Is calcium chloride part of your “kitchen sink” medications for patients in undifferentiated cardiac arrest?

Maybe it shouldn’t be.

Michelle Lin, MD looks at how evidence suggests calcium not only isn’t beneficial but might also be harmful. tinyurl.com/3jhddvkp #FOAMed

.Amal Mattu delves into afib controversies with Lloyd Tannenbaum, MD; infected urolithiasis with Ryan Spangler, MD; and managing cardiogenic shock with Zachary Wynne, MD, only in this month’s EMedHome podcast.

tinyurl.com/EMN-Mattu #FOAMed

Close enough is good enough in many things medical, but when it comes to getting correct vital signs, EPs need to be meticulous.

Unfortunately, Matt Bivens, MD says EM can be bad at getting blood pressure, heart & resp rates, pulse ox, & temp. tinyurl.com/37axxfzr #FOAMed

Usually, the more experience you have, the more certain you are about your job.

Not in EM.

Bill Kreider, MD, says the longer he practices, the more patients he meets who make him to question what he knows. tinyurl.com/5ft47wjm

Patients go to the ED looking for answers. They want to know what’s going on and when it will be over.

But Ryan Richman, MD, FACEP says “I don’t know” is usually the best answer of all, and that can be a hard concept for EPs to accept. tinyurl.com/bdemy4jy

Flexible bronchoscope-guided endotracheal intubation is an advanced technique that you need in your difficult airway toolbox, say Munish Goyal & Alex Koo, MD, only in their latest video blog Procedural Lifelines.

#FOAMed tinyurl.com/ProceduralLife…

Controlling hip fracture pain can be a real, well, pain.

EPs have used ultrasound to perform femoral nerve blocks and fascia iliaca blocks for some time, but Christine Butts says pts receiving PENG blocks have significantly lower pain. tinyurl.com/3v698t56 #FOAMed #FOAMus

Residents have been forming unions since the 1930s. But the number of residents unionizing has now skyrocketed.

3rd Rock Ultrasound, LLC says maybe it’s because physicians are increasingly treated as commodities. tinyurl.com/4jzhbtsh

We all know ED crowding is a huge problem. But how do we fix it?

Kruti Shukla, MD, found 34% of patients referred to her ED were sent by a medical provider, often w/ poor or no communication. To fix crowding, she says, EM needs to fix referrals. tinyurl.com/4ar7zp3s

EPs & NPs are not interchangeable, no matter what the health care system suggests.

An NPP’s training of 2800 hrs or less is a far cry from a physician’s 14,000+ hrs, & Sandy Simons MD says EPs must speak up against nonphysicians taking over pt care. tinyurl.com/599bhm8k

A staggering 97 percent of EPs misapply the HINTS exam when assessing vertigo.

The gap between the exam’s theoretical effectiveness and its practical application might be discouraging, but Rick Pescatore, D.O. says there is hope. tinyurl.com/3ut8ztfs #FOAMed

What are the top 3 causes of shock in trauma? Hemorrhage, hemorrhage, and hemorrhage. That’s not a typo! Blake Briggs, MD and iltifatMD discuss how to treat traumatic bleeding, only in this month’s EM Board bombs.

tinyurl.com/BoardBombs-EMN #FOAMed

Treating SVT is quite different from treating VT, and their mortality outcomes are also much different.

@blakebriggsmd says the safest way to treat wide complex tachycardia is to assume VT until proven otherwise. tinyurl.com/22dxuyxb #FOAMed

Broaden your clinical knowledge w/ podcasts & videos from Amal Mattu EMedHome Blake Briggs, MD iltifatMD EM Board bombs D. Brady Pregerson, MD Robert Needleman MD Munish Goyal Alex Koo, MD; Lloyd Tannenbaum, MD; Ryan Spangler, MD; and Zachary Wynne, MD, at EM-News.com #FOAMed

It might be graduation season, but learning never ends thanks to new clinical articles by Christine Butts Leon Gussow Bonnie Kaplan Michelle Lin, MD EMedHome,UpToDate, and Chris Mondie, DO, at EM-News.com #FOAMed

In this month’s Emergency Medicine News, I wrote about SAEM’s #GRACE3 recommendations for #vertigo , Jay Gatsby, and the #orgastic future of #EmergencyMedicine .

I hope you’ll check it out.

journals.lww.com/em-news/fullte…

Usually, the more experience you have, the more certain you are about your job.

Not in EM.

Bill Kreider, MD, says the longer he practices, the more patients he meets who make him to question what he knows. tinyurl.com/5ft47wjm

New issue coming out tomorrow. Find out when it goes live by signing up for our table of contents at EM-News.com. (Click “Get eTOC Alerts” at the bottom of the home page.)

Patients go to the ED looking for answers. They want to know what’s going on and when it will be over.

But Ryan Richman, MD, FACEP says “I don’t know” is usually the best answer of all, and that can be a hard concept for EPs to accept. tinyurl.com/bdemy4jy