PulmCCM
MARCH 4, 2025
Anemia is the norm among critically ill patients, who were historically transfused to normal or near-normal hemoglobin levels in the hope of optimizing their physiology and chances for recovery. In 1999, the Transfusion Requirements in Critical Care (TRICC) trial demonstrated that in a mix of patients with critical illness, restricting red blood cell transfusion to those with hemoglobin <7 g/dL did not worsen outcomes.
PEMBlog
MARCH 4, 2025
In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Plus, well discuss whether M. pneumoniae even needs to be treated in the first place!
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Science Based Medicine
MARCH 7, 2025
Myths spread by contrarian doctors to minimize COVID are being recycled to minimize measles. The anti-vaccine circle is complete. The post Everything Old Is New Again, Again first appeared on Science-Based Medicine.
EMDocs
MARCH 4, 2025
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of the adult patient with meningitis. Episode 115: Adult Meningitis Background: Meningitis is an inflammation of the subarachnoid space, the leptomeninges, and cerebrospinal fluid. Associated with a variety of causes, but a bacterial infection is one of the more dangerous ones.
St. Emlyn
MARCH 4, 2025
St.Emlyn's - Emergency Medicine #FOAMed The St Emlyns Podcast features Dr. Jeff Kerrie discussing hyperbaric medicine. Discover how HBOT works, its role in treating dive-related injuries, and its expanding applications in emergency and critical care. The post Podcast – Hyperbaric Medicine with Jeff Kerrie at LTC appeared first on St.Emlyn's.
The Skeptics' Guide to EM
MARCH 1, 2025
Reference: Bannelier et al. Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embolism: Ancillary analysis of three European studies. AEM Feb 2025 Date: February 27, 2025 Guest Skeptic:Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School Baystate.
Science Based Medicine
MARCH 4, 2025
"RFK Jr. switching sides on vaccines now is like an arsonist urging people to put out the fire he started." The post RFK Jr.: Vaccines Not Only Protect Individual Children From Measles, But Also Contribute To Community Immunity first appeared on Science-Based Medicine.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
St. Emlyn
MARCH 1, 2025
St.Emlyn's - Emergency Medicine #FOAMed Cannabis edibles are raising concerns in emergency medicine due to delayed effects, high THC potency, and inconsistent labeling. A recent study highlights increased ED admissions and resource use among edible users compared to those who inhale cannabis. This analysis explores key findings, clinical implications, and the need for regulatory measures.
EMDocs
MARCH 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: High-Dose Inhaled Steroids for Acute Asthma Spoon Feed Nebulized high-dose inhaled corticosteroid plus a short acting beta-agonist reduced emergency department length of stay in adult asthma exacerbation.
JournalFeed
MARCH 1, 2025
The JournalFeed podcast for the week of Feb 24-28, 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. Thursday Spoon Feed : Nebulized high-dose inhaled corticosteroid use in addition to short acting beta-agonist therapy may reduce emergency department length of stay in adult asthma exacerbation, but additional studies are necessary.
Northwestern EM Blog
MARCH 1, 2025
Written by: Emily Goins (NUEM 26) Edited by: August Grace (NUEM 24 ) Expert Commentary by: Maren Leibowitz, MD Acute respiratory distress syndrome (ARDS) is a condition that is characterized by poor oxygenation and ventilation as a result of diffuse alveolar and endothelial injury in the lungs. There are several etiologies including viral pneumonia, bacterial pneumonia, sepsis, trauma, and pancreatitis.
Pediatric EM Morsels
MARCH 7, 2025
Kids get hurt. And they get sick. Its inevitable. Whether their fingers get caught accidentally in a car door or bedroom door slamming closed, or they trip and fall while running on their uncooperative little toddler legs , or catching all the germs as their immune systems slowly struggle to fight off every known virus to mankind. While most of the time, the injuries and illnesses are minor and self-resolving, every once in a while, there is major injury or illness, and significant bleeding is i
The Trauma Pro
MARCH 5, 2025
Heres another one. Ive seen the clinical problems and poor outcomes that can arise from ignoring it many times over the years. Youve ordered a CT or a conventional x-ray image. The result comes back in your EMR. You take a quick glance at the summary at the bottom of the report. No abnormal findings are listed. So now, in your own mind and in any sign-outs that you provide, the image is normal.
