Archive

This Week at a Glance

• ⭐Highlight of the Week: AHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026)
• 📌Important EM Papers: Are high doses of naloxone required for nitazene overdoses?
• 📡FOAM Radar: Contrast Controversies: Contrast Media Reactions in Emergency Medicine
• 📋Guidelines Update: ACG Clinical Guideline: Colonic Diverticulitis
• 🔗Adjacent Specialties: Bat exposure and rabies — a fatal case
• ⚠️Methodology Flag: Sedation Early After Return of Spontaneous Circulation and During Pre-Hospital Transport After Out-Of-Hospital Cardiac Arrest

This Week at a Glance

• ⭐Highlight of the Week: Ebola virus disease
• 🔬Practice-Changing EM: Vasopressors or Fluids in Early Septic Shock (ARISE FLUIDS)
• 📌Important EM Papers: Association of Rescue Breathing With Outcomes in Adult Suffocation-Related Cardiac Arrest
• 📡FOAM Radar: PulmCrit: Is oseltamivir assassinating ICU patients?
• 🔗Adjacent Specialties: Heart Failure Occurring in the Perinatal Period: A Scientific Statement From the American Heart Association

This Week at a Glance

• ⭐Highlight of the Week: Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia
• 📌Important EM Papers: Accuracy of Point-of-Care Ultrasound Versus Consultative Echocardiography to Identify Right Ventricular Dysfunction in Emergency Department Patients With Pulmonary Embolism
• 📡FOAM Radar: Age-Adjusted D-Dimer Cutoff Levels to Rule Out Deep Vein Thrombosis
• 🔗Adjacent Specialties: Mechanical CPR Device Use and Cardiac Arrest Survival in EMS Agencies
• 🌐Major Journals Scan: Comparison of Intraosseous Line Placement Location and Rates of Return of Spontaneous Circulation and Survival to Discharge Among Patients with Out-of-Hospital Cardiac Arrest

This Week at a Glance

• ⭐Highlight of the Week: Conservative Oxygen for Unresponsive Patients after Cardiac Arrest (LOGICAL Trial)
• 📡FOAM Radar: Meta-Analysis of Norepinephrine vs Epinephrine After Cardiac Arrest
• 📋Guidelines Update: 2026 AHA/ACC/ADA/ASN Guideline for the Prevention, Detection, Evaluation, and Management of Cardiovascular-Kidney-Metabolic (CKM) Syndrome
• 🔗Adjacent Specialties: Recurrent Venous Thromboembolism During Anticoagulation: Diagnosis, Systematic Evaluation, and Management
• 🌐Major Journals Scan: Hospital Policy of Tranexamic Acid to Reduce Transfusion in Major Noncardiac Surgery (TRACTION Trial)
• ⚠️Methodology Flag: Association between the time to norepinephrine initiation and mortality in patients with sepsis

This Week at a Glance

• ⭐Highlight of the Week: ED Return Visits: Separating Signal from Noise
• 📡FOAM Radar: Should I treat Strep throat?
• 📋Guidelines Update: ACR Appropriateness Criteria® Epigastric Pain
• 🔗Adjacent Specialties: Incidence and Outcomes of Refractory Septic Shock per Consensus Clinical Criteria: A Multicohort Retrospective Study
• 🌐Major Journals Scan: Ambulance offload delays and patient outcomes: a systematic review

This Week at a Glance

• ⭐Highlight of the Week: Airway management with a supraglottic airway device during resuscitation by basic life support providers: a systematic review
• 📡FOAM Radar: Acute Liver Failure
• 🔗Adjacent Specialties: Intensive Versus Conventional Blood Pressure Lowering After Successful Endovascular Thrombectomy: OPTIMAL-BP 1-Year Outcomes

This Week at a Glance

• ⭐Highlight of the Week: Naloxone administration associated with improved survival in PEA out-of-hospital cardiac arrests
• 🔬Practice-Changing EM: Sodium Bicarbonate for Acute Metabolic Acidosis in Critically Ill Adults: A Meta-Analysis of Randomized Clinical Trials
• 📡FOAM Radar: Raising the Barb: Evolving Practices in Alcohol Withdrawal Management
• 🔗Adjacent Specialties: How I do it: Managing a Critically Ill Patient with Pulmonary Arterial Hypertension
• 🌐Major Journals Scan: Coronary microvascular dysfunction and cardiovascular outcomes (Multicenter FLOW-CMD Registry)
• ⚠️Methodology Flag: Implementation of Double Sequential Defibrillation (DSD): An Aotearoa New Zealand observational study

