Celebrate Annals of Emergency Medicine’s top content of 2026 with Ryan Radecki and Rory Spiegel! Join us for a lively revisit of the year’s most important and memorable emergency medicine content. 📅 October 7 🕞 3:30–4:20 p.m. 📍 McCormick Place Convention Center, Room W183A #EM #EmergencyMedicine #ACEP #MedED

🚨 Does cephalosporin generation matter for pyelonephritis? DOGMA-ED: 1,147 ED patients, similar failure rates (18–20%) across generations. Promising for antibiotic stewardship, but retrospective data ≠ equivalence. 📖 annemergmed.com/article/S019…

A milestone worth celebrating! 🎉 Annals of Emergency Medicine has achieved its highest-ever Journal Impact Factor: 6.9. This reflects the exceptional research, thoughtful scholarship, and dedication of the authors, reviewers, editors, and readers who continue to advance the field of emergency medicine. Thank you to everyone who helped make this achievement possible! Submit. Search. Read. Cite. Together, we’re shaping the future of emergency care.

Does cephalosporin generation matter when treating outpatient pyelonephritis? 💊 A new multicenter study found similar treatment failure rates across first-, second-, and third-generation oral cephalosporins in patients discharged from the ED. Could simpler, less expensive options be just as effective? 🔗 Read the study: doi.org/10.1016/j.annemergme… And as always,Visit annemergmed.com/ for more of the latest in emergency medicine. #EM #pharmacology #InfectiousDisease #MedED #FOAMed

A new academic year means getting back to the bread and butter of emergency medicine. 🩺 This quarter’s Resident Collection examines the evidence behind managing three essential ED presentations: ❤️ Acute decompensated heart failure 🩸 Diabetic ketoacidosis—including SGLT2- and GLP-1–associated presentations 🫁 Pediatric asthma exacerbations Explore competing perspectives, question familiar protocols, and strengthen the evidence behind your everyday practice. Read the latest Resident Collection from Annals of Emergency Medicine. #EmergencyMedicine #EM #Peds #Cards #MedEd

What if the biggest barrier to safely discharging low-risk PE patients isn’t risk, but the system around us? Read more: annemergmed.com/article/S019… #AnnalsofEM #PE #EmergencyMedicine

Now you see it, now you don’t. When conventional imaging came up empty, a dynamic bedside examination captured an unexpected finding in real time. Can you guess the diagnosis? See the full case: doi.org/10.1016/j.annemergme… Visit annemergmed.com/ for more of the latest in emergency medicine. #POCUS #EmergencyMedicine #EM #MedEd #FOAMed

🎙️ The September Annals of Emergency Medicine Podcast is here! Join Drs. Rory Spiegel and Ryan Radecki as they discuss research in emergency medicine and share their perspectives on the latest literature. 🎧 Listen now: player.captivate.fm/episode/… And as always, visit annemergmed.com/ for more of the latest in EM!

🚑 Suspected STEMI doesn't always mean confirmed STEMI! When paramedics activate a STEMI pathway, what happens when the final diagnosis isn't STEMI? A new statewide study explores the diagnoses and outcomes of patients with suspected STEMI, highlighting the importance of recognizing serious alternative diagnoses while maintaining rapid access to reperfusion. 🔗 Read the study: doi.org/10.1016/j.annemergme… And as always, visit annemergmed.com/ for more of the latest in EM!

Concussion in kids is still a clinical diagnosis, not a single-symptom diagnosis. This review found that mental fog, light/noise sensitivity, nausea, and oculomotor abnormalities increase the likelihood of concussion, while no individual finding can reliably diagnose or exclude it on its own. Peds concussion Read the full Annals of Emergency Medicine article: annemergmed.com/article/S019…

Does a traumatic hemothorax always need a big chest tube? Pigtails deserve consideration in stable adults—but patient selection matters. Read more at doi.org/10.1016/j.annemergme… As always check as out on annemergmed.com for the latest in EM!

#ACEP is right around the corner! Will we see you there? #EM #EmergencyMedicine #EMed #MedED #MedicalEducation

Subcutaneous or intranasal ketamine for acute musculoskeletal pain in the ED—which works better? A new randomized study found no clinically meaningful difference in pain relief, although minor adverse events were more common with the subcutaneous route. Read the full article at doi.org/10.1016/j.annemergme… As always check out annemergmed.com for the latest in EM #EM #EmergencyMedicine #Pharm #MedED

Dexmedetomidine may offer a new option for selected adolescents with recurrent severe agitation during prolonged ED psychiatric boarding. This editorial asks the key questions: Is it necessary, feasible, safe, and ethical? Paper 🔗 annemergmed.com/article/S019…

Will AI replace emergency physicians—or reshape their work? A new study suggests AI is more likely to automate routine tasks, such as documentation and record review, while supporting physicians with complex clinical decisions. The immediate impact may be less about replacing emergency physicians and more about giving them more time to focus on patient care. Read the full article at doi.org/10.1016/j.annemergme… As always check out annemergmed.com for the latest in EM #ArtificialIntelligence #AI #EmergencyMedicine #HealthcareAI

Heading to ACEP26? So are we! 🎉 Come hang out with the Annals of Emergency Medicine team for editor meet-and-greets, creative writing, and Celebration ’26. Save the dates and come say hi! 👋 #ACEP26 #ACEP #EmergencyMedicine #EM

The October issue of Annals of Emergency Medicine is now available online! Explore the latest research, clinical insights, and developments in emergency medicine. Check out the full issue: annemergmed.com/ #EM #EmergencyMedicine #MedED #EvidenceBasedMedicine

What does diagnostic excellence look like in the ED—and how do we define a missed diagnostic opportunity? This expert consensus work offers clear, patient-centered definitions to help guide ED research, quality improvement, and safety efforts. At its core, diagnostic excellence means using the best evidence available to reach and communicate an accurate, timely explanation for a patient’s condition—equitably and collaboratively. Read the full article at doi.org/10.1016/j.annemergme… As always check out annemergmed.com for the latest in EM 
#EmergencyMedicine #EM #PatientSafety

When a painful erection does not resolve, time matters. A patient presented with persistent penile pain and engorgement. Point-of-care Doppler ultrasound revealed absent cavernosal artery flow and markedly reduced dorsal penile artery velocities. What diagnosis do these findings suggest? And how might POCUS support early recognition of this time-sensitive urologic emergency? Check it out at: doi.org/10.1016/j.annemergme… As always check out annemergmed.com for the latest in EM 
#EmergencyMedicine #POCUS #Urology

Who’s excited for ACEP 2026? We are! Join Annals of Emergency Medicine for conversations, connection, and a look at what’s ahead for your society journal. Everyone is welcome—readers, authors, reviewers, editors, and emergency medicine friends. • Meet the Annals of Emergency Medicine Editors & Open Board Meeting October 5 | 1:00–2:30 PM Marriott Marquis, Level 3, George Pullman Room Drop in for the open board meeting (1:00–2:00 PM), stay to meet and talk with the editors (2:00–2:30 PM). • Write Creatively Workshop with Change of Shift Editor Luz Silverio October 5 | 2:30 PM • Celebration ’26: The Year’s Top Content—Revisited Hosted by Ryan Radecki and Rory Spiegel October 7 | 3:30–4:20 PM McCormick Place Convention Center, Room W183A See you in Chicago!