Wed.Jun 18, 2025

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US Probe: Assessing Venous Congestion – The VExUS Approach

EMDocs

Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steven Field, MD; Brit Long, MD (@long_brit) Case: A 56-year-old male with past medical history of CHF and ESRD presents to your hospital with respiratory distress in the setting of cough for the past four days.

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Timing of Repeat Epinephrine in Pediatric Anaphylaxis: How Long Should We Observe?

PEMBlog

Introduction Observation periods after epinephrine treatment for pediatric anaphylaxis vary widely across emergency departments. While prolonged stays are often intended to catch biphasic reactions, they can also lead to unnecessary admissions and extended ED length of stay. This multicenter retrospective study aims to provide evidence-based guidance by determining when the risk of repeat epinephrine administration becomes acceptably low.

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Is Old Age a Reason to Scan a Cervical Spine?

Taming the SRU

Radmard M, Tafazolimoghadam A, Hoseinyazdi M, et al. Is older age an appropriate criterion alone for ordering cervical spine computed tomography after trauma. Acad Emerg Med 2024; Study Overview : A retrospective study analyzed 9,455 cervical spine CTs (CSCTs) performed on trauma patients aged ≥65 years at two EDs between 2018–2023, aiming to assess the necessity of routine imaging in asymptomatic older adults.

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Why Healthcare’s Future Depends on Trust: A HUB25 Session with Dr. Wendy Sue Swanson

NRC Health

What happens when the leaders who shape our healthcare systems become the people who must rely on them? This is the deeply personal and profoundly important question Dr. Wendy Sue Swanson explores in her general session at NRC Health’s Human Understanding Beyond | HUB25: Three Cancers, One Critical Moment: Why Healthcare’s Future Depends on Trust.

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How to Start Virtual Care the Right Way: A Proven Roadmap for 2025 and Beyond

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.

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This Fortnight in Medicine (Episode II)

Sensible Medicine

This Substack is reader-supported. If you appreciate our work, consider becoming a free or paid subscriber. Clinical Validation of a Circulating Tumor DNA–Based Blood Test to Screen for Colorectal Cancer If you want a deeper dive into cancer screening, we have covered the topic a lot on Sensible Medicine. There is a video debate Vinay, John, and Adam had about colon cancer screening.

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