TamingtheSRU

UC Department of Emergency Medicine
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www.tamingthesru.com - Free. Open-Access. Focused on Emergency Medicine, critical care and prehospital medicine, as well as practice algorithms and decreasing knowledge translation in Med Ed.

  1. Trip, Slip, Scan? Rethinking Head CTs in the Elderly

    15/12/2025

    Trip, Slip, Scan? Rethinking Head CTs in the Elderly

    Ground-level falls are a leading reason older adults get head CTs in the ER, largely because current rules treat age > 65 as a risk factor by itself. Yet many emergency physicians question whether that’s always necessary for well-appearing patients. A new systematic review and meta-analysis in Annals of Emergency Medicine digs deeper, asking: what other factors truly predict intracranial hemorrhage after ground-level falls? Join Dr. Snyder as she explores the findings, limitations, and what they mean for everyday practice.

    8 min
  2. A PSA on TXA: Updated recommendations for TXA in Trauma

    23/11/2025

    A PSA on TXA: Updated recommendations for TXA in Trauma

    Tranexamic acid (TXA) is an anti-fibrinolytic that may reduce hemorrhage and improve survival in trauma. While early studies raised safety concerns, newer evidence supports its use in select patients. Join Dr. Segev as he reviews key TXA trials and highlights the updated EAST guidelines on pre-hospital and in-hospital administration.

    14 min
  3. When More is Less: Re-examining CTA use in GI Bleeds

    07/11/2025

    When More is Less: Re-examining CTA use in GI Bleeds

    Gastrointestinal bleeding is a frequent and potentially life-threatening presentation in the ED. With CT angiography increasingly being used as a first-line diagnostic tool, are we improving detection or simply overusing imaging? Join Dr. Guillaume as she discusses this recent JAMA Network Open study examining trends in CTA utilization for GI bleeding and whether rising scan rates are truly leading to better diagnostic yield.

    5 min
  4. COPY That: Re-thinking Pyelonephritis Protocols in the Emergency Department

    03/10/2025

    COPY That: Re-thinking Pyelonephritis Protocols in the Emergency Department

    Pyelonephritis is a commonly treated diagnosis in the emergency department. With resistance rates climbing to the first-line recommended fluoroquinolones and Bactrim, are other antibiotics appropriate in treating pyelonephritis? Join Dr Gabor as she discusses this article and its treatment recommendations for outpatient pyelonephritis with cephalosporins and how it compares to treatment with the more traditional fluoroquinolones / bactrim route.

    6 min
  5. Choice of Pressor in Pediatric Septic Shock

    29/09/2025

    Choice of Pressor in Pediatric Septic Shock

    Septic shock remains a leading cause of pediatric mortality, but the choice of first-line vasoactive agent has long been debated. Dr Newton, a PGY-3, discusses this single-center retrospective cohort study comparing epinephrine and norepinephrine as initial infusions in children with septic shock. While the primary kidney outcome (MAKE30) showed no difference, epinephrine was linked to higher 30-day mortality in propensity-matched analysis. The findings are hypothesis-generating and highlight the need for prospective pediatric trials.

    9 min
  6. Dr Kotei discusses a scoping review of the placebo and nocebo effects.

    23/09/2025

    Dr Kotei discusses a scoping review of the placebo and nocebo effects.

    In the ED, your words can be as powerful as your meds. In this episode, PGY-3 Dr Kotel unpacks the science of placebo and nocebo, showing how communication shapes patient outcomes—and how small shifts in framing, empathy, and reassurance can turn talk into treatment.

    7 min
  7. When Lung-Protective Ventilation Isn’t Brain-Protective? A Look at the PROLABI Trial

    25/06/2025

    When Lung-Protective Ventilation Isn’t Brain-Protective? A Look at the PROLABI Trial

    Lung-protective ventilation (LPV), characterized by low tidal volumes and appropriate PEEP, is a cornerstone in managing patients with acute respiratory distress syndrome (ARDS). However, its application in patients with severe acute brain injury raises concerns. The potential for lung protective ventilation to increase intracranial pressure due to hypercapnia and elevated PEEP levels necessitates a closer examination of its safety and efficacy in this unique patient population.

    6 min
  8. Is Old Age a Reason to Scan a Cervical Spine?

    18/06/2025

    Is Old Age a Reason to Scan a Cervical Spine?

    Many clinical decision rules exclude elderly patients from the derivation cohorts. So the question remains unanswered do all elderly patients need cervical spine CTs in the setting of trauma? What if they have no symptoms? This recap of a journal club article explores the incidence of significant cervical spine fractures in elderly patients.

    6 min
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About

www.tamingthesru.com - Free. Open-Access. Focused on Emergency Medicine, critical care and prehospital medicine, as well as practice algorithms and decreasing knowledge translation in Med Ed.

Information

  • Creator
    UC Department of Emergency Medicine
  • Years Active
    2013 - 2025
  • Episodes
    100
  • Rating
    Clean
  • Copyright
    © All rights reserved
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    TamingtheSRU

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