Sat.May 31, 2025 - Fri.Jun 06, 2025

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The Fast and the Fractured: The Rise of Paediatric E-Scooter Trauma

Don't Forget the Bubbles

Its a busy Friday afternoon in the emergency department. The waiting room hums with end-of-school energy sports injuries, fevers, and worried parents. In Bay 3, 14-year-old Vinh lies on the stretcher, pale and tearful. His right arm is grotesquely swollen, held protectively across his chest. Hes just come in after coming off an e-scooter fast. He wasnt wearing a helmet.

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The BIG Brain Injury Guidelines

The Trauma Pro

Until five years ago, there was tremendous variability in the way brain injuries were managed at trauma centers. There were no clear guidelines describing what should be done during the initial evaluation, and no consensus as to when to involve neurosurgery. This resulted in a lot of flailing about and unnecessary calls to our neurosurgical colleagues.

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What is Open Evidence and Should I Incorporate This Into My Practice?

Mount Sinai EM

Will Artificial Intelligence take over my job? Not likely in the immediate future! Can it help me right now to make more evidence based decisions in my daily practice? Possibly! Now that artificial intelligence (AI) tools have become ubiquitous in our society, you may be asking yourself how you can use these tools to make your life easier. In this short pearl, we will explore one tool, Open Evidence , and how you may use it to help answer some questions on your next shift.

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The Cheese - BRASH Syndrome

Cook County EM Blog

It’s 3 a.m. on an overnight shift and the resuscitation room nurse runs over, “Hey doc, the patient in R3 is bradycardic and now his blood pressure is dropping”. You rush in, begin thinking through which medications to give and place pads on the patient. Luckily, he begins to stabilize with vasopressors and pacing. You review his labs again; he has worsening renal function and he’s mildly hyperkalemic to 5.7.

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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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The 92nd Bubble wrap x PICSTAR x PICU Journal watch

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. Each year, Hari and the team at PICUJournalWatch publish a Best of the Year summary of key articles in paediatric intensive care medicine ( PICUJournalWatch – Best of the Year ). In this Bubble Wrap, the PICSTAR team give you a high-impact summary of our favourites.

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Diagnostics: Ophthalmologic Trauma

Taming the SRU

Background Epidemiology About 55 million eye injuries occur annually every year and over one fifth of these injuries result in vision that would qualify for legal blindness. It could be your dad building that deck with a table saw and no glasses, your niece playing hockey with a puck to the eye, or even you on your way to work in a car accident. Eye injuries are all around us and are devastating when they happen.

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The Latest In Critical Care: June 5, 2025

PulmCCM

European guidelines on intravenous fluids in critical illness The leading European critical care society issued guidelines on the amount of intravenous fluids to provide to critically ill patients with indications for volume resuscitation. Their absence of novelty or certainty provides a soothing effect to the anxious clinician. For sepsis and septic shock, the committee suggested delivering up to 30 ml/kg of crystalloid at the time of presentation.

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Pediatric Cardiac Arrest

Ultrasound Gel

The GEL Jr. squad returns to discuss a very important topic - ultrasound in pediatric cardiac arrest. Using a recent article as a diving board, they cannonball into the pool of evidence. [link] [link] The GEL Jr. squad returns to discuss a very important topic - ultrasound in pediatric cardiac arrest. Using a recent article as a diving board, they cannonball into the pool of evidence.

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Visual Dx Question: What Is This Rash?

ACEP Now

A 36-year-old man presents with fever and rash. What is the diagnosis? Measles Pityriasis rosea Scabies Tinea corporis (See the answer here.) The post Visual Dx Question: What Is This Rash? appeared first on ACEP Now.

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Patient with Heart Transplant has ventricular fibrillation arrest -- resuscitated

Dr. Smith's ECG Blog

2635859 A middle-aged male Immediate post-resuscitation. We were aware that ST Elevation can be a result of the low flow state in cardiac arrest, and resolve with time, but we activated the cath lab. The interventionalist stated that a transplanted heart does not have coronary disease. A chart review however, revealed the the patient had had an acute distal LAD occlusion one month prior.

