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Annals of Emergency Medicine

@annalsofem.bsky.social
1.7K followers 13 following 176 posts

Official journal of American College of Emergency Physicians; #1 cited EM research journal

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Annals of Emergency Medicine @annalsofem.bsky.social · 19h
Does a traumatic hemothorax always need a big chest tube? Pigtails deserve consideration in stable adults—but patient selection matters. Read more at doi.org/10.1016/j.an... As always check as out on www.annemergmed.com for the latest in EM!
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Annals of Emergency Medicine @annalsofem.bsky.social · 28/09/2026
Subcutaneous or intranasal ketamine for acute musculoskeletal pain in the ED—which works better? Read the full article at doi.org/10.1016/j.an... As always check out www.annemergmed.com for the latest in EM #EM #EmergencyMedicine #Pharm #MedED
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Annals of Emergency Medicine @annalsofem.bsky.social · 25/09/2026
Dexmedetomidine may offer a new option for selected adolescents with recurrent severe agitation during prolonged ED psychiatric boarding. This editorial asks the key questions: Is it necessary, feasible, safe, and ethical? Paper 🔗 www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 23/09/2026
Will AI replace EM—or reshape their work? Read the full article at doi.org/10.1016/j.an... #ArtificialIntelligence #AI #EmergencyMedicine #HealthcareAI
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Annals of Emergency Medicine @annalsofem.bsky.social · 21/09/2026
Heading to ACEP26? So are we! 🎉 Come hang out with the Annals of Emergency Medicine team for editor meet-and-greets, creative writing, and Celebration ’26. Save the dates and come say hi! 👋 #ACEP26 #ACEP #EmergencyMedicine #EM
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Annals of Emergency Medicine @annalsofem.bsky.social · 19/09/2026
The October issue of Annals of Emergency Medicine is now available online! Explore the latest research, clinical insights, and developments in emergency medicine. Check out the full issue: www.annemergmed.com #EM #EmergencyMedicine #MedED #EvidenceBasedMedicine
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Annals of Emergency Medicine @annalsofem.bsky.social · 18/09/2026
What does diagnostic excellence look like in the ED—and how do we define a missed diagnostic opportunity? Read the full article at doi.org/10.1016/j.an... As always check out www.annemergmed.com for the latest in EM 
#EmergencyMedicine #EM #PatientSafety
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Annals of Emergency Medicine @annalsofem.bsky.social · 16/09/2026
When a painful erection does not resolve, time matters. What diagnosis do these findings suggest? And how might POCUS support early recognition of this time-sensitive urologic emergency? Check it out at: doi.org/10.1016/j.an... 
#EM #POCUS #Urology
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Annals of Emergency Medicine @annalsofem.bsky.social · 14/09/2026
Does more bupivacaine mean more sustained headache relief after a sphenopalatine ganglion block? Check it out at doi.org/10.1016/j.an... As always check out www.annemergmed.com for the latest in EM 
#EmergencyMedicine #EM #Neurology #Neuro #MedED #FOAMed
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Annals of Emergency Medicine @annalsofem.bsky.social · 11/09/2026
Celebrate *Annals of Emergency Medicine*’s top content of 2026 with Ryan Radecki and Rory Spiegel! Join us for a lively revisit of the year’s most important and memorable emergency medicine content. 📅 October 7 🕞 3:30–4:20 p.m. 📍 McCormick Place Convention Center, Room W183A
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Annals of Emergency Medicine @annalsofem.bsky.social · 10/09/2026
Join us for the Annals of EM open board meeting! Meet the Editors & hear what’s new at your society’s journal—the EM journal with the highest impact factor. Drop in for any part of the meeting & stay as long as you’d like!
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Annals of Emergency Medicine @annalsofem.bsky.social · 05/09/2026
Join us at ACEP Scientific Assembly '26 in Chicago for a reflective writing workshop led by Change of Shift editor Luz Silverio. Explore the power of storytelling, reflection, & creativity in EM —no writing experience required! Come ready to reflect, write, and connect. Hope to see you there!
