July, 2025

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ECG Blog #486 — Unusual Coupling

Ken Grauer, MD

The ECG in Figure-1 is from a middle-aged man — who presented to the ED ( E mergency D epartment ) with on-and-off CP ( C hest P ain ). The patient was hemodynamically stable at the time this ECG was recorded. QUESTIONS: How would you interpret this ECG in Figure-1 ? — What is the rhythm? — Would you activate the cath lab? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). == My Initial Thoughts on Today’s CASE: This is a cha

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How To “Track And Trend”

The Trauma Pro

One of the most overused terms in trauma performance improvement is “track and trend.” It implies that the event in question will be closely monitored, with the promise of potential future action. But the reality is that, much of the time, these events are largely ignored, and a running tally is either kept somewhere or will be calculated at some undefined time in the future.

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JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Recognise and treat drug-induced hyperthermia fast. Learn how early sedation and rapid cooling can save lives in this ED-focused clinical review. The post JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency appeared first on St.Emlyn's.

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Doctors: Sharing Our Personal Health Stories Can Save a Life

ACEP Now

As a 47-year-old woman in medicine, I am accustomed to the balancing act we perform regarding our families, careers, and our well-being. In March 2024, I was planning my next six months, as we typically do in emergency medicine. I was accepted into a part-time master’s degree program at Georgetown University. I was looking forward to my mother’s birthday cruise to Alaska, and was gearing up for my 14th medical mission trip, this time to Malawi.

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How to Start Virtual Care the Right Way: A Proven Roadmap for 2025 and Beyond

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.

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Instructors' Collection ECG: Anterior-lateral M.I.

ECG Guru

The Patient: This ECG was obtained from a man in his mid-sixties who was complaining of chest pain. The pain had an acute onset and is described as "10" on a 1-10 scale. He has a PMHx of coronary artery disease with stents in his right coronary artery and minimally invasive aortic valve replacement. The ECG: The rate is 86 bpm. The rhythm is normal sinus rhythm with one PAC (10th beat).

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EMCrit 403 – What’s the Status of Status – Status Epilepticus 2025 with PulmCrit

EMCrit

Home EMCrit PulmCrit IBCC 1:1 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 ▿ 1:1 Nursing Podcast Foundational Stabilization (FoundStab) Project RACC-Lit CV-EMCrit Mind of the Resuscitationist Procedures Outside Shows You are here: H

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AI Tools And Your Research Paper

The Trauma Pro

Generative artificial intelligence (AI) is the newest shiny toy. The best-known example, ChatGPT, burst onto the scene in November 2022 and caught most of us off guard. The earliest versions were interesting and showed great promise for a variety of applications. The easiest way to think about this technology is to compare it to the auto-complete feature in your search engine.

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Code Blind: Eye’m losing it! Vision Loss in the ED

EM Ottawa

Imagine waking up one day, and the world around you is no longer as you’ve always seen it. The numbers on your alarm clock blur into nothingness, or half of your vision seems to have vanished altogether. Panic sets in as you make your way to the emergency department. The doctor tells you: “This is […] The post Code Blind: Eye’m losing it!

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“It’s Just MotrinⓇ, What’s the Worst That Can Happen?”

Kings County Downstate EM

Author: Abner Alemán ReyesMD Resident Editor: Galina UdodGuest Faculty Editor: Noah BerlandA 22-year-old M patient with PMH of depression was brought into the ED by EMS after ingesting 250 pills of ibuprofen 200 mg in a self-harm attempt. The ingestion occurred 2 hours before arrival at the ED. The patient […] The post “It’s Just MotrinⓇ, What’s the Worst That Can Happen?

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s 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: Combo Albuterol-Budesonide PRN for Mild Asthma Spoon Feed — Patients with mild asthma who used albuterol-budesonide rescue therapy had about half as many severe exacerbations as those on albuterol alone.

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Bridging Innovation & Patient Care: The Growing Role of AI

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!

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Emergency Presentations of GLP-1 Agonist Complications

Northwestern EM Blog

Written by: Emily Goins, MD (NUEM ‘26) Edited by: Eric Power, MD (NUEM ‘24) Expert Commentary by : Ben Weigel, MD Glucagon-like peptide-1 (GLP-1) agonists are an increasingly common treatment for diabetes and obesity in the United States. Their use is associated with improved glucose control and weight loss, but there are several associated adverse events.

