PulmCCM

MAY 15, 2025

Nutrition is complex, and so it should not be surprising that the data on nutritional support in hospitalized patients represent something of a paradox. A relatively robust evidence base suggests strongly that an assertive approach to nutrition can save lives in hospitalized patients who are malnourished or at risk. However, in the most severely ill patients, the choice of nutritional support and the number of calories delivered have shown no significant effect on outcomes.

Outcomes 52

Outcomes Hospitals Research 52

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.

Radiology 108

Radiology Radiology Fractures Emergency Department 108

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.

CPR 117

CPR 117

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

Administration 87

Administration Advances Cardiac Life Support (ACLS) Seizures Ultrasounds 87

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

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.

Blood Transfusions 90

Blood Transfusions Outcomes Hospitals Pediatrics 90

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.

Ultrasounds 74

Ultrasounds Best Practices EMS Wellness 74

PEMBlog

MAY 14, 2025

This session was co-hosted by the AAP SOEM Education Subcommittee and the Point-of-Care Ultrasound (POCUS) Special Interest Group and was originally held on Zoom on Monday, May 12, 2025. This interactive session explored the landscape of pediatric POCUS through the lens of education, curriculum development, and sustaining quality. Our expert presenters shared practical guidance, challenges, and updates based on national recommendations from the AAP, ACEP, and others.

Radiology 62

Radiology Radiology Ultrasounds Pediatrics 62

Cook County EM Blog

MAY 16, 2025

You receive a call from the lab for a critical result; your patient has a potassium of 6.0. You order an ECG and then look around for an attending for help. Should you just give the patient sodium zirconium cyclosilicate (commercially known as Lokelma), or should you throw the kitchen sink at the patient? Are those T waves peaked? Panic no longer - let’s talk hyperkalemia.

Emergency Department 45

Emergency Department EKG/ECG Documentation/Coding EMS 45

EMCrit

MAY 15, 2025

Our first episode uses a simple case to act as touch-point for a discussion of resus nursing in the ED. EMCrit Project by Scott Weingart, MD FCCM.

Sepsis 92

Sepsis 92

Board Bombs

MAY 11, 2025

Master the first 5 minutes of managing a hypotensive patient. Learn how to rapidly identify shock types, apply the RUSH exam, and stabilize critically ill patients in the ED. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake, Wosiski-Kuhn, Marlena. 256.

Shock 52

Shock 52

EMergucate

MAY 13, 2025

A 33yr old male presents with exertional chest pain, his ECG is below: What is the specific finding and concern … Continue reading →

EKG/ECG 52

EKG/ECG EMS 52

Core Medical Group

MAY 15, 2025

How long does it take to become a travel nurse? Learn how many years of college you need, degree requirements, and the fastest path to travel nursing.

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American Medical Compliance

MAY 13, 2025

Clinical skill alone isnt enough in healthcare. As the system continues to shift from volume-based to value-based care, the focus is no longer just on how many patients are seen or procedures are donebut on the quality, outcomes, and efficiency of that care. And the shift is real: according to the Health Care Payment Learning & Action Network , over 41% of U.S. healthcare payments in 2022 were made through advanced payment models that reward providers for value, not volume.

Leadership 59

Leadership Operations Outcomes Administration 59

Total Medical ComplianceHIPAA

MAY 16, 2025

As your HIPAA compliance partner, we want to remind all staff that unauthorized access to patient recordsalso known as “snooping”is a serious HIPAA violation. Even in small, tight-knit practices, patient privacy must always be respected. Curiosity is not a valid reason to look at someones protected health information (PHI), and doing so can lead to termination, fines, and permanent consequences for the employee and the practice.

Hospitals 40

Hospitals 40

Life in the Fast Lane

MAY 13, 2025

Beth Chasty and Mike Cadogan Cornelia de Lange Cornelia Catharina de Lange (1871-1950) was a Dutch pediatrician.

Pediatrics 52

Pediatrics 52

NRC Health

MAY 15, 2025

NRC Health is proud to celebrate our Chief Experience Officer Jennifer Baron for being named one of Women We Admires Top 50 Women Chief Experience Officers of 2025. The post NRC Healths Jennifer Baron Named One of 2025s Top Women Chief Experience Officers appeared first on NRC Health.

Leadership 52

Leadership 52

Sensible Medicine

MAY 16, 2025

Following up with another 35 “diseases just learned.” Please look back to last week’s intro if you are just coming to this series. Like Part I, this is a gift to our paid subscribers. This Substack is reader-supported. If you appreciate our work, consider becoming a free or paid subscriber.

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EMCrit

MAY 15, 2025

Home EMCrit PulmCrit IBCC ODR About About EMCrit PulmCrit – The Full Story EMCrit FAQ Subscribe to the Newsletter Contact Join Why Should I Become a Member? Questions Before Joining (FAQ) Join Now! EMCrit Project Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation EMCrit Archives EDICUs Show Types ▿ Foundational Stabilization (FoundStab) Project RACC-Lit CV-EMCrit Mind of the Resuscitationist Procedures Outside Shows You are here: Home / EMCrit / 1:1 Nu

Sepsis 52

Sepsis EMS Emergency Department Resuscitation 52

Life in the Fast Lane

MAY 12, 2025

Mike Cadogan Charles Chaddock Charles Gilbert Chaddock(1861-1936) was an American neurologist, psychiatrist, poet and medical translator.

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EMergucate

MAY 11, 2025

The following patient was found collapsed outside a warehouse. What is his diagnosis and management? ph 7.

