ALiEM

MARCH 1, 2024

A 24-year-old female with no pertinent PMHx presents to the ED with a chief complaint of eye pain. Her mom convinced her to go to the ED and she first went to an outside hospital, but was referred to come to our institution. link] Published November 19, 2012. References Knoop KJ, Palma JK. Iridodialysis. McGraw Hill; 2021.

ED 152

ED OR 152

ALiEM

JANUARY 29, 2024

Case Question: What treatments can you perform in the ED for this diagnosis and do they improve outcomes? 2012 Dec;33(7):E263-E267. Epub 2012 Sep 21. This has the potential to expedite consultations with specialty teams and treatment. Ultraschall Med. doi: 10.1055/s-0032-1312925. PMID: 23023446. Nedelmann, Matt et al.

ALS 161

ALS ED OR 161

ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. 2012 Feb;26(2):212-7. American Academy of Ophthalmology. 2023, March 23). Eye (Lond).

Emergency Department 161

Emergency Department OR ED 161

REBEL EM

NOVEMBER 13, 2024

cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e. vancomycin) If significant soft tissue injury, add gram negative coverage like late generation cephalosporin, extended-spectrum penicillin, or aminoglycoside (i.e.

ED 105

ED OR EMS 105

Don't Forget the Bubbles

NOVEMBER 29, 2023

Even though sedation after endotracheal intubation (ETI) reduces the risk of self-extubation, uncontrolled pain, and awakening awareness, several small single-centre studies demonstrate low rates of sedative drug administration after ETI in the emergency department (ED). Pediatric Emergency Care 28(11): p 1129-1131, November 2012. |

E-9-1-1 135

E-9-1-1 Emergency Department ED CPR 135

REBEL EM

SEPTEMBER 13, 2023

Both conditions can range in severity from benign to life threatening (Wilkerson 2012). 2012; 14(11). In: UptoDate, Feldweg AM (ed.) Hereditary Angioedema (presents in childhood) and Acquired C1 Inhibitor Deficiency (adulthood) Both involve abnormalities in the level or function of the C1 inhibitor. Emergency Medicine Practice.

Frozen Plasma 105

Frozen Plasma Allergic Reaction FFP Plasma 105

Pediatric EM Morsels

OCTOBER 27, 2023

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight.

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

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

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. Background: Major trauma in older patients is increasing in frequency (1), with the median age of major trauma patients in the UK from 2012-2017 being 63.6 years ( 2 ).

Frozen Plasma 130

Frozen Plasma FFP Emergency Medical Services Plasma 130

The Skeptics' Guide to EM

AUGUST 17, 2019

ED physicians are among the most frequent prescribers of opioids. Pain 2012). ACEP has a clinical policy regarding prescribing of opioids for adult ED patients that was published in 2012 ( Cantrill et al ). Volkow et al. JAMA 2011). Platts-Mills TF, et al.

Emergency Department 130

Emergency Department ALS ED OR 130

Core EM

OCTOBER 16, 2024

In: Marx J, ed. In: Wolfson A, ed. Br J Haematol. 2009 Nov;147(4):431-43. link] Emery, M. Blood and blood components. Rosen’s emergency medicine. Philadelphia, PA: Elsevier; 2014:75-80. Transfusion Reactions and Complications. Harwood-Nuss’ Clinical Practice of Emergency Medicine. Hirayama F. A A Case Rep. link] Savage, W.

Allergic Reaction 145

Allergic Reaction Plasma ED Epinephrine 145

ALiEM

SEPTEMBER 27, 2023

2012 Jul;64(3):520-39. In: Goldfrank’ s Toxicologic Emergencies. Hoffman et al. New York, NY. McGraw-Hill. Koppaka V, Thompson DC, Chen Y, et al. 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

EMDocs

AUGUST 22, 2024

6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. 6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. One cohort study in a public ED found that 84.5%

Emergency Department 82

Emergency Department ALS E-9-1-1 ED 82

Dr. Smith's ECG Blog

JUNE 2, 2023

Despite otherwise normal vital signs, she was appropriately triaged to the critical care area of the ED. They are rare and hard to find in normal practice in the ED. She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? J Electrocardiol, 42 (2009), pp.

ED 82

ED OR ALS CAD 82

The Skeptics' Guide to EM

DECEMBER 12, 2020

Case: A 52-year-old previously healthy woman presents to your emergency department (ED) with an abscess on her left forearm. She is systemically well and there is no sign of tracking, so you decide to perform incision and drainage in the ED. Kirsty is also the creator of the wonderful infographics called #PaperinaPic.

ALS 130

ALS ED Emergency Department OR 130

The Skeptics' Guide to EM

MARCH 6, 2021

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% ( Gifford 2008 , Pallin 2005 ). The episode included the Dundee protocol for adult epistaxis management from 2012. You apply direct pressure for 10 minutes, but the bleeding continues.

ALS 130

ALS Emergency Department EMS ED 130

REBEL EM

NOVEMBER 30, 2022

Clinical predictors for testicular torsion as seen in the pediatric ED. Pediatric Emer Care 2012; 28: 80-6. PMID: 22217895 Ban KM, Easter JS: Selected Urologic Problems; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. OR = 58.8 (Ben-Israel S Afr Med J.

ALS 52

ALS ED OR EMS 52

The Skeptics' Guide to EM

JANUARY 14, 2018

Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. A study from Bindman et al.

