EBM Review Series: End-Tidal CO2 Measured at Triage Outperforms Standard Vital Signs – Potential Utility and Value of ETC02

A patient is brought to the emergency department (ED) by emergency medical services (EMS) with concern for sepsis. The patient has a history of urosepsis but is oriented with vital signs in the normal range. You - the physician - are deciding if it is appropriate to sepsis alert the patient now, or if you should first collect more data. What other information could be used to better inform this decision?

That's a Wrap: 'Sine Die' at the 2026 General Assembly. Here's where EM landed.

The 2026 Virginia General Assembly has adjourned. Emergency physicians closely watched several major policy debates, including a proposal to dramatically raise Virginia’s medical malpractice cap, legislation affecting physician assistant practice authority, new restrictions on healthcare non-compete agreements, and ongoing efforts to address workplace violence and behavioral health challenges in the Commonwealth’s healthcare system. Here’s a recap.

EBM Review Series: Are they shocky?

Megyn Christensen, DO & Martin Klinkhammer, MD, MHP, FACEP from Eastern Virginia Medical School at Old Dominion University review the September 2025 study on the usage of shock index as a indicator of compensated shock among trauma patients. Here's their analysis.