🧭 REBEL Rundown 🗝️ Key Points 🧓 Rib fractures in older adults can decompensate late — early vitals and a “normal-ish” exam don’t rule out impending respiratory decline. 🖥️ RibScore = anatomy/CT risk — helps predict pulmonary complications and supports disposition decisions (floor vs stepdown/ICU). 🫁 SCARF = bedside physiology & function — repeatable and…
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 324: Master Clinician Part 10: Dr. Bridget Marroquin Play Episode Pause Episode Mute/Unmute Episode Rewind 10 Seconds 1x Fast Forward 10 seconds 00:00 / Subscribe Share Source link
What was it? A prospective study conducted in a general ICU in Milan, Italy, to assess the reliability of two haemodynamic tests, SIGH35 and end-expiratory occlusion test (EEOT), to predict fluid responsiveness in critically ill patients on PSV. PSV creates a challenge for haemodynamic tests, as it alters heart-lung physiological interplay where the presence of some spontaneous breathing renders…
Authors: Nishok Victory Srivanasan, MD (EM Resident, University of Missouri-Columbia); Jailyn Avila, MD, FP-AEMUS; Jessica Pelletier, DO, MHPE (APD/Assistant Professor of EM/Attending Physician, University of Missouri-Columbia) // Reviewed by: Sophia Görgens, MD (EM Physician, Yale University, CT); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long,…
The Opioid Series Jeanmarie Perrone, MD Jeanmarie Perrone is a Professor in the Department of Emergency Medicine, the Director of the Division of Medical Toxicology and the founding Director of the Penn Center for Addiction Medicine and Policy. Penn Center for Addiction Medicine and Policy Medetomidine used in veterinary sedation/analgesia an equal mixture of…
Annual influenza cases exceed one billion worldwide, with the vast majority of patients experiencing mild to moderate severity of illness. This massive health burden explains the extensive research into antivirals, including oseltamivir (Tamiflu). Initial studies supported the utility of oseltamivir for preventing complications, hospitalization and shortening disease course in patients with mild to moderate influenza….
The bipartisan Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Reauthorization Act of 2025 has been signed into law. This ACEP-informed and -supported legislation renews and strengthens a range of critical federal programs designed to address the intersecting mental health, opioid/substance use disorder (OUD/SUD), and overdose crises affecting millions of patients…
Episode 131: Metformin Toxicity Terminology Metformin is one of the most prescribed medications for diabetes mellitus and is generally considered safe. There are several major adverse events; most serious complication is metformin-associated lactic acidosis (MALA). Mortality rates for MALA can reach up to 25-50% 2017 study proposed a spectrum of metformin toxicity with 3…
ACEP Now publishes a selection of content ranging from association news (i.e., what’s happening inside the College), news stories impacting the specialty of emergency medicine, medical educational content from our amazing columnists, case reports from our readers, and opinion pieces from ACEP members. Each year, we review the analytics to determine the most popular items….
Lacerations to the hand are common injuries that present to emergency departments, both in academic Level I trauma centers as well as community and rural settings. Lacerations across the dorsal surface of the hand and fingers often injure the extensor tendons of the fingers, leading to difficulty or inability to extend the joints of the…