Emergency Medicine Journal
JANUARY 21, 2025
This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlighted each paper’s main findings, key limitations and clinical bottom line.
Sensible Medicine
JANUARY 23, 2025
Two health obsessions that I’ve never really understood are the supposed benefits of vitamin D (for every imaginable ill) and harm of seed oils. Dr. Bobby Dubois thinks a lot about the evidence behind health recommendations on his podcast. His research has led him to a pretty clear opinion about the role of seed oils in health and disease. Attentive Sensible Medicine readers will note that his take is a bit different from that expressed in a recent post.
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Dr. Smith's ECG Blog
JANUARY 21, 2025
I was reading ECGs on the system and saw all of these, from one patient. I read them without clinical context and looked at the clinical context later. A 70-something dialysis patient presented and coronary disease had missed dialysis and then presented with acute onset of shortness of breath. He denied chest pain. There was mild hypoxia prehospital, lowest saturation 90%, On arrival, BP was 140/84, pulse 122, O2sat 100% and the patient had increased work of breathing.
Science Based Medicine
JANUARY 21, 2025
I’m at that age, 67 going in 68, where it is reasonable to yell at the clouds. Which, come to think of it, may be a good title for another collection of my SBM essays. Aging does indeed suck, but it is, usually, better than the alternative. As we, and by we I mean my family and me, age we get the […] The post Old Doctor Yells At Clouds first appeared on Science-Based Medicine.
Emergency Medicine Journal
JANUARY 21, 2025
A short systematic review was undertaken to assess whether intradermal sterile water injections (ISWI) provide effective pain relief in adult patients presenting to the Emergency Department (ED) with renal colic. MEDLINE, Embase, Cochrane and Google Scholar databases were searched, identifying seven relevant studies. Study information, patient characteristics, key results and methodological weaknesses were tabulated.
PEMBlog
JANUARY 21, 2025
The concurrent circulation of influenza, respiratory syncytial virus (RSV), COVID-19, and norovirus during peak viral seasons presents a diagnostic challenge in pediatric emergency settings. Differentiating these pathogens based on clinical presentation is crucial for targeted management, minimizing unnecessary diagnostic tests, and optimizing healthcare resources.
Dr. Smith's ECG Blog
JANUARY 23, 2025
This was written by Hans Helseth. He just graduated from college. He has no medical training, but he has read this blog for years. He is an ECG tech who hopes to go to medical school. He has never been poisoned by the STEMI/NSTEMI paradigm because he has never been to medical school. Lucky Hans. You don't need to have medical training to recognize OMI on the ECG.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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Emergency Medicine Journal
JANUARY 21, 2025
Background Extreme weather events due to human activities have significantly increased the frequency and severity of hydrological disasters like floods, impacting human health and healthcare systems worldwide. This study analyses the patterns of emergency service utilisation of the May 2023 flood in Romagna, Italy, and specifically investigates the differences in emergency department (ED) visits and mortality between individuals exposed and not exposed to the flood.
Core Medical Group
JANUARY 23, 2025
Meet traveling physical therapist, Mark Zajac! Get to know Mark and how he found CoreMedical Group as well as his favorite things about traveling with us.
PulmCCM
JANUARY 23, 2025
Various new “sepsis tests” have come to market or will soon, claiming to solve the problem of diagnostic imprecision in the early management of suspected sepsis. Could they? The lack of a reliable diagnostic test or universally accepted criteria to diagnose sepsis leads to significant challenges in clinical practice and research. Overly general case definitions and sloppy EMR algorithms result in a high rate of overtreatment with antibiotics due to false positives, as well as delayed
EMergucate
JANUARY 21, 2025
The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.
Emergency Medicine Journal
JANUARY 21, 2025
Background Growing numbers of avoidable low-acuity visits to emergency departments (ED) are a major health policy concern globally and are thought to contribute to ED crowding. This study explores the differences in the utilisation of low-acuity ED visits between culturally and linguistically diverse (CaLD) migrants and English-speaking background (ESB) population.
RebelEM
JANUARY 21, 2025
Background: The current standard care for evaluating pulmonary embolism (PE) advises against D-dimer testing in patients with a high clinical probability. European and American guidelines emphasize a sequential diagnostic approach based on pretest probability assessment using either a formal clinical decision instrument (e.g., Wells’ , Revised Geneva ) or clinical gestalt.
