Sat.Apr 26, 2025 - Fri.May 02, 2025

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Trauma Activation For Hanging: Yes or No?

The Trauma Pro

In my last post, I discussed a little-reviewed topic, that of strangulation. I recommended activating your trauma team only for patients who met the physiologic criteria for it. But now, what about hangings? There are basically two types. The judicial hanging is something most of you will never see. This is a precisely carried out technique for execution and involves falling a certain height while a professionally fashioned noose arrests the fall.

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SGEM#473: Did You Ever Have To Make Up Your Mind – Midazolam or Ketamine for Acute Agitation in the Pre-Hospital Setting

The Skeptics' Guide to EM

Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025 Date: April 24, 2025 Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago, College of Medicine at Rockford. Prior to that, he received a Master of Public Health (MPH) degree emphasizing Environmental and Occupational Health from the University of Illinois at Chicago, School

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Parvo Podcast! Erythema Infectiosum, Fifth Disease, and more!

PEMBlog

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.

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Facial Fractures: Frontal Bone and Orbit

Northwestern EM Blog

Written by: Alexandra Franiek, MD (NUEM 26) Edited by: Savannah Vogel, MD (NUEM 24) Expert Commentary by : Matt Levine, MD Frontal Bone The frontal bone is composed of two tables. The posterior table is adherent to the dura mater. These fractures are often sustained during physical assault from a blunt object or MVCs (think unrestrained passenger). They require substantial force due to bone thickness and should always raise suspicion for neurological injury.

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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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Diagnostics: Bariatric Surgery Complications

Taming the SRU

Obesity affects 40% of American adults, representing an epidemic that continues to grow and carries with it a list of comorbidities that pose further health risk including hypertension, diabetes, heart disease, peripheral vascular disease, and more (1). Strategies for combatting obesity have significantly evolved to include complex medical and surgical solutions.

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Strategies for Keeping Trauma at Bay with Rob Orman, MD

EB Medicine

In this episode, Sam Ashoo, MD interviews Rob Orman, MD about ways to manage the trauma inflicted by the ER. Discussing Trauma in Emergency Medicine Personal Experiences with Trauma The Impact of Suppression Defining Trauma and Its Effects Integration vs. Disintegration Debriefing and Coping Mechanisms The Driveway Debrief Nurse and Physician Dynamics Reflective Solitude vs.

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Facial Fractures: Midface and Mandible

Northwestern EM Blog

Written by: Alexandra Franiek, MD (NUEM 26) Edited by: Savannah Vogel, MD (NUEM 24) Expert Commentary by : Matt Levine, MD Introduction Facial fractures are responsible for greater than 400,000 Emergency Department visits annually in the United States (1). Facial injuries predominantly affect young adults, more often males, and are often the result of motor vehicle collisions (MVC), physical assault and recreational sport.

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Tranexamic acid to prevent bleeding in general surgery

PulmCCM

Tranexamic acid (TXA) is a synthetic molecule derived from the amino acid lysine. TXA helps induce coagulation through antifibrinolytic effects by reversibly blocking lysine-plasminogen binding sites. This slows plasminogen’s clot-dissolving activity. A related compound, epsilon-aminocaproic acid (EACA), has similar effects but at ~10% the potency of TXA.

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Chest Drains and Suction

Intensive Blog

Author: Dr Ken Hoffman Peer Reviewer: A/Prof Chris Nickson In this 7 minute video we examine how a three chamber chest drain system works, and when a chest drain should be connected to suction. If you find these videos useful, please hit the like button on Youtube and subscribe to see more! Finally, this video was made possible by an education project grant awarded by The Australian and New Zealand Intensive Care Foundation , a charity dedicated to improving the care of critically ill patients b

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Thoracic Aortic Emergencies on Ultrasound: Recognizing Aneurysms and Dissections

Core Ultrasound

In this video, Dr. Jailyn Avila walks you through how to diagnose thoracic aortic aneurysms and thoracic aortic dissection using bedside ultrasound. While the abdominal aorta often gets the most attention, aortic disease above the diaphragm is just as criticaland often harder to recognize. Early detection of thoracic aortic pathology can be life-saving, and ultrasound can play a key role in raising suspicion quickly.

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Ask The Expert

ECG Guru

Q: What are the causes of slurring at the base of the R wave? Today's expert is Dr. Jerry W. Jones, MD Dr Jones is known for his Master Classes in Advanced ECG Interpretation, throughhis company, Medicus of Houston , as well as his published texts, Getting Acquainted With Wide Complex Tachycardias , Getting Acquainted With Laddergrams , and Getting Acquainted With Ischemia and Infarction.

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DOs and IMGs Make Up the Majority of the 2025 EM Match

Emergency Medicine News

No abstract available

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Button Battery Ingestion: A Tiny Object with the Potential for a Catastrophic Outcome

AENJ: Current Issue

No abstract available

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MultiCare and ThriveAP Partner to Advance Training and Support for the Next Generation of Advanced Practice Providers

Thrive Employer Blog

ThriveAP is proud to announce a new partnership with MultiCare Health System (MultiCare), a leading not-for-profit health care organization to empower and support advanced practice providers (APPs) in Washington State during pivotal phases of their careers.

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Frailty – a yes, or a no to ITU??

Critical Care North Hampton

Discover the transformative impact of the Rockwood Clinical Frailty Scale on critical care decisions. Learn how it enhances ITU outcomes.

