🚨 New issue of the @CJEMonline is out! Highlights from October 2026 include: ✅ CAEP Position Statement on ED overcrowding ✅ Fomepizole for acetaminophen overdose, Tumour lysis syndrome #JustTheFacts ✅ Survival after traumatic cardiac arrest ✅ Early hypofibrinogenemia in trauma ✅ Trauma airway intubation outcomes ✅ AI-powered quality assurance for ED documentation Explore the latest at: link.springer.com/journal/43… #FOAMed #EmergencyMedicine #MedEd #EMResearch #CJEM

“A patient waits for hours in an emergency department… and dies before being assessed.” Not rare. Not random. ED crowding is the visible end of hidden system failure. New CJEM commentary: How health systems learn to fail. link.springer.com/article/10…

Do billing codes actually show how hard you’re working? 🩺🤔 A new @CJEMonline study suggests the answer is: Not really. Researchers found that while billing codes correlate with patient acuity (CTAS levels), they fail to reflect the discrete elements of physician work—like labs, meds, or teaching—independent of visit complexity. The Bottom Line: ❌ Billing codes are a limited surrogate for workload. ⚠️ Relying on them may hinder efforts to optimize staffing & prevent burnout. ✅ We need new, validated metrics that capture the true cognitive & physical intensity of the pediatric ED. 🔗 Read the research: link.springer.com/article/10… #PedsEM #MedTwitter #CJEM #PhysicianWellness #EmergencyMedicine

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🇨🇦 The U-POCUS protocol: urinalysis and POCUS to exclude symptomatic ureterolithiasis in ED patients The U-POCUS protocol has >99% sensitivity for excluding symptomatic ureterolithiasis and missed only one case in a multicenter retrospective cohort. This strategy could safely reduce reliance on non-contrast CT in the ED, minimizing radiation and cost without compromising diagnostic accuracy. Read the full open access study: link.springer.com/article/10…

CJEM Volume 28, Issue 1 (January 2026). Highlights include: new editorials on clinician wellbeing and equity in EM, original research on paramedic care and trauma outcomes, quality improvement work on hip fractures, and more. Explore the full issue with 18 articles spanning commentary, clinical research, and practice insights: 🔗 link.springer.com/journal/43…

Just the facts: calcium administration in trauma patients receiving massive blood transfusions by Theodore Muth Ever heard of the "Lethal Diamond" of trauma? Hypocalcemia is now recognized as a critical fourth factor alongside coagulopathy, hypothermia, and acidosis. It is an independent predictor of mortality and transfusion needs. Key Facts: • 55% of bleeding trauma patients are hypocalcemic upon arrival. • Citrate in blood products binds calcium, worsening the deficiency during massive transfusions. Management Tip: Guidelines suggest administering 1g of calcium chloride (or 3g calcium gluconate) with the first 4 units of red blood cells For more details read the full article: link.springer.com/article/10…

Do advanced care paramedics actually make a difference in cardiac arrest survival? Check out the PULSE study for more information... ➡️ rdcu.be/e0qQg @EMSaintJohn @DalhousieU @DalResearch

if you missed the #SavingEmergencyMedicine series curated by @PaulAtkinsonEM with leading voices from @CAEP_Docs addressing how to address the challenges we face, check out the free access links below... Part 1. Saving emergency medicine: is less more?rdcu.be/dWPaA Part 2. Saving emergency medicine part two: better together rdcu.be/dWPbI Part 3. Saving emergency medicine, part three: compassion rdcu.be/dWO8J Part 4. Can Emergency Medicine be Saved? rdcu.be/eVwJ5

Don't miss the excellent #WellnessWeek resources from @CAEP_Docs caep.ca/caep-emergency-medic… and of course, don't forget to take a break... link.springer.com/article/10… @PaulAtkinsonEM @rodlim00

🚑 We have recently launched the: CJEM Equity Collection! We are seeking submissions that use an equity lens to improve the quality and impact of emergency medicine care globally. Join our expert editors Jaspreet Khangura, Kathryn Dong, and Patrick McLane in advancing EDI in EM. ✅ Median 4 days to first decision! ✅ Ongoing submissions ✅ Expert support for authors 🔗Submit your manuscript today: link.springer.com/collection… #EmergencyMedicine #HealthEquity #FOAMed #MedTwitter #CJEM

Wishing all in Emergency Medicine peace at this special time of year @CAEP_Docs @EMO_Daddy @PaulAtkinsonEM @EddyLang1 @hrosenberg33 @JenniferThullFreedman

CJEM invites comment and papers on #StolenBeds: emergency department beds occupied by admitted patients awaiting inpatient care. A core driver of crowding, access block, and delay. Part of the CJEM #crowding collection. @EddyLang1 @PaulAtkinsonEM @EMO_Daddy

Does adding advanced care paramedics make a difference in out-of-hospital cardiac arrest? The PULSE Study says YES, with improved survival after program implementation. Read more now in CJEM: rdcu.be/eR7fH #PULSEstudy @PaulAtkinsonEM @HorizonHealthNB @Medavie @DalMedResearch @EMSaintJohn