Emergency Medicine

Why Emergency Medicine Residents Rarely Choose Surgical Critical Care — A Nationwide Survey and a Roadmap to Increase EM-SCC Matriculation

By MedXY 12/10/2025

A national survey of 111 emergency medicine trainees identifies limited exposure to surgical critical care, institutional and geographic factors, and program characteristics (ECMO, multidisciplinary teams) as key modifiable drivers of low EM matriculation into surgical critical care fellowships.

Emergency Medicine news Pediatrics

Predicting Serious Bacterial Infections in Young Infants with Fever: A Safer Approach to Lumbar Punctures

By MedXY 12/08/2025

An updated clinical prediction tool accurately identifies invasive bacterial infections in infants under 28 days old, potentially reducing unnecessary lumbar punctures while ensuring no cases of bacterial meningitis are missed.

Cardiology Emergency Medicine news

ED-Delivered Education Plus mHealth Lowers Systolic BP — TOUCHED Trial Shows a Modest but Meaningful 4.9 mm Hg Reduction at 6 Months

By MedXY 12/05/2025

The TOUCHED randomized trial found that an ED-initiated education plus mHealth and pharmacist/APRN consultation reduced systolic blood pressure by 4.9 mm Hg at 6 months versus usual care in patients discharged with elevated BP.

Anesthesiology Emergency Medicine news

Inhaled Methoxyflurane Matches or Exceeds Standard Analgesics for Rapid Prehospital Pain Relief: Results from the PreMeFen Randomised Trial

By MedXY 11/28/2025

The PreMeFen trial found inhalational methoxyflurane provided rapid, clinically meaningful pain relief at 10 minutes and was non-inferior to intranasal fentanyl and intravenous morphine in the prehospital setting, offering a practical non‑intravenous bridging option.

Cardiology Emergency Medicine news

Vernakalant Beats Procainamide for Rapid ED Cardioversion of Recent-Onset Atrial Fibrillation: Results from RAFF4

By MedXY 11/21/2025

The RAFF4 randomized trial found intravenous vernakalant superior to procainamide for rapid cardioversion of acute atrial fibrillation in the emergency department — higher conversion within 30 minutes, faster time to sinus rhythm, and fewer electrical cardioversions, with similar short-term safety.

Diabetes & Endocrinology Emergency Medicine news

Heat and Dehydration Increase Carbohydrate Use During Endurance Exercise — Heat Is the Dominant Driver

By MedXY 11/09/2025

A 2025 systematic review and meta-analysis found that endurance exercise in the heat increases carbohydrate oxidation and muscle glycogen use; dehydration amplifies this effect principally when combined with heat. Findings inform fueling and hydration strategies for athletes and at-risk populations.

Critical Care Emergency Medicine news

Noninferiority of Deferring Early Arterial Catheterization in Shock Management: Insights from a Multicenter RCT

By MedXY 10/31/2025

A large multicenter trial demonstrated that deferring early arterial catheter insertion in ICU patients with shock is noninferior to early invasive monitoring for 28-day mortality, with fewer catheter-related complications and comparable safety profiles.

Cardiology Emergency Medicine Family Medicine & Nutrition news

Evaluating the Impact and Economics of Home Automated External Defibrillators: Insights from the CARES Registry

By MedXY 10/29/2025

AEDs improve survival in in-home cardiac arrests with shockable rhythms but are not cost-effective for widespread private home use at current prices and incidence rates, per a large US cohort study using CARES data.

Emergency Medicine Internal Medicine news

Venomous Snakes and Snakebites in the US: What You Need to Know to Stay Safe

By MedXY 10/29/2025

Venomous snakes cause thousands of bites annually in the US, with serious health consequences. Understanding snake types, symptoms, first aid, and prevention can save lives.

Emergency Medicine Hematology-Oncology news Pediatrics

Timely Opioid Administration in Pediatric Emergency Departments Reduces Hospitalizations for Acute Sickle Cell Pain

By MedXY 10/27/2025

Prompt opioid delivery in pediatric EDs for sickle cell pain significantly lowers hospitalization rates, with the greatest benefit seen when the first dose is given within 60 minutes and the second dose within 30 minutes.

