ALiEM

JANUARY 8, 2024

2012 Jul;51(7):1278-84. Epub 2012 Feb 29. References Huang K, Levy RD, Avina-Zubieta JA. The diagnostic utility of anti-melanoma differentiation-associated gene 5 antibody testing for predicting the prognosis of Japanese patients with DM. Rheumatology (Oxford). doi: 10.1093/rheumatology/ker518. PMID: 22378718.

ED 152

ED OR 152

Pediatric EM Morsels

JULY 19, 2024

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage. Get a hold of ENT early as OR management and/or admission are common. Set up suction x2 in the room! Headlamps can also be helpful!

E-9-1-1 285

E-9-1-1 Epinephrine Emergency Department OR 285

The Skeptics' Guide to EM

JUNE 4, 2017

A systematic review by the authors of the present study confirmed a possible benefit of the pan scan, but it showed a need for a well-designed, large, prospective randomized clinical trial with patient oriented outcomes ( Sierink et al 2012 ). first appeared on The Skeptics Guide to Emergency Medicine. Reference: Sierink et al.

OR 130

OR ALS CPR ICU 130

ALiEM

SEPTEMBER 27, 2023

2012 Jul;64(3):520-39. Disulfiram-like reaction with ethanol consumption Coprinus atramentarius or Ink Cap mushroom is well known to cause a disulfiram-like reaction when it is consumed prior to ethanol. This results in significant nausea and vomiting and can lead to tachycardia and hypotension. Koppaka V, Thompson DC, Chen Y, et al.

ALS 169

ALS OR ED 169

ALiEM

DECEMBER 4, 2023

He then noticed the pain start and grow in intensity without radiating anywhere else except the glans. He denies any discharge or pain with urination with 2-3 small volume voids daily but denies urine trapping. Images of SENSITIVE CONTENT Physical Exam GU : There is erythema, tenderness, and discoloration of the penile gland. Magnesium : 2.6

Emergency Department 152

Emergency Department OR 152

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 Take Home Points Achilles tendon rupture is a clinical diagnosis. Weakness with plantar flexion.

ALS 103

ALS ED OR EMS 103

NVFC

JANUARY 16, 2024

Since the program began in 2012, a total of 715 sets of gear and 260 helmets have been donated to 160 departments. In 2023, 13 volunteer fire departments across the U.S. and Canada each received four new turnout jackets, four new turnout pants, and four helmets.

Firefighter 116

Firefighter First Responder OR EMS 116

ALiEM

OCTOBER 20, 2023

2012 Jul;16(4):614-20. Necrobiosis lipoidica is a rare, chronic, idiopathic, granulomatous disease of collagen degeneration classically associated with type 1 diabetes (with a prevalence of 0.3 Available from: [link] PMID:29083569. Kota SK, Jammula S, Kota SK, Meher LK, Modi KD. Indian J Endocrinol Metab. doi: 10.4103/2230-8210.98023.

Plasma 161

Plasma Coronary Emergency Department OR 161

Core EM

JANUARY 25, 2024

Renal injury: isolated proteinuria or hematuria, moderate acute kidney injury with serum creatinine levels <2 mg/dL Skin: petechiae and purpura Despite severe thrombocytopenia, clinically significant bleeding is rare Figure 1.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

Core EM

JULY 23, 2024

Author: Mallika Singh, MD Editor: Jonathan Kobles, MD Background Unintentional or intentional exposure to radiological material represents a potential threat to human health on the individual to mass-casualty scale. Radioactive sources include medical isotopes, fuel rods, generators, and other industrial sources. 10-Hour Flight: 0.03

ALS 130

ALS OR Emergency Department ED 130

Don't Forget the Bubbles

AUGUST 9, 2023

2012 Aug;97(8):2732-40. Epub 2012 Jun 20. We’ll use some cases to think about the different causes of subacute hypothyroidism, but first, let’s explore what it is. Hypothyroidism can be classified by lab values. Subclinical hypothyroidism can be defined as either mild or severe, depending on the degree of TSH elevation. 99:2697–703.

ALS 98

ALS OR 98

The Skeptics' Guide to EM

AUGUST 17, 2019

Pain 2012). ACEP has a clinical policy regarding prescribing of opioids for adult ED patients that was published in 2012 ( Cantrill et al ). ACEP has a clinical policy regarding prescribing of opioids for adult ED patients that was published in 2012 ( Cantrill et al ). Platts-Mills TF, et al.

