Whether you’re in primary care, urgent care, or the ED, the pediatric physical exam can be challenging. Adult vitals make sense. Adults generally cooperate. But kids? They squirm, scream, and sometimes can’t even tell you where it hurts. The...
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What NP Education is Getting Right
January was for reflection and honesty about the current state of Nurse Practitioner education; a plea to steer the ship in a different direction. Now, let's talk about what NP education is getting right. From community medicine collaborations with EMS to post-graduate fellowships, clinicians and institutions across the country are working to move our profession forward...
IV Lidocaine for Renal Colic
Early in my career, I encountered a patient with severe renal colic who also had a history of opioid use disorder, now with several years of sobriety. Our initial treatment options with the usual non-narcotic medications and IV fluids had offered some initial relief, but his pain had returned with a vengeance. His battle with opioids had been hard fought, and he was...
IM Epi, Meet Your Match: Why Intranasal Epinephrine Might Be a Game Changer
It’s every clinician’s nightmare: a pediatric patient in full-blown anaphylaxis, your team scrambling to find the epinephrine vial, draw it up, calculate the pediatric dose, triple-check the concentration — oh, and do it all in a resource-limited setting.
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Fellowships Unlocked: Why Primary Care Fellowships Might Be Your Next Move
In primary care, we often describe ourselves as “jack-of-all-trades” clinicians — experts in breadth and advocates for the patient as a whole person. Yet for many of us, there comes a point when we crave more depth, new purpose, or a different kind of impact. That’s where primary care fellowships can open doors.Whether you’re a resident contemplating what’s next or a...
Sound Check: Newborn Hearing Screening Best Practices & Follow-Up
A baby passes their hearing screen — great. But what if they don’t? Or what if they pass, but there’s still risk for hearing changes down the line?
The Plague: What You Need to Know
Whena person in northern Arizona died of the plague in July 2025, we wondered if we had time-traveled back to the medieval era. The last time most of us thought about the plague was likely in school, studying for our boards.
Introducing the Next Chapter of ERcast
At Hippo, we make choices big and small based on our mission: to empower the people of medicine to learn, grow, and thrive through education and community. As emergency medicine and EM education continue to evolve, we’ve been asking ourselves some important questions:
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Building a Sustainable POCUS Program in Your Practice: Practical Insights for Healthcare Professionals
Point-of-care ultrasound (POCUS) is transforming the way healthcare providers approach diagnostics, enabling immediate insights that enhance patient care. As this tool becomes more integrated into clinical practice, we, as healthcare professionals, face some challenges when building a sustainable POCUS program. From selecting the right equipment to navigating...
Optimizing Inhaler Technique in Children: Common Errors and Fixes
Asthma is one of the most common chronic conditions in pediatrics, and inhaled medications are at the heart of effective management. But here’s the twist: even when we prescribe the right drug at the right dose, if the inhaler technique is off, the benefits can vanish in a literal puff of air.
Thrombolytics for the Coding Patient
Managing a cardiac arrest is the paramount skill of an emergency medicine physician. The process is a furious loop of assessments, actions, and decisions. Choices are often made with minimal information to fall back on, and delays of mere seconds can define the outcome. When running the rapid mental checklist of Hs and Ts, the decision to give or withhold thrombolytics is...
The Knee Exam, Rebooted: What Every Clinician Should Know
Knee pain is one of the most common musculoskeletal complaints seen in primary care, emergency medicine, and outpatient clinics. Yet despite its prevalence, evaluating an injured knee can feel deceptively complex. Swelling can obscure findings, patient discomfort may limit your exam, and the sheer number of specialized maneuvers can leave even experienced clinicians...
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