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Oliver Buchannon
Matthew Barmmer

Emergency physician. EMS & tactical medicine. High-yield research for busy clinicians.

The Hallway Consult — Issue #16: Migraine Fluids, SPG Block Dosing, and Difficult IV Access

Aug 10, 2026

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5 min read

The Hallway Consult — Issue #16: Migraine Fluids, SPG Block Dosing, and Difficult IV Access

Three common ED habits are up for audit. The first is the migraine liter hanging next to the NSAID as if fluid itself were analgesia. The second is the elegant-sounding sphenopalatine ganglion block, where more anesthetic turns out not to mean more durable relief. The third is the hard-stick patient, where a simple transillumination device may help more than most of us would have guessed — but only if we treat it as an early adjunct, not a magic wand.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #15: Cardiac Arrest Access, AI Chest X-Rays, and Trauma Ketamine

Aug 3, 2026

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5 min read

The Hallway Consult — Issue #15: Cardiac Arrest Access, AI Chest X-Rays, and Trauma Ketamine

In cardiac arrest, should IO really come before IV? On chest x-ray, does AI meaningfully help, or just shift the error pattern? And for trauma pain without a line, is intranasal ketamine actually the better non-IV route? Let’s get into it.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #14: Prehospital Whole Blood, Suspected PE in Pregnancy, and Video EMS Dispatch

Jul 27, 2026

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5 min read

The Hallway Consult — Issue #14: Prehospital Whole Blood, Suspected PE in Pregnancy, and Video EMS Dispatch

Whole blood in the field, PE workup in pregnancy, and what happens when dispatch can actually see the scene. Three questions the ED doesn't always get to ask — but should.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #13: Acetaminophen Overdose, TBI Osmotherapy, and Pediatric Appendicitis

Jul 20, 2026

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4 min read

The Hallway Consult — Issue #13: Acetaminophen Overdose, TBI Osmotherapy, and Pediatric Appendicitis

Three decisions that look simpler than they are. Can you stop NAC early in a low-risk acetaminophen overdose? Does hypertonic saline actually change meaningful outcomes in traumatic brain injury, or just make the ICP monitor look better? And in pediatric appendicitis, has antibiotics-first really caught surgery yet? Let's get into it.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #12: DOAC Bleeding, Agitation, and Pediatric DKA Fluids

Jul 13, 2026

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5 min read

The Hallway Consult — Issue #12: DOAC Bleeding, Agitation, and Pediatric DKA Fluids

Should you reverse anticoagulation in a GI bleeder — and with what? What do you actually reach for when someone is dangerously agitated? And when a child with DKA needs fluid, is normal saline still the best default? Let's get into it.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #11: Renal Colic, Acute AF, and Hip Fracture Pain

Jul 6, 2026

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4 min read

The Hallway Consult — Issue #11: Renal Colic, Acute AF, and Hip Fracture Pain

The EM literature, translated for your next shift.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #10: Oxygen Targets, HFNC vs NIV, and Chest Pain Scores

Jun 29, 2026

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5 min read

The Hallway Consult — Issue #10: Oxygen Targets, HFNC vs NIV, and Chest Pain Scores

Three topics that show up constantly in real emergency practice, and three places where the “standard” approach is a lot less settled than people think.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #9: Syncope, Ketamine and Procalcitonin

Jun 22, 2026

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2 min read

The Hallway Consult — Issue #9: Syncope, Ketamine and Procalcitonin

Three topics that live in every emergency physician's blind spot, not because they're rare, but because the old heuristics are imprecise. Who actually needs admission after syncope? Does ketamine dose matter for emergence agitation? And after a decade of promise, does procalcitonin finally earn a place in your antibiotic decisions? The data are in.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult Issue #8: Aspirin, Pediatric Fever, and the TBI Intubation

Jun 15, 2026

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4 min read

The Hallway Consult Issue #8: Aspirin, Pediatric Fever, and the TBI Intubation

The EM literature, translated for your next shift.Three things that come up constantly in the ED — and three sets of assumptions worth pressure-testing. Does the reflex aspirin actually help? Is the febrile toddler with no source still as scary as it used to be? And is ketamine really dangerous in the head-injured patient? Spoiler: the answers aren't what we used to teach.

Matthew Barmmer
Matthew Barmmer
Issue #007 — Heart Failure, Skin Infections, and the Chest Pain Workup

Jun 8, 2026

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3 min read

Issue #007 — Heart Failure, Skin Infections, and the Chest Pain Workup

The EM literature, translated for your next shift.Three things you deal with constantly in the ED — and all three have changed enough that the old reflexes are worth rechecking.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #6: Intubation, PE, and the Hypotensive Patient

Jun 1, 2026

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3 min read

The Hallway Consult — Issue #6: Intubation, PE, and the Hypotensive Patient

Three topics you’ve probably had on your mind this week — and one of them just got rewritten by a large randomized trial.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #5: Neurology & Stroke

May 25, 2026

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3 min read

The Hallway Consult — Issue #5: Neurology & Stroke

The brain can't wait. Neither can the evidence base — it changed again.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #4: Trauma & Hemorrhage Control

May 18, 2026

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3 min read

The Hallway Consult — Issue #4: Trauma & Hemorrhage Control

Bleeding kills faster than almost anything else. Here's what the evidence says about stopping it.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #3: Cardiac Emergencies

May 11, 2026

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3 min read

The Hallway Consult — Issue #3: Cardiac Emergencies

Your resus bay's busiest tenant. Here's what the literature says you should actually be doing.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #2: Sepsis & Infectious Disease

May 4, 2026

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3 min read

The Hallway Consult — Issue #2: Sepsis & Infectious Disease

The most over-bundled, under-nuanced diagnosis in emergency medicine. Let’s sort it out.

Matthew Barmmer
Matthew Barmmer
The Hallway Consult — Issue #1: Airway & Resuscitation

Apr 27, 2026

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4 min read

The Hallway Consult — Issue #1: Airway & Resuscitation

The stuff that actually keeps people alive. Let's talk about it.

Matthew Barmmer
Matthew Barmmer

The Hallway Consult

The EM literature, translated for your next shift.

© 2026 The Hallway Consult.
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