The Trauma Pro
MARCH 12, 2025
Okay, heres another one! But it’s a doozy. Its the most important one I live by. It ensures that you dont get bogged down by habit, custom, dogma, ignorance, or just plain laziness. Question everything! If someone ever says, but thats the way I/we always do it, or thats what the policy says, or even I read a good paper/chapter on this, take it with a really big grain of salt.
Sensible Medicine
MARCH 12, 2025
As of Aug 30, 2024, the US FDA has granted approval for Comirnaty (Pfizer) and Spikevax (Moderna) and emergency use authorization for Novavax for use in fall 2024 COVID-19 vaccine programs. 1,2 Moderna and Pfizer have manufactured mRNA vaccines targeting the KP.2 SARS-CoV-2 variant, a descendent of the JN.1 strain, whereas the Novavax recombinant protein platform targets the JN.1 variant.
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The Trauma Pro
MARCH 10, 2025
All trauma professionals need to keep up with the current thinking in their field. There are a variety of ways to do this, including lectures, courses, online curricula, meetings, and reading journal articles. The last method requires a bit of skill and patience. Many research papers are dry, long, and hard to read. Quite a few people do not have the patience to wade through them and get lost in all the details.
Don't Forget the Bubbles
MARCH 10, 2025
Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.
EM Ottawa
MARCH 10, 2025
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.
EMDocs
MARCH 12, 2025
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Scott Mitsko, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley); Molly Rinkevich, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley) // 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.
Pediatric Education
MARCH 16, 2025
Patient Presentation A 34 month-old male came to the emergency room with a history of acute choking/coughing and the mother was worried he has swallowed a coin. She had left him unattended for a couple of minutes and found him playing with her purse. She used both choking and coughing to describe him seeming to have an acute problem with something in his mouth.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
PulmCCM
MARCH 10, 2025
This is part of a series of articles on the duration of CPR for in-hospital cardiac arrest. An index to all posts in the series can be found here: Introduction 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.
ACEP Now
MARCH 11, 2025
The treatment of patients with pulmonary embolism (PE) has evolved substantially over the past few decades. Many patients with PE can be discharged directly from the emergency department (ED). Advanced therapies such as catheter-directed treatments (CDT) are now available in many centers, and anticoagulants such as low-molecularweight heparins (LMWH) and direct oral anticoagulants (DOACs) have been developed, which obviate the need for frequent laboratory monitoring and dose titration in many pa
St. Emlyn
MARCH 11, 2025
St.Emlyn's - Emergency Medicine #FOAMed This epiode of the St Emlyns Podcast features Dr. Dan Dworkis discussing high-performance teams, excellence in crisis, and how emergency clinicians can continuously improve under pressure. The post Podcast – High Performing Teams with Dan Dworkis at Tactical Trauma 24 appeared first on St.Emlyn's.
EB Medicine
MARCH 12, 2025
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the March 2025 Emergency Medicine Practice article, Emergency Department Management of Knee Pain Common Etiologies of Knee Pain Risk Factors and Statistics Infectious Causes of Knee Pain Pre-Hospital Care and EMS History and Physical Exam Imaging Guidelines Ottawa Knee Rule and X-Ray Necessity Imaging Modalities for Knee Effusion Ultrasound for Tendon Injury and Arthrocentesis CT and MRI in Knee Injury Diagnosis Lab Tests for Septic Knee
Sensible Medicine
MARCH 10, 2025
The Journal of the American Medical Association published an actual randomized controlled trial for coronary artery calcium (CAC). As a skeptic of this imaging test, I saw the headline and thought: finally, we will learn whether patients who have their chest radiated have better outcomes. Better outcomes, such as fewer heart attacks or strokes, or longer life, is why we interact with healthcare.
EMCrit
MARCH 15, 2025
I've seen the following sequence of events several times. I can't prove the exact causality, but I have a strong suspicion about what is going on here. You can be the judge. clinical presentation A patient presents for management of a pleural effusion. A pigtail chest drain is inserted without difficulty or complication. The drain […] EMCrit Project by Josh Farkas.
ACEP Now
MARCH 10, 2025
You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. They ask you if you would be willing to serve as the teams medical director. As expected, you have several questions.
