The Trauma Pro
FEBRUARY 7, 2025
In my last post, I wrote about the usual reasons for delayed diagnosis: insufficient diagnostic technique or insufficient recognition. What about the time of day? An interesting paper looked at the correlation between admission time and the rate of missed injuries. The work was done at a large teaching hospital and Level I trauma center in Australia.
Ken Grauer, MD
FEBRUARY 1, 2025
I was sent the ECG in Figure-1 obtained from a previously healthy man his 60s, who contacted EMS ( E mergency M edical S ervices ) for new-onset severe burning CP ( C hest P ain ) that radiated to the jaw and throat. On seeing the ECG in Figure-1 the EMS crew activated the cath lab. QUESTION: Do you agree with this decision by the EMS crew to activate the cath lab?
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St. Emlyn
FEBRUARY 6, 2025
St.Emlyn's - Emergency Medicine #FOAMed We are back at the TBS (The Big Sick) Conference in Zermatt, exploring key research papers that challenge critical care practices. Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing.
EM Ottawa
FEBRUARY 6, 2025
Medicine often carries an aura of mystiquea profession elevated by society as a noble calling, a higher pursuit. But for those of us in the trenches, the reality is far simpler (: medicine is a job. A demanding, high-stakes, and sometimes unforgiving job, but a job nonetheless. This isnt a dismissal of its importance but […] The post There IS Beauty in Medicine appeared first on EMOttawa Blog.
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.
PulmCCM
FEBRUARY 5, 2025
Neurologists’ job just got harder. Patients who present with ischemic stroke more than 4.5 hours after symptom onset generally do not receive intravenous thrombolytics (tPA or TNK). That’s because outside that accepted window, the risk of intracranial hemorrhage was believed to outweigh the benefits of thrombolytics in restoring blood flow to at-risk brain tissue.
Ken Grauer, MD
FEBRUARY 7, 2025
I was sent the ECG in Figure-1 without the benefit of any clinical information. QUESTIONS: What is the rhythm? How certain are you of your answer? Figure-1: The ECG I was sent. ( To improve visualization I've digitized the original ECG using PMcardio ). MY Thoughts on Making the Diagnosis: Rather than a "Yes-No" answer ( ie, Rather than saying the rhythm is VT vs SVT ) it is preferable to simply describe what you see.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Dr. Smith's ECG Blog
FEBRUARY 2, 2025
Written by Pendell Meyers A man in his 60s presented with acute chest pain. Here is his triage ECG: What do you think? There is sinus rhythm with clear LVH. Leads V5-6 are suspicious for upright, enlarged T waves that are possibly inappropriate for the QRS complex, especially V6. But without a baseline for comparison, it would be difficult for me to say that it is specific and diagnostic for OMI.
The Skeptics' Guide to EM
FEBRUARY 1, 2025
Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Dr. Tabitha Cheng Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well.
St. Emlyn
FEBRUARY 7, 2025
St.Emlyn's - Emergency Medicine #FOAMed This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care.
Mind The Bleep
FEBRUARY 2, 2025
This is a tricky area to cover as it can be challenging to us both personally and professionally when things dont go well with a colleague, particularly when we know that this might impact patient care and/or our own mental health. The longer these negative interactions go on, the more likely they are to significantly impact on outcomes for our patients, our colleagues and ourselves.
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!
EMDocs
FEBRUARY 6, 2025
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // 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.
EB Medicine
FEBRUARY 5, 2025
In this episode, Sam Ashoo, MD interviews Erin D'Agostino, MD about the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Pathophysiology Types of Traumatic Brain Injuries Pre-Hospital Care Critical History and Physical Examination Neurological Assessment and Monitoring Laboratory and Imaging Studies Emergency Department Treatment Surgical Interventions and Considerations Patient DemographicsSummary of major points disc
St. Emlyn
FEBRUARY 4, 2025
St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why its a systemic issue rather than an individual failure, and what changes are needed to maintain competency. The post Podcast – Skills Fade with Nathalie Pattyn at Tactical Trauma 24 appeared first on St.Emlyn's.
Mind The Bleep
FEBRUARY 2, 2025
Here we assume you know the basics , and instead we focus on the common pitfalls with tips on how to be safe & well reasoned. Not all FY1s have the opportunity to clerk patients but the underlying principles are of great value if youre doing an FY1-led ward round. Be Thorough The expectation is that you are slow and thorough if you rush you can make mistakes & you end up spending more time worrying than seeing patients.
Cook County EM Blog
FEBRUARY 7, 2025
Figure 1. Index ECG. A 63-year-old male with a past medical history of epilepsy, hypertension, and papillary thyroid carcinoma s/p left hemithyroidectomy presents with nausea and vomiting. The patient reports that, around 2:00 AM, he woke up from his sleep and began sweating and vomiting. These symptoms have continued intermittently since then, and the patient presents with his wife around 5:00 PM.
EMDocs
FEBRUARY 1, 2025
We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Can We Use PERC-35 to Rule Out PE in Younger Patients? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinic
JournalFeed
FEBRUARY 1, 2025
The JournalFeed podcast for the week of Jan 27-31, 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. Tuesday Spoon Feed: There was no difference in patient centered outcomes between trauma patients who received either restrictive or liberal oxygen therapy in this RCT.
Mind The Bleep
FEBRUARY 2, 2025
It is important for resident doctors to understand what the discharge planning process involves so you can have an active role in multidisciplinary team meetings. This article focuses on discharging home with an appropriate package of care but discharge planning also involves discharging to different types of homes ( which is discussed in another article ).
