The Trauma Pro

JUNE 13, 2025

In my previous post, I reviewed the Brain Injury Guideline criteria (BIG) that were published in 2014, and cited some early papers promoting its use for simplifying neurotrauma care. These criteria allowed trauma professionals to use our neurosurgical colleagues’ services more sensibly. As a reminder, these are the original BIG criteria: Some revisions were proposed in 2020 to improve patient safety and reproducibility further.

Patient Safety 162

Patient Safety Hospitals Head Injuries 162

Mount Sinai EM

JUNE 13, 2025

I wanted to share a quick communication teaching pearl pulled from Vital Talk , a platform created by palliative medicine physicians to help all clinicians improve how we talk with patients and families—especially in moments of high emotion. Their guide offers a simple, effective framework we can bring into the ED every shift by incorporating NURSE Statements : Some things to consider: Emotions aren’t distractions—they can be important data points.

Emergency Department 130

Emergency Department 130

Greater Sydney Area HEMS

JUNE 9, 2025

Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest. This is the first in a series of podcasts dedicated entirely to cardiac arrest, the physiology driving the clinical presentation and how we can more effectively use physiological principles and basic science to underpin clinical care and research. In this week’s episode, we have the privilege of talking with Dr Paul Rees.

Resuscitation 111

Resuscitation Administration Research Hospitals 111

The Skeptics' Guide to EM

JUNE 7, 2025

Date: June 2, 2025 Dr. Andrew Tagg Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don’t Forget the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV and Movies).

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EMS Outcomes 115

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.

Operations

EMCrit

JUNE 12, 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 RACC 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 / EMCrit We

Pediatrics 96

Pediatrics Resuscitation Emergency Department Research 96

ACEP Now

JUNE 11, 2025

ACEP leaders and emergency medicine researchers knew in the late 1990s that the specialty lacked the respect and recognition afforded to other specialties in peer-reviewed medical education and research. Emergency physician, researcher, and instructor Edward Panacek, MD, FACEP, decided to do something about it with help from the College and his research colleagues.

Research 96

Research Academics Leadership Emergency Department 96

Critical Care North Hampton

JUNE 12, 2025

Explore a multicenter trial comparing lactated Ringer’s solution and normal saline for IV therapy, revealing key insights on kidney safety.

Research 97

Research 97

EMCrit

JUNE 7, 2025

Pediatric front-of-neck-access is something we all dread to even think about. We might think we can retreat to the cognitive ease of needle based techniques, but they fail!! And if the kiddo is EMCrit Project by Scott Weingart, MD FCCM.

Pediatrics 107

Pediatrics 107

St. Emlyn

JUNE 13, 2025

St.Emlyn's - Emergency Medicine #FOAMed Analysis of NHS UEC plan 2025/26: key changes from previous iterations, strengths and weaknesses, plus core strategies for successful implementation The post The Urgent & Emergency Care Plan 2025/26: Evolution, Promise & Challenges appeared first on St.Emlyn's.

Urgent Care 84

Urgent Care Emergency Department Leadership Hospitals 84

Taming the SRU

JUNE 11, 2025

Rai Y, You-Ten E, Zasso F, Castro CD, Ye XY, Siddiqui N. The role of ultrasound in front-of-neck access for cricothyroid membrane identification: A systematic review. J Crit Care 2020;60:161–8. Background This is a systematic review published in the Journal of Critical Care in 2020 reviewing the accuracy and efficacy of ultrasound for identification of the cricothyroid membrane (CTM) compared to digital palpation and evaluating the potential role in using ultrasound for cricothyrotomies in both

Ultrasounds 70

Ultrasounds Outcomes Pediatrics Wellness 70

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

Critical Care North Hampton

JUNE 13, 2025

Proportional-Assist Ventilation vs. Pressure-Support Ventilation on extubation times in critically ill patients. #FOAMed #POCUS #FOAMcc @criticalcarereviews.

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EM Ottawa

JUNE 12, 2025

Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk of stroke by up to 15% with the use of aspirin. Objectives Understand the risk factors for blunt […] The post Navigating Twists, Turns and Tears: BCVI in the ED (Part 1) appeared first on EMOttawa Blog.

