REBEL EM

FEBRUARY 7, 2024

In: Marx, J et al, ed. Philadelphia, PA: Elsevier Saunders; 2014:2331-2350. In: Marx, J et al, ed. Philadelphia, PA: Elsevier Saunders; 2014: 2282-2299. Philadelphia, PA: Elsevier Saunders; 2014: 2282-2299. Rosen’s Emergency Medicine. Gorgas, D. “Infections related to pregnancy.”

ED 104

ED ALS OR EMS 104

ALiEM

APRIL 12, 2023

Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. 20 – Local Anesthetics, Ed(s): Hugh C. Hynynen, 10.08 – Ultrasound Therapy, Editor(s): Anders Brahme, Comprehensive Biomedical Physics, Elsevier, 2014, Pages 153-168, ISBN 9780444536334. 2022 Jan 6;8(1):42. doi: 10.3390/gels8010042. Hemmings, Talmage D.

Emergency Department 258

Emergency Department ALS ED 258

ALiEM

SEPTEMBER 27, 2023

Hoffman et al. Koppaka V, Thompson DC, Chen Y, et al. 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. New York, NY. McGraw-Hill.

ALS 169

ALS OR ED 169

ACEP Now

AUGUST 25, 2023

Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain Case A 15-year-old female with sickle cell disease (SCD) presents to your emergency department (ED) with a vaso-occlusive pain episode (VOE) of her legs and back. Children with SCD often present to the ED in pain due to VOE. Reference Rees CA et al. Am J Hematol.

Emergency Department 97

Emergency Department ED ALS OR 97

ALiEM

NOVEMBER 29, 2023

PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. Published 2014 Mar 26. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. PMID: 36148197 Love JS, Levine M, Aldy K, et al. PMID: 37014353 Ball NS, Knable BM, Relich TA et al. How do you treat xylazine toxicity? MMWR Morb Mortal Wkly Rep. 2023;15(3):e36864.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

The Skeptics' Guide to EM

OCTOBER 10, 2020

Reference: Friedman et al. Date: October 9th, 2020 Guest Skeptic: Dr. Reference: Friedman et al. Background: Pain is one of the most frequent reasons to attend an ED. of all ED visits resulting in 2.6 million visits each year in the USA ( Friedman et al Spine 2010 ). His twitter handle is @PainFreeED.

Emergency Department 130

Emergency Department ALS ED OR 130

FOAMcast

SEPTEMBER 6, 2023

Apple Podcasts , Spotify , Listen Here Alcohol-related emergency department (ED) visits are common – estimated to be comprise nearly 4% of all ED visits and up to 6% of hospitalizations. Historically, EDs have had little engagement in harm reduction around alcohol use disorder (AUD) and provision of medication for AUD.

Emergency Department 52

Emergency Department ALS ED OR 52

ALiEM

NOVEMBER 1, 2023

In: Nelson LS, Goldfrank LR et al (eds): Goldfrank’s Toxicologic Emergencies. Intensive Care Med 2014; 40(1):104. PMID The post was peer reviewed on behalf of ACMT by Drs. Blake Froberg, Bryan Judge, and Louise Kao. Read More in the Series References Perrone J. McGraw-Hill Education; 2019 Madiwale T, Liebelt E.

E-9-1-1 161

E-9-1-1 ALS OR ED 161

REBEL EM

DECEMBER 5, 2023

The risk of a biphasic reaction is what keeps patients in the ED while being observed for a set period of time. 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.

Epinephrine 80

Epinephrine Allergic Reaction Emergency Department Emergency Manager 80

This Podcast Will Kill You

NOVEMBER 27, 2023

Brown, Amanda MV, et al. Ferri, Emanuele, et al. Gerth, Michael, et al. 2014): 5117. Kaur, Rupinder, et al. Quek, Shannon, et al. ” Infection, Genetics and Evolution 28 (2014): 33-43. History Biology Hoerauf, Achim, and Ramakrishna U. Wolbachia: a bug’s life in another bug. Addiss, D.

E-9-1-1 52

E-9-1-1 ALS ED 52

EMDocs

JUNE 22, 2024

A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. Epub 2014 Jun 30. We’ll keep it short, while you keep that EM brain sharp. She had a precipitous delivery while the ambulance was pulling in. The newborn is doing well, but the mother is complaining of shortness of breath and chest pain.

EMS 96

EMS Ambulance FFP ICU 96

The Skeptics' Guide to EM

DECEMBER 28, 2019

Date: December 16th, 2019 Reference: Moore et al. Date: December 16th, 2019 Reference: Moore et al. There was a trial published in 2014 comparing radiology department ultrasound, POCUS and CT for suspected nephrolithiasis (Smith-Bindman et al. NEJM 2014 ). Annals of EM, JU, and JACR 2019.

Emergency Department 100

Emergency Department ALS EMS ED 100

This Podcast Will Kill You

OCTOBER 24, 2023

eds (2015) Broughton, E., Eds Converey, I., 2014 Sharma, S. 2014 The Bhopal Disaster and its aftermath: conflict over safe water, environment and justice. In Conflicts around domestic water and sanitation in India: cases, issues and prosects eds: Joy, KJ., .” Environmental Health 4.1 2005): 1-6. 1961): 30-39.

