Previous EDCritix editions
Past editions with their ranked reading queues and daily editorials.
Respiratory escalation, haemorrhage policy and high-stakes procedures
Today’s strongest bedside signals are the prospective validation of the 60-minute HACOR score for HFNO failure and a small randomised trial favouring ultrasound-guided PENG block o...
Respiratory escalation, haemorrhage policy and high-stakes procedures
Today's strongest bedside signals are the prospective validation of the 60-minute HACOR score for HFNO failure and a small randomised trial favouring ultrasound-guided PENG block o...
Daily Editorial
CONCLUSION: The 60-min HACOR score discriminates HFNO failure well, with no evidence of miscalibration, in an unselected ED cohort, substantially outperforming the admission score....
From HFNO Failure Prediction to Pain Control: Key Updates for the ED Floor
The evidence base is shifting rapidly, demanding that we refine our decision-making at critical junctures. For acute respiratory failure, the utility of the 60-minute HACOR score e...
Today in EM: respiratory support, haemorrhage, and time-critical resuscitation
Today’s strongest practice-facing reads span three recurring ED decisions: recognising failure early, choosing haemostatic therapy, and acting before physiology deteriorates. The l...
From Anticoagulant Reversal to Regional Anesthesia: Key Shifts in Acute Care
The current reading set presents several high-yield, practice-altering updates, particularly concerning resuscitation and pain management. For patients presenting with major bleedi...
Anticoagulation Reversal, Pain Control, and Sepsis Timelines: Key Updates
The management of acutely ill patients continues to yield high-yield, actionable guidelines. For those managing major bleeding in the setting of DOAC use, the latest ACP policy pro...
From Trauma to Toxins: High-Yield Updates for the ED Floor
The reading set today presents critical updates spanning trauma resuscitation, critical care pharmacology, and acute pain management. For the trauma bay, the latest guidance on eme...
Fluid Balance, Pain Control, and Timing: Key Shifts in Critical Care Management
The current literature demands a re-evaluation of timing and thresholds across several high-stakes areas. In early septic shock, the ARISE FLUIDS data strongly suggest that the res...
Sepsis Timing, Analgesia, and the Fluid Debate
The resuscitation continuum remains a hotbed of debate, with recent data suggesting a critical window for vasopressor initiation in septic shock. One analysis points toward a stron...
Sepsis Timing, Analgesia, and Anticoagulation: Key Shifts for Today's ED
The landscape of critical care management continues to evolve, demanding sharp attention to timing and technique. For septic patients, the evidence strongly reinforces the urgency...
Fluid Thresholds, Pain Blocks, and Timing: Key Edits for the ED Today
The data this week points toward refining the timing of critical interventions. For septic shock, the focus remains sharply on the balance between fluid resuscitation and vasopress...
From Sepsis Timing to Hip Pain Blocks: Where the Evidence is Shifting
The data coming out this week suggests several key areas where our bedside algorithms might need a careful recalibration. Most notably, the ARISE FLUIDS trial continues to press th...
Sepsis, Bleeding, and the Art of the Procedural Nudge
The resuscitation algorithms are shifting again, demanding a critical look at our initial fluid strategies. The latest data on septic shock suggests a potential pivot away from agg...
Sepsis Protocols, Pediatric Imaging, and Regional Anesthesia Updates
The septic shock management debate continues to evolve, with recent data from the ARISE FLUIDS trial suggesting a potential pivot point: rather than indefinitely pursuing aggressiv...
Fluid Shifts, Blocks, and the Pediatric Dilemma
The resuscitation bay continues to challenge our assumptions, particularly regarding the delicate balance of fluid resuscitation in septic shock. The data emerging from the ARISE F...
From Septic Shock Timing to Pediatric Imaging Caution
The resuscitation playbook continues to shift, most notably with emerging data suggesting a critical reassessment of fluid management in early septic shock. The ARISE FLUIDS trial...
Fluid Shifts, Pediatric Imaging, and Regional Blocks: Key Ed Updates
The resuscitation debate continues to evolve, with fresh data suggesting that in early septic shock, the timing of escalating to vasopressors might be more critical than maintainin...
