Ken Grauer, MD

JULY 5, 2025

The ECG in Figure-1 is from a middle-aged man — who presented to the ED ( E mergency D epartment ) with on-and-off CP ( C hest P ain ). The patient was hemodynamically stable at the time this ECG was recorded. QUESTIONS: How would you interpret this ECG in Figure-1 ? — What is the rhythm? — Would you activate the cath lab? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). == My Initial Thoughts on Today’s CASE: This is a cha

EKG/ECG 228

EKG/ECG Wellness 228

The Trauma Pro

JULY 4, 2025

Generative artificial intelligence (AI) is the newest shiny toy. The best-known example, ChatGPT, burst onto the scene in November 2022 and caught most of us off guard. The earliest versions were interesting and showed great promise for a variety of applications. The easiest way to think about this technology is to compare it to the auto-complete feature in your search engine.

Research 195

Research Radiology Radiology Academics 195

St. Emlyn

JULY 3, 2025

St.Emlyn's - Emergency Medicine #FOAMed Recognise and treat drug-induced hyperthermia fast. Learn how early sedation and rapid cooling can save lives in this ED-focused clinical review. The post JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency appeared first on St.Emlyn's.

Hyperthermia / Hypothermia 110

Hyperthermia / Hypothermia 110

ACEP Now

JULY 3, 2025

As a 47-year-old woman in medicine, I am accustomed to the balancing act we perform regarding our families, careers, and our well-being. In March 2024, I was planning my next six months, as we typically do in emergency medicine. I was accepted into a part-time master’s degree program at Georgetown University. I was looking forward to my mother’s birthday cruise to Alaska, and was gearing up for my 14th medical mission trip, this time to Malawi.

Ultrasounds 98

Ultrasounds Wellness Emergency Department Research 98

Speaker: Dr. Christine Gall, DrPH, MS, BSN, RN

The promise of virtual care is no longer theoretical and is now a critical solution to many of healthcare’s most urgent challenges. Yet many healthcare leaders remain unsure how to build a business case for investment and launching the right program at the right time can be the difference between value and failure. For organizations seeking a financially sound, clinically effective entry point, Virtual Patient Observation (VPO) offers a compelling case to lead with.

Operations

ECG Guru

JULY 5, 2025

The Patient: This ECG was obtained from a man in his mid-sixties who was complaining of chest pain. The pain had an acute onset and is described as "10" on a 1-10 scale. He has a PMHx of coronary artery disease with stents in his right coronary artery and minimally invasive aortic valve replacement. The ECG: The rate is 86 bpm. The rhythm is normal sinus rhythm with one PAC (10th beat).

EKG/ECG 94

EKG/ECG 94

EMCrit

JULY 4, 2025

Home EMCrit PulmCrit IBCC 1:1 ODR About About EMCrit PulmCrit – The Full Story EMCrit FAQ Subscribe to the Newsletter Contact Join Why Should I Become a Member? Questions Before Joining (FAQ) Join Now! EMCrit RACC Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation EMCrit Archives EDICUs Show Types ▿ 1:1 Nursing Podcast Foundational Stabilization (FoundStab) Project RACC-Lit CV-EMCrit Mind of the Resuscitationist Procedures Outside Shows You are here: H

Seizures 93

Seizures Resuscitation Emergency Department 93

EM Ottawa

JULY 3, 2025

Imagine waking up one day, and the world around you is no longer as you’ve always seen it. The numbers on your alarm clock blur into nothingness, or half of your vision seems to have vanished altogether. Panic sets in as you make your way to the emergency department. The doctor tells you: “This is […] The post Code Blind: Eye’m losing it!

Documentation/Coding 74

Documentation/Coding Emergency Department Stroke Ultrasounds 74

EMDocs

JULY 5, 2025

We always work hard, but we may not have time to read through a bunch of journals. It’s 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: Combo Albuterol-Budesonide PRN for Mild Asthma Spoon Feed — Patients with mild asthma who used albuterol-budesonide rescue therapy had about half as many severe exacerbations as those on albuterol alone.

Stroke 67

Stroke Shock 67

Kings County Downstate EM

JULY 7, 2025

Author: Abner Alemán ReyesMD Resident Editor: Galina UdodGuest Faculty Editor: Noah BerlandA 22-year-old M patient with PMH of depression was brought into the ED by EMS after ingesting 250 pills of ibuprofen 200 mg in a self-harm attempt. The ingestion occurred 2 hours before arrival at the ED. The patient […] The post “It’s Just MotrinⓇ, What’s the Worst That Can Happen?

EMS 64

EMS 64

Northwestern EM Blog

JULY 5, 2025

Written by: Emily Goins, MD (NUEM ‘26) Edited by: Eric Power, MD (NUEM ‘24) Expert Commentary by : Ben Weigel, MD Glucagon-like peptide-1 (GLP-1) agonists are an increasingly common treatment for diabetes and obesity in the United States. Their use is associated with improved glucose control and weight loss, but there are several associated adverse events.

