Trending Articles

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ECG Pointers: Sgarbossing it up!

EMDocs

Author: Lloyd Tannenbaum, MD ( EM Attending Physician, APD, Geisinger Wyoming Valley, PA) // 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. This week, we feature a post from Dr. Tannenbaum’s ECG Teaching Cases , a free ECG resource. Please check it out.

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Choosing the right AED for your business a comprehensive guide

AED Leader

Selecting an automated external defibrillator (AED) for your business goes far beyond a simple online purchase. You aren’t just buying a device, you are implementing a critical component of your emergency response plan. For procurement officers, operations managers, and safety leaders, the decision carries significant weight. It requires a clear understanding of your specific environment, potential risks, and the ongoing commitment to readiness.

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ECG Blog #487 — A "Normal" ECG?

Ken Grauer, MD

I was given the ECG in Figure-1 — knowing only that the patient was a woman with "CP" ( C hest P ain ). Many of my colleagues interpreted this tracing as "normal". QUESTION: Do you agree? Explain your answer. Figure-1: The initial ECG in today's case. = MY Initial Thoughts on Today's Tracing: On seeing the ECG in Figure-1 — I instantly knew that this tracing was not "normal".

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Emergency Evidence Updates – May 2025

The Bottom Line

Skip to content Twitter Google+ Facebook Reddit RSS The Bottom Line A compendium of critical appraisals in Intensive Care Medicine research and related specialties Home About Us Summaries Intensive Care Medicine Emergency Medicine Peri-operative Medicine Blog News EBM Editorial Submit a review Wessex ICS You are here: Home Blog Emergency Evidence Updates – May 2025 Emergency Evidence Updates – May 2025 27 June 2025 Rebecca Howes Blog , Evidence-based Medicine Leave a comment Tweet Ra

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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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Hypotensive Patient? You’ve Got 90 Seconds!

The Trauma Pro

You’re running a trauma activation, and everything is going great! Primary survey – passed. Resuscitation – lines in, fluid going. You are well into the exam in the secondary survey. Then it happens. The automated blood pressure cuff indicates a pressure reading of 72/44 mmHg. But the patient looks so good! You recycle the cuff. A minute passes, and another low pressure is noted, 80/52.

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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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US Probe: Velocity Time Integral (VTI) in Sepsis Management

EMDocs

Author: Jude Luke (EM Resident Physician, NYU/Bellevue Hospital) and Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steve Field, MD; Brit Long, MD (@long_brit) Case A 65-year-old female with a history of heart failure with reduced ejection fraction, type 2 diabetes, and hypertension presents to the emergency department (ED) with fever, altered mental status, and weakness.

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Interrater Reliability in Pediatric Cervical Spine Assessment: Can EM Docs and Surgeons Agree?

PEMBlog

Introduction Evaluating children with blunt trauma for cervical spine injury (CSI) is a high-stakes and high-variability process. While CSI is rare, the consequences of missed injuries are serious, and so is the harm from overuse of imaging, especially CT. The PECARN CSI prediction rule is a promising tool to standardize care and reduce unnecessary imaging.

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Pharm & Cheese: Coags and DOAC

Cook County EM Blog

Bedside Clinical Question: How to interpret elevated PT/INR/PTT levels in patients on DOAC's and do we need reverse the patient based on elevated levels? Background: Direct oral anticoagulants (DOACs)—including apixaban, rivaroxaban, edoxaban, and dabigatran—are increasingly favored over warfarin due to fixed dosing, no need for routine INR checks, and fewer drug-drug and drug-food interactions, while maintaining high clinical efficacy.

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CV-EMCrit Wee – Mastering Persistent Air Leaks: Navigating the Management of Pleural Fistulae from Conservative Care to VV ECMO-facilitated Ultra-Ultra Lung Protective Ventilation

EMCrit

Everything you ever wanted to know about persistent air leaks, bronchopleural fistuale and alveolopleural fistuale. EMCrit Project by Katrina Augustin.

