ALiEM

SEPTEMBER 27, 2023

Hoffman et al. Koppaka V, Thompson DC, Chen Y, et al. 2012 Jul;64(3):520-39. In: Goldfrank’ s Toxicologic Emergencies. New York, NY. McGraw-Hill. Aldehyde dehydrogenase inhibitors: a comprehensive review of the pharmacology, mechanism of action, substrate specificity, and clinical application. Pharmacol Rev. PMID: 22544865.

ALS 169

ALS OR ED 169

The Skeptics' Guide to EM

AUGUST 17, 2019

Date: August 9th, 2019 Reference: Daoust et al. Date: August 9th, 2019 Reference: Daoust et al. ED physicians are among the most frequent prescribers of opioids. Volkow et al. Platts-Mills TF, et al. Pain 2012). Reference: Daoust et al. He is also the CME editor for Academic Emergency Medicine.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

APRIL 8, 2023

John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. In Ontario alone there have been approximately 160 emergency departments (ED) temporarily closed since the beginning of 2022. This is an SGEM Xtra episode.

Emergency Department 139

Emergency Department ED Ambulance ALS 139

Core EM

JULY 23, 2024

New York, NY: McGraw-Hill; 2012:51–57. New York, NY: McGraw-Hill; 2012:51–57. 2021, [link] Shen, J, et al. 2020, [link] Shen, J, et al. 2020, [link] Shen, J, et al. Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Elsevier; 2018:(Ch) 138. EmDOCs.net – Emergency Medicine Education, 7 Apr.

ALS 130

ALS OR Emergency Department ED 130

Don't Forget the Bubbles

AUGUST 23, 2023

Very rarely are the ED team allowed to stand, in silence, with a purpose. Kapoor et al. 2012) “Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue”. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

The Skeptics' Guide to EM

JANUARY 14, 2018

[display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. A study from Bindman et al.

Emergency Department 130

Emergency Department ALS ED OR 130

Don't Forget the Bubbles

JANUARY 17, 2024

After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Image adapted from Mullens et al., ” ( Ed. After Darracq et al., A recent literature review by Caré et al. Zamora et al., From Mullens et al.,

E-9-1-1 111

E-9-1-1 ALS Emergency Department OR 111

The Skeptics' Guide to EM

JUNE 5, 2021

References: * Suzuki et al. JAMA 2021 * Zi et al. Background: Management of acute ischemic stroke has been discussed on the SGEM ever since this knowledge translation project was launched in 2012. At work Garreth imagines himself as a student of evidence-based medicine trying to provide the best care based on the best evidence.

ALS 130

ALS Emergency Department ED 130

EMDocs

NOVEMBER 7, 2023

For more on the ED evaluation of diverticulitis, please see Part 1. 2012 Apr;99(4):532-9. The DIABLO trial: Daniels L, Ünlü Ç, de Korte N, et al; Dutch Diverticular Disease (3D) Collaborative Study Group. Randomized van Dijk ST, Daniels L, Ünlü Ç, et al; Dutch Diverticular Disease (3D) Collaborative Study Group.

ACPE 88

ACPE ALS OR ED 88

REBEL EM

FEBRUARY 8, 2023

Surv Ophthalmol 2012; 57(5):448-462. PMID: 3652623 Wilhelmus KR et al. PMID: 4739528 Weiner et al. Link McDonald et al. Link Welder et al. Link Wilhelmus KR et al. PMID: 7997324 Chan RV et al. Link White et al. Herpes simplex epithelial and stromal keratitis: an epidemiologic update.

ALS 52

ALS OR EMS ED 52

Core EM

MARCH 12, 2024

New York, NY: McGraw-Hill; 2012:51–57. New York, NY: McGraw-Hill; 2012:51–57. 2021, [link] Shen, J, et al. 2020, [link] Shen, J, et al. 2020, [link] Shen, J, et al. Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Elsevier; 2018:(Ch) 138. EmDOCs.net – Emergency Medicine Education, 7 Apr.

ALS 130

ALS OR Emergency Department ED 130

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. However, rapid initiation of treatment is actually patient-centered care that can both lead to better outcomes and limit ED boarding.

Emergency Department 52

Emergency Department ED Naloxone ALS 52

REBEL EM

AUGUST 30, 2023

Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al. PMID: 26316526 Boody B, et al. New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. PMID: 25892724 Gouliouris T, et al. 2010 Nov;65 Suppl 3:iii 11-24 PMID: 20876624 Mylona E, et al. In: Sherman SC eds.

