EMergucate

JANUARY 24, 2014

A 51yr old presents with a post-prandial episode of syncope and subsequent sensation of episodic pre-syncope. No relevant past medical … Continue reading →

100

100

EMergucate

FEBRUARY 7, 2014

This week’s ECG is from a 39 yr old female who presented to the Emergency Department with vomiting, diarrhoea, and … Continue reading →

Emergency Department 100

Emergency Department EMS 100

EMergucate

FEBRUARY 15, 2014

This week’s ECG is from a middle aged male who presented to the Emergency Department with abdominal pain. His ‘routine’ … Continue reading →

Emergency Department 100

Emergency Department EMS 100

EMergucate

FEBRUARY 21, 2014

This week’s ECG is from a 62 yr old male who presented complaining of palpitations for the preceding 4 hours. No significant medical history or medications. See the ECG at: ECG of the Week &#…

OR 100

OR EMS 100

EMergucate

MARCH 2, 2014

This ECG is from a 70 yr old patient with a history of ischaemic heart disease complicated by ischaemic cardiomyopathy … Continue reading →

EMS 100

EMS 100

EMergucate

MARCH 30, 2014

This week’s ECG case is a rhythm strip from a 77yr old male. He has a history of hypertension and hypercholesterolaemia. He complained of chest pain during this ECG recording. Check out the E…

EMS 100

EMS 100

EMergucate

APRIL 4, 2014

This week’s ECG is from a 14yr old female who presents following an episode of palpitations and associated dizziness. The … Continue reading →

EMS 100

EMS 100

EMergucate

JUNE 6, 2014

man presents with several days of intermittent chest pain and this ECG.

EMS 100

EMS 100

The Skeptics' Guide to EM

APRIL 20, 2024

A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3]. With the 2014 CDC declaration that prescription drug overdose is one of the five top health threats, there has been a movement away from opioids as the mainstay of pain management for rib fractures [6].

Emergency Department 207

Emergency Department Overdose ALS ED 207

Pediatric EM Morsels

JULY 26, 2024

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

Plasma 269

Plasma OR ED Critical Care 269

EMergucate

JANUARY 7, 2014

This week’s case had a 97yr old presenting with presyncope, and 2 ECG’s performed only 1 minute apart. Check out the interpretation … Continue reading →

100

100

EMergucate

FEBRUARY 21, 2014

Clinical conclusion and interpretation on last week’s ECG case of a middle aged male who presented to the Emergency Department with … Continue reading →

Emergency Department 100

Emergency Department EMS 100

EMergucate

MARCH 2, 2014

Interpretation for our ECG case of a 62 yr old male who presented complaining of palpitations for the preceding 4 hours. … Continue reading →

EMS 100

EMS 100

Pediatric EM Morsels

JULY 21, 2023

doi: 10.1136/archdischild-2014-306851. Epub 2014 Sep 8. 2014 Oct;29(10):1299-304. Epub 2014 Feb 13. PMID: 31274797. Baldock AJ, Bennett T. Critical intracranial hypertension with Glasgow Coma Scale of 15. Arch Dis Child. 2015 Feb;100(2):207-8. PMID: 25202130. Conzelmann M, Hoidis A, Bruckner T , et al. J Child Neurol.

Critical Care 246

Critical Care ALS OR Life Support 246

Pediatric EM Morsels

FEBRUARY 2, 2024

2014 Dec;31(6):678-87. PMID: 35397349 Hagmann SHF, Han PV, Stauffer WM, Miller AO, Connor BA, Hale DC, Coyle CM, Dahill JD, Marano C, Esposito DH, Kozarsky PE. Travel-associated disease among US residents visiting US GeoSentinel clinics after return from international travel.

E-9-1-1 161

E-9-1-1 ED OR Emergency Department 161

Core EM

JANUARY 25, 2024

2, 2014, pp. High-quality images obtained in <1 minute in 87.9% of scans conducted and in <5 minutes in 100% of scans Ferre et al., times more attempts in the landmark group and up to 1.7 times more attempts when adjusted for BMI Gottlieb et al., for landmark LP Odds ratio 2.22 The Journal of Emergency Medicine , vol. 2, 2005, pp.