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Annals of Emergency Medicine @annalsofem.bsky.social · 02/09/2026
🎙️ The August episode of the Annals of Emergency Medicine podcast is here! Tune in as Rory and Ryan discuss a variety of topics! Listen, learn, and rethink the latest in emergency medicine: player.captivate.fm/episode/4d73... #EmergencyMedicine #EM #PEM #PediatricEmergencyMedicine
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Annals of Emergency Medicine @annalsofem.bsky.social · 14/08/2026
Read the full paper in Annals of Emergency Medicine: www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 11/08/2026
Read how “Bilingual HIV Diagnosis,” author Mun Heol Cho writes about working with a trusted colleague, a Spanish interpreter. Only at www.annemergmed.com. Found under collections> change of shift
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Annals of Emergency Medicine @annalsofem.bsky.social · 10/08/2026
Who makes the hardest moments in your clinical shifts feel a little easier? This month’s Write With Annals prompt invites you to reflect on a colleague who changes the way you work. Tomorrow, we’ll share this month’s featured Change of Shift piece inspired by this prompt.
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Annals of Emergency Medicine @annalsofem.bsky.social · 08/08/2026
Early repol & STEMI can look strikingly similar—& they can even coexist. In this case, reciprocal changes, an atypical lead distribution, & classic ischemic symptoms pointed beyond a benign ECG variant toward ACS The takeaway: never interpret ST elevation in isolation! #EM #ECG #EKG #MedED #FOAMed
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Annals of Emergency Medicine @annalsofem.bsky.social · 07/08/2026
Alcohol withdrawal is a clinical diagnosis, and early, appropriate front-loading therapy is key. 📖 Read the full Annals of Emergency Medicine article: www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 06/08/2026
Not every infantile hemangioma is “just a birthmark.” Rapid growth, ulceration, bleeding, infection, risk of scarring, or a location that threatens function can make it high risk and require treatment. First Line therapy is propranolol +/- antibiotics if superimposed infection is present
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Annals of Emergency Medicine @annalsofem.bsky.social · 04/08/2026
Ambient AI scribes are entering the ED, but adoption isn’t uniform. In this Annals research letter, use clustered among “super-users,” suggesting workflow fit may matter more than simple tool availability. #EmergencyMedicine #AI www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 28/07/2026
Direct-to-thrombectomy “mothership” routing may improve stroke outcomes—but this Annals editorial urges caution: selected studies can miss stroke mimics, EMS strain, and real-world system tradeoffs. #EmergencyMedicine #Stroke #Medicine #stroke www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 24/07/2026
🌡️ Heat stroke is a true time-critical emergency and having a treatment plan is essential. Link to paper: www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 23/07/2026
🩺 Can POCUS do more than diagnose intussusception? This brief report explores bedside POCUS-guided hydrostatic reduction by pediatric emergency physicians, with promising early results. Read more: annemergmed.com doi.org/10.1016/j.an... #EmergencyMedicine #PedsEM #POCUS #FOAMed #AnnalsEM
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Annals of Emergency Medicine @annalsofem.bsky.social · 21/07/2026
👶 How often do EDs care for critically ill children? New research examines the frequency of pediatric critical illness across EDs and the implications for pediatric readiness, training, and regionalized care. Read more: annemergmed.com doi.org/10.1016/j.an... #EmergencyMedicine #PedsEM #FOAMed
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Annals of Emergency Medicine @annalsofem.bsky.social · 20/07/2026
Awake intubation remains an important tool for predicted difficult airways. This Annals study found high success and low serious complication rates in a real-world emergency department. #EmergencyMedicine #Airway #AnnalsEM www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 18/07/2026
Hurry..the deadline is coming soon! Visit www.annemergmed.com/article/S019... to learn more! #PeerReview #ScientificJournals #Research #EM #EmergencyMedicine
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Annals of Emergency Medicine @annalsofem.bsky.social · 18/07/2026
🫁 Does patient anatomy affect where you should perform needle thoracostomy? New research explores how chest wall thickness varies by BMI and anatomical location, with important implications for needle selection and pleural access. Read more: annemergmed.com doi.org/10.1016/j.an...
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Annals of Emergency Medicine @annalsofem.bsky.social · 17/07/2026
⏳ Does a longer ED stay increase the risk of death? 📖 www.annemergmed.com/article/S019...
