The Trauma Pro
MAY 23, 2025
Gee, the hybrid OR sounds like a great idea for specific trauma patients. Weve seen this before; it’s a great idea but doesnt always translate into a positive result. Is there any literature? Unfortunately, very little until a few years ago. A group from the University of Calgary in Alberta published a very detailed paper on the nuts and bolts of how they designed their hybrid room from scratch.
Ken Grauer, MD
MAY 17, 2025
== P lease N OTE : After today No new ECG Blog posts for 3- to -4 weeks. I will also not be prompt in replying to emails. == All material on this ECG Blog site remains open! The INDEX tab ( in the upper right of each page ) has linked Contents, listed by subject. So IF you are looking for ECG material There is plenty on this web site! And IF you look at the TOP of every page in this blog You'll see a Menu of Tabs that link to a variety of blog features, including my ECG podcasts, Audios &a
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
PEMBlog
MAY 20, 2025
In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin ( jennifer.marin@chp.edu ) from UPMC Childrens Hospital of Pittsburgh. They explore the evidence behind ultrasound, CT, and MRI, strategies to reduce low-value imaging, and the role of shared decision-making in selecting the appropriate diagnostic test.
Sensible Medicine
MAY 17, 2025
On a recent shift, I received sign-out for Room 20, a 46 year old man with a history of schizophrenia as well as alcohol and cannabis abuse. He came to us from a nursing home where he lives. He accidentally set his room on fire with a cigarette, prompting the nursing home to kick him out for being a risk to the facility. Although he had no acute medical issues, he was sent to the emergency department so “the health care system” could find him a new home.
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.
The Trauma Pro
MAY 20, 2025
Trauma is a surgical disease, and specifically, a disease of bleeding. So many of the tools and processes we have developed for its management revolve around the control of hemorrhage. When a major trauma patient arrives in the resuscitation room, the initial management involves rapid assessment and correction of life-threatening conditions. Recognition of bleeding is paramount.
The Skeptics' Guide to EM
MAY 17, 2025
Reference: Cohen et al; SUSPECT study group. Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial. J Orthop Traumatol. 2025 Date: May 1, 2025 Guest Skeptic: Dr. Matt Schmitz is an orthopedic surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. He practices at the Rady Childrens Hospital in San Diego and is Professor of Orthopedics at UC San Diego.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Northwestern EM Blog
MAY 20, 2025
Written by: Alexandra Franiek, MD (NUEM 26) Edited by: Emma Greever, MD (NUEM 25) Expert Commentary by : Ben Weigel, MD Expert Commentary Thank you for the opportunity to review this excellent post by Drs. Franiek and Greever. Exposure to hydrofluoric acid (HF) is a true medical emergency due to its unique properties and potential for systemic toxicity.
Taming the SRU
MAY 18, 2025
The adrenal system allows our bodies to respond to physiologic stressors and to regulate multiple metabolic processes within the body. Disorders of the adrenal axis can be chronic in onset, causing subacute or subclinical presentations, or acute, leading to frank clinical presentations that need to be managed more emergently by ER physicians. Recognition and diagnosis of these disorders can be difficult as the presenting symptoms are often subtle and nonspecific, making it all the more important
Emergency Medicine Journal
MAY 22, 2025
Prehn’s sign describes the eradication of testicular pain on lifting the scrotum and has been proposed as a method to differentiate causes of acute testicular pain. A short systematic review was conducted to evaluate the question: in patients presenting with acute unilateral testicular pain, is a negative Prehn’s sign an accurate sign for diagnosis of testicular torsion (TT)?
PulmCCM
MAY 20, 2025
I’m happy to share that PulmCCM now partners with Learner+ , a reflective learning platform that rewards CME/CE credits to busy healthcare professionals. Learn more here: [link] With a Learner+ account, clinicians can earn CME/CE credits through meaningful reflective practice, anytime and everywhere learning happens. Whether it’s an insight from PulmCCM, a patient interaction, a clinical case discussion, or a podcast, reflection is what matters.
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!
