When managing hyponatremia, the primary concern (at least as far as I have always been taught) is osmotic demyelination syndrome. We are warned not to correct the sodium too quickly, because the neurologic outcome can be awful. However, demyelination is very rare, and apparently there is a lot of data that suggests correcting sodium too slowly can increase mortality!

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Introduction In emergency medicine, triage encompasses more than the initial prioritization of treatment; it also includes decisions about the most suitable level of care and disposition for each pati...

Background Persons who become life-threateningly ill or injured (due to for example trauma or cardiac arrest) are cared for in hospitals’ designated emergency rooms at the emergency department (ED). I...

Rachel Bridwell covers left ventricular outflow tract obstruction (LVOTO) in today's revamp.

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck ...

In this podcast, discover the complex decision making caring for patients in a 'Hot Zone' during a terrorist incident.

Endotracheal tube should be safely secured to prevent potentially life-threatening complications like accidental extubation. Bearded patients are a ch…

In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is rather shaky. However, if you really want to give epinephrine quickly, it seems like the intraosseous route is the better way to do that during an arrest.

Creating a learning culture in the emergency department (ED) is crucial for enhancing patient care and team resilience. This approach prioritizes psychological safety, continuous improvement, open com...