Emergency Department 130

Emergency Department ALS ED OR 130

EMDocs

AUGUST 22, 2024

You may be more familiar with the term “limited English proficiency” (LEP), defined as: someone who does not speak English as their primary language and has a limited ability to read, speak, write, or understand English. For instance, displaying posters in multiple languages that explain the language services patients are entitled to.

Emergency Department 82

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

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. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. Her main job is working for a think tank.

Emergency Department 139

Emergency Department ED Ambulance ALS 139

This Podcast Will Kill You

MAY 7, 2024

Health Canada, 2012. 2012): 561-563. Does it seem like the supplement section of your grocery store gets bigger every time you go in? You’re not imagining things. Label Claims for Conventional Foods and Dietary Supplements.”. link] Bekker, Jessie L., Alex Flores, and Michael S. “Re-Regulating Dietary Supplements.”

ALS 98

ALS OR 98

Don't Forget the Bubbles

MARCH 18, 2024

Typical HUS has a diarrheal prodrome, usually caused by an infection with a Shiga-toxin-producing E. coli (STEC). Children can acquire STEC from contaminated food or water, through person-to-person contact or from contact with animals/ Only 6-14% of cases of STEC go on to develop HUS, so how does infection with STEC lead to HUS?

E-9-1-1 59

E-9-1-1 ALS OR 59

ALiEM

MAY 19, 2023

2012 Feb;33(1):46-54. Another minor difference is that the gastric balloon in the Minnesota tube holds 450-500 ccs of air, while the SB gastric balloon holds 250 ccs of air [2]. If bleeding persists, you can go to a maximum of 45 mmHg. What is this “manometer” typically used for the esophageal balloon? Deranged Physiology. EM:RAP HD Videos.

E-9-1-1 245

E-9-1-1 Emergency Department ICU OR 245

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). It is unclear if the patient was pain free at this time.

Coronary 101

Coronary ACS ALS OR 101

Don't Forget the Bubbles

AUGUST 23, 2023

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”. Oppressive quietness heavy with professionals’ suppressed emotions mixed with raw parental grief. Newell, J. &

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

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. One issue that has been to use CT or ultrasound for the diagnosis.

Emergency Department 130

Emergency Department ALS ED OR 130

Core EM

MARCH 12, 2024

Author: Mallika Singh, MD Editor: Jonathan Kobles, MD Background Unintentional or intentional exposure to radiological material represents a potential threat to human health on the individual to mass-casualty scale. Radioactive sources include medical isotopes, fuel rods, generators, and other industrial sources. 10-Hour Flight: 0.03

ALS 130

ALS OR Emergency Department ED 130

This Podcast Will Kill You

FEBRUARY 13, 2024

and STRAW+ 10 Collaborative Group, 2012. “That time of the month”, “Aunt Flo”, “the red wave”, “period”, the list goes on. But what about euphemisms for menopause? We’ve got “the change” or “change of life”, “climacteric”, and… that’s it? There may be more out there, but the comparison is revealing. Hachette UK, 2021. Harlow, S.D.,

ALS 98

ALS OR 98

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. However, the American Academy of Ophthalmology recommends treatment of epithelial keratitis to prevent recurrence and progression to stromal or endothelial keratitis.

ALS 52

ALS OR EMS ED 52

FirstNet Authority

FEBRUARY 26, 2024

From 2012 to 2017, Chief McEwen served as the Chair of the FirstNet Authority PSAC. McEwen Public Safety Broadband Communications Award The prestigious Chief Harlin R. Established in 2017, the award recognizes the spirit of service, commitment, and dedication that is a proud tradition among public safety.

Public Safety 52

Public Safety Emergency Management Emergency Manager First Responder 52

Don't Forget the Bubbles

FEBRUARY 12, 2024

Conjunctivitis: An overview Conjunctivitis, inflammation of the conjunctiva, is characterised by infection or inflammation of the conjunctiva. It presents with conjunctival vessel dilatation, oedema and discharge. Symptoms include eye discharge, itching and redness. It is common. One in eight children gets conjunctivitis at least once a year.

