Greta Anton

Surviving Sepsis 2026 is here & it's even more loony tunes than I was expecting. They're promoting pre-hospital ABX & preemptive broad-spectrum IV antibiotics for intubated patients. This insane fever dream is an antimicrobial stewardship nightmare. Embarrassment for SCCM.

We are "over the moon" 🚀🚀🚀 with our #residency class of 2029! Welcome to @UNCEM! #MatchDay26 @UNCMedCenter @UNC_Health_Care @emresidents @CORD_EM @ABEMCert @ACEPNation @SAEMonline bit.ly/47cMtxF

Clinical deterioration is an underappreciated risk of ED boarding. In a multi-center study of >173,000 admissions, nearly 1 in 25 ED boarders admitted to the floor experienced early clinical deterioration requiring an admission to an advanced level of care, with almost half occurring before leaving the ED. Each additional hour of boarding was independently associated with an increased risk of deterioration, and deterioration carried substantially higher 28-day mortality. Identifying high-risk patients early may prevent avoidable escalations in care and patient harm.  #EDBoarding #PatientSafety #EmergencyMedicine #EM #HealthPolicy #SocialMedicine

EMCrit 421 - A Friendly Debate on the Role of ED Pharmacists - I want their minds, not their hands! with @MeganARech #EMPharmacy #EMRX Listen and then tell us what you think! emcrit.org/421

Read this insightful & inspiring story about @UNCEM Chair, Dr. @JaneBrice2, as she discusses key factors changing the field of #EmergencyMedicine, and guiding principles that shaped her amazing career. See Page 6 of #SAEMPulse. @SAEMonline @UNC_som Link: bit.ly/3MWJX7R

A new study from #UNCPharmacy and @UNC_SOM is exploring a scalable way to make medication use safer for older adults! Hear from Stefanie Ferreri and Jan Busby-Whitehead on the impact of their research below: unc.live/4s8PHuB

🚨 Emergency Department crowding — new evidence on the impact of medical patient boarding #Originalreasearch Important new research exploring how medical patient boarding in the emergency department affects patient outcomes and the wider urgent care system. 📄 Medical patient boarding in the emergency department as a source of crowding and delay-related harm emj.bmj.com/content/early/… 🔍 What the study looked at A retrospective cohort study across 3 EDs in England (2023–2025) examining: • 49,000+ medical admissions • 210,000+ non-admitted ED patients • 88,000+ ambulance handovers • 146,000+ ambulance responses The study explored both direct patient harm and system-wide effects of boarding. 📊 Key findings ⚠️ Boarding increases patient harm • Each extra 4 hours of boarding → → +8.6 hours inpatient length of stay → +8.4% higher odds of 30-day mortality → increased re-admissions 🚑 System-wide consequences • More boarding → slower ambulance response times • Increased ambulance handover delays • Longer ED stays for other patients • Reduced bed availability across the system 🏥 Medical patients accounted for 81% of total ED boarding time. 💡 Why this matters Boarding is not just a flow problem — it is associated with measurable harm to patients and reduced efficiency across urgent and emergency care. Reducing boarding could: ✅ improve patient outcomes ✅ improve ambulance response times ✅ increase hospital capacity ✅ reduce system pressure This paper adds important evidence to ongoing conversations about ED crowding, patient safety, and system design. How is your department tackling boarding and exit block challenges? #EmergencyMedicine #PatientSafety #EDCrowding #UrgentCare #NHS #HealthServicesResearch #EmergencyDepartment #Workforce #HealthcareSystems @RCollEM

🚨 The 2026 AHA/ACC PE guidelines changed how we think about pulmonary embolism. Not just new treatments — a new clinical framework. Say goodbye to “massive vs submassive.” Meet A–E PE Clinical Categories 🧵👇

Xylazine was increasingly detected in fentanyl-positive urine samples at the University of Pittsburgh Medical Center tandfonline.com/doi/full/10.10…

Trends in pediatric emergency medicine: Focus on behavioral health, substance use, and safety. academic.oup.com/ajhp/article-a…

Hot off the press !!Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries for the American Society of Anesthesiologists® is now published @UVARegional pubmed.ncbi.nlm.nih.gov/41363869/

EMCrit Wee - The RSI Trial - Etomidate vs. Ketamine for RSI Induction in the critically ill. These results are practice changing for many resuscitationists! I know it will change my practice. Listen to this interview with lead authors: @JonathanCaseyMD and @brian_driver [#FOAMed for now!]

Buh-bye 👋

💬 Viewpoint: Recent FDA authorization of direct-to-consumer #chlamydia and #gonorrhea tests improves access but creates potential gaps in risk assessment, comprehensive STI testing, and linkage to care. ja.ma/4qZ58VX

🧠 AEMP's "Pulse Dose" of pharmacy pearls to upgrade your EM practice! This week's topic, DAWS 😵‍💫, is from an AEMP/AGEM collaboration piece in the recent SAEM Pulse issue buff.ly/cyeX2cY @AGEM_SAEM @giulietti_Rx @MauraKennedyMD #AEMP #SAEM #AEMPPulseDose #RxPearls

Making it harder to qualify for and stay enrolled in Medicaid or subsidized ACA coverage, writes Jonathan Oberlander, PhD (@OberlanderUNC), in a Perspective, the 2025 budget reconciliation act represents the largest rollback of health insurance coverage in U.S. history. Read the full Perspective: nej.md/4l5Cq1s

AHA/ACC have released the 2025 High Blood Pressure Guideline, emphasizing prevention and early treatment to reduce cardiovascular disease risk. Read the Guideline in @HyperAHA & @CircAHA and check out our hub with commentaries and more: ahajrnls.org/4mlSNs4...

EQUiPPED, a medication safety program, was successfully exported to 3 academic medical centers seeking to reduce prescriptions of PIMs for older adult patients through education, clinical decision support & provider feedback. Read more: hubs.li/Q03C29070

Health equity is still a work in progress. 80K excess deaths/year. $1 trillion in economic loss. Ignoring disparities won’t make them disappear. Silence isn’t neutral—it’s costly. Let’s persist in the pursuit of equity—for everyone. ahajournals.org/doi/full/10.11…

🚨IDSA has released the first guidelines for the management and treatment of complicated urinary tract infections (cUTIs)! The new guidelines simplify the prior definitions of uncomplicated UTIs and cUTIs, & address treatment for cUTIs. View guidelines: bit.ly/4lUjN1a