Read the story 👇. It's so often that those of us who work in EM and critical care see devastating injuries and wonder whether we're really making a difference. SPC Jordan Kirkpatrick is a @usarmy Soldier who was riding his motorcycle on his day off when he had a high-speed

RT @PFCCollective24: Is burying the needle to the hub the right answer? PFC Podcast 237: Finger Thoracostomy . Link tree..

In this systematic review with meta-analysis published last week, they analyzed 34 studies, 655,000 ICU patients. -they found an overall incidence of 5%.-in high-income countries it was 3% (that seemed high to me, anecdotally, am curious if others think the same).-in LMICs it was

So how common are fireworks injuries?. Well, the true denominator is pretty hard to determine since most of them are discharged home from the ED. Most of them do not meet criteria for capture into TQIP. But here's a summary of TQIP data:. -From 2017-2023, there were about 8M

RT @PFCCollective24: Pressure on the bleed will always be the point, but it is nice to have some extra help. PFC Podcast 236: Hemostatic Ag….

On prehospital cricothyrotomy in the US. this study published in June 2025 found:. -Incidence of 1.9 per 100,000 EMS calls.-Nearly half were performed in the setting of cardiac arrest.-Most were performed on males <60 years.-Successful placement was 83%. Of note, they excluded

Hypotension occurs in 45% of IV acetaminophen administrations. A SR-MA was published last week.-5 studies.-339 patients.-Mean MAP drop of 6.8mmHg.-More frequently occurs in febrile patients. #emergency #emergencymedicine #criticalcare #icu #airway #army

Congrats to all of our newly minted attending physicians!. The learning doesn't stop now. It just transitions to a different type of learning. There isn't a single shift that goes by that I'm not looking something up or bouncing a question off a colleague. #emergency

Erythropoietin drugs have a long history of use in chronic anemia, particularly in the setting of CKD. But did you know they potentially have a lot of other uses, including for trauma? In this narrative review, we lay out the current state of the science for potential use of

Intern tip: Always read the triage note. This is for 3 reasons:.1. It helps you focus your history so get an effective, focused history. 2. It often contains valuable information that the patient told the nurse that they oftentimes just assume gets communicated to you (but.

#tbt to the time the European mind couldn't comprehend this volume of air flow.

Sugammadex should not be relied upon to save your a** in an emergency difficult airway. In one study evaluating the use of sugammadex for rescue in cannot intubate, cannot ventilate scenarios, it restored spontaneous ventilation in 6 out of the 8 cases, with 2 of those 6 having

Sugammadex has a linear pharmacokinetic effect, meaning that larger doses = more rapid reversal. #emergency #emergencymedicine #criticalcare #icu #airway #science #data #research #army #armymedicine #armyemdoc #medx #medtwitter

Sugammadex works by encapsulating rocuronium and displacing it from nicotinic receptors. #emergency #emergencymedicine #criticalcare #icu #airway #science #data #research #army #armymedicine #armyemdoc #medx #medtwitter

The OPTPRESS study is out. and is yet another study that does not support higher MAP goals in septic shock. In this randomized, open-label trial, they randomized 518 to a higher MAP goal (80-85) or a 'normal' MAP (65-70). The study was stopped early due to higher morality.

This systematic review with meta-analysis published last week with 21 RCTs, nearly 12,000 patients, compared conservative versus liberal oxygenation strategies. The short answer is that the outcomes were similar. This really suggests that we should be tailoring our approach to

How often are we using airway adjuncts in the setting of ETI for trauma?. The short answer is that we are (a) almost never using them, (b) almost never documenting them, or (c) a combination of both. We analyzed over 236,000 ED intubations for trauma and found:.-NPAs were used.

RT @PFCCollective24: Learn from the people who have been there and done that. John Dominguez explains the mentorship available at SOMSA or….

New pedi-BIG guidelines are out and proposed… but these really need high-quality validation. kBIG 0 = Blunt TBI, no NAT, GCS 15, no AC, no intoxication, none or mildly displaced skull fracture, no ICH = no hospitalization, no repeat CT, no consultation. kBIG 1 = Blunt TBI, no