2014 - Paramedicine Now

Summer Penile Syndrome

Pediatric EM Morsels

SEPTEMBER 8, 2023

2014 Jan;46(1):e21-2. Summer Penile Syndrome consists of painless pruritus with circumferential edema of the distal penile shaft just proximal to the glans Basics are the Best! Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. doi: 10.1016/j.jemermed.2013.08.081.

EMS

EMS ED OR

ECG of the Week – 10th February 2014 – Interpretation

EMergucate

FEBRUARY 15, 2014

Interpretation of last week’s ECG case can be found here: ECG of the Week – 10th February 2014 – interpretation

EMS

Podcast 186.0: Hypocalcemia

Core EM

JANUARY 25, 2024

2014, (Ch) 125: p 1636-53. Pfenning CL, Slovis CM: Electrolyte Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Louis, Mosby, Inc., Swaminathan, A. 2016, January 27). Hypocalcemia. Retrieved April 29, 2022, from [link] Vantour L, Goltzman D.

Critical Care

Critical Care ED ALS OR

SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

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

Emergency Department Overdose ALS ED

SGEM#419: Welcome Back – To Another Episode on Back Pain

The Skeptics' Guide to EM

OCTOBER 28, 2023

Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.

Emergency Department

Emergency Department ALS ED OR

Travel-Related Illnesses in Children

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

E-9-1-1 ED OR Emergency Department

2014 in Review

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

Anti-NMDA Receptor Encephalitis in Children and Adolescents

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

Plasma OR ED Critical Care

SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

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. We covered this SRMA on SGEM#98.

ALS

ALS Emergency Department EMS ED

Episode 150 Norovirus: Tip of the poop iceberg

This Podcast Will Kill You

SEPTEMBER 3, 2024

” Applied and environmental microbiology 80.12 (2014): 3552-3561. 2014): 176-180. 2014): 741-745. Clinical microbiology reviews , 28 (1), pp.134-164. Campos, Carlos JA, and David N. “Environmental transmission of human noroviruses in shellfish waters.” Gastanaduy, P., Parashar, U.D. and Vinjé, J., Ahmed, S.M.,

ALS

ALS OR

Fluoroquinolone Use In Children

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

E-9-1-1 OR ACS ALS

SAEM Clinical Images Series: Pediatric Neck Mass

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

ACS Emergency Department ED OR

Episode 146 Celiac Disease: Rootin tootin gluten

This Podcast Will Kill You

JULY 23, 2024

2014): 6-7. ” Internal and emergency medicine 9 (2014): 249-256. 2014): 19-36. Tune in today! History Biology Anderson, Warwick H., “Gut Reactions—From Celiac Affection to Autoimmune Model.” ” New England Journal of Medicine 371.1 Rubio-Tapia, A., Kelly, C.P., Greer, K.B., Limketkai, B.N. and Lebwohl, B.,

E-9-1-1

E-9-1-1 ALS OR

Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

REBEL EM

DECEMBER 5, 2023

up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). Since half of biphasic reactions occur within the first 6-12 hrs ( Lee 2014 ) physicians often choose an observation time of 4-6 hrs. Biphasic anaphylactic reactions: occurrence and mortality Allergy 2014 Jun;69(6):791-7 Tole JW, Lieberman P.

Epinephrine

Epinephrine Allergic Reaction Emergency Department Emergency Management

ECG of the Week – 31st March 2014

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

ECG of the Week – 24th February 2014

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

OR EMS

ECG of the Week – 17th February 2014

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

Emergency Department EMS

ECG of the Week – 7th April 2014

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

ECG of the Week – 27th January 2014

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 →

ECG of the Week – 3rd March 2014

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

ECG of the Week – 10th February 2014

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

Emergency Department EMS

ECG of the Week – 6th January 2014

EMergucate

JANUARY 2, 2014

This week’s case is from a 97yr old presenting with presyncope. I will endeavour to get some more clinical information … Continue reading →

EMS

ECG of the Week – 20th January 2014

EMergucate

JANUARY 18, 2014

Two ECG’s this week from a 76yr old female who presented complaining of palpitations and dysponea. She has a history … Continue reading →

EMS

Ultrasound Guided Lumbar Puncture

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

ALS Critical Care OR

ECG of the Week – 6th January 2014 – Interpretation

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 →

ECG of the Week – 17th February 2014 – Interpretation

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

Emergency Department EMS

ECG of the Week – 24th February 2014 – Interpretation

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

Morel-Lavallée Lesion in Children

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

Overdose OR Critical Care ALS

SGEM#366: Relax, Don’t Do It – Skeletal Muscle Relaxants for Low Back Pain

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

ALS Emergency Department ED OR

REBEL Core Cast 117.0 – Infections of Pregnancy

REBEL EM

FEBRUARY 7, 2024

Philadelphia, PA: Elsevier Saunders; 2014:2331-2350. Philadelphia, PA: Elsevier Saunders; 2014: 2282-2299. Gorgas, D. “Infections related to pregnancy.” ” Emerg Med Clin North Am 26 (2): 345-366, viii. PMID: 18406978 Houry, D and B. Acute Complications of Pregnancy. In: Marx, J et al, ed. Rosen’s Emergency Medicine.

ED

ED ALS OR EMS

Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique

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

Emergency Department ALS ED

SAEM Clinical Images Series: Unusual Scalp Lesions

ALiEM

OCTOBER 2, 2023

2014 Jun;30(6):437-9. Epub 2009 Aug 11. PMID: 19664319. Minakova E, Doniger SJ. Botfly larva masquerading as periorbital cellulitis: identification by point-of-care ultrasonography. Pediatr Emerg Care. doi: 10.1097/PEC.0000000000000156. 0000000000000156. PMID: 24892687.

