Emergency Medicine Blog
Articles, protocols and updates for emergency medical professionals
STEMI Criteria and Occlusive Infarction: A Meta-Analysis Challenges the Dogma
ECG STEMI criteria miss 1 in 3 coronary occlusions. A systematic review with meta-analysis questions the cornerstone of emergency cardiology. Is the OMI paradigm the answer?
Minute-by-Minute Post-ROSC Physiology: The Study That Changes the Rules
A new study from Ambulance Victoria links minute-by-minute defibrillator data to outcomes in 3,694 cardiac arrest patients — and challenges how we think about post-ROSC thresholds.
Acute Pulmonary Embolism — 2026 AHA/ACC Guidelines: What Really Changes
New 2026 AHA/ACC guidelines on acute pulmonary embolism: the 5 clinical categories A–E, what changes for EMS and Emergency Departments, and how to structure an effective PE-Alert.
Different Systems, Common Challenges
Two opposite systems, one question. Nick Nudell on fragmentation, governance, and the future of prehospital care across America and Europe.
Rural EMS and the Low-Volume Competency Challenge
When the rare call arrives, there's no time to prepare. Nick Nudell on staying ready.
Chest Pain in the Field: The 4 Questions That Make the Difference Between ACS and False Alarm
Chest pain in the field? 4 simple questions distinguish heart attack from false alarm in 2-3 minutes. Practical OPQRST: Onset, Quality, Radiation, Associated symptoms.
Our First Preprint: What We Learned from 2,660 Conversations
We published the EMSy prototype analysis on medRxiv. 2,660 conversations show clear differences between physicians and nurses. Interview with Ilia Khashei, author of the statistical analysis.
Tranexamic Acid in Trauma: 90 Minutes to Make a Difference?
New PATCH-Trauma study: is tranexamic acid in major trauma only effective within 90 minutes? Critical analysis of the evidence and practical implications for prehospital care. 2g vs 1+1 dosing.
Endurance medicine: the pathologies no one taught you
From intensive care to marathons: Luca Carenzo talks about endurance medicine. "The ambulance doesn't accelerate care: it delays it."
Nebulized Ketamine in Emergency Medicine: Between Brilliant Idea and Unanswered Questions
Nebulized ketamine: it works for acute pain, but the evidence is still weak. The real issue? Operator safety in enclosed environments. A promising technique that needs methodical study.
Counter-Terrorism Medicine and Artificial Intelligence: The Future of Response to Terrorist Emergencies
How can AI revolutionize the response to terrorist scenarios? Dr. Capitanio explores training, limitations, and opportunities of Counter-Terrorism Medicine in the Italian healthcare system.
Counter-Terrorism Medicine: The Emerging Discipline Every Emergency Physician Should Know
Counter-Terrorism Medicine: discover the emerging discipline transforming emergency medicine practice. Interview with Dr. Capitanio on preparedness, critical scenarios, and tactical applications.