E-9-1-1 102

E-9-1-1 ALS ED OR 102

REBEL EM

JULY 20, 2022

References: Frappe P, et al the STEPH Study Group. PMID: 12814979 Blumenberg RM, et al.: PMID: 9510288 Coon WW et al. PMID: 25903684 Guyatt GH et al. Executive summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.

ALS 52

ALS OR ED EMS 52

This Podcast Will Kill You

SEPTEMBER 26, 2023

History Biology Al-Doory, Yousef, and Arthur F. DiSalvo, eds. Springer Science & Business Media, 2012. 2012): e1002808-e1002808. Andes et al. But, as we discuss in the episode’s conclusion, that protection may be weakened as our warming planet selects for fungi that can tolerate increasing temperatures.

ALS 52

ALS ED 52

This Podcast Will Kill You

SEPTEMBER 12, 2023

Kawamura, Shoji, et al. ” Post-genome biology of primates (2012): 93-120. 2012): 178-194. The history of color blindness. Wayenborgh Publishing, 2018. Gegenfurtner, K.R. and Kiper, D.C., Color vision. Annual review of neuroscience , 26 (1), pp.181-206. An immense world: How animal senses reveal the hidden realms around us.

ALS 52

ALS ED 52

EMDocs

MAY 11, 2024

A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al.

EMS 89

EMS E-9-1-1 ALS OR 89

EMS 12-Lead

JUNE 20, 2022

Here is the final ECG just prior to ED transfer. Attached below is the initial ED tracing upon hospital arrival, approximately 25 minutes after the prehospital ECG. Upon hospital arrival, the patient verbalized slight attenuation of pain. There is some “deflation” of the ST/T configuration upon juxtaposition with ECG 2. 2] Driver, B.

ACS 130

ACS Coronary STEMI CAD 130

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. ED crowding impairs this mission. The Emergency Medical Treatment and Labor Act (EMTALA) mandates examination, treatment, and stabilization of anyone who comes to the ED.

Emergency Department 52

Emergency Department ED ALS OR 52

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

He was brought to the ED. See the February 6, 2015 post in Dr. Smith's ECG Blog - and - the Case Study of polymorphic VT induced by exercise, by Hoffmayer, Scheinman et al — Heart Rhythm 19:1214-1216, 2022 ). Appropriately, the medics electrically cardioverted immediately. They did not feel they had time to sedate.

E-9-1-1 66

E-9-1-1 ALS OR ED 66

ACEP Now

FEBRUARY 13, 2024

A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. On ED presentation, he was experiencing 10 out of 10 pain level. In the January issue of Annals of Emergency Medicine , Merz-Herrara, et al., Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012.

E-9-1-1 52

E-9-1-1 Emergency Department ED ALS 52

ACEP Now

MARCH 15, 2024

A 20-year-old man presents to the emergency department (ED) directly from the scene of a fall from a bicycle, where he lost balance and landed on his outstretched hand. 6 A missed DRUJ injury may lead to chronic wrist supination deficit and pain, which can be prevented with surgery in some cases, so early diagnosis in the ED is important.

ALS 52

ALS ED OR EMS 52

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Jamie is admitted to the Paediatric Ward, and the paediatric trainee calls the ED to ask if a viral respiratory panel was obtained. There was a significant reduction of RVP ordering both in the ED and paediatric wards without impacting ED returns. Take home points References Byington CL, Ampofo K, Stockmann C, et al.

Emergency Department 84

Emergency Department ALS ED OR 84

REBEL EM

MARCH 8, 2023

et al, Emergency Medicine Clinical Essentials ed 2. Eye Emergencies, in Tintinalli J et al (eds): Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, Seventh Edition New York City: McGraw-Hill 2016 (Ch) 241 Guluma K, Lee JE. . >10 floaters, (+) LR 8.1-36 Philadelphia: Elsevier, 2013 (Ch) 26: p.

Emergency Department 52

Emergency Department ALS ED OR 52

This Podcast Will Kill You

OCTOBER 24, 2023

eds (2015) Broughton, E., Eds Converey, I., Eds Converey, I., In Conflicts around domestic water and sanitation in India: cases, issues and prosects eds: Joy, KJ., .” Environmental Health 4.1 2005): 1-6. and Varma, D.R., The Bhopal disaster of 1984. Bulletin of Science, Technology & Society , 25 (1), pp.37-45.