E-9-1-1

E-9-1-1 Emergency Department OR

ECG of the Week: 9th June 2014

EMergucate

JUNE 6, 2014

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

EMS

SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

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

Life Support Advanced Life Support Emergency Department ALS

Preparation for Emergency Infectious Outbreak in your ED – Coronavirus

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

ED EMS OR

SAEM Clinical Images Series: Man with a Recurrent Rash

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

Emergency Department OR

ACMT Toxicology Visual Pearl: Who Doesn’t Like a Nice Rosé?

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

E-9-1-1 ALS OR ED

Bubble Wrap Live from DFTB24

Don't Forget the Bubbles

SEPTEMBER 2, 2024

Paediatric Trauma Protocols from Royal College of Radiologists 2014 – due for update any second now! Have the UK Pediatric Trauma Protocols resulted in a reduction in chest computed tomography imaging for children presenting with major blunt trauma? Journal of the American College of Emergency Physicians Open. 2023 Oct;4(5):e13041.

ALS

ALS EMS OR

Ep 133 Parvoviruses: Who let the dogs (and their viruses) out?

This Podcast Will Kill You

JANUARY 16, 2024

” PLoS pathogens 10.11 (2014): e1004475. Allison, Andrew B., “Host-specific parvovirus evolution in nature is recapitulated by in vitro adaptation to different carnivore species.” and Anumba, D.O., Parvovirus b19 infection in pregnancy–A review. 358-362. . “An annotated historical account of canine parvovirus.”

E-9-1-1

E-9-1-1 ALS

Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel

Pediatric EM Morsels

MAY 12, 2023

doi: 10.1136/archdischild-2014-307119. 2014 Jan 25;383(9914):308. Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards RJ, Hyde P, Maconochie I, Parslow RC, Kemp AM. Head injury from falls in children younger than 6 years of age. Arch Dis Child. 2015 Nov;100(11):1032-7. Epub 2015 Aug 21. PMID: 26297697; PMCID: PMC4680174.

OR

OR EMS

SAEM Clinical Images Series: Contact Your Nearest Ophthalmologist

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

Emergency Department ED OR

Incivility in Critical Care: adding insult to the injuries

Don't Forget the Bubbles

MAY 29, 2023

BMJ Quality & Safety [Internet] 2014; 23:106-115. Acad Med [Internet] 2014; 89:5:817-827. BMC Health Serv Res [Internet] 2014:14:61 (2014). PLoS ONE [Internet] 2014 9(8): e104720. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Available at: [link] Fehr R, Gelfand MJ, Nag M.

Critical Care

Critical Care E-9-1-1 Paramedicine Paramedicine

ACMT Toxicology Visual Pearls: Mushroom Mishap

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

ALS OR ED

Ep 134 Tonsils: Underestimated and underappreciated

This Podcast Will Kill You

JANUARY 30, 2024

BMJ clinical evidence , 2014. . “Vestigial organ.” ” Encyclopedia of Animal Cognition and Behavior. London: Springer, Cham (2018). Georgalas, C.C., Tolley, N.S. and Narula, A., Tonsillitis. Younis, Ramzi T., and Rande H. “History and current practice of tonsillectomy.” ” The Laryngoscope 112.S100

OR

Summer Penile Syndrome

ECG of the Week – 10th February 2014 – Interpretation

Trending Sources

Podcast 186.0: Hypocalcemia

SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

SGEM#419: Welcome Back – To Another Episode on Back Pain

Travel-Related Illnesses in Children

2014 in Review

Anti-NMDA Receptor Encephalitis in Children and Adolescents

SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

Episode 150 Norovirus: Tip of the poop iceberg

Fluoroquinolone Use In Children

SAEM Clinical Images Series: Pediatric Neck Mass

Episode 146 Celiac Disease: Rootin tootin gluten

Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

ECG of the Week – 31st March 2014

ECG of the Week – 24th February 2014

ECG of the Week – 17th February 2014

ECG of the Week – 7th April 2014

ECG of the Week – 27th January 2014

ECG of the Week – 3rd March 2014

ECG of the Week – 10th February 2014

ECG of the Week – 6th January 2014

ECG of the Week – 20th January 2014

Ultrasound Guided Lumbar Puncture

ECG of the Week – 6th January 2014 – Interpretation

ECG of the Week – 17th February 2014 – Interpretation

ECG of the Week – 24th February 2014 – Interpretation

Morel-Lavallée Lesion in Children

SGEM#366: Relax, Don’t Do It – Skeletal Muscle Relaxants for Low Back Pain

REBEL Core Cast 117.0 – Infections of Pregnancy

Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique

SAEM Clinical Images Series: Unusual Scalp Lesions

ECG of the Week: 9th June 2014

SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

Preparation for Emergency Infectious Outbreak in your ED – Coronavirus

SAEM Clinical Images Series: Man with a Recurrent Rash

ACMT Toxicology Visual Pearl: Who Doesn’t Like a Nice Rosé?

Bubble Wrap Live from DFTB24

Ep 133 Parvoviruses: Who let the dogs (and their viruses) out?

Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel

SAEM Clinical Images Series: Contact Your Nearest Ophthalmologist

Incivility in Critical Care: adding insult to the injuries

ACMT Toxicology Visual Pearls: Mushroom Mishap

Ep 134 Tonsils: Underestimated and underappreciated

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