Critical Care Emergency Medicine news

Reassessing the Safety of Peripheral Vasopressor Use in Early Sepsis: Evidence from a Large Prospective Cohort Study

By MedXY 10/27/2025

This study evaluates factors influencing vasopressor route choice in sepsis and demonstrates low complication rates associated with peripheral administration, supporting its safety in early resuscitation.

Clinical Updates Emergency Medicine Infectious Diseases news Pediatrics Public Health

Optimizing Gonorrhea and Chlamydia Screening for Adolescents in Emergency Departments: Evidence from Targeted and Universal Strategies

By MedXY 10/27/2025

Comparative effectiveness evidence from multicenter pediatric emergency departments demonstrates that targeted and universally offered gonorrhea and chlamydia screening increase detection rates versus usual care, highlighting the need for integrated ED screening protocols in adolescents.

Emergency Medicine news Pediatrics

Declining Antiviral Prescribing for High-Risk Children with Influenza in US Pediatric Emergency Departments During the COVID-19 Era

By MedXY 10/26/2025

Antiviral prescriptions for children at high risk of severe influenza in US pediatric emergency departments decreased by over 50% during the COVID-19 pandemic compared with prepandemic rates, despite unchanged treatment guidelines.

Emergency Medicine news Plastic Surgery

Comprehensive Management of Animal Bites: Integrating Plastic Surgery and Predictive Algorithm Approaches

By MedXY 10/24/2025

This article reviews injury profiles from animal bites, emphasizing plastic surgery roles, treatment strategies, and a predictive model for complications, based on a large clinical dataset from Balıkesir University.

Emergency Medicine Gastroenterology General Surgery Pediatrics Specialties

Evaluating Fentanyl Use in Pediatric Ileocolic Intussusception Reduction: Implications for Pain Management and Success Rates

By MedXY 10/22/2025

A large multicenter study finds no association between fentanyl administration and failed reduction of pediatric ileocolic intussusception, supporting its safe use for analgesia during the painful reduction procedure.

Emergency Medicine Neurology Rehabilitation Medicine Specialties

Evaluating Telestroke’s Impact on Acute Ischemic Stroke Treatment Timeliness and Outcomes

By MedXY 10/22/2025

Telestroke evaluation increases thrombolysis rates but is associated with longer treatment times and delays in patient transfers in acute ischemic stroke, highlighting the need to address modifiable treatment delays.

AI Critical Care Emergency Medicine Pediatrics Specialties

Advancing Early Pediatric Sepsis Detection: Machine Learning Models Predicting Onset Within 48 Hours

By MedXY 10/21/2025

This study developed and validated machine learning models with high accuracy to predict early pediatric sepsis and septic shock within 48 hours using multisite electronic health record data in emergency departments.

Critical Care Emergency Medicine news Public Health Specialties

Empowering Older Adults in Acute Care: Insights on Shared Decision Making for Treatment Escalation Planning

By MedXY 10/20/2025

This qualitative UK study explores older patients' perspectives on shared decision making for treatment escalation during acute hospital deterioration, highlighting the need for patient autonomy, education, and adaptable clinical approaches.

Critical Care Emergency Medicine news

Innovative Respiratory Gas Delivery Device Significantly Extends Survival Time in Simulated Critical Avalanche Burial

By MedXY 10/10/2025

A randomized clinical trial demonstrates that a novel avalanche safety device delaying hypoxia and hypercapnia can extend survival time beyond the critical 35-minute asphyxiation window during avalanche burial.

Emergency Medicine news Psychiatry

Which Mental-Health Steps Should Trauma Teams Prioritize? A Practical Synthesis of New Guideline Recommendations

By MedXY 10/10/2025

A systematic synthesis of clinical practice guideline recommendations for preventing and managing mental disorders after traumatic injury, with prioritized, implementable actions for acute and early recovery care.