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International Prehospital Medicine Institute Literature Review, August 2025

JEMS

All four centers are Level 1 trauma centers and have their own mobile intensive care unit (MICU) staffed by physicians. Many visits to Emergency Departments might be avoidable if they were to be effectively managed outside of the ED. All patients 14-years or older with blunt thoracic or abdominal trauma were included.

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Malignant Catatonia

Core EM

One week prior to ED arrival, the patient was becoming progressively despondent, less interactive with peers, exhibiting slow speech and movements, and was not eating. In Diagnostic and statistical manual of mental disorders (5th ed.). Catatonia: a case report by Brown Emergency Medicine. Burrow JP, Spurling BC, Marwaha R.

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Something Winter This Way Comes

EMS 12-Lead

MICU transport was unremarkable. The ST changes went overlooked by both the ED physician and the on-call cardiologist, and the patient was subsequently admitted to telemetry. Here the ST segments are not so deep, nor are the T waves so wide and bulky, because of improved coronary flow at the level of the occlusion.

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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

All intubations were performed on hospitalized patients, limiting application to the ED population. In contrast, patients in the ketamine arm had higher rates of MICU admissions. A highly specialized airway team was utilized for intubation, likely unavailable in many institutions. The significance of 7-day survival is unclear.

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Don’t stress, it’s just an ECG…

Core EM

The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. The ED team emergently notified cardiology and loaded her with aspirin, ticagrelor, and heparin. High-sensitivity troponin peaked at 61 and BNP was normal.

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An EM Resident’s Guide to Basic Airway Management

Core EM

While this guide isnt exhaustive, its designed by residents, for residents, to provide practical tips and foundational knowledge thats crucial in the fast-paced, high-stakes environment of the ED. Introduction Airway management is a critical ED skill to master. So the actual benefit for most ED patients is unclear.