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PRAGUE 25: A "negative" trial for weight loss in AF, but with hugely "positive" signals

Sensible Medicine

In Western countries, the incidences of atrial fibrillation (AF) and obesity have risen in parallel. And this relationship goes beyond association. Taken together, the evidence clearly supports the contention that obesity can cause AF, through many biologic mechanisms. The therapy implications are obvious: if obesity causes AF, then weight loss should reduce AF.

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Toxin-Induced Hypotension Treatment Tips

ACEP Now

Acute toxic ingestions are a common reason for presentation to the emergency department (ED) and clinical scenarios range from benign accidental ingestions to large overdoses resulting in hemodynamic instability. A wide variety of toxins cause hemodynamic instability, from cardiotoxic medication to plant-based toxins, and even inhaled substances. 1 In the ED, the most important consideration in management of these toxicities involves decontamination, evaluating for airway protection, and managin

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HEMS Debrief – Cardiac Arrest Focus. #5, Prof Laurie Morrison

Greater Sydney Area HEMS

Screenshot Hello and welcome back. As we continue to discuss cardiac arrest, this week we talk with Prof Laurie Morrison from Toronto about: How to integrate cardiac arrest research into an existing systems How to gather and interpret physiologic data during arrest – particularly ventilation data – and what to do with this data to optimise arrest care How to be a leader in this research field Prof Morrison is an academic and Clinical Scientist in the Division of Emergency Medicine, D

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Why a rescue ready AED package is your smartest safety investment

AED Leader

You’ve made a critical decision to protect your people by investing in an automated external defibrillator (AED). But now you face a more complex question. Do you just buy the device, or do you need something more? It’s tempting to purchase an AED and call it a day, but this approach often overlooks the hidden complexities and costs of building a truly effective emergency response program.

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“It’s just MotrinⓇ, what’s the worst thing that can happen?”

Kings County Downstate EM

Author: Abner Aleman-Reyes, MD Editor: Galina Udod, MD Case: A 22-year-old M patient with PMH of depression was brought into the ED by EMS after ingesting 250 pills of ibuprofen 200 mg in a self-harm attempt. The ingestion occurred 2 hours before arrival at the ED. The patient was somnolent […] The post “It’s just MotrinⓇ, what’s the worst thing that can happen?

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Continuous beta-lactam infusions

Life in the Fast Lane

Chris Nickson Continuous beta-lactam infusions Critical evaluation of continuous infusion of beta-lactam antibiotics (rather than intermittent dosing) in critically ill patients.

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CASE STUDY: ThriveAP Boosts Patient Encounters, wRVUs & APP Confidence Scores By Over 45% Compared to Benchmark Group

Thrive Employer Blog

ThriveAP Boosts Patient Encounters, wRVUs & APP Confidence Scores By Over 45% Compared to Benchmark Group BACKGROUND A large health system in the Southwest U.S. sought to support their nurse practitioners (NPs) and physician associates (PAs) as they transitioned into or began their professional careers in family medicine. They partnered with ThriveAP on a project with an objective to illustrate the program's return on investment (ROI).

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Scripps Mercy Hospital San Diego’s Unique ED Culture Breeds Innovation

ACEP Now

The emergency department (ED) at Scripps Mercy Hospital San Diego is a different breed of ED. This can be felt upon entering the beautiful southern California facility through the patient entrance. During my visit the greeter area was quiet, uncluttered, and virtually empty at 4 p.m. Seeing more than 76,000 annual visits, this urban academic Level I Trauma Center is a STEMI-receiving hospital, geriatric emergency department (GED) certified, and a Stroke Center.

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Patient Centred Team Based Critical Care In Austere Environments : what to do when Gigli Saw fails during prehospital amputation underwater

PHARM

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 Patient Centred Team Based Critical Care In Austere Environments : what to do when Gigli Saw fails during prehospital amputation under

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How to choose the right AED features for your business

AED Leader

Choosing to place an automated external defibrillator (AED) in your workplace is a critical first step. The next, and equally important, step is selecting the right device. With numerous models and features on the market, it’s easy to feel overwhelmed. You aren’t just buying a piece of office equipment, you are investing in a system designed to save a life when seconds count.

