EMDocs
MARCH 28, 2025
Heres another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
EM Ottawa
MARCH 27, 2025
TheOttawa DVT PoCUS Handbookis a peer-reviewed, practical guide designed to support emergency clinicians in the bedside diagnosis of deep vein thrombosis using point-of-care ultrasound (PoCUS). Developed by emergency medicine physicians at The Ottawa Hospital, this resource is tailored for learners and practitioners at all levels including medical students, residents, and staff physicians who […] The post Ottawa DVT PoCUS Handbook appeared first on EMOttawa Blog.
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St. Emlyn
MARCH 25, 2025
St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Richard Lyon shares insights from his powerful presentation on the importance of detailed case learning and debriefing both in hospital and pre-hospital settings. The post Podcast – Excellence in Debriefing with Richard Lyon at LTC appeared first on St.Emlyn's.
The Bottom Line
MARCH 26, 2025
Humidified Non-Invasive Ventilation versus High-Flow Therapy to Prevent Reintubation in Patients with Obesity Hernndez et al. AJRCCM 2025. DOI: 10.1164/rccm.202403-0523OC Clinical Question In obese adult patients at intermediate risk for hypoxaemic extubation failure, does non-invasive ventilation (NIV) therapy with active humidification compared to use of high-flow nasal oxygen (HFNO or HFNC) reduce all-cause reintubation within 7 days after extubation?
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!
First 10 EM
MARCH 24, 2025
Are patients allowed to eat in your department? Do you field endless phone calls from nurses asking whether a patient is allowed to eat? Have you ever witnessed a confrontation between a nurse and a patient or family member over NPO status? The concept of forcing emergency patients to remain nil by mouth on the […] The post Let them eat: Emergency department patients should be encouraged to eat and drink appeared first on First10EM.
Emergency Medicine Journal
MARCH 25, 2025
Background Traumatic brain injuries (TBIs) are a common cause of morbidity and mortality in war zones. Currently, the vast majority of reports on war-related TBIs concern soldiers, and little is known about this condition in civilians. Methods This is a retrospective observational study from the EMERGENCY NGO hospital for civilian war victims in Kabul, Afghanistan.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMCrit
MARCH 23, 2025
A discussion of some arterial line philosophy, accuracy, and ease of placement. EMCrit Project by Scott Weingart, MD FCCM.
St. Emlyn
MARCH 27, 2025
St.Emlyn's - Emergency Medicine #FOAMed Day 1 at RCEM Conference 2025 tackled identity, innovation, wellbeing, and risk in Emergency Medicine. Key insights from Joey Godfrey on St Emlyns. The post RCEM Conference 2025: Reflections from Day 1 appeared first on St.Emlyn's.
Emergency Medicine Journal
MARCH 25, 2025
Background Ultrasound is now readily available in the prehospital setting and its use has been highlighted as one of the top research priorities in prehospital care. Clinical examination remains the standard care for diagnosing lung injury in the prehospital setting, yet this can be challenging and has poor diagnostic accuracy. This review evaluates the accuracy of prehospital ultrasound for the diagnoses of pneumothorax, haemothorax and pulmonary contusions in patients with trauma.
Sensible Medicine
MARCH 28, 2025
The career of the academic medicine doctor nicely breaks down into three parts. The first part, beginning right after training, is spent honing a craft and working to establish an academic niche: clinical excellence, research, education, or administration. In phase two, that early work pays off. The assistant or associate professor becomes a respected clinician, an educator developing or directing courses, a funded and published researcher, or an administrator with leadership roles within a depa
Dr. Smith's ECG Blog
MARCH 27, 2025
Written by Jesse McLaren A 40 year old presented with 90 minutes of midsternal chest pressure, radiating to bilateral arms, with shortness of breath. Below is the first ECG, signed off by the over-reading cardiologist agreeing with the computer interpretation: ST elevation, consider early repolarization, pericarditis, or injury. What do you think? What do you think?
St. Emlyn
MARCH 28, 2025
St.Emlyn's - Emergency Medicine #FOAMed From pragmatic frailty care to neurodiversity in medicine and creating safer cultures, Day 2 of RCEM 2025 blended sharp clinical insights with systems thinking. The post RCEM Conference 2025: Reflections from Day 2 appeared first on St.Emlyn's.
