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Helping Patients Sleep: Practical, Non-Pharmacologic Insomnia Strategies

Insomnia and I are very well acquainted with one another. Like 10% of the population, I experienced chronic insomnia for years. And like nearly one-third of adults, I still experience insomnia from time to time. Through my own history, as well as years of research into the literature and undergoing cognitive behavioral therapy for insomnia (CBT-I), the gold standard for treatment of chronic insomnia, I have developed a helpful, informal...

Neda Frayha, MD
By Neda Frayha, MD on
May 07, 2026
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Sore Throat? Try McIsaac first before grabbing that swab!

It’s 9 a.m. in urgent care, and your next patient is here for a sore throat. They want a rapid strep test and antibiotics. But we all know that most sore throats are viral, and antibiotics won’t help. That’s exactly why clinical decision tools, such as the Centor and McIsaac criteria, matter. They guide testing decisions, help us avoid unnecessary antibiotics, and keep care efficient on a busy shift.

Tiffany Proffitt, DO
By Tiffany Proffitt, DO on
May 06, 2026
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Pediatric Obesity Treatment Beyond Lifestyle Counseling: Medications, Surgery, and What Clinicians Need to Know

Many pediatricians have had this moment in clinic: a patient returns for a follow-up weight check after months of conversations about nutrition, physical activity, and screen time — and the number on the scale hasn’t budged. Maybe it has even gone up.

Parul Bhatia, MD
By Parul Bhatia, MD on
May 05, 2026
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Global Clues: The Essential Travel History for Febrile Patients

It’s 2 a.m. in the ED. The waiting room is full, and the next patient sounds straightforward: fever. Then they add, “I just got back from an international trip.”

Geoff Comp, DO
By Geoff Comp, DO on
May 04, 2026
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Pediatric Concussion: Safe Return‑to‑Learn & Play Protocols

It’s a scene most of us know well: a worried parent, a frustrated athlete, and the inevitable question: “When can they go back?”

Jen Janocha, PA-C
By Jen Janocha, PA-C on
May 03, 2026
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The New Indication for an MRI in the ED

I was working in one of our satellite EDs talking with an elderly patient and her daughter about some recent headaches and increased confusion. She was in her early 70s, with a history of Alzheimer’s Dementia (AD). After my initial evaluation and exam, I went back to my computer to place some orders. Looking over her chart, I noticed something odd; the patient had been getting MRIs of her brain every month.

Matthew Hall, CRNP
By Matthew Hall, CRNP on
May 01, 2026
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Why Is This Runner Always Tired? The Anemia You Might Be Missing…

You find the anemia first. Maybe it’s a low hemoglobin on a routine panel. Or a ferritin that makes you pause. But something doesn’t make sense. The patient is young and healthy, with no obvious sources of blood loss. So you ask a few more questions.

Ross Cohen, DO
By Ross Cohen, DO on
April 29, 2026
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Are At-Home Blood Pressure Monitors Accurate? A Guide for Clinicians

Historically, hypertension was diagnosed with two or more elevated blood pressure readings on separate occasions. However, as of 2025, The American College of Cardiology now recommendshome blood pressure monitoring for any patient that has suspected hypertension or those currently taking hypertension medications.

Ashley Greer PA-C
By Ashley Greer PA-C on
April 27, 2026
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Understanding Coagulation Disorders: A Sample Chapter from Hippo’s MOCA-Peds 2026 eBook

When you’re deep into MOCA-Peds questions, few things can spike your heart rate faster than a lab value that doesn’t quite fit or a bleeding history that feels just a little too complicated for a “pick-the-best-answer” moment. Coagulation disorders live right in that space: high-stakes, detail-heavy, and absolutely fair game for exams. Whether it’s a bruising toddler, a teen with heavy menses, or an unexpected post-op bleed, these are the...

Solomon Behar, MD
By Solomon Behar, MD on
April 24, 2026
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Lower Back Pain Part 2: Treatment and Follow up

Last month, we started a two-part series on the evaluation and treatment of acute lower back pain (LBP) in the ED. This month, we are going to get into treatment options and how to help arrange follow-up care.

Matthew Hall, CRNP
By Matthew Hall, CRNP on
April 20, 2026
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Compassion Fatigue: The Hidden Cost of Caring in Nursing Practice

As nurse practitioners, we step into some of the most vulnerable and sacred moments of our patients’ lives. Whether it’s delivering life-altering news, managing chronic illness, or walking alongside someone at the end of life, our work is meaningful. It’s also emotionally demanding. Over time, this emotional labor can take a toll in the form of compassion fatigue.

Katy Vogelaar, FNP-C
By Katy Vogelaar, FNP-C on
April 16, 2026
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The Green and Red Flags of the NP/PA Job Hunt

Whether you are a new graduate or an experienced advanced practice clinician (APC) looking for a change, navigating the job market can be daunting. There’s much more to unpack than just the salary, and the most important details are never going to be found on the job posting.

Matthew Hall, CRNP
By Matthew Hall, CRNP on
April 07, 2026
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