The Skeptics' Guide to EM

JUNE 17, 2023

Date: June 15, 2023 Reference: Rees CA et al. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Date: June 15, 2023 Reference: Rees CA et al. Reference: Rees CA et al.

Emergency Department 186

Emergency Department ALS ED OR 186

ALiEM

APRIL 12, 2023

Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. Hynynen, 10.08 – Ultrasound Therapy, Editor(s): Anders Brahme, Comprehensive Biomedical Physics, Elsevier, 2014, Pages 153-168, ISBN 9780444536334. emDOCs.net – Emergency Medicine Education. Accessed April 5, 2023. 2022 Jan 6;8(1):42. doi: 10.3390/gels8010042.

Emergency Department 258

Emergency Department ALS ED 258

Pediatric EM Morsels

JULY 21, 2023

Acad Emerg Med. Holmes, James F et al. Academic emergency medicine 12.9 Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. doi: 10.1136/archdischild-2014-306851. Epub 2014 Sep 8. Conzelmann M, Hoidis A, Bruckner T , et al. Epub 2014 Feb 13.

Critical Care 246

Critical Care ALS Life Support OR 246

The Skeptics' Guide to EM

MAY 14, 2022

Date: May 13th, 2022 Reference: Abril et al. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants.

ALS 130

ALS Emergency Department ED OR 130

The Skeptics' Guide to EM

OCTOBER 10, 2020

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. Reference: Friedman et al. Reference: Friedman et al.

Emergency Department 130

Emergency Department ALS ED OR 130

REBEL EM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. 5 Paper: Lebin J et al. 5 Paper: Lebin J et al. N Engl J Med 2014 , 371 (22), 2109-2113. 3) Ibarra, F.,

Emergency Department 97

Emergency Department ED EMR OR 97

ALiEM

MARCH 7, 2024

Transvere ultrasound views of the bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.) Sagittal view of bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.)

E-9-1-1 177

E-9-1-1 Emergency Department ALS ED 177

The Skeptics' Guide to EM

JANUARY 14, 2018

[display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Dr. Rachel Littlefield is a PGY2 in Emergency Medicine at the University of […] The post SGEM#202: Lidocaine for Renal Colic?

Emergency Department 130

Emergency Department ALS ED OR 130

EMDocs

JANUARY 11, 2025

Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Ahmad H, Jannat H, Khan U, et al. Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. Annals of emergency medicine, 82(1), 3746. link] com staff (2014). In StatPearls.

E-9-1-1 98

E-9-1-1 EMS Emergency Department OR 98

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019. Guest Skeptics: Dr. Sarah Berg is a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019.

Emergency Department 130

Emergency Department ALS EMS OR 130

ALiEM

NOVEMBER 29, 2023

PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. Xylazine Intoxication in Humans and Its Importance as an Emerging Adulterant in Abused Drugs: A Comprehensive Review of the Literature. 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.

Naloxone 169

Naloxone Overdose Epinephrine ALS 169

The Skeptics' Guide to EM

JULY 17, 2021

Date: July 14th, 2021 Reference: Pernica et al. Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. first appeared on The Skeptics Guide to Emergency Medicine. Date: July 14th, 2021 Reference: Pernica et al. Bradley et al 2011 ). JAMA Pediatr.

ALS 130

ALS Emergency Department ED 130

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Date: February 21st 2022 Reference: Kim et al. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America. She is […] The post SGEM#360: We Care a Lot – The EmPATH Study first appeared on The Skeptics Guide to Emergency Medicine.

ED 130

ED ALS Emergency Department OR 130

The Skeptics' Guide to EM

DECEMBER 28, 2019

Date: December 16th, 2019 Reference: Moore et al. Guest Skeptics: Dr. Christopher Moore is an Associate Professor of Emergency Medicine a Yale School of Medicine. Date: December 16th, 2019 Reference: Moore et al. NEJM 2014 ). Annals of EM, JU, and JACR 2019. Annals of EM , JU, and JACR 2019.

Emergency Department 100

Emergency Department ALS EMS ED 100

The Skeptics' Guide to EM

JANUARY 12, 2019

Date: January 10th , 2019 Reference: Busse JW et al. JAMA December 2018 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Date: January 10th , 2019 Reference: Busse JW et al. His twitter handle is @PainFreeED.