Stroke 70

Stroke Emergency Department 70

St. Emlyn

JUNE 10, 2025

St.Emlyn's - Emergency Medicine #FOAMed In this emergency medicine toxicology blog, Gregory Yates reflects on a recent EMCRIT podcast episode discussing serotonin syndrome, neuroleptic malignant syndrome (NMS), and other hyperthermic drug reactions. The post highlights the diagnostic importance of neuromuscular findings such as clonus, tremor, and hyperreflexia, as outlined in the Hunter criteria.

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PulmCCM

JUNE 10, 2025

An earlier version of this post contained an error, saying clonidine mediates peripheral vasodilation via alpha-1 receptors rather than alpha-2 receptors. It has been corrected. -Ed. Which sedative is “best” for mechanically ventilated patients? It must be either propofol, fentanyl, dexmedetomidine, or … clonidine? Most clinicians know clonidine only as an antihypertensive.

Wellness 65

Wellness 65

Critical Care North Hampton

JUNE 11, 2025

Explore how driving pressure affects survival in ARDS patients, highlighting its link to mortality and importance in ventilatory strategies.

Research 84

Research 84

ACEP Now

JUNE 11, 2025

A 55-year-old woman with medical history of well-controlled hypertension and renal cell carcinoma, status post-partial nephrectomy, presented to the emergency department (ED) with sudden-onset, 10-out-of-10 chest pain and pressure. She arrived via emergency medical services and was noted to be hypotensive with several blood pressure readings in the 60s/40s mm Hg range en route.

Ultrasounds 59

Ultrasounds Operations Wellness Hospitals 59

The Bottom Line

JUNE 13, 2025

OVISS: Optimal Vasopressin Initiation in Septic Shock Kalimouttou et al. for the OVISS Study group, JAMA 2025. doi:10.1001/jama.2025.3046 Clinical Question In patients with septic shock, does a reinforcement learning model identify a strategy for vasopressin initiation that improves mortality?

Shock 70

Shock 70

Dr. Smith's ECG Blog

JUNE 12, 2025

A 60-something with h/o Coronary Bypass called 911 for acute chest pain. Here is the first prehospital ECG: What do you think? There is minimal ST Elevation in inferior leads which could easily be normal. However, aVL has minimal STD supportive of the diagnosis of OMI. More importantly, the ST depression in V2-4 is diagnostic of posterior OMI. There is a hyperacute T-wave in V6, which is the lateral part of the posterior wall and a common supportive finding in posterior OMI.

EKG/ECG 67

EKG/ECG EMS Shock Wellness 67

Critical Care North Hampton

JUNE 12, 2025

Explore the RESCUE-3 trial on transvenous diaphragm neurostimulation, revealing potential benefits and concerns for weaning from ventilation.

Research 77

Research 77

PulmCCM

JUNE 12, 2025

Thanks to the astute readers who noticed our error in part 1 : clonidine mediates peripheral vasodilation via stimulation of alpha-2 receptors, not alpha-1. The post has been corrected. -Ed. Like dexmedetomidine, intravenous clonidine can produce sedation by binding to alpha-2 receptors in the locus ceruleus in the pons, which inhibits norepinephrine release to numerous brain regions responsible for maintaining wakefulness.

Wellness 52

Wellness Shock Outcomes 52

The Bottom Line

JUNE 11, 2025

Tight Blood-Glucose Control without Early Parenteral Nutrition in the ICU Gunst et al. N Engl J Med 2023;389:1180-1190 DOI: 10.1056/NEJMoa2304855 Clinical Question In ICU patients not receiving early parenteral nutrition, does liberal glucose control (initiating insulin when blood glucose level [BGL] >11.9 mmol per liter [>215 mg per deciliter]) or tight glucose control (commencing insulin at BGL 4.4 to 6.

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ACEP Now

JUNE 11, 2025

When a viewer sent a message saying they sought help for post-traumatic stress disorder (PTSD) after watching an episode of “The Pitt,” Joe Sachs, MD, FACEP, knew he was accomplishing something far beyond entertainment. For Dr. Sachs—a practicing emergency physician and executive producer of the Max original series—the comment underscored what he’s been working toward for decades: using scripted television to tell deeply human stories that double as public health education.

Urgent Care 52

Urgent Care Emergency Department Hospitals Wellness 52

Critical Care North Hampton

JUNE 12, 2025

Explore the UK-ROX trial findings on conservative vs. usual oxygen therapy in ICU patients, revealing no significant mortality difference.

