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🩺 Core Knowledge
- Acetaminophen Toxicity
- Fluids in Sepsis
- Mesenteric Ischemia
- Murine Typhus
- Multisystem Trauma in Adults
- Neurologist Discharged Patient with Spinal Epidural Abscess
- Onchocerciasis: Diagnosis and Treatment
- Rectal Bulge in a Pediatric Patient
A CORE EM podcast episode covering the pathophysiology, diagnosis, and management of acetaminophen toxicity. This resource includes discussions on N-acetylcysteine protocols and clinical pearls for emergency settings.
🎧 Listen on Apple Podcasts, Spotify, Youtube
An in-depth video review of fluid resuscitation in sepsis, discussing evidence-based practices, fluid types, and strategies to optimize patient outcomes in the critical care setting.
A comprehensive update on diagnosing and managing mesenteric ischemia, focusing on its acute presentation and the need for timely intervention.
A review of murine typhus in the ED, including its clinical presentation, diagnostic challenges, and management strategies.
A comprehensive chapter detailing the evaluation and management of multisystem trauma in adults, including primary survey priorities, resuscitation strategies, and key interventions. This resource emphasizes evidence-based practices and critical decision-making in trauma care.
🎧 Listen to EM:RAP episode 🔗 Read on EM:RAP CorePendium
A case of missed spinal epidural abscess, highlighting critical diagnostic pitfalls and strategies to improve clinical decision-making.
An in-depth overview of onchocerciasis, including approaches to diagnosis, treatment options, and its global health implications.
A challenging pediatric clinical image case discussing the differential diagnosis and management of a rectal bulge.
📊 Evidence-Based Medicine
- Appendicitis and Clinical Prediction Scores
- Bougie-First Intubation
- Community-Acquired Pneumonia
- Diagnosing and Treating Pericarditis
- Flexible vs. Restrictive ICU Visiting Policies
- Haloperidol vs. Quetiapine for Delirium
- IV vs. IO Access for Out-of-Hospital Cardiac Arrest (OHCA)
- Monthly Wrap-Up for Autumn 2024
- Pupillometry Thresholds for Neuroprognostication
- Reversing DOACs
- Rocuronium vs. Succinylcholine for Intubation
- The December 2024 EMA Review
- Zipper Release Technique
A review of the APPY-1 trial, which evaluates clinical prediction scores for diagnosing appendicitis, comparing their accuracy and utility against imaging strategies. This analysis highlights implications for reducing unnecessary imaging.
This article reviews the BOUGIE trial, a randomized controlled trial (RCT) assessing the efficacy of bougie-assisted intubation compared to stylet intubation in emergency airway management. The results indicate higher first-pass success with the bougie approach.
A concise summary of updated guidelines and evidence for diagnosing and treating community-acquired pneumonia, focusing on patient stratification and targeted antibiotic therapy. The post emphasizes evidence-backed changes to clinical practice.
An analysis of clinical guidelines and evidence-based practices for managing acute pericarditis, including diagnostic tools, risk stratification, and treatment options. The article emphasizes the use of anti-inflammatory agents and close monitoring of complications.
A review on a multi-center cluster-RCT that explores the impact of flexible versus restrictive ICU visiting hours on patient outcomes, family satisfaction, and clinical metrics. This study highlights the advantages of patient-centered care policies.
An analysis of a randomized controlled trial (RCT) compares the efficacy and safety of haloperidol and quetiapine in managing delirium in critically ill patients. Key outcomes include delirium resolution time and adverse event rates.
This post analyzes an RCT comparing the efficacy of intravenous (IV) versus intraosseous (IO) access for medication administration in OHCA. Findings suggest differences in access success rates and implications for resuscitation outcomes.
A curated collection of clinical pearls, research highlights, and practice-changing insights for emergency medicine, covering topics ranging from diagnostic dilemmas to management strategies. This resource provides actionable takeaways for improving patient care.
This post reviews a prospective cohort study that evaluates the use of quantitative pupillometry thresholds for neuroprognostication in post-cardiac arrest patients. The findings support its utility in predicting neurological outcomes.