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Annals of Emergency Medicine @annalsofem.bsky.social · 16/07/2026
🎙️ The July Annals of Emergency Medicine podcast is now live! Join Rory Spiegel and Ryan Radecki as they discuss this month’s featured articles and what they mean for EM practice. 🎧 player.captivate.fm/episode/ee2e... #EM #FOAMed #AnnalsEM #MedEd
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Annals of Emergency Medicine @annalsofem.bsky.social · 15/07/2026
Please join us in welcoming our 2026-2027 Resident Fellow, Dr. Filsinger Interrante! 🎉 A third-year EM resident at Denver Health, her research focuses on infectious diseases, HIV vaccine development, and pandemic preparedness. Welcome to the Annals team! 👏
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Annals of Emergency Medicine @annalsofem.bsky.social · 13/07/2026
Embedding psychiatric nurse practitioners and specialized support staff in the ED was associated with shorter stays for psychiatric emergencies, especially for patients on involuntary holds. #EmergencyMedicine #MentalHealth #AnnalsEM
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Annals of Emergency Medicine @annalsofem.bsky.social · 10/07/2026
The emergency department has its own choreography. Patients arrive. Plans change. Conversations overlap. And somewhere within the chaos, we remember why we came back. Read this month’s Write With Annals feature at annemergmed.com.
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Annals of Emergency Medicine @annalsofem.bsky.social · 09/07/2026
Every shift has its own choreography. This month’s Write With Annals prompt invites you to reflect on the moments when everything fell into place, or when the script took an unexpected turn. Tomorrow: this month’s featured Change of Shift. #EmergencyMedicine #NarrativeMedicine
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Annals of Emergency Medicine @annalsofem.bsky.social · 08/07/2026
Looking to strengthen your academic career? The Annals of Emergency Medicine Peer Review Academy provides early-career faculty with structured training and mentorship in peer review while helping shape the future of scientific publishing. Applications close July 24, 2026. 🔗 annemergmed.com
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Annals of Emergency Medicine @annalsofem.bsky.social · 07/07/2026
☀️ Summer is here, and so is the latest episode! Join Rory Spiegel & Ryan Radecki as they break down this month’s standout articles, discuss the evidence, and explore what it means for emergency medicine practice. 🎧 Listen here: www.annemergmed.com/multimedia/a... or wherever you get your podcasts.
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Annals of Emergency Medicine @annalsofem.bsky.social · 06/07/2026
Women in emergency medicine have made important gains, but significant disparities remain across career advancement, leadership, compensation, and workplace culture. This review explores where we’ve improved and where meaningful change is still needed. 📖 Read more: doi.org/10.1016/j.an...
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Annals of Emergency Medicine @annalsofem.bsky.social · 01/07/2026
In case you missed our announcement, The Annals Peer Review Academy is now accepting applications. ✔️ Peer review training ✔️ Hands-on manuscript evaluation ✔️ Mentorship from experienced reviewers Apply by July 24: annemergmed.com #EmergencyMedicine #PeerReview #MedEd
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Annals of Emergency Medicine @annalsofem.bsky.social · 29/06/2026
In this Article in Press the idea that palliative care is only a late intervention or a code-status conversation. Instead, they frame palliative care in emergency medicine as an approach that can begin during uncertainty, when patients and families are suffering, vulnerable, and still waiting...
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Annals of Emergency Medicine @annalsofem.bsky.social · 24/06/2026
We carry a lot on shift. Pens. EKGs. Coffee. The tools we need to do the job. But the heaviest things never fit in our pockets: the decisions, the doubts, and the patients we can’t stop thinking about long after we’ve gone home. Check it out at annemergmed.com
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Annals of Emergency Medicine @annalsofem.bsky.social · 22/06/2026
There is still no clear and accepted definition of “diagnostic error” in emergency department care. Berdahl et al used a modified Delphi process with 11 experts to develop consensus definitions of ED diagnostic excellence and missed diagnostic opportunity. annemergmed.com
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Annals of Emergency Medicine @annalsofem.bsky.social · 18/06/2026
In this study, retaining EMS equipment for initial ED rhythm analysis was associated with faster rhythm analysis and defibrillation in OHCA. Could a simple systems change improve resuscitation care? Check it out at annemergmed.com #EM #EMS #CPR #CardiacArrest #MedED #FOAMEd
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Annals of Emergency Medicine @annalsofem.bsky.social · 16/06/2026
Can AI help identify opioid use disorder in the ED? See what this article found at: annemergmed.com #EmergencyMedicine #EM # #HealthAI #AI #OpioidUseDisorder #OUD #AddictionMedicine #MedicalResearch #AnnalsEM @MelMolinaMD @UCSFDEM
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Annals of Emergency Medicine @annalsofem.bsky.social · 13/06/2026
Less charting ≠ more productivity. In nearly 200,000 ED encounters, both ambient AI and human scribes reduced documentation time, but neither led to meaningful gains in throughput or wRVUs/hour. Maybe the real value isn’t doing more. Maybe it’s reducing the burden of documentation.
