The Trauma Pro

JUNE 17, 2025

Expected response times are common in the verification and designation standards for all trauma centers. Some examples are: Trauma surgeon at Level I or Level II ACS centers for highest-level trauma activation – 15 minutes Trauma surgeon at Level III ACS centers for highest-level trauma activation – 30 minutes OR and PACU personnel and backups – 30 minutes Neurosurgeon and orthopedic surgeon response to certain high-risk patient conditions – 30 minutes Interventional radi

Radiology 113

Radiology Radiology Patient Safety Wellness 113

Ken Grauer, MD

JUNE 15, 2025

I am back from our vacation in the Canadian Rockies! — Thank you all for your interest and support! — E CG B log # 483 — This is Not a STEMI. The ECG in Figure-1 was obtained from a 60-year old woman — who presented to the ED ( E mergency D epartment ) with new CP ( C hest P ain ). How would you interpret the ECG in Figure-1 ? Would you activate the cath lab?

EKG/ECG 238

EKG/ECG Shock CPR EMS 238

Mount Sinai EM

JUNE 20, 2025

As Emergency Physicians, the treatment of acute pain is our forte! However, it can become more challenging when patients with chronic pain—often on baseline prescribed opioids—present with severe or breakthrough pain. Likewise, converting between opioids or changing to IV formulations can be confusing and intimidating. One of the easiest ways to get started is by calculating the patient’s total daily Oral Morphine Equivalents (OME).

Administration 174

Administration Wellness 174

Greater Sydney Area HEMS

JUNE 15, 2025

Screenshot Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest. In the second episode of this series, we talk to Dr Tommaso Scquizatto from Milan, Italy. Tommaso is a Doctor, researcher and innovator in cardiac arrest, resuscitation, and emergency critical care medicine. He works in the Department of Anaesthesia and Intensive Care at IRCCS Ospedale San Raffaele in Milan, Italy, where he leads cardiac arrest research and innovation.

Resuscitation 121

Resuscitation CPR Research Hospitals 121

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

EMDocs

JUNE 18, 2025

Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steven Field, MD; Brit Long, MD (@long_brit) Case: A 56-year-old male with past medical history of CHF and ESRD presents to your hospital with respiratory distress in the setting of cough for the past four days.

Ultrasounds 108

Ultrasounds Fluid Resuscitation EKG/ECG Resuscitation 108

PEMBlog

JUNE 18, 2025

Introduction Observation periods after epinephrine treatment for pediatric anaphylaxis vary widely across emergency departments. While prolonged stays are often intended to catch biphasic reactions, they can also lead to unnecessary admissions and extended ED length of stay. This multicenter retrospective study aims to provide evidence-based guidance by determining when the risk of repeat epinephrine administration becomes acceptably low.

Anaphylaxis 98

Anaphylaxis Pediatrics Allergic Reactions Emergency Department 98

EM Ottawa

JUNE 19, 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. In part 1 we explored the physiology, mechanism […] The post Navigating Twists, Turns and Tears: BCVI in the ED (Part 2) appeared first on EMOttawa Blog.

Stroke 102

Stroke Emergency Department Documentation/Coding Radiology 102

Don't Forget the Bubbles

JUNE 16, 2025

An overview of a qualitative study aimed for paediatricians and paediatric nurses. Recognising when a child is deteriorating—and knowing what to do next—is rarely straightforward. It’s a dynamic process that relies on more than clinical acumen. It involves teamwork, communication, and navigating complex systems involving healthcare professionals and families.

Teamwork 91

Teamwork Research Hospitals Ethical Issues 91

Mind The Bleep

JUNE 16, 2025

A lumbar puncture involves the insertion of a needle between the lumbar vertebrae, at a level below the termination of the spinal cord, allowing for CSF collection from the subarachnoid space. Primarily performed as a diagnostic technique, the sampled CSF can be sent for biochemistry, cytology, and microbiology to aid identification of infections, subarachnoid haemorrhage and neurological conditions.

Operations 97

Operations PPE Seizures Documentation/Coding 97

Dr. Smith's ECG Blog

JUNE 15, 2025

Written by Pendell Meyers A woman in her 50s with no significant past medical history experienced acute anterior chest pain that woke her from sleep and radiated to her back. She described it as "stabbing", 8/10, constant, and associated with nausea. She denied preceding symptoms or recent illnesses. Here is her triage ECG during active pain: What do you think?

EKG/ECG 119

EKG/ECG Hospitals Wellness 119

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

EM Ottawa

JUNE 17, 2025

Methodology: 4/5 Usefulness: 1/5 Thiele H, et al. Lancet. 2024 Sep 14;404(10457):1019-1028. doi: 10.1016/S0140-6736(24)01448-X Question and Methods: Does routine early use of mechanical circulatory support (MCS) reduce mortality in acute myocardial infarction cardiogenic shock (AMICS) compared to standard medical therapy? Findings: AMICS mortality was between 45-55% regardless of MCS vs. usual care, however STEMI-related cardiogenic […] The post Temporary mechanical circulatory support in

Shock 109

Shock 109

Sensible Medicine

JUNE 19, 2025

I have trouble understanding the recent animosity to the phrase “First, Do No Harm” as it applies to medical practice. I have always accepted it as a guide for medical practice. Way back in 2012, when Vinay and I published A medical burden of proof: Towards a new ethic , we built our arguments on Primum non nocere , which we referred to as ‘the most fundamental principle of medicine.’ In this essay, Dr.