Emergency Medicine Journal
MARCH 25, 2025
Background Out-of-hospital cardiac arrest (OHCA) primarily affects older adults. Individuals in nursing homes are often elderly with significant comorbidities. Nursing homes are staffed by healthcare workers, able to respond immediately to cardiac arrest, including provision of bystander cardiopulmonary resuscitation (CPR). We aimed to describe the characteristics, treatments and outcome of individuals sustaining an OHCA in nursing and care home settings in England.
Life in the Fast Lane
MARCH 28, 2025
Kane Guthrie and Mike Cadogan LITFL Update 044 Update 044. Sending you FOAMed content from around the globe. Latest trends and best articles so thatyoustay top of your field.
NRC Health
MARCH 24, 2025
NRC Health is honored to be named the winner of Medallias 2024 New Partner Award! This prestigious recognition reflects our commitment to transforming healthcare experiences and the powerful impact of our partnership with Medallia. It is a testament to our dedication to improving every touchpoint of the healthcare journeyfrom patient interactions to employee engagement.
Clinical Correlations
MARCH 25, 2025
By Matthew Ross Peer Reviewed In 1910, Ezra Hayman was on top of the world. The 26-year-old Nebraska native was a young ear, nose, and throat doctor studying abroad in Vienna, then one of the most prominent scientific and intellectual hubs in Europe. One.
Emergency Medicine Journal
MARCH 25, 2025
Previous research has shown that many children with injuries consistent with the definition of major trauma are brought to the ED by their carers without activation of pre-hospital resources. Such children who ‘self-present’ may not be identified as promptly or receive trauma team activation (TTA) compared with those arriving by ambulance. 1 Relatively little is known about this patient group, the injuries that bring them to the ED or the severity of their injuries.
PulmCCM
MARCH 24, 2025
This is a series of articles on the duration of CPR for in-hospital cardiac arrest. An index to all posts in the series can be found here: Introduction Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year, physicians receive no formal guidance or training on how long it should be performed.
Ken Grauer, MD
MARCH 22, 2025
The ECG in Figure-1 is from a man in his 60s who presented to the ED ( E mergency D epartment ) for new-onset CP ( C hest P ain ). The patient reported intermittent CP for the past 2-3 days prior to this episode. Tonight's epsiode began ~1 hour prior to arrival in the ED. His CP severity =10/10 at the time the ECG in Figure-1 was recorded. QUESTION: In view of the above history: How would you interpret the initial ECG in Figure-1 ?
Dr. Smith's ECG Blog
MARCH 27, 2025
This was sent to me by a former resident who is outstanding at reading ECGs for OMI. "Hi Steve wonder what you think of this ecg in a 60 yo woman w cp, known CAD" Presentation ECG (ECG 1): Here is her previous from one week prior when she presented with heart failure and trops were "negative" (ECG 2): My response: "They both look like active ischemia.
Emergency Medicine Journal
MARCH 25, 2025
This month’s update is by the Emergency Department Team, Wexham Park Hospital, Slough, Frimley Health NHS Foundation Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlighted the main findings, key limitations and clinical bottom line for each paper.
EMCrit
MARCH 23, 2025
Let's talk about starting patients on milrinone. Milrinone is part of a group of medications that I would regard as quasi-titratable. They have an awkward half-life of roughly ~0.5-3 hours. Other medications in this group might include diltiazem, labetalol, and perhaps nicardipine. These drugs can be given as a continuous infusion, but they're not easy […] EMCrit Project by Josh Farkas.
The Skeptics' Guide to EM
MARCH 23, 2025
Date: March 23, 2025 I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team for putting on one of the best conferences ever. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in ten minutes.However, This was an international audience, with many of the close to 600 attendees having English as their second language.
Sensible Medicine
MARCH 25, 2025
Stadiums packed with working-class Americans cheering for public health. Political leaders calling for war on our chronic disease crisis. An incoming NIH Director, Jay Bhattacharya M.D., Ph.D. committed to reform. Had someone painted this picture when I was a graduate student at the Johns Hopkins Bloomberg School of Public Health where the moto is “saving lives, millions at a time” it would have sounded like a dream come true.
