Clinical pearls.
Hot takes.
Real cases.
Things we wrote down because they were too dense for a tweet and too specific for an episode.
Block the Rib, Save the Lung
Fresh RCT on ED-performed serratus anterior plane blocks for rib fractures. Real pain control, opioid sparing, and 5 minutes with an ultrasound probe.
Double Tap: Does Dual Defib Actually Save Lives?
DSED vs vector change for refractory V-fib. What DOSE-VF actually showed, when to deploy, and why the second defibrillator might be overkill.
Kratom in the ED: The Legal Opioid in Aisle 7
Kratom toxicity and withdrawal are climbing in 2026. Here's how to recognize mitragynine on your differential and what actually treats it.
The Vitals Trap: Why Stable Numbers Are Lying to You
A blood pressure of 118/72 doesn't mean stable. It means current. Here's why the difference between those two words has saved lives — and cost them.
The EM Burnout Myth We Keep Telling Each Other
Every wellness initiative starts with the same wrong premise: that EM burnout is mostly about volume. It's not. Here's what the data actually says and why the standard interventions miss.