We can do better initiating medication for #OUD in the #emergency department based on data in this study. #medsky #emsky #emedsky

Can the success of #prehospital #blood transfusion seen in traumatically injured patients be seen in non-traumatic #hemorrhage patients? This study says, maybe. #medsky #emsky #emedsky

So much #research over the years on #nebulized #pain medication (I’m guilty!) but how many are using it in practice? Here’s another one looking at ketamine. #trauma #medsky #emedsky #emsky

So many #geriatric prediction tools. My bias is find one that’s easy and go with it. The biggest benefit is putting a spot light on #frailty and thinking about how pre-existing disease is going to impact your older #emergency department patient. Am I wrong? #gerisky #emedsky #emsky

Is there an optimal tool to assess #geriatric #emergency department patients and #mortality/morbidity? #gerisky #medsky #emedsky #emsky

Read the latest Educational Pearl on CAB is the new ABC at https://umem.org/educational_pearls/4940/

Circulation before airway in #trauma pts. That’s today’s thought. #emedsky #emsky #medsky

Today’s @umemergencymed.bsky.social Pearl reminds us to use the clinical frailty scale. #gerisky #emedsky #emsky #ccsky

Finished updating the IBCC chapter on septic shock This algorithm is where I ended up 👇 Therapies should be based on several factors (not solely whether CRT is <3; CRT isn't precise so this dichotomy is problematic) Beware of vasopressin; it may depress digital perfusion & block the goal #EMIMCC

#Multimodal pain control. YES IV #paracetamol. YES Rapid onset opiate agonist/antagonist. YES This study offers many options for #prehospital traumatic #pain control. #emedsky #medsky

This @umemergencymed.bsky.social pearl reminds us that norepinephrine may have a place in #ACLS in the future. #medsky #emedsky #ccsky #emsky

Are we ready to give up our mechanical CPR devices?

Read the latest Educational Pearl on Low-Dose Radiation Therapy for Osteoarthritis at https://umem.org/educational_pearls/4911/

Further evidence we should be testing for,and encouraging vaccination against, RSV. #medsky #emsky #emedsky #idsky @umemergencymed.bsky.social

A nice look at fall risk in older patients. If we can anticipate and prevent falls in this group we can impact morbidity and mortality.

Read the latest Educational Pearl on CO Pulse Oximetry in CO Poisoning at https://umem.org/educational_pearls/4888/

Read the latest Educational Pearl on Megadose of omeprazole as anti-inflammatory agent in sepsis at https://umem.org/educational_pearls/4890/

This conference has a ton of great speakers and topics. Check out cms.umem.org/index.php/tc... The Crashing Patient Conference 2025 | UMEM Events. #medsky #emedsky #emsky #ccsky

Where the separate divisions of ANTIFA landed on the beaches of Normandy on June 6, 1944:

Really nice pearl on screening for child abuse in the ED.

Read the latest Educational Pearl on 2025 HTN guidelines at https://umem.org/educational_pearls/4872/

Today’s @umemergencymed.bsky.social #pearl looks at aggressive lowering of blood pressure in post thrombolysis #CVA pts. More data to sat it doesn’t provide a benefit. #medsky #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine

Read the latest Educational Pearl on More data on intensive blood pressure control in post-thrombolysis CVA patients at https://umem.org/educational_pearls/4864/

How much blood in the chest requires a tube after trauma? How do you calculate how much is there? Answers here. #medsky #trauma #emedsky

Read the latest Educational Pearl on Pneumothorax reminders at https://umem.org/educational_pearls/4858/

When does a #traumatic #pneumothorax require tube thoracotomy? Answer here em.umaryland.edu/educational_... #trauma #medsky #emedsky

Surviving a firearm injury can lead to chronic ongoing issues such as PTSD, pain, nerve injuries and increased risk of reinjury. #trauma #medsky #emedsky #pearl

Rewarm your hypothermic #trauma patients to improve #mortality. #emedsky #medsky #emsky

Anxiety in older patients can lead to worse health outcomes and poorer quality of life. There are certain risk factors for anxiety to be aware of. #gerisky #medsky #emedsky em.umaryland.edu/educational_...

Read the latest Educational Pearl on Antibiotics for abdominal gunshot wounds associated with fractures at https://umem.org/educational_pearls/4845/

Have you ever wondered about #antibiotics for abdominal #gunshot #wounds with associated #fractures? Here you go! #trauma #emedsky #medsky #emsky @umemergencymed.bsky.social

Undertriage of geriatric trauma patients is common due to perceived less severe mechanism, different physiologic normals, lack of using frailty in trusted decision algorithms. Systolic blood pressure <110 should be used instead of <90. #gerisky #medsky #emsky #emedsky

Read the latest Educational Pearl on Inpatient stroke risk with blunt cerebral vascular injury at https://umem.org/educational_pearls/4842/

#emedsky #emsky #medsky Blunt Cerebral Vascular Injury and inpatient stroke risk:

A recent study in Injury assessed factors in missed injuries in #trauma patients: complexity, mental status, age, substance use, physician fatigue, lack of humility, and not double checking work were all important factors. em.umaryland.edu/educational_... #medsky #emsky #emedsky

Read the latest Educational Pearl on Traumatic Brain Injury Management Reminders at https://umem.org/educational_pearls/4836/

This @umemergencymed.bsky.social #pearl is a reminder of the targets for physiologic homeostasis in #traumatic #brain #injury. Early intervention to achieve these goals along with seizure prophylaxis lead to better outcomes. #medsky #emedsky #emsky

Read the latest Educational Pearl on Age friendly hospital quality measure at https://umem.org/educational_pearls/4827/

Info on the US CMS health measure looking at Age Friendly Healthcare. #gerisky #medsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Read the latest Educational Pearl on Use of shock index in compensated shock state to predict transfusion at https://umem.org/educational_pearls/4826/

Shock index can be used in compensated shock #trauma pts. to predict blood transfusion need within one hour of arrival at a trauma center. #medsky #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Today, we continue the conversation about facial fractures and who needs to be transferred to a higher level of care. #medsky #trauma #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Today’s Pearl reviewed basic #facial #fractures and anatomy for those interested. #emedsky #emsky #medsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Congrats to all especially Dr. Mattu for all he has done for emergency medicine and our department.

Brain Injury Guidlines for kids? A small start to answering yes. BIG is used in adults to get patients the correct level of care after head injury. Without unnecessary transfers or consultation. Now we are getting closer for kids too #emedsky #trauma #pedsky #medsky #emsky

Read the latest Educational Pearl on BIG for kids at https://umem.org/educational_pearls/4819/

www.asahi.com/ajw/articles... If only there was a vaccine. Wait there is!

Read the latest Educational Pearl on Call Neurosurgery for that abscess! at https://umem.org/educational_pearls/4818/

Brain abscess patients do better with drainage according to this study. #medsky #idsky #emedsky #emsky #neurosurgery

A NY health system is restructuring due to financial pressures created by federal cuts including moving from a level 2 to 3 #trauma center. I believe we will see more of this as #Medicaid payments are cut. Trauma leaders need to evaluate referral patterns, EMS protocols, etc in this new environment.