If you had asked me 5 years ago whether a disease modifying agent for Alzheimer’s disease would be developed, I would have laughed. “Moonshot; million to one; when pigs can fly”. Seems like I am as good at predicting the future as I am at hitting a golf ball. Although there is some debate about […] The post Amyloid-related imaging abnormalities: an emergency medicine nightmare? appeared first on First10EM.| First10EM
It has been a while since I have critically appraised. Life without medical journals is sort of nice, but I guess it just isn’t me, so I am back and nerdier than ever. That means there are some strange selections this time around, but there are bound to be at least a few people out […]| First10EM
Should we have a higher MAP target in sepsis in elderly patients? The OPTRESS RCT suggests chasing numbers is harmful.| First10EM
Emergency medicine - When minutes matter...| First10EM
The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. First, I have obviously been on a bit of a hiatus. I haven’t published anything since […]| First10EM
I have seen a few patients with cutaneous botfly larvae (proper medical terminology being furuncular myiasis) in my career. They are extremely gross, but relatively easy to deal with. However, I had never seen (or even heard of) their much nastier cousins: the New World Screwworm. The scientific name of the New World Screwworm is […] The post New World Screwworm appeared first on First10EM.| First10EM
The First10em research roundup is a collection of interesting or important medical research, critically appraised.| First10EM
This isn’t a full blog post, but just an opportunity to share a resource that I think many people will find valuable. In most pediatric resuscitations, I feel very comfortable standing with the Broselow tape in my hand for dosing. If it isn’t on the Broselow, I probably have time to look it up. The […] The post Pediatric transfusion dosing appeared first on First10EM.| First10EM
A discussion of the difficulty with providing good feedback in medicine, and the role of first defining excellence.| First10EM
An emergency medicine approach to the pediatric can't intubate can't oxygenate scenario: pediatric front of neck access| First10EM
A deep dive into the literature around the management of higher risk pulmonary embolism patients.| First10EM
The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […]| First10EM
I have been doing this for 10 years now. I am not sure what the future holds. I am not sure what First10EM will look like in another 10 years. I am not sure these words will be published (although if you are reading it, I guess we have our answer). This is an exercise […]| First10EM
The monthly research roundup from FIrst10EM covers the most interesting or important emergency medicine research (that I have read)| First10EM
How fast should we correct severe hyponatremia? Observational data shows an association between slower and more death.| First10EM
The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month (or now quarter). Obviously the format means the focus is mostly on content I have found, […]| First10EM
A look at two trials (PARAMEDIC3 and IVIO) comparing intraosseous (IO) and intravenous (IV) access in out of hospital cardiac arrest.| First10EM
A critical appraisal of the TRAIN trial - conservative versus liberal transfusion in brain injury, short on the heels of HEMOTION| First10EM
The monthly(ish) collection of interesting or important emergency medicine publications, with a touch of critical appraisal| First10EM
A critical appraisal of the HEMOTION trial - a multicenter RCT comparing liberal and restrictive blood transfusion in traumatic brain injury.| First10EM
A critical appraisal of Nielsen 2024, which demonstrates that oral antibiotics are noninferior to IV in pediatric bone and joint infections.| First10EM
A critical appraisal of the COSTED trial: A multi center RCT looking at smoking cessation in the emergency department| First10EM
Intubation of critically ill patients is a high risk procedure. This post reviews an important checklist to ensure a patient is safe to be intubated.| First10EM
Gestalt is better than decision rules for identifying sepsis in the emergency department (obviously, to anyone who reads EBM)| First10EM
The Fiirst10EM monthly round up of the most interesting or important emergency medicine research and or literature| First10EM
A bibliography that includes the more important and interesting papers about evidence based medicine that I have read.| First10EM
A simplified guide to critical appraisal. Evidence based medicine is really easy!| First10EM
evidence based medicine deep dives from First10EM| First10EM
A review of the evidence for the pediatric can't intubate can't oxygenate scenario. Bottom line: use a knife not a needle.| First10EM
A critical appraisal of the PREOXI trial, a multicenter RCT that remonstrates reduced peri-intubation hypoxia with NIPPV| First10EM
Andexanet alfa: there was no reason to use this drug until now, and nothing changes with this first RCT. Harmful and expensive.| First10EM
A critical appraisal of a meta-analysis looking at MRI in first episode psychosis. Despite the conclusions, routine MRI is not warranted.| First10EM
