EMDocs

DECEMBER 1, 2024

A 52-year-old male with a history of essential hypertension presents to your South Texas ED for his second visit this week complaining of indolent fever, shortness of breath, pleuritic chest pain, and a rash on his trunk and extremities. 2012 Jun 30;43(2):175-80. We’ll keep it short, while you keep that EM brain sharp. and Sarah L.

EMS 105

EMS E-9-1-1 OR ED 105

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

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 188

Allergic Reaction Plasma ED Epinephrine 188

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

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

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

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 104

Frozen Plasma Allergic Reaction FFP Plasma 104

EMDocs

JANUARY 11, 2025

A 75-year-old woman who is bedridden after a stroke presents to the ED from a nursing facility with abdominal pain and constipation. Therefore, discharging the patient on lactulose (C) would not be recommended without additional treatment in the ED. 2012 May-Jun;13(3):283-289. Korean J Radiol. link] Sacerdote, M.,

E-9-1-1 98

E-9-1-1 EMS Emergency Department OR 98

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

Don't Forget the Bubbles

OCTOBER 10, 2024

This time the team from Bristol Royal Children’s Hospital ED tell us what is new in the world of paediatric literature… Led by Dr John Coveney a Paediatric Emergency Medicine Trainee in Bristol who has revived The Journal Club at Bristol Royal Children’s Hospital ED on a monthly basis. 2012 Aug 15;(8):CD004872.

ED 75

ED Emergency Department OR ALS 75

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 105

Emergency Department ALS E-9-1-1 ED 105

REBEL EM

JANUARY 24, 2024

You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7 Clin Orthop Relat Res 2012; 470(8): 2268-2273. Coll Antropol. 2007; 31:279-284. Bone Joint Surg Am.

ALS 98

ALS ED OR EMS 98

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 93

EMS E-9-1-1 Plasma OR 93

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.

ACS 130

ACS Coronary STEMI CAD 130

The Skeptics' Guide to EM

DECEMBER 25, 2017

Who would have thought back in 2012 that an emergency medicine physician from Canada could reach so many people around the world? Everyone on the team from the pre-hospital setting, to the ED, in-patient, ICU and primary care providers. There are now close to 35,000 subscribers and the SGEM is translated into four other languages.

ICU 100

ICU ED 100

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 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

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

REBEL EM

AUGUST 30, 2023

New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. In: Sherman SC eds. J Spinal Disord Tech. 2015 Jul;28(6):E316-27 PMID: 26079841 Chowdhury V, Gupta A, Khandelwal N. Diagnostic Radiology: Musculoskeletal and Breast Imaging. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Semin Arthritis Rheum.

E-9-1-1 96

E-9-1-1 ALS ED OR 96

EMDocs

AUGUST 17, 2023

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% vs 48.4% (OR 3.4,

Overdose 96

Overdose ACS Critical Care OR 96

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

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

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 94

ALS OR ED 94

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

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 ALS Naloxone 52

EMDocs

SEPTEMBER 7, 2024

A 70-year-old female with a past medical history of hypertension, coronary artery disease s/p 2x drug eluting stent placement one month ago, atrial fibrillation on apixaban presents to the ED with weakness and lightheadedness. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank.

EMS 98

EMS E-9-1-1 Operating Room OR 98

Dr. Smith's ECG Blog

JUNE 1, 2012

This was a middle aged female with a h/o CAD who presented to the ED by EMS sudden onset of central chest pressure 45 min prior to ED arrival with associated diaphoresis and SOB.  There is LVH and there are ST-T abnormalities (large inferior T-waves and ST elevation, with reciprocal findings in aVL).

STEMI 52

STEMI CAD ED EMS 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. 2012) 43:2904–9. We’ll keep it short, while you keep that EM brain sharp. His vital signs are T 98.6°F

EMS 111

EMS E-9-1-1 ALS OR 111

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. doi: 10.1136/eb-2012-100645. SpO2 is 88%. What do the guidelines say?

Emergency Department 84

Emergency Department ALS ED OR 84

Don't Forget the Bubbles

JANUARY 22, 2024

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. You receive a referral for a 7-year-old Josh, who presented to the emergency department (ED) with a 5-day history of fever, cough, and borderline oxygen saturation. The ED clinician made an impression of a chest infection.

Emergency Department 90

Emergency Department ALS ED OR 90

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

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. References U.S. Phillips, S.

ED 52

ED Emergency Department ALS OR 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

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

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. Ophthalmology, in Marx J et al (eds): Rosens Emergency Medicine: Concepts and Practice, ed 9.

Emergency Department 52

Emergency Department ALS ED OR 52

This Podcast Will Kill You

SEPTEMBER 12, 2023

” 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. Knopf Canada, 2022.

ALS 52

ALS ED 52

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 Critical Care 52