The Skeptics' Guide to EM

DECEMBER 2, 2023

Reference: Shaikh N, et al. Reference: Shaikh N, et al. 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

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. Sources Adelgais KM, Kuppermann N, Kooistra J, et al. Holmes JF, Lillis K, Monroe D, et al. Holmes JF, Yen K, Ugalde IT, et al.

ALS 161

ALS EMS Emergency Department OR 161

Core EM

JANUARY 25, 2024

A study by Duniec et al. Here are a handful of these studies and their conclusions: Nomura et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., times more attempts when adjusted for BMI Gottlieb et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., 3, 2018, pp.

ALS 246

ALS Critical Care OR 246

The Skeptics' Guide to EM

JULY 8, 2023

Date: July 6, 2023 Reference: Hanula R et al. Date: July 6, 2023 Reference: Hanula R et al. 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. JAMA Int Med 2023. JAMA Int Med 2023.

ALS 237

ALS Emergency Department EMS ED 237

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

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

EMDocs

NOVEMBER 13, 2024

A 2013 meta-analysis found IV albumin was associated with 22.3% Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. Aithal GP, Palaniyappan N, China L, et al. Angeli P, Bernardi M, Villanueva C, et al. Arvaniti V, D’Amico G, Fede G, et al. 2013 May;44(5):903-9.

E-9-1-1 71

E-9-1-1 ALS OR ED 71

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 105

Frozen Plasma Allergic Reaction FFP Plasma 105

This Podcast Will Kill You

SEPTEMBER 24, 2024

2013): 403-412. 2013): 788. Datz, Christian, et al. Hodgskiss, Malcolm SW, et al. Moalem, Sharon, et al. Olejarz, Jason, et al. New England Journal of Medicine , 387 (23), pp.2159-2170. Barton, James C. “Hemochromatosis and iron overload: from bench to clinic.” Mackenzie, E.L., Iwasaki, K.

ALS 52

ALS ACS 52

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

This Podcast Will Kill You

JANUARY 16, 2024

2013): 2342-2347. . 2013): 2342-2347. Hoelzer, Karin, et al. History Biology Allison, Andrew B., “Role of multiple hosts in the cross-species transmission and emergence of a pandemic parvovirus.” ” Journal of virology 86.2 2012): 865-872. Heegaard, E.D. and Brown, K.E., Human parvovirus B19. Young, N.S.

E-9-1-1 95

E-9-1-1 ALS 95

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

AUGUST 5, 2023

Reference: Easter JS et al. Reference: Easter JS et al. Date: July 10, 2023 Guest Skeptic: Dr. Reference: Easter JS et al. 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. Annals of Emergency Medicine 2014.

ALS 100

ALS Emergency Department OR 100

Pediatric EM Morsels

JULY 28, 2023

2013 Sep;163(3):761-6. PubMed] [Read by QxMD] Rosenbloom AL. PubMed] [Read by QxMD] Muir AB1, Quisling RG, Yang MC, Rosenbloom AL. Dunger D, Sperling M, Acerini C, et al. Wolfsdorf, Ethel Codner Glaser, N, Fritsch, M, Priyambada, L, et al. GCS score is not sensitive enough. References : White PC, Dickson BA.

E-9-1-1 246

E-9-1-1 ALS OR Critical Care 246

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

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 105

ICU ALS ACS EMS 105

This Podcast Will Kill You

OCTOBER 1, 2024

Cabezas-Cruz, Alejandro, et al. Cabezas-Cruz, Alejandro, et al. Cabezas-Cruz, Alejandro, et al. de la Fuente, José, et al. “Anti‐G al: an abundant human natural antibody of multiple pathogeneses and clinical benefits.” 2013): 1-11. Nunen, S.A.V., O’Connor, K.S., Clarke, L.R., Boyle, R.X.

E-9-1-1 52

E-9-1-1 ALS OR 52

This Podcast Will Kill You

NOVEMBER 27, 2023

2013): 131-140. Brown, Amanda MV, et al. Ferri, Emanuele, et al. Gerth, Michael, et al. Kaur, Rupinder, et al. 2013): 385-393. ” Infection, Genetics and Evolution 14 (2013): 137-146. Quek, Shannon, et al. Karger Medical and Scientific Publishers, 2007. and Nutman, T.B., Addiss, D.

