RebelEM

APRIL 14, 2025

Background: Accurate blood pressure (BP) measurement is essential in the emergency department (ED), where it serves as a key marker of hemodynamic stability and informs critical management decisions. Improper technique and incorrect cuff sizing can lead to falsely high or low readings, impacting patient care. The issue of BP cuff size has been studied in manual BP cuffs previously, but there is scant literature on automatic BP cuffs.

Emergency Department 132

Emergency Department Administration EMS Outcomes 132

The Trauma Pro

APRIL 18, 2025

Rib fractures are one of the most common thoracic injuries presenting to trauma centers. Traditionally, many state designation standards set limits on the number of rib fractures in patients to be admitted to Level IV trauma centers. The assumption was that these centers had limited surgical capabilities and might not have the expertise to manage them to achieve optimal patient outcomes.

Fractures 174

Fractures Best Practices Outcomes EMS 174

PulmCCM

APRIL 14, 2025

SEP-1, the Centers for Medicare & Medicaid Services (CMS)’s much-maligned sepsis “quality” measure, was the brainchild of a small group of insiders conceived in the early- to mid-2000s. Given how SEP-1 has aged, it should be no surprise it was an ugly baby. Its genesis was led by Dr. Emmanuel Rivers, who back then was a superstar in critical care after publication in the New England Journal of Medicine of the randomized trial he led claiming that “early goal-directed

Sepsis 93

Sepsis Infectious Diseases Administration Shock 93

EMDocs

APRIL 14, 2025

Today on the emDOCs cast with Brit Long ( @long_brit) , we cover the Lisfranc injury. Episode 118: Lisfranc Injury What is it? The Lisfranc joint complex is a tarso-metatarsal articulation named for Jacques Lisfranc (1790-1847), one of Napoleons battlefield surgeons. A Lisfranc injury is any injury/disruption to this joint complex. Exist along a spectrum: minor subluxation to fracture and dislocation.

Dislocations 74

Dislocations Fractures Ultrasounds Operations 74

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

ACEP Now

APRIL 14, 2025

When somebody is sick or injured in and around Birmingham, Alabama, several options exist for care. But only one has received ACEPs Emergency Department Accreditation Program (EDAP) stamp of approval. The University of Alabama at Birmingham is the first EDand only for nowto attain this accreditation. UAB was notified in late February of this achievement after several months of navigating the process and supplying information to back up the vision and prove it meets the requirements.

Emergency Department 52

Emergency Department Geriatric Emergencies Ultrasounds Hospitals 52

First 10 EM

APRIL 14, 2025

There appears to be wide agreement that we are not good at providing feedback in medicine. I have attended many seminars and read many papers on this topic, and despite believing this is an essential role in medical education, I still fail routinely. I have received a lot of advice. I should start by setting […] The post Providing feedback and defining excellence in medicine appeared first on First10EM.

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EMDocs

APRIL 18, 2025

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource. Please check it out.

EKG/ECG 67

EKG/ECG Wellness Shock EMS 67

EMCrit

APRIL 17, 2025

Neuroleptic Malignant Syndrome (NMS) and Serotonin Syndrome (SS) are relucatantly covered on this week's show EMCrit Project by Scott Weingart, MD FCCM.

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AENJ: Current Issue

APRIL 15, 2025

Abdominal pain is a common chief complaint in Emergency departments (EDs) nationwide which presents a wide array of potential etiologies including acute coronary syndrome (Daniels et al., 2020). High-sensitivity troponin I (hs-TnI), a biomarker traditionally linked to cardiac injury, can also be elevated in noncardiac conditions, such as acute cholecystitis.

EKG/ECG 75

EKG/ECG Emergency Department 75

First 10 EM

APRIL 16, 2025

This isn’t a full blog post, but just an opportunity to share a resource that I think many people will find valuable. In most pediatric resuscitations, I feel very comfortable standing with the Broselow tape in my hand for dosing. If it isn’t on the Broselow, I probably have time to look it up. The […] The post Pediatric transfusion dosing appeared first on First10EM.

Pediatrics 52

Pediatrics Resuscitation 52

Sensible Medicine

APRIL 14, 2025

Not every week, but most weeks I read social media posts about getting your heart checked. It could be lifesaving. The pleas often start with a coronary artery calcium scan—which could then lead to a coronary angiogram with possible stent placement. It’s a compelling story. Heart disease is a leading killer. Sudden cardiac death or massive heart attack can be the first symptom.

Outcomes 126

Outcomes Stroke Wellness Shock 126

EMCrit

APRIL 14, 2025

Intro to the 1:1 Nursing Podcast EMCrit Project by Scott Weingart, MD FCCM.

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AENJ: Current Issue

APRIL 15, 2025

Metacarpal fractures account for 30% to 40% of all hand fractures. These fractures usually occur in adolescents and young adults. The mechanism of injury is often direct trauma, but can also occur with an axial load or torsional loading (twisting). Fractures of the metacarpals are subdivided into the metacarpal head, neck, shaft, and base. The most common metacarpal fractures involve the neck of the fifth metacarpal, known as the boxer fracture.