E-9-1-1 52

E-9-1-1 ED ALS 52

REBEL EM

FEBRUARY 8, 2023

PMID: 3652623 Wilhelmus KR et al. PMID: 4739528 Weiner et al. Link McDonald et al. Link Welder et al. Link Wilhelmus KR et al. PMID: 7997324 Chan RV et al. Link White et al. Herpes simplex keratitis: A treatment guideline – 2014. Surv Ophthalmol 2012; 57(5):448-462. Herpes simplex keratitis.

ALS 52

ALS OR EMS ED 52

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Jamie is admitted to the Paediatric Ward, and the paediatric trainee calls the ED to ask if a viral respiratory panel was obtained. There was a significant reduction of RVP ordering both in the ED and paediatric wards without impacting ED returns. Take home points References Byington CL, Ampofo K, Stockmann C, et al.

Emergency Department 84

Emergency Department ALS ED OR 84

EMDocs

FEBRUARY 12, 2024

As the only respiratory therapist in the ED has been paged and is starting BiPAP for this patient, an overhead call for two incoming trauma alerts from a multivehicle collision sounds. Because the RT responsible for drawing arterial blood gases is busy caring for these patients, ABGs will be delayed.

Emergency Department 94

Emergency Department E-9-1-1 ED ICU 94

REBEL EM

AUGUST 30, 2023

Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al. PMID: 26316526 Boody B, et al. PMID: 25892724 Gouliouris T, et al. 2010 Nov;65 Suppl 3:iii 11-24 PMID: 20876624 Mylona E, et al. 2010 Nov;65 Suppl 3:iii 11-24 PMID: 20876624 Mylona E, et al. In: Sherman SC eds.

E-9-1-1 103

E-9-1-1 ALS ED OR 103

The Skeptics' Guide to EM

JANUARY 14, 2018

[display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. A study from Bindman et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department.

Emergency Department 130

Emergency Department ALS ED OR 130

Don't Forget the Bubbles

OCTOBER 25, 2023

It is often difficult to do this in an ED setting. Image adapted by Holland JA et al. Image adapted by Holland JA et al. Strabismus alone is a rare sign of a brain tumour in this age group; however, the associated papilloedema is concerning. The fact that fundoscopy has been carried out on this child is a feat. doi: 10.1212/WNL.0b013e3182a55f17.

ALS 124

ALS OR ED 124

Don't Forget the Bubbles

AUGUST 23, 2023

Very rarely are the ED team allowed to stand, in silence, with a purpose. Kapoor et al. 2014) “Death of a child in the emergency department” American Academy of Pediatrics. 2014) “Death of a child in the emergency department” American Academy of Pediatrics. The Pause allows us to take the foot off the pedal briefly.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

ALiEM

MAY 13, 2024

Study N Methods POCUS Sensitivity (95% CI) POCUS Specificity (95% CI) Conclusions Gottleib et al., Lam et al., of cases* Subramaniam et al., Lam et al., of cases* Subramaniam et al., Adams et al., Adams et al., Sivitz et al., Yen ZS, Wang HP, Ma HM, et al. 2014 Feb;15(1):111-3.

E-9-1-1 161

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

EMDocs

DECEMBER 19, 2023

In: Marx JA, Hockenberger RS, Biros MH, et al., Philadelphia: Elsevier Saunders; 2014:805-807. In: Tintinalli JE, Ma O, Yealy DM, Meckler GD, Stapczynski J, Cline DM, Thomas SH. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 9e. McGraw Hill; 2020. Accessed August 25, 2022. link] Edward OJ. Venomous Marine Animals.

First Aid 92

First Aid ED OR ALS 92

The Skeptics' Guide to EM

OCTOBER 22, 2017

[display_podcast] Date: October 19th, 2017 Reference: Hofmann et al. display_podcast] Date: October 19th, 2017 Reference: Hofmann et al. Studies have shown that oxygen can cause vasoconstriction, increase blood pressure and decrease coronary artery blood flow ( Kones et al AM J Med 2011). NEJM Sept 2017. NEJM Sept 2017.

Emergency Medical Services 130

Emergency Medical Services Coronary ALS STEMI 130

EMDocs

MARCH 25, 2024

Ross M, Brown M, McLaughlin K, et al. Dumbrava BD, Bass GA, Jumean A, et al. New York, NY: The McGraw-Hill Companies; 2014. Al-Khouja F, Mazumder P, Moeller J, Lahham S. Lahham S, Becker BA, Gari A, et al. Utility of common bile duct measurement in ED point of care ultrasound: A prospective study.

ALS 87

ALS Coronary Emergency Department ED 87

ACEP Now

AUGUST 8, 2023

Lowry, MD, MPH Re: “How to Avoid Missing an Aortic Dissection” In a recent article, the authors have provided a thoughtful review of aortic dissection (AOD) cases while promoting the aortic dissection detection risk score (ADD-RS) to improve the ED diagnosis of these patients. Ann Emerg Med 2014; 64: 286-291 Phillips B.

