Sat.Mar 01, 2025 - Fri.Mar 07, 2025

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Guidelines on Red Cell Transfusion (Review)

PulmCCM

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.

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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

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!

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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

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.

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Podcast – Hyperbaric Medicine with Jeff Kerrie at LTC

St. Emlyn

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.

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Bridging Innovation & Patient Care: The Growing Role of AI

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!

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SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients

The Skeptics' Guide to EM

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.

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Proning for ARDS

Northwestern EM Blog

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.

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Cannabis edibles: A cause for concern in the emergency department?

St. Emlyn

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.

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Obstetric Emergencies in PHARM

Greater Sydney Area HEMS

Dr Penny Wilson, GP Obstetrician ( @nomadicgp on X ), joined us recently at a GSA-HEMS Education Day to discuss key peri-partum emergencies in the context of pre-hospital and retrieval medicine. The recognition and management of cord prolapse, breech delivery and shoulder dystocia are discussed in her talk, now on our YouTube channel. For additional revision, or preparation for pre-hospital & retrieval examinations, you may also wish to check out some of the training videos produced by the P

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High Dose ICS | Fast + Fast = Slow?

JournalFeed

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.

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Accountability Training for Healthcare Personnel

American Medical Compliance

The Accountability Training for Healthcare Personnel is designed to educate healthcare providers (HCPs) on the importance of accountability in healthcare settings. This training equips healthcare professionals with the skills and knowledge needed to enhance accountability, improve patient safety, and foster a positive work culture. What You Will Learn: The role of personal responsibility Ethical obligations healthcare providers have toward patients Effective decision-making strategies to enhance

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NRC Health appoints Trent Green as Chief Executive Officer

NRC Health

NRC Health is pleased to announce the appointment of Trent Green as its incoming Chief Executive Officer, effective June 1, 2025. Green will succeed Mike Hays, the companys current CEO, who will transition to the role of Chairman, ensuring a smooth leadership transition while maintaining NRC Healths mission-driven and shareholder-focused approach. The post NRC Health appoints Trent Green as Chief Executive Officer appeared first on NRC Health.

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252. High blood pressure: will your head explode?

Board Bombs

How do you treat asymptomatic hypertension in the ED? When is it urgent? Emergent? We break down what you need to know, myths, and what really matters. 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, Wosiski-Kuhn, Marlena. 252. High blood pressure: will your head explode?

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ECG Blog #471 — Two for One?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a man in his 60s who presented with an acute, febrile pulmonary illness. He has been short of breath but not having chest pain. QUESTION: How would you interpret the ECG in Figure-1 ? Figure-1: The initial ECG in today's case obtained from a man in his 60s with dyspnea, but no chest pain. ( To improve visualization I've digitized the original ECG using PMcardio ).

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The Sixth Law Of Trauma

The Trauma Pro

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.

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JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest – data from 21 years at London’s Air Ambulance

St. Emlyn

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.

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Pay now (in the evening) or pay later with interest (in the middle of the night).

Dr. Smith's ECG Blog

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.

EKG/ECG 121
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Top Cal/OSHA Violations in Healthcare—And How to Avoid Them 

American Medical Compliance

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.

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The Fifth Law Of Trauma – Pediatric

The Trauma Pro

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.

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A New Proposal for AF studies: Jettison the "Blanking Period"

Stop and Think

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.

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Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

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.

EKG/ECG 73
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Clinical Governance Day – Wednesday 12th March, 2025

Greater Sydney Area HEMS

Visit the post for more.

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The Seventh Law of Trauma

The Trauma Pro

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,

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Leading Initiatives in Healthcare Training

American Medical Compliance

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.

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JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest – data from 21 years at London’s Air Ambulance

PHARM

St.

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POCUS-Guided Management of Tension Hydrothorax Causing Cardiac Tamponade

ACEP Now

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.

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Medical Music Mondays: MRSA Melody

PEMBlog

MRSA is the main cause of cutaneous abscesses. You treat them with incision and drainage. remember the lidocaine field block, and break up those locations with a hemostat. Packing isn’t necessary for most abscesses. Lyrics [verse] You know that what they say is true An abscess is infecting you MRSA deep within your skin Drain it with an incision [Chorus] Come on baby drain that pus MRSA infects all of us Lidocaine field blocks best friend Antibiotics in the end [Verse] You think you can ju

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Integrating New Employees in Healthcare Training

American Medical Compliance

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.

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Tasty Morsels of Critical Care 086 | Heparin Induced Thrombocytopaenia

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Following on from the recent post on Heparin, today we’re going to talk about one of its more significant complications – Heparin Induced Thromboyctopaenia or HIT for short. In my notes I had it down as HITTS for hepain induced thrombotic thrombocytopaenia syndrome which I kind of liked as it included the important presence of thrombosis in the context of low platelets.

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Residency Spotlight: MaineHealth Maine Medical Center

ACEP Now

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.

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252. High blood pressure: will your head explode?

Board Bombs

How do you treat asymptomatic hypertension in the ED? When is it urgent? Emergent? We break down what you need to know, myths, and what really matters. 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, Wosiski-Kuhn, Marlena. 252. High blood pressure: will your head explode?

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Talent Development in Healthcare Training

American Medical Compliance

Healthcare providers can enhance workforce development through this Talent Development in Healthcare Training. This course explores the strategic role of talent development in driving organizational success. Also, participants will learn key competencies required for healthcare roles and how internal and external factors impact employee performance.

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A Cool Physiology Study on APRV-TCAV by Zou et al.: Our Thoughts! #FOAMed #FOAMcc

Thinking Critical Care

So when we saw this study come out last week, we thought it was worth having a little chat about it, so let’s see what my usual suspects (when it comes to TCAV and, well a lot of other things…) had to say about it, and of course about TCAV in general! So for anyone who hasn’t yet heard, #HR25 is coming up in a couple of months, and while this year, we are not specifically talking about TCAV, it will be absolutely fantastic, and there is an awesome ventilation pre-congree course

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EMCrit 396 – Some Philosophy of Surgical Airways (Crics) and What to Do When the Doom is Lower Down (Central Airway Obstruction)

EMCrit

Cric Thoughts, a Cric Case, and Central Airway Obstruction with @airwaycam EMCrit Project by Scott Weingart, MD FCCM.

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The Word “Mental” in Project 2025. (iii)

Maria Yang, MD

Just to formally close out the series on Project 2025 and its intersections with mental health, let me comment on the third instance where “mental” shows up in the document. (The series starts here.) In short, the authors advocate that parents have unconditional and prompt access to all information their children share with schools, including: surveys, about political affiliations or beliefs; mental or psychological issues (emphasis mine); sexual behaviors or attitudes; critical appr

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Organizational and Project Management Skills in Healthcare Training

American Medical Compliance

In today’s rapidly evolving healthcare landscape, effective organizational and project management skills are essential for ensuring efficiency. As a result, healthcare professionals must navigate complex workflows, manage resources effectively, and lead teams through dynamic challenges. To address these challenges, this course is designed to equip healthcare workers with the essential tools to streamline processes and enhance collaboration.

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What Causes Papilledema?

Pediatric Education

Patient Presentation A pediatric resident was presenting a patient to the attending, who was A 14-year-old male who presented for well care and was being followed by ophthalmology for optic disc drusen. “Optic disc drusen? Really? I just had a teenage girl with that last week. It isn’t the same family is it?” she asked. They looked at the patient identifiers and found it to be two different families. “I know we work at an academic health center, but what are the chances w