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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Trip, Slip, Scan? Rethinking Head CTs in the Elderly

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Trip, Slip, Scan? Rethinking Head CTs in the Elderly

Ground-level falls are a leading reason older adults get head CTs in the ER, largely because current rules treat age > 65 as a risk factor by itself. Yet many emergency physicians question whether that’s always necessary for well-appearing patients. A new systematic review and meta-analysis in Annals of Emergency Medicine digs deeper, asking: what other factors truly predict intracranial hemorrhage after ground-level falls? Join Dr. Snyder as she explores the findings, limitations, and what they mean for everyday practice.

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Ovarian Emergencies: Adnexal Ectopic Pregnancy

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Ovarian Emergencies: Adnexal Ectopic Pregnancy

Ectopic pregnancy represents one of the most urgent gynecologic emergencies encountered in the ED. Though relatively uncommon, the consequences can be life‑threatening if not recognized quickly. Because symptoms often mimic other causes of acute pelvic pain, clinicians must maintain a high index of suspicion to avoid delays in diagnosis. Prompt management is essential to reduce morbidity and preserve future fertility. In this second installment of ovarian emergencies, Dr. Bannister reviews the critical features of ectopic pregnancy, its diagnostic challenges, and the strategies for timely intervention.

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Ovarian Emergencies: Can't Miss Diagnoses

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Ovarian Emergencies: Can't Miss Diagnoses

Ovarian emergencies are uncommon in the ED, but when they occur the consequences can be serious. Conditions like cyst rupture, torsion, and tubo‑ovarian abscess demand rapid recognition and timely management to prevent morbidity and preserve fertility. Because presentations are often variable, clinicians must keep a high index of suspicion when evaluating acute pelvic pain. Join Dr. Bannister as he discusses these critical ovarian emergencies and their management. Ectopic pregnancy will be explored in a dedicated post to highlight its unique urgency.

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A PSA on TXA: Updated recommendations for TXA in Trauma

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A PSA on TXA: Updated recommendations for TXA in Trauma

Tranexamic acid (TXA) is an anti-fibrinolytic that may reduce hemorrhage and improve survival in trauma. While early studies raised safety concerns, newer evidence supports its use in select patients. Join Dr. Segev as he reviews key TXA trials and highlights the updated EAST guidelines on pre-hospital and in-hospital administration.

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