Fluid Wars, Pediatric Imaging, and Procedural Analgesia: Today's Focus
The debate over early septic shock management continues to sharpen, with new data from the ARISE FLUIDS trial suggesting we must critically reassess the necessity of continued aggr...
Revisiting the Basics: Septic Shock, Trauma Access, and Cooling Protocols
The evidence base continues to refine our approach across several core emergency domains. In early septic shock management, the data from the ARISE FLUIDS trial strongly suggest th...
EDCritix Daily: Resuscitation Choices, Safer Imaging, and High-Risk Diagnostics
Today’s strongest reads focus on decisions that change bedside care: analgesia for awake central access, selective imaging after pediatric blunt chest trauma, neonatal airway techn...
From Peds Trauma to Postpartum Bleeding: Refining the Bedside Algorithm
The current literature demands a sharp focus on refining algorithms, whether you're managing pediatric blunt trauma or catastrophic postpartum hemorrhage. For stable children with...
From Pediatric Trauma to Postpartum Hemorrhage: Where Evidence Demands Caution
The breadth of today’s readings underscores a critical theme: the tension between established protocols and evolving, sometimes contradictory, evidence. On one end, managing pediat...
Revisiting Fundamentals: From Pediatric Imaging to PPH Resuscitation
Today's reading set forces a necessary recalibration of several high-stakes, yet often over-managed, areas. For the pediatric trauma provider, the message is clear: for stable pati...
Revising the Fundamentals: From TTM Doubt to PPH Action
The evidence base supporting routine targeted temperature management post-cardiac arrest is facing significant headwinds, prompting a necessary re-evaluation of established protoco...
Airway Nuance and Antibiotic Shifts: What Matters Today
The guidelines for neonatal and infant airway management are crystal clear: proactive assessment using history and physical exam findings must precede any intervention, favoring vi...
From Airway Algorithms to Antibiotic Shifts: What's Changing Today
The clinical landscape is shifting focus from rigid protocols toward nuanced, condition-specific decision-making. For airway management in the youngest patients, new joint guidelin...
From Neonatal Airways to Sepsis Phenotypes: What's Shifting at the Bedside
The current literature demands a pivot from rigid adherence to protocols toward nuanced physiological assessment. On one end, managing airways in neonates and infants requires stri...
Airway Pearls, Antibiotic Shifts, and Rethinking Resuscitation Timelines
The current literature demands a sharp focus on procedural refinement across multiple domains. For airway management in neonates and infants, the 2024 guidelines are clear: priorit...
Beyond the Clock: Phenotype and Timing in Critical Care
The current literature demands we refine our focus from rigid protocols toward dynamic physiologic assessment. For instance, when managing suspected AMI, point-of-care high-sensiti...
Refining the Algorithm: Phenotype Over Protocol in Critical Care
The current literature demands a pivot away from rigid timing protocols toward nuanced physiological assessment. For instance, managing septic shock suggests that focusing on under...
Antibiotic Stewardship and Resuscitation Nuance: What's Shifting Today
The current literature demands a careful recalibration of routine empiric choices, particularly in outpatient infections. For acute pyelonephritis, the debate over oral antibiotics...
Antibiotic Stewardship and Hemodynamics: Where Focus Needs to Shift
The current literature demands a sharp focus on refining empirical choices while resisting the urge to over-interpret timing data. On the infectious side, stewardship remains param...
Antibiotic Stewardship and Hemodynamics: Where Focus Needs to Shift
The current literature demands we recalibrate our approach across several core areas, from empiric antibiotics to resuscitation timing. On the infectious side, there is a clear div...
Antibiotic Stewardship and Hemodynamics: Where Focus Needs to Shift
The current literature demands a pivot in focus—away from rigid timing protocols and toward precise physiological assessment. On the infectious side, managing outpatient pyelonephr...
Phenotype Over Protocol: Shifting Focus in Critical Care
The current literature demands we recalibrate our focus from rigid timelines to underlying physiological status. In sepsis management, for instance, the message is clear: hemodynam...
Beyond Timing: Phenotype, Pediatrics, and Pyelonephritis Shifts
The landscape of acute care management continues to reward critical thinking over rote adherence to timing. In pediatric trauma, a recent randomized controlled trial comparing cast...
