Tue.Jun 17, 2025

article thumbnail

How Soon Does The Backup Surgeon Need to Arrive?

The Trauma Pro

Expected response times are common in the verification and designation standards for all trauma centers. Some examples are: Trauma surgeon at Level I or Level II ACS centers for highest-level trauma activation – 15 minutes Trauma surgeon at Level III ACS centers for highest-level trauma activation – 30 minutes OR and PACU personnel and backups – 30 minutes Neurosurgeon and orthopedic surgeon response to certain high-risk patient conditions – 30 minutes Interventional radi

Radiology 113
article thumbnail

Temporary mechanical circulatory support in infarct-related cardiogenic shock: an individual patient data meta-analysis of randomised trials with 6-month follow-up

EM Ottawa

Methodology: 4/5 Usefulness: 1/5 Thiele H, et al. Lancet. 2024 Sep 14;404(10457):1019-1028. doi: 10.1016/S0140-6736(24)01448-X Question and Methods: Does routine early use of mechanical circulatory support (MCS) reduce mortality in acute myocardial infarction cardiogenic shock (AMICS) compared to standard medical therapy? Findings: AMICS mortality was between 45-55% regardless of MCS vs. usual care, however STEMI-related cardiogenic […] The post Temporary mechanical circulatory support in

Shock 109
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

Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram.

Dr. Smith's ECG Blog

Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain, nausea, dyspnea, and diaphoresis. He was brought in by EMS. His first ECG is shown: ECG 1 Obvious STEMI (+) OMI. What would you guess is the culprit? There is STE in V1 and V2 with lateral STD, a pattern known as precordial swirl , so.it should be LAD, right?

EKG/ECG 113
article thumbnail

Massive Transfusion Protocol

Northwestern EM Blog

Written by: Sasha Becker, MD (NUEM ‘27) Edited by: David Cook, MD (NUEM ‘25) Expert Commentary by : Matt Levine, MD Expert Commentary Thank you Drs. Becker and Cook for providing a handy concise guide to Massive Transfusion Protocol. Some of the indications may not seem obvious when the patient first arrives. In addition to the listed indications, be on alert for MTP use whenever you hear of prehospital hypotension (even if transient) in a bleeding patient and any recurrent hypotension after ini

article thumbnail

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.

article thumbnail

The Evidence for Empathy in the Emergency Department

ACEP Now

A 68-year-old man presented with weakness and a 30-lb weight loss over the past three months. Chest radiograph shows a large left hilar mass. CT scan shows a 12 cm left hilar mass with multiple bilateral pulmonary nodules, concerning for metastatic disease. The emergency department (ED) is full with boarding and critical patients, and 25 patients are in the waiting room.

article thumbnail

Thyroid Emergencies

EB Medicine

Special Offer - EB Medicine is 26 years old! Get 26% off all purchases at ebmedicine.net! In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the June 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Thyroid Emergencies Introduction to Thyroid Emergencies Understanding Decompensated Hypothyroidism Thyroid Storm: The Other Extreme Differential Diagnosis and Complications Medication Triggers and Patient History Physical Examination Findings Laborat

More Trending

article thumbnail

ECG of the week 18/6/25

EMergucate

An 88yr male who presented with syncope and diaphoresis. In ED he is alert and not complaining of dizziness, chest pain or palpitations. Here is his ECG: What is your management?

EKG/ECG 52
article thumbnail

Case Report: When Syncope Gets Hairy

ACEP Now

School picture day is often dreaded by children and their parents. Although finding the perfect outfit and keeping it clean, making sure remnants of breakfast aren’t present in the child’s teeth, and getting their hairstyle just right are typical stressors surrounding picture day, most parents do not think about their young student having a potential medical emergency just hours before saying “cheese.

article thumbnail

NRC Health Receives 2025 CSO Award for Leadership in Cybersecurity and Healthcare Data Protection

NRC Health

NRC Health is proud to announce we have been named a 2025 CSO Award winner, joining an elite group of organizations recognized for excellence in cybersecurity, information risk management, and strategic innovation. The post NRC Health Receives 2025 CSO Award for Leadership in Cybersecurity and Healthcare Data Protection appeared first on NRC Health.

article thumbnail

William Macewen

Life in the Fast Lane

Mike Cadogan William Macewen Scottish surgeon Sir William Macewen (1848–1924) pioneered neurosurgery, bone grafting, and antiseptic technique, transforming modern surgical practice

52
article thumbnail

Bridging Innovation & Patient Care: The Growing Role of AI

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!

article thumbnail

10 Essentials for Your Emergency Department Fanny Pack

ACEP Now

There is significance in the things we carry. 1 The objects we choose to fill a limited space reflect a lot about the lives we lead, the way we think, what we anticipate, and what we prioritize. The hierarchical culture in academic medicine dictates that as we advance in seniority, we carry less. Think about the medical student on rounds whose pockets are stuffed with all manner of items compared to the attending who carries nothing more than a phone, eschewing even a pen or stethoscope to the

article thumbnail

GE Venue Knobology

Life in the Fast Lane

Jo Deverill GE Venue Knobology Everyone loves knob twiddling on machines that go ping! But how do you knobologise a touchscreen? Get ready to finger your way into POCUS.