The Trauma Pro
MAY 20, 2025
Trauma is a surgical disease, and specifically, a disease of bleeding. So many of the tools and processes we have developed for its management revolve around the control of hemorrhage. When a major trauma patient arrives in the resuscitation room, the initial management involves rapid assessment and correction of life-threatening conditions. Recognition of bleeding is paramount.
Ken Grauer, MD
MAY 17, 2025
== P lease N OTE : After today No new ECG Blog posts for 3- to -4 weeks. I will also not be prompt in replying to emails. == All material on this ECG Blog site remains open! The INDEX tab ( in the upper right of each page ) has linked Contents, listed by subject. So IF you are looking for ECG material There is plenty on this web site! And IF you look at the TOP of every page in this blog You'll see a Menu of Tabs that link to a variety of blog features, including my ECG podcasts, Audios &a
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Don't Forget the Bubbles
MAY 12, 2025
Its the first week of your new placement in the Emergency Department of a Paediatric Major Trauma Centre. Youve just finished discharging your third case of flu that day when the red phone rings a 14-year-old child has been stabbed in the chest and is severely injured. The nurse in charge has input out a major trauma alert, and the consultant has asked you to request the relevant bloods and imaging after the primary survey.
PEMBlog
MAY 20, 2025
In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin ( jennifer.marin@chp.edu ) from UPMC Childrens Hospital of Pittsburgh. They explore the evidence behind ultrasound, CT, and MRI, strategies to reduce low-value imaging, and the role of shared decision-making in selecting the appropriate diagnostic test.
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.
RebelEM
MAY 27, 2025
REBEL Rundown Key Points Decision rules help : 98% of c-spine CTs are negativerules reduce unnecessary imaging. Both NEXUS & CCR rule out >99% of serious injuries; CCR may lower imaging rates. NEXUS is simpler but excludes intoxicated patients and can’t clear midline tenderness. CCR is more validated , includes MOI, allows intoxication if alert, and can clear some with midline tenderness.
St. Emlyn
MAY 26, 2025
St.Emlyn's - Emergency Medicine #FOAMed Review the top 11 trauma and resuscitation trials discussed at ICEM 2025. Expert summaries and critical appraisals from St Emlyns cover transfusion strategies, airway management, oxygenation, fibrinogen, and more. The post Top 10 trauma/resus papers for IFEM 2025 appeared first on St.Emlyn's.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Sensible Medicine
MAY 30, 2025
I did my residency at Beth Israel Hospital in Boston. Some people think of it as The House of God , I think of it as the home of Open Notes. 1 Dr. Tom Delbanco was the chief of General Internal Medicine while I was there and was already advocating that patients have access to their medical records. He encouraged me to document clinic visits in notes that I’d be comfortable with my patients reading.
EMCrit
MAY 10, 2025
We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!! EMCrit Project by Scott Weingart, MD FCCM.
The Skeptics' Guide to EM
MAY 17, 2025
Reference: Cohen et al; SUSPECT study group. Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial. J Orthop Traumatol. 2025 Date: May 1, 2025 Guest Skeptic: Dr. Matt Schmitz is an orthopedic surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. He practices at the Rady Childrens Hospital in San Diego and is Professor of Orthopedics at UC San Diego.
Don't Forget the Bubbles
MAY 26, 2025
What is peer-assisted learning (PAL)? Peer-Assisted Learning (PAL) has roots in educational research dating back to 1993 when it was developed to enhance learning through collaboration. The idea was simple but powerful: students learn better when they learn together. By harnessing the benefits of peer tutoring, PAL aimed to support diverse learning needs and improve educational outcomes.
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!
St. Emlyn
MAY 24, 2025
St.Emlyn's - Emergency Medicine #FOAMed Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changeslike a few extra patientscan trigger disproportionate chaos. Using the sandpile analogy and concepts like power law distributions, we reveal why traditional linear models and static targets often fail to manage ED flow effectively.
