The Trauma Pro
FEBRUARY 7, 2025
In my last post, I wrote about the usual reasons for delayed diagnosis: insufficient diagnostic technique or insufficient recognition. What about the time of day? An interesting paper looked at the correlation between admission time and the rate of missed injuries. The work was done at a large teaching hospital and Level I trauma center in Australia.
Ken Grauer, MD
FEBRUARY 1, 2025
I was sent the ECG in Figure-1 obtained from a previously healthy man his 60s, who contacted EMS ( E mergency M edical S ervices ) for new-onset severe burning CP ( C hest P ain ) that radiated to the jaw and throat. On seeing the ECG in Figure-1 the EMS crew activated the cath lab. QUESTION: Do you agree with this decision by the EMS crew to activate the cath lab?
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PulmCCM
FEBRUARY 5, 2025
Neurologists’ job just got harder. Patients who present with ischemic stroke more than 4.5 hours after symptom onset generally do not receive intravenous thrombolytics (tPA or TNK). That’s because outside that accepted window, the risk of intracranial hemorrhage was believed to outweigh the benefits of thrombolytics in restoring blood flow to at-risk brain tissue.
Mind The Bleep
FEBRUARY 2, 2025
As a new F1 in August, it can feel like quite a daunting task to verify a death, particularly if you have never seen this done before. This step by step guide will take you through the process of death verification to help make this task easier as you settle into your new role. Verifying a Death You will usually be asked to verify a death by nursing staff from the ward the patient is on.
St. Emlyn
FEBRUARY 6, 2025
St.Emlyn's - Emergency Medicine #FOAMed We are back at the TBS (The Big Sick) Conference in Zermatt, exploring key research papers that challenge critical care practices. Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing.
Science Based Medicine
FEBRUARY 4, 2025
If confirmed, Kennedy will keep trashing science and will continue exploiting the trashed science he helps create for his own benefit. The post The Trashing of Science by Robert F Kennedy Jr first appeared on Science-Based Medicine.
EM Ottawa
FEBRUARY 6, 2025
Medicine often carries an aura of mystiquea profession elevated by society as a noble calling, a higher pursuit. But for those of us in the trenches, the reality is far simpler (: medicine is a job. A demanding, high-stakes, and sometimes unforgiving job, but a job nonetheless. This isnt a dismissal of its importance but […] The post There IS Beauty in Medicine appeared first on EMOttawa Blog.
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St. Emlyn
FEBRUARY 7, 2025
St.Emlyn's - Emergency Medicine #FOAMed This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care.
Science Based Medicine
FEBRUARY 6, 2025
When it comes to vaccines: If it exists we resist. The post We are not antivaccine, we are pro unattainable vaccine first appeared on Science-Based Medicine.
Northwestern EM Blog
FEBRUARY 4, 2025
Written by: Dean Hayes (NUEM 27) Edited by: Andrew Long (NUEM 25 ) Expert Commentary by: Rafael Lima, MD A mid 20s male presents to the ED after seizure-like activity. Per the patient's partner at bedside, he had a 2-3 minute convulsive episode and the description is consistent with a likely seizure. The patient has never had a seizure before and is A&Ox4 upon arrival to the ED with reassuring examination.
Mind The Bleep
FEBRUARY 2, 2025
Often one of the scariest things you can do as you will most likely be speaking to a more senior colleague in an unfamiliar speciality. However, as an F1, you may well know the patient best and therefore you may be best placed to refer the patient. Our Webinar Introduce yourself and say on whose behalf you are making the referral Remember, you hold all the information about the patient and are therefore in the driving seat Use the SBAR approach and you wont go far wrong Know why you are referrin
Dr. Smith's ECG Blog
FEBRUARY 2, 2025
Written by Pendell Meyers A man in his 60s presented with acute chest pain. Here is his triage ECG: What do you think? There is sinus rhythm with clear LVH. Leads V5-6 are suspicious for upright, enlarged T waves that are possibly inappropriate for the QRS complex, especially V6. But without a baseline for comparison, it would be difficult for me to say that it is specific and diagnostic for OMI.