Emergency Department 130

Emergency Department ALS ED OR 130

Core EM

OCTOBER 2, 2024

In: Marx J, ed. In: Wolfson A, ed. Br J Haematol. 2009 Nov;147(4):431-43. link] Emery, M. Blood and blood components. Rosen’s emergency medicine. Philadelphia, PA: Elsevier; 2014:75-80. Transfusion Reactions and Complications. Harwood-Nuss’ Clinical Practice of Emergency Medicine. Hirayama F. A A Case Rep. link] Savage, W.

Allergic Reaction 100

Allergic Reaction Plasma ED Epinephrine 100

The Skeptics' Guide to EM

JUNE 5, 2021

On rapid bedside assessment you calculate the National Institute of Health Stroke Score/Scale (NIHSS) of 11 and a Field Assessment for Stroke Triage for Emergency Destination (FAST-ED) score of 7; you suspect a large vessel occlusion (LVO) based on the high NIHSS and FAST-ED score >3.

ALS 130

ALS Emergency Department ED 130

REBEL EM

NOVEMBER 2, 2022

grams/kg on day 3 of treatment Patients with a single episode of SBP should be considered for antibiotic prophylaxis (with norfloxacin, ciprofloxacin or TMP/SMX) ( Runyon 2012 ) Take Home Points SBP is a difficult diagnosis to make because presentations are variable. Management of Adult Patients with Ascites Due to Cirrhosis: Update 2012.

ALS 52

ALS ED EMS OR 52

Don't Forget the Bubbles

AUGUST 23, 2023

Very rarely are the ED team allowed to stand, in silence, with a purpose. 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”. Newell, J. & 2 (57-68).

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

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

The FllightBridge ED

SEPTEMBER 11, 2023

Since the 2012 Berlin Definition of the Acute Respiratory Distress Syndrome (ARDS), several developments have supported the need for an expansion of the definition, including…

40

40

Core EM

JULY 23, 2024

New York, NY: McGraw-Hill; 2012:51–57. New York, NY: McGraw-Hill; 2012:51–57. Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Elsevier; 2018:(Ch) 138. Ionizing Radiation Injuries and Illnesses: Ensuring Patient Safety and Self-Preservation.” EmDOCs.net – Emergency Medicine Education, 7 Apr.

ALS 130

ALS OR Emergency Department ED 130

REBEL EM

FEBRUARY 8, 2023

Surv Ophthalmol 2012; 57(5):448-462. Epidemiology: Most frequent cause of corneal blindness in the United States Most common source of infectious blindness in the Western world. Herpes simplex epithelial and stromal keratitis: an epidemiologic update. PMID: 3652623 Wilhelmus KR et al. Cochrane Database Syst Rev 2010; (12): CD002898.

ALS 52

ALS OR EMS ED 52

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. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

Emergency Department 89

Emergency Department ALS ED OR 89

The Overrun Podcast

JULY 21, 2019

Ed, Mike and Dan get nerdy again talking about IV fluids and vasopressors! What works, why, and what do you need to know about the stuff we put into patients…and why it may be hurting more than helping! per cent salt solution is neither “normal” nor physiological. per cent salt solution is neither “normal” nor physiological.

ED 52

ED OR 52

This Podcast Will Kill You

SEPTEMBER 26, 2023

DiSalvo, eds. Springer Science & Business Media, 2012. 2012): e1002808-e1002808. 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. Dinos, dogs, deep time, and deadly outbreaks – this episode has it all.

ALS 52

ALS ED 52

REBEL EM

JULY 20, 2022

Executive summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Antithrombotic therapy for VTE disease: 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

EMDocs

JULY 13, 2024

A 37-year-old G2P2 female with no other past medical history presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. 2012 May;27(5):1368-74. Epub 2012 Mar 14. We’ll keep it short, while you keep that EM brain sharp. She has significant tenderness to the lower abdomen on palpation.

EMS 64

EMS E-9-1-1 Plasma OR 64

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. Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. A radiograph is shown (see figure 1). Problem How should his pain be managed? Goodwin J.

E-9-1-1 52

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

REBEL EM

JANUARY 25, 2023

3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 Louis, Mosby, Inc., 2010, (Ch) 92: p 1216-1227. References Taylor MR, Lalani N.

ED 52

ED ALS OR ICU 52

Core EM

MARCH 12, 2024

New York, NY: McGraw-Hill; 2012:51–57. New York, NY: McGraw-Hill; 2012:51–57. Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Elsevier; 2018:(Ch) 138. Ionizing Radiation Injuries and Illnesses: Ensuring Patient Safety and Self-Preservation.” EmDOCs.net – Emergency Medicine Education, 7 Apr.

ALS 130

ALS OR Emergency Department ED 130

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., Drug and chemical toxicology , 42 (3), pp.321-327. Gupta, Ramesh C. The Bhopal disaster and its aftermath: a review. Environmental Health , 4 (1), pp.1-6.

E-9-1-1 52

E-9-1-1 ED ALS 52

Don't Forget the Bubbles

JANUARY 17, 2024

” ( Ed. Mirza and Sheikh reported perhaps the first unfortunate case in 2012. In 2012, one brand of SAP beads – Water Balz – was recalled by the U.S. 2012 Jan;3(1):6. The liquids were chosen to “approximate a pediatric digestive environment.” After Darracq et al., Krisch et al.

E-9-1-1 109

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

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