The Trauma Pro
MAY 27, 2025
As I mentioned in the last post, the early literature on the use of the hybrid OR for trauma patients was just so-so. However, additional work has been done, and the real benefits are becoming clearer. Today, I’ll describe a pair of more recent, related papers that examined trauma outcomes in the hybrid OR. The research was performed at the University of Florida Health, Gainesville.
RebelEM
MAY 27, 2025
REBEL Rundown Key Points Decision rules help : 98% of c-spine CTs are negativerules reduce unnecessary imaging. Both NEXUS & CCR rule out >99% of serious injuries; CCR may lower imaging rates. NEXUS is simpler but excludes intoxicated patients and can’t clear midline tenderness. CCR is more validated , includes MOI, allows intoxication if alert, and can clear some with midline tenderness.
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St. Emlyn
MAY 26, 2025
St.Emlyn's - Emergency Medicine #FOAMed Review the top 11 trauma and resuscitation trials discussed at ICEM 2025. Expert summaries and critical appraisals from St Emlyns cover transfusion strategies, airway management, oxygenation, fibrinogen, and more. The post Top 10 trauma/resus papers for IFEM 2025 appeared first on St.Emlyn's.
Sensible Medicine
MAY 30, 2025
I did my residency at Beth Israel Hospital in Boston. Some people think of it as The House of God , I think of it as the home of Open Notes. 1 Dr. Tom Delbanco was the chief of General Internal Medicine while I was there and was already advocating that patients have access to their medical records. He encouraged me to document clinic visits in notes that I’d be comfortable with my patients reading.
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.
Don't Forget the Bubbles
MAY 26, 2025
What is peer-assisted learning (PAL)? Peer-Assisted Learning (PAL) has roots in educational research dating back to 1993 when it was developed to enhance learning through collaboration. The idea was simple but powerful: students learn better when they learn together. By harnessing the benefits of peer tutoring, PAL aimed to support diverse learning needs and improve educational outcomes.
PEMBlog
MAY 27, 2025
Community-acquired pneumonia (CAP) remains a high-volume driver of ED visits, and yet, risk stratification tools tailored to well-resourced emergency departments are limited. A new study from thePediatric Emergency Research Network (PERN)aimed to change that. Published in The Lancet Child & Adolescent Health , thisprospective cohort study of over 2200 childrenacross 73 Emergency Departments in 14 countries developed and validated clinical prediction models to help clinicians distinguishmildC
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Sensible Medicine
MAY 26, 2025
Today we talk about the environment and procedures of a trial and how it affects translation of the results to patients. Think of two extremes: one trial requires that patients stay on their assigned strategy with no deviations; the other trial allows oodles of physician discretion and crossover. The latter trial is called pragmatic. Keep in mind though that pragmatism is not dichotomous, all trials have degrees of pragmatism.
EMDocs
MAY 24, 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: Whats the Best Migraine Cocktail? Spoon Feed There was no clear choice for single-agent pain control, but chlorpromazine IV/IM was among the most effective for pain relief at two hours, and IV/IM ketorolac was among
The Skeptics' Guide to EM
MAY 24, 2025
Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Childrens Hospital where she is the Head of Department.
Dr. Smith's ECG Blog
MAY 27, 2025
A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the prehospital ECG: The computer says STEMI Based on this and the presence of chest pain, the medics did a prehospital activation of the cath lab. What do you think? Interpretation: There is clear atrial flutter. Look at the spikes in V1 at a rate over 300, which are flutter waves.
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!
Sensible Medicine
MAY 24, 2025
We had planned this trip for months. A fortuitous change in my clinical schedule gave me more than a week off. I wanted to take advantage and go somewhere special with the family: Hawaii. After a long stretch of clinical shifts, the day finally arrived. We all loaded ourselves and our luggage into the SUV that was taking us to the airport. On the way, I got a text: "Your flight has been cancelled.
American Medical Compliance
MAY 30, 2025
Time is everything in the operating room. Patient safety, team coordination, and timely procedures all depend on a well-trained surgical team that can move together with precision. However, a growing shortage of perioperative nursesand limited opportunities for hands-on educationhas made training more difficult than ever. As highlighted in the AORN Journal article “Nursing Shortages in the OR: Solutions for New Models of Education” , the industry faces increasing pressure to adopt in
Cook County EM Blog
MAY 30, 2025
An 86-year-old female with a past medical history of “a murmur” presents to the Emergency Department (ED) with a complaint of dyspnea on exertion for the past 2 days. Her heart rate in triage is 150 beats per minute (bpm), so she is immediately roomed in the resuscitation bay. An ECG is obtained, which demonstrates atrial fibrillation with rapid ventricular rate (RVR).
JournalFeed
MAY 24, 2025
The JournalFeed podcast for the week of 19-23, 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: The Ten Test is a quick, reliable, no-equipment sensory exam that performed as well as or better than traditional methods in assessing hand and finger injuries with none of the cost.
PulmCCM
MAY 29, 2025
Therapeutic anticoagulation to prevent pulmonary thrombosis in sickle cell acute chest syndrome Patients with acute chest syndrome due to sickle cell disease may appear as if they are having pneumonia, pulmonary edema, and pulmonary embolism, all at once. In situ thrombosis of the pulmonary arteries is common during acute chest syndrome. Usually these manifest as small or “microthrombi” at the segmental or subsegmental levels.
Taming the SRU
MAY 30, 2025
When I began my clinical informatics elective I planned to spend my time taking online courses on how to improve my Epic efficiency. After a day or so of online sessions I realized that (a) Im already an Epic master (sort of) and (b) I hoped there was more to clinical informatics than faster documentation. So lets begin at the beginning: what is clinical informatics?
