Annals of Emergency Medicine

Annals of Emergency Medicine Fan page for Annals of Emergency Medicine, the highest cited journal in the general EM category with Any such posting will be removed.

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Classic teaching: cirrhosis + upper GI bleed = antibiotics for everyone.But how strong is the evidence behind that pract...
03/13/2026

Classic teaching: cirrhosis + upper GI bleed = antibiotics for everyone.

But how strong is the evidence behind that practice?

This Annals of Emergency Medicine Systematic Review Snapshot highlights a Bayesian meta-analysis of 14 randomized trials examining antibiotic prophylaxis in cirrhotic patients with upper GI bleeding. The analysis raises important questions about duration of therapy, while also reminding us about the limitations of older, heterogeneous trials and potential bias in the data.

📚 The takeaway: worth reading, worth discussing, and worth scrutinizing the methods before changing practice.

Check out the full Systematic Review Snapshot in Annals of Emergency Medicine and decide for yourself.

Reference:
Prosty C, Noutsios D, Dubé LR, et al. Prophylactic antibiotics for upper gastrointestinal bleeding in patients with cirrhosis: a systematic review and Bayesian meta-analysis. JAMA Intern Med. 2025;185:1194-1203.
Discussed in: Annals of Emergency Medicine Systematic Review Snapshot.

February’s episode is here. Hit play, pick up some practical pearls, and catch up with your favorites. Smart insights an...
03/11/2026

February’s episode is here. Hit play, pick up some practical pearls, and catch up with your favorites. Smart insights and a little fun along the way.

Listen below or wherever you get your podcasts.
https://soundcloud.com/annalsofem/february-2026

Not every vomiting kid has a virus.This case has a twist.Can you solve the diagnosis before the reveal?Drop your guess i...
03/05/2026

Not every vomiting kid has a virus.
This case has a twist.

Can you solve the diagnosis before the reveal?

Drop your guess in the comments. 👇

visit www.annemergmed.com to learn more!

03/03/2026

🚨 That swollen lip?
It’s not always “just an allergy.”
Angioedema can turn into a can’t-intubate, can’t-ventilate scenario in minutes. ⏳
Up to 15% develop airway obstruction.
If the larynx is involved, mortality has been reported as high as 56%.
👀 Watch for the red flags:
• Voice change (hoarseness/stridor)
• Drooling 🤤
• Difficulty swallowing
• Anterior tongue swelling 👅
If the voice sounds different — the airway is declaring itself.
When you intervene, think strategy, not speed.
🫁 Awake approach if possible
🚫 Avoid blind supraglottics
✂️ Cric kit open. Neck marked. Backup ready.
Because many emergent cases ultimately require a surgical airway.
And remember — ACE inhibitor angioedema is bradykinin-mediated.
💉 Epi and steroids often won’t fix it. Treat the mechanism.
📖 Read the full Expert Clinical Management review in Annals of Emergency Medicine for the complete airway and disposition framework.


Reference:
Long B, Koyfman A, Gottlieb M. Expert Clinical Management: Angioedema. Annals of Emergency Medicine. 2025.

03/01/2026

When a CTPA says “may represent PE”… what do you do next?

In “Physician Perspectives on Diagnostic Uncertainty in Radiographic Imaging Reports for Pulmonary Embolism: A Qualitative Study,” published in Annals of Emergency Medicine, physicians described how they manage uncertain PE reads.

What emerged:
• Most lack a standardized approach
• Many default to empiric anticoagulation
• Repeat imaging is uncommon
• Quantified uncertainty can increase discomfort rather than clarity

The study highlights a real gap between imaging uncertainty and clinical decision-making.

Read more at https://www.annemergmed.com/

03/01/2026

When a CTPA says “may represent PE”… what do you do next?

In “Physician Perspectives on Diagnostic Uncertainty in Radiographic Imaging Reports for Pulmonary Embolism: A Qualitative Study,” published in Annals of Emergency Medicine, physicians described how they manage uncertain PE reads.

What emerged:
• Most lack a standardized approach
• Many default to empiric anticoagulation
• Repeat imaging is uncommon
• Quantified uncertainty can increase discomfort rather than clarity

The study highlights a real gap between imaging uncertainty and clinical decision-making.

Read more at https://www.annemergmed.com/

We’re growing the team ✨So excited to introduce our new Assistant Social Media Editors who will be helping us bring you ...
02/25/2026

We’re growing the team ✨

So excited to introduce our new Assistant Social Media Editors who will be helping us bring you more high-yield research, better visuals, and thoughtful conversations from the pages of Annals to your feed.
Welcome to the squad 👏

Feeling lucky? 🍀The March issue of Annals of Emergency Medicine just dropped...packed with research and perspectives sha...
02/19/2026

Feeling lucky? 🍀
The March issue of Annals of Emergency Medicine just dropped...packed with research and perspectives shaping emergency care today.

🔗 Dive in: https://www.annemergmed.com/current


The future of ED documentation is listening..Read the full article at annemergmed.com
02/16/2026

The future of ED documentation is listening..

Read the full article at annemergmed.com

Airway myths, ICH blood pressure dogma, and cirrhosis antibiotics under the microscope - this quarter’s resident collect...
02/12/2026

Airway myths, ICH blood pressure dogma, and cirrhosis antibiotics under the microscope - this quarter’s resident collection is all about evidence that changes how we practice.

Go to annemergmed.com -> Collections-> Annals Resident Collection

When social care meets emergency medicine… what actually works for families?Read the full article at annemergmed.com ...
02/10/2026

When social care meets emergency medicine… what actually works for families?

Read the full article at annemergmed.com

January’s episode is live. Hit play, learn something new, and catch up with your favorites. Smart insights, practical pe...
02/07/2026

January’s episode is live. Hit play, learn something new, and catch up with your favorites. Smart insights, practical pearls, and a little fun along the way.

Check it out below or wherever you get your podcasts
https://soundcloud.com/annalsofem/annals-sept-2025

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