The Skeptics' Guide to EM

MARCH 1, 2025

Reference: Bannelier et al. Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embolism: Ancillary analysis of three European studies. AEM Feb 2025 Date: February 27, 2025 Guest Skeptic:Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School Baystate.

Allergic Reaction

EMDocs

MARCH 1, 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: High-Dose Inhaled Steroids for Acute Asthma Spoon Feed Nebulized high-dose inhaled corticosteroid plus a short acting beta-agonist reduced emergency department length of stay in adult asthma exacerbation.

Emergency Department

St. Emlyn's

MARCH 1, 2025

St.Emlyn's - Emergency Medicine #FOAMed Cannabis edibles are raising concerns in emergency medicine due to delayed effects, high THC potency, and inconsistent labeling. A recent study highlights increased ED admissions and resource use among edible users compared to those who inhale cannabis. This analysis explores key findings, clinical implications, and the need for regulatory measures.

Emergency Department

Life in the Fastlane

MARCH 1, 2025

James Miers, John Mackenzie and Amanda Beech Precipitous Birth in the ED Emergency procedure, instructions and discussion: Precipitous delivery in the ED. Lets face it, the three births you attended as a medical student don't really prepare you for this.

ED

Dr. Smith's ECG Blog

MARCH 1, 2025

A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He states that it feels like burning and pressure, like GERD. He reports this was similar to how he felt when he had his heart attack 4 years prior, now s/p 4 stents. (The history gives a subtle hint that this might be another acute OMI.) Patient normally takes lisinopril 40 mg daily, atorvastatin 80 mg daily, and ASA 81 daily.

OR