Science Based Medicine
FEBRUARY 5, 2025
Documentaries can be powerful. They can use the mature art-form of cinema in order to convey a specific narrative. The viewer can get drawn into that narrative, unaware they are being exposed to a very one-sided or limited take on a complex topic. A recently, for example, participated in a fun review of the Earthing Movie which was basically propaganda for the […] The post The Telepathy Tapes More FC Pseudoscience first appeared on Science-Based Medicine.
EMCrit
FEBRUARY 7, 2025
Part 2 of Inotropes with Trina - we discuss specific scenarios. EMCrit Project by Scott Weingart, MD FCCM.
Mind The Bleep
FEBRUARY 2, 2025
This is a tricky area to cover as it can be challenging to us both personally and professionally when things dont go well with a colleague, particularly when we know that this might impact patient care and/or our own mental health. The longer these negative interactions go on, the more likely they are to significantly impact on outcomes for our patients, our colleagues and ourselves.
EB Medicine
FEBRUARY 5, 2025
In this episode, Sam Ashoo, MD interviews Erin D'Agostino, MD about the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Pathophysiology Types of Traumatic Brain Injuries Pre-Hospital Care Critical History and Physical Examination Neurological Assessment and Monitoring Laboratory and Imaging Studies Emergency Department Treatment Surgical Interventions and Considerations Patient DemographicsSummary of major points disc
Science Based Medicine
FEBRUARY 7, 2025
As Lysenkoism 2.0 looms, those of us who have warning about this for years are not to blame for the problems we write about, and we have nothing to apologize for. The post I Confess My Sins: I Was Too Slow and Timid to Call Out Propaganda For What It Is. first appeared on Science-Based Medicine.
The Skeptics' Guide to EM
FEBRUARY 1, 2025
Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Dr. Tabitha Cheng Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well.
Mind The Bleep
FEBRUARY 2, 2025
As a resident doctor, you will have face situations where you have to convey potentially distressing information, whether it is explaining a diagnosis or blood results to a patient or giving difficult news to relatives. Breaking bad news well is an essential communication skill which can strengthen the relationship between a patient and a doctor and create an environment where the patient and/or their families feel respected and supported.
EMCrit
FEBRUARY 4, 2025
EMCrit RACC-Lit for January 2025 All the literature goodness! EMCrit Project by Scott Weingart, MD FCCM.
EMDocs
FEBRUARY 6, 2025
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // 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.
Don't Forget the Bubbles
FEBRUARY 5, 2025
Topic Major Trauma – Injuries by Assault Author Hannah Downing Expert Reviewer Vicki Currie Facilitator Level ST4+ Learner Level Foundation doctors, ANPs, core and middle grade level paediatric/ED trainees Outline Pre-reading Background Basic Case 1: Kick to the Head Case 1: Discussion Basic Case 2: Stab Wound to the Chest Case 2: Discussion Advanced Case 3: Non-Fatal Strangulation Case 3: Discussion Advanced Case 4: Gunshot Wound to the Abdomen Case 4: Discussion Simulation Quiz Take Home
Mind The Bleep
FEBRUARY 2, 2025
Here we assume you know the basics , and instead we focus on the common pitfalls with tips on how to be safe & well reasoned. Not all FY1s have the opportunity to clerk patients but the underlying principles are of great value if youre doing an FY1-led ward round. Be Thorough The expectation is that you are slow and thorough if you rush you can make mistakes & you end up spending more time worrying than seeing patients.
Life in the Fast Lane
FEBRUARY 6, 2025
Chris Nickson Prazosin Critical Care Compendium pharmacology entry for prazosin.
St. Emlyn
FEBRUARY 4, 2025
St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why its a systemic issue rather than an individual failure, and what changes are needed to maintain competency. The post Podcast – Skills Fade with Nathalie Pattyn at Tactical Trauma 24 appeared first on St.Emlyn's.
