Trending Articles

article thumbnail

Are There Really More Missed Injuries After Hours?

The Trauma Pro

In my last post, I wrote about the usual reasons for delayed diagnosis: insufficient diagnostic technique or insufficient recognition. What about the time of day? An interesting paper looked at the correlation between admission time and the rate of missed injuries. The work was done at a large teaching hospital and Level I trauma center in Australia.

Hospitals 128
article thumbnail

More trials from TBS 2025. (part 2)

St. Emlyn

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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Should thrombolytics be given >4.5 hours after stroke onset?

PulmCCM

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.

Stroke 101
article thumbnail

TBS Top papers 2025 (part 1)

St. Emlyn

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.

Fractures 103
article thumbnail

There IS Beauty in Medicine

EM Ottawa

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.

91
article thumbnail

We are not antivaccine, we are pro unattainable vaccine

Science Based Medicine

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.

article thumbnail

Traumatic ICH - An Interview with Erin D'Agostino, MD

EB Medicine

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

More Trending

article thumbnail

ECG Pointers: Hyperkalemia or Toddler Squiggles?

EMDocs

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.

EKG/ECG 56
article thumbnail

The Telepathy Tapes – More FC Pseudoscience

Science Based Medicine

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.

92
article thumbnail

Major Trauma – Injuries by Assault

Don't Forget the Bubbles

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

article thumbnail

Medical Student Research

Sensible Medicine

What we expect students to do to get into medical school -- and then match into a desirable residency -- is absurd. Why do we do this? Because we won’t admit that we can’t predict who will be a successful doctor. Because there are too many good applicants for the spots we have. Because we are too lazy, or cheap, to invest the time and energy to get to know our applicants.

52
article thumbnail

Podcast – Monthly Round Up December 2024 – Chest trauma, IO access, AI and more

St. Emlyn

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.

article thumbnail

ToxCard: Radiation-Induced Skin Injury

EMDocs

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

52
article thumbnail

I Confess My Sins: I Was Too Slow and Timid to Call Out Propaganda For What It Is.

Science Based Medicine

As Lysenkoism 2.0 looms, those of us who have warning about this for years are not to blame for the problems we write about, and we have nothing to apologize for. The post I Confess My Sins: I Was Too Slow and Timid to Call Out Propaganda For What It Is. first appeared on Science-Based Medicine.

64
article thumbnail

Bronchiolitis

Ultrasound Gel

The GEL Jr crew back with a topical episode on bronchiolitis. When you scan the lungs of these kids what do you see, and more importantly. what does it mean?? [link] [link] The GEL Jr crew back with a topical episode on bronchiolitis. When you scan the lungs of these kids what do you see, and more importantly. what does it mean??

52
article thumbnail

Clonidine

Life in the Fast Lane

Chris Nickson Clonidine Critical Care Compendium entry for Clonidine (pharmacology)

52
article thumbnail

NRC Health ranked #1 Best in KLAS for Healthcare Experience Management

NRC Health

NRC Health is honored to receive the Best in KLAS 2025 Award for Healthcare Experience Management, highlighting our commitment to excellence and innovation. The post NRC Health ranked #1 Best in KLAS for Healthcare Experience Management appeared first on NRC Health.

52
article thumbnail

Medical Music Mondays: Welcome to the K-Hole

PEMBlog

Ketamine is an amazing drug for procedural sedation in the Emergency Department. Kids also look wild when they’re on it – some people call that look the “K-Hole.” Imagine a creepy industrial metal song about that… go ahead… I’ll wait. Lyrics Welcome to the K hole Now you’re deep inside Not responding to stimuli But your eyes are open wide We can reduce your fracture straight no pain without a wait side effects include emesis laryngospasm, agitation

article thumbnail

Botulinum Toxin: A tale of medicine, beauty, and danger

Science Based Medicine

When used responsibly botulinum toxin is very safe, but patients should be especially vigilant about cosmetic treatments done outside a medical setting. The post Botulinum Toxin: A tale of medicine, beauty, and danger first appeared on Science-Based Medicine.

63
article thumbnail

Implementation of Electronic Health Record Integration and Clinical Decision Support to Improve Emergency Department Prescription Drug Monitoring Program Use

EM Ottawa

Methodology 3/5 Usefulness 2/5 Hoppe JA, et al. Ann Emerg Med. 2024 Jan;83(1):3-13. Question and Methods: The study evaluated whether integrating prescription drug monitoring program (PDMP) tools with clinical decision support in EHR workflows improved PDMP usage and opioid prescribing practices using a stepped-wedge design. Findings: PDMP usage improved modestly during clinical alerts (23.8%), but […] The post Implementation of Electronic Health Record Integration and Clinical Decision Su

article thumbnail

Prazosin

Life in the Fast Lane

Chris Nickson Prazosin Critical Care Compendium pharmacology entry for prazosin.

52
article thumbnail

Find inspiration during the Peds Collaborative Roundtable Sessions

NRC Health

Join us for the Pediatric Collaborative Roundtable Sessions for a fast-paced, engaging event where youll connect with healthcare leaders, learn from case studies, and explore strategies to enhance patient care, utilize data-driven decision-making, and foster interdisciplinary collaboration. The post Find inspiration during the Peds Collaborative Roundtable Sessions appeared first on NRC Health.

article thumbnail

ECG Blog #468 — Aberrant or VT?

Ken Grauer, MD

I was sent the ECG in Figure-1 without the benefit of any clinical information. QUESTIONS: What is the rhythm? How certain are you of your answer? Figure-1: The ECG I was sent. ( To improve visualization I've digitized the original ECG using PMcardio ). MY Thoughts on Making the Diagnosis: Rather than a "Yes-No" answer ( ie, Rather than saying the rhythm is VT vs SVT ) it is preferable to simply describe what you see.