Research 61

Research 61

PHARM

JUNE 9, 2025

Skip to content Prehospital and Retrieval Medicine – THE PHARM dedicated to the memory of Dr John Hinds In memory of Dr John Hinds Menu + × expanded collapsed Welcome Emergency Airway About the Author Surviving Sedation Guidelines 2021 Delta7 Psychiatric aeromedical retrieval library #UGH CAFE tattswecarry BrowOfJustice Online critical airway training Prehospital blood , TXA or scoop and run?

Psychiatric 52

Psychiatric EKG/ECG Military CPR 52

Sensible Medicine

JUNE 11, 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 fourth 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 90

Research 90

ACEP Now

JUNE 11, 2025

PRO: Move to Mandated Four-Year Residency a Crucial Step by Andrew Garrett Little, DO, FACEP The recent proposal by the Accreditation Council for Graduate Medical Education (ACGME) to extend all emergency medicine residency training from three to four years has ignited a fervent debate within the emergency medicine community. Having attended the ACGME update webinar in early February 2025 alongside fellow emergency medicine educators, the proposition initially sparked a sense of relief within me

Wellness 52

Wellness Operations 52

Critical Care North Hampton

JUNE 13, 2025

Explore the PRINCE trial findings on remote ischemic preconditioning's impact on myocardial injury in noncardiac surgery patients.

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PHARM

JUNE 11, 2025

Skip to content Prehospital and Retrieval Medicine – THE PHARM dedicated to the memory of Dr John Hinds In memory of Dr John Hinds Menu + × expanded collapsed Welcome Emergency Airway About the Author Surviving Sedation Guidelines 2021 Delta7 Psychiatric aeromedical retrieval library #UGH CAFE tattswecarry BrowOfJustice Online critical airway training Doctors warnings ignored Posted by ketaminh June 12, 2025 Posted in FOAMEd Tags: FOAMed youtube.com/watch Share this: Click to print (

Psychiatric 52

Psychiatric EKG/ECG Military CPR 52

American Medical Compliance

JUNE 9, 2025

Despite the critical role clinical trials play in advancing cancer treatment, only about 3% of new cancer patients participate in them, according to a study by the University of California Davis Cancer Center. That means the vast majority of patients may be missing out on potentially life-changing options, often simply because they aren’t aware or informed.

Research 58

Research Operations Hospitals 58

Dr. Smith's ECG Blog

JUNE 10, 2025

5881888 Recent chest surgery. Had been to surgeon's office complaining of chest pain. Assumed to be post-surgical. SOB with pulmonary edema. acute hypoxic resp failure with "severe pressure on chest" put on BiPAP she is concerned about an increase in fluid accumulation, as she is experiencing chest pain and shortness of breath. A few days ago, she had some shortness of breath, but her surgeon was not concerned at that time.

EKG/ECG 90

EKG/ECG Ultrasounds 90

Critical Care North Hampton

JUNE 12, 2025

Explore the critical link between ICU-acquired weakness and cardiogenic shock in patients requiring mechanical support, highlighting biomarkers and outcomes.

Shock 84

Shock Outcomes Research 84

PHARM

JUNE 9, 2025

A secondary analysis was performed using harmonized data from two large, double-blinded, randomized prehospital TXA trials. Prehospital TXA is safe and independently associated with a dose-dependent lower 28-day mortality risk and lower 24-hour red … — Read on pmc.ncbi.nlm.nih.

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Thinking Critical Care

JUNE 11, 2025

Here’s a throwback to #HR23 when Andre Denault first introduced the PAC with an RV port to analyze the RV waveform, which we usually only have during initial advancement of the PAC (I confess I have sometimes pulled back just to get it and look at that slope!). But these are now available! As always, invaluable hemodynamics by the grandmaster Andre!

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Mind The Bleep

JUNE 9, 2025

Pursuing an ophthalmology elective Down Under demands early action, well-defined goals, and a methodical approach to applications. The experience offers unparalleled clinical exposure, cultural immersion, and personal growth that can be truly career-defining. However, success requires more than just enthusiasm – it demands strategic planning and proactive engagement from day one.

Documentation/Coding 52

Documentation/Coding Research Administration Teamwork 52

Critical Care North Hampton

JUNE 12, 2025

Discover the TARGET Protein trial's findings on augmented enteral protein in critically ill patients and its impact on clinical outcomes.

Outcomes 70

Outcomes Research 70