Academics 125

Academics 125

Mind The Bleep

JUNE 16, 2025

Chest pain accounts at least 5% of presenting complaints of patients attending the Emergency Department (ED) and as a resident doctor working in the ED, it is vitally important to have a systematic approach to help differentiate between benign and life-threatening presentations. Our Webinar This article is based on the brilliant webinar by EM ST6 Dr Jack Almy – do have a watch!

Documentation/Coding 59

Documentation/Coding EKG/ECG Emergency Department Wellness 59

Dr. Smith's ECG Blog

JUNE 17, 2025

Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain, nausea, dyspnea, and diaphoresis. He was brought in by EMS. His first ECG is shown: ECG 1 Obvious STEMI (+) OMI. What would you guess is the culprit? There is STE in V1 and V2 with lateral STD, a pattern known as precordial swirl , so.it should be LAD, right?

EKG/ECG 113

EKG/ECG Seizures Wellness Ultrasounds 113

American Medical Compliance

JUNE 16, 2025

In assisted living and long-term care settings, survey readiness is a major concern for administrators and staff. A poor audit can lead to penalties, loss of reputation, or even closure. But if you want to be ready for your next survey, don’t just focus on checklists and compliance documents—start with something much more basic and powerful: respecting resident rights.

Documentation/Coding 92

Documentation/Coding Legal Issues Outcomes Operations 92

Taming the SRU

JUNE 18, 2025

Radmard M, Tafazolimoghadam A, Hoseinyazdi M, et al. Is older age an appropriate criterion alone for ordering cervical spine computed tomography after trauma. Acad Emerg Med 2024; Study Overview : A retrospective study analyzed 9,455 cervical spine CTs (CSCTs) performed on trauma patients aged ≥65 years at two EDs between 2018–2023, aiming to assess the necessity of routine imaging in asymptomatic older adults.

Fractures 53

Fractures 53

Northwestern EM Blog

JUNE 17, 2025

Written by: Sasha Becker, MD (NUEM ‘27) Edited by: David Cook, MD (NUEM ‘25) Expert Commentary by : Matt Levine, MD Expert Commentary Thank you Drs. Becker and Cook for providing a handy concise guide to Massive Transfusion Protocol. Some of the indications may not seem obvious when the patient first arrives. In addition to the listed indications, be on alert for MTP use whenever you hear of prehospital hypotension (even if transient) in a bleeding patient and any recurrent hypotension after ini

Hospitals 52

Hospitals 52

ACEP Now

JUNE 17, 2025

A 68-year-old man presented with weakness and a 30-lb weight loss over the past three months. Chest radiograph shows a large left hilar mass. CT scan shows a 12 cm left hilar mass with multiple bilateral pulmonary nodules, concerning for metastatic disease. The emergency department (ED) is full with boarding and critical patients, and 25 patients are in the waiting room.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Wellness 52

EMCrit

JUNE 20, 2025

For years, we have been going super slowly for chronic hyponatremia. But now, literature has raised the question of increased mortality from this slow strategy. EMCrit Project by Scott Weingart, MD FCCM.

63

63

Taming the SRU

JUNE 20, 2025

National Domestic Violence Hotline Number: 800-799-7233 OVERVIEW & EPIDEMIOLOGY Intimate partner violence (IPV) is a widespread public health problem. By definition, IPV refers to actual or threatened psychological, physical, or sexual harm by a current or former partner or spouse. The exact scope of the issue is difficult to ascertain given that a large proportion of incidents go unreported but is estimated to affect over 12 million people in the United States every year (1).

Domestic Violence 52

Domestic Violence Emergency Department Documentation/Coding Incident Reporting 52

Critical Care North Hampton

JUNE 14, 2025

Discover how the ADAPT-Sepsis trial showed a PCT-guided approach can safely reduce antibiotic duration in critically ill sepsis patients.

Sepsis 52

Sepsis 52

ACEP Now

JUNE 17, 2025

Hospital occupancy demands are projected to substantially increase over the next seven years from 75 percent to 85 percent. 1 There are many reasons for this increasing demand, including the aging “Baby Boomer bubble.” However, the increasing demand is occurring during a period when hospitals are “going the other way.” A growing numbers of U.S. hospitals are closing inpatient beds for a variety of reasons, including inability to find staff to keep those beds open, resulting in a worsening crisis

Hospitals 59

Hospitals Operations Emergency Department Research 59

Cook County EM Blog

JUNE 15, 2025

Figure 1. Index EKG A 79-year-old female with hypertension, CKD Stage 4, history of breast cancer s/p tamoxifen therapy, osteoporosis presenting to the emergency department for pleuritic chest pain radiating to back. Laboratory work-up is significant for a troponin of 0.24, a d-dimer of 2.40., and a creatinine of 2.4 (baseline 1.8). The plan is for the patient to be admitted to medicine for V/Q scan to evaluate for pulmonary embolism.

