Sat.May 17, 2025

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EM@3AM: Systematic Approach to Massive Hemorrhage and Nuances in Special Patient Populations

EMDocs

Authors: Matt Treasure, DO (EM Resident Physician, Christus Spohn/Texas A&M University College of Medicine, Corpus Christi, TX); Rogelio Trey Martinez, DO, MPH (EM Resident Physician, Christus Spohn/Texas A&M University College of Medicine); Justin Hacnik, MD (EM Attending Physician, Christus Spohn/Texas A&M University College of Medicine, Corpus Christi, TX); J.D.

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SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures

The Skeptics' Guide to EM

Reference: Cohen et al; SUSPECT study group. Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial. J Orthop Traumatol. 2025 Date: May 1, 2025 Guest Skeptic: Dr. Matt Schmitz is an orthopedic surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. He practices at the Rady Childrens Hospital in San Diego and is Professor of Orthopedics at UC San Diego.

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What Causes Airway Obstruction?

SSCOR

Youre responding to a choking involving an obstruction. As you know, obstructions can be mild, making breathing difficult or painful, or they can be urgent and life-threatening, as is the case with a choking child.

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Support From Fellow First Responders Helps Lancaster County (PA) Paramedic Attacked in Ambulance on Her Road to Recovery

JEMS

Melanie Kempf, a paramedic who has been with Lancaster EMS for five years, knows the mental toll the job can take better than most.

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Chest pain, normal ECG, and serial undetectable high sensitivity troponins. Should we do further testing?

Dr. Smith's ECG Blog

Many authors state that if troponins are undetectable and ECG is normal, no further testing should be done. For example, in JACC: Bandstein N, Ljung R, Johansson M, Holzmann MJ. Undetectable high-sensitivity cardiac troponin T level in the emergency department and risk of myocardial infarction. J Am Coll Cardiol [Internet] 2014;63(23):256978. Available from: [link] Conclusions All patients with chest pain who have an initial hs-cTnT level of 1 = Moderately suspicious (I put this because the pain

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Rollover Crash in Chelmsford (MA) Leaves One Dead

JEMS

A rollover crash onInterstate 495 Northearly Friday morning left one man dead and a woman injured.

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