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

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-9-1-1 268

E-9-1-1 Emergency Medical Services Life Support ALS 268

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

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 103

ALS ED OR EMS 103

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

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

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

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

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

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

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

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

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

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

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

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

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

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-9-1-1 111

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

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

EMDocs

NOVEMBER 7, 2023

For more on the ED evaluation of diverticulitis, please see Part 1. 2012 Apr;99(4):532-9. of the antibiotic group returned to the ED and were admitted. There were no significant differences in ED return visits, pain control, or complications between groups. 2012 Apr;99(4):532-9.  Br J Surg. 623 patients included.

ACPE 88

ACPE ALS OR ED 88

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

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-9-1-1 102

E-9-1-1 ALS ED OR 102

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

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

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

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 75

EMS E-9-1-1 Operating Room OR 75

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

EMDocs

SEPTEMBER 9, 2023

He presents to the ED with profound difficulty extending his middle and ring finger. In: Simon RR, Sherman SC, eds. 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. McGraw Hill; 2021.

EMS 78

EMS ED ALS Emergency Department 78

Dr. Smith's ECG Blog

OCTOBER 8, 2023

Imagine you just started your ED shift. Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. That said, this patient did present to the ED with "new CP" — and. It's a busy Friday afternoon. I would not send this patient for immediately cath.

ED 103

ED Coronary OR 103

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

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

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

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)

E-9-1-1 67

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

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