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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…
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…
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…
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…
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…
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…
When More is Less: Re-examining CTA use in GI Bleeds
Gastrointestinal bleeding is a frequent and potentially life-threatening presentation in the ED. With CT angiography increasingly being used as a first-line diagnostic tool, are we improving…
COPY That: Re-thinking Pyelonephritis Protocols in the Emergency Department
Pyelonephritis is a commonly treated diagnosis in the emergency department. With resistance rates climbing to the first-line recommended fluoroquinolones and Bactrim, are other antibiotics…
Choice of Pressor in Pediatric Septic Shock
Septic shock remains a leading cause of pediatric mortality, but the choice of first-line vasoactive agent has long been debated. Dr Newton, a PGY-3, discusses this single-center retrospective cohort…
Dr Kotei discusses a scoping review of the placebo and nocebo effects.
In the ED, your words can be as powerful as your meds. In this episode, PGY-3 Dr Kotel unpacks the science of placebo and nocebo, showing how communication shapes patient outcomes—and how small…
When Lung-Protective Ventilation Isn’t Brain-Protective? A Look at the PROLABI Trial
Lung-protective ventilation (LPV), characterized by low tidal volumes and appropriate PEEP, is a cornerstone in managing patients with acute respiratory distress syndrome (ARDS). However, its…
Is Old Age a Reason to Scan a Cervical Spine?
Many clinical decision rules exclude elderly patients from the derivation cohorts. So the question remains unanswered do all elderly patients need cervical spine CTs in the setting of trauma? What…
Using Sound Waves to Help a Cric
It is well known that ultrasound has exploded in its application in both diagnostics and procedures and has ultimately revolutionized the way we practice medicine. With its growing use, more and more…
NIPPV vs OM for preox
More than 1.5 million critically ill adults undergo tracheal intubation each year in the United States. Hypoxemia is a common and serious complication during tracheal intubation in critically ill…
Is Hyperoxemia in Trauma Bad?
Severe trauma is the leading cause of death worldwide for adults younger than 50 years of age. Acute traumatic life support (ATLS) guidelines endorse early and aggressive usage of supplemental oxygen…
Can D-dimer be Used and Useful in High Pre-Test Probability PE Patients?
We know that the d-dimer can be a helpful test for patients who have a low pre-test probability of pulmonary embolism. But can the test be pushed into use for higher risk patients? Will it still have…
Oral Nitro for Food Bolus Impaction
Can a nitro slurry help with food bolus impaction? Glucagon and effervescent beverages have limited evidence for benefit. Can an old drug used in a new way help these patients?
Pediatric Septic Score
Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. This study substituted age adjusted vital sign measures and a pediatric shock index into…
Is Your Head Spinning? The Sudbury Vertigo Risk Score
There is a wide variation in practice, particularly in obtaining neuro-imaging in patients presenting with vertigo. Many patients are imaged and subjected to a longer length of stay, and on the other…
Sniffing out Sepsis - Vibes vs Scoring Systems?
Sepsis remains an increasingly common emergency department condition that is tied to higher morbidity and mortality across the United States as well as the rest of the world. Sepsis as a disease…
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TamingtheSRU has published 104 episodes since June 2019, covering topics in Science.
TamingtheSRU is currently highly active with new episodes every 2 weeks. Average episode length is 16m.
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