Emergency Medicine Cases
JANUARY 7, 2025
Dr. Patricia Lee is an EM physician in Calgary, Alberta and an Assistant Professor at the University of Calgary in the Department of Emergency Medicine. She reached out to me after listening to Episode 200 How EM Experts Think Part 1 as a longtime supporter of EM Cases, to highlight the importance of recognizing challenges that female-identifying EM physicians may face before, during and after ED shifts.
ACEP Now
JANUARY 4, 2025
In recent years, emergency medicine, once the bastion of quick decision making, clinical acumen, and patient-centered care, has been quietly succumbing to a different forcethe slow but steady erosion of critical thinking. The culprit is the increasing reliance on protocolization and the diminishing autonomy of emergency physicians. This shift, intended to standardize care and mitigate error, is paradoxically undermining the very heart of medicinethe doctors ability to think critically, adapt to
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EM Ottawa
JANUARY 9, 2025
In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa
St. Emlyn
JANUARY 6, 2025
St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI). This retrospective study explores time efficiency, injury severity, and patient outcomes, highlighting the role of HEMS in delivering critical care to severely injured patients in remote locations.
EB Medicine
JANUARY 7, 2025
In this episode, Sam Ashoo, MD interviews Nicholas Stark, MD, MBA & Zaid Altawil, MD about the Emergency Medicine Innovation Collaborative 1. Discussion on EMIC - Overview of the collaborative - Background and formation during the pandemic in late 2021 2. Growth of EMIC - Expansion from three members to over 500 - Focus areas: Education, mentorship, opportunity 3.
ACEP Now
JANUARY 5, 2025
Its 4 a.m., and youre three hours from the nearest tertiary care center. A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. On exam, you see bright red blood trickling down her left tonsillar fossa. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center.
Science Based Medicine
JANUARY 10, 2025
Defenders of the GBD won't tell you what it actually said. I will. The post Defenders of the Great Barrington Declaration Neither Know Nor Care What it Proposed. The Deliberate Erasure of the We Want Them Infected Movement Has Succeeded. 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.
Northwestern EM Blog
JANUARY 7, 2025
Written by: Ashley Segobiano, MD (NUEM 28). Edited by: Nicholas Maurer, MD, MPH (NUEM 26). Expert Review by : Molly Estes, MD Molly Estes, MD Emergency Medicine Physician, Assistant Professor at Feinberg School of Medicine Northwestern Memorial Hospital, Feinberg School of Medicine How To Cite This Post: [Peer-Reviewed, Web Publication] Segobiano, A.
ACEP Now
JANUARY 4, 2025
Emergency medicine was approved as the 23rd medical specialty in 1979, shortly after a young Elsburgh Clarke, MD, discovered the burgeoning specialty. 1 Just one year prior, Dr. Clarke had begun an emergency medicine residency at what was then known as LA CountyUSC Hospital, Los Angeles. I was about two months into a family practice internship when I went to visit my uncle whose neighbor happened to be an ED resident, Dr.
Science Based Medicine
JANUARY 6, 2025
A proponent of the Great Barrington Declaration is comparing rejection of its "natural herd immunity" approach to the pandemic to the rejection of Ignaz Semmelweis and his findings. It's a deceptive comparison beloved of all manner of scientific cranks. The post The Semmelweis gambit: A red flag for defending bad science and quackery first appeared on Science-Based Medicine.
St. Emlyn
JANUARY 6, 2025
St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI). The post Prehospital Emergency Anaesthesia (PHEA) vs. Emergency Department RSI: A Comparative Study on Trauma Care Timelines and Outcomes appeared first on St.Emlyn's.
PulmCCM
JANUARY 6, 2025
In the past decade, so-called “sepsis alerts” came out of nowhere to become a ubiquitous and resource-intensive component of inpatient medical care. The trouble is, no one checked first to see if they work. “Sepsis alerts” are automated notifications that flag patients who meet certain criteria compatible with severe infection discernible from the electronic medical record.
Dr. Smith's ECG Blog
JANUARY 7, 2025
(This was created by Arron Pearce ( [link] ) Online QT calculator for wide QRS (LBBB, RBBB, etc.
