The Trauma Pro

FEBRUARY 24, 2025

There are two broad categories of things that kill trauma patients. No, Im not talking about violent penetrating injury, falls, car crashes, or any other specific mechanisms. I am referring to the end events (on a macro scale) that take their lives. These two basic killers are: hemorrhage and brain injury. The vast majority of the time, a dying trauma patient has either suffered a catastrophic brain injury, or has ongoing and uncontrolled bleeding.

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Operations Shock 147

Science Based Medicine

FEBRUARY 24, 2025

When Robert F. Kennedy Jr. was nominated to be Secretary of Health & Human Services, I called him an "extinction-level threat" to public health. Here's how he will attempt to make vaccines extinct in the US. The post How Robert F. Kennedy Jr. will undermine and ultimately destroy US vaccination programs first appeared on Science-Based Medicine.

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PulmCCM

FEBRUARY 27, 2025

Balanced crystalloids are considered to be probably superior to normal saline as a resuscitation fluid in critically ill patients. But there are multiple balanced crystalloid products available, with varying compositions. Does the choice of balanced solution make a difference in patient outcomes from critical illness? Balanced solutions are formulated with electrolyte and solute concentrations closer to plasma’s, compared to normal saline’s simple composition of sodium and chloride (

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Resuscitation Outcomes Research 95

EMCrit

FEBRUARY 23, 2025

The Stellate Ganglion Block for Electrical Storm EMCrit Project by Scott Weingart, MD FCCM.

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RebelEM

FEBRUARY 24, 2025

Background In 1979, Hiroshi Natori was the first to appreciate the sonographic changes that occur in the inferior vena cava (IVC)s diameter with ventilation in spontaneously breathing patients, mechanically ventilated patients, and those with carcinogenic and tuberculoid cardiac tamponade. 1 They noticed how spontaneously breathing patients had their IVC collapse with inspiration; and ventilated patients had their IVC dilate during positive pressure ventilation.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

Science Based Medicine

FEBRUARY 28, 2025

The many doctors who are just now realizing that misinformation wasn't "COVID hysteria nonsense" have a lot of catching up to do to understand how the forces they've legitimized the led to this moment. The post Welcome to the Resistance UCSF Doctors first appeared on Science-Based Medicine.

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St. Emlyn

FEBRUARY 23, 2025

St.Emlyn's - Emergency Medicine #FOAMed What does it truly mean to be dead? In 2025, updates to Death by Neurological Criteria (DNC) challenge long-standing medical definitions, raising new ethical and practical questions. This post explores the latest AOMRC guidelines, the evolving role of brainstem death, and how these changes impact emergency and intensive care medicine.

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Sensible Medicine

FEBRUARY 27, 2025

As many readers know, I hold a highly skeptical view of CAC scans. Andrew Foy and I have made the case against CAC scans for any use. In today’s guest post, Zachary Robert Caverley argues that CAC scans should remain uncovered by medical insurance. JMM The coronary artery calcium (CAC) score – an estimation of coronary atherosclerotic plaque via calcium build-up on CT – has been promoted as a powerful predictive tool for estimating the chance of future cardiovascular (CV) event

Radiology 62

Radiology Radiology EKG/ECG Hospitals 62

Science Based Medicine

FEBRUARY 22, 2025

Policy-based evidence making means working back from a predefined policy to produce underpinning evidence. The post Dr. Vinay Prasad Embraces Policy-Based Evidence Making first appeared on Science-Based Medicine.

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St. Emlyn

FEBRUARY 25, 2025

St.Emlyn's - Emergency Medicine #FOAMed Discover how the GoodSAM app is revolutionizing emergency response, from cardiac arrest alerts to real-time video triage and crime prevention. Learn how you can get involved today. The post Podcast – GoodSam App Update with Mark Wilson at LTC appeared first on St.Emlyn's.

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Resuscitation 80

First 10 EM

FEBRUARY 24, 2025

I have covered calcium channel blockers for atrial fibrillation a number of times. If you are pursuing a rate control approach, calcium channel blockers probably result in more rapid control. Thus, if you are trying to send these patients home, they might be a good choice. However, for long term management, cardiologists seem to prefer […] The post Diltiazem for atrial fibrillation: does calcium pretreatment help?

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EMS 66

The Skeptics' Guide to EM

FEBRUARY 22, 2025

Reference: Agnello et al. Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.