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In Search of Giants

Emergency Medicine News

No abstract available

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ECG Changes and High Sensitivity Troponin I in Acute Cholecystitis

AENJ: Current Issue

No abstract available

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Correction on Article

ACEP Now

In our weekly eNow from Sunday, April 27, 2025, we mistakenly labeled an article as Ketamine for Seizures. The link provided did not go to that article, which is available HERE. ACEPs Clinical Policy on the management of seizures can be found HERE. The post Correction on Article appeared first on ACEP Now.

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ECG of the week 30/4/25 “Doc is my pacemaker pacing properly?

EMergucate

This week we have a series of 3 ECGs from separate patients. These patients all had the same question. “Doc is my pacemaker pacing properly?

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Lessons from the Courtroom: Beware of Valproic Acid

Emergency Medicine News

No abstract available

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NRC Health’s Vinitha Ramnathan Honored with 2025 CPO Award for Exceptional Leadership and Healthcare Innovation

NRC Health

NRC Healths Chief Product Officer, Vinitha Ramnathan, has been named a 2025 CPO Award winner for her exceptional leadership and innovation in healthcare technology. The post NRC Healths Vinitha Ramnathan Honored with 2025 CPO Award for Exceptional Leadership and Healthcare Innovation appeared first on NRC Health.

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Guest Editorial: Predatory Journals: Safeguarding the Integrity of Nursing Publications

AENJ: Current Issue

No abstract available

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Short Spring Break

Pediatric Education

PediatricEducation.org is taking a short spring break. The next case will be published on May 5, 2025. In the meantime, please take a look at the different Archives and Curriculum Maps listed at the top of the page. We appreciate your patronage, Donna DAlessandro and Michael DAlessandro, curators.

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ACGME Proposes Significant Changes to EM Residency Program Requirements

Emergency Medicine News

No abstract available

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Trauma Activation For Strangulation: Yes or No?

The Trauma Pro

Trauma activation criteria generally fall into four broad categories: physiology, anatomy, mechanism of injury, and co-factors. Of these, the first two are the best predictors of patients who actually need to be assessed by the full trauma team. Many trauma centers include a number of mechanistic criteria, usually much to their chagrin. They typically end up with frequent team activations and the patient usually ends up have trivial injuries.

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First10EM Journal Club: April 2025

Broome Docs

G’day and welcome to another instalment of the Journal Club with Dr Justin Morgenstern. This month we cover some diltiazem papers, a few on airway hacks, some population studies and discuss some nerwer management options for big PEs, and kids seizures. Unfortunately, we had soe technical glitches which means that the usual video / Youtube version will not be available – so you will have to stare at a picture of Justin as you listen to the chat!

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TNK vs tPA — The ORIGINAL Trial

RebelEM

Clinical Bottom Line TNK was non-inferior to tPA for excellent outcomes (mRS 01 at 90 days) High proportion of mild strokes may introduce spectrum bias, making non-inferiority easier to demonstrate Slightly more TNK patients treated within 3 hours could affect results No difference in mortality, bleeding, or serious adverse events Findings support TNK as an alternative to tPA Introduction The American Heart Association and the European Stroke Organization have updated their guidelines to recomm

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Saved by the Wrong Medication?

Emergency Medicine News

No abstract available

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When Death Comes to the Intensivist

Sensible Medicine

As an Intensivist, I see death almost every day. It is part of the job. That job requires that I help my patients conquer critical illness and make sure that those who will die do so with dignity. Given that I see death on a regular basis in the ICU, I also have reflected, as has Dr. Cifu , on how I want to die. Ideally, I want to die in my sleep, without the pain and suffering of a prolonged critical illness torturing me to death.

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April Update

EM Literature of Note

Periodic reminder theres lots of content over at our new home on evidencetriage.com Such great hits as: Run A Marathon And Drop Dead Paxlovid Spiralling Into Total Disutility Can Dr. Oz Really Replace Your Doctor With AI? The Bluejepa EAGLEs Have Landed and many others!

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Button Battery Ingestion: A Tiny Object with the Potential for a Catastrophic Outcome

AENJ: Current Issue

Foreign body ingestion is a common complaint encountered in the emergency department among both adults and children. Children under the age of 6 years are at especially high risk of foreign body ingestion, including coins, toys, jewelry and batteries. The button battery is the most common battery ingested and has the highest potential for serious and fatal injuries in infants and children.

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The Torsed Testicle Traction Technique: A Urologic Perspective

Emergency Medicine News

No abstract available

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The NIH Can Launch its Autism Research Initiative Immediately

Sensible Medicine

Autism Has Been Neglected Only 543 studies or commentaries published in JAMA—among the world’s most widely circulated medical journals—even mention autism, with just 4 research studies published in the last five years mentioning autism in their title. In contrast, cancer has been the subject of nearly 19,000 JAMA publications. One might reasonably argue that cancer research merits more attention but even topics such as climate change have significantly eclipsed autism, garnerin

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Do we need serial ECGs for this case of chest pain?

Dr. Smith's ECG Blog

From Drew Williams A 40-something patient called 911 for 30 minutes of left sided chest pain radiating to right arm/shoulder (Smith aside: radiation to right shoulder is a really high risk symptom, and especially radiation to both shoulders). A prehospital ECG was recorded at 2238. The Zoll conventional computer interpretation said "nonspecific ST-T abnormalities" What do you think?

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How Accurate are Blood Gas Electrolyte Measurements?

RebelEM

Bottom Line Up Top: Blood gas electrolytes closely correlate with serum measurements and can be used under most circumstances to guide clinical care. Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the Emergency Department with generalized weakness. Her vital signs are HR = 82, BP 153/72, O2 Sat 95%, Temp 98.7.

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Urology in the ER: Saving Testicles, One at a Time

Emergency Medicine News

No abstract available

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