Emergency Medicine Journal
JANUARY 21, 2025
This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlighted each paper’s main findings, key limitations and clinical bottom line.
Sensible Medicine
JANUARY 23, 2025
Two health obsessions that I’ve never really understood are the supposed benefits of vitamin D (for every imaginable ill) and harm of seed oils. Dr. Bobby Dubois thinks a lot about the evidence behind health recommendations on his podcast. His research has led him to a pretty clear opinion about the role of seed oils in health and disease. Attentive Sensible Medicine readers will note that his take is a bit different from that expressed in a recent post.
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The Bottom Line
JANUARY 16, 2025
Whats new in the Critical Care literature monthly updates
Science Based Medicine
JANUARY 17, 2025
This is what it looks like when doctors treat the pandemic as an intellectual parlor game. The post Dr. Jay Bhattacharya Was Nice to Someone During a Debate. That Doesnt Erase the Consequences of His Misinformation. first appeared on Science-Based Medicine.
EM Literature of Note
JANUARY 16, 2025
This little article has made the rounds, primarily by those who critique it for its many flaws. However, the underlying themes can still be valid, even if an article has limitations. This is a “there is variation in emergency physician admitting practices” article. Literally every practicing physician working in a hospital environment knows there is a broad spectrum of skill, approach to acute illness, and level of risk-tolerance.
Core Medical Group
JANUARY 17, 2025
Meet senior recruiter from our permanent placement division, Joe McLaughlin. Joe will help you find your dream healthcare job today.
The Bottom Line
JANUARY 16, 2025
Whats new in the Critical Care literature monthly updates
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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Emergency Medicine Journal
JANUARY 21, 2025
A short systematic review was undertaken to assess whether intradermal sterile water injections (ISWI) provide effective pain relief in adult patients presenting to the Emergency Department (ED) with renal colic. MEDLINE, Embase, Cochrane and Google Scholar databases were searched, identifying seven relevant studies. Study information, patient characteristics, key results and methodological weaknesses were tabulated.
Science Based Medicine
JANUARY 21, 2025
I’m at that age, 67 going in 68, where it is reasonable to yell at the clouds. Which, come to think of it, may be a good title for another collection of my SBM essays. Aging does indeed suck, but it is, usually, better than the alternative. As we, and by we I mean my family and me, age we get the […] The post Old Doctor Yells At Clouds first appeared on Science-Based Medicine.
PEMBlog
JANUARY 21, 2025
The concurrent circulation of influenza, respiratory syncytial virus (RSV), COVID-19, and norovirus during peak viral seasons presents a diagnostic challenge in pediatric emergency settings. Differentiating these pathogens based on clinical presentation is crucial for targeted management, minimizing unnecessary diagnostic tests, and optimizing healthcare resources.
Core Medical Group
JANUARY 23, 2025
Meet traveling physical therapist, Mark Zajac! Get to know Mark and how he found CoreMedical Group as well as his favorite things about traveling with us.
Dr. Smith's ECG Blog
JANUARY 23, 2025
This was written by Hans Helseth. He just graduated from college. He has no medical training, but he has read this blog for years. He is an ECG tech who hopes to go to medical school. He has never been poisoned by the STEMI/NSTEMI paradigm because he has never been to medical school. Lucky Hans. You don't need to have medical training to recognize OMI on the ECG.
Emergency Medicine Journal
JANUARY 21, 2025
Background Extreme weather events due to human activities have significantly increased the frequency and severity of hydrological disasters like floods, impacting human health and healthcare systems worldwide. This study analyses the patterns of emergency service utilisation of the May 2023 flood in Romagna, Italy, and specifically investigates the differences in emergency department (ED) visits and mortality between individuals exposed and not exposed to the flood.
EMergucate
JANUARY 21, 2025
The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.
The Evolution & Medicine Review
JANUARY 16, 2025
The 14th-century Black Death, as depicted by Gilles Le Muisit in 1349, was caused byYersinia pestis.
Advanced Medical Reviews
JANUARY 16, 2025
Did you know that job satisfaction among physicians drops consistently until they've been in practice for more than 30 years? For many, burnout prevents them from ever making it that far. However, providing physician peer review services is a great way to ease the stress of the job and help keep you moving forward.
Dr. Smith's ECG Blog
JANUARY 17, 2025
ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review
Emergency Medicine Journal
JANUARY 21, 2025
Background Growing numbers of avoidable low-acuity visits to emergency departments (ED) are a major health policy concern globally and are thought to contribute to ED crowding. This study explores the differences in the utilisation of low-acuity ED visits between culturally and linguistically diverse (CaLD) migrants and English-speaking background (ESB) population.
PulmCCM
JANUARY 23, 2025
Various new “sepsis tests” have come to market or will soon, claiming to solve the problem of diagnostic imprecision in the early management of suspected sepsis. Could they? The lack of a reliable diagnostic test or universally accepted criteria to diagnose sepsis leads to significant challenges in clinical practice and research. Overly general case definitions and sloppy EMR algorithms result in a high rate of overtreatment with antibiotics due to false positives, as well as delayed
RebelEM
JANUARY 21, 2025
Background: The current standard care for evaluating pulmonary embolism (PE) advises against D-dimer testing in patients with a high clinical probability. European and American guidelines emphasize a sequential diagnostic approach based on pretest probability assessment using either a formal clinical decision instrument (e.g., Wells’ , Revised Geneva ) or clinical gestalt.
The Skeptics' Guide to EM
JANUARY 18, 2025
Date: January 7, 2025 Dr. Dara Kass Guest Skeptics: Dr. Dara Kass is an emergency medicine physician, public health leader, and advocate passionate about equity and healthcare reform. She founded FemInEM, promoting gender equity in emergency medicine, and champions organ donation reform after donating part of her liver to her youngest son. Dr. Kass is dedicated to expanding reproductive healthcare access and educating the public on healthcare policy.
