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 237

ALS Emergency Department EMS ED 237

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

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

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

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

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 81

Epinephrine Allergic Reaction Emergency Department Emergency Management 81

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

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

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

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

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

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

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

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

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 100

EMS 100

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 100

EMS 100

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 98

E-9-1-1 ALS OR 98

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

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

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

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

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 52

ALS OR 52

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

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 244

ALS Emergency Department ED OR 244

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

Emergency Medicine Education

SEPTEMBER 29, 2024

The latest JNC 8 was published by JAMA in 2014. The most recent guideline published under the JNC banner was the JNC 7 , which was released by the National Heart, Lung, and Blood Institute (NHLBI).

40

40

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 100

ALS ICU ED OR 100

This Podcast Will Kill You

SEPTEMBER 10, 2024

Elsevier, 2014. . “Contamination of stethoscopes and physicians’ hands after a physical examination.” ” Mayo Clinic Proceedings. Bohadana, A., Izbicki, G. and Kraman, S.S., Fundamentals of lung auscultation. New England Journal of Medicine , 370 (8), pp.744-751. Murphy, Raymond LH. “In defense of the stethoscope.”

E-9-1-1 52

E-9-1-1 ALS 52

EMergucate

JUNE 6, 2014

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

EMS 100

EMS 100

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

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 221

Life Support Advanced Life Support Emergency Department ALS 221

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

This Podcast Will Kill You

OCTOBER 22, 2024

” Orphan Drugs: Research and Reviews (2014): 19-27. ” (2014). . “A 30-year retrospective: National Organization for Rare Disorders, the Orphan Drug Act, and the role of rare disease patient advocacy groups.” Baizabal-Carvallo, J.F. and Jankovic, J., 840-848. .” Pryde, David C., and Stephen C.

ALS 52

ALS OR 52

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 130

OR EMS 130