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Circulation : 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Writing Committee Members 1; Mark A Creager, Geoffrey D Barnes, Jay Giri, Debabrata Mukherjee 2, William Schuyler Jones 2, Allison E Burnett 3, Teresa Carman, Ana I Casanegra, Lana A Castellucci, Sherrell M Clark 4, Mary Cushman, Kerstin de Wit, Jennifer M Eaves, Margaret C Fang 5, Joshua B Goldberg, Stanislav Henkin, Hillary Johnston-Cox, Sabeeda Kadavath 6, Daniella Kadian-Dodov, William Brent Keeling, Andrew J P Klein 7, Jun Li, Michael C McDaniel, Lisa K Moores 8, Gregory Piazza, Karen S Prenger 9, Steven C Pugliese, Mona Ranade 10, Rachel P

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articles

Resuscitation: Duration of emergency medical services-initiated prehospital cardiopulmonary resuscitation efforts and survival for pediatric patients with out-of-hospital cardiac arrest

Masashi Okubo a, *, Sho Komukai b , Junichi Izawa c,d , Shunsuke Amagasa e , Sriram Ramgopal f , Clifton W. Callaway a , Robert A. Berg g Abstract Background: While longer duration of cardiopulmonary resuscitation (CPR) is associated with unfavorable patient outcomes after pediatric out-of-hospital cardiac arrest (OHCA), it

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articles

We’re Doing CPR for How Long?!?! Really?

ECG Teaching Cases Apr 15, 2026 **This week Dr. Josh Kessler and I tackle hypothermia and the complicated art of a hypothermic resuscitation. Dr. Kessler is a fellow of the academy of wilderness medicine and an excellent teacher. Thanks for your help, Josh!** As you walk into your shift, you

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articles

Sauna to Ice-Bath – Prehospital Cold Water Immersion Protocol

Written by Ketan Patel Spoon Feed Implementation of a prehospital cold water immersion (CWI) strategy in a large urban EMS system was effective in rapid cooling with associated neurological improvement and high survival rates. Breaking the ice before hitting the ED The events, sports, and military spheres have established CWI

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articles

4 Ts – How to Manage Postpartum Hemorrhage

Written by Denrick Cooper Spoon Feed Postpartum hemorrhage (PPH) is a high-risk, low-frequency ED emergency. This review provides a practical, ED-focused approach centered on the “4 Ts”—Tone, Tissue, Trauma, and Thrombin—with clear guidance on early recognition and rapid escalation. Know the 4 Ts We’ve covered this before, but it’s time

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podcast

PODCAST: Severe Traumatic Brain Injury witih Dr. Dana Klavansky

In this episode, Sam Ashoo, MD and Dr. Dana Klavansky, MD discuss the March 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Severe Traumatic Brain Injury Introduction & Welcome (0:15) Guest Introduction (0:55) Epidemiology of Severe TBI (2:37) Pathophysiology: Primary vs. Secondary TBI (4:24) Types of Hemorrhage and Hematomas (5:25) Classification (7:31) Mild vs. Moderate vs. Severe

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