EM Quick Hits 70 MedMal Cases Upper Back Pain, Traumatic Pneumothorax/Hemothorax Decision Making, Risk Stratification of ICH for Consultation, Post-Circumcision Bleeds, IV Contrast Allergy, Emotional Contagion
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Jan 13, 2026 
In this discussion, Mike Weinstock emphasizes critical questions for diagnosing upper back pain, while Andrew Petrosoniak shares insights on managing traumatic pneumothorax and hemothorax. Justin Morgenstern explains brain injury risk stratification for better neurosurgical consultations. Ariel Hendin tackles contrast media allergies, debunking myths and providing updated management strategies. Plus, emotional contagion expert Shawn Seregren reveals how communication dynamics during resuscitation can impact outcomes.
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Selective Post-ROSC Cath Lab Activation
- Do not activate the cath lab for post-ROSC patients without STEMI unless they meet high-risk phenotypes.
- Discuss high-risk features with interventional cardiology before urgent angiography.
Rapid Decompression In Peri‑Arrest Trauma
- In peri-arrest chest trauma, perform immediate decompression (finger thoracostomy) and delay formal tube placement until stabilization.
- Decompress quickly (aim <30 seconds per side) even if sterile conditions are imperfect.
Ultrasound Beats Auscultation For Pneumo
- Use ultrasound over auscultation to detect pneumothorax; absent lung slide plus hypoxia/hypotension warrants chest tube.
- Don't rely on supine chest x-ray because sensitivity is poor.