Today, I am joined by Arne Skulberg, a pre-hospital physician and researcher, to discuss the opioid chain of survival and Nitazenes. A Chain of Survival for drug overdose From Arne: This commentary, co-authored with several American colleagues, introduces the concept of a Chain of Survival tailored to opioid overdose. While naloxone is often seen as the…
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In the Rapid Review series, I briefly review the key points of a clinical review paper (which often extends to multiple papers because I can’t help myself). The topic this time: Calciphylaxis The papers: Nigwekar SU, Thadhani R, Brandenburg VM. Calciphylaxis. N Engl J Med. 2018 May 3;378(18):1704-1714. doi: 10.1056/NEJMra1505292. PMID: 29719190 Chewcharat A, Nigwekar…
Some topics just get people excited. The drugs we use during intubation – well, people are going to have an opinion. Etomidate was popular while I trained, but was actually hard to find in the emergency department. Then came worries of adrenal suppression. Was etomidate just changing biochemical outcomes, or was it actually changing patient…
This is a festive break from my usual offerings on emergency toxicology, although you will note I lapsed a bit with dextromethorphan. My last post was on the SNAP regimen in teenagers, and can be found here. I am currently recovering from pneumonia. It is not pleasant. Like Tiny Tim himself, I have been struggling…
Dec 21, 2025 The guest on this episode is Dr Forbes McGain, who speaks about what sustainability really means in healthcare, and why it’s inseparable from good medicine. Drawing on his clinical work, research, and experience during COVID-19, Forbes explores how everyday ICU decisions carry environmental consequences, how “less is more” can benefit both patients…
#1: RSI RCT – Finally an Answer to Ketamine vs Etomidate! Spoon Feed —There was no difference in 28-day mortality in critically ill adult patients with ketamine vs. etomidate for rapid sequence induction (RSI), but ketamine increased the need for peri-intubation vasopressor support. SourceRSI Investigators and the Pragmatic Critical Care Research Group. Ketamine or Etomidate…
This is the third in series of short, case-based learning posts for trauma team leaders (TTL). These tips, based on our real-world experience with injured patients, will help you get the best out of your team when it matters most. You are ten minutes into an intense resuscitation. The patient is a twenty-seven year-old stabbing…
Cite this post as: Scott Weingart, MD FCCM. EMCrit RACC-Lit Review – December 2025. EMCrit Blog. Published on December 19, 2025. Accessed on December 19th 2025. Available at [https://emcrit.org/emcrit/racc-lit-december-2025/ ]. Financial Disclosures: The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant…
Authors: Rachel Bridwell, MD (EM Attending Physician; Charlotte, NC); Kyler Osborne, MD (EM Attending Physician; Clarksville, TN); Katey DG Osborne, MD (EM Attending Physician; Clarksville, TN) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital); Brit Long, MD (@long_brit, EM Attending Physician, UVA) Welcome to emDOCs revamp! This series…