Sensible Medicine
FEBRUARY 3, 2025
We are back with a riveting discussion
Mind The Bleep
FEBRUARY 2, 2025
A lot of your time as an FY1 will be spent on the phone to various other specialities. Youll come across patients with infections in all your rotations, and – if they dont present with one – it may develop during admission. So, its a good idea to make talking to Microbiology as productive (and painless!) as possible. Calling micro for advice Calling other specialities to ask advice was always a palm-sweating, tongue-tying experience for me.
NRC Health
FEBRUARY 5, 2025
NRC Health is honored to receive the Best in KLAS 2025 Award for Healthcare Experience Management, highlighting our commitment to excellence and innovation. The post NRC Health ranked #1 Best in KLAS for Healthcare Experience Management appeared first on NRC Health.
JournalFeed
FEBRUARY 1, 2025
The JournalFeed podcast for the week of Jan 27-31, 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. Tuesday Spoon Feed: There was no difference in patient centered outcomes between trauma patients who received either restrictive or liberal oxygen therapy in this RCT.
EM Ottawa
FEBRUARY 6, 2025
Methodology 3/5 Usefulness 2/5 Hoppe JA, et al. Ann Emerg Med. 2024 Jan;83(1):3-13. Question and Methods: The study evaluated whether integrating prescription drug monitoring program (PDMP) tools with clinical decision support in EHR workflows improved PDMP usage and opioid prescribing practices using a stepped-wedge design. Findings: PDMP usage improved modestly during clinical alerts (23.8%), but […] The post Implementation of Electronic Health Record Integration and Clinical Decision Su
Mind The Bleep
FEBRUARY 2, 2025
It is important for resident doctors to understand what the discharge planning process involves so you can have an active role in multidisciplinary team meetings. This article focuses on discharging home with an appropriate package of care but discharge planning also involves discharging to different types of homes ( which is discussed in another article ).
NRC Health
FEBRUARY 6, 2025
Join us for the Pediatric Collaborative Roundtable Sessions for a fast-paced, engaging event where youll connect with healthcare leaders, learn from case studies, and explore strategies to enhance patient care, utilize data-driven decision-making, and foster interdisciplinary collaboration. The post Find inspiration during the Peds Collaborative Roundtable Sessions appeared first on NRC Health.
EMDocs
FEBRUARY 1, 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: Can We Use PERC-35 to Rule Out PE in Younger Patients? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinic
Board Bombs
FEBRUARY 1, 2025
You intubate. and then your patient codes. What did you do wrong? When is "ABC" the wrong order? Let's dive into this nuanced topic in critical care. 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. 249. Clean kill: how intubation kills your pt.
Pediatric Education
FEBRUARY 2, 2025
PediatricEducation.org is taking a short break. The next case will be published on 2/10/25. In the meantime, please take a look at the different Archives and Curriculum Maps listed at the top of the page. We appreciate your patronage, Donna DAlessandro and Michael DAlessandro, curators.
Ken Grauer, MD
FEBRUARY 7, 2025
I was sent the ECG in Figure-1 without the benefit of any clinical information. QUESTIONS: What is the rhythm? How certain are you of your answer? Figure-1: The ECG I was sent. ( To improve visualization I've digitized the original ECG using PMcardio ). MY Thoughts on Making the Diagnosis: Rather than a "Yes-No" answer ( ie, Rather than saying the rhythm is VT vs SVT ) it is preferable to simply describe what you see.
Dr. Smith's ECG Blog
FEBRUARY 6, 2025
Written by Magnus Nossen (with 2 important comments by Smith at the bottom) The patient in todays case is a 50 year old man who presented due to "dizziness" and episodes of presyncope. The patient's symptoms had started about 14 days prior to admission but worsened significantly during the course of the last 24 hours. Previously healthy, taking no medication and exercising regularly.
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