The Trauma Pro
MAY 9, 2025
Any trauma performance improvement professional understands the importance of undertriage and overtriage. Overtriage occurs when a patient who does not meet trauma activation criteria gets one anyway. And undertriage is the converse, where no activation is called despite criteria being met. As you may expect, the latter is much more dangerous for the patient than the former.
Sensible Medicine
MAY 17, 2025
On a recent shift, I received sign-out for Room 20, a 46 year old man with a history of schizophrenia as well as alcohol and cannabis abuse. He came to us from a nursing home where he lives. He accidentally set his room on fire with a cigarette, prompting the nursing home to kick him out for being a risk to the facility. Although he had no acute medical issues, he was sent to the emergency department so “the health care system” could find him a new home.
PulmCCM
MAY 12, 2025
Anemia is the norm in critically ill patients. Over the past 25 years, critical care has shifted from a normalization heuristic to a restrictive, anemia-tolerant approach to transfusion. Hemoglobin levels less than 8 g/dL are common and usually left alone. There’s good evidence this approach doesn’t increase mortality: But much less is known about how severe anemia may impact long-term functional recovery after critical illness.
ACEP Now
MAY 10, 2025
A Simplified Protocol for Intralipid Administration in the ED Ultrasound-guided nerve blocks (UGNBs) are becoming more common in emergency medicine practice. These techniques allow the modern emergency physician to deliver targeted pain control in conjunction with using lower doses of other analgesics. Recently, numerous Emergency Department (ED) groups have demonstrated the efficacy of UGNBs for pain control with a low rate of complications. 1-3 This cohort study included data from the National
EMDocs
MAY 12, 2025
Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) and Lilly Bellman, MD (Pediatric POCUS Director, San Francisco Emergency Medicine Associates, California Pacific Medical Center) // Reviewed By: Steve Field, MD; Brit Long, MD (@long_brit) Case: A 41 year old male presents to the ED with right upper quadrant pain that worsens after eating.
PEMBlog
MAY 27, 2025
Community-acquired pneumonia (CAP) remains a high-volume driver of ED visits, and yet, risk stratification tools tailored to well-resourced emergency departments are limited. A new study from thePediatric Emergency Research Network (PERN)aimed to change that. Published in The Lancet Child & Adolescent Health , thisprospective cohort study of over 2200 childrenacross 73 Emergency Departments in 14 countries developed and validated clinical prediction models to help clinicians distinguishmildC
The Trauma Pro
MAY 27, 2025
As I mentioned in the last post, the early literature on the use of the hybrid OR for trauma patients was just so-so. However, additional work has been done, and the real benefits are becoming clearer. Today, I’ll describe a pair of more recent, related papers that examined trauma outcomes in the hybrid OR. The research was performed at the University of Florida Health, Gainesville.
Life in the Fast Lane
MAY 11, 2025
James Miers and Hasan Sarwar Procedure: Nail bed repair Emergency Procedure: nail bed lacerations - a deceptively simple injury that can lead to permanent nail deformity if not managed carefully
PulmCCM
MAY 23, 2025
Video laryngoscopy vs. direct laryngoscopy in severely obese patients In the U.K., an ongoing national audit project surveilling intubations has provided invaluable information about airway complications from data that is hard to collect in the U.S. Intubation rates have risen in the U.K. over the past 10 years, which has been partially attributed to rising obesity rates.
St. Emlyn
MAY 4, 2025
St.Emlyn's - Emergency Medicine #FOAMed This is the sixth in a series of blog posts on new research in emergency toxicology. The last post was about ketamine analgesia in chronic opioid users and can be […] The post Acute behavioural disturbances: olanzapine or haloperidol? appeared first on St.Emlyn's.
Sensible Medicine
MAY 26, 2025
Today we talk about the environment and procedures of a trial and how it affects translation of the results to patients. Think of two extremes: one trial requires that patients stay on their assigned strategy with no deviations; the other trial allows oodles of physician discretion and crossover. The latter trial is called pragmatic. Keep in mind though that pragmatism is not dichotomous, all trials have degrees of pragmatism.
