September 7, 2026 – September 13, 2026
Weekly Roundup
12 resources from 5 sources were added to the FOAM Cortex library this week and are now indexed. Explore a selection below, with links to the original educators.
11 highlights · 4 featured sources
Ep 296 - Trauma, Systems Thinking and High-Risk PE (April 2026 Round Up)
This St Emlyn's April 2026 roundup podcast covers trauma haemorrhage control (favouring a stepwise approach over reflexive tourniquet use), chest drains before CT (physiology over protocol), portable monitoring for transfer readiness, systems thinking over individual blame for ED crowding and errors, and the HI-PEITHO RCT, in which ultrasound-facilitated catheter-directed thrombolysis was associated with lower 7-day cardiovascular decompensation rates (4% vs 10%) compared with anticoagulation alone in higher-risk PE.
Journal Feed Weekly Wrap-Up
Three studies: A randomized trial (ICECAP) found extending targeted temperature management duration at 33°C after OHCA did not improve survival with good neurologic outcomes. A systematic review suggested non-supine ED intubation positioning is likely non-inferior or superior to supine for first-pass success. A single-center Canadian retrospective study found outpatient PE management was associated with safety in select low-risk patients.
TTL tips 19: Find one spinal injury – look for another.
Published studies and ATLS cite a roughly 10% incidence of non-contiguous spinal fractures in blunt trauma, supporting a default whole-spine imaging approach for suspected spinal column injury. NICE guidance and this TTL tip recommend CT as the primary modality for bony injury, with exceptions including fragility fractures, clearly localised penetrating trauma, and isolated neck injury.
HELLP Is Here – Managing Preeclampsia, Eclampsia, & HELLP
A 2026 review in the American Journal of Emergency Medicine highlights that as access to obstetric care declines, emergency physicians must be prepared to recognize and manage hypertensive disorders of pregnancy—including preeclampsia, eclampsia, and HELLP syndrome—in the ED. Full content was not available to extract specific findings or recommendations.
ECG Pointers: STEMI Case Conference
This ECG Pointers case conference presents two STEMI cases with paired ECG and angiographic findings. An inferior STEMI with RCA mid-vessel occlusion (TIMI 0→3 post-PCI) highlights preload dependence and nitrate avoidance, while an anterolateral STEMI from proximal LAD occlusion—complicated by VF on the cath table—resulted in post-MI EF below 30%, possibly reflecting the occlusion's proximal location before the septal perforator.
The Fifth Universal Definition of Myocardial Infarction: What Emergency Clinicians Need to Know
The Fifth Universal Definition of MI simplifies the prior five-type classification into three categories—primary, secondary, and procedure-related MI—and now mandates imaging (not just troponin) to confirm diagnosis, particularly for secondary MI. Sex-specific troponin thresholds are formally endorsed, though the article notes evidence for treating secondary MI remains lacking.
BRACHA Score – Predicting Child/Teen Agitation
A Pediatrics study validated the BRACHA score, a nurse-completed triage tool, which was associated with identifying children and adolescents presenting to a pediatric ED with mental or behavioral health concerns who are at higher risk for agitation requiring intervention. Full content was unavailable, limiting detail on performance metrics and study design.
Hospitalized Kid with Flu? YES, Start Oseltamivir
In this observational study of hospitalized children with lab-confirmed influenza (2014–2023), oseltamivir use was associated with shorter hospital length of stay and lower ICU admission rates regardless of age or comorbidity. Findings are limited by the study's non-randomized design and potential for confounding.
ICECAP – More Therapeutic Hypothermia Is Not Better
The ICECAP randomized trial found that extending the duration of targeted temperature management at 33°C in out-of-hospital cardiac arrest patients did not improve survival with good neurologic outcomes compared to standard duration, suggesting longer cooling provides no additional benefit in this population.
Does Ramping Help or Hurt Intubation?
A systematic review in EMJ found that non-supine positioning (e.g., ramping) during emergency department intubation was associated with non-inferior or superior first-pass success rates compared to supine positioning, though conclusions are limited by the observational and heterogeneous nature of the included studies.
Can POCUS Spot Traumatic Knee Arthrotomy?
In a pediatric case series of two patients with traumatic knee arthrotomy, point-of-care ultrasound accurately identified intra-articular air, suggesting potential utility for diagnosing joint capsule violation. The very small case series limits generalizability, and broader prospective studies are needed to confirm diagnostic accuracy.
New to the library does not necessarily mean newly published. This roundup features public resources added during the week and successfully indexed by the time the issue was prepared. Follow the links to read or listen at the original source.