Evidence-based clinical review Early Pregnancy Bleeding: A Risk-Based Playbook for Pregnancy of Unknown Location and Ectopic Pregnancy How to integrate symptoms, transvaginal ultrasound, hCG trajectories, pregnancy goals, and follow-up capacity without overcalling a single threshold Estimated reading time: 17 minutes
Tag: emergency medicine
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,
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
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
Why Diagnostic Stewardship in the ED Actually Reduces Medical Errors
Why Diagnostic Stewardship in the ED Actually Reduces Medical Errors Introduction Diagnostic stewardship represents a critical yet underutilized approach to reducing medical errors in emergency medicine. In fact, history and physical examination alone provide 73%-94% of the information needed for accurate diagnosis,
Pulse Pressure Variation: The Missing Key to Fluid Responsiveness in ED
Pulse Pressure Variation - The Missing Key to Fluid Responsiveness in ED Introduction Pulse pressure variation remains a critical but underutilized method for assessing fluid responsiveness in emergency and critical care settings. Despite the widespread use of fluid bolus administration in shock and circulatory failure, approximately half
