TRACE-5: Rethinking the 24-hour clock in Basilar Artery Occlusions

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TRACE-5: Rethinking the 24-hour clock in Basilar Artery Occlusions

Basilar artery occlusion (BAO) remains one of the most devastating strokes we face, and treatment decisions often stretch beyond the familiar anterior‑circulation playbook. This study, TRACE‑5, takes a bold step into that uncertainty, testing Tenecteplase in BAO patients presenting up to 24 hours from symptom onset. Join Dr. Onuzuruike as he unpacks the trial’s design, its surprising and practice‑shaping findings, and what this study might mean for the future of posterior circulation stroke care.

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The Pancreatitis Case File: From Suspects to Sentencing — An ED Guide to Pancreatitis

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The Pancreatitis Case File: From Suspects to Sentencing — An ED Guide to Pancreatitis

Pancreatitis is the most common gastrointestinal disease requiring acute hospital admission in the United States, generating over 300,000 ED visits per year. A wide variety of "suspects" can trigger the inflammation of the pancreas characteristic of this condition. Join Dr Landry as he investigates types of pancreatitis (acute vs chronic), etiologies, disposition, complications, and treatment for these patients to get to the bottom of the "case" — from mug shots to sentencing.

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No Pause, No Problem? Using Doppler Ultrasound to Detect ROSC Without Pausing Compressions for Pulse Check

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No Pause, No Problem? Using Doppler Ultrasound to Detect ROSC Without Pausing Compressions for Pulse Check

Cardiac arrest care hinges on high‑quality CPR, but pulse checks remain a stubborn source of interruptions — often longer than the recommended 10 seconds and repeated every two minutes. What if we could detect ROSC without ever pausing compressions? This diagnostic accuracy study evaluates whether femoral arterial Doppler waveforms obtained during active CPR can predict arterial line pulsatility at the next pulse check. Join Dr. Qin as she reviews how well Doppler‑detected pulsatility and anterograde flow signal true cardiac activity — and whether ultrasound could offer a future where pulse checks no longer slow us down.

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Elder Abuse in the ED

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Elder Abuse in the ED

Elderly patients are an increasing subset of the Emergency Department population, and with this population comes unique risk factors and subtlties to physical and emotional abuses. Often Emergency Physicians are required reporters so join Dr. Ebeling and reviewing the tips of identification and reporting elder abuse.

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HIV in the ED: The 3 AM Questions You Actually Care About

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HIV in the ED: The 3 AM Questions You Actually Care About

HIV shows up in the ED in more ways than we realize — from needle sticks to acute retroviral syndrome to the patient who quietly screens positive on routine labs. And at 3 am, the questions that matter aren’t abstract pathophysiology but the practical ones: When do I start PEP? How do I not miss acute HIV? Should I really be starting treatment from the ED? Join Dr. Hoeflinger as she breaks down what every emergency physician needs to know to diagnose, treat, and counsel patients with confidence through 10 FAQs about HIV.

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Two‑Bag Triumph? What the Evidence Really Shows in Diabetic Ketoacidosis Care

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Two‑Bag Triumph? What the Evidence Really Shows in Diabetic Ketoacidosis Care

Diabetic ketoacidosis is a familiar ED diagnosis, but the best fluid strategy is still up for debate. Many of us default to the traditional one‑bag system, even though it can be slow to adjust and prone to glucose swings. This new meta‑analysis compares one‑bag versus two‑bag DKA management across adults and children, examining hypoglycemia rates, time to resolution, and operational impact. Join Dr. Knudsen-Robbins as she breaks down what the evidence shows — and whether the two‑bag system truly offers a clinical edge.

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Real-Time Echo Intelligence: Can AI Match or Beat Human Eyes?

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Real-Time Echo Intelligence: Can AI Match or Beat Human Eyes?

Point‑of‑care echo is fast, powerful—and famously operator‑dependent. Most of us rely on quick visual impressions because precise measurements take time we often don’t have. This new study puts three automated, real‑time AI tools to the test, comparing their ejection fraction, VTI, and IVC assessments against an expert’s read. Join Dr. Sookdeo as she breaks down how well the algorithms performed and what this could mean for the future of bedside echo.

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Ambient AI Scribe in the ED: Game-Changer or Just Hype?

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Ambient AI Scribe in the ED: Game-Changer or Just Hype?

Documentation load is a major driver of burnout in emergency medicine, and the ED’s pace only intensifies the pressure. Ambient AI scribes offer a hands‑free way to capture encounters and ease charting—but how often are these tools actually used, and do they meaningfully change documentation time? Join Dr. Kopel as she unpacks what early use reveals about the promise and limitations of AI‑generated documentation in emergency care.

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When Seconds Count: Can Drone-AED Networks Change OHCA Survival?

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When Seconds Count: Can Drone-AED Networks Change OHCA Survival?

Survival after out‑of‑hospital cardiac arrest hinges often on getting an AED to the patient within minutes - but in most communities (especially more rural areas), that simply doesn’t happen fast enough. First responders often arrive too late, and bystanders rarely have immediate access to a device. This study explores whether pairing first responders with strategically deployed AED‑carrying drones could finally make 5‑minute defibrillation a reality. Join Dr. Boyer as he breaks down what this model suggests about the future of rapid OHCA response.

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Blunt Cerebrovascular Injuries

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Blunt Cerebrovascular Injuries

Blunt cerebrovascular injuries can often be subtle and difficult to diagnose. They are associated with significant morbidity and mortality and therefore early recognition and treatment of these injuries is vital. Join Dr King as he discusses the nuances of blunt cerebrovascular injuries including how to properly manage them. 

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Traumatic Shoulder Injuries

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Traumatic Shoulder Injuries

Traumatic shoulder injuries are a frequent challenge in the emergency department, often affecting active, otherwise healthy patients. Because the shoulder’s intricate anatomy is vulnerable to a wide range of injuries—from fractures and dislocations to soft‑tissue and neurovascular compromise—timely recognition is essential to prevent long‑term dysfunction. In this installment, Dr. Sindelar outlines the key presentations, diagnostic considerations, and management strategies for acute shoulder trauma.

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