ALiEM

OCTOBER 16, 2023

2012 Oct;12(10):808-15. Epub 2012 May 25. He has no history of immunocompromise and denies any drug or alcohol use. Of note, he has not seen a dentist in many years. No gingival inflammation or swelling or induration to suggest abscess. The floor of the mouth is unremarkable. References Kuppalli K, Livorsi D, Talati NJ, Osborn M.

Emergency Department 152

Emergency Department OR 152

ALiEM

JANUARY 29, 2024

2012 Dec;33(7):E263-E267. Epub 2012 Sep 21. At the time of presentation, he only sees a speck of light from that eye. He denied associated pain, flashes, floaters, jaw claudication, the sensation of a “curtain falling”, prior vision problems, or a history of blood clots. Visual acuity: 20/30 OD, Light Perception OS. Ultraschall Med.

ALS 161

ALS ED OR 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. Recommended by ATLS and PALS.

E-9-1-1 269

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

ALiEM

MARCH 1, 2024

link] Published November 19, 2012. Resp : Clear to auscultation bilaterally. Abd : Soft, non-tender, non-distended. Neuro : Alert. Motor and sensation grossly intact. MSK : Moves all extremities, no joint pain or tenderness. Skin : No obvious rashes or skin lesions. This is traumatic iridodialysis. The Atlas of Emergency Medicine, 5e.

ED 152

ED OR 152

REBEL EM

NOVEMBER 13, 2024

Saline load test Has mainly been supplanted by CT scan due to ease in obtaining, reported performance characteristics, consultant recommendation and difficulty in interpreting test. cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e.

ED 105

ED OR EMS 105

REBEL EM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

E-9-1-1 59

E-9-1-1 ACS OR Emergency Department 59

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

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

REBEL EM

SEPTEMBER 13, 2023

Both conditions can range in severity from benign to life threatening (Wilkerson 2012). of people who take NSAIDs ( Nzeako 2010 ). 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 of people who take NSAIDs ( Nzeako 2010 ).

Frozen Plasma 105

Frozen Plasma Allergic Reaction FFP Plasma 105

The Good, The Bad & The Ugly Paramedic

JULY 1, 2020

As paramedics, whilst we often take great offence at being called ambulance drivers, the question is, when it’s our turn to drive, what exactly is it that we are providing? Do we fully engage in shared patient care with our attending partner, or do we switch off so that we can simply drive the ambulance and take it easy?

Ambulance Driver 52

Ambulance Driver Paramedic Ambulance OR 52

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-9-1-1 286

E-9-1-1 Epinephrine Emergency Department OR 286

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

Core EM

OCTOBER 16, 2024

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1

Allergic Reaction 145

Allergic Reaction Plasma ED Epinephrine 145

Don't Forget the Bubbles

NOVEMBER 29, 2023

A 2012 study on paediatric patients showed that approximately 42% were intubated without medications, and 2% were intubated with paralysis only in the ED. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | What are the only exceptions? What are the potential physiological sequelae? How can we prevent this? DOI: 10.1097/PEC.0b013e3182713316

E-9-1-1 135

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

Don't Forget the Bubbles

OCTOBER 11, 2023

A curious young girl was playing with rare earth magnets and wondered what they would taste like. She has had no abdominal pain or vomiting, and her observations were normal. Imaging confirmed two spherical magnets stuck together in the stomach. When you review her later in the week, they appear to have moved. What are rare earth magnets?

OR 116

OR 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

The Skeptics' Guide to EM

AUGUST 5, 2023

Population: Children less than 18 years of age presenting with head injury to a level 2 pediatric trauma center in the United States between 2012-2013. But we’re always trying to balance the potential harms and potential benefits in medicine. Thankfully, clinically important intracranial injuries are rare in children [2].

ALS 100

ALS Emergency Department OR 100

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

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

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

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

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 81

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

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

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

Core EM

OCTOBER 2, 2024

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1

Allergic Reaction 100

Allergic Reaction Plasma ED Epinephrine 100

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 107

Coronary ACS ALS OR 107

REBEL EM

NOVEMBER 30, 2022

Pediatric Emer Care 2012; 28: 80-6. Epidemiology: Most common cause of acute scrotal pain in prepubertal boys Torsion present in 3.2% Survival < 6 hours: 97% Survival 7-12 hours: 79% Survival 13-18 hours: 61% Survival 19-24 hours: 24% Survival 25-48 hours: 7.4% OR = 58.8 (Ben-Israel OR = 58.8 (Ben-Israel 10, (-) LR = 0.13 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. One issue that has been to use CT or ultrasound for the diagnosis.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

DECEMBER 17, 2022

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 ). Falling is the most common cause of traumatic injury resulting in older adults presenting to the ED [4].

Frozen Plasma 130

Frozen Plasma FFP Emergency Medical Services Plasma 130

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

DECEMBER 12, 2020

Way back in 2012 we looked at packing after incision and drainage (I&D) on SGEM#13 and concluded routine packing might not be necessary. When you ask your nursing colleague to set up the equipment, he wants to know if you will be using standard packing or a vessel loop drainage technique.

ALS 130

ALS ED Emergency Department 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

EMDocs

JULY 13, 2024

Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F

EMS 63

EMS E-9-1-1 Plasma OR 63

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