Does etomidate increase the risk of hospital-acquired pneumonia?

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Burnout is common among physicians and very common in Emergency Physicians. Find out more in this podcast.

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Hey, keep it down out there! Pagers, monitor beeps, and loud conversation are keeping our patients awake. What can you do to make your ED quieter and your patients happier and slightly more sane?

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If all aspects of a study are equal, we as physicians are jaded if a study is pharmaceutical-industry funded.  Should we be?  You will want to leave your comments on this one!

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Synthetic cannabinoids - spice is not nice!

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Is the future a one-hour rule-out or rule-in of MI?

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The debate over colloid vs. crystalloid in severe sepsis is over. For colloid compared to crystalloid the NNH (number needed to harm... i.e. to kill) is 13!

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Everybody knows femoral lines have greater risk of infection than subclavian or IJ, right? This meta-analysis calls that into question, but it has some potential problems.

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What is the yield of emergent neuroimaging in first complex febrile seizure?  It's low. Are we over-scanning these kids?

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NSAIDs may be associated with poor fracture healing, but what is the evidence? Much of it is animal data, so we have some firm recommendations for rats with spine fractures! Kidding... Jim Fiechtl has some pearls for you here!

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Should we use lactate cutoffs (less than 4 or greater than 4) or lactate increments in sepsis patients?

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Should we use lactate cutoffs (less than 4 or greater than 4) or lactate increments in sepsis patients?

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Sonographic Yoda (Rob Ferre) discusses this RCT comparing short vs. long ultrasound-guided IV catheters.

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Sonographic Yoda (Rob Ferre) discusses this RCT comparing short vs. long ultrasound-guided IV catheters.

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CCTA decreased length of stay but increased resource utilization.

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CCTA decreased length of stay but increased resource utilization.

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As non-invasive ventilation rates increased, intubation rates decreased. Coincidence? Listen to find out!

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As non-invasive ventilation rates increased, intubation rates decreased. Coincidence? Listen to find out!

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This is a really slick website and mobile app I found called Docphin. This is a huge help in staying up with the latest EM literature (...except a certain podcast you know and love!).

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This is a really slick website and mobile app I found called Docphin. This is a huge help in staying up with the latest EM literature (...except a certain podcast you know and love!).

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Epi is bad! Epi is good! Which is it? Well, this week it's good to give epi in out-of-hospital cardiac arrest (OHCA). Seriously, I think this article is pretty compelling for the use of epinephrine in OHCA.

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Epi is bad! Epi is good! Which is it? Well, this week it's good to give epi in out-of-hospital cardiac arrest (OHCA). Seriously, I think this article is pretty compelling for the use of epinephrine in OHCA.

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IV lipid emulsion (ILE) may be used for cardiotoxic overdose. This study had some serious quality issues, but the concept of ILE is pretty compelling. Take a listen.

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IV lipid emulsion (ILE) may be used for cardiotoxic overdose. This study had some serious quality issues, but the concept of ILE is pretty compelling. Take a listen.

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Dr. Mitesh Patel is Co-founder and CEO of Docphin. These guys have made a really cool "Personalized Health Information Network". This is a slick website and iPhone app, and we give you the scoop on it in this podcast.

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Dr. Mitesh Patel is Co-founder and CEO of Docphin. These guys have made a really cool "Personalized Health Information Network". This is a slick website and iPhone app, and we give you the scoop on it in this podcast.

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Please, tell me it's true! It looks like we can stop doing a LP after negative CT for SAH with a few important caveats. Better listen to make sure you know when it is safe to omit the LP!

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Please, tell me it's true! It looks like we can stop doing a LP after negative CT for SAH with a few important caveats. Better listen to make sure you know when it is safe to omit the LP!

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The ADAPT trial used TIMI, ECG, and troponin-only as a rapid rule out, but the study has some significant limitations, which Tyler Barrett points out. Better listen before you put this one into practice!

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The ADAPT trial used TIMI, ECG, and troponin-only as a rapid rule out, but the study has some significant limitations, which Tyler Barrett points out. Better listen before you put this one into practice!

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