In Episode #43 of EM Logic, Dr. Pregerson reviews common radiology errors in the ED, from missed fractures to subtle tumors, and breaks down why communication and clinical context matter. He also shares real cases and practical tips for improving teamwork with radiologists. Read more in the Show Notes.

In Episode #42 of EM Logic, Dr. Pregerson highlights new research on occult ventricular fibrillation seen only on bedside echo and reviews the DOSE VF trial showing improved survival with dual sequential defibrillation. He also connects pearls from prior episodes on heads-up CPR and hypokalemic arrest. Read more in the Show Notes.

Don't be blamed for providing inadequate aftercare instructions. Minimize the chances that your discharged patient doesn't return. In Episode #41, Dr. Pregerson covers the pearls and pitfalls of aftercare instructions. Read more details in the Show Notes.

In Episode #40 of EM Logic, Dr. Pregerson reviews the diagnosis and management of testicular torsion, emphasizing its peak presentation in 13- to 14-year-olds. Epididymitis is the diagnosis on the chart of 61% of settled malpractice cases. He stresses the importance of not waiting for ultrasound before manual detorsion. Read more in the Show Notes.

In Episode #39 of EM Logic, Dr. Pregerson discusses occlusion MIs (OMI) that are missed by STEMI criteria. One-fourth to one-third of NSTEMIs are actually missed acute coronary occlusions, which would be best treated with emergent reperfusion. Read more details here in the Show Notes.

In Episode #38 of EM Logic, Dr. Pregerson reviews what you can do before intubation in order to prevent triggering a subsequent cardiac arrest. Read more details here in the Show Notes.

In Episode #37 of EM Logic, Dr. Pregerson discusses a paper by Dr. Stephen W. Smith on hyperacute T-waves. STEMI misses 30% to 40% of acute coronary occlusions that would benefit from emergent revascularization. Read more details here in the Show Notes.

In Episode #36 of EM Logic, Dr. Pregerson reviews the literature and finds on the role of troponin testing in patients with supraventricular tachycardia. SVT conversion and the reasons why diltiazem is better than adenosine is also discussed. Read more details in the Show Notes.

Dr. Pregerson says vital signs are not just normal or abnormal but a continuum. The closer to abnormal they are, the more concerning they should be, of course, but there's still more to learn in this month's podcast. Read more in the Show Notes.

As the literature says, you can't diagnose cyclic vomiting syndrome until you rule out Dietl's crisis. Dr. Pregerson discusses recurrent abdominal pain, which is often diagnosed as CVS, IBS, or abdominal migraine, but notes that Dietl's crisis may present similarly. Read more in the Show Notes.