116

EKG/ECG Poisoning Wellness 116

The Bottom Line

JANUARY 24, 2025

ADAPT-Sepsis: PCT or CRP-guided Antibiotic Duration for Patients with suspected Sepsis Dark et al. JAMA Dec 9 2024. doi:10.1001/jama.2024.26458 Clinical Question For critically ill adults with suspected sepsis, does a procalcitonin (PCT) guided or C-reactive protein (CRP) guided antibiotic discontinuation prompt, compared with usual care, reduce the total duration of antibiotics without increasing all-cause 28-day mortality?

Sepsis 115

Sepsis 115

American Medical Compliance

JANUARY 23, 2025

A recent Joint Accreditation Data Report shows that healthcare continuing education is expanding to meet the growing needs of the industry. In 2022, the number of organizations providing healthcare training increased from 132 to 146, marking a 10% rise from the previous year. Additionally, learning opportunities saw significant growth, with a 31% increase in training programs and a 13% rise in participation among healthcare professionals.

Best Practices 105

Best Practices Patient Safety Teamwork Wellness 105

Emergency Medicine Journal

JANUARY 21, 2025

Background Rapid identification of individuals with acute respiratory infections is crucial for preventing nosocomial infections. For rapid diagnosis, especially in EDs, lateral flow devices (LFDs) are a convenient, inexpensive option with a rapid turnaround. Several ‘multiplex’ LFDs (M-LFDs) now exist, testing for multiple pathogens from a single swab sample.

Emergency Department 52

Emergency Department Hospitals 52

Dr. Smith's ECG Blog

JANUARY 18, 2025

I was texted this case by Ankur Kalra , an interventional cardiologist at the University of Indiana. He also did his cardiology fellowship at my institution, Hennepin County Medical Center. He runs the Parallax podcast, and he inteviewed me on that Podcast this year. He says the podcast had over 3000 downloads and "It's our season 6 topper" Here it is: Ep 121: OMI/NOMI: A Paradigm Shift in Myocardial Infarction Diagnosis With Dr Stephen Smith By the way, also don't miss this new OMI review artic

EKG/ECG 117

EKG/ECG Wellness 117

Mind The Bleep

JANUARY 24, 2025

A brief guide to help you distinguish between inflammatory and non-inflammatory arthritis in UKLME MCQs. Inflammatory Arthritis Inflammatory arthritis will present with: Joints which have pain, stiffness and swelling. Symptoms worse at rest Symptoms get better with activity Symptoms worst in the morning Stiffness which lasts over 30 mins There are many different types of inflammatory arthritis, these include but are not limited to rheumatoid arthritis, psoriatic arthritis and reactive arthritis.

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98

American Medical Compliance

JANUARY 21, 2025

A study published in BMC Geriatrics found that out of 3,693 nursing staff surveyed (with a response rate of 60.1%), 88.8% reported witnessing at least one incident of resident-to-resident aggression in the past year. Resident-to-resident aggression (RRA) is a growing concern in healthcare facilities, particularly in assisted living and long-term care settings.

Teamwork 105

Teamwork Wellness Best Practices Documentation/Coding 105

Emergency Medicine Journal

JANUARY 21, 2025

The need to isolate patients with influenza and COVID-19 in emergency departments (ED) requires quick screening tests for these infections. 1 Given mutations and newer variants of these diseases, vaccines and varying incidence, we assessed the diagnostic accuracy of two rapid screening tests in our ED in Spain during periods of higher and lower prevalence according to the Acute Respiratory Infection Surveillance System data. 2 A retrospective cross-sectional observational study was carried out i

Emergency Department 52

Emergency Department Hospitals 52

EMDocs

JANUARY 18, 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: When to Start Norepinephrine for Septic Shock? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinically rel

Shock 98

Shock Administration 98