St. Emlyn
MAY 4, 2025
St.Emlyn's - Emergency Medicine #FOAMed This is the sixth in a series of blog posts on new research in emergency toxicology. The last post was about ketamine analgesia in chronic opioid users and can be […] The post Acute behavioural disturbances: olanzapine or haloperidol? appeared first on St.Emlyn's.
The Trauma Pro
MAY 9, 2025
Any trauma performance improvement professional understands the importance of undertriage and overtriage. Overtriage occurs when a patient who does not meet trauma activation criteria gets one anyway. And undertriage is the converse, where no activation is called despite criteria being met. As you may expect, the latter is much more dangerous for the patient than the former.
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Kings County Downstate EM
MAY 5, 2025
Author: Rabani Bharara, MDEditor: Philippe Ayres, MDI: CaseAn 86-year-old female with a past medical history of diabetes mellitus, hypertension, dyslipidemia, anemia, and bilateral cataracts presents to the ED for asymptomatic bradycardia identified in the geriatric clinic. The patient had gone to her geriatric clinic appointment for a routine check-up when […] The post Heartbeats on Backup: Junctional vs.
Critical Care North Hampton
MAY 6, 2025
Explore how low-dose clonidine improves sleep in postoperative patients, with significant findings from a randomized trial in a high-dependency unit.
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!
American Medical Compliance
MAY 9, 2025
Patients dont just benefit from great teamworkthey notice it. According to American Hospital Association , when patients perceive their care as safe, they are 2.5 to 3 times more likely to recommend the hospital to others. These perceptions are shaped not just by the medical treatment they receive, but by what they observecleanliness, hand hygiene, and how well the care team communicates and works together.
ACEP Now
MAY 9, 2025
Case Vignette DP is a 70-year-old male with a past medical history significant for peripheral vascular disease (PVD) on clopidogrel who presents with acute intracranial hemorrhage. The team is discussing antithrombotic reversal treatment options. When? It is reasonable to consider the use of desmopressin (DDAVP) for patients with life-threatening bleeding with platelet dysfunction or in the setting of anti-platelet therapy.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
PulmCCM
MAY 5, 2025
Coagulation abnormalities (e.g., an elevated international normalized ratio or INR) and thrombocytopenia are present in most severely ill patients. Fresh frozen plasma and platelets are commonly transfused for patients perceived to be at high risk of bleeding or who are undergoing invasive procedures. Transfusion practice patterns vary widely, and many transfusions of plasma and platelets are probably unnecessary.
PHARM
MAY 9, 2025
Medical student Kacylia Roy Proulx takes on Mount Kilimanjaro, as both a personal endeavour, and an opportunity to see physiology & mountain medicine Where Medicine Meets the Mountain
NRC Health
MAY 7, 2025
Get ready to go beyond at Human Understanding Beyond | HUB25, NRC Healths 31st annual event bringing together healthcare leaders, innovators, and changemakers to the heart of Orlando, Florida. Join us October 1517, 2025, for three days of groundbreaking healthcare insights, dynamic programming, and transformative collaboration. The post Experience the Magic of Healthcare Innovation at HUB25 in Orlando appeared first on NRC Health.
Sensible Medicine
MAY 8, 2025
John and Adam discuss our hopes for Vinay’s tenure at the FDA and how we intend to keep Sensible Medicine a vibrant place on Substack, a place where we will continue to showcase a range of ideas and opinions about all things bio-medicine. We also answer some of the questions from our recent “ask us anything” post.
Life in the Fast Lane
MAY 5, 2025
James Miers and Chris Partyka Procedure: Serratus Anterior Block Emergency Procedure: Serratus Anterior Plane (SAP) Block; a technique most often used for rib fracture pain
The Skeptics' Guide to EM
MAY 3, 2025
Reference: Umana E, et al. Performance of clinical decision aids for the care of young febrile infants: A multicenter prospective cohort study.eClinicalMedicine Lancet December 2024 Date: March 6, 2025 Dr. Demetris Athanasiou Guest Skeptic: Dr. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University in London.