This post reviews observational studies on managing anticoagulant-associated bleeding by reversing direct oral anticoagulants (DOACs), with a focus on reversal agents like idarucizumab and andexanet alfa. It provides practical guidance for critical care scenarios.
A summary of a systematic review comparing the complication rates of rocuronium and succinylcholine in rapid sequence intubation. The article discusses factors like first-pass success, adverse events, and patient-specific considerations.
An in-depth exploration of current topics in emergency medicine, with key updates on trauma care, toxicology, and novel diagnostic tools. This edition provides a comprehensive review of cutting-edge practices and emerging research.
A novel approach to safely and effectively release zippers causing entrapment injuries, backed by clinical examples. This technique aims to minimize tissue damage and provide a non-invasive solution in emergency cases.
🔪 ECG/POCUS/Procedures
- Bizarre ECG Abnormalities ($)
- Bougie Techniques and Tips
- Chest or Abdominal Pain with ECG Artifact
- Coronary Angiography Overview
- ECG Interpretation After Recent MI
- Hyperacute T-Wave or Not?
- Identifying Hyperacute T Waves
- Recent UMMC ECG Cases: Part I ($)
- Reducing a Shoulder Dystocia
- Repairing Eyelid Margin Lacerations
This case discusses a scenario where a single lead displays unusual findings, exploring diagnostic possibilities and clinical implications.
A detailed guide to using the bougie in airway management, including insights on proper technique, troubleshooting challenges, and optimizing success rates during intubation. This resource provides expert advice for emergency airway management.
This post explores how to identify and address ECG artifacts in patients presenting with chest or abdominal pain, ensuring accurate diagnoses. It provides clinical examples and troubleshooting strategies.
🔗 Read on Dr. Smith's ECG Blog
A concise guide to interpreting coronary angiography findings, with a focus on key indicators for myocardial infarction and ischemia. This visual tutorial aids in understanding angiographic imaging.
🔗 Read on Dr. Smith's ECG Blog
A case-based discussion on interpreting ECGs in patients with a history of recent myocardial infarction, emphasizing patterns indicative of reinfarction or ischemia. This resource includes pearls for improving diagnostic accuracy.
🔗 Read on Dr. Smith's ECG Blog
This case-based discussion explores the nuanced differentiation of hyperacute T-waves, highlighting clinical context and ECG changes critical for accurate diagnosis.
🔗 Read on Dr. Smith's ECG Blog
This article provides insights into the characteristics of hyperacute T waves and their clinical significance in early myocardial infarction. The discussion includes detailed comparisons to other ECG findings.
🔗 Read on Dr. Smith's ECG Blog
A review of recent challenging cases from UMMC, focusing on advanced ECG interpretation and clinical decision-making. This resource is ideal for honing diagnostic skills in complex presentations.
A step-by-step video tutorial on management of shoulder dystocia.
🎥 Watch on EM:RAP, 🔗Read on Core Pendium
A procedural video detailing the repair of eyelid margin lacerations, including tips for maintaining cosmetic and functional outcomes.
👶 Pediatric Emergency Medicine
- Pediatric Cardiac Arrest
- Methanol Poisoning in Pediatrics
- FIDO Study: Fever in Infants Discharged on Observation (Part 1)
- FIDO Study: Extended Outcomes and Safety (Part 2)
This podcast episode goes best practices in the management of pediatric cardiac arrest, including the keys to ROSC with meaningful neurologic recovery.
A comprehensive overview of methanol poisoning in children, including its pathophysiology, clinical presentation, and management strategies. This guide emphasizes early recognition and treatment to prevent severe complications.
🔗 Read on Don’t Forget the Bubbles
An analysis of the FIDO study, which examines the outcomes of febrile infants discharged from the ED under observation protocols. The findings provide insights into the safety and effectiveness of this approach in pediatric care.
🔗 Read on Don’t Forget the Bubbles
A follow-up discussion on the FIDO study, delving deeper into long-term outcomes and safety metrics for febrile infants discharged under observation. This review highlights implications for pediatric emergency protocols.
Disclaimer: The content on this page, including summaries and linked articles, is intended for educational purposes only and does not constitute medical advice. Readers are encouraged to consult the primary literature referenced in the linked summaries for a comprehensive review.