NRC Health
FEBRUARY 6, 2025
Join us for the Pediatric Collaborative Roundtable Sessions for a fast-paced, engaging event where youll connect with healthcare leaders, learn from case studies, and explore strategies to enhance patient care, utilize data-driven decision-making, and foster interdisciplinary collaboration. The post Find inspiration during the Peds Collaborative Roundtable Sessions appeared first on NRC Health.
Board Bombs
FEBRUARY 1, 2025
You intubate. and then your patient codes. What did you do wrong? When is "ABC" the wrong order? Let's dive into this nuanced topic in critical care. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake. 249. Clean kill: how intubation kills your pt.
EM Ottawa
FEBRUARY 6, 2025
Methodology 3/5 Usefulness 2/5 Hoppe JA, et al. Ann Emerg Med. 2024 Jan;83(1):3-13. Question and Methods: The study evaluated whether integrating prescription drug monitoring program (PDMP) tools with clinical decision support in EHR workflows improved PDMP usage and opioid prescribing practices using a stepped-wedge design. Findings: PDMP usage improved modestly during clinical alerts (23.8%), but […] The post Implementation of Electronic Health Record Integration and Clinical Decision Su
Pediatric Emergency Playbook
FEBRUARY 1, 2025
Info Pediatric Emergency Playbook You make tough calls when caring for acutely ill and injured children. Join us for strategy and support, through clinical cases, research and reviews, and best-practice guidance in our ever-changing acute-care landscape. This is your Pediatric Emergency Playbook. Twitter Email RSS Feed Subscribe in Apple Podcasts Pediatric Emergency Playbook 2025 February 2024 June March 2023 December September August July June May April March February January 2022 December Nove
EMCrit
FEBRUARY 7, 2025
Part 2 of Inotropes with Trina - we discuss specific scenarios. EMCrit Project by Scott Weingart, MD FCCM.
Life in the Fast Lane
FEBRUARY 6, 2025
Chris Nickson Prazosin Critical Care Compendium pharmacology entry for prazosin.
NRC Health
FEBRUARY 5, 2025
NRC Health is honored to receive the Best in KLAS 2025 Award for Healthcare Experience Management, highlighting our commitment to excellence and innovation. The post NRC Health ranked #1 Best in KLAS for Healthcare Experience Management appeared first on NRC Health.
Board Bombs
FEBRUARY 1, 2025
You intubate. and then your patient codes. What did you do wrong? When is "ABC" the wrong order? Let's dive into this nuanced topic in critical care. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake. 249. Clean kill: how intubation kills your pt.
EMCrit
FEBRUARY 4, 2025
EMCrit RACC-Lit for January 2025 All the literature goodness! EMCrit Project by Scott Weingart, MD FCCM.
Life in the Fast Lane
FEBRUARY 7, 2025
Leon Lam, Jennifer Davidson, Parvathy Suresh Kochath and Georgina Beech CT Case 100 A 54-year-old lady with end stage renal failure (ERSF) presents to the the emergency department with abdominal pain.
Pediatric Education
FEBRUARY 2, 2025
PediatricEducation.org is taking a short break. The next case will be published on 2/10/25. In the meantime, please take a look at the different Archives and Curriculum Maps listed at the top of the page. We appreciate your patronage, Donna DAlessandro and Michael DAlessandro, curators.
Mind The Bleep
FEBRUARY 2, 2025
This guide is designed to help you identify the key areas you need to focus on when clerking a surgical patient. There are several differences when compared to clerking a medical patient, namely getting a more extensive surgical past medical history, examination and assessing frailty. Your clerking needs to be succint, pertinent and clear. Presenting Complaint This needs to be clear and brief – a headline to tell any reader why that patient has presented: Good example: “1/7 colicky R
Northwestern EM Blog
FEBRUARY 4, 2025
Written by: Dean Hayes (NUEM 27) Edited by: Andrew Long (NUEM 25 ) Expert Commentary by: Rafael Lima, MD A mid 20s male presents to the ED after seizure-like activity. Per the patient's partner at bedside, he had a 2-3 minute convulsive episode and the description is consistent with a likely seizure. The patient has never had a seizure before and is A&Ox4 upon arrival to the ED with reassuring examination.
Dr. Smith's ECG Blog
FEBRUARY 6, 2025
Written by Magnus Nossen (with 2 important comments by Smith at the bottom) The patient in todays case is a 50 year old man who presented due to "dizziness" and episodes of presyncope. The patient's symptoms had started about 14 days prior to admission but worsened significantly during the course of the last 24 hours. Previously healthy, taking no medication and exercising regularly.
Don't Forget the Bubbles
FEBRUARY 5, 2025
Topic Major Trauma – Injuries by Assault Author Hannah Downing Expert Reviewer Vicki Currie Facilitator Level ST4+ Learner Level Foundation doctors, ANPs, core and middle grade level paediatric/ED trainees Outline Pre-reading Background Basic Case 1: Kick to the Head Case 1: Discussion Basic Case 2: Stab Wound to the Chest Case 2: Discussion Advanced Case 3: Non-Fatal Strangulation Case 3: Discussion Advanced Case 4: Gunshot Wound to the Abdomen Case 4: Discussion Simulation Quiz Take Home
Mind The Bleep
FEBRUARY 2, 2025
A lot of your time as an FY1 will be spent on the phone to various other specialities. Youll come across patients with infections in all your rotations, and – if they dont present with one – it may develop during admission. So, its a good idea to make talking to Microbiology as productive (and painless!) as possible. Calling micro for advice Calling other specialities to ask advice was always a palm-sweating, tongue-tying experience for me.
Sensible Medicine
FEBRUARY 3, 2025
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