Medications for Alcohol Use Disorder: Anti-craving alternatives. emupdates.com/maud slick PCSS version here: learning.pcss-maud.org/files…

The bougie, again. Conclusion: Difficult placement of a Minnesota tube may be addressed by placing the coudé tip of a bougie into the distal eyelet and advancing the devices in tandem into proper position. sciencedirect.com/science/ar…

Resuscitate More, or Transfer Now?

This smartly designed trial randomized patients getting a neck CT to cricothyroid membrane identification by landmark or ultrasound, and the landmark method was in fact more accurate (vs. CT as gold standard). For cricothyrotomy, your finger can see. jem-journal.com/article/S073…

sunner's high doi.org/10.1016/j.clindermat…

In this randomized trial, PEFR-guided care did not improve symptom control, reduce resource utilization, or affect disposition compared with symptom-guided care. These findings suggest limited benefit of PEFR use in ED asthma management. doi.org/10.1016/j.jemermed.2…

Diltiazem/verapamil is superior treatment for SVT, but if you must expose your patient to the distress of adenosine, start with 12 mg. doi.org/10.1111/acem.70309

Treatment of Severe Alcohol Withdrawal Syndrome Pathways for phenobarbital titration, phenobarbital load, diazepam, lorazepam. emupdates.com/aws

I finally found a circumstance that favors succinylcholine over rocuronium "The drug-seeking behavior in this case was not euphoria but perceived psychological calmness likely tied to transient hypoxia and hypercarbia from respiratory muscle paralysis." psychiatrist.com/pcc/intenti…

Emergency Department Diagnosis and Management of Aortic Dissection emupdates.com/dissection

Emergency Department Vertigo Assessment emupdates.com/vertigo

At the intersection of obvious and genius: Naltrexone as Pre-exposure Prophylaxis for Unintentional Opioid Overdose in Stimulant Use Disorder journals.lww.com/journaladdi…

back to basics: back pain red flags and nonspinal dangerous causes of back pain

Direct to Inject Long-Acting Injectable Buprenorphine. We're still trying to figure out how to do this. emupdates.com/edbup

Once again, IM lorazepam is an inferior choice in the management of emergency agitation. doi.org/10.1016/j.ajem.2026.…

Emergency Department Buprenorphine Dosing emupdates.com/edbup

Emergency Department Methadone Dosing emupdates.com/edmethadone

The Trauma 10, Redux emupdates.com/trauma

This paper in JGIM reads more like investigative journalism than a medical manuscript. "The widespread use of lorazepam for alcohol withdrawal in the USA is likely a legacy of the deceptive practices employed by Wyeth." link.springer.com/article/10…

Ketamine as a reversal agent for altered mental status. cureus.com/articles/401499-r…