Core EM

JANUARY 25, 2024

Light Sedation vs Deep Sedation Various studies have shown detrimental effects of prolonged deep sedation including longer mechanical ventilation times, 6 month mortality and increased incidence of delirium ( Shehabi 2013 ). mg/kg over several minutes 0.02 – 0.1 mg/kg 0.01 – 0.1 hr No bolus 0.2 – 0.7 (up up to 1.5) mg/kg 0.01 – 0.1

ICU 246

ICU Emergency Department Critical Care ALS 246

ALiEM

NOVEMBER 10, 2023

2013 Apr;168(4):726-32. Epub 2013 Feb 16. PMID: 34212341 Lipowicz S, Sekula P, Ingen-Housz-Oro S, Liss Y, Sassolas B, Dunant A, Roujeau JC, Mockenhaupt M. Prognosis of generalized bullous fixed drug eruption: comparison with Stevens-Johnson syndrome and toxic epidermal necrolysis. Br J Dermatol. doi: 10.1111/bjd.12133. PMID: 23413807.

Emergency Department 161

Emergency Department OR 161

EMOttawa

FEBRUARY 22, 2024

In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% Lacerations are a common presenting complaint to emergency department. of ED visits(1).

Emergency Department 89

Emergency Department ED OR 89

Pediatric EM Morsels

SEPTEMBER 8, 2023

Epub 2013 Nov 5. Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. 2014 Jan;46(1):e21-2. doi: 10.1016/j.jemermed.2013.08.081. 2013.08.081. PMID: 24199728. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R.

EMS 275

EMS ED OR 275

ALiEM

MARCH 5, 2024

2013 May;5(5):330. Phytotherapy Research. 2015;29(8):1112-1116. PMID: 25997859. Srivali N, Cheungpasitporn W, Chongnarungsin D, Edmonds LC. White willow bark induced acute respiratory distress syndrome. N Am J Med Sci. PMID: 23814765. Kuzak N, Brubacher JR, Kennedy JR. Reversal of salicylate-induced euglycemic delirium with dextrose.

OR 286

OR 286

The Skeptics' Guide to EM

DECEMBER 2, 2023

The latest clinical practice guidelines from the American Academy of Pediatrics (AAP) on the diagnosis and management of acute bacterial sinusitis in children was published in 2013 [1].

Emergency Department 297

Emergency Department ALS OR ED 297

EMergucate

SEPTEMBER 21, 2021

Compass trial Design– double-blind trial involving placebo medication vs study medication, March 2013 to May 2016. Rivaroxaban (2.5mg bd) + … Continue reading →

100

100

Pediatric EM Morsels

MAY 24, 2024

Low Risk Intra-Abdominal (IAI) Trauma – Derivation of the Rule The PECARN Group first released their derivation of a pediatric prediction rule for intra-abdominal injury in 2013. 2013 Aug 1;167(8):700-707. Lancet Child Adolesc Health. 2024;8:339-344. Miglioretti DL, Johnson E, Williams A, et al. JAMA Pediatr.

ALS 161

ALS EMS Emergency Department OR 161

ALiEM

MAY 17, 2023

The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. The Emergency Medicine Physician Workforce: Projections for 2030. Ann Emerg Med. 2021;78(6):726-737. doi: 10.1016/j.annemergmed.2021.05.029 2021.05.029 Gettel CJ, Courtney DM, Janke AT, Rothenberg C, Mills AM, Sun W, Venkatesh AK.

EMS 130

EMS ALS 130

ALiEM

NOVEMBER 15, 2023

2013 ;2013:610648. PMID: 17079589 Chaouali N, Gana I, Dorra A, Khelifi F, Nouioui A, Masri W, Belwaer I, Ghorbel H, Hedhili A. Potential Toxic Levels of Cyanide in Almonds (Prunus amygdalus), Apricot Kernels (Prunus armeniaca), and Almond Syrup. ISRN Toxicol. PMID: 24171123 Suchard JR, Wallace KL, Gerkin RD. Ann Emerg Med.

OR 169

OR ED 169

The Skeptics' Guide to EM

JANUARY 6, 2024

Two previous studies conducted assessing the state of nationwide pediatric readiness were conducted in 2003 and 2013. Are general emergency departments ready to care for children? 1,2] Today we’re covering the third study. Pediatric readiness is important because it is associated with decreased mortality in ill and injured children. [3,

Emergency Department 261

Emergency Department Emergency Medical Services ALS ED 261

ALiEM

AUGUST 30, 2024

2013 Mar;34(3):115-24; quiz 125. When suspecting hypothyroidism, thyroid stimulating hormone (TSH) and free T4 should be included in the evaluation. An ultrasound and thyroid antibodies may also be helpful to confirm diagnosis. References Geddes G, Butterly MM, Patel SM, Marra S. Pediatric neck masses. Pediatr Rev. doi: 10.1542/pir.34-3-115.

