AnnalsofEM

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 #EM #EmergencyMedicine #ACEP #MedED

How different are concentrated “7-OH” products from traditional kratom? This case links a high-dose 7-HMG product to a fatal opioid-like toxidrome, highlighting an emerging toxicology risk. annemergmed.com/article/S019…

Do ambient AI scribes save emergency physicians time? Across 275 attending physicians in 20 Mayo Clinic EDs, notes written with an ambient AI scribe took 19% less active time (2.4 minutes per note) than the same physicians' own unassisted notes. Physicians started the note later, reviewing an AI draft instead of writing from memory, and notes were 14% longer, with no delay in completion and no rise in 72-hour ED returns. doi.org/10.1016/j.annemergme… @mayoarizonaem @arizonacep @mayoclinic

Who’s on airway? A new study explores how pediatric intubation outcomes differ among emergency medicine residents, pediatric residents, and pediatric emergency medicine fellows, with implications for airway training. Check it out here: doi.org/10.1016/j.annemergme… And as always, visit annemergmed.com/ for more of the latest in EM. #EM #PEM #Peds

Longer waits, greater vulnerability. A new study highlights worsening ED boarding among older adults, especially those with Alzheimer’s disease and related dementias, and the need for changes to reduce these delays. Check it out doi.org/10.1016/j.annemergme… And as always, visit annemergmed.com/ for more of the latest in EM. #EM #Geriatrics #Dementia

What happens when saving a life challenges everything you believe in? In “The Tattoo,” Dr. Mohamed Hagahmed reflects on duty, bias, and humanity in emergency medicine. Read it here: annemergmed.com/article/S019…

Can AI and clinical judgment work together to improve end-of-life screening? A new study explores a collaborative approach to identifying older ED patients who may benefit from goals-of-care discussions while reducing clinician screening burden. Check it out here: doi.org/10.1016/j.annemergme… And as always, visit annemergmed.com/ for more of the latest in EM.

Your October listening starts here. The latest Annals podcast episode is now available—press play and join the conversation. Listen now: player.captivate.fm/episode/…

The November issue of Annals of Emergency Medicine is now online! Catch up on the latest research, clinical insights, and ideas shaping emergency medicine. Explore the full issue: annemergmed.com/

🚨 Does cephalosporin generation matter for pyelonephritis? DOGMA-ED: 1,147 ED patients, similar failure rates (18–20%) across generations. Promising for antibiotic stewardship, but retrospective data ≠ equivalence. 📖 annemergmed.com/article/S019…

A milestone worth celebrating! 🎉 Annals of Emergency Medicine has achieved its highest-ever Journal Impact Factor: 6.9. This reflects the exceptional research, thoughtful scholarship, and dedication of the authors, reviewers, editors, and readers who continue to advance the field of emergency medicine. Thank you to everyone who helped make this achievement possible! Submit. Search. Read. Cite. Together, we’re shaping the future of emergency care.

Does cephalosporin generation matter when treating outpatient pyelonephritis? 💊 A new multicenter study found similar treatment failure rates across first-, second-, and third-generation oral cephalosporins in patients discharged from the ED. Could simpler, less expensive options be just as effective? 🔗 Read the study: doi.org/10.1016/j.annemergme… And as always,Visit annemergmed.com/ for more of the latest in emergency medicine. #EM #pharmacology #InfectiousDisease #MedED #FOAMed

A new academic year means getting back to the bread and butter of emergency medicine. 🩺 This quarter’s Resident Collection examines the evidence behind managing three essential ED presentations: ❤️ Acute decompensated heart failure 🩸 Diabetic ketoacidosis—including SGLT2- and GLP-1–associated presentations 🫁 Pediatric asthma exacerbations Explore competing perspectives, question familiar protocols, and strengthen the evidence behind your everyday practice. Read the latest Resident Collection from Annals of Emergency Medicine. #EmergencyMedicine #EM #Peds #Cards #MedEd

What if the biggest barrier to safely discharging low-risk PE patients isn’t risk, but the system around us? Read more: annemergmed.com/article/S019… #AnnalsofEM #PE #EmergencyMedicine

Now you see it, now you don’t. When conventional imaging came up empty, a dynamic bedside examination captured an unexpected finding in real time. Can you guess the diagnosis? See the full case: doi.org/10.1016/j.annemergme… Visit annemergmed.com/ for more of the latest in emergency medicine. #POCUS #EmergencyMedicine #EM #MedEd #FOAMed

🎙️ The September Annals of Emergency Medicine Podcast is here! Join Drs. Rory Spiegel and Ryan Radecki as they discuss research in emergency medicine and share their perspectives on the latest literature. 🎧 Listen now: player.captivate.fm/episode/… And as always, visit annemergmed.com/ for more of the latest in EM!

🚑 Suspected STEMI doesn't always mean confirmed STEMI! When paramedics activate a STEMI pathway, what happens when the final diagnosis isn't STEMI? A new statewide study explores the diagnoses and outcomes of patients with suspected STEMI, highlighting the importance of recognizing serious alternative diagnoses while maintaining rapid access to reperfusion. 🔗 Read the study: doi.org/10.1016/j.annemergme… And as always, visit annemergmed.com/ for more of the latest in EM!

Concussion in kids is still a clinical diagnosis, not a single-symptom diagnosis. This review found that mental fog, light/noise sensitivity, nausea, and oculomotor abnormalities increase the likelihood of concussion, while no individual finding can reliably diagnose or exclude it on its own. Peds concussion Read the full Annals of Emergency Medicine article: annemergmed.com/article/S019…

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.annemergme… As always check as out on annemergmed.com for the latest in EM!