Podcast summarizing recent emergency medicine posts from the past week.
**ECG Teaching Cases: She's Shaking; It Must be a Seizure!**
Notice how our patient’s tele strip progressively slows down until the beats are very far apart. Hit me up with any questions, LloydThe post ECG Teaching Cases: She's Shaking; It Must be a Seizure!
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**BMJ: Association between the time to norepinephrine initiation and mortality in patients with sepsis**
In the multivariable Cox regression analysis, NE time remained a predictor of 28-day all-cause mortality (adjusted HR=1.335, 95% CI 1.034 to 1.722, p=0.026). Conclusion NE time was associated with the 28-day all-cause mortality in sepsis patients.
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**TRAUMA: Video versus direct laryngoscopy for tracheal intubation in trauma: A secondary analysis of the DEVICE trial**
Stacy A Trent 1, Steven G Schauer, Matthew E Prekker, Brian E Driver, John P Gaillard, James Taylor Herbert, Brant Imhoff, Andrew J Latimer, Steven H Mitchell, David B Page, Daniel Resnick-Ault, Wesley H Self, Nathan I Shapiro, Lane M Smith, Micah R Whitson, Todd W Rice, Jonathan D Casey, Matthew W Semler, Adit A Ginde; Pragmatic Critical Care Research Group, Denver, CO The incidence of severe complications during intubation and in-hospital outcomes did not significantly differ between groups.
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**PMC: Airway management in critically ill patients with obesity**
Vincenzo Russotto 1 2, Jonathan D Casey 3 4, Sheila N Myatra 5, Matthew W Semler 3 4, Brian E Driver 6, Kariem El-Boghdadly 7, Samir Jaber 8, Audrey De Jong 8 The post PMC: Airway management in critically ill patients with obesity first appeared on האיגוד הישראלי לרפואה דחופה.
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**BMJ: Airway management of adults in the acute care setting**
Michael Gottlieb 1, Stephanie C DeMasi 2, Jonathan D Casey 3 4, Matthew W Semler 3 4, Kevin G Buell 5 Preparation, preoxygenation with non-invasive positive pressure ventilation, and physiological optimization are therefore essential steps to all airways.
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**CT with Contrast—Kidney Risk or Myth?**
Limitations include reliance on retrospective data and the possibility of rare or high-risk subgroups (e.g., severe baseline CKD, repeated exposures) where risk may still exist. This supports growing emergency medicine evidence that contrast-enhanced CT should not be routinely withheld or delayed due to fear of AKI, especially when clinically indicated.
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**PODCAST: Managing mild traumatic brain injury**
Check out our interactive question bank podcast- the FIRST of its kind here Cite this podcast as: Briggs, Blake; Cloyd, Jeff. Accessed [date].The post PODCAST: Managing mild traumatic brain injury first appeared on האיגוד הישראלי לרפואה דחופה.
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**PODCAST: Face mask ventilation is one of those skills that can easily be overlooked. It's often seen as the simple bit of airway management — something that sits below the glamour of videolaryngoscopy, fibre-optics and endotracheal intubation. But the reality is that excellent face mask ventilation is one of the most important airway skills we have. In this episode, we take a deep dive into bag-valve-mask ventilation and airway adjuncts, exploring why this is far more than just putting a mask on a face and squeezing a bag. We discuss when facemask ventilation is indicated, how to identify patients who may be difficult to ventilate, and the practical steps that can dramatically improve success rates. We cover positioning, airway opening manoeuvres, mask seal techniques, the role of airway adjuncts and how to recognise whether your ventilations are actually working. We also look at troubleshooting common problems, the evidence comparing bag-mask ventilation with supraglottic airways and endotracheal intubation, and how to decide when it's time to move to another airway strategy. Whether you're working in the emergency department, prehospital environment or critical care, this episode is packed with practical tips, cognitive aids and evidence-based advice to help you deliver facemask ventilation with confidence and excellence. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon. Rob & James**
Whether you're working in the emergency department, prehospital environment or critical care, this episode is packed with practical tips, cognitive aids and evidence-based advice to help you deliver facemask ventilation with confidence and excellence. Rob & JamesThe post PODCAST: Face mask ventilation is one of those skills that can easily be overlooked.
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**JAMA: Initial Injury Type and Violent Reinjury**
Nicholas Szoko, MD, PhD1,2; Daphne Lew, PhD, MPH3; Taylor Kaser, MPH et al Key Points Question How does risk of violent reinjury vary across different initial injury types? The post JAMA: Initial Injury Type and Violent Reinjury first appeared on האיגוד הישראלי לרפואה דחופה.
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**ACEP now:Ambient AI Scribes Are Coming to an ED Near You**
But Dr. Milne argued that for physicians like him who didn’t have any kind of note-taking assistant, computerized or human, before ambient AI became available, every minute saved counts. That is the harder, slower, and more important investment.” Emergency medicine, as a group, should keep addressing these issues now, in Dr. Rehman’s opinion.