Sensible Medicine
MARCH 6, 2025
There are two groups of workers at hospitals and medical centers. There are those of us who, at times in our daily work, come into contact with blood, s**t, p**s and pus and there are those who don't. The first time I put my hand in blood was when I was a medical student and didn't see the pooling puddle on the patient’s bed. The last time I came into contact with p**s was on rounds in the last month.
St. Emlyn
MARCH 6, 2025
St.Emlyn's - Emergency Medicine #FOAMed Review the publication from London's Air Ambulance of their fascinating data on the survivability from resuscitative thoracotomy. @stemlyns #FOAMed The post JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest – data from 21 years at London’s Air Ambulance appeared first on St.Emlyn's.
Science Based Medicine
MARCH 3, 2025
Measles is back, and so are all the old antivax tropes about the disease and the vaccine. Unfortunately, there's an antivaxxer in charge. The post Measles is back, and so are all the old antivax tropes about it first appeared on Science-Based Medicine.
The Trauma Pro
MARCH 3, 2025
Here’s my first pediatric-specific law. Any time I give a pediatric talk, I mention it. This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest. Similarly, extremely sick children are often brought to the ED by parents or other caregivers.
Dr. Smith's ECG Blog
MARCH 1, 2025
A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He states that it feels like burning and pressure, like GERD. He reports this was similar to how he felt when he had his heart attack 4 years prior, now s/p 4 stents. (The history gives a subtle hint that this might be another acute OMI.) Patient normally takes lisinopril 40 mg daily, atorvastatin 80 mg daily, and ASA 81 daily.
American Medical Compliance
MARCH 3, 2025
Healthcare facilities are fast-paced environments where patient care is the top priority. However, ensuring a safe workplace is just as critical. The California Division of Occupational Safety and Health (Cal/OSHA) enforces regulations to protect healthcare workers from hazards, yet many facilities still face violations that lead to fines, legal issues, and, most importantly, employee injuries.
Science Based Medicine
MARCH 5, 2025
"Journalist" Paul Thacker defends Dr. Jay Bhattacharya and the Great Barrington Declaration by rehashing the same old deceptive rhetoric. The post Paul Thacker relitigates criticisms of Dr. Jay Bhattacharya and the Great Barrington Declaration first appeared on Science-Based Medicine.
The Trauma Pro
MARCH 7, 2025
Healthcare is a complex affair, and sometimes things don’t go entirely as planned. Occasionally, an elective OR may not be available the next day. This is especially true now in the COVID age with hospitals decreasing their OR capabilities. Or it may take longer than usual to medically clear a frail patient for surgery. But here is something to keep at top of mind: Your patient is at their healthiest as they roll in through the emergency department door Yes, major trauma patients are sick,
Dr. Smith's ECG Blog
MARCH 6, 2025
Written by Pendell Meyers Don't miss Ken Grauer's excellent assessment at the bottom. With no context, what do you think this rhythm is? Smith comments : Wide complex tachycardia. The differential diagnosis of WCT is: 1) Sinus tachycardia with "aberrancy" (in this case RBBB and LAFB), but there are no P-waves and the QRS morphology is not typical of simple RBBB/LAFB.
Sensible Medicine
MARCH 3, 2025
Co-editor of Sensible Medicine Vinay Prasad and two colleagues published a remarkable study last week regarding the length of antidepressant drug trials vs duration of therapy in the real world. The median trial duration was 8 weeks while real-world use of these drugs is 5 years. Few trials lasted long enough to monitor for withdrawal symptoms or included taper protocols.
Science Based Medicine
MARCH 5, 2025
An excellent article on the BBC gives a good overview of the continuing controversy over universal lockdowns as a pandemic mitigation strategy during COVID. We now have significant data about how various countries around the world fared compared to their mitigation strategy. Interestingly, this data is unlikely to resolve the controversy. But it can inform our decisions for the next pandemic – […] The post Looking Back 5 Year Later Were Lockdowns Worth It?
