What underlying disease process associated with Down syndrome can cause intraventricular hemorrhage at such an early age without other known risk factors? Read this case report:

Are emergency physicians experts at #multitasking? Is this a skill EPs naturally possess or can develop through learning and practice? A study published a few years ago found that EPs averaged nearly eight interruptions per hour. Read more:

Craig Smolin, MD, noted in his talk at the ACEP Scientific Assembly that drug-induced hyperthermia should be viewed as the STEMI of toxicology because timely and effective intervention is crucial to maximizing the chance of a good outcome. Read more:

The actual incidence of #OvarianTorsion is unknown, but many reports emerging from various women's hospitals and gynecologic acute care centers document that it is among the top five most common gynecologic emergencies.

For how many days do you prescribe nitrofurantoin (Macrobid) in uncomplicated #UTI? Three days is too short, seven days is unnecessarily too long, and five days is just right!

Restorative justice may be used in cases of mistreatment, sexual harassment, and sexual assault in the learning and workplace environments. It can mitigate mistreatment, support medical students returning to school, and aid in anti-racism work. Read more:

More than 12 million antibiotic prescriptions are written in emergency departments every year. Whether testing panels are the solution to overprescribing antibiotics for children with respiratory symptoms in the ED is not that simple, experts say.

Vital signs are not just normal or abnormal but a continuum. Listen to Dr. Pregerson's podcast on the logic surrounding vital signs.

In the January/February issue of EMN, read on IV shortages, locum tenens, and more:

Normal saline has long been the fluid of choice for pancreatitis resuscitation. But @Rick_Pescatore says evidence is mounting that Lactated Ringer’s reduces organ dysfunction in patients with severe pancreatitis by avoiding metabolic imbalances. #FOAMed

Imagine someone who’s equal parts physician, telephone operator, data entry clerk, car salesman, and hostage negotiator. That’s how @edwin_leap feels when trying to sell admissions and transfers and waiting for callbacks.

Knowing how to interpret the literature is important for EPs to stay up to date. @EM1MinuteGuru discusses all kinds of biases, from comparison bias and the Hawthorne effect to outcome bias and publication bias in this month’s EM Logic podcast. #FOAMed

At long L.A.S.T., @IltifatMD & @blakebriggsMD delve into local anesthetic toxicity and some classic ways to remember this rare pathology, only in this month’s @EMBoardBombs podcast. #FOAMed

Ecological fallacies underestimate disease prevalence & perpetuate racial inequities. @dbgingo & @patcroskerry say physicians must be skeptical, if not dismissive, of the explicit bias absorbed in training that is scientifically incorrect.

Robyn Hitchcock, MD, was working a stone’s throw from Mayo Clinic but couldn't get an ultrasound tech on a Sunday. But she was used to working in a resource-limited ED, and said nobody can out small-hospital me.

Her sons went off to college, and every shift reminded @ERGoddessMD that her EM career will not fill the void. Instead, she figures out how to prioritize the things she loves that were marginalized for emergency medicine.

Server or EP, restaurant or ED, it’s pretty much all the same, says @brandtwriting. The parallels are endless: nonstop distractions, long waits, and frustrated clientele—and, of course, EPs get all the blame.

Drug overdoses can obscure a brain death diagnosis, resulting in catastrophic errors when a toxicologic cause has not been ruled out, writes @poisonreview. Significant toxicity may exist even if blood concentrations are relatively low. #FOAMed #FOAMtox

A commitment to ending ED boarding is also a pledge to anti-racism and patient safety, writes @StarrKnightMD. And that’s not all: Boarding and its ugly friend ED crowding also negatively affect emergency physician well-being.

Using ultrasound to examine patients for deep vein thrombosis should look at least two regions. But adding a third increases sensitivity, says @EMNSpeedofSound, in this how-to for DVT US exams. #FOAMus