ALS 52

ALS ED OR 52

REBEL EM

JULY 20, 2022

Frappe 2014, Cosmi 2015 ) Half of the DVTs seen in SVT are non-contiguous and 17% of DVTs are seen in the contralateral limb. References: Frappe P, et al the STEPH Study Group. J Thromb Haemost 2014; 12: 831–8. PMID: 12814979 Blumenberg RM, et al.: PMID: 9510288 Coon WW et al. PMID: 25903684 Guyatt GH et al.

ALS 52

ALS OR ED EMS 52

EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. References: Powers WJ, Rabinstein AA, Ackerson T, et al. Leonardi-Bee J, et al; IST Collaborative Group. Okumura K, et al. Oliveira-Filho J, et al. Vlcek M, et al.

ALS 73

ALS Critical Care OR EMS 73

FOAMfrat

JULY 3, 2024

If they are not already there, get ALS-level care to the patient as soon as possible. I personally know of 2 ALS providers who were exposed to chlorine gas in a pool incident on the job and both ended up retiring from their service and still have lifelong breathing problems as a result. -The Thomas, Eds.) Bronstein, A.

Life Support 105

Life Support ALS Emergency Response OR 105

EMDocs

SEPTEMBER 7, 2023

Metabolism of DEG adapted from Bessenhofer, et al. References: Abubukar et al. “Diethylene Glycol” in Goldfrank’s Toxicologic Emergencies , 11e Eds. Nelson, et al. Conklin, Laura, et al. 6, 1 June 2014, pp. “Fomepizole” in Goldfrank’s Toxicologic Emergencies , 11e Eds.

E-9-1-1 66

E-9-1-1 ALS Emergency Department Plasma 66

EMDocs

OCTOBER 21, 2023

Median time from ED arrival to diagnosis was 8 hours 24 min in one study, with only 19% being diagnosed within the 4.5-hour References: Gaillard F, Glick Y, Tatco V, et al. Post TW, ed. 61.4.496 Navi BB, Kamel H, Shah MP, et al. link] Published January 2014. Epub 2014 Dec 4. hour IV thrombolytic window.

EMS 74

EMS ALS OR ACS 74

ACEP Now

MAY 10, 2024

A 59-year-old man presents to your community emergency department (ED) with chest pain that is radiating to his back. Reference Gibbons RC, Smith D, Feig R, et al. Thank you to Dr. Neil Dasgupta who is an emergency medicine physician and ED intensivist from Long Island, NY for his assistance with this critical appraisal.

ALS 52

ALS OR Emergency Department ED 52

EMDocs

AUGUST 22, 2023

Capnography has several novel uses in other disease states commonly seen in the ED such as trauma, DKA, sepsis and obstructive lung disease. PMID: 26447854 Godwin SA, Burton JH, Gerardo CJ, et al. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 26821648 Hemnes AR, Newman AL, Rosenbaum B, et al.

Emergency Department 68

Emergency Department ALS Life Support OR 68

EMDocs

JANUARY 3, 2024

He has been taking increased doses of torsemide without improvement in his symptoms and was directed to the ED for inpatient therapy. Now, a remote outpatient pulmonary arterial pressure monitor and other heart failure detection devices (Table 1) are available that you may begin to see in your ED. Published May 2014.

Defibrillator 87

Defibrillator Allergic Reaction ED ALS 87

This Podcast Will Kill You

SEPTEMBER 12, 2023

Kawamura, Shoji, et al. The history of color blindness. Wayenborgh Publishing, 2018. Gegenfurtner, K.R. and Kiper, D.C., Color vision. Annual review of neuroscience , 26 (1), pp.181-206. An immense world: How animal senses reveal the hidden realms around us. Knopf Canada, 2022. Simunovic, M.P., Colour vision deficiency. Eye , 24 (5), pp.747-755.

ALS 52

ALS ED 52

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Case A 25-year-old-female presented to the ED in cardiac arrest. Alerhand et al described ten individual echocardiographic findings of RV strain that suggest PE. 10,11 Vid 1. EKG RV strain.

ED 82

ED NARCAN ALS OR 82

REBEL EM

FEBRUARY 22, 2023

et al, Emergency Medicine Clinical Essentials ed 2. Eye Emergencies, in Tintinalli J et al (eds): Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, Seventh Edition New York City: McGraw-Hill 2016 (Ch) 241 Guluma K, Lee JE. Philadelphia: Elsevier, 2013 (Ch) 26: p. 209-225 Walker R, Adhikari S.:

Emergency Department 52

Emergency Department ALS ED Coronary 52

This Podcast Will Kill You

NOVEMBER 7, 2023

Manne, eds. 2014): 415-435. Lee, Carrie, et al. and Al-Niami, F., We wrap up the episode with a look at rates of skin cancers around the globe today and exciting research showing the benefits of sunscreens as well as how AI might be used to help diagnose skin cancer. History Biology Heckman, Carolyn J., and Sharon L.

E-9-1-1 52

E-9-1-1 ALS ED OR 52