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52

The Trauma Pro

MAY 13, 2025

In my last post, I reviewed using the Cribari grid to evaluate over- and under-triage at your trauma center. This technique has been a mainstay for over a decade, but it has shortcomings. The most important one is that it relies only on the Injury Severity Score (ISS) to judge whether some type of mistriage occurred. As you know, the ISS is usually calculated after discharge, so it can only be applied after the fact.

Blood Transfusions 113

Blood Transfusions Radiology Radiology 113

Emergency Medicine Cases

MAY 12, 2025

There are many nuances in the management of patients with pulmonary embolism in cardiac arrest, peri-arrest or simply in shock: We need to optimize oxygenation and airway management, hemodynamic support, acid/base management, thrombolysis and/or catheter-directed therapies that Anton dives into with guest experts Dr. Lauren Westafer, Dr. Bourke Tillmann and Dr.

Airway Management 64

Airway Management Shock EMS Ultrasounds 64

Life in the Fast Lane

MAY 12, 2025

James Miers and Hasan Sarwar Procedure: Nail bed repair Emergency Procedure, instruction and discussion: nail bed repair - a deceptively simple injury that can lead to permanent nail deformity if managed incorrectly

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52

Northwestern EM Blog

MAY 13, 2025

Written by: Melissa Kubacki, MD, MS (NUEM 26) Edited by: Jalea Moses, MD (NUEM 24) Expert Commentary by : Matt Levine, MD Introduction: Compartment syndrome is a cant miss diagnosis for any painful extremity examinationespecially in those with any traumatic mechanism. Having a high clinical index of suspicion along with the skills to accurately measure compartment pressures, while in the emergency department, could save a limb.

Fractures 64

Fractures Academics Emergency Department Hospitals 64

Sensible Medicine

MAY 12, 2025

I have a great (and sad) story to tell today. It’s about hubris and the need for proper control arms in device trials. The reason control arms popped in my head was an unusually candid editorial in JAMA regarding the management of tricuspid regurgitation. The authors criticize the evidence base underpinning the new push to intervene on the tricuspid valve.

Operations 60

Operations Leadership Outcomes Wellness 60

Ken Grauer, MD

MAY 10, 2025

You are given the ECG shown in Figure-1 and told that it was obtained from a middle-aged man who presented with epigastric pain and "faints" over the previous 4 days. There was no CP ( C hest P ain ). No prior tracing and no additional information is available at the time you are given this tracing. QUESTIONS: How would you interpret the ECG in Figure-1 ?

EKG/ECG 383

EKG/ECG Wellness 383

The Trauma Pro

MAY 16, 2025

A hybrid operating room is a special OR suite that allows advanced imaging to be carried out simultaneously with one or more additional operative procedures. Its that simple. It contains specialized imaging equipment, including fluoroscopy and infusion equipment for radiographic dye administration. Some also contain CT and/or MRI capabilities, but the shielding required for these makes them rare.

Operations 147

Operations Administration Hospitals 147

Dr. Smith's ECG Blog

MAY 12, 2025

Written by Pendell Meyers A woman in her 60s had acute chest pain and shortness of breath. EMS arrived and recorded this ECG (no baseline ECG available): What do you think? Sinus rhythm, RBBB, and anterolateral OMI pattern with concordant STE in V2, inappropriate STD (precordial swirl pattern) in V5 anv V6, HATW in I and aVL, with reciprocal STD and negative HATW in III and aVF.

EKG/ECG 120

EKG/ECG EMS Wellness 120

The Bottom Line

MAY 15, 2025

Whats new in the Critical Care literature monthly updates

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Critical Care North Hampton

MAY 16, 2025

Discover the perioperative risks of GLP-1 drugs like semaglutide, focusing on delayed gastric emptying and aspiration during anaesthesia.

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EMCrit

MAY 16, 2025

I'm writing a letter to the editor in response to a recent article in the Journal of Hospital Medicine. I'm posting it here rather than submitting it to the journal to avoid burying it behind a paywall (and because I have the attention span of an intensivist hopped up on lots of coffee). First, I […] EMCrit Project by Josh Farkas.

Hospitals 86

Hospitals Administration 86

EM Ottawa

MAY 15, 2025

The importance and efficacy of feedback as an educational tool is well established within medical education literature, with widespread consensus that it is essential for learner development.(1) Reflecting this, the Accreditation Council for Graduate Medical Education (ACGME) designates feedback as an essential and required aspect of resident training across all specialties.

Wellness 79

Wellness 79

The Bottom Line

MAY 15, 2025

Whats new in the Critical Care literature monthly updates

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Dr. Smith's ECG Blog

MAY 15, 2025

Written by Magnus Nossen The patient in today's case is a young adult male who has had annual cardiological follow-ups due to a pathological ECG. His previous studies include annual Holter monitoring for palpitations and biennial echocardiograms. The Holter recordings and echocardiograms were unremarkable. The patient contacted EMS for chest pain and had the following ECG recorded.

EKG/ECG 76

EKG/ECG EMS Wellness Hospitals 76

Sensible Medicine

MAY 14, 2025

The most common question we get asked is: is there a course on how to become better at critically reading medical research. Here it is! This is the second of 9 videos that we recorded as part of a course on clinical appraisal, and there will be many more to come. This and future videos will be made available as a thank you to paid subscribers.

Research 68

Research 68

EM Ottawa

MAY 12, 2025

Methodology: 4/5 Usefulness: 3.5/5 Wilson SJ, et al. Ann Emerg Med. 2024 Mar;83(3):235-246. doi: 10.1016/j.annemergmed.2023.09.005. Questions and Method:To determine the diagnostic accuracy of emergency physician performed point of care ultrasound (POCUS) for acute cholecystitis diagnosis compared to final diagnosis as per surgical pathology, discharge diagnosis or radiology performed ultrasound.

Ultrasounds 72

Ultrasounds Radiology Radiology 72