Evidence-based clinical review Triple Therapy for COPD: Who Benefits, Who Is at Risk for Pneumonia, and Who May Be Overtreated? A phenotype- and exacerbation-based approach to adding, continuing, or withdrawing inhaled corticosteroids Estimated reading time: 16 minutes
Emergency Medicine
Ultrasound-Guided Central Venous Access: Is Landmark-Only Placement Now Outdated?
Evidence-based clinical review Ultrasound-Guided Central Venous Access: Is Landmark-Only Placement Now Outdated? For routine central venous catheterization, real-time ultrasound should be the default when trained operators and functioning equipment are available. Landmark-only access still has a limited contingency role. Estimated reading time:
Prehospital Blood Products: Determining Which EMS Units Should Carry Them
Evidence-based clinical review Prehospital Blood Products Determining Which EMS Units Should Carry Them Clinical Notes No, not every EMS unit should carry blood. The most defensible goal is reliable regional access to early transfusion. This is best achieved through selected assets that can maintain
The Low-Wait Emergency Department: AI-Supported Patient Flow and Smart Bed Management
The Low-Wait Emergency Department: AI-Supported Patient Flow and Smart Bed Management Review Abstract Emergency department crowding is a persistent safety, access, and operations problem. It is rarely caused by a single failure inside the emergency department. It often shows how arrival volume, patient acuity, staffing,
REBOA in Non-Trauma Cardiac Arrest: Heroic Rescue or Futile Effort?
REBOA in Non-Trauma Cardiac Arrest Heroic Rescue or Futile Effort Review Abstract Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a novel endovascular intervention with potential applications beyond its established role in traumatic hemorrhagic shock. In recent years, interest has grown in
Trauma in Older Adults on Anticoagulation: When Reversal Helps—and When Observation Is Safer
Trauma in Older Adults on Anticoagulation: When Reversal Helps and When Observation Is Safer Review Abstract The management of older trauma patients receiving anticoagulant therapy requires rapid but individualized decision-making. As anticoagulant use has increased for atrial fibrillation, venous thromboembolism, mechanical heart valves, and other
Energy Devices Under the Microscope: Are We Underestimating Thermal Injury?
Energy Devices Under the Microscope: Are We Underestimating Thermal Injury? Review Abstract Purpose: To examine current understanding of thermal injury mechanisms in energy-based medical devices and assess whether healthcare providers adequately recognize risk factors, injury patterns, and prevention strategies. Methodology: Analysis of current literature, clinical case studies,
The Rise of Pan-Resistant Gram-Negatives: Are We Running Out of Options?
The Rise of Pan-Resistant Gram-Negatives: Are We Running Out of Options? Review Abstract Pan-resistant gram-negative bacteria represent one of the most pressing challenges in modern medicine. These organisms exhibit resistance to virtually all available antimicrobial agents, leaving clinicians with extremely limited therapeutic options. This paper
Emergency Department Boarding: Patient Safety Crisis or Hospital Failure?
Emergency Department Boarding: Patient Safety Crisis or Hospital Failure? Review Abstract Emergency department (ED) boarding represents one of the most pressing challenges facing modern healthcare systems. This phenomenon occurs when patients who require hospital admission remain in emergency departments for extended periods because of a lack
Intravenous Lipid Rescue: Why It’s Saving Lives Far Beyond Local Anesthetic Toxicity
Intravenous Lipid Rescue: Why It’s Saving Lives Far Beyond Local Anesthetic Toxicity Review Abstract Intravenous lipid emulsion therapy, originally developed as nutritional support, has emerged as a critical rescue intervention for drug toxicity cases well beyond its initial application in local anesthetic systemic toxicity. This