This Week at a Glance

• ⭐Highlight of the Week: Azithromycin for Preschoolers with Wheezing in the Emergency Department
• 🔬Practice-Changing EM: Systematic Review of Pediatric Ketamine in Emergency Department Procedural Sedation: Frequency and Predictors of Adverse Events
• 📡FOAM Radar: Kratom in the ED: Pearls and Pitfalls
• 🔗Adjacent Specialties: Airway Management in Critically Ill Patients with Obesity
• ⚠️Methodology Flag: Prehospital outcomes associated with an initial strategy of intranasal vs. intramuscular naloxone administration by EMS clinicians: a nationwide cohort study

This Week at a Glance

• ⭐Highlight of the Week: A randomised controlled trial of defibrillation with manual pressure augmentation during out-of-hospital cardiac arrest
• 📡FOAM Radar: Beyond Weight Loss: ED Implications of the GLP-1 Era
• 📋Guidelines Update: 2025 update to European Stroke Organisation (ESO) guideline on blood pressure management in acute ischaemic stroke and intracerebral haemorrhage
• 🌐Major Journals Scan: Intravenous Tenecteplase Prior to Endovascular Treatment for Ischemic Stroke at 4.5 to 24 Hours: The TNK-PLUS Randomized Clinical Trial

This Week at a Glance

• ⭐Highlight of the Week: Initial 12 mg Versus 6 mg Adenosine for Supraventricular Tachycardia in the Emergency Department
• 📡FOAM Radar: EMCrit 424 – 2026 Crashing PE Update
• 🔗Adjacent Specialties: Diagnostic Delays in Pediatric Acute Ischemic Stroke: 24-Year Trends and Contributing Factors in Switzerland
• 🌐Major Journals Scan: Once-weekly semaglutide versus placebo in patients with alcohol use disorder and comorbid obesity: a randomised, double-blind, placebo-controlled trial
• ⚠️Methodology Flag: Neurological Outcome of Out-of-Hospital Cardiac Arrest Patients Ventilated with Continuous Flow Insufflation of Oxygen: A Multicenter Observational Study

This Week at a Glance

• ⭐Highlight of the Week: Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock (PRoMPT BOLUS)
• 🔬Practice-Changing EM: Haematoma block versus sedation for manipulating distal radius fractures in the emergency department
• 📡FOAM Radar: Traumatic Brain Injuries: A (m)BIG Headache
• ⚠️Methodology Flag: External validation of the emergency CT head score to reduce non-trauma imaging: a multicentre retrospective study

This Week at a Glance

• ⭐Highlight of the Week: Intranasal Versus Intramuscular Midazolam in Pediatric Seizure Control: A Systematic Review and Meta-Analysis
• 🔬Practice-Changing EM: Emergency Department Observation and Computed Tomography Use in Children With Blunt Abdominal Trauma
• 📡FOAM Radar: EMCrit 423 – Hyperbaric Therapy for Carbon Monoxide Poisoning?
• 🔗Adjacent Specialties: Endovascular Thrombectomy in Patients With Largest Baseline Infarcts (ASPECTS 0-2): An Ancillary Analysis of the LASTE Trial
• 🌐Major Journals Scan: Short Versus Longer Antibiotic Duration for Community-Acquired Pneumonia: A Multicenter Target Trial Emulation
• ⚠️Methodology Flag: The Minnesota Mobile Resuscitation Consortium ECMO Truck: A Feasibility Study for ECPR in Refractory Out-of-Hospital Cardiac Arrest

This Week at a Glance

• ⭐Highlight of the Week: Airway management of adults in the acute care setting
• 📡FOAM Radar: You Don't Understand Dizziness and Vertigo – But You Need To!!!
• 📋Guidelines Update: 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults
• 🔗Adjacent Specialties: Thrombolysis-to-Puncture Time Determines the Differential Effect of Tenecteplase Versus Alteplase in Large Vessel Occlusion
• ⚠️Methodology Flag: Agreement between point-of-care ultrasonography and the Tokyo guidelines 2018 for acute cholecystitis (PACED study)

This Week at a Glance

• ⭐Highlight of the Week: Airway management of adults in the acute care setting
• 📡FOAM Radar: The OPTION Trial: Late-Window TNK for Non-LVO Stroke
• 🔗Adjacent Specialties: Thrombolysis-to-Puncture Time Determines the Differential Effect of Tenecteplase Versus Alteplase in Large Vessel Occlusion
• ⚠️Methodology Flag: Agreement between point-of-care ultrasonography and the Tokyo guidelines 2018 for acute cholecystitis (PACED study)