Emergency Medicine Journal
MARCH 25, 2025
Warner et al 1 describe the use of oral tranexamic acid (TXA) as a novel treatment for remote or mass casualty incident (MCI) trauma. It should save lives with negligible risk of harm while being cheap, readily available and easy to administer. In other words, it could be the disaster equivalent of aspirin for acute coronary syndromes. It represents a realistic treatment anywhere the Gold Standard for haemorrhage (intravenous TXA) is not readily available and as such could be a viable approach t
Dr. Smith's ECG Blog
MARCH 23, 2025
Written by Pendell Meyers, sent by anonymous, with additions by Smith A man in his 40s had acute chest pain and called EMS. EMS arrived and recorded this ECG: What do you think? Here is the PMcardio Queen of Hearts interpretation of the ECG: STEMI equivalent detected. Inferior and posterior OMI without STEMI criteria. If you think the Queen of Hearts is so sensitive because it sacrifices specificity, you would be wrong.
Don't Forget the Bubbles
MARCH 24, 2025
What is Dexmedetomidine? Dexmedetomidine (Dexmed) is a highly selective alpha-adrenoreceptor agonist that can provide anxiolysis, sedation , and analgesia. Alpha-adrenoreceptors are found all over the body and reduce the fight-or-flight (sympathetic) response. Dexmed targets the alpha-adrenoreceptors in the brainstem and spinal cord. In the brainstem, it works on the ponsa crucial hub that helps regulate breathing, sleep, and automatic body functions.
PEMBlog
MARCH 24, 2025
Does it take a catchy post-grunge alt rock song to remind you that all patient with croup should get a dose of dexamethasone before disposition? Does it? No? OK, well, um, the evidence is great that dex reduces the rate of return visits to Emergency Departments and Doctor’s offices. So there’s that. Lyrics [chorus] Dex! Dex! Dex! Go! Dex!
Emergency Medicine Journal
MARCH 25, 2025
Background Appropriate dispatch of critical care teams to out-of-hospital cardiac arrest (OHCA) has been identified as a research priority emergency care in the UK. The study aimed to understand the criteria informing the decision to dispatch a critical care physician-paramedic prehospital team to OHCA in one UK region. Methods An invitation to participate in an anonymised online survey was sent by email to clinicians and non-clinicians working on the critical care (physician-paramedic) dispatch
Dr. Smith's ECG Blog
MARCH 25, 2025
Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. Her symptoms began while getting off the bus. She described the pain as moderate in severity, and said it had come and gone several times over the next few hours before ultimately resolving. On day of presentation, the pain returned and was very severe with associated dyspnea and vomiting.
EM Ottawa
MARCH 24, 2025
Methodology: 3.5/5 Usefulness: 4/5 Taccone FS, et al. JAMA. 2024 Nov 19;332(19):1623-1633. Question and Methods: This multicenter, randomized trial aimed to determine the optimal hemoglobin transfusion threshold in patients with acute brain injury, comparing a restrictive transfusion strategy (hgb <70g/L) with a liberal strategy (hgb<90g/L) to assess their impact on neurological outcomes.
Stop and Think
MARCH 26, 2025
The American College of Cardiology will meet in Chicago this weekend. The European Heart Rhythm Association gathers in Vienna. Since I was invited to EHRA, I leave for Vienna on Friday. I don’t like that the meetings conflict, but I am a heart rhythm doctor first, and a cardiologist second. ACC always features important trials. I will cover these in spoken form on the This Week in Cardiology podcast and in written form at TheHeart.org | Medscape Cardiology.
Emergency Medicine Journal
MARCH 25, 2025
Welcome to the April 2025 issue of the Emergency Medicine Journal. This month’s edition of the journal has a timely focus on pre-hospital medicine and trauma. Starting with a thought-provoking commentary from Professor Karim Brohi, he highlights some of the challenges we face on a daily basis in trauma care across the healthcare system. He explores a relatively new approach; the concept of precision trauma and the need to tailor treatment to the individual, in direct contrast to the mantra
NRC Health
MARCH 24, 2025
NRC Health is honored to be named the winner of Medallias 2024 New Partner Award! This prestigious recognition reflects our commitment to transforming healthcare experiences and the powerful impact of our partnership with Medallia. It is a testament to our dedication to improving every touchpoint of the healthcare journeyfrom patient interactions to employee engagement.
Greater Sydney Area HEMS
MARCH 23, 2025
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