ACEP Now
JANUARY 5, 2025
Every year, the hopeless task of keeping up with the medical literature grows even more unattainable. Will our Sisyphean burden be replaced with AI? ( Read this months Skeptics Guide to Emergency Medicine for that answer.) Will we be microchipped with peripheral PubMed brains? Will we finally wake up from the Matrix and be freed? Not yet! So, in the meantime, heres a host of articles of more than just passing interest from the past year, not already covered in ACEP Now.
St. Emlyn
JANUARY 10, 2025
St.Emlyn's - Emergency Medicine #FOAMed Day 2 of the London Trauma Conference delivered impactful discussions on trauma care innovations, including advanced resuscitation strategies, rib fracture management, and prehospital interventions. The post Talking Trauma – London Trauma Conference 2024 Day 2 appeared first on St.Emlyn's.
JournalFeed
JANUARY 4, 2025
The JournalFeed podcast for the week of Dec 30 Jan 3, 2024. 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 : Workplace violence (WPV) occurs in one out of every 3.7 shifts among healthcare workers (HCWs) in emergency departments, with nurses and younger HCWs being at higher risk.
EMCrit
JANUARY 10, 2025
Nitty Gritty of All Things Defibrillation EMCrit Project by Scott Weingart, MD FCCM.
Pediatric Education
JANUARY 5, 2025
Patient Presentation An 8-year-old male came to clinic with his parents because of uncontrolled asthma symptoms. They had moved into a rented home that was about 50 years old in August, when they moved to the area from another country. Since that time he had increased runny nose and coughing and used his albuterol only intermittently. He was coughing several times per day and his parents said he “coughed all night” but it didn’t wake up the patient.
SCGH ED
JANUARY 9, 2025
Australian Resuscitation Council (ARC) Flowchart KEMH Neonatal Resuscitation Algorithm: The post Neonatal Resuscitation Algorithms: appeared first on Charlie's ED.
Life in the Fast Lane
JANUARY 8, 2025
Chris Nickson Come join the 2025 Clinician Educator Incubator! Expressions of interest are now open for the sixth Clinician Educator Incubator - EOIs close Feb 10th 2025.
PulmCCM
JANUARY 9, 2025
Transcatheter aortic-valve replacement (TAVR) and mitral transcatheter edge-to-edge repair (M-TEER) have emerged as lower-morbidity options for selected patients with severe aortic stenosis or mitral regurgitation. Transcatheter tricuspid valve replacement has proved to be more challenging.
Greater Sydney Area HEMS
JANUARY 9, 2025
Visit the post for more.
NRC Health
JANUARY 8, 2025
The NRC Health 2025 Pediatric Collaborative is truly a cant-miss experience, with exceptional presentations that will stir innovative ideas. Check out a preview of one of the sessions! The post Peds Collab Preview | Join NRC Health experts for an interactive workshop appeared first on NRC Health.
Life in the Fast Lane
JANUARY 9, 2025
Robert Buttner, Stephen W. Smith and Hana Hybasek Dzurikova Activate or Wait – 010 38-year-old male with left arm pain, shortness of breath, and dizziness. BP 105/60. We are five minutes from your tertiary centre.
EMergucate
JANUARY 7, 2025
80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following PH = 7.
Board Bombs
JANUARY 5, 2025
Were starting off the year strong with a quick review of the 4 major types of shock and your approach to each one. 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; Husain, Iltifat. 245. Shock types in 15 minutes. January 6th, 2024. Accessed [date].
ACEP Now
JANUARY 5, 2025
On June 24, 2022, Roe v. Wade was overturned by the U.S. Supreme Court, leaving regulation of abortion to the discretion of the states. Since then, many states have enacted laws to strictly regulate abortion, resulting in complex legal considerations for medical professionals. 1,2 This article reviews key statutes in the states with the strongest prohibitions against abortion and offers documentation principles for treating patients with ectopic pregnancies, spontaneous miscarriages, and other p
Ken Grauer, MD
JANUARY 10, 2025
The ECG in Figure-1 was obtained from a previously healthy 15-year old male who presented with a 2-week history of palpitations , dizziness and dyspnea. He was hemodynamically stable in association with this tracing. QUESTIONS: In view of the above history: How would YOU interpret the ECG in Figure-1 ? How would you treat the patient? Figure-1: The initial ECG in today's case. ( To improve visualization I've digitized the original ECG using PMcardio ).