Allergic Reactions 59

Allergic Reactions Poisoning Fluid Resuscitation Dehydration 59

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

Outcomes

Sensible Medicine

JULY 7, 2025

In Western countries, the incidences of atrial fibrillation (AF) and obesity have risen in parallel. And this relationship goes beyond association. Taken together, the evidence clearly supports the contention that obesity can cause AF, through many biologic mechanisms. The therapy implications are obvious: if obesity causes AF, then weight loss should reduce AF.

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ACEP Now

JULY 3, 2025

Acute toxic ingestions are a common reason for presentation to the emergency department (ED) and clinical scenarios range from benign accidental ingestions to large overdoses resulting in hemodynamic instability. A wide variety of toxins cause hemodynamic instability, from cardiotoxic medication to plant-based toxins, and even inhaled substances. 1 In the ED, the most important consideration in management of these toxicities involves decontamination, evaluating for airway protection, and managin

Fluid Resuscitation 52

Fluid Resuscitation Poisoning Shock Resuscitation 52

Greater Sydney Area HEMS

JULY 6, 2025

Screenshot Hello and welcome back. As we continue to discuss cardiac arrest, this week we talk with Prof Laurie Morrison from Toronto about: How to integrate cardiac arrest research into an existing systems How to gather and interpret physiologic data during arrest – particularly ventilation data – and what to do with this data to optimise arrest care How to be a leader in this research field Prof Morrison is an academic and Clinical Scientist in the Division of Emergency Medicine, D

Resuscitation 52

Resuscitation Leadership Research Academics 52

AED Leader

JULY 7, 2025

Choosing to place an automated external defibrillator (AED) in your workplace is a critical first step. The next, and equally important, step is selecting the right device. With numerous models and features on the market, it’s easy to feel overwhelmed. You aren’t just buying a piece of office equipment, you are investing in a system designed to save a life when seconds count.

CPR 52

CPR Shock Pediatrics Best Practices 52

Kings County Downstate EM

JULY 7, 2025

Author: Abner Aleman-Reyes, MD Editor: Galina Udod, MD Case: A 22-year-old M patient with PMH of depression was brought into the ED by EMS after ingesting 250 pills of ibuprofen 200 mg in a self-harm attempt. The ingestion occurred 2 hours before arrival at the ED. The patient was somnolent […] The post “It’s just MotrinⓇ, what’s the worst thing that can happen?

EMS 52

EMS 52

PHARM

JULY 6, 2025

Skip to content Prehospital and Retrieval Medicine – THE PHARM dedicated to the memory of Dr John Hinds In memory of Dr John Hinds Menu + × expanded collapsed Welcome Emergency Airway About the Author Surviving Sedation Guidelines 2021 Delta7 Psychiatric aeromedical retrieval library #UGH CAFE tattswecarry BrowOfJustice Online critical airway training Patient Centred Team Based Critical Care In Austere Environments : what to do when Gigli Saw fails during prehospital amputation under

Psychiatric 52

Psychiatric EKG/ECG Military CPR 52

ACEP Now

JULY 3, 2025

The emergency department (ED) at Scripps Mercy Hospital San Diego is a different breed of ED. This can be felt upon entering the beautiful southern California facility through the patient entrance. During my visit the greeter area was quiet, uncluttered, and virtually empty at 4 p.m. Seeing more than 76,000 annual visits, this urban academic Level I Trauma Center is a STEMI-receiving hospital, geriatric emergency department (GED) certified, and a Stroke Center.

Hospitals 52

Hospitals Best Practices Geriatric Emergencies Operations 52

Sensible Medicine

JULY 2, 2025

No association between preprocedural fasting and witnessed pulmonary aspiration: A systematic review and meta-analysis Here are a couple of other older articles to give you the history of preprocedural fasting.

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AED Leader

JULY 8, 2025

You’ve made a critical decision to protect your people by investing in an automated external defibrillator (AED). But now you face a more complex question. Do you just buy the device, or do you need something more? It’s tempting to purchase an AED and call it a day, but this approach often overlooks the hidden complexities and costs of building a truly effective emergency response program.

Administration 52

Administration Best Practices CPR Operations 52

Life in the Fast Lane

JULY 8, 2025

Chris Nickson Continuous beta-lactam infusions Critical evaluation of continuous infusion of beta-lactam antibiotics (rather than intermittent dosing) in critically ill patients.

Infectious Diseases 52

Infectious Diseases Sepsis 52

Thrive Employer Blog

JULY 8, 2025

ThriveAP Boosts Patient Encounters, wRVUs & APP Confidence Scores By Over 45% Compared to Benchmark Group BACKGROUND A large health system in the Southwest U.S. sought to support their nurse practitioners (NPs) and physician associates (PAs) as they transitioned into or began their professional careers in family medicine. They partnered with ThriveAP on a project with an objective to illustrate the program's return on investment (ROI).