Dr. Smith's ECG Blog
MARCH 10, 2025
Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled normal by the computer (GE Marquette SL) algorithm. What do you think? Theres normal sinus rhythm, first degree AV block, early R wave, normal voltages. Theres hyperacute T waves in I/aVL with reciprocal inferior ST depression, diagnostic of high lateral occlusion MI.
Science Based Medicine
MARCH 11, 2025
Stored blood quickly loses its effectiveness, so how can we improve the situation? The post Innovations in Blood Transfusions Will Save Lives first appeared on Science-Based Medicine.
Sensible Medicine
MARCH 17, 2025
When a doctor does an angiogram during an ST-elevation MI (STEMI), there is a culprit occlusion but often other partial occlusions. The question is: should the doctor stent just the culprit obstruction or all the obstructions? This is a controversial topic in cardiology—not only to sort out the best way to handle STEMI, but more so about how it informs the nature of stable CAD.
PEMBlog
MARCH 17, 2025
There are several things you can do to increase your likelihood of success when performing a lumbar puncture in children. Local anesthesia! Early stylet removal! Needle bevel to the hips! Lyrics [CHORUS] Three LPs and one DJ Spinal tap procedure learn the right way [VERSE] Yo, roll the kid side lying tight Or upright holder if that seems right! Early sty let removal, thats the trick, Steady with the hands, dont move too quick!
ACEP Now
MARCH 10, 2025
A 28-year-old man presented with agitation. He was brought in by police and was restrained because of threats of biting and hitting police. The patient refused any additional medical care and stated, I know my rights! You cant hold me against my will. When the emergency physician recommended vital signs, a history, and physical examination, the patient began hitting and biting staff, yelling obscenities, and threatening legal action.
Dr. Smith's ECG Blog
MARCH 17, 2025
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. It has been stuttering, lasting 10 minutes at a time with associated diaphoresis. His ECG obtained around 8 AM is shown: ECG 1 My guess is most blog readers will make this diagnosis without too much difficulty.
Science Based Medicine
MARCH 17, 2025
Even as quacks and antivaxxers take over our federal government's health apparatus, let's not forget why we need stronger, not laxer, regulation of "unconventional" medical practices. The post Quackery (still) kills: A five-year-old boy dies in a hyperbaric oxygen chamber first appeared on Science-Based Medicine.
First 10 EM
MARCH 17, 2025
I have been doing this for 10 years now. I am not sure what the future holds. I am not sure what First10EM will look like in another 10 years. I am not sure these words will be published (although if you are reading it, I guess we have our answer). This is an exercise […] The post I have been doing this for 10 years appeared first on First10EM.
Board Bombs
MARCH 16, 2025
Measles is making a comeback! Learn how to recognize key symptoms, prevent misdiagnosis, and manage MMR infections in the emergency department. Stay prepared for this highly contagious disease. Measles is making a comeback! Learn how to recognize key symptoms, prevent misdiagnosis, and manage MMR infections in the emergency department. Stay prepared for this highly contagious disease.
ACEP Now
MARCH 10, 2025
Satonofuji Hisashi has been a career sumo wrestler since 1996. He is no champion wrestlerin fact, he is far from it. His highest attained rank was in the Makushita division in 2005, the third highest of six sumo divisions. Traditionally, the most elite wrestlers sat in a curtained area at the arenamakushita did not and the name thus translates to below the curtain.
PulmCCM
MARCH 17, 2025
Virtually all critically ill patients experience pain, anxiety, sleep disturbance, agitation, or a combination of these bothersome symptoms. Relieving these burdens should be considered a fundamental aspect of caring for the most seriously ill. Sedatives and analgesics can also be overused, slowing patients’ recovery or increasing their likelihood of disability.
Science Based Medicine
MARCH 13, 2025
When Islamic Medicine Kills the Ayatollah! The post Islamic Medicine and the Biopolitics of Antiscience in Iran first appeared on Science-Based Medicine.
American Medical Compliance
MARCH 12, 2025
This Tuberculosis, Hepatitis, and HIV Awareness and Prevention Training educates healthcare providers on how these diseases spread, their symptoms, and effective prevention methods. Providers will learn infection control measures tailored to each disease and standard techniques to reduce transmission risks in healthcare settings. Understanding these practices helps them protect themselves, their patients, and colleagues, ensuring a safer healthcare environment.