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Sepsis Infectious Diseases Emergency Department Pediatrics 60

Science Based Medicine

FEBRUARY 25, 2025

The chaos and cruelty of its abrupt deconstruction are self-evident and already demonstrable The post Indiscriminate, Cruel, and Wasteful: Abandoning USAID clinical trials first appeared on Science-Based Medicine.

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EMDocs

FEBRUARY 22, 2025

Authors: Caleb Graham, MD (EM Resident Physician, UTSW/ Dallas, TX); Colin Danko, MD (EM Faculty Physician, UTSW/ Dallas, TX) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

EMS 58

EMS Fractures Operations Wellness 58

PulmCCM

FEBRUARY 24, 2025

Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year, physicians receive no formal guidance or training on how, when, or why it should be made. This results in a wide variation in practice—a quarter of unsuccessful resuscitations are stopped before 15 minutes, while a quarter go longer than 30 minutes.

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CPR Hospitals Resuscitation Outcomes 52

The Evolution & Medicine Review

FEBRUARY 28, 2025

In person and on zoom.

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Science Based Medicine

FEBRUARY 27, 2025

I’m taking a few weeks away from the blog. So today, an open thread with a request for suggestions on topics that you feel have been unexplored by the blog. Let me (and the other contributors) know the questions you have and what subjects you want to see addressed. Or use this to comment on anything else, SBM-related. The floor is yours. […] The post Open Thread: The Floor is Yours first appeared on Science-Based Medicine.

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American Medical Compliance

FEBRUARY 24, 2025

This Women’s Health and Birth Control Training for Healthcare Personnel equips healthcare providers with essential knowledge on women’s health, covering common health conditions and birth control options. Providers explore various birth control methods, their effectiveness, and best counseling practices. The course debunks myths and misconceptions, ensuring accurate patient education.

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Outcomes Research Wellness 52

Core Medical Group

FEBRUARY 25, 2025

Meet Crislenny, an Allied Healthcare Recruiter looking to help you land the assignment of your dreams.

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JournalFeed

FEBRUARY 22, 2025

The JournalFeed podcast for the week of Feb 17-21, 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. Monday Spoon Feed: This RCT found that just-in-time coaching increased first pass success prior to infant intubations by inexperienced clinicians in the operating room.

Operations 52

Operations 52

St. Emlyn

FEBRUARY 23, 2025

St.Emlyn's - Emergency Medicine #FOAMed What does it truly mean to be dead? In 2025, updates to Death by Neurological Criteria (DNC) challenge long-standing medical definitions, raising new ethical and practical questions. This post explores the latest AOMRC guidelines, the evolving role of brainstem death, and how these changes impact emergency and intensive care medicine.

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American Medical Compliance

FEBRUARY 24, 2025

This course equips healthcare providers with techniques to improve patient interactions and outcomes. Participants master active listening and communication strategies to understand patient needs and convey empathy. The course addresses cultural, language, and literacy challenges to help providers connect with diverse patients. Honing these skills boosts patient satisfaction, trust, and creates a more inclusive, efficient healthcare environment.

Teamwork 52

Teamwork Outcomes 52

The Trauma Pro

FEBRUARY 26, 2025

Trauma patients dont always behave the way we would like. They continually surprise us, sometimes for the better, when they recover more quickly and completely than we thought. But sometimes, its for the worse. They occasionally crash when we think everything is going so well. The crashing patient is obviously in need of help, and most trauma professionals know what to do.

Radiology 168

Radiology Radiology Operations Resuscitation 168

ACEP Now

FEBRUARY 26, 2025

If you ask Sullivan Sully Smith, MD, FACEP, he says his kids paid the price for his medical service to the community of Cookeville, Tennessee. As an emergency physician, Dr. Sully Smith missed birthday parties, tee-ball games and an entire season of soccer. He imagined his absence would push his four children far away from following in his medical footsteps.

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EMS Emergency Department Documentation/Coding CPR 98

Sensible Medicine

FEBRUARY 25, 2025

It’s my pleasure to introduce this guest post by Yeola and Ayers. It is a clever use of data on Sports Betting. Vinay Prasad MD MPH Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. When watching the Super Bowl this year, did you notice how different the coverage looked?

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Documentation/Coding 91

The Bottom Line

FEBRUARY 28, 2025

NAVIGATE: Early noninvasive ventilation in general wards for acute respiratory failure Monti et al. for the NAVIGATE Study Group, BJA Feb 2025. doi:10.1016/j.bja.2024.11.