From Pediatric Fractures to Stroke Windows: Key Shifts in Acute Care Algorithms
The literature this week points toward several tangible shifts in how we approach common, yet complex, acute presentations. For pediatric orthopedic care, a multicenter RCT suggest...
From Stroke Windows to Sepsis Phenotypes: Where Evidence is Shifting Focus
The current literature demands a pivot away from rigid timelines toward nuanced physiological assessment. In stroke care, the TRACE-5 data for basilar artery occlusion suggest we m...
From Stroke Windows to UTI Empirics: Key Shifts in ED Practice
The literature this week presents several high-yield considerations, particularly around timing and antibiotic stewardship. For stroke care, the TRACE-5 data challenges traditional...
Shifting Paradigms: From Pediatric Trauma to Stroke Timelines
The literature this week presents several compelling challenges to established protocols, demanding a careful re-evaluation at the bedside. In pediatric trauma, the CRAFFT trial su...
Troponins, Airways, and the Edges of Protocolized Care
Today's set is led by two pieces that sit squarely in everyday ED decision-making: point-of-care high-sensitivity troponin algorithms for suspected myocardial infarction, and the o...
Beyond the Clock: Phenotype and Protocol Shifts in Critical Care
The current literature demands we pivot our focus away from rigid timelines toward understanding underlying physiology. For instance, managing suspected basilar artery occlusion wa...
Antibiotics, Strokes, and Timing: Refining Our ED Algorithms
The literature this week demands a critical reassessment of timing—whether it's the window for reperfusion therapy or the appropriate antibiotic choice. For acute pyelonephritis in...
From Intubation Positioning to Anticoagulation Dosing: Key Shifts in Acute Care
The evidence base continues to refine core emergency procedures. For instance, a systematic review suggests that standardizing an inclined or non-supine position during anticipated...
Airway Mechanics, Anticoagulation Shifts, and POC Troponin Utility
The evidence base continues to refine procedural best practices. For airway management, a systematic review points toward incorporating non-supine positioning during ED intubation,...
Airway Tactics, Anticoagulation Shifts, and Systems Thinking in the ED
The evidence base is shifting rapidly across several core domains of emergency care. On airway management, a systematic review suggests that proactively maintaining an inclined pos...
From Anticoagulation Dosing to Triage Scores: Refining Bedside Decisions
Today’s reading set presents several high-yield, actionable updates that challenge assumptions in routine care. Most notably, the TASC trial suggests a shift in thinking for acute...
3 high-priority items in the latest EM scan
Top sources today: REBEL EM, emDocs, EMJ. Main themes: general emergency medicine, guideline or formal recommendation, airway management. Best early reads: The TASC Trial: Therapeu...
From Anticoagulation Dosing to Shock Phenotyping: Key Shifts in Care
The data this week points toward refining established protocols rather than abandoning them. For acute chest syndrome in sickle cell patients, the TASC trial suggests that simply m...
Stroke Pathways, Toxins, and System Optimization
The evidence base continues to refine critical pathways across the ED spectrum. For acute stroke management, a meta-analysis strongly favors adopting the Mothership model over Drip...
Stroke Protocols, Toxins, and System Design: What's Shifting Today
The landscape of acute critical care management continues to evolve, demanding constant vigilance regarding established protocols. For stroke patients, the robust data emerging fro...
From Stroke Protocols to Poisoning Workups: High-Yield Updates Across the Spectrum
The reading set is packed with actionable guidance, particularly for managing time-sensitive and diagnostically challenging presentations. For acute stroke, a meta-analysis strongl...
Stroke Protocols Evolving; Toxins Need Systematic Thinking
The data coming through this week suggests refinement in high-stakes pathways, particularly stroke care. The meta-analysis comparing acute ischemic stroke management strongly favor...
Stroke Pathways, Toxins, and Trends: What's Shifting in Acute Care
The landscape of acute care is seeing concrete shifts, particularly in stroke management. A meta-analysis strongly favors the Mothership model over Drip-and-Ship for acute ischemic...
Rethinking Time, Process, and Toxins in Critical Care
The latest literature demands a recalibration of several long-held assumptions. Most notably, the persistent focus on the 'time to vasopressor' in septic shock appears overstated;...