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New video! Periocardiocentesis under real-time, in-plane ultrasound guidance. Safer, quicker, more convenient. It's boss-level Seldinger-technique, not for the feint of heart, but attainable in the right setting, with the right plan and right backup. youtu.be/61FPmtw5RAM

23-year-old with syncope, severe distress, and a cryptic ECG. A race against time to uncover a deadly diagnosis. Can you spot the clues to a massive PE? Dive in and decode the mystery. litfl.com/electrocardiog… #MedEd #FOAMed #CardioTwitter

Our infographic on Spontaneous Bacterial Peritonitis based on EM Quick Hits 57 emergencymedicinecases.com/em-quick-hits-…

Moulage training session with our current Summa Health simulation fellow! #MedTwitter USACS Education #MedEd #FOAMed

A new systematic review with meta-analysis on preoxygenation methods before emergency intubation came out last month. Bottomline: Oxygen masks are 🗑 we should not be using them. We should be reaching for NIV or HFNC -- both of which are viable options based on current RCT

(1/x) Non-invasive ventilation (BIPAP/CPAP) is one of the few interventions that consistently demonstrates improvement in patient important outcomes... but only if done correctly. A 🧵on avoiding the 6 biggest NIV mistakes

High altitude pathologies (hypobaric hypoxia): 🗻Acute mountain sickness (>2000m) - most common, onset in hrs, lasts 2-3d 🌬️ HAPE (>3000m) - MC killer, "dyspnea at rest" classic boards phrase, +/- fever ☠️ HACE (>4500m) - most severe, rare, ataxia is classic #FOAMed

Another great #simulation session with the EM residents at Summa Health - peri-mortem C-section sim case, aortic ultrasound and slit lamp exam station to go along with our new ABEM Step II practice cases USACS Education USACS

Which patients with superficial thrombophlebitis require further work up or treatment? It’s not quite as straight forward as conservative management. Dr. Adler has an easy approach for us: emottawablog.com/2025/03/in-the…

This ECG is from a man in his 60s — who presented to the ED with 2-3 days of intermittent CP (Chest Pain) — and now a 1 hour duration of 10/10 CP. — In view of this history— How do YOU interpret this ECG?— GO TO — tinyurl.com/KG-Blog-474 —#ECG - #ECG_Ken_Grauer - #EKG — :)

Mock trial w Summa Health Psychiatry residents!Multiprofessional jury deciding case of a fictional pt who committed suicide on behavioral health unit w practicing attorneys, a sr resident as defendant, jr resident/experienced attendings as experts👍🏻 #Simulation USACS Education

👁️ Ocular Ultrasound Part 2 just posted - optic nerve sheath, retinal pathology, real case clips - Sandra Werner takes you deeper into the eye with more ocular ultrasound. 🎥 Watch now: youtu.be/Ym6rx2X-gFY #POCUS #Ultrasound #FOAMed #EmergencyMedicine #metroEUS

Congratulations to my friend and colleague Dr. Nick Jouriles for being the well-deserved recipient of the 2025 SAEM Mentor Award at #saem25 USACS USACS Education Summa Health neomed

Today marks 10 years of USACS! We're proud to celebrate a decade of accomplishments and thank all who've been part of our journey. We look forward to continued growth as the national leader in clinician-owned integrated acute care. Read more at: hubs.la/Q03mPdKf0

Check out ⁦Michael Weinstock⁩ and me discussing the 2024 ACEP Clinical Guideline re topical anesthetics for corneal abrasions on May 2025 ⁦UC Max⁩ ⁦EM:RAP⁩ ⁦Ken Milne MD⁩ ⁦USACS Education⁩ ⁦USACS⁩ ⁦ emrap.org/episode/ucmax2…

Congratulations to Drs. Lyn Haselton and Jon Oskvarek who presented their work on stigma reduction for OUD treatment at #saem25 today 👏🏻👏🏻👏🏻 Summa Health neomed Kent State SAEM USACS Education USACS

EM Cases' High Risk PE Management Algorithm Created by Sara Brade based on latest podcast with Lauren Westafer, DO MPH MS AnotherICUdoc Justin Morgenstern emergencymedicinecases.com/high-risk-pulm… #FOAMed #emergencymedicine

Video or Direct. That is the question when it comes to laryngoscopy these days. Maybe we are looking at the debate from the wrong perspective. This study helps reframe the debate. Maybe its about practice over tools... theprotectedairway.com/2025/05/16/is-…

🩻 Learn how to perform a DVT ultrasound at the bedside. In this ED/Critical Care focused guide, Matt Tabbut, MD breaks down technique, key landmarks, and common pitfalls you don’t want to miss. 🎥 Watch here: youtu.be/AcTksurLHPM #POCUS #FOAMed #Ultrasound #MetroEUS