SGEM#488 recorded live in Broome, Australia at the Spring Seminar on Emergency Medicine with guest skeptic @broomedocs.bsky.social thesgem.com/2025/10/sgem... #MedSky @nmay.bsky.social @cliffreid.bsky.social

Latest research round up journal club out now: first10em.com/the-first10e...

Latest Journal club episode out now podcasts.apple.com/au/podcast/b... #foamed #foamcc #medsky

Replicating data.. crisis solved xkcd.com/3117

Hello measles, my old friend: The return of previously vanquished vaccine-preventable diseases sciencebasedmedicine.org/hello-measle... #MedSky

Latest podcast out now! traffic.libsyn.com/broomedocs/A... #foamed

The Broomedocs podcast is now live on Spotify for the first time! I’m still cool with the kids eh? open.spotify.com/show/6eWDjq8... #emimcc #foamed

@eddcarlton.bsky.social we covered a paper by you on th podcast this week ! broomedocs.com/2025/01/firs...

The first episode of the Journal club for 2025 is out now! broomedocs.com/2025/01/firs... #emimcc #medsky #foamed

Nice article about the medicalisation of dying "Death is increasingly seen as a failure, rather than a natural stage of life" #emimcc #medsky

The December 2024 #FOAMed research roundup This edition contains what I think might be the best article I have ever read: Did you know that ants are better doctors than we are??

Latest EBM Journal Club out now #FOAMed #medsky #EMIMCC broomedocs.com/2024/12/firs...

Doing some research today and discovered the heart of a grasshopper is a tube as thick as a strand of spaghetti and my day is infinitely better

Femoral Central Lines are awesome! 1) Infection rate equal to rate with IJ (subclavian are cleaner) 2) Easier to place in the awake patient 3) 0% PTX rate (IJ ~ 0.5%, Subclavian ~ 1.5%) 4) Single prep for CVL + Art line #MedSky #EMIMCC bit.ly/41JI8jt

Can POCUS + Dimer exclude acute aortic dissection in the ED? Or speed up the time to surgery? broomedocs.com/2024/12/prof... #medsky #emimcc #FOAMed @emhighak.bsky.social @pulmcrit.bsky.social @stemlyns.bsky.social

Vodcast out now… analysis of the PROFUNDUS trial in ED rule out of dissection… #foamed youtu.be/j_ejoaVynXI?...

Roses are red, Sometimes they’re blue. Depending upon their velocity in relation to you… @thesgem.bsky.social

Attended an in-flight emergency today… airline had exactly ZERO medications/ equipment or even PPE. the medical bag contained 10 amps of “ammonia” for uncertain purpose! Fascinating how an industry obsessed with safety does this! @kangaroobeach.bsky.social @first10em.bsky.social

If you work in a hospital outside the metro centres … this is the conference for you to learn some sick skills cos: critical illness doesn’t respect geography @thesgem.bsky.social @eleytherius.bsky.social @first10em.bsky.social

Spring sessions inEM #SSEM will be a fun, #FOAMed filled event in 2025

www.nejm.org/doi/full/10.... Interesting for the US folk out here

Welcome @mgottliebmd.bsky.social to the #foamed sky community… if it was okay to have a favourite researcher… !

Doing a review of the PROFUNDUS trial… POCUS +ADD score + Dimer for dissection in the ED… Which order would you use these elements of diagnosis for aortic dissection? @first10em.bsky.social @emcrit.bsky.social @thesgem.bsky.social @emmanchester.bsky.social #foamed #medsky

Everyone loves to argue about TXA – so I made a blog post on WOMAN-2! And – even better, I had help from my custom OpenAI Agent to do so. Or ... is it actually better? What would you say? #FOAMed #medsky www.emlitofnote.com?p=4738

Don’t tend to use a loading dose as it is associated with all the side effects where a little patience would help the patient #foamed @pulmcrit.bsky.social