ACS 161

ACS Emergency Department ED OR 161

Pediatric EM Morsels

MAY 5, 2023

2013 Aug;110(4):755-73. Epub 2013 Jan 14. Mensink GB, Fletcher R, Gurinovic M, Huybrechts I, Lafay L, Serra-Majem L, Szponar L, Tetens I, Verkaik-Kloosterman J, Baka A, Stephen AM. Mapping low intake of micronutrients across Europe. doi: 10.1017/S000711451200565X. PMID: 23312136; PMCID: PMC3785176. Messina V, Reed Mangels A.

E-9-1-1 130

E-9-1-1 OR EMS 130

Broome Docs

MAY 31, 2024

2013 Sep;24(9):1848-53. Epub 2013 Jul 17. PMID: 37019501 Pulmonary primatology is harder than you may think Drew T, Võ ML, Wolfe JM. The invisible gorilla strikes again: sustained inattentional blindness in expert observers. Psychol Sci. doi: 10.1177/0956797613479386.

E-9-1-1 97

E-9-1-1 ED Critical Care ICU 97

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

This includes SGEM#19 way back in 2013 reporting a bandage wrap is a safe alternative to traditional casting for children with greenstick fractures. So, the question is: should we call in our x-ray tech in and disrupt her party fun or just use the ultrasound machine to diagnose this possible fracture?

Critical Care 310

Critical Care ALS ED Emergency Department 310

University of Maryland Department of Emergency Med

JULY 25, 2023

In a recent study of emergency physicians (EPs) who left the workforce between 2013 and 2020, authors sought to investigate their age and nu. Click to view the rest

57

57

Pediatric EM Morsels

APRIL 5, 2024

Treatment : Supportive care Omsk hemorrhagic fever/Kyasanur Forest disease (CDC 2013) Causative Agent: Flavivirus Incubation period : 3-8 days Symptoms start with chills, fevers, headache and GI symptoms followed by symptoms of bleeding 3-4 days later including petechial rash, low hemoglobin and low WBC. Global Change Research Program.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

The Skeptics' Guide to EM

JULY 8, 2023

In 2009, the Cochrane group questioned Roche about the completeness of the data and after four years of requests, finally got access to all the data in 2013 and updated their review in 2014. The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. We covered this SRMA on SGEM#98.

ALS 237

ALS Emergency Department EMS ED 237

This Podcast Will Kill You

NOVEMBER 12, 2024

Routledge, 2013. But we do the best with what we have to get to the bottom of this retinoid puzzle. Tune in to learn everything you ever wanted to know about retinoids. History Biology Hornblum, Allen M. Acres of skin: Human experiments at Holmesburg prison. Draelos, ZK, editor. Cosmetic Dermatology: Products and Procedures. 1981): 278-285.

E-9-1-1 52

E-9-1-1 ALS ED OR 52

ALiEM

DECEMBER 18, 2023

2013 Jun;6(6):31-7. PMID: 28598363; PMCID: PMC5486066. Choudhary S, McLeod M, Torchia D, Romanelli P. Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome. J Clin Aesthet Dermatol. PMID: 23882307; PMCID: PMC3718748.

Emergency Department 177

Emergency Department OR 177

REBEL EM

SEPTEMBER 13, 2023

J Emerg Med 2013; 44 (4): 764-772. N Engl J Med. 2015; 372(5):418-25. PMID 25629740 Hassen GW et al. Fresh frozen plasma for progressive and refractory angiotensin-converting enzyme inhibitor-induced angioedema. PMID: 23114109 Hessert MJ and Bennett BL. Optimizing Emergent Surgical Cricothyrotomy for Austere Environments. 2013;24:53-66.

Frozen Plasma 105

Frozen Plasma Allergic Reaction FFP Plasma 105

Pediatric EM Morsels

MAY 10, 2024

2013 Oct;132(4):e1010-7. Pediatrics. PMID: 24019419. PubMed] [Read by QxMD] Friedman KG1, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R, Fulton DR, Lock JE, Saleeb SF. Management of pediatric chest pain using a standardized assessment and management plan.

E-9-1-1 268

E-9-1-1 OR EMS 268

This Podcast Will Kill You

NOVEMBER 5, 2024

Routledge, 2013. The murky history of retinoids might be a bit too long to include on the label, but this episode forces us to consider the human cost of a household product and the importance of acknowledging that history. History Biology Hornblum, Allen M. Acres of skin: Human experiments at Holmesburg prison. Draelos, ZK, editor.