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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!

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Steroids harmed community-acquired pneumonia patients? (REMAP-CAP)

PulmCCM

In 2024, the leading U.S. critical care society advised that most patients with critical illness—including severe community-acquired pneumonia (CAP), septic shock, and acute respiratory distress syndrome (ARDS)—should receive corticosteroids. This was based on what seemed to be an abundance of evidence, some of the most convincing of which was the CAPE COD trial.

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Procedure: Sutures and Staples

Life in the Fast Lane

James Miers and John Mackenzie Procedure: Sutures and Staples Emergency Procedure: closing lacerations.

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IHCA TOR | Sick Beats

JournalFeed

The JournalFeed podcast for the week of 26-30, 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. Monday Spoon Feed : A novel termination of resuscitation (TOR) rule for in-hospital cardiac arrest (IHCA) utilizing information available at the bedside proposed TOR appropriately, often, and rarely misidentified survivable cases.

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June 2025 News from the College

ACEP Now

New South Carolina Law Requires Physician Onsite in All Hospital EDs South Carolina recently passed legislation requiring all hospitals with emergency departments (EDs) to have at least one physician physically onsite.South Carolina ACEP (SCCEP)worked tirelessly to support this legislation. SCCEP credits the swift enactment of the bill to their advocacys focus on patient safety.

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What Are Potential Pediatric Problems Associated with Cesarean Section Birth?

Pediatric Education

Patient Presentation A 2-month-old female came to clinic for her well-child care. She had been born to a G2P2 female by cesarean section for maternal diabetes type 2, fetal macrosomia, fetal intolerance to labor and previous cesarean section. She had problems with hypoglycemia after birth but otherwise was well and had regained her birth weight by 8 days of life using formula.

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Benefit of Earlier Antibiotics in Sepsis

University of Maryland CC Project

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical Circulatory Support Neurology Obstetrics Critical Care Other Pharm/Toxicology Pulmonary Renal/Endocrine/Metabolic Surgical/Trauma About Us Searc

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A Medical Mystery: The Proven Antidote That Can't Be Proven to Work (Part I)

Emergency Medicine News

No abstract available

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The worst thing you can be when you have this ECG is to be a young woman

Dr. Smith's ECG Blog

This was contributed by a great paramedic, Drew Williams. He now is his agency's "Clinical Improvement Analyst for STEMI performance and quality assurance.” A 30-something woman called 911 for chest pain. Medics report this: They recorded a prehospital ECG: What do you think? To me, this is an obvious proximal LAD occlusion. However, I am always surprised at how what is obvious to me, is completely missed by many other physicians.

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Tuning Fork Tests (Weber and Rinne)

Life in the Fast Lane

Mike Cadogan Tuning Fork Tests (Weber and Rinne) The Weber and Rinne tuning fork tests differentiate conductive from sensorineural hearing loss using the principles of bone and air conduction.

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Oxygenation Targets and Outcomes after Critical Illness

University of Maryland CC Project

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical Circulatory Support Neurology Obstetrics Critical Care Other Pharm/Toxicology Pulmonary Renal/Endocrine/Metabolic Surgical/Trauma About Us Searc

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Antibiotics for Treating Severe Valproic Acid Overdose?

Emergency Medicine News

No abstract available

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Intravenous Ketamine to Facilitate Transport of Agitated Patients to the ECT Clinic – PMC

PHARM

Electroconvulsive therapy (ECT) can be effective for a variety of psychiatric conditions, including for some patients who are very psychotic or agitated. Transferring such patients from the psychiatric ward to the ECT clinic can pose significant … — Read on pmc.ncbi.nlm.nih.