OR 59

OR 59

REBEL EM

JULY 20, 2022

Take Home Points SVT >5cm or <3 cm from the SFJ should be treated with anti-coagulation. The rate of concurrent DVT and PE in patients with SVT is 25% and 5%, respectively. REBEL Core Cast 85.0 – Superficial Venous Thrombosis Click here for Direct Download of the Podcast Definition: The presence of a clot in a superficial vein.

ALS 52

ALS OR ED EMS 52

Don't Forget the Bubbles

FEBRUARY 12, 2024

Conjunctivitis: An overview Conjunctivitis, inflammation of the conjunctiva, is characterised by infection or inflammation of the conjunctiva. It presents with conjunctival vessel dilatation, oedema and discharge. Symptoms include eye discharge, itching and redness. It is common. One in eight children gets conjunctivitis at least once a year.

OR 59

OR 59

Don't Forget the Bubbles

JANUARY 17, 2024

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. Roy was less than impressed when young Kendall tried to eat his Orbeez. Their parents are worried about what might happen to their toddler. Krisch et al.

E-9-1-1 111

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

EMDocs

NOVEMBER 7, 2023

2012 Apr;99(4):532-9. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br  Br J Surg. Open label, multicenter, RCT. Included patients had confirmed uncomplicated diverticulitis but no immunosuppression, peritonitis, sepsis. 623 patients included. 623 patients included. 2018 Jul;113(7):1045-1052. vs. 2.1%).

ACPE 88

ACPE ALS OR ED 88

REBEL EM

APRIL 29, 2024

Over the years emergency and critical care physicians have tried many ways to establish IV access in emergencies including the “crash” or “dirty” central line. If you are not familiar with this term, it’s the act of rapidly trying to place a central line (usually femoral), placing the needle for access over strict sterile precautions.

Epinephrine 104

Epinephrine ALS Critical Care Emergency Department 104

The Skeptics' Guide to EM

OCTOBER 3, 2020

SGEM#24 reviewed a randomized controlled trial (RCT) of aspirin vs. aspirin + clopidogrel in patients with recent symptomatic lacunar infarcts identified by MRI ( Benavente et al NEJM 2012 ). She is the creator of the HEART Score and an enthusiastic researcher. Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al.

Emergency Department 100

Emergency Department ALS OR 100

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. They are found primarily in hospital specimens but are increasing in frequency in samples from the community. Increased incidence is largely due to increasing community spread. IV fluid resuscitation as needed.

E-9-1-1 74

E-9-1-1 EMS ALS OR 74

ACEP Now

FEBRUARY 13, 2024

Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. Problem How should his pain be managed? LEARN MORE The most common nerve blocks in this study are shown in Table 1. Nearly half of the blocks performed are among the three most common, for treating hip or thoracic injuries. J Gen Intern Med. Goodwin J.

E-9-1-1 52

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

The Overrun Podcast

JULY 21, 2019

2008 JAMA article on fluid resuscitation: Association between a chloride-liberal vs chloride-restrictive intravenous fluid administration strategy and kidney injury in critically ill adults R Bellomo, C Hegarty, D Story , L Ho, M Bailey – Jama , 2012 – jamanetwork.com… “Normal” 0.9 per cent salt solution is neither “normal” nor physiological.

ED 52

ED OR 52

EMDocs

SEPTEMBER 7, 2024

Patients may arrive with other concomitant injuries such as head or spine injuries and may be critically ill. Imaging CT scan of the abdomen and pelvis with IV contrast or CT angiogram of the abdomen is the imaging modality of choice. Majority of RPH will stabilize on their own and not require intervention. Mortality can varies between 5-20%.

EMS 75

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

Don't Forget the Bubbles

APRIL 22, 2024

The condition is often identified in the neonatal period due to tear duct obstruction, manifesting as excessive tearing, discharge, and sometimes, a palpable mass over the lacrimal sac area. Swelling, redness and discharge overlying the lacrimal sac and nasolacrimal canal area suggest dacryocystitis. In most cases, the diagnosis is clinical.

OR 85

OR ALS 85

REBEL EM

AUGUST 30, 2023

REBEL Core Cast 107.0 – Vertebral Osteomyelitis Click here for Direct Download of the Podcast Definition Inflammation of the vertebrae due to a pyogenic, fungal or mycobacterial organism. Classified as either acute (days), subacute (weeks) or chronic (months) Spondylodiscitis: a term encompassing osteomyelitis, spondylitis and discitis.

E-9-1-1 102

E-9-1-1 ALS ED OR 102