EKG/ECG 250
article thumbnail

BBC Takes On Appeal to Nature Fallacy

Science Based Medicine

It’s always good (and frustratingly rare) to see the mainstream media get it right when it comes to pseudoscience in medicine. Too often the narrative is – scientists are baffled at this alternative “one easy trick” to improve your health. Most mainstream articles on pseudoscience in medicine frame their reporting around a positive anecdote, and at best throw in some token skepticism […] The post BBC Takes On Appeal to Nature Fallacy first appeared on Science-Based

52
article thumbnail

Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

Written by Magnus Nossen (with 2 important comments by Smith at the bottom) The patient in todays case is a 50 year old man who presented due to "dizziness" and episodes of presyncope. The patient's symptoms had started about 14 days prior to admission but worsened significantly during the course of the last 24 hours. Previously healthy, taking no medication and exercising regularly.

EKG/ECG 67
article thumbnail

What has gotten better and what has gotten worse since you started in medicine

Sensible Medicine

I asked 6 doctors — at different stages of their career — to tell you, dear Reader, what has gotten better and what has gotten worse since they began in medicine. I also took a stab at it. Here are our answers. If you leave your answer in the comments, I will curate and publish the most interesting responses. Vinay Prasad, MD Vinay Prasad’s Better and Worse I started in medicine 19 years ago, and during this time there have been gains and setbacks.

article thumbnail

Tips For Avoiding Missed Injuries

The Trauma Pro

In the last two posts, I’ve examined the phenomenon of delayed diagnosis or missed injury. I believe that there are only two fundamental reasons why this occurs: Insufficient diagnostic technique – A good physical exam and/or specific diagnostic techniques were not performed. Or rarely, the injury cannot be readily detected by existing techniques and technology.

Radiology 128
article thumbnail

The Key Principles of Restorative Nursing: What Every Provider Should Know 

American Medical Compliance

Patients who receive restorative nursing care are 32% less likely to be readmitted to the hospital than those receiving standard care, as reported in the Journal of the American Geriatrics Society. This is because the principles of restorative nursing go beyond basic medical careit actively engages patients in their recovery through mobility training, self-care support, and personalized rehabilitation.

Stroke 59
article thumbnail

NICU graduation to PICU

Don't Forget the Bubbles

A new path to explore What is the problem? Survival rates for babies born very pretermbefore 32 weeks of gestationhave improved significantly in recent decades. However, this progress also means that more babies are surviving with serious complications related to preterm birth. In the United Kingdom, neonatal care is routinely funded until babies reach 44 weeks corrected gestational age (CGA).

Hospice 59
article thumbnail

‘NSTEMI’ or reperfused OMI? And which lesion is the culprit?

Dr. Smith's ECG Blog

Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina. The patient was pain free on arrival, and below are the prior and new ECG.

EKG/ECG 65
article thumbnail

A Conversation with Professor Jeffrey Flier Regarding Changes in NIH Funding

Sensible Medicine

Professor Jeffrey Flier is a distinguished service professor and Higginson Professor of Physiology and Medicine at Harvard Medical School. He is the former dean of Harvard Medical School. We talked about the recent (and sudden) change in NIH funding. First a note on Professor Flier. He is not a normal medical school dean. He is active online. He speaks candidly, often critically.

Academics 104
article thumbnail

emDOCs Podcast – Episode 114: Airway/Intubation Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on a mental model for the airway and intubation. Episode 114: Airway/Intubation Mental Model Model: Airway Meds have been pushed… 60 second timer Breathe: 4 count in, 4 count hold, 4 count out, 4 count hold To control our adrenaline surge Light Gripthe laryngoscope (2 finger grip) To avoid over aggressive tongue control Scissorthe mouth open EVLI Epiglottoscopy Light grip following the curvature of the blade looking for landmarks a

article thumbnail

Case Report: Acute Kratom Withdrawal

ACEP Now

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent. He was notably diaphoretic, tachycardic, and severely agitated, requiring physical restraint by multiple security and medical team members for patient and staff s

article thumbnail

NRC Health partners with UC Health to enhance healthcare consumer experience

NRC Health

NRC Health is proud to partner with UC Health, a relationship designed to support the evolving needs of the patients, consumers, and broader communities UC Health serves. UC Health will leverage NRC Healths innovative and trusted Market Insights and Community Insights solutions to truly understand the unique needs, behaviors, and preferences of consumers in todays complex healthcare landscape.

52
article thumbnail

250. This is Tuberculosis- ain't no hold 'em

Board Bombs

Breathtaking performances at the Grammy's this year. Speaking of breathtaking, let's talk TB! 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, Wosiki-Kuhn, Marlena. 250. This is Tuberculosis- ain't no hold 'em. February 10th, 2025. Accessed [date].

EMS 52
article thumbnail

Should RFK Jr be confirmed?

Sensible Medicine

At Sensible Medicine, we invite debate and discussion. Recently we published a piece broadly supportive of RFK Jr , written by a Danish vaccine researcher, Dr. Schaltz-Buchholzer. In response, we feature a critical letter by Sensible Medicine writer and editor Adam Cifu. I also include a reply from Dr. Schaltz-Buchholzer. Let us know if you enjoy this format.

article thumbnail

PRN for PeRhaps Not | SAH Hgb Targets

JournalFeed

The JournalFeed podcast for the week of Feb 4-7, 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. Wednesday Spoon Feed : Patients who received as-needed antihypertensive medications while hospitalized had higher risk for acute kidney injury (AKI).