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Embracing Change with Clarity and Conviction

NRC Health

NRC Health welcomes Trent Green as its new CEO. A healthcare veteran with over 25 years of leadership experienceincluding roles at One Medical and Legacy HealthGreen brings a personal connection to Lincoln, Nebraska, and a fresh, purpose-driven vision for NRC Healths future. The post Embracing Change with Clarity and Conviction appeared first on NRC Health.

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RESCUE Me

University of Maryland CC Project

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical Circulatory Support Neurology Obstetrics Critical Care Other Pharm/Toxicology Pulmonary Renal/Endocrine/Metabolic Surgical/Trauma About Us Searc

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Could That Troublesome Respiratory Infection Case in Your ED Be Tuberculosis?

Emergency Medicine News

No abstract available

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REBEL Core Cast 134.0 – Acetaminophen Toxicity

RebelEM

Acetaminophen (APAP) overdose remains one of the most common causes of acute liver failure in the United States. While its therapeutic use is widespread and generally safe, unintentional overdoses and delayed presentations can lead to devastating outcomes. In this episode of REBEL Cast, we break down the pathophysiology, clinical course, diagnostic approach, and evidence-based management of APAP toxicityincluding when to initiate NAC, how to apply the Rumack-Matthew nomogram, and the evolving ro

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Explore Cutting-Edge Concurrent Sessions at HUB25

NRC Health

From leadership and culture to clinical strategies and patient experience operations, the HUB25 concurrent sessions offer a diverse range of insights and practical tools to help you drive meaningful change in your organization. The post Explore Cutting-Edge Concurrent Sessions at HUB25 appeared first on NRC Health.

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VExUS

University of Maryland CC Project

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical Circulatory Support Neurology Obstetrics Critical Care Other Pharm/Toxicology Pulmonary Renal/Endocrine/Metabolic Surgical/Trauma About Us Searc

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CTA Head and Neck Overutilization

Emergency Medicine News

No abstract available

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New Study Provides a Global Pulse Check on Emergency Medicine

ACEP Now

A few years back, I embarked on a journalistic journey, chronicling the lives of several intrepid physicians whod traded their scrubs and stethoscopes between the United States and far-flung locales like Australia, New Zealand, the Netherlands, and even the cradle of humanity, Ethiopia. These weren’t just travelogues; they were glimpses into the diverse tapestry of global health care, each thread woven with different financing models and delivery systems.

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Exercise is Great but It’s Not a Cancer Drug

Sensible Medicine

The CHALLENGE trial tested cancer outcomes from a structured exercise program. NEJM published the study, more than a 100 news sites covered it, and hundreds reposted it on social media. So you know the results were positive. Hugely positive, in fact. And who, I ask, does not love the story that exercise vanquishes cancer? Sensible Medicine is a place to get the real story.

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Prolonged ECMO

University of Maryland CC Project

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical Circulatory Support Neurology Obstetrics Critical Care Other Pharm/Toxicology Pulmonary Renal/Endocrine/Metabolic Surgical/Trauma About Us Searc

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Symptoms: Chest Pain, Difficulty Breathing, Pre-Hospital STEMI Alert

Emergency Medicine News

No abstract available

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Prehospital Buprenorphine Is a Powerful Tool in the Opioid-Crisis Fight

ACEP Now

Drug overdoses are a leading cause of accidental death in the United States, representing a persistent and escalating health crisis. According to recent data from the Centers for Disease Control and Prevention (CDC), overdose deaths have exceeded 100,000 annually since 2021, with approximately 75 percent involving opioidsa proportion that continues to rise. 1 Even in nonfatal opioid overdose cases, there is a significant increase in both short- and long-term mortality.

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The Patch of Nothingness

Sensible Medicine

I’ve always thought that reflective writing (or narrative medicine, or health humanities, or whatever you want to call it) can be an important tool for managing the intensity of medical training. David Deshpande wrote for us when he was a first-year student. He is now a fourth-year, and I am thrilled to publish another one of his essays. This one is a bit longer than our usual, but I think every word is worth it.

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