Pediatric EM Morsels

APRIL 7, 2023

Let’s take a minute to digest a morsel on another significant complication – Sickle Cell Disease and Stroke in Children : Sickle Cell Disease and Stroke: Basics Pathophysiology (Menaa, 2013, Webb, 2013) SCD causes sickling shape of red blood cells Vaso-occlusive Cascade: Sickling → vascular endothelium destruction → cytokine/ immune cell (..)

ALS 130

ALS OR EMS Critical Care 130

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019.

Emergency Department 130

Emergency Department ALS ED EMS 130

The Skeptics' Guide to EM

AUGUST 19, 2023

I responded by posting the 2013 SGEM episode on INTERACT-2 ( SGEM#73 ) which showed no statistical difference between intensive (<140 mmHg) and guideline directed (<180 mmHg). Date: August 14, 2023 Reference: Ma et. Date: August 14, 2023 Reference: Ma et. Most EM physicians shared the frustration and made positive comments.

EMS 186

EMS ALS Emergency Department OR 186

Pediatric EM Morsels

OCTOBER 27, 2023

PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. doi:10.1111/1742-6723.12389 Zhu S, Zhu J, Zhou H, et al. There are other systems that account for body habitus. and Seaver, M.

E-9-1-1 271

E-9-1-1 Emergency Medical Services Life Support ALS 271

The Skeptics' Guide to EM

MAY 14, 2022

Date: May 13th, 2022 Reference: Abril et al. Date: May 13th, 2022 Reference: Abril et al. These include: acetaminophen ( Williams et al Lancet 2014), steroids ( Balakrishnamoorthy et al Emerg Med J 2014) and benzodiazepines ( Friedman et al Ann Emerg Med 2017). An Analysis of Data From Randomized Studies.

ALS 130

ALS Emergency Department ED OR 130

The Skeptics' Guide to EM

AUGUST 28, 2021

Date: August 27th, 2021 Reference: Gagnon et al. Date: August 27th, 2021 Reference: Gagnon et al. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. first appeared on The Skeptics Guide to Emergency Medicine.

ED 130

ED Emergency Department ALS OR 130

REBEL EM

NOVEMBER 6, 2024

Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 28846302 O’Driscoll SW. How Do Elbows Dislocate?: A Cadaveric Study” J Bone Joint Surg Am. 17.01448.

E-9-1-1 114

E-9-1-1 ACS OR Emergency Department 114

The Skeptics' Guide to EM

OCTOBER 28, 2017

[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. display_podcast] Date: October 24th, 2017 Reference: Harrison et al. That rant relied upon a Cochrane SRMA by Stevens B et al 2013 and a randomized clinical trail published in Pediatrics by Gray L et al 2015. Reference: Harrison et al.

ALS 130

ALS Emergency Department OR ED 130

ALiEM

MAY 17, 2023

References Marco CA, Courtney DM, Ling LJ, et al. The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. How Competitive Were Other Specialties in the 2023 Match? The Emergency Medicine Physician Workforce: Projections for 2030. Ann Emerg Med. 2021;78(6):726-737.

EMS 130

EMS ALS 130

NAEMSP

APRIL 18, 2025

2013 Jun;19(6):370-80. Epub 2013 Apr 10. Rosenbaum SB, Gupta V, Patel P, et al. Ketamine pharmacology: an update (pharmacodynamics and molecular aspects, recent findings). CNS Neurosci Ther. doi: 10.1111/cns.12099. PMID: 23575437; PMCID: PMC6493357. Updated 2024 Jan 30]. In: StatPearls [Internet].

Ambulance 52

Ambulance EMS EMT EMT 52

The Skeptics' Guide to EM

DECEMBER 15, 2018

Date: December 13th , 2018 Reference: Murata et al. Date: December 13th , 2018 Reference: Murata et al. They published an epic paper to determine the transit time of a Lego head ( Tagg et al ). Eur J Paediatr Neurol 2013) that concluded antipyretics were ineffective in reducing the recurrence of febrile seizures in children.

OR 130

OR Emergency Department ALS 130

REBEL EM

SEPTEMBER 13, 2023

Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al. PMID 25629740 Hassen GW et al. J Emerg Med 2013; 44 (4): 764-772. PMID 23062323 Kostis JB et al. PMID 16043683 McCormick M et al. PMID 20954277 Sinnert R et al. Zuraw et al.

Frozen Plasma 104

Frozen Plasma Allergic Reaction FFP Plasma 104

The Skeptics' Guide to EM

JULY 3, 2021

Reference: Dankiewicz et al: TTM2 Trial Investigators. Reference: Dankiewicz et al: TTM2 Trial Investigators. This is the original Target Temperature Management (TTM) trial by Nielson et al NEJM 2013. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest.