Sensible Medicine
JANUARY 8, 2025
I have long followed the work of Dr. Margaret McCartney. She is a general practitioner in Glasgow, Scotland, writer, public speaker, and now PhD. She is a fierce advocate for evidence-based medicine. She holds highly skeptical views of screening for disease—which, to my surprise is quite common in the UK. Her recently finished PhD sought empirical evidence regarding declaration of conflicts of interest in the UK.
ECG Guru
JANUARY 8, 2025
Sometimes in a simple 1-lead ECG strip, various interesting ECG phenomena can be recognized, such as here. One could briefly look over the ECG, make the diagnosis of ventricular bigeminus and then be satisfied. On closer inspection, however, 3 questions arise: 1. Is the P wave behind the PVC a sinus node P or an atrial extrasystole? 2. + 3. after one comes to the conclusion that it is a sinus node P: why is it not conducted and why is the PP distance smaller when there is a QRS complex in betwee
Dr. Smith's ECG Blog
JANUARY 9, 2025
A 26 year old male presented with syncope and chest pain. Syncope was sudden and without prodrome, and resulted in head trauma with a scalp laceration. Here is his ECG: There is significant ST Elevation in inferior leads, with reciprocal ST depression in aVL. This appears to be an inferior OMI What do you think? Smith : I recognize this as a STEMI mimic.
Science Based Medicine
JANUARY 8, 2025
In 1964 the US Surgeon General released its first report on the health risks of smoking and tobacco use. This turned out to be a landmark move, paving the way for the following decades of progressively more restrictive regulation of public tobacco use and marketing. In 1964 smoking was at its peak in the US, when 42% of Americans smoked. Today the […] The post Surgeon General Alcohol Warning first appeared on Science-Based Medicine.
Sensible Medicine
JANUARY 6, 2025
When I was at Indiana back in the 1990s, we called an ICD by a company’s brand name. At IU, all ICDs were “PCDs” PCD was Medtronic’s brand name. I didn’t realize it at the time, but this was pro-level marketing. A similar thing has happened with coronary stents—at least in my neighborhood. Now it is Xience, a brand of drug-eluting stent (DES) from Abbott.
American Medical Compliance
JANUARY 8, 2025
Nursing homes should serve as sanctuaries of care, compassion, and safety for the elderly and vulnerable. Yet, abuse within these settings remains a pervasive and often hidden crisis, impacting countless individuals worldwide. Alarmingly, approximately 1 in 6 individuals aged 60 or older have experienced some form of abuse in community settings, including nursing homes, according to the World Health Organization (WHO).
ACEP Now
JANUARY 5, 2025
Each year, more than 1.3 million individuals visit U.S. emergency departments (EDs) with asthma-related conditions. 1 Patients often present after being unable to manage their condition at home. Historically, short-acting beta agonists (SABAs), such as albuterol, have been used as a pillar of acute asthma management. These bronchodilators provide quick relief.
PulmCCM
JANUARY 8, 2025
Trauma patients are routinely provided with high doses of supplemental oxygen—even when they are relatively young, relatively healthy patients without lung disease with normal oxygen saturations and PaO2. The origins of this practice are unknown, and no good evidence supports it; the theory seems to be that a larger oxygen reservoir could somehow provide reserves to regions of localized tissue hypoxemia, or to a normoxemic patient who abruptly deteriorates.
Sensible Medicine
JANUARY 10, 2025
MM is a 55-year-old man with recurrent pneumonia. He initially presented with a fever, chills and a lobar infiltrate. Symptoms resolved with antibiotics but recurred a week later. During his second course of treatment, further evaluation with a CT scan showed the infection to be post-obstructive, occurring distal to compression of a secondary bronchus by severe scoliosis.
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