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The Trauma Pro

FEBRUARY 28, 2025

Youve just received a young male who had been stabbed under his right arm in your emergency department. Hes awake, talking, and very friendly. He met your trauma activation criteria, so you are cruising through the full evaluation. Lines in, blood drawn, clothes off. He wonders aloud if all this is really necessary. Then, on FAST exam, you see it. A pericardial stripe that looks like a mix of liquid and clotted blood.

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Emergency Department 127

Science Based Medicine

FEBRUARY 26, 2025

What, exactly, is dyslexia? What causes it, how should it be diagnosed, and stemming from that, how should it be treated? We can even ask a more fundamental question – does it actually exist as a discrete clinical entity? These questions have existed since dyslexia was first described and named in 1887, by German Opthalmologist, Rudolf Berlin.

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Sensible Medicine

FEBRUARY 28, 2025

Given that I have had little to do with teaching medical students for the last two and a half years, I’ve had a strange winter. Five students, from four different medical schools, have reached out to me for advice before they start their clinical rotations. 1 I’ve come away from every one of these interactions feeling like I failed to give really good advice.

Hospitals 62

Hospitals Pediatrics Wellness 62

RebelEM

FEBRUARY 28, 2025

Bottom Line Up Top: Replacing the nail into the eponychial fold doesnt appear to be critical to nail regrowth and cosmetic outcomes of finger injuries with nail avulsion. Clinical Scenario: A 6-year-old boy presents to the Peds ED with an injury to their left 2nd digit. The finger was caught in a car door, injuring the nail and nail bed. On presentation, the patient has a linear laceration the full length of the nailbed and the nail has been avulsed.

Outcomes 52

Outcomes Pediatrics Emergency Department EMS 52

American Medical Compliance

FEBRUARY 28, 2025

The Fair Labor Standards Act (FLSA) regulates wages and overtime pay for healthcare employees. Because the healthcare industry faces unique challenges, employers must fully understand FLSA compliance to avoid risks and ensure fair labor practices. To support this effort, this training gives healthcare administrators, managers, and HR personnel with the knowledge they need to navigate FLSA regulations effectively.

Administration 52

Administration Best Practices Outcomes 52

ACEP Now

FEBRUARY 26, 2025

For Marie-Carmelle Elie, MD, FACEP, a trailblazing physician and academic leader, the journey to the kitchen took a little longer than the journey to the top of her field. Dr. Elie is the first Black woman to be named professor and chair of an academic emergency medicine department at a major American medical school, the University of Alabama at Birmingham.

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Academics Hospitals 52

Sensible Medicine

FEBRUARY 24, 2025

Sir Robert Hutchison (1871-1960) offered “the physician’s prayer'“ From inability to let well alone, from too much zeal for the new and contempt for what is old, from putting knowledge before wisdom, science before art and cleverness before common sense, from treating patients as cases and from making the cure of the disease more grievous than the endurance of the same, good Lord deliver us.

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Operations Stroke Hospitals Ultrasounds 65

NRC Health

FEBRUARY 25, 2025

UofL Health has selected NRC Health to elevate patient and employee experience across its health system through human-centered healthcare solutions and data-driven insights. This new collaboration aligns with UofL Healths mission to transform the health of the communities we serve through compassionate, innovative, patient-centered care. The post UofL Health chooses NRC Health to elevate patient and employee experience initiatives appeared first on NRC Health.

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American Medical Compliance

FEBRUARY 28, 2025

The hiring process in healthcare demands a clear, fair and compliant approach to give all applicants an equal chance. Additionally, healthcare organizations must follow federal and state EEO rules when hiring and interviewing. To help with this, this course gives healthcare hiring managers the knowledge and tools they need to run fair, legal interviews.

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Best Practices Outcomes Wellness 52

Ultrasound Gel

FEBRUARY 25, 2025

Mike chats with two special guests representing the BlockHeads - a collaborative group dedicated to furthering the use of ultrasound-guided nerve blocks in the emergent setting. Find out what they have been up to and how you can join in! [link] Mike chats with two special guests representing the BlockHeads - a collaborative group dedicated to furthering the use of ultrasound-guided nerve blocks in the emergent setting.

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Ultrasounds 52

PEMBlog

FEBRUARY 24, 2025

At least 40% of the time when someone faints they have some abnormal movements. These aren’t seizures! Convulsive syncope is what we call it when someone faints and jerks a bit. Lyrics Sunday morn and her heads all light Stayed up late the previous night Takes a step to the bathroom Staggers and then blacks out It was a fainting spell! Then she starts to shake a bit But comes right out of it Was that a seizure that she had?

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Seizures 52