Life in the Fast Lane
MAY 27, 2025
Helen Rimington Echo basics: Key concepts Echocardiography basics and the differences between 2D imaging, M-mode, pulsed wave Doppler, continuous wave Doppler, and tissue Doppler imaging.
Board Bombs
MAY 25, 2025
Learn how to diagnose and manage aspiration pneumonia in the ED with a twist. There's a board test answer and a "real life" answer for this one.Let's talk risk factors, key imaging findings, antibiotic choices, and when to worry. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here.
Sensible Medicine
MAY 27, 2025
Yup, it’s a little goofy but we have Merch. Just t-shirts but they’re actually kind of cool. You can see VP modeling one in this video. The link to the shop is here.
Core Medical Group
MAY 28, 2025
Andrew is one of our Account Executives ensuring clinicians get their dream jobs. His main focus is permanent placement opportunities. Get to know Andrew!
NRC Health
MAY 28, 2025
In a recent Beckers Healthcare Podcast episode, NRC Healths Toya Gorley and Ashley Nelson unpack how trust in leadership shapes culture, care quality, and employee retention. The post Culture, Complexity, and Co-Design: How Frontline Leaders Shape Trust in Healthcare appeared first on NRC Health.
Taming the SRU
MAY 27, 2025
Gibbs KW, Semler MW, Driver BE, et al. Noninvasive Ventilation for Preoxygenation during Emergency Intubation. N Engl J Med 2024;390(23):216577. Background More than 1.5 million critically ill adults undergo tracheal intubation each year in the United States. Hypoxemia is a common and serious complication during tracheal intubation in critically ill adults, occurring up to 10-20% of intubations in the emergency department (ED) or intensive care unit (ICU).
Dr. Smith's ECG Blog
MAY 28, 2025
This was written by Mark Hellerman, Cardiology Fellow at Stony Brook: The Case: A 60 year old man with no reported medical history presents to the ED for evaluation of chest pain. For the past 3 days he has been experiencing substernal, exertional chest pain that resolves with rest. At the time of evaluation in the emergency department he is pain free at which time the following ECG is obtained: The above tracing and clinical vignette were sent to Dr.
St. Emlyn
MAY 25, 2025
St.Emlyn's - Emergency Medicine #FOAMed Can you perform a life-saving thoracotomy without ICU, theatre, or specialist staff? A new study from Cape Town shows it's possible and often successful even in district hospitals facing high trauma burdens. Read our latest St Emlyns review #EmergencyMedicine #TraumaSurgery #FOAMed #GlobalHealth The post Emergency Centre Thoracotomy in South Africa. appeared first on St.Emlyn's.
NRC Health
MAY 28, 2025
At this years Human Understanding Beyond | HUB25 and TGI Leadership Conference, were thrilled to feature a keynote that promises to reshape how we think about the employee and patient experience in healthcare. The post Love is a Verb: A Keynote That Redefines Connection in Healthcare appeared first on NRC Health.
EMCrit
MAY 24, 2025
For EMCrit Episode 400, I do a Mind of the Resuscitationist Episode. We discuss a bunch of concepts that have been percolating through this resuscitationist's mind. #MotR We discuss: Wu Wei Tension/Relaxation BDGO and so much more EMCrit Project by Scott Weingart, MD FCCM.
Dr. Smith's ECG Blog
MAY 28, 2025
Written by Pendell Meyers An elderly woman summoned EMS for generalized weakness and multiple vague complaints. She was confused and ill appearing. Here is her EMS ECG: What do you think? Without other ECGs (below), the rhythm differential could include junctional/ventricular escape, or ventricular paced rhythm (with small or filtered-out pacing spikes), or other rhythms.
PEMBlog
MAY 28, 2025
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with protean manifestations. In pediatric patients, complications can evolve rapidly and carry significant morbidity and mortality. Emergency medicine providers should maintain a high index of suspicion for these entities in children and adolescents with known or suspected SLE. Below is a focused overview of key lupus-related emergencies, with attention to ED-relevant presentations, diagnostics, and treatment strategies.
Life in the Fast Lane
MAY 28, 2025
Gary Zhang, Andrew Robbins and Mike Cadogan Name that murmur Eponymythology: heart murmur eponyms and named cardiac murmurs. Related eponyms, the person behind their origin, their relevance today, and modern terminology.
EMCrit
MAY 29, 2025
All the lit goodness for May 2025 EMCrit Project by Scott Weingart, MD FCCM.
Sensible Medicine
MAY 28, 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 third 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.
Dr. Smith's ECG Blog
MAY 30, 2025
Written by Willy Frick This blog has repeatedly made the point that ECGs must always be interpreted in clinical context. But sometimes just for fun we like to try to scrutinize ECGs in a vacuum. It increases the difficulty level. Look at this ECG and try to figure out what it represents. ECG 1 What do you think? _ Smith : I saw this before reading on, and was 95% certain it represented a reperfused OMI, vs. 5% for takotsubo.
St. Emlyn
MAY 25, 2025
St.Emlyn's - Emergency Medicine #FOAMed Emergency care is more pressured than everbut is compassion being lost in the chaos? This post explores the reality of compassion fatigue, the systemic and cultural barriers to empathy, and practical, evidence-based strategies to reconnect with patients in meaningful ways. The post Is there still room for compassion in emergency care?
PHARM
MAY 30, 2025
www.sbs.com.au/ondemand/tv-series/our-medicine Episode 2 at 20min mark shows a psychiatric aeromedical retrieval from RFDS Cairns team with use of ketamine infusion for sedation. The patient is unintubated and responsive to voice but clearly calm and not agitated. As far as I know this is the first ever recorded televised footage of such a procedure in aeromedical setting anywhere at anytime in the world.
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