E-9-1-1 52

E-9-1-1 ALS ED OR 52

EMDocs

APRIL 6, 2024

Source Adverse Tracheal Intubation Events in Critically Ill Underweight and Obese Children: Retrospective Study of the National Emergency Airway for Children Registry (2013-2020). Pediatr Crit Care Med. 2024 Feb 1;25(2):147-158. Doi: 10.1097/PCC.0000000000003387. 0000000000003387. #3:

OR 76

OR 76

EMDocs

FEBRUARY 29, 2024

2013 Dec;45(6):835-41. 2013 Nov;126(11):962-3. -Rate control is the mainstay of treatment. References: Harrigan RA, Garg M. An interesting cause of wide complex tachycardia: Ashman’s phenomenon in atrial fibrillation. J Emerg Med. Kennedy LB, Leefe W, Leslie BR. The Ashman phenomenon. J La State Med Soc. PMID: 15233390.

EMS 80

EMS OR 80

EMergucate

NOVEMBER 28, 2013

female, with a history of AF, presents complaining of palpitations intermittently over the last 4 days with a concurrent viral upper respiratory tract infection and this ECG

EMS 100

EMS 100

Emergency Medicine Cases

NOVEMBER 7, 2017

Yet according to a 2013 Medscape survey, 40% of physicians reported burnout in U.S. Burnout – it’s the elephant in the room that we all know about but prefer not to discuss.

OR 130

OR EMS 130

EMergucate

DECEMBER 26, 2013

Following on from last week, this 58 yr old male is brought to your Emergency Department following an out-of-hospital cardiac … Continue reading →

Emergency Department 100

Emergency Department EMS 100

EMergucate

OCTOBER 24, 2013

A 35 yr old male who presents with palpitations, dysponea, and light-headedness for the preceeding hour. He has normal vital … Continue reading →

EMS 100

EMS 100

The Skeptics' Guide to EM

APRIL 24, 2021

Way back in 2013 we looked at haloperidol for agitation due to psychosis ( SGEM#45 ) and concluded that it was an effective treatment but had common side effects. Droperidol has been used widely, particularly in Australasia, for acute severe agitation. Droperidol has been used widely, particularly in Australasia, for acute severe agitation.

Emergency Department 100

Emergency Department ALS Ambulance ED 100

Pediatric EM Morsels

JULY 26, 2024

Epub 2013 Dec 18. Antibody titres at diagnosis and during follow-up of anti-NMDA receptor encephalitis: a retrospective study. Lancet Neurol. 2014 Feb;13(2):167-77. doi: 10.1016/S1474-4422(13)70282-5. Erratum in: Lancet Neurol. 2014 Feb;13(2):135. PMID: 24360484; PMCID: PMC4006368.

Plasma 269

Plasma OR ED Critical Care 269

EMergucate

SEPTEMBER 8, 2013

A 47 yr old female with a history of cardiac failure presents to your emergency department with an unrelated injury, … Continue reading →

Emergency Department 100

Emergency Department EMS 100

EMergucate

NOVEMBER 22, 2013

A 56 yr old male presents with episodic chest pain over the preceding few days and this ECG while painfree … Continue reading →

EMS 100

EMS 100

EMergucate

NOVEMBER 14, 2013

with a history of recent intermittent exertional chest pain now presents with 1 hour of chest pain, SOB, … Continue reading →

EMS 100

EMS 100

EMergucate

JUNE 6, 2013

male presents with complaining of general lethargy, nausea, several episodes of diarrhea, and dizziness and this ECG … Continue reading →

EMS 100

EMS 100

First Responders Foundation

AUGUST 26, 2024

Her research and advocacy led to the implementation of OPD’s Peer Support Team (PST) in 2013, under the leadership of Omaha Police Chief Todd Schmaderer.

First Responder 98

First Responder Public Safety Paramedic OR 98

Pediatric EM Morsels

NOVEMBER 3, 2023

2013 Sep 4; 89(3): 527–530. References Arends JE, Oosterheert JJ, Kraaij-Dirkzwager MM, Kaan JA, Fanoy EB, Haas PJ, Scholte EJ, Kortebeek LM, Sankatsing SUC. Two Cases of Plasmodium falciparum Malaria in the Netherlands without Recent Travel to a Malaria-Endemic Country. Am J Trop Med Hyg. PMID: 23857021 Centers for Disease Control.

ALS 278

ALS Critical Care EMS OR 278