2013, Emergency Department and ICU

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

REBEL EM

MARCH 23, 2023

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. Although CIWA has subjective components, when a patient has a CIWA in the 20s ICU transfer should be considered.

ICU

ICU Emergency Department ALS OR

The Current Status of Continuous-Seizure Management

ACEP Now

JULY 7, 2024

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). 2 A study of routine EEG in the ED in 2013 found that five percent of ED patients with altered mental status had nonconvulsive seizures (of whom 75 percent were in nonconvulsive status epilepticus). Ann Emerg Med.

Emergency Department

Emergency Department Critical Care ALS ICU

Post-Intubation Sedation and Analgesia

Core EM

JANUARY 25, 2024

The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

ICU

ICU Emergency Department Critical Care ALS

emDOCs Revamp: Alcohol Withdrawal

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. 2013; 88(9): 589-595. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14.

E-9-1-1

E-9-1-1 Emergency Department ICU ED

Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

SEPTEMBER 25, 2023

Despite the risk of hypotension and bradycardia, propofol has been shown in the ICU setting to be a safe and effective monotherapy intubation agent for hemodynamically unstable patients (19). Incidence and factors associated with cardiac arrest complicating emergency airway management. Resuscitation 2013; 84(11): 1500 – 4.

ED

ED Emergency Department ALS Paramedic

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). 2013 Jan 24;368(4):394]. Ann Emerg Med. N Engl J Med.

Defibrillator

Defibrillator CPR Epinephrine Life Support

Unwrapping PEM excellence at IAEM23

Don't Forget the Bubbles

OCTOBER 19, 2023

Secondary outcome analysis showed there was no difference in length of hospital stay, ICU stay, or duration of oxygen therapy. The CAP-IT trial recruited children aged six months to 5 years with a diagnosis of community-acquired pneumonia on discharge from the emergency department or ward. Which brings us to PARIS-2.

E-9-1-1

E-9-1-1 ED OR Emergency Department

ABG Versus VBG in the Emergency Department

EMDocs

FEBRUARY 12, 2024

In this situation, an ABG should be obtained periodically for correlation, though this is more relevant for the intensive care unit (ICU) setting than in routine ED care (5, 9). Correlation and agreement between arterial and venous blood gas analysis in patients with hypotension-an emergency department-based cross-sectional study.

Emergency Department

Emergency Department E-9-1-1 ED ICU

Evaluating Chronic Obstructive Pulmonary Disease

ACEP Now

JUNE 14, 2024

And, finally, patients with a history of COPD frequently present to the emergency department with dyspnea. Although dyspnea in this setting likely represents an AECOPD, other emergent differentials must be considered. Managing initial mechanical ventilation in the emergency department. Ann Emerg Med.

ALS

ALS Coronary OR ED

Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

REBEL EM

DECEMBER 23, 2024

saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). Lactated Ringer (LR) and 0.9% However, without more granular clinical data, it is unclear whether all relevant confounders were included.

ALS

ALS ED ACS EMR

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

Critical Care Medicine 41(12):p A191, December 2013. 2013 Jan-Mar;16(1):91-5. Epub 2013 Aug 7. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. 2020 Feb 12;10(1):2470.

E-9-1-1

E-9-1-1 ICU ACS EMS

IV fluids in the ED: When do we really need them?

EMDocs

JANUARY 20, 2025

Since the 2010s multiple trials have explored the feasibility of fluid restrictive resuscitation both on initial resuscitation in the ED, as well as in the intensive care unit (ICU). In 2013 Richer et al. Does this dyspneic patient in the emergency department have congestive heart failure? Is this patient hypovolemic?

ED

ED ALS Emergency Department Critical Care

Spooky Scary Sequela: Clinical Factors Impacting Trauma Outcomes

FOAMfrat

NOVEMBER 21, 2024

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. Hypothermia Hypothermia, defined as core temperature less than 35oC (95oF) has been identified in up to 2/3 of trauma patients upon arrival to the emergency department. Diagnostics.

ICU

ICU Emergency Department OR ED

ToxCard: Acute Organophosphate Toxicity

EMDocs

JUNE 7, 2023

Disposition is often admission to an intensive care unit (ICU) setting. Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated. Parenteral organophosphorus poisoning in a rural emergency department: a case report. 2013; 6:524. Published 2013 Dec 9.

E-9-1-1

E-9-1-1 ICU Emergency Department ED

Critical Kids: Phoenix Sepsis Criteria

EMDocs

JANUARY 16, 2025

Emerg Med J. doi: 10.1136/emermed-2013-202449. Epub 2013 Jul 14. but PPV ranges from 25.1-39.5% years Internal validation cohort: 43,400 patients with mean age 3.7 years External validation cohort: 45,855 patients with mean age 2.6 0.38 (95% CI 0.20-0.39) 0.39) AUROC of 0.71-0.92 0.92 (95% CI 0.70-0.92) and PPV of 5.3-7.1%

ALS

ALS Critical Care ICU Emergency Department

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

The 3/3/2 rule: Figure 3: how to perform the 3/3/2 rule (Image modified from UpToDate.com) If the patient has less than the specified measurement of 3, 3, or 2 fingers in these parameters, this is very specific (95%) for having a more difficult intubation (Mahmoodpoor, 2013)–although only about 25% sensitive.

E-9-1-1

E-9-1-1 EMS ALS OR

Paramedicine Now

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

The Current Status of Continuous-Seizure Management

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Post-Intubation Sedation and Analgesia

emDOCs Revamp: Alcohol Withdrawal

Beyond Ketamine: When to use Facilitated Intubation in the ED

Hypothermic Cardiac Arrest: Pearls and Pitfalls

Unwrapping PEM excellence at IAEM23

ABG Versus VBG in the Emergency Department

Evaluating Chronic Obstructive Pulmonary Disease

Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

emDOCs Revamp – Acute Chest Syndrome

IV fluids in the ED: When do we really need them?

Spooky Scary Sequela: Clinical Factors Impacting Trauma Outcomes

ToxCard: Acute Organophosphate Toxicity

Critical Kids: Phoenix Sepsis Criteria

An EM Resident’s Guide to Basic Airway Management

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