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This Fortnight in Medicine (Episode III)

Sensible Medicine

No association between preprocedural fasting and witnessed pulmonary aspiration: A systematic review and meta-analysis Here are a couple of other older articles to give you the history of preprocedural fasting.

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No Lonely SABAs | IN = IV Ketamine

JournalFeed

The JournalFeed podcast for the week of June 30 - July 4, 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 : Patients with mild asthma who used albuterol-budesonide rescue therapy had about half as many severe exacerbations as those on albuterol alone.

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Adult Ortho Cases 005

Life in the Fast Lane

Michael Gibbs MD Adult Ortho Cases 005 Xray and ultrasound (POCUS) evaluation of integrity of quadriceps tendon, patella tendon, and patella evaluating for tendon rupture and patella fracture.

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Dr. Joe Sachs and “The Pitt” Redefine Public Health Education Through Storytelling

ACEP Now

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.

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Ketamine versus propofol for sedation in acute psychiatric emergencies during aeromedical retrieval: a randomized controlled trial

PHARM

Ketamine versus propofol for sedation in acute psychiatric emergencies during aeromedical retrieval: a randomized controlled trial — Read on www.aeromedconference.

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Evaluating AED program management solutions for your business

AED Leader

Acquiring automated external defibrillators for your facilities is a critical first step in workplace safety. But the real work begins after the devices are installed. An AED is not a set it and forget it piece of hardware. Research shows that as many as 1 in 5 AEDs are out of service or not ready to rescue due to poor maintenance. For an operations manager or EH&S director, that statistic represents an enormous liability and a potential failure when seconds matter most.

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In Defense of Normal Saline

Emergency Medicine News

No abstract available

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Boosting Quality Ratings Through Better Service Plan Training

American Medical Compliance

Your quality ratings speak volumes. They influence everything from your facility’s reputation and referrals to compliance status and reimbursement rates. In fact, studies show that the CMS 5-Star Rating system directly influences consumer choice , with many families relying on it to select a nursing home for their loved ones. Whether you’re running an assisted living facility, managing a long-term care home, or supporting a residential care center, your quality ratings say a lot about th

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Exercise for a minute every 20 minutes every day

CasesBlog

Vigorous Intermittent Lifestyle Physical Activity (VILPA) Here is my suggestion for you: Exercise for a minute every 20 minutes every day. Turn on your watch timer to ring every 20 minutes, When the timer goes off, do squats for 1 minute and keep repeating during the day. The first thing you’ll notice is that you may be surprised how much time you spent in inactivity.

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July 2025 News from the College

ACEP Now

ACEP Advocacy Leads to New Boarding Legislation A new ACEP-developed bipartisan bill to address the boarding crisis has been introduced in the House of Representatives, with a Senate companion soon to follow. This important legislation is a direct result of ACEP advocacy and the latest in a series of major ACEPinitiatives to address the boarding crisis.

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The River, Part 2 | Franklin River rescue – ABC News

PHARM

PREHOSPITAL AMPUTATION PERFORMED UNDERWATER DESPITE GIGLI SAW FAILURE! Australian prehospital critical care and ketamine at its best www.abc.net.

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Your guide to deploying the LIFEPAK CR2 at work

AED Leader

You have selected the Physio Control LIFEPAK CR2 , a smart investment in the safety of your people and the readiness of your facility. But acquiring the device is only the first step. Turning that box into a fully functional, compliant, and effective emergency response program is what truly saves lives. This can feel like a major responsibility, especially for operations managers and safety directors who are not medical professionals.

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Celebrating Helen Hrdy: One of Nebraska’s Top 50 Women Leaders of 2025

NRC Health

We’re proud to celebrate our very own Chief Operating Officer, Helen Hrdy, who has been recognized as one of the Top 50 Women Leaders of Nebraska for 2025 by Women We Admire. The post Celebrating Helen Hrdy: One of Nebraska’s Top 50 Women Leaders of 2025 appeared first on NRC Health.

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Enjoying the Summer

Pediatric Education

PediatricEducation.org is taking a break. The next case will be published in on July 14, 2025 – Bastille Day for those in France. In the meantime, please take a look at the different Differential Diagnoses, Symptom and Disease listed at the top of the page. Maybe even a few spring flowers outside your window too. We appreciate your patronage, Donna D’Alessandro and Michael D’Alessandro, curators.

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