Paramedic 130

Paramedic Defibrillator ALS OR 130

Don't Forget the Bubbles

OCTOBER 25, 2023

Image adapted by Holland JA et al. Image adapted by Holland JA et al. doi: 10.1136/archdischild-2022-324881 Babiker MOE, Prasad M, MacLeod S , et al Fifteen-minute consultation: the child with idiopathic intracranial hypertension Archives of Disease in Childhood – Education and Practice 2014; 99: 166-172. Epub 2013 Aug 21.

ALS 124

ALS OR ED 124

EMDocs

JANUARY 11, 2025

Ahmad H, Jannat H, Khan U, et al. Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. International journal of emergency medicine, 17(1), 3. link] Morano, C., & Sharman, T. Stercoral Colitis. In StatPearls. StatPearls Publishing. Cureus 15(5): e39179. doi:10.7759/cureus.39179 39179 Panneerselvam, S., Carlson, J. Hussain, M.,

E-9-1-1 98

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

The Skeptics' Guide to EM

APRIL 24, 2021

Reference: Martel et al. 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. Reference: Martel et al. Kirsty is also the creator of the wonderful infographics called #PaperinaPic.

Emergency Department 100

Emergency Department ALS Ambulance ED 100

The Skeptics' Guide to EM

DECEMBER 7, 2019

Date: October 2nd, 2019 Reference: Ramgopal et al. Date: October 2nd, 2019 Reference: Ramgopal et al. The Journal of Pediatrics published a systematic review of literature regarding the Management of ALTE in 2013 and one of the findings was that there was very little agreement in the literature on how to apply the definition.

CPR 130

CPR ALS OR 130

ALiEM

MARCH 7, 2024

Transvere ultrasound views of the bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.) Sagittal view of bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.)

E-9-1-1 177

E-9-1-1 Emergency Department ALS ED 177

The Skeptics' Guide to EM

JUNE 24, 2017

[display_podcast] Date: June 20th, 2017 Reference: Bernard et al. display_podcast] Date: June 20th, 2017 Reference: Bernard et al. Then came the Targeted Temperature Management (TTM) Trial ( Nielsen et al NEJM 2013 ). Reference: Bernard et al. Circulation 2016. Circulation 2016.

CPR 100

CPR Epinephrine ALS Paramedic 100

REBEL EM

MAY 29, 2024

EMRAP HD: Epistaxis Posterior Pack References Cassisi NJ et al. PMID: 5569677 Zeyyan E et al. PMID: 20938948 Loftus BC et al. PMID: 8170679 Viducich RA et al. Laryngoscope 2013; 123: 2928-9. REBEL EM: Do Patients with Posterior Epistaxis Managed by Posterior Packs Require ICU Admission?

ICU 102

ICU ALS ACS EMS 102

EMDocs

AUGUST 22, 2024

Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. The limited English proficiency population in the United States in 2013. Lim T, Campbell R, et al. September 2013.

Emergency Department 105

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

This Podcast Will Kill You

JULY 23, 2024

Caio, Giacomo, et al. Cenit, María Carmen, et al. Al-Dulaimi, D., Gasbarrini, Giovanni, et al. Gasbarrini, Giovanni Battista, et al. Kerner, Gaspard, et al. Newberry, Carolyn, et al. Rostami, Kamran, et al. .” The Lancet Gastroenterology & Hepatology 4.2 2019): 100. Rubin, J.E.

E-9-1-1 98

E-9-1-1 ALS OR 98

The Skeptics' Guide to EM

MARCH 10, 2018

[display_podcast] Date: March 6th, 2018 Reference: Zahed et al. display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Zahed et al did a randomized control trial (RCT) in 2013 on using TXA for the treatment of anterior epistaxis [2]. Reference: Zahed et al. AEM March 2018. AEM March 2018. AEM March 2018.

Emergency Department 100

Emergency Department ALS Coronary OR 100

EMDocs

NOVEMBER 21, 2023

References: Statland JM, Fontaine B, Hanna MG, et al. 2013 Jan;47(1):41-5. Venance SL, Cannon SC, Fialho D, et al; CINCH investigators. Miller TM, Dias da Silva MR, Miller HA, et al. 2013 Dec;19(6 Muscle Disease):1598-614. Fournier E, Arzel M, Sternberg D, et al. Tan SV, Matthews E, Barber M, et al.

E-9-1-1 96

E-9-1-1 ALS ED OR 96

EMDocs

JANUARY 29, 2024

References: Powers WJ, Rabinstein AA, Ackerson T, et al. Leonardi-Bee J, et al; IST Collaborative Group. Okumura K, et al. Oliveira-Filho J, et al. Vlcek M, et al. Castillo J, et al. Greenberg SM, Ziai WC, et al. Divani AA, et al. Zhang Y, et al. Manning L, et al.; J Hypertens.

ALS 102

ALS Critical Care OR EMS 102

EMDocs

MAY 11, 2024

Rosh Review Website Link Further Reading: FOAMed: [link] [link] [link] [link] [link] [link] [link] References : Turi B, Smith D, Kusel K, et al. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. Locked-in syndrome.