PEMBlog
MAY 1, 2025
In this episode, we tackle the clinical mischief of Parvovirus B19 , a common viral infection with a surprisingly wide range of manifestationsfrom the classic slapped cheek rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19.
EMDocs
MAY 24, 2025
We always work hard, but we may not have time to read through a bunch of journals. Its 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: Whats the Best Migraine Cocktail? Spoon Feed There was no clear choice for single-agent pain control, but chlorpromazine IV/IM was among the most effective for pain relief at two hours, and IV/IM ketorolac was among
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.
The Skeptics' Guide to EM
MAY 24, 2025
Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Childrens Hospital where she is the Head of Department.
Northwestern EM Blog
MAY 20, 2025
Written by: Alexandra Franiek, MD (NUEM 26) Edited by: Emma Greever, MD (NUEM 25) Expert Commentary by : Ben Weigel, MD Expert Commentary Thank you for the opportunity to review this excellent post by Drs. Franiek and Greever. Exposure to hydrofluoric acid (HF) is a true medical emergency due to its unique properties and potential for systemic toxicity.
Sensible Medicine
MAY 24, 2025
We had planned this trip for months. A fortuitous change in my clinical schedule gave me more than a week off. I wanted to take advantage and go somewhere special with the family: Hawaii. After a long stretch of clinical shifts, the day finally arrived. We all loaded ourselves and our luggage into the SUV that was taking us to the airport. On the way, I got a text: "Your flight has been cancelled.
Taming the SRU
MAY 18, 2025
The adrenal system allows our bodies to respond to physiologic stressors and to regulate multiple metabolic processes within the body. Disorders of the adrenal axis can be chronic in onset, causing subacute or subclinical presentations, or acute, leading to frank clinical presentations that need to be managed more emergently by ER physicians. Recognition and diagnosis of these disorders can be difficult as the presenting symptoms are often subtle and nonspecific, making it all the more important
Emergency Medicine Journal
MAY 22, 2025
Prehn’s sign describes the eradication of testicular pain on lifting the scrotum and has been proposed as a method to differentiate causes of acute testicular pain. A short systematic review was conducted to evaluate the question: in patients presenting with acute unilateral testicular pain, is a negative Prehn’s sign an accurate sign for diagnosis of testicular torsion (TT)?
Critical Care North Hampton
MAY 6, 2025
Explore how low-dose clonidine improves sleep in postoperative patients, with significant findings from a randomized trial in a high-dependency unit.
Dr. Smith's ECG Blog
MAY 27, 2025
A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the prehospital ECG: The computer says STEMI Based on this and the presence of chest pain, the medics did a prehospital activation of the cath lab. What do you think? Interpretation: There is clear atrial flutter. Look at the spikes in V1 at a rate over 300, which are flutter waves.
Northwestern EM Blog
MAY 20, 2025
Written by: Zemenay Bekele, MD (NUEM 27) Edited by: Emma Greever, MD (NUEM 25) Expert Commentary by : Danielle McCarthy, MD Expert Commentary Thank you for this nice infographic to help organize our thinking around an important emergency diagnosis. The presentation of this information is timely because six months ago the American Heart Association (AHA) released a new scientific statement entitled The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement from th
American Medical Compliance
MAY 9, 2025
Patients dont just benefit from great teamworkthey notice it. According to American Hospital Association , when patients perceive their care as safe, they are 2.5 to 3 times more likely to recommend the hospital to others. These perceptions are shaped not just by the medical treatment they receive, but by what they observecleanliness, hand hygiene, and how well the care team communicates and works together.
PulmCCM
MAY 20, 2025
I’m happy to share that PulmCCM now partners with Learner+ , a reflective learning platform that rewards CME/CE credits to busy healthcare professionals. Learn more here: [link] With a Learner+ account, clinicians can earn CME/CE credits through meaningful reflective practice, anytime and everywhere learning happens. Whether it’s an insight from PulmCCM, a patient interaction, a clinical case discussion, or a podcast, reflection is what matters.
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