Ken Grauer, MD
MARCH 14, 2025
You are shown the ECG in Figure-1 without the benefit of any history. QUESTION: This tracing was interpreted as sinus tachycardia with some kind of BBB ( B undle B ranch B lock ). What kind of BBB is this? Figure-1: The initial ECG in today's case. What kind of BBB is this? ( To improve visualization I've digitized the original ECG using PMcardio ).
ACEP Now
MARCH 11, 2025
A 16-year-old male presents to the emergency department (ED) with his mother with the chief complaint of intermittent abdominal pain and constipation for several weeks. There are no red flag symptoms for an underlying surgical cause and review of systems is otherwise unremarkable. Vital signs include a heart rate of 50, blood pressure 85/40, temperature of 35.9 C (96.6 F).
PEMBlog
MARCH 10, 2025
Measles is dancing yet again and I think we all know why. With an attack rate of 90%+ if you are not vaccinated you are at risk. Lyrics [Verse] Fevers high, eyes are red, runny nose, stuck in bed. inside cheeks, tiny spots Koplik’s calling all the shots. Rash spreads fast, head to toemeasles, no, dont say it’s so! Too late now, the virus stayscomplications on the way.
Sensible Medicine
MARCH 15, 2025
We publish this well-written account of a vaccine injury from a regular Sensible Medicine reader. As an editor, I had a conversation with her and reviewed basic documents to confirm the factual content. I will limit comments to paid subscribers. JMM Like many in February 2021, I had listened for months to public health authorities and followed the recommendations to “flatten the curve” of Covid-19.
The Trauma Pro
MARCH 14, 2025
Several years ago, I ran a series of posts on my Laws of Trauma. I assembled them into newsletter that contained all nine that existed at the time. If you’d like to download it, just click this link. I’ve been struck by another pattern, and I think it’s about time to add the tenth law. Weirdly enough, it was inspired by Dancing With The Stars.
Dr. Smith's ECG Blog
MARCH 14, 2025
Written by Magnus Nossen, with edits by Smith The patient in today's case is a 70-year-old farmer. He has a history of coronary artery disease and a STEMI two years prior that was treated with primary PCI. He contacted EMS due to acute onset chest pain and feeling unwell and fatigued. He was given ASA and sublingual NTG and taken to the ED. At the time of this initial ED ECG, his symptoms were improving ECG #1 on admission to the ED The patient was not seen quickly in the ED as it was a busy shi
PulmCCM
MARCH 13, 2025
Patients in septic shock are under extreme stress and have high levels of circulating catecholamines. Catecholamine toxicity has been postulated to worsen the organ failure associated with severe sepsis. Vasopressor infusions with norepinephrine and epinephrine could theoretically add to catecholamine toxicity. Infusions of ultra-short acting beta blockers such as esmolol and landiolol have been investigated as adjunctive therapies for patients with septic shock who have persistent tachycardia a
Emergency Medicine Cases
MARCH 11, 2025
On this month's EM Quick Hits podcast: Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome, Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiac arrest, Matthew McArther on recognition and ED management of dengue fever, Andrew Petrosoniak on imaging decision making in trauma in older patients, Brit Long & Michael Gotlieb on recognition and management of TTP.Please consider a donation to EM Cases to help ensure continued Free Open Acc
Sensible Medicine
MARCH 13, 2025
I am thrilled to welcome Dr. Todd Stern to Sensible Medicine. Todd and I have worked together for years. He had the office next to me when I arrived at The University of Chicago in 1997. At the end of each day, I would run the decisions I had made by him, and he would tell which sounded good and which I might want to reconsider. He has supported me with not only deep knowledge of medicine but with the humor he brings to the occasional drudgery of our work.
The Skeptics' Guide to EM
MARCH 15, 2025
Date: February 22, 2025 Guest Skeptic: Nicholas Peoples, who is a medical student at Baylor College of Medicine in Houston, Texas. Nicks career has been an exciting blend of global health and emergency medicine. In 2015, Nick was part of the first-ever class to study at Duke Universitys new campus in China, where he earned a masters degree in global health.
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