Clinical Insights
Evidence-based clinical guidance, simulation strategies, and educational insights for emergency medicine physicians, residents, and advanced practice providers.
Clinical insights for emergency physicians and residents: RSI decision-making, POCUS, ACLS updates, sepsis bundles, and the hypotensive patient.
Chester "Chet" Shermer, MD, FACEP · September 3, 2026
A practical ED sequence for adult convulsive status epilepticus: treat at five minutes, dose the benzodiazepine fully, choose a second-line agent, and keep airway and EEG decisions active.
Read Convulsive Status Epilepticus in the ED: Dose, Then Decide
Chester "Chet" Shermer, MD, FACEP · August 27, 2026
A practical ED sequence for hyperkalemia: verify the result, read the ECG, protect the heart, shift potassium, prevent insulin-related hypoglycemia, and plan definitive removal.
Read Hyperkalemia in the ED: Protect the Heart, Shift the Potassium, Plan the Exit
Chester "Chet" Shermer, MD, FACEP · August 27, 2026
A sedated arrival is not automatically an intubation. What the evidence says about prehospital ketamine, and the two questions to ask before the crew leaves.
Chester "Chet" Shermer, MD, FACEP · August 20, 2026
A practical first-hour framework for adult acute asthma in the ED: treat early, reassess visibly, recognize failure, and make discharge part of treatment.
Chester "Chet" Shermer, MD, FACEP · August 13, 2026
We credential central lines and rehearse intubations, then improvise the transfer of twelve patients at shift change. The evidence says sign-out is a procedure, and it deserves procedural discipline.
Read The Handoff Is a Procedure: Why Sign-Out Deserves the Same Discipline as a Central Line
Chester "Chet" Shermer, MD, FACEP · May 19, 2026
Why sepsis bundle compliance gaps persist and how emergency physicians can close them. Hour-1 bundle breakdown, common barriers, and the cognitive framework that saves lives.
Read Sepsis Bundle Compliance: Closing the Gap Between Guidelines and Bedside Practice
Chester "Chet" Shermer, MD, FACEP · May 19, 2026
Critical pediatric resuscitation pearls for emergency providers. Weight-based dosing, airway differences, vascular access strategies, and the cognitive errors that cost lives.
Read Pediatric Resuscitation Pearls: What Every Emergency Provider Must Know
Chester "Chet" Shermer, MD, FACEP · May 19, 2026
Master the FAST exam with this step-by-step guide for emergency physicians. Learn the four views, common pitfalls, and how POCUS changes resuscitation decisions in trauma.
Read FAST Exam Mastery: A Practical Guide for Emergency Physicians
Chester "Chet" Shermer, MD, FACEP · May 18, 2026
The latest ACLS guidelines include critical updates that change how we approach cardiac arrest, post-resuscitation care, and team dynamics. Here's what you need to know.
Read ACLS Updates: Critical Changes Every Emergency Provider Must Know
Chester "Chet" Shermer, MD, FACEP · May 18, 2026
When a hypotensive patient rolls through your ED doors, your first 10 minutes determine outcomes. Here's a systematic framework for the undifferentiated hypotensive patient.
Read Managing the Undifferentiated Hypotensive Patient: A Systematic Approach
Chester "Chet" Shermer, MD, FACEP · May 18, 2026
High-fidelity simulation is reshaping how emergency physicians learn and maintain clinical competency. Here's the evidence — and what it means for your training.
Read Why Simulation Training Is Transforming Emergency Medicine Education
Chester "Chet" Shermer, MD, FACEP · May 18, 2026
Point-of-care ultrasound has transformed emergency medicine. Learn the essential ultrasound-guided procedures every EM resident must master before graduation.
Read Ultrasound-Guided Procedures in the ED: What Every Resident Needs to Know
Chester "Chet" Shermer, MD, FACEP · May 18, 2026
Master the RSI decision framework with a systematic approach to airway management in the emergency department. From pre-oxygenation to post-intubation care.
Read Rapid Sequence Intubation: A Step-by-Step Decision Framework for Emergency Physicians