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
Emergency Medicine
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
The Rise of the “Vertical ED”: Can Standing Reduce Boarding?
The Rise of the “Vertical ED”: Can Standing Reduce Boarding? Review Abstract Emergency department boarding has become a persistent and complex challenge across healthcare systems worldwide. Boarding refers to the prolonged stay of admitted patients in the emergency department after a decision to admit has been
Managing Violence in the ED: How Far Should Self-Defense Policies Go?
Managing Violence in the ED: How Far Should Self-Defense Policies Go? Review Abstract Workplace violence in emergency departments has become an increasingly significant occupational hazard, posing serious risks to physicians, nurses, and allied healthcare personnel. Emergency settings are uniquely vulnerable due to high patient acuity, overcrowding,
Artificial Intelligence in Airway Management: Can Algorithms Predict a Difficult Intubation?
Artificial Intelligence in Airway Management: Can Algorithms Predict a Difficult Intubation? Review Abstract Accurate prediction of difficult intubation remains a critical and unresolved challenge in anesthesiology and emergency medicine. Failure to anticipate a difficult airway can result in serious complications, including hypoxia, aspiration, airway trauma, and in
The Return of Old Antibiotics: Are Colistin and Fosfomycin Making a Comeback?
The Return of Old Antibiotics: Are Colistin and Fosfomycin Making a Comeback? Review Abstract The rise of multidrug-resistant bacterial infections has forced clinicians to reconsider older antimicrobial agents previously abandoned due to toxicity concerns. Colistin and fosfomycin, antibiotics discovered decades ago, have experienced renewed clinical