EMS 111

EMS E-9-1-1 ALS OR 111

The Skeptics' Guide to EM

MARCH 13, 2021

Reference: Post et al. Reference: Post et al. Jeff was actually on the SGEM as the guest skeptic discussing this clinical decision instrument way back in 2013 ( SGEM#48 ). Robert Edmonds is an emergency physician in the US Air Force in Ohio. Robert Edmonds is an emergency physician in the US Air Force in Ohio.

ALS 100

ALS ED Emergency Department OR 100

This Podcast Will Kill You

OCTOBER 22, 2024

Schieppati, Arrigo, et al. New England Journal of Medicine , 345 (26), pp.1870-1876. Cohen, Louis. “Stiff-man syndrome: two patients treated with diazepam.” ” JAMA 195.3 1966): 222-224. Ciccotto, G., and Kelley, R.E., Stiff person syndrome. Neurologic clinics , 31 (1), pp.319-328. Dunkle, Mary. 1977): 363-371. 1996): 38-42.

ALS 98

ALS OR 98

FOAMfrat

JULY 3, 2024

If they are not already there, get ALS-level care to the patient as soon as possible. I personally know of 2 ALS providers who were exposed to chlorine gas in a pool incident on the job and both ended up retiring from their service and still have lifelong breathing problems as a result. 2013, 9 9). Dept of Transportation.

Life Support 105

Life Support ALS Emergency Response OR 105

Don't Forget the Bubbles

AUGUST 7, 2023

The controversy around what is ‘normal’ in infants’ and children’s vitals was demonstrated in a 2011 systematic review by Fleming et al. and two cohort studies, one performed in Australia by O’Leary et al. and one in the US by Bonafide et al. Brennan et al. Our study supports previous work by Nijman et al.

Life Support 98

Life Support Advanced Life Support ALS Emergency Department 98

EMDocs

OCTOBER 9, 2023

References 1) Liu D, Ahmet A, Ward L, et al. Published 2013 Aug 15. 6) Wyckoff MH, Greif R, Morley PT, et al. 6) Wyckoff MH, Greif R, Morley PT, et al. 7) Gibbison B, López-López JA, Higgins JP, et al. In: Feingold KR, Anawalt B, Blackman MR, et al., Allergy Asthma Clin Immunol. 2013;9(1):30. J Endocrinol.

ED 110

ED Life Support Advanced Life Support CPR 110

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Overdose 154

Overdose OR Critical Care ALS 154

Don't Forget the Bubbles

JUNE 26, 2023

link] Goldberg CS, Lu M, Sleeper LA, et al. 2014.05.019 Hall EJ, Smith AH, Fish FA, et al. 2017.05.082 Mahle WT, Hu C, Trachtenberg F, et al. 2017.05.082 Mahle WT, Hu C, Trachtenberg F, et al. 2018.02.009 Newburger JW, Sleeper LA, Frommelt PC, et al. 2014;129(20):2013-2020. 2014;165(3):490-496.e8.

Critical Care 128

Critical Care ALS OR CPR 128

Don't Forget the Bubbles

AUGUST 9, 2023

References Cerbone M, Capalbo D, Wasniewska M, Mattace Raso G, Alfano S, Meli R, et al. link] Mussa A, Salerno MC, Bona G, Wasniewska M, Segni M, Cassio A, et al. 2013) Serum thyrotropin concentration in children with isolated thyroid nodules. Source: Salerno, M. Endocrinol. doi:10.1038/nrendo.2016.100 J Clin Endocrinol Metab.

ALS 98

ALS OR 98

EMDocs

FEBRUARY 22, 2024

2013; 7362. In: Tintinalli JE, Ma OJ, Yealy DM, et al., In: Tintinalli JE, Ma OJ, Yealy DM, et al., Wakai A, Lawrenson JG, Lawrenson AL, et al. Waldman N, Winrow B, Densie I, et al. Corneal Abrasion With Foreign Body Present. Retina Image Bank. © the American Society of Retina Specialists. Eye Emergencies.

ALS 98

ALS ED EMS OR 98

Don't Forget the Bubbles

SEPTEMBER 30, 2024

Simpson et al. A 2011-2012 Australian study by Blake et al. There was a disproportionate number of DNWs on Sundays, and if they presented between 4 pm and midnight, A 2002 Canadian study by Goldman et al., Gaucher et al. Gaucher et al. Similarly, a study by Suastegui et al., and Suastegui et al.

Emergency Department 89

Emergency Department ALS ED OR 89

Don't Forget the Bubbles

OCTOBER 2, 2023

mmol/L) with acute illness between 2013 and 2018. Selman C, Mainzer R, Lee K, et al. O Sullivan MP, Livingstone V, Korotchikova I, et al Reference centiles for infant sleep parameters from 4 to 16 weeks of age: findings from an Irish cohort Archives of Disease in Childhood 2023; 108: 481-485. Yu Z, Merid SK, Bellander T, et al.

ALS 138

ALS OR ED Emergency Department 138