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חוסם עורקים PODCAST: Tourniquet Tips
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Podcast: Play in new window | Download 📌 Key Points ⏰ Highlights 📝 Introduction 📌 Key Points 🩸 Tourniquets save lives and limbs: Apply immediately when you’ve got arterial bleeding. 📍 Placement matters: Position the tourniquet 5–6 cm proximal to the arterial bleed, or if you can’t identify the exact source, place it as high up on the
Epinephrine 0.3mg or 0.5mg for Anaphylaxis?
Written by Clay Smith For anaphylaxis in adults ≥50kg, 0.5mg vs. 0.3mg IM epinephrine is strongly associated with a reduction in escalation of care (repeat epi, epi drip, or intubation). So weird that a dose circa 1918 needs to be reconsidered… Epinephrine auto-injectors come with standard 0.3mg doses (0.15mg for pediatrics).
Blood Pressure Effects and Risk of Hypotension due to Intravenous Furosemide in Acute Decompensated Heart Failure
Nicholas E Harrison 1, Meghana Bhaskara 1, Kyle Wilson 1, Ankit A Desai 2, Nicholas Montelauro 1, Phillip Levy 3, Peter Pang 1, Robert R Ehrman 3 Affiliations Expand Abstract. Objective: We quantified the magnitude of systolic blood pressure (SBP) adverse effects associated with intravenous furosemide (IVFu), compared to other factors, during treatment for acute decompensated heart failure (ADHF). Methods: Continuous BP monitoring (598.2 person-hours, 91,210
Norepinephrine vs. Epinephrine for Post-Arrest Shock
Written by Catherine Burger This meta-analysis shows decreased episodes of repeat cardiac arrest when post-arrest shock was treated with norepinephrine vs. epinephrine, but there were no differences in survival or discharge with good neurological outcome. Norepinephrine edges out epi in post-arrest shock This systematic review and meta-analysis compared the efficacy
JAMA: Effectiveness and Cost-Effectiveness of Automated External Defibrillators in Private Homes A Report From the Cardiac Arrest Registry to Enhance Survival
Lars W. Andersen, MD, MPH, PhD, DMSc1,2,3; Mathias J. Holmberg, MD, MPH, PhD3; Eline Krijkamp, PhD4 et al JAMA Intern Med Published Online: October 25, 2025 doi: 10.1001/jamainternmed.2025.6123 related icon Related Articlesfigure icon Figuresattach icon Supplemental Content Key Points Question Are automated external defibrillations (AEDs) in private homes effective and cost-effective? Findings In this cohort study including 582 536 patients, survival was better with AED application compared
PODCAST: Oral vs Temporal Thermometers
Contributor: Taylor Lynch, MD Educational Pearls: A recent study published in a pediatric journal in April 2025 compared temporal and oral thermometers Paired temperature measurements (temporal and oral temperature within 30 minutes) were obtained from 1,412 pediatric patients 26% of patients had statistically different temporal and oral temperatures The temporal
Can EMS Use PECARN Peds C-Spine Rule Prehospital?
Written by Joshua Belfer The PECARN cervical spine injury prediction rule performed well when applied by EMS clinicians, with high sensitivity and negative predictive value, suggesting it may help reduce unnecessary spinal motion restriction in children after blunt trauma. PECARN to go: Can EMS call the (c‑spine) shots? We rely
How Many Intubations Before You’re Competent?
Written by Jason Lesnick This secondary analysis found that intubation success correlated with experience, and competency likely is achieved between 35–50 intubations. The ACGME was… right? These authors determined if experience was associated with intubation success and, if so, how many intubations were needed to achieve competency. This study was