PHARM
MAY 9, 2025
LUCAS Mechanical CPR Published Paper on Training from our Team CLICK HERE LUCAS Mechanical CPR Machine application essentials in 1 minute
The Evolution & Medicine Review
MAY 9, 2025
This wonderful online public conference is offered free by CARTA! Register at this link.
NRC Health
MAY 8, 2025
A recent NRC Health webcast covers the value of human-centered design in healthcare, featuring insights from Cast & Hue and real-world examples. It explores how journey mapping and design thinking can uncover patient needs, drive innovation, and improve experiences. The post Human-Centered Design in Healthcare: Real Stories, Real Solutions appeared first on NRC Health.
ACEP Now
MAY 8, 2025
“Hey, boss? Can I have four or five weeks off?” Kishan Patel, MD, couldn’t believe it. A third-year resident in the University of California San Francisco Emergency Medicine Residency Program, Dr. Patel had somehow survived several rounds of interviews and landed a spot on one of the most popular reality TV shows this century-“Survivor.” Granted permission to take some time off, Dr.
Emergency Medicine Education
MAY 6, 2025
Bacterial vaginosis (BV) can sometimes be challenging to treat effectively. While standard oral antibiotics, such as metronidazole, are generally effective, some cases require switching to clindamycin for better outcomes. A recent open-label randomized controlled trial published in the New England Journal of Medicine in March 2025 evaluated the treatment of male partners with oral metronidazole and topical clindamycin cream.
The Evolution & Medicine Review
MAY 9, 2025
Discounted registration ends May 15! The meeting is July 8-10. Great Program. Great Keynote speakers. Fantastic venue at Vanderbilt University in Nashville.
Life in the Fast Lane
MAY 5, 2025
James Miers and Chris Partyka Procedure: Serratus Anterior Block Emergency Procedure, instruction and discussion: Serratus Anterior Plane (SAP) Block; a technique most often used for rib fracture pain
ACEP Now
MAY 8, 2025
What does your program offer that residents cant get anywhere else? OSU is an ACGME accredited osteopathic program proudly offering first-class facilities and dynamic academic experiences, including international, rural, and urban underserved community rotations. Residents are offered a Masters Degree in Healthcare Administration, Global Health, or Public Health via integrative coursework during training.
Sensible Medicine
MAY 6, 2025
I enjoyed reading the comments on yesterday's post regarding the positive results of the ESSENCE trial of semaglutide vs placebo in patients with metabolic dysfunction-associated steatohepatitis (MASH). Thank you to those who took the time to write. I wanted to share some very brief thoughts on two basic tenets of medical practice that emerged from the thoughtful commentary.
NRC Health
MAY 8, 2025
In celebration of Nurses Week and Hospital Week 2025, NRC Health honors the caregivers and hospitals bringing Human Understanding to every patient experience. The post Celebrating Nurses Week & Hospital Week 2025 | Honoring Human Understanding in Healthcare appeared first on NRC Health.
Don't Forget the Bubbles
MAY 5, 2025
With millions of journal articles published yearly, it is impossible to keep up. This month, the team from NEOTrips give us a whistle-stop tour of some of their research and other articles that have inspired potential future studies. Neonatal Trainee-led Research and Improvement Projects (NeoTRIPs) is a national neonatal study group which aims to improve neonatal care for patients and families through large-scale quality improvement projects.
ACEP Now
MAY 8, 2025
Why should emergency physicians in training care about the business of medicine? What does ACEP do? Who advocates for the specialty, and what does that look like? What career resources are available? In the middle of a busy shift schedule. Residents across the country are taking time out to get these questions answered through ACEP’s Residency Visit Speaker Program.
RebelEM
MAY 5, 2025
REBEL Rundown REBEL Recap 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 r
Taming the SRU
MAY 7, 2025
Arleth T, Baekgaard J, Siersma V, et al. Early Restrictive vs Liberal Oxygen for Trauma Patients. JAMA 2025;333(6):47989. AIMS Severe trauma is the leading cause of death worldwide for adults younger than 50 years of age. Acute traumatic life support (ATLS) guidelines endorse early and aggressive usage of supplemental oxygen in patients with severe trauma, at least until abnormalities of airway or breathing can be safely ruled out.