ALS 246

ALS Critical Care OR 246

ALiEM

APRIL 12, 2023

Hynynen, 10.08 – Ultrasound Therapy, Editor(s): Anders Brahme, Comprehensive Biomedical Physics, Elsevier, 2014, Pages 153-168, ISBN 9780444536334. Egan, Pharmacology and Physiology for Anesthesia (Second Edition), Elsevier, 2019, Pages 390-411, ISBN 9780323481106. DOI: 10.1016/B978-0-323-48110-6.00020-X R. Alerhand S, Singh M, editors.

Emergency Department 258

Emergency Department ALS ED 258

My Paramedic Blog

JANUARY 8, 2015

I know I have not been as active the last year, due to a variety of reasons, but 2014 has been a very good year for me. I remember posting in the beginning of 2014 that I had a good feeling about this year, that it was a new beginning for me in so many ways and it was so true. This blog was viewed about 45,000 times in 2014.

Paramedic 40

Paramedic 40

EMergucate

DECEMBER 7, 2014

I presented this talk at the ACEM Annual Scientific Meeting 2014 – Monday 8/12/14 References Mortality of Untreated … Continue reading →

130

130

EMergucate

DECEMBER 9, 2014

I presented this talk at the ACEM Annual Scientific Meeting 2014 – Wednesday 10/12/14 References Evidence FOR fluid resus … Continue reading →

130

130

The Skeptics' Guide to EM

NOVEMBER 11, 2023

One of the best systematic reviews and meta-analyses on the topic discussing the diagnostic accuracy of the history, physical examination and imaging is by Carpenter et al from AEM 2014 [1]. We went into some detail on SGEM#385. Initial Xray’s pick up only about 17% of fractures [2].

ALS 240

ALS Emergency Department ED OR 240

The Skeptics' Guide to EM

OCTOBER 14, 2023

Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ). It seems awfully high. We have been reading online about something called sepsis that can be deadly. Does he have sepsis?”

Life Support 217

Life Support Advanced Life Support Emergency Department ALS 217

Emergency Medicine Cases

FEBRUARY 11, 2020

Although the mortality rate in patients with Coronavirus in this outbreak is less than 1% (which pales in comparison to Ebola or SARS), historically these types of outbreaks have occured every 5-6 years (SARS 2003, HINI 2009, Ebola 2014, Coronavirus 2020), so they are somewhat predictable and we should know how to prepare for them in our EDs.

ED 130

ED EMS OR 130

Pediatric EM Morsels

AUGUST 18, 2023

Rose 2014) They are the most frequently prescribed class of medications in adults; however, in children they are the least frequently prescribed class , <2% of antibiotics. Hersh 2014) Fluoroquinolone Use in Children: Indications for use Let’s keep this simple, Pseudomonas ! The low dose range (30 mg/kg) did show sporadic lesions.

E-9-1-1 130

E-9-1-1 ACS OR ALS 130

Emergency Medicine Cases

APRIL 12, 2017

In 2014, the CDC reported that UTI antibiotic treatment was avoidable at least 39% of the time. Over-diagnosis and treatment results from the fact that asymptomatic bacteriuria is very common in all age groups, urine cultures are frequently ordered without an appropriate indication, and urinalysis results are often misinterpreted.

OR 130

OR EMS 130

Don't Forget the Bubbles

NOVEMBER 29, 2023

2014 May;32(5):452-6. Epub 2014 Jan 15. 2014 Oct;113(4):549-59. Epub 2014 Sep 9. . | DOI: 10.1097/PEC.0b013e3182713316 0b013e3182713316 Chong ID, Sandefur BJ, Rimmelin DE, Arbelaez C, Brown CA 3rd, Walls RM, Pallin DJ. Long-acting neuromuscular paralysis without concurrent sedation in emergency care. Am J Emerg Med.

E-9-1-1 135

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

EMergucate

NOVEMBER 19, 2014

The answer will appear on the 26th of November 2014

100

100

The Skeptics' Guide to EM

MAY 14, 2022

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). Many pharmaceutical treatments besides opioids have been tried to address acute LBP pain with limited success ( SGEM#87 and SGEM#173 ).

