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. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

Emergency Department 52

Emergency Department ED Naloxone ALS 52

The Skeptics' Guide to EM

DECEMBER 12, 2020

Date: December 10th, 2020 Reference: Ladde et al. AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Date: December 10th, 2020 Reference: Ladde et al.

ALS 130

ALS ED Emergency Department OR 130

The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine.

Frozen Plasma 130

Frozen Plasma FFP Emergency Medical Services Plasma 130

REBEL EM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Both conditions can range in severity from benign to life threatening (Wilkerson 2012). PMID 25629740 Hassen GW et al. PMID 23062323 Kostis JB et al.

Frozen Plasma 103

Frozen Plasma Allergic Reaction FFP Plasma 103

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ Kapoor et al.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

The Skeptics' Guide to EM

OCTOBER 3, 2020

Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the Emergency Department of the Erasmus University Medical Center in Rotterdam, the Netherlands. Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al.

Emergency Department 100

Emergency Department ALS OR 100

The Skeptics' Guide to EM

JANUARY 7, 2018

[display_podcast] Date: December 19th, 2017 Reference: Perry J et al. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. display_podcast] Date: December 19th, 2017 Reference: Perry J et al.

Emergency Department 100

Emergency Department Critical Care ALS OR 100

The Skeptics' Guide to EM

MARCH 6, 2021

Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Reference: Reuben A et al. Ann Emerg […] The post SGEM#321: The Times they are a Changin’ for TXA in Epistaxis? Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Reference: Reuben A et al.

ALS 130

ALS Emergency Department EMS ED 130

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona.

EMR 100

EMR Emergency Department ICU ALS 100

The Skeptics' Guide to EM

JUNE 5, 2021

References: * Suzuki et al. JAMA 2021 * Zi et al. JAMA 2021 Case: A 74-year-old woman presents to your emergency department with 1.5 Background: Management of acute ischemic stroke has been discussed on the SGEM ever since this knowledge translation project was launched in 2012.

ALS 130

ALS Emergency Department ED 130

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. References Morley, Claire, et al. 2012): 2470-2478.

Emergency Department 52

Emergency Department ED ALS OR 52

REBEL EM

NOVEMBER 6, 2024

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. 2012 Apr;20(4):223-32. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. 2012 Feb 1;94(3):240-5. 2012 Apr 18;2012(4):CD007908.

E-9-1-1 109

E-9-1-1 ACS OR Emergency Department 109

The Skeptics' Guide to EM

MARCH 10, 2018

[display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Reference: Zahed et al. AEM March 2018.

Emergency Department 100

Emergency Department ALS Coronary OR 100

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Simpson et al. Simpson et al. Emergency department overcrowding is a complex issue with multiple contributing factors. A 2011-2012 Australian study by Blake et al.

Emergency Department 89

Emergency Department ALS ED OR 89

REBEL EM

APRIL 29, 2024

A study by Lee et al ( 7) compared femoral CVC placement to IO and demonstrated a first-pass success pass rate with IO of 90.3% Labs can be drawn from an IO to help with rapid diagnosis in emergencies. References: 1 Astasio-Picado Á et al. World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4.

ALS 105

ALS Epinephrine Critical Care Emergency Department 105

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. Department of Health and Human Services.

Emergency Department 81

Emergency Department ALS E-9-1-1 ED 81

The Skeptics' Guide to EM

AUGUST 5, 2023

Reference: Easter JS et al. Annals of Emergency Medicine 2014. Date: July 10, 2023 Guest Skeptic: Dr. Joe Mullally is a paediatric trainee in the Welsh paediatric training program and interested in Paediatric Emergency Medicine. Reference: Easter JS et al. Annals of Emergency Medicine 2014.

ALS 100

ALS Emergency Department OR 100

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. Curious Ken is brought into your emergency department. Image adapted from Mullens et al., After Darracq et al., A recent literature review by Caré et al. Zamora et al.,

E-9-1-1 111

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

The Skeptics' Guide to EM

MARCH 4, 2023

Date: March 3, 2023 Reference: Hosseinialhashemi et al. Ann Emerg Med. first appeared on The Skeptics Guide to Emergency Medicine. Date: March 3, 2023 Reference: Hosseinialhashemi et al. Ann Emerg Med. Case: Jim is a 50-year-old male who presents to the emergency department with anterior epistaxis.

ALS 100

ALS Emergency Department EMS 100

FOAMfrat

MAY 19, 2024

While transporting to the emergency department, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. Upon arrival in the pediatric emergency department, the patient was conscious and alert to her normal mental status, which included being nonverbal.

E-9-1-1 98

E-9-1-1 ALS Emergency Department EMT 98

REBEL EM

DECEMBER 17, 2024

The Bottom Line: HEAT Trial Acetaminophen for Fever in critically Ill Patients with Suspected Infection The SGEM: SGEM #146 The Heat is On IV Acetaminophen for Fever in the ICU References Young, P et al. PMID: 26436473 Schortgen F et al. Am J Resp Crit Care Med 2012; 185(10): 1088-1095. PMID: 22366046 Sunden-Culberg J et al.