Stop and Think
MARCH 2, 2025
I presented Friday at the Western AF symposium. Program director Nassir Marrouche usually asks me to present something provocative. My session assignment this year was a roundtable on the management of AF during the “blanking period” after ablation. I took the opportunity to propose eliminating the blanking period. I give credit for this idea to Drs.
Dr. Smith's ECG Blog
MARCH 3, 2025
This was written by Hans Helseth. A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. She awoke in the morning with sharp chest pain which worsened throughout the morning. As her pain worsened, so did her dyspnea. She was found by paramedics with an oxygen saturation of 64%, but could not tolerate BiPAP during transport due to claustrophobia.
Sensible Medicine
MARCH 7, 2025
FH is a 66-year-old woman who comes in for an urgent visit because she has been feeling woozy for two days. She is very anxious, almost distraught, because she thinks these symptoms are the same as the ones that her sister had before she died of a hemorrhagic stroke. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.
Don't Forget the Bubbles
MARCH 3, 2025
With millions of journal articles published yearly, it is impossible to keep up. This month, the team from Royal Manchester Childrens ED highlights the diversity of current paediatric literature, ranging from air pollution, wheeze, trauma, surgery, to sadly but inevitably, child death. Royal Manchester Childrens Hospital (RMCH) is a tertiary and major trauma centre in the North-West of England.
Greater Sydney Area HEMS
MARCH 6, 2025
Visit the post for more.
American Medical Compliance
MARCH 6, 2025
The ever-evolving healthcare industry demands strong leadership to drive meaningful change. Leaders in healthcare training implement new protocols, foster a culture of continuous learning, and improve patient care. This course equips healthcare professionals with the knowledge and skills to lead impactful training programs. Whether guiding a team through compliance updates or improving interdisciplinary collaboration, effective leadership ensures that teams not only learn best practices.
Sensible Medicine
MARCH 5, 2025
Harm is often mentioned as a disembodied statistic. Perhaps, a footnote beneath a belabored list of flowery benefits. Even under the spotlight it deserves, the visceral reality of harm is euphemized. We tiptoe around the topic, careful to avoid admission to our own errors. There is a lot of discussion of harm on Sensible Medicine. It can originate from poorly designed studies, bad regulators, and conflicts of interest.
ACEP Now
MARCH 5, 2025
A 47-year-old male with a medical history of hypertension, and, prior left upper lobe Pancoast tumor status, post video-assisted left upper lobectomy with chest wall and ribs 1-3 resection, presented to the emergency department (ED) with dyspnea, chest heaviness, and near syncope. He was found to be diaphoretic, speaking two- to three-word sentences, tachycardic to 150 bpm, and episodically hypotensive, with oxygen saturations in the 70 percent range on room air.
American Medical Compliance
MARCH 6, 2025
Healthcare providers can enhance their onboarding process through this Integrating New Employees in Healthcare Training. This course teaches how to familiarize new employees with the organization’s mission, vision, and values while ensuring they understand critical policies. Participants will learn the importance of clear communication and employer responsibilities in creating a supportive work environment.
Sensible Medicine
MARCH 4, 2025
As a general internist, I am obsessed with smoking cessation. I can’t imagine how many times I have said to a patient, “The best thing I can do for your health is to get you to stop smoking.” The decrease in smoking has been an enormous public health success. This is not to say our efforts have been flawless. We have already featured a two - part series by Sally Satel on the topic.
Taming the SRU
MARCH 3, 2025
Inhalation injury results from tissue damage throughout the respiratory tract after inhalation of smoke, heat, or chemicals. Smoke is most common, but exposure to a wide range of chemicals and other irritants may result in inhalational injury. The emergency physician must recognize inhalation injury, and have an expert understanding of its pathophysiology, management and complications.
ACEP Now
MARCH 5, 2025
Location: 22 Bramhall St., Portland, Maine 04102 Social media handle(s): @ mainemedem ; [link] Year founded: 1995 Number of residents: 10 per year, 30 total Program length: 3 years What does your program offer that residents cant get anywhere else? We think our programstrikes a perfect balance of providing incredible clinical training in an academic environment.
Expert insights. Personalized for you.
52 
Let's personalize your content