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Are We Treating the Patient or Our Own Anxiety? Low Value Testing

Are We Treating the Patient or Our Own Anxiety? Low Value Testing

by Mejbel Alazemi | Nov 5, 2026 | Commentary, Featured, Grand Round Summaries, Patient Advocacy

Emergency medicine is defined by uncertainty. But when uncertainty becomes a reflex to test, test, and test again, we may be doing more harm than good with low value testing.  I want to tell you about two emergency physicians. Same hospital. Same patient: a...
The Aorta Made Me Do It: Cognitive Bias and Acute Aortic Syndrome

The Aorta Made Me Do It: Cognitive Bias and Acute Aortic Syndrome

by Talal Alkhaldi | Oct 29, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Surgery, Trauma

It is three in the morning. A 58-year-old man with hypertension walks in with sudden, severe chest pain. He looks uncomfortable but stable. His ECG is normal. His troponin is pending. And somewhere in the back of your mind, a quiet voice says: could this be a...
Diagnosing Retained Products of Conception with PoCUS

Diagnosing Retained Products of Conception with PoCUS

by Thariq Badiudeen, Nathan Hecht | Oct 8, 2026 | Featured, OBGYN, Ultrasound

It’s 2:30 AM. A 29-year-old woman presents ten days after a medical abortion. She’s febrile, tachycardic, and complaining of worsening pelvic pain. She has a small amount of vaginal bleeding, and her abdomen is soft. Her β-hCG is still positive, which is...
Finger on the Pulse: Personalizing Sepsis Resuscitation in 2026

Finger on the Pulse: Personalizing Sepsis Resuscitation in 2026

by Naman Arora | Oct 1, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation

Sepsis resuscitation has evolved considerably over the past two decades, moving away from rigid protocols toward more individualized care. Yet many familiar targets remain: 30 mL/kg of fluid, a MAP of 65, and lactate clearance. But not every patient benefits from more...
Bleeding Risk with Apixaban vs. Rivaroxaban in Acute Venous Thromboembolism

Bleeding Risk with Apixaban vs. Rivaroxaban in Acute Venous Thromboembolism

by Caroline Gregory | Sep 30, 2026 | Journal Club, Thrombosis

Bleeding Risk with Apixaban vs. Rivaroxaban in Acute Venous Thromboembolism (Therapy) Castellucci LA, et al. N Engl J Med. 2026 Mar 12;394(11):1051-1060. doi: 10.1056/NEJMoa2510703. Editorial: Bleeding Risk with Apixaban vs. Rivaroxaban in Acute Venous...
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