EKG/ECG 52

EKG/ECG Burns Emergency Department Resuscitation 52

JournalFeed

JUNE 14, 2025

The JournalFeed podcast for the week of June 9-13, 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. Wednesday Spoon Feed : A retrospective study found that trauma patients who were intubated in the ED had no difference in morality compared to those intubated in the OR on propensity matched analysis.

Stroke 52

Stroke Outcomes 52

PulmCCM

JUNE 16, 2025

This is a different CCR The Critical Care Reviews meeting has become a major annual event in critical care, and 2025 continues the tradition. Multiple important randomized trial results were announced at the June 11-13 meeting in Belfast, Ireland, and their papers were simultaneously published in top medical journals, including the New England Journal of Medicine, JAMA, and Circulation.

Dehydration 52

Dehydration Outcomes Hospitals 52

ACEP Now

JUNE 17, 2025

School picture day is often dreaded by children and their parents. Although finding the perfect outfit and keeping it clean, making sure remnants of breakfast aren’t present in the child’s teeth, and getting their hairstyle just right are typical stressors surrounding picture day, most parents do not think about their young student having a potential medical emergency just hours before saying “cheese.

Emergency Department 52

Emergency Department EKG/ECG Pediatrics Documentation/Coding 52

Critical Care North Hampton

JUNE 14, 2025

Discover the REST trial's findings on lower tidal volume ventilation with ECCO₂R vs standard care in AHRF patients. No mortality benefit was observed.

Research 52

Research 52

Emergency Medicine Journal

JUNE 19, 2025

Background Increasing demand and crowding in emergency departments (EDs) remain persistent challenges for healthcare systems worldwide. A portion of these visits is avoidable, indicating they could have been effectively managed in non-ED care settings. There has been increased attention on paramedics redirecting avoidable visits to community-based care before ED transport.

Emergency Department 40

Emergency Department Hospitals Academics 40

EB Medicine

JUNE 17, 2025

Special Offer - EB Medicine is 26 years old! Get 26% off all purchases at ebmedicine.net! In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the June 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Thyroid Emergencies Introduction to Thyroid Emergencies Understanding Decompensated Hypothyroidism Thyroid Storm: The Other Extreme Differential Diagnosis and Complications Medication Triggers and Patient History Physical Examination Findings Laborat

Risk Management 59

Risk Management Emergency Department 59

Board Bombs

JUNE 15, 2025

Struggling with the EM Shelf or your Emergency Medicine rotation? We’ve listened. We got you. Check out this free sample episode from EM Critical Hits — a brand-new 33-episode series built for med students. High-yield and under 10 minutes. Here’s the link to the med student podcast: [link] Cite this podcast as: Briggs, Blake. 259. EM Critical Hits: The Ultimate EM Shelf Podcast for Med Students.

EMS 52

EMS 52

EMergucate

JUNE 17, 2025

An 88yr male who presented with syncope and diaphoresis. In ED he is alert and not complaining of dizziness, chest pain or palpitations. Here is his ECG: What is your management?

EKG/ECG 52

EKG/ECG EMS 52

Emergency Medicine Journal

JUNE 19, 2025

Background Excessive workload in emergency departments (ED) negatively affects patient safety, often leading to missed critical tasks due to time constraints. The Workload Assessment of Nurses on Emergency (WANE) scale developed in Belgium offers a detailed measurement of nursing workload, but its complexity makes it hard to use in practice. Our study aims to find a simpler method for assessing nursing workload in EDs.

Emergency Department 40

Emergency Department Patient Safety Hospitals 40

NRC Health

JUNE 18, 2025

What happens when the leaders who shape our healthcare systems become the people who must rely on them? This is the deeply personal and profoundly important question Dr. Wendy Sue Swanson explores in her general session at NRC Health’s Human Understanding Beyond | HUB25: Three Cancers, One Critical Moment: Why Healthcare’s Future Depends on Trust.

Pediatrics 52

Pediatrics 52

Total Medical ComplianceHIPAA

JUNE 19, 2025

Nancy Ware, HIPAA Compliance Specialist at Total Medical Compliance, recently joined the RippleFX podcast to cut through the noise surrounding “HIPAA 2.0.” With so much speculation about upcoming changes to the HIPAA Security Rule, Nancy provides clear, practical insight into what’s actually proposed—and what it means for healthcare providers. While no final rule has been released, the proposed updates could significantly impact medical and dental practices, especially in areas like breach notif

52

52

PDC Healthcare

JUNE 16, 2025

In today’s clinical laboratories, maintaining efficiency without compromising accuracy is more important than ever. As the volume and variety of testing increase, so does the potential for labeling errors that can lead to costly delays, compromised specimen integrity, or even patient safety concerns. That’s why adopting specialized labeling solutions isn’t just a matter of convenience—it’s […] The post 4 Specialized Lab Labels That Boost Efficiency and Accuracy appeared first on connectID

Patient Safety 52

Patient Safety 52