Totally agree. We can critique the individual studies but given there is at least a signal of harm with etomidate (and not with ketamine) across many studies, the only reason to defend routine etomidate is inertia and comfort of learned practice. I use ketamine unless some contraindication now

RhD Immunoglobulin (e.g. RhoGAM) After First Trimester Abortion (spontaneous or induced) - I remember this debate in 2012 as a med student and now....many OB recommendations have changed! podcast is on spotify or wherever you listen foamcast.org/2025/03/22/r... #education #MedSky #EMSky #EMedSky

FOAMcast is baaaaaack. A major thought on asthma....we can and should do better for the patients we discharge from the ED... foamcast.org/2025/03/20/i... Listen on spotify, bit.ly/41CoxQF, or wherever you get your podcasts #education #MedSky #EMSky #EMedSky

Let's get the basics right! Updates in anticoagulation selection in hospitalized patients with PE... www.acepnow.com/article/anti... #education #MedSky #EMSky #EMedSky

D-dimer for Ruling out PE in High-Risk Patients?
thesgem.com/2025/03/sgem... @lwestafer.bsky.social #MedSky #MemeMonday

Now recruiting for Resident Editorial Board Fellowship Appointment! #education #MedSky #EMSky #EMedSky #BlueSky

Next up on the Skeptics' Guide to EM is this Hot Off the Press article on diagnosing pulmonary embolisms with @lwestafer.bsky.social #SGEMHOP #MedSky #EBM
pubmed.ncbi.nlm.nih.gov/39487597/

Do clinical decision rules actually help with diagnosis in medicine?

The latest #CJEMDebate explores the question with
@first10em.bsky.social @emlitofnote.bsky.social @lwestafer.bsky.social @reverendofdoubt.bsky.social and @paulatkinsonem.bsky.social. #medsky

link.springer.com/article/10.1...

This is really interesting
What the qualitative studies says about EM providers and hospitalists is similar to what I used to hear
Practice needs to change to harm fewer patients, myths need to be busted

Question for radiologists (and others)...on CTPAs, if/when you use the term "filling defect" but don't specifically qualify PE yes or PE no, what does this mean/what is your certainty(%) that it is a PE? #MedSky #EMSky #EMedSky #radiology

You routinely ensuring your patients in the ED with asthma exacerbations have an ICS? It's time we get on board www.acepnow.com/article/inha... #education #MedSky #EMSky #EMedSky #BlueSky

In @annalsofem.bsky.social we published on the shocking rise in UFH use for PE www.annemergmed.com/article/S019.... We wanted to know why, so we conducted a qual study out in @jama.com and found some interesting things jamanetwork.com/journals/jam... #education #MedSky #EMSky #EMedSky #BlueSky

Does Andexanet Alpha Improve Outcomes Compared With Four-Factor Prothrombin Complex Concentrate for Reversal of Direct Oral Anticoagulants? www.annemergmed.com/article/S019... #education #MedSky #MedTwitter #EMSky #EMedSky #BlueSky

Guidelines recommend alternatives to UFH in acute PE bc unpredictable pharmacokinetics & resource intensity. we looked at nearly 300K pts hospitalized w/acute PE & found out UFH use has increased! www.annemergmed.com/article/S019... @annalsofem.bsky.social #education #MedSky #EMSky #EMedSky #BlueSky