Fractures 71

Fractures 71

ACEP Now

APRIL 14, 2025

We are in the midst of the worst overdose crisis in American history, with greater than 100,000 deaths in the last year on record. 1 Overdose is the leading cause of death among Americans 40-years-old and younger, accounting for more deaths than homicide, suicide, motor vehicle accidents, gun violence, and cancer. 2 Within emergency medicine, we bear witness to this crisis first-hand, as we care for patients with opioid use disorder (OUD) during emergencies, post-overdose, for chronic concerns d

Research 52

Research Infectious Diseases Hospitals Administration 52

Sensible Medicine

APRIL 18, 2025

Are you really thinking about retiring? Yeah, I don’t want to work until my final days. But we’re not that old. Yeah, but you never know how long you’re gonna last. Early in my career, I realized that my job affected my approach to my own health. It probably makes temporal sense, therefore, that now I recognize how much my work affects my view of death – and how that impacts my life and practice.

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JournalFeed

APRIL 12, 2025

The JournalFeed podcast for the week of April 7-11, 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 : Lidocaine use during pre-hospital resuscitation from ventricular fibrillation or ventricular tachycardia (VF/VT) resistant to defibrillation, when compared to amiodarone, was associated with higher rates of ROSC, fewer post-drug shocks, and greater odds of survival

Poisoning 52

Poisoning Resuscitation Shock Hospitals 52

AENJ: Current Issue

APRIL 15, 2025

This case study examines the rare occurrence of paracentral acute middle maculopathy (PAMM) in a first-trimester pregnant patient, highlighting the importance of promptly addressing acute neurological symptoms in expectant mothers. PAMM, a retinal vascular disorder causing ischemic damage to the middle retinal 100 23960 0 23960 0 0 47912 0 --:--:-- --:--:-- --:--:-- 48016 layers, is sparsely documented in literature.

Documentation/Coding 45

Documentation/Coding Outcomes EKG/ECG 45

Board Bombs

APRIL 13, 2025

Explore the dangers of scorpion envenomation in this thrilling LIVE-recorded episode from Death Valley, CA. This is an episode youll want to watch- the video shots of Death Vally are INCREDIBLE. Check us out on Youtube, Instagram, or TikTok. Learn key emergency medicine pearls and treatment strategies for your next shift. Explore the dangers of scorpion envenomation in this thrilling LIVE-recorded episode from Death Valley, CA.

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Clinical Correlations

APRIL 15, 2025

By Allison Tu Peer Reviewed Once a death sentence, HIV/AIDS is now a treatable and preventable disease. Pre-exposure prophylaxis (PrEP) has been a game-changer in HIV prevention since the FDA approved emtricitabine/tenofovir.

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Ken Grauer, MD

APRIL 13, 2025

Compare these 2 tracings. Is one or both of them 3rd-Degree ( Complete ) AV Block? If not Why not? Figure-1: Is one or both of these tracings 3rd-Degree? Let's look at these rhythms one at a time starting with Rhythm-B: Rhythm B ( which I have reproduced in Figure-2 ): As always I favor the P s, Q s, 3 R Approach for assessing rhythm disorders, as I find this the most time-efficient way to narrow down my differential diagnosis of arrhythmias ( See ECG Blog #185 ): NOTE # 1: Lead MCL-1 is a ri

EKG/ECG 266

EKG/ECG 266

AENJ: Current Issue

APRIL 15, 2025

Diabetic ketoacidosis (DKA), seen with relative frequency in the emergency department, is a potentially life-threatening complication of both type I diabetes mellitus and type II diabetes mellitus (T2DM) characterized by hyperglycemia, ketosis, and acidosis. However, an uncommon variation of DKA, termed euglycemic diabetic ketoacidosis (euDKA) has been increasing in frequency due to the abundance of patients with T2DM being managed on sodium-glucose cotransporter-2 inhibitors, which pose an incr

Emergency Department 45

Emergency Department 45

Board Bombs

APRIL 13, 2025

Explore the dangers of scorpion envenomation in this thrilling LIVE-recorded episode from Death Valley, CA. This is an episode youll want to watch- the video shots of Death Vally are INCREDIBLE. Check us out on Youtube, Instagram, or TikTok. Learn key emergency medicine pearls and treatment strategies for your next shift. Explore the dangers of scorpion envenomation in this thrilling LIVE-recorded episode from Death Valley, CA.