Ken Grauer, MD
MAY 3, 2025
The ECG in Figure-1 was obtained from a man in his 60s, with a history of cardiac amyloidosis. He reported "some dizziness" recently but no chest pain. No prior tracing is available at this time. QUESTIONS: How would you interpret this ECG? Has there been an MI? What is the rhythm? Is the history of cardiac amyloidosis relevant? Figure-1: The initial ECG in today's case. = Is the History of Cardiac Amyloidosis Relevant?
ACEP Now
MAY 9, 2025
Endotracheal intubation (ETI) has long been defined as the “gold standard” for airway management to secure the airway. It is historically the “definitive airway” and, in the setting of cardiac arrest, a successfully placed and confirmed endotracheal tube connected to a well-managed ventilator removes the bulk of airway and breathing concerns from the Basic Life Support (BLS)/ Advanced Cardiovascular Life Support (ACLS) algorithms.
Dr. Smith's ECG Blog
MAY 6, 2025
This was written by one of our fantastic Emergency Medicine 3rd year residents, Emily Ferrari: A young man presented with AMS and seizure like activity. EMS called by PD from a scene, where the patient had been seen ingesting powder and pills, then began acting more erratically. He was seizing on arrival to the ED, but this ceased after 5mg Versed given by medics.
EMDocs
MAY 6, 2025
Today on the emDOCs cast with Rachel Bridwell, MD, and Brit Long, MD ( @long_brit) , we cover left ventricular outflow tract obstruction, or LVOTO. Episode 119: Left Ventricular Outflow Tract Obstruction Underlying Principles LVOTO occurs secondary to the systolic anterior motion (SAM) of the mitral valve (MV) Blood velocity increases due to narrowed LV outflow, forcing outflow tract and mitral valve in closer proximity 1 Venturi effect causes the mitral valve to lift anteriorly towards increase
EM Ottawa
MAY 5, 2025
Methodology: 4/5 Usefulness: 3/5 English SW, et al. N Engl J Med. 2025 Mar 13;392(11):1079-1088. doi: 10.1056/NEJMoa2410962. Question and Methods: This multicenter RCT assessed whether a liberal (Hgb100 g/L) versus restrictive (Hgb80 g/L) transfusion strategy improved neurologic outcomes in patients with aneurysmal SAH (aSAH) and anemia. Findings: At 12 months, there was no significant difference […] The post Liberal or Restrictive Transfusion Strategy in Aneurysmal Subarachnoid Hemorrhage
ACEP Now
MAY 9, 2025
(See original question here.) ANSWER: Jequirity Bean The jequirity bean ( Abrus precatorius ) is a very ordinary looking climbing plant found in warm climates across the world that has very attractively colored seeds that are very toxic. Seeds are often used in jewelry, strung on a line for necklaces or bracelets, or used in rattles because of their hard shell.
Dr. Smith's ECG Blog
MAY 4, 2025
This was contributed by Hans Helseth (he will start medical school soon). With edits and additions by Smith and Grauer. A 75 year old man with hypertension and hyperlipidemia presented to the emergency department by EMS for 1.5 hours of chest pain with vomiting. Paramedics administered 3 doses of sublingual nitro and 4 baby aspirin, neither of which relieved the pain.
PHARM
MAY 9, 2025
St.Emlyn’s – Emergency Medicine #FOAMed This is the sixth in a series of blog posts on new research in emergency toxicology. The last post was about Acute behavioural disturbances: olanzapine or haloperidol?
Life in the Fast Lane
MAY 6, 2025
Mike Cadogan Leonardo Gigli Leonardo Gigli(1863-1908) was an Italian surgeon and gynaecologist.
ACEP Now
MAY 9, 2025
In a recent meeting, I heard about an 80-year-old worth @25 million who recently lost his wife and realized he doesn’t have a will in place nor any close family members. If he died, a distant cousin that he never even talks to would inherit all that money. There are many people out there who have been financially successful but still have huge gaping holes in their financial plans.
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