Teen with abdominal pain after liver biopsy Transverse(above)+sagittal (below) US of gallbladder show it to be diffusely filled with echogenic material. #RadSky #FOAMed #MedEd #FOAMRad #PedsRad #radiology #radiología #radiologie #pediatrics #paediatrics #pediatría #pédiatrie #pädiatrie

Fantasy “big picture review” of the modern management of Pe www.uscjournal.com/articles/cri... #foamed - it’s a controversial area but well laid out here as a primer

BRASH syndrome ECG: - subtle peaked T-waves from hyperkalemia - bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes (more on BRASH: emcrit.org/ibcc/brash/) (ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky

I’m reposting this talk I gave a few years ago. If you want to know what a career as a rural generalist can be or just know more about my journey.. have a watch. It’s the best talk I have ever given youtu.be/9qICIcbbOT8?... #foamed #medsky

Airway, breathing, cellphone: a new vital sign? link.springer.com/article/10.1... @first10em.bsky.social @broomedocs.bsky.social Finally some decent EBM!

The Spring Sessions in EM conference is coming to Broome in 2025… if you have a passion for rural Emergency Medicine then join us. DM me if you have something to present to your peers!

Faster sodium correction is better in hyponatremia?! 🤯

Giving this a big 👎 Downsides: Hypertensive response to prolonged laryngoscopy Interruption to all patient Mx until after 7 breaths Most concerning is the suggestion that this "may result in a reduced need to remove the tracheal tube" as laryngoscopy alone cannot be used to exclude oesoph intbtn

Another PO vs IV antibiotic trial… pubmed.ncbi.nlm.nih.gov/38734138/

happy #antibioticawarenessweek!🦠 sharing a paper I ❤️ from Dr. Dinh, a lovely human who told me they noticed in their RCTs that some patients were getting exclusive PO treatment for CAP (dealers choice!) They explored these pts and its worth a read #idsky #pharmsky pubmed.ncbi.nlm.nih.gov/38734138/

Question for US EMS colleagues, came up whilst looking at an airway paper; Do some US EMS services, non critical care, use intubation in non-cardiac arrest patients? And if so; is that with or without the use of paralytics and sedation? Thanks loads for any info available!

Clinical evaluation of a machine learning–based early warning system for patient deterioration. thesgem.com/2024/11/sgem... #MemeMonday @emlitofnote.bsky.social @hotsahs.sahsi.net

My quick take on the SHED trial and the work up of acute severe headaches in ED. youtu.be/gnnd0g7O6j0?... #foamed #medsky #Emedsky

first10em.com/the-november... #foamed #EMedsky #medsky

Culture is EVERYTHING

There’s some good stuff on X you guys should check it out

What factors make peri-op gastric ultrasound difficult? • increase in BMI • male sex • trauma surgery • ASA physical status of 3 or 4 • emergency surgery #AnSky #MedSky 🧪 #POCUS https://buff.ly/48Y0wa4

The amazing @caseyalbin? On bacterial meningitis? How to LP, who needs invasive ICP monitoring, and way more on this week's episode. icuscenarios.com/episode-81-b... #medtwitter #FOAMcc #FOAMed #neurocrit

Septic shock requiring three or more vasopressors was associated with 57.6% in-hospital mortality. (That's it?!?!? - seems low)... 342 ICUs. Free article. #emimcc #FOAMed pubmed.ncbi.nlm.nih.gov/39529908/

The latest from St Emlyns: Claire Park at #TacticalTrauma on Care in the Hot Zone #FOAMed #MedSky #EMSky #EMedSky www.stemlynsblog.org/podcast-care...

Cefepime should be used instead of piperacillin-tazobactam. Piperacillin-tazobactam should be used instead of cefepime. No, you're killing people, you monster! Or, are you? Or do we even know? #FOAMed #medsky #nephsky www.acepnow.com/article/sett...

There are 58 #EMedSky folks in here so far - if I’ve missed you, let me know and I’ll add you. Please be kind and patient, it’s gotten quite busy here recently!

Setting up an #EMedSky starter pack of Emergency Medicine migrants - find it here :) go.bsky.app/FoZStzh