The Skeptics' Guide to EM

JULY 5, 2025

Case: A ten-year-old boy presents to your emergency department (ED) after being involved in a motor vehicle collision at high speed. Emergency Medical Service (EMS) tells you that he was properly restrained. His parents were also in the vehicle and are currently being brought to the ED as well.

OR

ACEP Now

JUNE 17, 2025

The emergency department (ED) is full with boarding and critical patients, and 25 patients are in the waiting room. What is the emergency physician’s role? 15 Some specific interventions to improve communication in the ED include a seated position, eye contact, reflective listening, and physician self-disclosure.

Emergency Department

The Skeptics' Guide to EM

NOVEMBER 16, 2024

With emergency department (ED) volumes rising, administrators are eager to explore AI-driven solutions to improve patient safety and reduce staff burnout. Their hospital has struggled with a growing number of adverse events that often occur without warning. Reference: Verma et al.

ICU

GEDC

FEBRUARY 27, 2025

Cleveland Clinic’s Geriatric Emergency Department (GED) model has significantly reduced hospital admissions and improved care for older emergency department (ED) patients.

ED

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18. How to assess children with complex needs in the ED.

Emergency Department

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Managing post-tonsillectomy hemorrhage in the ED can be challenging, especially in rural or resource-limited settings. Clin Pract Cases Emerg Med. Hemoptysis ED approach and management.

Operating Room

Medic Mindset

NOVEMBER 13, 2024

As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. There should be a 2-hour limit before you can give Diltiazem, or rate control, in the Emergency Department. Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas).

Paramedic

EMDocs

JULY 9, 2025

In emergency departments, determining a septic patient’s fluid responsiveness can be challenging, as both under- and over-resuscitation can lead to poor outcomes. It is an essential metric for estimating cardiac output without the need for invasive procedures within the emergency department. F, and SpO₂ 92% on room air.

Emergency Department

ACEP Now

NOVEMBER 7, 2024

About three percent of emergency department (ED) visits are due to skin and soft tissue infections, but data are lacking on the contribution of chronic wounds to this number. Wound management in the ED is only a starting point, and appropriate referral and follow-up are key to an improved outcome. Back to the patient.

ED

ALiEM

DECEMBER 20, 2024

On the day of presentation, he woke up with a new rash over his face and hands which prompted the ED visit. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. Mom had been applying Aquaphor and Vaseline several times a day.

Emergency Department

EMDocs

JANUARY 8, 2025

These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. Remember, from the ED point of view, if you are confronted with a wide complex regular tachydysrhythmia, assume VTach until proven otherwise! Lets dive in! EKG Teaching Rounds.

CAD

ACEP Now

DECEMBER 7, 2024

A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. 1 A significant number of patients present to the ED with concerns related to traumatic experiences. 1 A significant number of patients present to the ED with concerns related to traumatic experiences.

Mental Health Services

Don't Forget the Bubbles

MAY 19, 2025

Owen Hibberd The use and utility of the paediatric oral fluid challenge in a single tertiary paediatric emergency department Why? The paediatric oral fluid challenge (OFC) has been a staple in emergency departments for years, helping to determine which children struggling with oral intake truly need IV fluids.

Emergency Department

The Skeptics' Guide to EM

JULY 26, 2025

Case: A 14-year-old girl with no known medical or psychiatric history presents to the emergency department (ED) with her family for aggression. In the ED setting, pediatric agitation presents unique challenges. Her parents tell you that they have been getting into arguments a lot recently.

OR

ACEP Now

JUNE 11, 2025

A 55-year-old woman with medical history of well-controlled hypertension and renal cell carcinoma, status post-partial nephrectomy, presented to the emergency department (ED) with sudden-onset, 10-out-of-10 chest pain and pressure. Screening, evaluation, and early management of acute aortic dissection in the ED.

Operating Room

ACEP Now

MAY 10, 2025

A Simplified Protocol for Intralipid Administration in the ED Ultrasound-guided nerve blocks (UGNBs) are becoming more common in emergency medicine practice. These techniques allow the modern emergency physician to deliver targeted pain control in conjunction with using lower doses of other analgesics. Click to enlarge.

ED

The Skeptics' Guide to EM

MAY 3, 2025

Case: A 6-week-old boy is brought by his parents to your emergency department (ED) for fever. Unfortunately, its expensive, and not all EDs have access to it or can receive the results promptly to help with decision making. Several of these tools have been reviewed on the SGEM.

ALS

ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. In: Mattu A and Swadron S, ed. He also endorsed left-sided facial weakness and diplopia for the last eight days. CorePendium.

