ACEP Now

JANUARY 5, 2025

Its 4 a.m., and youre three hours from the nearest tertiary care center. A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. On exam, you see bright red blood trickling down her left tonsillar fossa. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center.

Operating Room 98

Operating Room Epinephrine ALS ED 98

Dr. Smith's ECG Blog

JANUARY 5, 2025

Written by Willy Frick A man in his 60s with hypertension and prior stroke presented with three days of crushing chest pain. He reported intermittent chest pain for the last few months, but never lasting this long. He described it as substernal with radiation into the right arm. With all of this information, we can feel reasonably confident even before looking at the ECG that we are dealing with OMI.

E-9-1-1 78

E-9-1-1 Coronary OR Ambulance 78

ACEP Now

JANUARY 5, 2025

Every year, the hopeless task of keeping up with the medical literature grows even more unattainable. Will our Sisyphean burden be replaced with AI? ( Read this months Skeptics Guide to Emergency Medicine for that answer.) Will we be microchipped with peripheral PubMed brains? Will we finally wake up from the Matrix and be freed? Not yet! So, in the meantime, heres a host of articles of more than just passing interest from the past year, not already covered in ACEP Now.

ALS 40

ALS E-9-1-1 ED Emergency Department 40

Peter Canning

JANUARY 5, 2025

What do you feel like eating today, my partner Erica asked when we cleared the hospital from a sick call. I dont know, I said. Some days I dont eat, others I like to take advantage of the myriad of culinary offerings in the city, Jamaican, Dominican, and Vietnamese among my favorites. A number of years ago, I even had a blog, A Paramedic’s Guide to Takeout , about all the good places to eat in and around the city. “Whats that place in Newington you like to eat at?

Paramedic 52

Paramedic 52

ACEP Now

JANUARY 5, 2025

Each year, more than 1.3 million individuals visit U.S. emergency departments (EDs) with asthma-related conditions. 1 Patients often present after being unable to manage their condition at home. Historically, short-acting beta agonists (SABAs), such as albuterol, have been used as a pillar of acute asthma management. These bronchodilators provide quick relief.

Emergency Department 104

Emergency Department Emergency Medical Services ALS ED 104

ACEP Now

JANUARY 5, 2025

On June 24, 2022, Roe v. Wade was overturned by the U.S. Supreme Court, leaving regulation of abortion to the discretion of the states. Since then, many states have enacted laws to strictly regulate abortion, resulting in complex legal considerations for medical professionals. 1,2 This article reviews key statutes in the states with the strongest prohibitions against abortion and offers documentation principles for treating patients with ectopic pregnancies, spontaneous miscarriages, and other p

OR 98

OR Emergency Department Critical Care 98