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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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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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260. Massive Transfusion Protocol in the ED

Board Bombs

If you’ve seen Fast & Furious , you already get the vibe—speed saves lives. In this episode, we break down the Massive Transfusion Protocol (MTP): when to activate it, how to do it right, and ratios. We also hit key points on TXA, resuscitation strategy, and common mistakes in trauma care. If you’ve seen Fast & Furious , you already get the vibe—speed saves lives.

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How to compare leading AED models for your workplace

AED Leader

Choosing an automated external defibrillator (AED) for your organization is one of the most important safety decisions you will make. It’s not simply about checking a box on a compliance list. You are selecting a device that must perform flawlessly in a moment of extreme stress, potentially saving the life of an employee, a client, or a visitor. With multiple brands and features to consider, the evaluation process can feel overwhelming.

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SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma?

The Skeptics' Guide to EM

Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025 Date: May 7, 2025 Dr. Sandi Angus Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust.

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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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Push-Dose Pressors in the Emergency Department

ACEP Now

Welcome to Critical Care Time, a new critical care-focused column from ACEP Now. My goal in this column is to share tips, tricks, and emerging concepts from the intensive care unit (ICU) that you can use on your next shift in the emergency department (ED). Whether you are acutely resuscitating a critically ill patient or managing a boarding ICU patient, my goal is to give you practical knowledge from critical care-trained emergency physicians who know what it is like to work in the ED.

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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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All you need to know about Adrenaline

Don't Forget the Bubbles

You are working in the paediatric emergency department overnight, and the resus nurses are checking the emergency drugs during their daily checks. The department is quiet, and one of the newly qualified nurses asks you to explain why there are so many different concentrations of adrenaline and how they work. On his last shift, he noticed a different dose for croup vs. cardiac arrest.

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Critical Care Evidence Updates – May 2025

The Bottom Line

Skip to content Twitter Google+ Facebook Reddit RSS The Bottom Line A compendium of critical appraisals in Intensive Care Medicine research and related specialties Home About Us Summaries Intensive Care Medicine Emergency Medicine Peri-operative Medicine Blog News EBM Editorial Submit a review Wessex ICS You are here: Home Blog Critical Care Evidence Updates – May 2025 Critical Care Evidence Updates – May 2025 27 June 2025 Rebecca Howes Blog , Evidence-based Medicine Leave a comment

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emDOCs Podcast – Episode 122: Performing Under Pressure

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on a performing under pressure. Episode 122: Performing Under Pressure Understanding Crisis Performance Myth of the “Clutch Performer” – debunked High pressure reduces performance Data shows we fall to the level of our training No one is immune— everyone is affected How Our Brain and Body Reacts Threat vs.

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ACEP Clinical Policy on Thrombolytics for Management of Acute Ischemic Stroke

ACEP Now

On September 26, 2024, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the use of thrombolytics for the management of acute ischemic stroke. This clinical policy was published in the December 2024 issue of the Annals of Emergency Medicine , can be found on ACEP’s website , and will also be included in the ECRI Guidelines Trust upon its acceptance.

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HEMS Debrief – Cardiac Arrest Focus. #6, Dr Felipe Teran

Greater Sydney Area HEMS

Screenshot Hello and welcome back. This week, we are joined by Dr Felipe Teran from New York, discussing trans-oesophageal ECHO (TOE) in arrest. Felipe is an Associate Professor of Emergency Medicine at Weill Cornell Medical College, New York. Additionally, Felipe is a clinical scientist and educational leader specifically focused on the utility and application of TOE during cardiac arrest.

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Human Trafficking in the Emergency Department – Identification and Approach to Suspected Victims

Northwestern EM Blog

Written by: Alex Franiek, MBChB, (NUEM ‘26) Edited by: Kelsey Green, MD (NUEM ‘23) Expert Commentary by : Julia Geynisman-Tan, M.D., FACOG, FACS What is Human Trafficking? United States law defines human trafficking under The Trafficking Victims Protection Act of 2000 as the use of force, fraud, or coercion to procure a person into commercial sex, labor or service industries by force, fraud, coercion (Victims of Trafficking and Violence Protection Act of 2000, 2000).