E-9-1-1 52

E-9-1-1 ALS ED 52

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 126

EMS ALS Emergency Department OR 126

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. John H, Jian J, RIchards AL.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

Don't Forget the Bubbles

JUNE 14, 2023

Lava SAG, et al. Hsiao W, et al. Mullaly R, et al. Puoti MG, et al. Stenson EK, et al. Bruinsma RA, et al. Rivetti G, et al. van Gameren-Oosterom HBM, et al. Lester TR, et al. Mansell H, et al. Fernandes AER, et al. Wolstencroft J, et al. Roodbol J, et al.

ALS 119

ALS ACS ED OR 119

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 81

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

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

OCTOBER 20, 2018

[display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Ann Emerg Med 2018 (CRD42017056195) Reference #2: Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Reference: Aycock, Westafer et al.

Coronary 174

Coronary Emergency Department ALS OR 174

Pediatric EM Morsels

NOVEMBER 3, 2023

2013 Sep 4; 89(3): 527–530. PMID: 34748988 Conroy AL, Hawkes M, Elphinstone RE, Morgan C, Hermann L, Barker KR, Namasopo S, Opoka RO, John CC, Liles WC, Kain KC. PMID: 27186577 Conroy AL, Opoka RO, Bangirana P, Idro R, Ssenkusu JM, Datta D, Hodges JS, Morgan C, John CC. Am J Trop Med Hyg. June 28, 2023.

ALS 278

ALS Critical Care EMS OR 278

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-9-1-1 269

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

Don't Forget the Bubbles

OCTOBER 21, 2024

Available at: The DSM‐5: Classification and criteria changes – Regier – 2013 – World Psychiatry – Wiley Online Library Szejko N, Robinson S, Hartmann A, Ganos C, Debes NM, Skov L et al. The DSM-5: Classification and criteria changes. World Psychiatry. Anastasiou Z. Benaroya-Milstein N. Buttiglione M. Woitecki K.

ALS 59

ALS Emergency Department OR 59

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

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

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 68

E-9-1-1 ALS ED OR 68

EMDocs

SEPTEMBER 23, 2023

Rosh Review Website Link References Antzelevitch C, Brugada P, Borggrefe M, et al. Priori SG, Napolitano C, Gasparini M, et al. Chen Q, Kirsch GE, Zhang D, et al. Wilde AA, Antzelevitch C, Borggrefe M, et al. Dumaine R, Towbin JA, Brugada P, et al. Priori SG, Wilde AA, Horie M, et al. Circulation.

E-9-1-1 83

E-9-1-1 EMS ALS Defibrillator 83

The Skeptics' Guide to EM

OCTOBER 3, 2020

Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al. 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 ). Reference:Claiborne Johnston S et al.

Emergency Department 100

Emergency Department ALS OR 100

Don't Forget the Bubbles

AUGUST 4, 2024

Brewster RCL, et al. Strunk T, et al. Pinon A, et al. Vassilopoulou E, et al. Calvert A, et al. Roumeliotis N, et al. Gallo Ruelas M, et al. Morris R, et al. Lorenzo M, et al. van Dam MJCM, et al. van Dam MJCM, et al. Lommi S, et al. Pediatrics. JAMA Pediatr.

E-9-1-1 52

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

This Podcast Will Kill You

NOVEMBER 12, 2024

Routledge, 2013. 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. John Wiley & Sons, Inc, 2022. Kligman, Albert M., 1981): 278-285. Academic Press. and Nulman, I.,

E-9-1-1 52

E-9-1-1 ALS ED OR 52

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

REBEL EM

JULY 20, 2022

Bauersachs 2013 ) Clinical Significance SVT previously thought to be a benign disease entity ( Cosmi 2015 ) However, subsequent studies have demonstrated that in patients with lower extremity SVT concomitant DVT and PE was seen in approximately 25% and 5% respectively. References: Frappe P, et al the STEPH Study Group. 13(7):1175-83.

ALS 52

ALS OR ED EMS 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