Clinical Correlations
JANUARY 16, 2025
By Ella Feiner Peer Reviewed In a world abundant with food and sedentary lifestyles, the global prevalence of cardiometabolic disease has reached alarming levels.
Emergency Medicine Journal
JANUARY 21, 2025
Background Evidence regarding high-dose inhaled corticosteroids (HDICS) in asthma exacerbations in adults is insufficient. This study compares the treatment outcomes of HDICS as add-on therapy to the outcomes of standard treatment in adult patients with acute asthma exacerbation in the ED. Methods This was a single-centre, triple-blind, randomised controlled trial conducted in the ED in Thailand between March 2022 and April 2023.
Board Bombs
JANUARY 19, 2025
Live from New Orleans! We're telling you the ultimate secret to managing back pain in the ED. You'll never guess what works the best to treat acute low back pain (and you might be disappointed to hear it- let's be real!). Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here.
EM Literature of Note
JANUARY 21, 2025
The last decade or so featured a rather notable increase in palatability for the conservative management of appendicitis. Why undergo surgery for a condition antibiotics can cure? You wouldn’t take out your bladder for a urinary tract infection, would you? This latest randomized trial adds to the evidence surrounding the “antibiotics first” strategy for appendicitis by expanding it to children.
St. Emlyn
JANUARY 21, 2025
St.Emlyn's - Emergency Medicine #FOAMed Learn more about the Ten Second Triage tool in this interview recorded at Tactical Trauma 24. The post Podcast – Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24 appeared first on St.Emlyn's.
Sensible Medicine
JANUARY 21, 2025
Sensible Medicine is spoiled with great submissions. A challenge we face is needing to pass on articles which are interesting, thoughtful, and well-argued but which fall outside our lane – articles that are not even “medicine adjacent” This article, the second we have published by Charles Silver, pushes the edge of the envelope. I think there is enough of the intersection of medicine and society for us to publish this, especially as public health and politics seems to be gettin
Emergency Medicine Journal
JANUARY 21, 2025
Trauma remains a significant cause of mortality and morbidity. Non-compressible torso haemorrhage is one of the key drives of these mortality data. Our contemporary management has focused on damage control resuscitation, with a focus on haemorrhage control, haemostatic resuscitation and permissive hypotension. The evidence for permissive hypotension lacks the robustness as other treatments, such as tranexamic acid.
Ken Grauer, MD
JANUARY 18, 2025
The ECG in Figure-1 was obtained from an older woman who presented to the ED ( E mergency D epartment ) because of a syncopal episode. She was asymptomatic at the time this ECG was recorded. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Is there AV block? If so What kind? Figure-1: The initial ECG in today's case. ( To improve visualization I've digitized the original ECG using PMcardio ).
Dr. Smith's ECG Blog
JANUARY 18, 2025
I was texted this case by Ankur Kalra , an interventional cardiologist at the University of Indiana. He also did his cardiology fellowship at my institution, Hennepin County Medical Center. He runs the Parallax podcast, and he inteviewed me on that Podcast this year. He says the podcast had over 3000 downloads and "It's our season 6 topper" Here it is: Ep 121: OMI/NOMI: A Paradigm Shift in Myocardial Infarction Diagnosis With Dr Stephen Smith By the way, also don't miss this new OMI review artic
EM Ottawa
JANUARY 16, 2025
A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to trauma. Its no surprise that workplace injuries involving the hand account for nearly 500,000 cases annually in […] The post Nailed it!
EMDocs
JANUARY 18, 2025
We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: When to Start Norepinephrine for Septic Shock? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinically rel
Emergency Medicine Journal
JANUARY 21, 2025
Background Rapid identification of individuals with acute respiratory infections is crucial for preventing nosocomial infections. For rapid diagnosis, especially in EDs, lateral flow devices (LFDs) are a convenient, inexpensive option with a rapid turnaround. Several ‘multiplex’ LFDs (M-LFDs) now exist, testing for multiple pathogens from a single swab sample.
PulmCCM
JANUARY 20, 2025
New guidelines on cardiopulmonary resuscitation in adults were published in Circulation in November 2024. They’re 187 pages long. What’s changed, and what do you need to know? Who Writes the CPR Guidelines? The International Liaison Committee on Resuscitation (ILCOR) is comprised of experts on resuscitation around the world. ILCOR is a scientific advisory body to the American Heart Association and similar societies in other countries.
Sensible Medicine
JANUARY 17, 2025
Last weekend, I asked John and Adam to put together 400 words on what advice they would give a patient who asked about drinking alcohol. I joined them in this exercise. For the sake of discussion, we imagined a 47 year old man, no medications or past medical history, married with 2 kids, who enjoys 2 generous glasses of red wine a night. He asks (John/Adam or me) “Is that healthy?
ALiEM
JANUARY 17, 2025
An otherwise healthy 11-year-old female presented to the Emergency Department (ED) with one week of scalp pain and discharge. Her symptoms began as a dry and itchy rash in the scalp area that was unresponsive to triamcinolone 0.1% ointment. She was initially seen in clinic and was diagnosed with an abscess of the scalp and treated with Trimethoprim/ Sulfamethoxazole (TMP-SMX) for seven days.
EMDocs
JANUARY 16, 2025
Authors: Kyle Smiley (EM Resident, BAMC, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Pediatric emergencies are challenging. Well provide summaries of the evidence to support your decisions at the bedside. Today we cover the Phoenix Sepsis Criteria.
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