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?
The Trauma Pro
FEBRUARY 14, 2025
The Advanced Trauma Life Support course lists “classes of hemorrhage”, and various other sources list a similar classification for shock. I’ve not been able to pinpoint where these concepts came from, exactly. But I am sure of one thing: you will be tested on it at some point in your lifetime. Here’s the table used by the ATLS course: The question you will always be asked is: What class of hemorrhage (or what % of blood volume loss) is the first to demonstrate systolic hy
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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.
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.
Sensible Medicine
FEBRUARY 17, 2025
John is sick, so I have big shoes to fill. Today’s study of the week is a cancer trial. I know many of you aren’t cancer doctors, and you are thinking about skipping this essay. Let me assure you: you will learn something. The trial has issues with control arm, skewed randomization (2:1), drop out and endpoints. It is a rollercoaster ride of critical appraisal.
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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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Science Based Medicine
FEBRUARY 14, 2025
$160 million is a lot of money, especially when you consider its not just money. It's lost dreams, careers, and discoveries. The post Open Letter II: President Levin, There Are Now 160 Million Reasons Why You Shouldnt Have Censored We Want Them Infected Doctors first appeared on Science-Based Medicine.
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.
Mind The Bleep
FEBRUARY 2, 2025
This guide is designed to help you identify the key areas you need to focus on when clerking a surgical patient. There are several differences when compared to clerking a medical patient, namely getting a more extensive surgical past medical history, examination and assessing frailty. Your clerking needs to be succint, pertinent and clear. Presenting Complaint This needs to be clear and brief – a headline to tell any reader why that patient has presented: Good example: “1/7 colicky R
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.
Sensible Medicine
FEBRUARY 18, 2025
For decades, the treatment of acute appendicitis was appendectomy. Nobody even questioned this treatment approach. The appendix was acutely inflamed, at risk of perforation, it needed to be removed. The idea that there could be a simple, non-surgical management could not have been imagined. But, eventually evidence would accumulate casting doubt on this paradigm.
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.
Science Based Medicine
FEBRUARY 15, 2025
Although many doctors who spread COVID misinformation act as if its in poor taste to bring it up today, we don't need their permission to remember. The post Dont Worry About the NIH From the Same Doctors Who Brought You Dont Worry About COVID. first appeared on Science-Based Medicine.
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.
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
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.
Sensible Medicine
FEBRUARY 3, 2025
We are back with a riveting discussion
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.
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.
St. Emlyn
FEBRUARY 11, 2025
St.Emlyn's - Emergency Medicine #FOAMed This months St Emlyns podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. Plus, insights from major conferences like EUSEM 2024.
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
EMCrit
FEBRUARY 4, 2025
EMCrit RACC-Lit for January 2025 All the literature goodness! EMCrit Project by Scott Weingart, MD FCCM.
EMDocs
FEBRUARY 12, 2025
Authors: Ahmed Mashal (Emergency Medicine Resident, Atrium Healths Carolinas Medical Center); Ann-Jeannette Geib, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Healths Carolinas Medical Center) // Reviewed by: Christopher Counts, MD (Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A
Science Based Medicine
FEBRUARY 21, 2025
There is no doubt the "studies" in this journal will conclude We Want Them Infected doctors were right about everything the whole time; mitigation measure were an epic catastrophe while COVID was a harmless cold for everyone but grandma. The post Misinformation Doctors Start a Misinformation Journal to Spread Misinformation first appeared on Science-Based Medicine.
Emergency Medicine Journal
FEBRUARY 21, 2025
Editor’s note: EMJ has partnered with the journals of multiple international emergency medicine societies to share from each a highlighted research study, as selected by their editors. This edition will feature an abstract from each publication.
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.
ACEP Now
FEBRUARY 18, 2025
Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. The patient reported consuming plant needles obtained online in a suicide attempt several hours prior. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.
EMCrit
FEBRUARY 7, 2025
Part 2 of Inotropes with Trina - we discuss specific scenarios. EMCrit Project by Scott Weingart, MD FCCM.
Life in the Fast Lane
FEBRUARY 6, 2025
Chris Nickson Prazosin Critical Care Compendium pharmacology entry for prazosin.
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.
NRC Health
FEBRUARY 19, 2025
This years lineup includes many great presentations, including a session focused on reclaiming the practices of resilience by focusing on the power to find the I within resiliency. The post Pediatric Collaborative Preview | How caregiver wellness shapes experiences appeared first on NRC Health.
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.
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
Emergency Medicine Cases
FEBRUARY 18, 2025
Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients dont always fit the stereotypemany appear healthy, have normal BMI, or present with vague GI, cardiac, or neurological symptoms.
Life in the Fast Lane
FEBRUARY 18, 2025
Michael Gibbs MD Neuroimaging Cases 008 Intraventricular rupture of brain abscess (IVROBA). Second in our Neuroimaging case study series with Teresa Crow, Troy Carnwath, Scott DiMeo, L.
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