ICU 72

ICU ALS Emergency Department EMS 72

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department ALS OR Ambulance 105

Core EM

JULY 23, 2024

Management Emergency department treatment of radiation exposure is prioritized to treat traumatic injuries, burns, and unstable medical conditions, with simultaneous decontamination and sample collection. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2012:51–57. Sakamoto, M.

ALS 130

ALS OR Emergency Department ED 130

Core EM

MARCH 12, 2024

Management Emergency department treatment of radiation exposure is prioritized to treat traumatic injuries, burns, and unstable medical conditions, with simultaneous decontamination and sample collection. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2012:51–57. Sakamoto, M.

ALS 130

ALS OR Emergency Department ED 130

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. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26.

E-9-1-1 90

E-9-1-1 ALS ED OR 90

EMDocs

MAY 11, 2024

Rosh Review Website Link Further Reading: FOAMed: [link] [link] [link] [link] [link] [link] [link] References : Turi B, Smith D, Kusel K, et al. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. link] Sharma R, Gaillard F, Bell D, et al. Ann Emerg Med.

EMS 89

EMS E-9-1-1 ALS OR 89

REBEL EM

MARCH 8, 2023

Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. et al, Emergency Medicine Clinical Essentials ed 2. >10 floaters, (+) LR 8.1-36 209-225 Walker R, Adhikari S.:

Emergency Department 52

Emergency Department ALS ED OR 52

ACEP Now

FEBRUARY 13, 2024

A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. 1–4 Emergency physicians commonly prescribe opioid pain medications, and there is significant variability among prescribing patterns. In the January issue of Annals of Emergency Medicine , Merz-Herrara, et al.,

E-9-1-1 52

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

Don't Forget the Bubbles

MAY 29, 2023

Emergency Medical Journal [Internet] 2022;39;52-56. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Fnais N, Soobiah C, Chen MH, et al. Keller S, Yule S, Zagarese V, et al. Bad manners in the Emergency Department: Incivility among doctors. Available at: [link] Fehr R, Gelfand MJ, Nag M.

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

This Podcast Will Kill You

DECEMBER 10, 2024

2012): 125. Randal, et al. Girard-Madoux, Mathilde JH, et al. Racial disparities in pain management of children with appendicitis in emergency departments. Factors associated with potentially missed diagnosis of appendicitis in the emergency department. History Biology Ball, Chad G., Paulson, E.K.

E-9-1-1 52

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

EMDocs

JULY 25, 2024

Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review. Ronquillo L et al. Oct 04, 2012. Posner et al. The post Medical Malpractice Insights: The challenge of suicide evaluation in the ED appeared first on emDOCs.net - Emergency Medicine Education. Applebaum PS.

ED 81

ED ALS Emergency Department OR 81

EMDocs

SEPTEMBER 23, 2023

A 23-year-old man with no significant medical history presents to the emergency department for evaluation of a syncopal episode. 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. 2012 May;9(5):752-9.

E-9-1-1 83

E-9-1-1 EMS ALS Defibrillator 83

Don't Forget the Bubbles

OCTOBER 10, 2024

Exploring communication preferences and risk thresholds of clinicians and parents of febrile infants under 90 days presenting to the emergency department: a qualitative study. Wilson K, Umana E, McCleary D, Waterfield T, Woolfall K. Arch Dis Child. 2024 Jul 10:archdischild-2023-326727. doi: 10.1136/archdischild-2023-326727.

ED 75

ED Emergency Department OR ALS 75

FOAMfrat

JULY 1, 2023

Well, in my reading of the Wall's Manual of Emergency Airway Management (6th Edition), they make the recommendation of 1.5 Their recommendation, as I can tell, appears to come from two things: A paper by Levin NM et al. 2] Annals of Emergency Medicine. E1, March 01, 2012. Emerg Med J. 2012 Mar;29(3):256-8.

E-9-1-1 52

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

REBEL EM

AUGUST 18, 2022

Fletcher, MD, FACEP and Nicholas Slattery, MD Background: Diverticulitis is a common finding amongst Emergency Department patients, accounting for more than 360,000 visits in 2013 alone 1. If clinical worsening or poor symptomatic control was detected at any time, the patient was referred to the Emergency Department.

Emergency Department 52

Emergency Department ALS ED OR 52

EMDocs

SEPTEMBER 9, 2023

Answer : Extensor tendon laceration Epidemiology: Hand extensor injuries make up >25% of orthopedic soft tissue injuries 2, 3 Common in young men in manual labor Dominant hand more likely to be injured 4 2012 study on 86 patients reported 83% men with a mean age of 34.2 e1 Rosh AJ, Kwon NS, Wilburn JM, et al. J Emerg Med.

EMS 78

EMS ED ALS Emergency Department 78

FOAMfrat

OCTOBER 20, 2023

And according to a paper from Russotto et al. Of note, in the paper by Russotto et al., Per the Manual of Emergency Airway Management (6th Edition), "If the need for intubation is not immediate, then abnormal hemodynamic parameters should be normalized as much as possible prior to intubation." Sackles et al. Brown, C.A.

E-9-1-1 52

E-9-1-1 ALS ACS OR 52