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ACEP Now

JULY 3, 2025

When a viewer sent a message saying they sought help for post-traumatic stress disorder (PTSD) after watching an episode of “The Pitt,” Joe Sachs, MD, FACEP, knew he was accomplishing something far beyond entertainment. For Dr. Sachs—a practicing emergency physician and executive producer of the Max original series—the comment underscored what he’s been working toward for decades: using scripted television to tell deeply human stories that double as public health education.

Urgent Care 52

Urgent Care Emergency Department Hospitals 52

JournalFeed

JULY 5, 2025

The JournalFeed podcast for the week of June 30 - July 4, 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 : Patients with mild asthma who used albuterol-budesonide rescue therapy had about half as many severe exacerbations as those on albuterol alone.

Fractures 52

Fractures 52

AED Leader

JULY 3, 2025

You have selected the Physio Control LIFEPAK CR2 , a smart investment in the safety of your people and the readiness of your facility. But acquiring the device is only the first step. Turning that box into a fully functional, compliant, and effective emergency response program is what truly saves lives. This can feel like a major responsibility, especially for operations managers and safety directors who are not medical professionals.

CPR 52

CPR Operations Best Practices EMS 52

Life in the Fast Lane

JULY 7, 2025

Michael Gibbs MD Adult Ortho Cases 005 Xray and ultrasound (POCUS) evaluation of integrity of quadriceps tendon, patella tendon, and patella evaluating for tendon rupture and patella fracture.

Fractures 52

Fractures Ultrasounds Radiology Radiology 52

PHARM

JULY 8, 2025

PREHOSPITAL AMPUTATION PERFORMED UNDERWATER DESPITE GIGLI SAW FAILURE! Australian prehospital critical care and ketamine at its best www.abc.net.

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ACEP Now

JULY 2, 2025

ACEP Advocacy Leads to New Boarding Legislation A new ACEP-developed bipartisan bill to address the boarding crisis has been introduced in the House of Representatives, with a Senate companion soon to follow. This important legislation is a direct result of ACEP advocacy and the latest in a series of major ACEPinitiatives to address the boarding crisis.

Emergency Department 52

Emergency Department Geriatric Emergencies Psychiatric Leadership 52

Emergency Medicine News

JULY 3, 2025

No abstract available

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AED Leader

JULY 8, 2025

Acquiring automated external defibrillators for your facilities is a critical first step in workplace safety. But the real work begins after the devices are installed. An AED is not a set it and forget it piece of hardware. Research shows that as many as 1 in 5 AEDs are out of service or not ready to rescue due to poor maintenance. For an operations manager or EH&S director, that statistic represents an enormous liability and a potential failure when seconds matter most.

Documentation/Coding 52

Documentation/Coding Operations EMS Best Practices 52

CasesBlog

JULY 7, 2025

Vigorous Intermittent Lifestyle Physical Activity (VILPA) Here is my suggestion for you: Exercise for a minute every 20 minutes every day. Turn on your watch timer to ring every 20 minutes, When the timer goes off, do squats for 1 minute and keep repeating during the day. The first thing you’ll notice is that you may be surprised how much time you spent in inactivity.

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NRC Health

JULY 8, 2025

We’re proud to celebrate our very own Chief Operating Officer, Helen Hrdy, who has been recognized as one of the Top 50 Women Leaders of Nebraska for 2025 by Women We Admire. The post Celebrating Helen Hrdy: One of Nebraska’s Top 50 Women Leaders of 2025 appeared first on NRC Health.

Operations 52

Operations Leadership 52

ACEP Now

JULY 2, 2025

An 86-year-old man with a history of hypertension, hyperlipidemia, cardiomyopathy, and our-vessel coronary artery bypass five years prior presented to the emergency department (ED) with one hour of sudden-onset retrosternal, pressure-like chest pain radiating to the left arm. The patient was afebrile with reassuring hemodynamics, well-appearing, and with an unremarkable physical examination.

EKG/ECG 52

EKG/ECG Emergency Department Wellness 52

Pediatric Education

JULY 6, 2025

PediatricEducation.org is taking a break. The next case will be published in on July 14, 2025 – Bastille Day for those in France. In the meantime, please take a look at the different Differential Diagnoses, Symptom and Disease listed at the top of the page. Maybe even a few spring flowers outside your window too. We appreciate your patronage, Donna D’Alessandro and Michael D’Alessandro, curators.

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AED Leader

JULY 2, 2025

When a sudden cardiac arrest (SCA) occurs, the clock starts. With over 356,000 SCAs happening in workplaces each year, having an automated external defibrillator (AED) is no longer a peripheral safety measure, it is a core component of your emergency response plan. The American Heart Association notes that for every minute defibrillation is delayed, the chance of survival drops by up to 10%.

Shock 52

Shock CPR Operations Leadership 52

CasesBlog

JULY 6, 2025

If fiber was a pill, you would take it for sure! Higher fiber intake has been associated with better health outcomes in multiple studies. Here is another reminder that fiber has been linked to lower risk of cancer and lower cancer mortality: [link] Posted at Clinical Cases and Images. Stay updated and subscribe , follow us on Twitter and connect on Facebook.

Outcomes 40

Outcomes 40