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Key questions to ask when choosing an AED vendor for your business

AED Leader

Selecting an automated external defibrillator (AED) for your workplace is more than a simple purchase. It’s a critical decision that impacts the safety of every employee, customer, and visitor. With over 356,000 out-of-hospital cardiac arrests occurring annually in the U.S., the presence of a functional and properly managed AED is a lifeline in case of a cardiac arrest.

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Casting Doubt: The SUSPECT Trial — Bandaging Vs. Casting for Suspected Occult Scaphoid Fracture

RebelEM

🧭 REBEL Rundown 📌 Key Points 🧠 Clinical Uncertainty: Snuffbox tenderness with normal X-rays creates a gray zone—fracture risk is low, but fear of missing one drives over-treatment. 🩹 Bandage vs. Cast: The SUSPECT Trial tested whether simple bandaging could safely replace casting in patients with suspected occult scaphoid fractures.

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The Critical Role of Accurate Traumatic Brain Injury Coding

ACEP Now

Traumatic brain injuries (TBIs) represent a significant public health concern, affecting individuals across all age groups and socioeconomic backgrounds. As frontline clinicians, emergency physicians play a crucial role not only in the diagnosis and management of TBI, but also in ensuring accurate documentation that supports vital epidemiological tracking and resource allocation.

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EM@3AM: Bradypnea

EMDocs

Authors: Hailey VanRonzelen (MS-3, Kansas City University, RN-BSN); Jessica Pelletier, DO, MHPE (Assistant Professor of EM/Assistant Residency Director, Mizzou – Columbia, MO) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine , UMass Chan Medical School) ; Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review

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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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How to select the best AED program for multi site operations

AED Leader

As an operations or safety manager for a multi site organization, you face a unique and immense responsibility. You are tasked with ensuring the safety of every person across dozens or even hundreds of locations. When it comes to sudden cardiac arrest (SCA), this responsibility becomes critically specific: is every single automated external defibrillator (AED) in your portfolio ready to save a life at a moment’s notice?

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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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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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The Social Disposition – Housing Insecurity and the Emergency Department

Cook County EM Blog

Every single Emergency Department in the United States treats unhoused patients on a daily basis, and their needs vary greatly from ICU level care to the common cold. According to the National Alliance to End Homelessness, in January 2023, there were an estimated 653,104 people experiencing homelessness on a given night (1). The numbers continue to rise and between 2019-2023, there was a greater than 12.1 percent increase in the number of individuals experiencing homelessness for the first time

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Peds MAP Targets | Ketamine Sedation Safety

JournalFeed

The JournalFeed podcast for the week of July 7-11, 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: Targeting the 5th percentile mean blood pressure in pediatric septic shock resulted in similar 28-day mortality as targeting the 50th percentile - while reducing vasopressor use, side effects, and complications like ARDS.

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Environmental Sustainability in the Emergency Department

Northwestern EM Blog

Written by: Sasha Becker, MD (NUEM ‘27) Edited by: Alex Reardon, MD (NUEM ‘26) Expert Commentary by : Ted Shieh, MD Expert Commentary Thank you, Drs. Beckers and Reardon for bringing awareness to an overdue and under-addressed issue in ED care. While healthcare world-wide contributes to 4.4% of greenhouse gas emissions (GHGe), US healthcare contributes to twice that percentage, in a country where each citizen generate 17.9 tons of CO2e per year compared to 6.8 tons globally.

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Beyond the sticker price how to evaluate total AED ownership costs

AED Leader

As a procurement officer or facilities manager, you know that the initial price tag is rarely the full story. This is especially true for life saving equipment like an automated external defibrillator (AED). While the average cost for a new AED unit is around $2,000, that figure only scratches the surface of the total investment required to maintain a compliant and rescue ready program over the device’s lifespan.