The Skeptics' Guide to EM
JANUARY 18, 2025
Date: January 7, 2025 Dr. Dara Kass Guest Skeptics: Dr. Dara Kass is an emergency medicine physician, public health leader, and advocate passionate about equity and healthcare reform. She founded FemInEM, promoting gender equity in emergency medicine, and champions organ donation reform after donating part of her liver to her youngest son. Dr. Kass is dedicated to expanding reproductive healthcare access and educating the public on healthcare policy.
Board Bombs
JANUARY 19, 2025
Live from New Orleans! We're telling you the ultimate secret to managing back pain in the ED. You'll never guess what works the best to treat acute low back pain (and you might be disappointed to hear it- let's be real!). Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here.
Emergency Medicine Journal
JANUARY 21, 2025
Background Evidence regarding high-dose inhaled corticosteroids (HDICS) in asthma exacerbations in adults is insufficient. This study compares the treatment outcomes of HDICS as add-on therapy to the outcomes of standard treatment in adult patients with acute asthma exacerbation in the ED. Methods This was a single-centre, triple-blind, randomised controlled trial conducted in the ED in Thailand between March 2022 and April 2023.
EM Literature of Note
JANUARY 21, 2025
The last decade or so featured a rather notable increase in palatability for the conservative management of appendicitis. Why undergo surgery for a condition antibiotics can cure? You wouldn’t take out your bladder for a urinary tract infection, would you? This latest randomized trial adds to the evidence surrounding the “antibiotics first” strategy for appendicitis by expanding it to children.
St. Emlyn
JANUARY 21, 2025
St.Emlyn's - Emergency Medicine #FOAMed Learn more about the Ten Second Triage tool in this interview recorded at Tactical Trauma 24. The post Podcast – Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24 appeared first on St.Emlyn's.
Sensible Medicine
JANUARY 21, 2025
Sensible Medicine is spoiled with great submissions. A challenge we face is needing to pass on articles which are interesting, thoughtful, and well-argued but which fall outside our lane – articles that are not even “medicine adjacent” This article, the second we have published by Charles Silver, pushes the edge of the envelope. I think there is enough of the intersection of medicine and society for us to publish this, especially as public health and politics seems to be gettin
Emergency Medicine Journal
JANUARY 21, 2025
Trauma remains a significant cause of mortality and morbidity. Non-compressible torso haemorrhage is one of the key drives of these mortality data. Our contemporary management has focused on damage control resuscitation, with a focus on haemorrhage control, haemostatic resuscitation and permissive hypotension. The evidence for permissive hypotension lacks the robustness as other treatments, such as tranexamic acid.
Ken Grauer, MD
JANUARY 18, 2025
The ECG in Figure-1 was obtained from an older woman who presented to the ED ( E mergency D epartment ) because of a syncopal episode. She was asymptomatic at the time this ECG was recorded. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Is there AV block? If so What kind? Figure-1: The initial ECG in today's case. ( To improve visualization I've digitized the original ECG using PMcardio ).
Dr. Smith's ECG Blog
JANUARY 18, 2025
I was texted this case by Ankur Kalra , an interventional cardiologist at the University of Indiana. He also did his cardiology fellowship at my institution, Hennepin County Medical Center. He runs the Parallax podcast, and he inteviewed me on that Podcast this year. He says the podcast had over 3000 downloads and "It's our season 6 topper" Here it is: Ep 121: OMI/NOMI: A Paradigm Shift in Myocardial Infarction Diagnosis With Dr Stephen Smith By the way, also don't miss this new OMI review artic
EMDocs
JANUARY 18, 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: When to Start Norepinephrine for Septic Shock? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinically rel
Emergency Medicine Journal
JANUARY 21, 2025
Background Rapid identification of individuals with acute respiratory infections is crucial for preventing nosocomial infections. For rapid diagnosis, especially in EDs, lateral flow devices (LFDs) are a convenient, inexpensive option with a rapid turnaround. Several ‘multiplex’ LFDs (M-LFDs) now exist, testing for multiple pathogens from a single swab sample.
PulmCCM
JANUARY 20, 2025
New guidelines on cardiopulmonary resuscitation in adults were published in Circulation in November 2024. They’re 187 pages long. What’s changed, and what do you need to know? Who Writes the CPR Guidelines? The International Liaison Committee on Resuscitation (ILCOR) is comprised of experts on resuscitation around the world. ILCOR is a scientific advisory body to the American Heart Association and similar societies in other countries.
