ACEP Now

JANUARY 4, 2025

Emergency medicine was approved as the 23rd medical specialty in 1979, shortly after a young Elsburgh Clarke, MD, discovered the burgeoning specialty. 1 Just one year prior, Dr. 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.

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FOAMfrat

JANUARY 4, 2025

In this episode of Good Reads, we conclude our series on left bundle branch block (LBBB) by exploring Criteria C using the Smith Modified Criteria. We delve into how the ST segment elevation must be 25% or greater in relation to the preceding R wave depth and replace the outdated 5 mm rule. The video includes a step-by-step example to make this criterion clear.

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Ambulance OR 52

EM Board Bombs

JANUARY 4, 2025

-Case- A 45-year-old male with no past medical history comes into your ED mentioning that he has been feeling “off” all week. He has felt short of breath climbing the stairs and has been battling nagging chest discomfort that gets worse every time he takes a deep breath.

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ED 52

The Skeptics' Guide to EM

JANUARY 4, 2025

Date: December 6, 2024 Guest Skeptic:Akil Dasan is a multifaceted artist renowned for his talents as a rapper, singer, guitarist, and beatboxer. He gained prominence as a member of the British jazz-rap group Us3, contributing to their 2006 album "Schizophonic". This is an SGEM Xtra. We have done a top ten list before on the SGEM. That episode was the Ten Commandments of EBM.

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ACEP Now

JANUARY 4, 2025

In recent years, emergency medicine, once the bastion of quick decision making, clinical acumen, and patient-centered care, has been quietly succumbing to a different forcethe slow but steady erosion of critical thinking. The culprit is the increasing reliance on protocolization and the diminishing autonomy of emergency physicians. This shift, intended to standardize care and mitigate error, is paradoxically undermining the very heart of medicinethe doctors ability to think critically, adapt to

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EMDocs

JANUARY 4, 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: PARAMEDIC-3 and IVIO RCTs IO vs IV Epinephrine for OHCA Spoon Feed Two large studies randomizing patients with out-of-hospital-cardiac arrest (OHCA) to either an intraosseous (IO) or intravenous (IV) first approach

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EM Literature of Note

JANUARY 4, 2025

This AI study is a fun experiment claiming to replicate the clinical gestalt generated by a physician’s initial synthesis of visual information. The ability to rapidly assess the stability and acuity of a patient is part of every experienced clinician’s refined skills and used as a pre-test anchor for application of further diagnostic and management reasoning.

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ACEP Now

JANUARY 4, 2025

Effectively negotiating your employment contract may be as important as the actual choice of position itself. Although most emergency doctors focus primarily on money paid and hours worked, career quality and longevity are optimized by good contract negotiation. I am often asked: What are the most important contract provisions to consider? First, one must carefully study the more general, descriptive contract provisions beyond just compensation.

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