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In the ED we are certainly no stranger to seeing alcohol use disorder, its complications, and alcohol withdrawal. Every day in Canada, there are approximately 269 hospitalizations directly attributable to alcohol. This is more than admissions for acute MI. As the primary entry point for admissions to hospital, in the ED this is something that […]

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Diagnostic accuracy of the STANDING algorithm in patients with isolated vertigo: a multicentre prospective study (STANDING-M).  Ronchetti M,et al. Emerg Med J. 2025 Nov 21;42(12):791-797. doi: 10.1136/emermed-2025-214902. Methodology: 4/5 Usefulness: 2.5/5 Question and Methods: This is a multi-center prospective trial, where the goal was to compare the diagnosis of ...


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Comparison of inhalational methoxyflurane, intranasal fentanyl, and intravenous morphine for treatment of prehospital acute pain in Norway (PreMeFen): a randomised, non-inferiority, three-arm, phase 3 trial Simensen R, et al. Lancet. 2025 Dec 20;406(10522):2957-2967. doi: 10.1016/S0140-6736(25)01575-2. Epub 2025 Nov 20. PMID: 41275876. Editorial: Methoxyflurane: a promising n...


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Most emergency physicians are comfortable with the standard abdominal aortic aneurysm scan. However, that approach only visualizes the abdominal aorta. By adding three complementary views you can better assess aortic aneurysms and aortic dissections.  In this blogpost you will learn how to visualize the aorta from the hepatic window, parasternal long-axis (PSLA), and sup...


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Efficacy and Safety of Pharmacologic Therapies for Nausea and Emesis in the Emergency Department: A Systematic Review and Bayesian Network Meta-analysis.  deSouza IS, et al. Ann Emerg Med. 2025 Dec;86(6):646-658. doi: 10.1016/j.annemergmed.2025.06.009.  Methodology: 3/5 Usefulness: 1/5 Question and methods: The authors utilized a network meta-analysis to identi...


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