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EMDocs

APRIL 12, 2025

Authors: Steven Wright, MD (EM Resident Physician, UTSW – Dallas, TX); Christopher Wright, MD (Attending Physician, Pediatric Emergency Medicine, University Hospitals Rainbow Babies & Childrens; Assistant Professor of Pediatrics, Case Western Reserve University) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3A

Pediatrics 88

Pediatrics EMS Emergency Department Wellness 88

The Trauma Pro

APRIL 15, 2025

Some trauma centers receive a significant number of transfers from referring hospitals. Much of the time, the outside hospital has already done a portion of the workup. If the patient meets one or more of your trauma activation criteria, do you still need to activate your team when they arrive? And the answer is: sometimes. But probably not that often.

Fractures 124

Fractures Hospitals 124

Dr. Smith's ECG Blog

APRIL 13, 2025

A man in his early 30s was walking when he developed central chest pain which was non-radiating, then had a syncopal event with bowel incontinence, and when he woke up he had ongoing chest pain. Notes never having symptoms like this before, pain is so severe its causing SOB. He called 911. Medics recorded a BP of 79/52 with pulse of 47. They recorded this ECG: Obvious inferior STEMI/OMI What else?

EKG/ECG 86

EKG/ECG EMS Ultrasounds Hospitals 86

PEMBlog

APRIL 14, 2025

There are some antidotes – though not many – that we can give for common ingestions. If only there were a children’s song that would stick in our brains to help us remember them. if only… Lyrics You got NAC for acetaminophen For opioids, naloxone just squirt it in! Toxic alcohols, like methanol and ethylene glycol Treat em with ethanol get em drunk, yall!

EMS 85

EMS Poisoning 85

Trigger Lab

APRIL 18, 2025

La sindrome da distress respiratorio acuto (ARDS) una condizione clinica severa, caratterizzata da insufficienza respiratoria ipossiemica acuta, che richiede unidentificazione precoce e un trattamento mirato per ridurre la mortalit.

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EB Medicine

APRIL 18, 2025

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2025 Emergency Medicine Practice article, Sodium Disorders in the Emergency Department: A Review of Hypernatremia and Hyponatremia Hypernatremia (High Sodium Levels) Definition: Sodium level greater than 145 mEq/L Breakdown into three categories based on total body water status Hypovolemic Hypernatremia Euvolemic Hypernatremia Hypervolemic Hypernatremia Common causes and conditions associated Hyponatremia (Low Sodium Levels) De

Emergency Department 75

Emergency Department Pediatrics Hospitals 75

St. Emlyn

APRIL 15, 2025

St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Peter Brindley discusses social media, artifical intelligence (AI) and how those working in medicine can (and must) navigate this new world. The post Podcast – Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC appeared first on St.Emlyn's.

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Resuscitation 65

EM Ottawa

APRIL 17, 2025

On October 17, 2013, 27-year-old Philisha Sutherland was found at home by her parentslethargic, weak, and slurring her speech. EMS transported her to Sault Area Hospital, where she was assessed by the attending emergency physician, Dr. Booth. Dr. Booth performed a neurological assessment. She checked motor function, coordination, and speechfinding no ataxia, no facial droop, […] The post Law and Disorder: Navigating medicolegal Issues (Part 1) appeared first on EMOttawa Blog.

EMS 61

EMS Hospitals 61

PulmCCM

APRIL 17, 2025

New recommendations for the management of acute coronary syndrome and myocardial infarction were issued in early 2025. More than a routine update for cardiologists, the new guidance emphasizes the importance of care in all phases of the healthcare system. The American College of Cardiology and American Heart Association were joined by the American College of Emergency Physicians and the major societies for interventional cardiology (SCAI) and paramedics (NAEMSP) in endorsing the guidelines.

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Documentation/Coding 59

Greater Sydney Area HEMS

APRIL 17, 2025

Visit the post for more.

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EMergucate

APRIL 15, 2025

The following 75yr old recently ceased amiodarone through the GP and presented with presyncope.

EKG/ECG 52

EKG/ECG EMS 52

NRC Health

APRIL 15, 2025

Youre already gathering valuable dataExplore helps you unlock its full potential. Explore is designed with flexibility and ease of use at its core, enabling anyonewhether theyre just starting out or already a seasoned data analystto create custom reports, analyze data, and share insights seamlessly. The post Visualize patient experience data with Explore appeared first on NRC Health.

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Pediatric Education

APRIL 13, 2025

Patient Presentation A 14-year-old female came to clinic for her well-child examination. She was active in school sports, and social groups and was an average student. The past medical history was positive for hypothyroidism due to thyroidectomy due to a suspicious large nodule that was determined to be benign after excision. The pathologists also identified 1 parathyroid gland that had been also excised.

Pediatrics 40

Pediatrics Psychiatric Ultrasounds Wellness 40

Sensible Medicine

APRIL 16, 2025

"I'm not that kinda doc" is something I say often, usually when someone mistakes epidemiologist for dermatologist and eagerly rolls up their sleeves to get my opinion on a peculiar mole. I have to explain that I'm the kinda doc who is committed to creating the evidence that powers evidence-based medicine and effective public health. I took it all very seriously.

Research 104

Research Poisoning 104