Topics
Every topic, framed for the way you reason.
One page per clinical topic — a concise article up top, with the print-ready carousel and high-yield tables to download at the bottom.
One page per clinical topic — a concise article up top, with the print-ready carousel and high-yield tables to download at the bottom.
ECG in 10 min. hs-troponin 0/1-2 h. PCI on the clock. STEMI vs NSTE-ACS pathways, the high-sensitivity troponin algorithm, antiplatelet + anticoagulation choices, and reperfusion w…
Read & download →Stabilize the unstable (synchronized cardioversion), rate-control the stable, and find the trigger. Then prevent stroke by risk (CHA2DS2-VASc, DOAC over warfarin), choose rate vs e…
Read & download →Starting and target doses for ARNI, β-blocker, MRA, SGLT2i — plus the 2024 ECDP add-ons (vericiguat, finerenone, IV iron). Order of initiation, K/Cr monitoring, and the STRONG-HF i…
Read & download →Treat the patient, not the number. One question decides everything: new organ damage, or just a number? A 5-step bedside algorithm for asymptomatic inpatient BP, plus the IV dosing…
Read & download →The heart-failure exam by likelihood ratio: the S3 rules in, crackles and edema barely move you, and only a normal BNP rules out.
Read & download →Five steps go further than a glance at a blood gas: pH, primary disorder, compensation, the albumin-corrected anion gap, then the delta ratio to catch a hidden second or third diso…
Read & download →KDIGO criteria and staging, pre-renal vs intrinsic vs post-renal categorization, urine microscopy clues (muddy brown, WBC casts, RBC casts), drugs to hold or dose-adjust, and AEIOU…
Read & download →One of the few emergencies where order matters as much as the drugs: protect the heart, shift potassium into cells, then remove it from the body.
Read & download →The full stepwise approach: confirm true hypotonicity (and the acute vs chronic distinction), read urine osmolality (ADH on/off) then urine sodium (avid <20 vs wasting &…
Read & download →Most AKI blamed on CT contrast was never caused by it. The confounding behind the myth, why PRESERVE and AMACING ended NAC and bicarbonate prophylaxis, and the narrow group where c…
Read & download →In the ICU, "feed early and full" is mostly wrong. Match feeding to the phase — start low, prefer the gut, and don't chase calories or high protein in week one.
Read & download →Up to half of inpatients are malnourished and most are never diagnosed. Screen within 24h, diagnose with GLIM, and feed to target — one of the few inpatient interventions with a su…
Read & download →The 2025 ATS update: lung ultrasound as a CXR alternative, the pathogen/test map, CURB-65 + PSI and IDSA severity criteria, empiric coverage by setting, shorter courses (<5 days…
Read & download →The entire ID differential comes down to two questions: what was the patient exposed to, and what are they susceptible to. Both pillars, plus the social history that ties them toge…
Read & download →Kernig, Brudzinski, and nuchal rigidity have likelihood ratios near 1. The exam cannot rule out meningitis; do the LP.
Read & download →Updated ADA 2024 DKA criteria (β-OHB ≥3.0 is the new gate), HHS criteria, K-before-insulin fluid protocol, transition to SC insulin, euglycemic DKA triggers, and resolution by gap…
Read & download →Treat fast. Recheck. Find the cause. Definitions, the bedside fork (airway → access), pharm vs non-pharm etiologies, recurrent hypoglycemia workup, and discharge planning.
Read & download →Diagnosis, FRAX thresholds, risk tiers, drug-by-scenario selection, holidays, adverse effects, and board pearls — ABIM high-yield.
Read & print →The withdrawal timeline, the three scores (PAWSS, CIWA-Ar, RASS), two first-line pathways (benzodiazepines or phenobarbital), withdrawal seizures, thiamine before glucose, and deli…
Read & download →0.9% saline was set by an 1890s hemolysis experiment, not matched to plasma. Its chloride load, what SMART, BaSICS, and PLUS actually showed, and when saline still beats balanced.
Read & download →Sepsis-3 screening pitfalls, individualized fluid resuscitation (the 30 mL/kg mandate is gone), vasopressor ladder, source control as the intervention, and the 1-hour antibiotic ga…
Read & download →The two minutes of prep that make the call short, the 5 Cs of Consultation, SBAR for the phone call, one specific question instead of "can you come see this?", curbside v…
Read & download →How to read a likelihood ratio at the bedside: LR >10 rules in, <0.1 rules out, and most exam maneuvers sit near 1 and change nothing.
Read & download →Basal, nutritional, correction — build it, don't chase it. Weight-based total daily dose, a worked 80 kg example, correction dosing by insulin sensitivity, converting home reg…
Read & download →Inpatient pain control for the new intern: multimodal opioid-sparing first, a CDC-anchored equianalgesic conversion table, a worked IV-hydromorphone-to-oral-oxycodone conversion, a…
Read & download →"NPO after midnight" is ritual, not evidence. Clear liquids are fine until 2 hours before surgery; past that, more fasting doesn't lower aspiration risk.
Read & download →How to open and organize a presentation: the one-liner formula for admits, progress notes, and sign-outs; the order to present a new patient on rounds; OLDCARTS for a tight HPI; th…
Read & download →A simple, repeatable system so you read every film the same way: confirm identity, check quality (RIPE), then airway-to-soft-tissue in the same order — plus the common misses behin…
Read & download →Risk-assess every admission (Padua, IMPROVE-BLEED, Caprini), pick the agent, adjust for renal function and body size, and switch to mechanical when you can't anticoagulate. Pl…
Read & download →The intern-to-senior role change: from executing the plan to owning it, the team, and the safety net. A day-one playbook and the rookie-senior pitfalls.
Read & download →How to calibrate autonomy: the entrustment judgment via the RIME ladder, matched to the task and re-checked over time.
Read & download →Run the list by acuity, not room. What a good list holds, the run-the-list playbook, and where lists break down.
Read & download →The one-minute preceptor and feedback that lands: teach one point well, in the seconds you have on rounds.
Read & download →