ALS 130

ALS Emergency Department ED OR 130

Pediatric EM Morsels

JUNE 16, 2023

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

Overdose 152

Overdose OR Critical Care ALS 152

The Skeptics' Guide to EM

JUNE 17, 2023

The National Heart, Lung, and Blood Institute (NHLBI) released an expert panel report in 2014 with evidence-based guidelines for management of sickle cell disease recommending timely administration of parenteral opioids for VOE. [7] 1-6] Children with SCD presenting to the ED with VOE require timely and effective pain control.

Emergency Department 182

Emergency Department ALS ED OR 182

The Skeptics' Guide to EM

AUGUST 5, 2023

Annals of Emergency Medicine 2014. Annals of Emergency Medicine 2014. Annals of Emergency Medicine 2014. Reference: Easter JS et al. Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. Reference: Easter JS et al. Reference: Easter JS et al.

ALS 100

ALS Emergency Department OR 100

ALiEM

AUGUST 30, 2024

2014 Dec;24(12):1670-751. Jonklaas J, Bianco AC, Bauer AJ, Burman KD, Cappola AR, Celi FS, Cooper DS, Kim BW, Peeters RP, Rosenthal MS, Sawka AM; American Thyroid Association Task Force on Thyroid Hormone Replacement. doi: 10.1089/thy.2014.0028. PMID: 25266247; PMCID: PMC4267409.

ACS 161

ACS Emergency Department ED OR 161

ALiEM

NOVEMBER 10, 2023

2014 Nov;107(11):724-7. Medicina (Kaunas). 2021 Sep 1;57(9):925. doi: 10.3390/medicina57090925. PMID: 34577848; PMCID: PMC8468217. Flowers H, Brodell R, Brents M, Wyatt JP. Fixed drug eruptions: presentation, diagnosis, and management. South Med J. doi: 10.14423/SMJ.0000000000000195. 0000000000000195. PMID: 25365443. Chow TG, Khan DA.

Emergency Department 161

Emergency Department OR 161

ALiEM

NOVEMBER 1, 2023

Intensive Care Med 2014; 40(1):104. PMID Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29083637 Fernández S, Castro P, Nogué S, Nicolás JM: Acute iron intoxication: change in urine color during chelation therapy with deferoxamine.  PMID 24072332 Baranwal AK, Singhi SC: Acute iron poisoning: management guidelines.

E-9-1-1 161

E-9-1-1 ALS OR ED 161

ALiEM

SEPTEMBER 27, 2023

The post was peer reviewed on behalf of ACMT by Drs. Brent Furbee, Bryan Judge, and Louise Kao. Read More in the Series References Peredy. Mushrooms, Coprine. Encyclopedia of Toxicology (Third Edition), Academic Press. doi: 10.1016/B978-0-12-386454-3.00754-5. Goldfrank L. In: Goldfrank’ s Toxicologic Emergencies. Hoffman et al. New York, NY.

ALS 169

ALS OR ED 169

REBEL EM

JANUARY 9, 2024

This finding persists when looking at a number of other infections including skin and soft tissue infections (SSTI) ( First10EM ), pyelonephritis ( Strohmeier 2014 ) and even bone and joint infections ( Li 2019 ). 2014; PMID: 25066627 Li HK et al. 2014; 32(10):1195-9. Cochrane Database Syst Rev 2006(2). 2019; 380(5):425-436.

ALS 99

ALS ICU ED OR 99

ALiEM

SEPTEMBER 11, 2023

Contact Lens Wearer Demographics and Risk Behaviors for Contact Lens-Related Eye Infections–United States, 2014. References Cope JR, Collier SA, Rao MM, Chalmers R, Mitchell GL, Richdale K, Wagner H, Kinoshita BT, Lam DY, Sorbara L, Zimmerman A, Yoder JS, Beach MJ. MMWR Morb Mortal Wkly Rep. 2015 Aug 21;64(32):865-70.

Emergency Department 152

Emergency Department ED OR 152