The Blog

Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!

We hope you find something of interested to you, please use the search bar on top to narrow down what you are looking for.

As always, all credit is given to the original author and origin publication.

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Tactical Medicine News

Assessment in medical education: Finding the signal in the noise

by Brent Thoma, MD MA
May 24, 2014
This past December it was reported in the Harvard Crimson that the median grade at their prestigious University was an A-.1 A flood of articles fol...
Tactical Medicine News

Ondansetron: Has it reduced need for IV rehydration in vomiting kids?

A 3-year-old male presents to the emergency department (ED) complaining of vomiting and diarrhea that has been occurring for 2 days. The mother sta...
Tactical Medicine News

Deep Vein Thrombosis (DVT): Wells criteria and D-dimers happy together

You are evaluating a 45-year-old male who is complaining of calf pain. He has a history of cancer however he has never had a clot in the past.   Th...
Tactical Medicine News

PEITHO Trial: Fibrinolysis for Intermediate-Risk Pulmonary Embolism

Most of us would agree that massive PE is treated with fibrinolysis and non-massive PE is treated with anticoagulation. The area of great debate h...
Tactical Medicine News

Article: Hypotonic maintenance IV fluids in pediatrics

A 6-month-old male presents to the emergency department with diarrhea and vomiting. Despite antiemetic therapy, the the child is unable to tolerate...
Tactical Medicine News

Article: Elevated INR May Overestimate Coagulopathy in Trauma and Surgical Patients

A 55 year old woman presents as the driver of a motor vehicle collision. She has moderate abdominal tenderness diffusely and a seat belt sign, but ...
Tactical Medicine News

MIA 2012: Levy P et al. Subclinical hypertensive heart disease in black patients with elevated blood pressure in an inner-city emergency department. Ann Emerg Med. 2012 Oct;60(4):467-74.e1.

Bottom Line1 In asymptomatic black patients who presented to the ED with elevated blood pressure, subclinical hypertensive heart disease was dete...
Tactical Medicine News

MIA 2012: Canto JG et al. Association of age and sex with myocardial infarction symptom presentation and in-hospital mortality. JAMA. 2012 Feb 22;307(8):813-22.

Bottom Line 1 Chest pain free MI is a very real phenomenon and it is associated with higher mortality – especially in younger women (NRMI study).
Tactical Medicine News

MIA 2012: Campagna JD, et al. The use of cephalosporins in penicillin-allergic patients: a literature review. J Emerg Med. 2012 May;42(5):612-20

Bottom Line 1 For patients with penicillin (PCN) allergies, it is safe to administer third- and fourth-generation cephalosporins (CPN) with no...
Tactical Medicine News

MIA 2012: Hoffmann U et al. Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med. 2012 Jul 26;367(4):299-308.

Bottom Line 1 ROMICAT-II study: Coronary CT angiography (CCTA) is a safe and faster diagnostic strategy than the standard evaluation of low-to-i...
Tactical Medicine News

MIA 2012: Backes D, et al. Time-dependent test characteristics of head computed tomography in patients suspected of nontraumatic subarachnoid hemorrhage. Stroke. 2012 Aug;43(8):2115-9

Bottom Line 1 100% sensitive and specific if < 6 hours from headache onset  90% sensitive if after 6 hours A noncontrast head CT can effect...
Tactical Medicine News

MIA 2012: Samuels-Kalow ME et al. Effective discharge communication in the emergency department. Ann Emerg Med. 2012 Aug;60(2):152-9

Bottom Line 1 This study tells us what we might already suspect: in the busy, hectic and loud Emergency Department, patients we discharge often ...
Tactical Medicine News

MIA 2012: Pearce MS et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012 Aug 4;380(9840):499-505.

Bottom Line 1 Interpret this data how you will: Exposure to 2-3 CT scans of the head will triple the risk of brain tumors; 5-10 head CT scans wi...
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