Kings County Downstate EM

MAY 5, 2025

Author: Rabani Bharara, MDEditor: Philippe Ayres, MDI: CaseAn 86-year-old female with a past medical history of diabetes mellitus, hypertension, dyslipidemia, anemia, and bilateral cataracts presents to the ED for asymptomatic bradycardia identified in the geriatric clinic. The patient had gone to her geriatric clinic appointment for a routine check-up when […] The post Heartbeats on Backup: Junctional vs.

EMS 83

EMS EKG/ECG 83

PulmCCM

MAY 5, 2025

Coagulation abnormalities (e.g., an elevated international normalized ratio or INR) and thrombocytopenia are present in most severely ill patients. Fresh frozen plasma and platelets are commonly transfused for patients perceived to be at high risk of bleeding or who are undergoing invasive procedures. Transfusion practice patterns vary widely, and many transfusions of plasma and platelets are probably unnecessary.

Documentation/Coding 52

Documentation/Coding Hospitals Wellness 52

Life in the Fast Lane

MAY 5, 2025

James Miers and Chris Partyka Procedure: Serratus Anterior Block Emergency Procedure: Serratus Anterior Plane (SAP) Block; a technique most often used for rib fracture pain

Fractures 52

Fractures Resuscitation 52

Don't Forget the Bubbles

MAY 5, 2025

With millions of journal articles published yearly, it is impossible to keep up. This month, the team from NEOTrips give us a whistle-stop tour of some of their research and other articles that have inspired potential future studies. Neonatal Trainee-led Research and Improvement Projects (NeoTRIPs) is a national neonatal study group which aims to improve neonatal care for patients and families through large-scale quality improvement projects.

Sepsis 89

Sepsis Incident Reporting Outcomes Research 89

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

Life in the Fast Lane

MAY 5, 2025

James Miers and Chris Partyka Procedure: Serratus Anterior Block Emergency Procedure, instruction and discussion: Serratus Anterior Plane (SAP) Block; a technique most often used for rib fracture pain

Fractures 52

Fractures Resuscitation 52

RebelEM

MAY 5, 2025

REBEL Rundown REBEL Recap TNK was non-inferior to tPA for excellent outcomes (mRS 01 at 90 days) High proportion of mild strokes may introduce spectrum bias, making non-inferiority easier to demonstrate Slightly more TNK patients treated within 3 hours could affect results No difference in mortality, bleeding, or serious adverse events Findings support TNK as an alternative to tPA Introduction The American Heart Association and the European Stroke Organization have updated their guidelines to r

Stroke 67

Stroke Outcomes Administration EMS 67

Sensible Medicine

MAY 5, 2025

Three professors, writing in the Lancet , estimated that the global prevalence of the condition is 25%. A modeling study predicted that its prevalence will rise sharply in the coming decade. The condition has a terrible name. It’s called metabolic dysfunction-associated steatohepatitis (MASH). That’s its new name. The old names, non-alcoholic fatty liver disease (NAFLD) or non-alcoholic steatohepatitis (NASH) were not much better.

Outcomes 115

Outcomes Documentation/Coding 115