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Annals of Emergency Medicine @annalsofem.bsky.social · 11/06/2026
Not all pts have the same chance of having a stroke recognized before arriving at the hospital. This editorial examines the relationship between social vulnerability & prehospital stroke recognition, & why addressing these disparities matters. Read more at annemergmed.com @ReginaRoyan @uofm_ems
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Annals of Emergency Medicine @annalsofem.bsky.social · 10/06/2026
🎙️ The May episode of the Annals of Emergency Medicine podcast is here! Catch up on the latest in emergency medicine with Rory Spiegel and Ryan Radecki as they discuss new research, clinical updates, and the topics shaping EM practice today. Listen below: podcasts.apple.com/us/podcast/m...
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Annals of Emergency Medicine @annalsofem.bsky.social · 09/06/2026
Medical screening of psychiatric patients in the ED remains one of EM’s most debated topics. This Annals review maps the current evidence, identifies knowledge gaps, & explores what we know (& don’t know) about screening practices. Read more at annemergmed.com
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Annals of Emergency Medicine @annalsofem.bsky.social · 31/05/2026
🚁 Air ambulances save lives, but several high-profile crashes in 2025 have renewed conversations about safety, training, equipment standards, and regulation. Where does the field stand today, and what changes may lie ahead? Read more at annemergmed.com #EmergencyMedicine #EMS #PatientSafety
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Annals of Emergency Medicine @annalsofem.bsky.social · 30/05/2026
A nurse-led, low-cost school CPR program can scale fast—and spread further than the classroom. Children trained on DIY recycled manikins then taught CPR at home, multiplying reach As always check it out at Read more at www.annemergmed.com
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Annals of Emergency Medicine @annalsofem.bsky.social · 16/05/2026
www.instagram.com/reel/DYXb9v6...
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hagahmedmd on Instagram: "Could IV magnesium change how we manage acute headaches in the ED? ⚡️🧠A major new study published in Annals of Emergency Medicine …"
Could IV magnesium change how we manage acute headaches in the ED? ⚡️🧠A major new study published in Annals of Emergency Medicine evaluated over 1,000 patients with acute non-traumatic headache and found that adding IV magnesium sulfate to acetaminophen improved treatment success, reduced rescue analgesia use, and increased patient satisfaction. 💉📉🔑 Highlights:✅ Better overall treatment success✅ Less need for rescue medications✅ Higher patient satisfaction⚠️ Mild adverse effects were slightly more common🤔 Pain score differences, however, may not have reached a clinically meaningful threshold.As always, studies like this help move the conversation forward in evidence-based headache management and non-opioid analgesia in emergency medicine.🚨 Most importantly: always read the FULL paper yourself before making clinical judgments or changing your practice. Social media summaries are never a substitute for critically appraising the actual study, methodology, limitations, and patient population.Be sure to check out Annals for more practice-changing and thought-provoking EM papers. 📖 Full article here:https://www.annemergmed.com/article/S0196-0644(26)00201-5/fulltextReference:Messous S, Toumia M, Dhaoui R, et al. Intravenous Magnesium Sulfate for Acute Nontraumatic Headache in the Emergency Department. Ann Emerg Med. 2026.#AnnalsOfEmergencyMedicine #EmergencyMedicine #EM #FOAMed #MedEd
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Annals of Emergency Medicine @annalsofem.bsky.social · 10/05/2026
Does residency structure matter for ABEM performance? Read more at www.annemergmed.com #EmergencyMedicine #EM #ER #Residency #ABEM #Boards
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