Northwestern EM Blog
MAY 20, 2025
Written by: Zemenay Bekele, MD (NUEM 27) Edited by: Emma Greever, MD (NUEM 25) Expert Commentary by : Danielle McCarthy, MD Expert Commentary Thank you for this nice infographic to help organize our thinking around an important emergency diagnosis. The presentation of this information is timely because six months ago the American Heart Association (AHA) released a new scientific statement entitled The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement from th
Dr. Smith's ECG Blog
MAY 20, 2025
interesting spontaneous reperfusion case 1413140 prehospital STEMI first ED ECG is here, with 3/10 pain: But this is the same patient just 10 minutes before, with 7/10 pain Isn't it ridiculous to say that the patient has both a STEMI and an NSTEMI? ACS is dynamic. It can't be given one static name. This patient has OMI that meets STEMI criteria, then OMI that does not meet STEMI criteria.
Emergency Medicine Journal
MAY 22, 2025
Background Acute limb pain in young children presenting to the emergency department (ED) can be a sign of serious pathology, with septic arthritis being the most important condition to rule out. Two clinical decision rules (CDRs) have been developed to assist with the diagnosis: Kocher’s rule (which allocates points for fever, weight-bearing status, white cell count and erythrocyte sedimentation rate) and Caird’s rule (which also includes C-reactive protein).
Cook County EM Blog
MAY 23, 2025
Figure 1. Index ECG obtained at 9:38 AM. A 74-year-old female with a past medical history of hypertension, diabetes, hyperlipidemia, and tobacco use disorder presents with chest discomfort and indigestion ongoing for the past 2 weeks. She reports radiation to the jaw and left upper extremity. Recently, she has been feeling short of breath and has experienced some exercise intolerance, limiting her mobility to just half a block, which she partially attributes to her osteoarthritis.
JournalFeed
MAY 17, 2025
The JournalFeed podcast for the week of May 12-16, 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 : Short-term ambulatory cardiac monitoring has diagnostic usefulness, although limited, in patients discharged from the emergency department.
Life in the Fast Lane
MAY 20, 2025
Neil Long What is Peak Performance? Peak Performance and how to be your best when it matters most. How to be your ultimate self and healthcare professional without burning out and sacrificing what you enjoy.
Emergency Medicine Journal
MAY 22, 2025
Introduction Children with head injury are commonly transported to the ED by ambulance. However, most of those conveyed are deemed non-serious and are discharged at triage. Research is needed to explore the factors that influence paramedics when deciding to convey children with minor head injury to the ED, and to establish whether a clinical decision tool designed to support them would be beneficial.
Don't Forget the Bubbles
MAY 19, 2025
In 2021, we welcomed our first cohort of doctors, nurses, and paramedics from across the world onto the PEM MSc. This online MSc is undertaken over three years and covers the full range of PEM presentations. In the final year, students use the skills they have learned in knowledge translation and evidence appraisal to undertake their own study for their dissertation.
Clinical Correlations
MAY 22, 2025
By James Sun Peer Reviewed In March 2024, the FDA announced that it had cleared Dexcom Stelo, the first over-the-counter continuous glucose monitoring (CGM) system for adults without diabetes who want to understand better how diet and exercise affect their health (Figure 1). Three.
American Medical Compliance
MAY 21, 2025
In healthcare settingsespecially assisted living, home care, and long-term caremedication routines are a daily reality. But not every patient needs full administration from a nurse or physician. Many are capable of taking their own medicine, with a little help. Thats where assisting with self-administration of medication comes inand its more important than it might seem.
Emergency Medicine Journal
MAY 22, 2025
Background While several studies have evaluated the performance of the Manchester Triage System (MTS), none have specifically examined its accurate application by triage nurses and its association with clinical outcomes. This study focuses on the agreement between nurse-assigned MTS codes and those assigned by an expert group, as well as their ability to predict clinical outcomes.
Dr. Smith's ECG Blog
MAY 19, 2025
trops lesss than 3 Impression: The left ventricular ejection fraction appears: Grossly preserved No pericardial effusion identified.
St. Emlyn
MAY 19, 2025
St.Emlyn's - Emergency Medicine #FOAMed ENT emergencies, extended duty of care and the medicolegal implications of being vicariously injured, sodium balance and regulation, neuroradiology and disaster and counter-terrorism medicine The post Paediatric Emergencies Update 2024 – Noosa Day 2 & 3 appeared first on St.Emlyn's.
NRC Health
MAY 21, 2025
Are you ready for a transformative healthcare experience? Orlando, Florida, is the ideal destination for our flagship event, Human Understanding Beyond | HUB25. The post Discover the Best of Orlando at HUB25 appeared first on NRC Health.