Emergency Department

ACEP Now

DECEMBER 7, 2024

As emergency departments (EDs) have become the focus of bottlenecks in the entire health care systemfrom insufficient inpatient beds leading to hospital boarding to dwindling access to primary carea siege atmosphere has developed. The majority do not require any additional resources on the part of the ED.

Ambulance

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

E-9-1-1

ACEP Now

JULY 3, 2025

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. Consequently, as no specific antidote is available, aggressive fluid resuscitation is the mainstay of treatment.

E-9-1-1

ACEP Now

JANUARY 4, 2025

Clarke had begun an emergency medicine residency at what was then known as LA CountyUSC Hospital, Los Angeles. I was about two months into a family practice internship when I went to visit my uncle whose neighbor happened to be an ED resident, Dr. Clarke said. ED resident Dr. Steve Hui doing a pericardiocentesis on a trauma patient.

ED

EMOttawa

JANUARY 9, 2025

From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED).

ED

EMDocs

JANUARY 11, 2025

A 75-year-old woman who is bedridden after a stroke presents to the ED from a nursing facility with abdominal pain and constipation. Therefore, discharging the patient on lactulose (C) would not be recommended without additional treatment in the ED. Stercoral colitis in the emergency department: a review of the literature.

E-9-1-1

Irish College of Paramedics

FEBRUARY 15, 2025

A follow-up review conducted in 2006 found that ED personnel utilizing non-invasive positive pressure ventilation (NPPV) could decrease the relative risk of mortality by 39% while simultaneously decreasing the need for endotracheal intubation by 57% in patients with similar signs and symptoms (Collins et al.,

Emergency Medical Services

ACEP Now

JUNE 17, 2025

Although finding the perfect outfit and keeping it clean, making sure remnants of breakfast aren’t present in the child’s teeth, and getting their hairstyle just right are typical stressors surrounding picture day, most parents do not think about their young student having a potential medical emergency just hours before saying “cheese.”

Emergency Department

REBEL EM

DECEMBER 23, 2024

Applicability to Emergency Medicine: For emergency medicine providers, the greatest challenge with this study is that it did not include or account for ED care. Future research that either focuses on or includes care in the ED is needed, as this is where most VOE acute care begins and may end for patients discharged home.

ALS

REBEL EM

NOVEMBER 25, 2024

Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room). However, in emergency department studies, there were no direct airway injuries related to bougie use.

Operating Room

ACEP Now

JULY 2, 2025

Advocating for the Addressing Boarding and Crowding in the ED (ABC-ED) Act was a central part of this year’s Leadership and AdvocacyConference (LAC). Urge Your Legislator to Support the ABC-ED Act. billion in losses for emergency physician payments.

Emergency Department

Don't Forget the Bubbles

JULY 7, 2025

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.

Emergency Department

EMDocs

NOVEMBER 16, 2024

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 10% of patient’s have an ED visit within 30 or 90 days following THA. Emergency department visits following total joint arthroplasty: do revisions present a higher burden?

EMS

GEDC

FEBRUARY 27, 2025

In fact, 60 percent of older adults admitted to hospital enter through the emergency department. Forging Aligned Partnerships Between Value Based Care Organizations & Geriatric Emergency Departments: A Toolkit for Geriatric Emergency Departments provides a comprehensive roadmap for understanding and implementing this work.

Emergency Department

GEDC

JUNE 12, 2025

“We gathered authors who are national experts who wrote articles on the most important topics related to the care of older adults in the emergency department,” Shenvi said.

Emergency Department

Don't Forget the Bubbles

JUNE 10, 2025

A recent study highlighted the gap in confidence surrounding paediatric assessment and management, and recommended a combined approach of targeted training and follow-up feedback from emergency departments after handover. Personalised feedback, in particular, is a powerful tool for clinical learning and reflective practice [2,3].

E-9-1-1

ACEP Now

JUNE 25, 2025

On January 22, 2025, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the outpatient management of adult patients presenting to the emergency department (ED) with asymptomatic elevated blood pressure. Responses received were used to refine and enhance the final policy.

Heart Attack

EMDocs

NOVEMBER 19, 2024

In: Nelson LS, Howland MA, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS, eds. Goldfrank’s Toxicologic Emergencies, 11e. J Emerg Med. His roommate found an empty pill bottle on the floor next to him. Management of atypical antipsychotic overdose is mainly supportive. References: N. Juurlink D. Antipsychotics. Minns AB, Clark RF.

Overdose

EMCrit Project

JULY 19, 2025

Username Password Remember Me Forgot Password Author Recent Posts Scott Weingart, MD FCCM Editor-in-Chief, at EMCrit.org An ED Intensivist from NY. 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? Login here if you already have one.

Critical Care