E-9-1-1 52

E-9-1-1 ED ALS 52

EMDocs

SEPTEMBER 9, 2023

He presents to the ED with profound difficulty extending his middle and ring finger. e1 Rosh AJ, Kwon NS, Wilburn JM, et al. Examination reveals the following: What is the diagnosis? Rosh Review Website Link References Park CW, Juliano ML, Woodhall D. Tendon Lacerations. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. Ann Plast Surg.

EMS 78

EMS ED ALS Emergency Department 78

EMDocs

OCTOBER 5, 2024

4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. Lee JA, Kang CI, Joo EJ, et al. In: PostTW, ed. Haverkate MR, et al. Park SH, Choi SM, Chang YK, et al. Available from: [link] Harris PA, Tambyah PA, Lye DC, et al. Arcilla MS, van Hattem JM.,

E-9-1-1 74

E-9-1-1 EMS ALS OR 74

This Podcast Will Kill You

NOVEMBER 7, 2023

Manne, eds. Lee, Carrie, et al. and Al-Niami, F., 2012): 114. We wrap up the episode with a look at rates of skin cancers around the globe today and exciting research showing the benefits of sunscreens as well as how AI might be used to help diagnose skin cancer. History Biology Heckman, Carolyn J., and Sharon L.

E-9-1-1 52

E-9-1-1 ALS ED OR 52

ACEP Now

OCTOBER 9, 2023

Centers for Medicare and Medicaid Services, et al. Ginde A, Sullivan A, Corel B, at al. Reevaluation of the effect of mandatory interpreter legislation on use of professional interpreters for ED patients with language barriers. Benda NC, Bisantz AM, Butler R, et al. Flores G, Abreu M, Barrone CP, et al.

Emergency Department 64

Emergency Department E-9-1-1 ALS OR 64

EMDocs

SEPTEMBER 23, 2023

A 36-year-old female presents to the ED after experiencing an episode of sudden syncope. Rosh Review Website Link References Antzelevitch C, Brugada P, Borggrefe M, et al. Priori SG, Napolitano C, Gasparini M, et al. Chen Q, Kirsch GE, Zhang D, et al. Wilde AA, Antzelevitch C, Borggrefe M, et al. Circulation.

E-9-1-1 84

E-9-1-1 EMS ALS Defibrillator 84

Dr. Smith's ECG Blog

MAY 21, 2023

Here is the first ED ECG: COMPUTER INTERPRETATION: Electronic Atrial Pacemaker. An elderly patient had a fall from probable syncope, and could not get up. He complained of weakness and shortness of breath, but no CP. Vital signs were normal. Marked ST Elevation, ACUTE MI What do you think? First, the QRS is incredibly wide!

ALS 68

ALS OR ED 68

REBEL EM

AUGUST 18, 2022

Study Protocol: Patients were chosen and enrolled from those presenting to the Emergency Department Medical treatment was initiated in the ED, with patients receiving IV medications for symptom control initially. 16/238 patients in the antibiotic group had a repeat visit to the ED compared to 17/242 in non-antibiotic group (-0.3%

Emergency Department 52

Emergency Department ALS ED OR 52

EMDocs

FEBRUARY 12, 2024

As the only respiratory therapist in the ED has been paged and is starting BiPAP for this patient, an overhead call for two incoming trauma alerts from a multivehicle collision sounds. Because the RT responsible for drawing arterial blood gases is busy caring for these patients, ABGs will be delayed.

Emergency Department 94

Emergency Department E-9-1-1 ED ICU 94

AAEM RSA

DECEMBER 1, 2020

Most emergency departments (EDs) already have disaster plans outlining how they will respond to a sudden influx of critically ill patients. Yet, we must also be cognizant that the surge preparedness of other units will affect the ability of the ED to operate efficiently. Updated February 14, 2012. What is medical surge?

ED 52

ED Emergency Department ALS OR 52

Dr. Smith's ECG Blog

MAY 8, 2023

Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. Code STEMI was activated by the ED physician based on the diagnostic ECG for LAD OMI in ventricular paced rhythm. I cannot be anything else.

STEMI 52

STEMI Coronary ED ACS 52

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s. 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) Vet Hum Toxicol. 1986;28(6):543-4.

E-9-1-1 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

Dr. Smith's ECG Blog

MARCH 15, 2023

. = My Comment by K EN G RAUER, MD ( 3/15 /2023 ): = I found today’s case highly instructive in highlighting a number of important aspects regarding the presentation and initial treatment of a patient who presents to the ED with new AFib. I focus my comment on a few additional aspects regarding new AFib.

ALS 52

ALS OR Defibrillator ED 52