Emergency Medicine Journal
MAY 22, 2025
Aims and Objectives In Australian Emergency Departments (EDs), patients experience long waits for imaging, particularly for presentations such as renal colic. Computed Tomography (CT) imaging is the gold-standard for renal stones, although ultrasonography is recommended for young patients and those susceptible to radiation, an approach supported by The Canberra Hospital (TCH) ED guidelines for renal colic.
EMDocs
MAY 17, 2025
Authors: Matt Treasure, DO (EM Resident Physician, Christus Spohn/Texas A&M University College of Medicine, Corpus Christi, TX); Rogelio Trey Martinez, DO, MPH (EM Resident Physician, Christus Spohn/Texas A&M University College of Medicine); Justin Hacnik, MD (EM Attending Physician, Christus Spohn/Texas A&M University College of Medicine, Corpus Christi, TX); J.D.
Sensible Medicine
MAY 23, 2025
There is a classic saying in Chicago, “There is no bad weather, just poorly chosen outfits.” I am sure this is a saying everywhere. 1 Recently, “It’s not the EMR (electronic medical record) that is bad, it is how we use it” has been echoing in my mind. Why? Maybe it is because I recently listened to the Acquired podcast episode about Epic.
St. Emlyn
MAY 20, 2025
St.Emlyn's - Emergency Medicine #FOAMed The simplified BATT (sBATT) score offers a practical trauma triage tool for use in motor vehicle collisions where monitoring equipment may be unavailable. Derived from the original BATT score and validated on over 70,000 UK patients, the sBATT shows excellent performance in predicting early death using only observable signs.
Emergency Medicine Journal
MAY 22, 2025
Aims and Objectives Blood-borne viruses (BBV) cause significant morbidity and mortality, with a high proportion being undiagnosed. Opt-out emergency department (ED) screening has increased the availability of BBV testing, particularly among groups underserved by existing services, but there is little evidence for its acceptability among staff, or its effectiveness among different demographic groups.
EMDocs
MAY 19, 2025
Today on the emDOCs cast Brit Long covers SJS/TEN. Episode 120: Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Background: SJS and TEN are a continuum of a delayed hypersensitivity reaction affecting the skin and mucous membranes. Initially present with nonspecific viral like illness, progresses to rash with mucous membrane involvement, desquamation, end organ injury.
Sensible Medicine
MAY 19, 2025
The BedMed trial, published in JAMA this month, looks like a regular randomized controlled trial (RCT). One group of patients with high blood pressure took their meds in the morning, the other took the same meds at night. Major adverse cardiac events (MACE) were not different. The Canadian investigators randomized more than 3500 patients and followed them for nearly 5 years.
RebelEM
MAY 19, 2025
REBEL Rundown Key Points Generalizability: Mostly Canadian patients with gram-negative UTIs or abdominal infections. Bias: Multiple biases may have made 7 days look better than it is. Margin: Allowed up to 1 in 25 more deathsthough stricter than past trials. Gram-Positive? Still not enough data for other bugs or sources. Bottom Line: BALANCE showed 7 days is noninferior to 14 for sepsis.
Emergency Medicine Journal
MAY 22, 2025
Exertional heat illness (EHI) is an increasing cause of morbidity and mortality where physical activity is conducted, particularly in hot conditions. Prompt recognition and treatment of EHI have the potential to significantly alter the patient’s outcome, and so adequate prehospital management is vital. This consensus statement provides evidence-based guidance and expert recommendations on the recognition, diagnosis and immediate management of EHI in the prehospital environment.
EMCrit
MAY 21, 2025
Follow-up to our all things defibrillation episode--we discuss seemingly benign diagrams in the NEJM, VC vs. DSD, and recent ERC guidelines that seem like a big mistake. EMCrit Project by Scott Weingart, MD FCCM.
Sensible Medicine
MAY 21, 2025
Do read Adam Cifu’s column this morning on the new leadership at FDA. Yesterday’s NEJM article by Prasad and Makary was excellent. It’s rational, calm, and their call for evidence is welcome. Always remember: established makers of drugs and devices overflow with funds. They can and will fund trials—if required. I attach the Town Hall video posted yesterday.
Expert insights. Personalized for you.
147 
Let's personalize your content