Science Based Medicine
JANUARY 22, 2025
The FDA recently removed FD&C Red No. 3 from the list of approved food additives. This was not based on any new data or interpretation of the data, but rather was a response to a petition from food safety and environmental groups. Their argument was in turn based on the Delaney Clause, a 1960 law saying that the FDA must ban any […] The post Why Did the FDA Ban Red Dye #3 first appeared on Science-Based Medicine.
American Medical Compliance
JANUARY 21, 2025
A study published in BMC Geriatrics found that out of 3,693 nursing staff surveyed (with a response rate of 60.1%), 88.8% reported witnessing at least one incident of resident-to-resident aggression in the past year. Resident-to-resident aggression (RRA) is a growing concern in healthcare facilities, particularly in assisted living and long-term care settings.
Emergency Medicine Journal
JANUARY 21, 2025
The need to isolate patients with influenza and COVID-19 in emergency departments (ED) requires quick screening tests for these infections. 1 Given mutations and newer variants of these diseases, vaccines and varying incidence, we assessed the diagnostic accuracy of two rapid screening tests in our ED in Spain during periods of higher and lower prevalence according to the Acute Respiratory Infection Surveillance System data. 2 A retrospective cross-sectional observational study was carried out i
Sensible Medicine
JANUARY 20, 2025
Atrial fibrillation is one of the most common reasons people get admitted to a hospital. As Western society grows larger and less active, AF incidence continues to rise. In short, few questions in cardiology are more relevant than the treatment of patients with new-onset AF. There are two paths of treating patients with AF. (After initiation of stroke prevention regimens—often with oral anticoagulation.
Don't Forget the Bubbles
JANUARY 20, 2025
Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. It primarily affects the skin, peripheral nerves, upper respiratory tract, and eyes. The disease is named after Dr. Gerhard Armauer Hansen, who discovered the causative bacterium in 1873. Leprosy has been recognized and documented for thousands of years, historically surrounded by severe social stigma and misconceptions.
EMDocs
JANUARY 22, 2025
Authors: Rosa Malloy Post, MD (Emergency Medicine PGY-3, Carolinas Medical Center, Charlotte, NC); Anna Dulaney, PharmD (Clinical Toxicologist, Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC); Christopher Counts, MD (Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ) // Reviewed by: Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) C
Emergency Medicine Journal
JANUARY 21, 2025
Case presentation A 29-year-old man presents to the ED with a foreign body (FB) in his right leg. He was impaled by an organic thorn while doing yard work in his backyard roughly 3 hours prior to presentation. A sample of the type of plant that was inserted into his lower extremity is shown in figure 1. He reports pain with movement of the limb, but no numbness or tingling.
33 Charts
JANUARY 19, 2025
Ive been thinking about AI-generated writing and how it’s changing things. One thing that swims in my head: How do you define yourself in an age of AI-generated material? Let’s do a thought experiment involving doctors on LinkedIn. Consider a scenario where each one of the tens of thousands of doctors here begin creating posts twice a day 750 word creations that analyze or break down a timely event or research article.
Taming the SRU
JANUARY 22, 2025
Asthma Background Asthma is a chronic inflammatory disorder of the airways characterized by episodes of wheezing, coughing, shortness of breath, and chest tightness. While it can affect individuals of any age, it is often diagnosed in childhood. In an emergency context, asthma can quickly escalate from mild to life-threatening, necessitating prompt recognition and intervention.
EMDocs
JANUARY 20, 2025
Authors: Anatoliy Goltser, MD (APD, St Josephs Medical Center Stockton) // Reviewed by: Jessica Pelletier, DO, MHPE (APD/Assistant Professor of EM/Attending Physician, University of Missouri-Columbia); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction With the recent severe nationwide shortage of intravenous (IV) fluids due to Hurricane Helene, we feel it is timely to provide a summary of the evidence regarding common uses of IV fluids for patients presenting to the emergency
Emergency Medicine Journal
JANUARY 21, 2025
We congratulate Xu et al on developing a machine learning-derived triage tool for major incidents. 1 The use of this technology, together with artificial intelligence, is likely to increase rapidly, and a triage tool that relies on binary questions, rather than quantitative measures or calculations, is intuitively advantageous. However, the proposed tool, while statistically sound, suffers from a lack of face-validity.
NRC Health
JANUARY 22, 2025
Join us in Los Angeles, March 1920, for the 2025 Pediatric Collaborative with Childrens Hospital Los Angeles. Engage with your peers in pediatrics, embrace best practices, and collaborate on strategies to prioritize human-centered care. This years lineup includes many great presentations, including a session that will focus on the benefits of blending child life and creative arts with the clinical environment to build a comprehensive, patient-centered care model.
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