Emergency Department 100

Emergency Department ALS OR 100

The Skeptics' Guide to EM

SEPTEMBER 12, 2020

Shanafelt et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc 2015 * Shanafelt et al. It was an opportunity to share my journey and give an important message about kindness.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Date: November 16th, 2021 Reference: Hammouda et al. Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. She […] The post SGEM#351: How to Stop Geriatrics from Free Fallin’ first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS ED Emergency Department OR 130

The Skeptics' Guide to EM

MAY 4, 2019

Date: April 29th, 2019 Reference: Kuppermann et al. NEJM June 2018 Guest Skeptic: Dr. Nikki Abela is a final year trainee in Emergency Medicine and Paediatric Emergency Medicine in Liverpool, UK from sunny Malta. Date: April 29th, 2019 Reference: Kuppermann et al. Reference: Kuppermann et al.

ALS 130

ALS Emergency Department OR 130

The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine.

Frozen Plasma 130

Frozen Plasma FFP Emergency Medical Services Plasma 130

The Skeptics' Guide to EM

AUGUST 5, 2023

Reference: Easter JS et al. Annals of Emergency Medicine 2014. Date: July 10, 2023 Guest Skeptic: Dr. Joe Mullally is a paediatric trainee in the Welsh paediatric training program and interested in Paediatric Emergency Medicine. Reference: Easter JS et al. Annals of Emergency Medicine 2014.

ALS 100

ALS Emergency Department OR 100

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona.

EMR 100

EMR Emergency Department ICU ALS 100

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. 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.,

E-9-1-1 161

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

ACEP Now

AUGUST 14, 2024

This recommendation is a departure from the 2014 guideline iteration that only recommended against CCBs in patients with decompensated heart failure. grams of IV magnesium to placebo, doses considerably higher than the two grams of magnesium often administered in the emergency department (ED). Fromm C, Suau SJ, Cohen V, et al.

ALS 105

ALS Emergency Department ED OR 105

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ Kapoor et al.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

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. Reference Rees CA et al. References Campbell F, Hudspith M, Choinière M, et al. link] Published 2014.

Emergency Department 97

Emergency Department ED ALS OR 97

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

[display_podcast] Date: September 5th, 2018 Reference: Franklin et al. Guest Skeptic: Dr. Ben Lawton is a paediatric emergency physician in Brisbane Australia. display_podcast] Date: September 5th, 2018 Reference: Franklin et al. Guest Skeptic: Dr. Ben Lawton is a paediatric emergency physician in Brisbane Australia.

ALS 100

ALS Emergency Department OR 100

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Simpson et al. Simpson et al. Emergency department overcrowding is a complex issue with multiple contributing factors. A 2011-2012 Australian study by Blake et al.

Emergency Department 89

Emergency Department ALS ED OR 89

The Skeptics' Guide to EM

DECEMBER 16, 2017

[display_podcast] Date: November 27th, 2017 Reference: Legriel et al. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. Reference: Legriel et al.

ALS 100

ALS ICU Emergency Department Paramedic 100

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

EMDocs

AUGUST 22, 2023

Capnography in the Emergency Department: A Review of Uses, Waveforms, and Limitations. J Emerg Med. Capnography for the nonintubated patient in the emergency setting. PMID: 26447854 Godwin SA, Burton JH, Gerardo CJ, et al. Ann Emerg Med. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al.

Emergency Department 94

Emergency Department ALS Life Support OR 94

FOAMfrat

MAY 19, 2024

While transporting to the emergency department, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. Upon arrival in the pediatric emergency department, the patient was conscious and alert to her normal mental status, which included being nonverbal.

E-9-1-1 98

E-9-1-1 ALS Emergency Department EMT 98

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. References Friedman J, et al. Alexander RS, et al. Love JS, et al. Opioid overdoses involving xylazine in emergency department patients: a multicenter study. Reyes JC, et al. 2022;233:109380.

Overdose 98

Overdose ALS Naloxone Emergency Department 98

EM Didactic

OCTOBER 7, 2018

It is commonly used in Emergency Departments, especially in febrile and possibly infectious patients. The value of C-reactive protein in emergency medicine. 2014 Jan 1;3(1):1-5. Schillinger M, Domanovits H, Bayegan K, Hölzenbein T, Grabenw ö ger M, Thoenissen J, et al. Journal of Acute Disease.

Emergency Department 40

Emergency Department ACS Critical Care Coronary 40

Don't Forget the Bubbles

NOVEMBER 20, 2023

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. References Al-Khateeb T, Al Zoubi F. 2006.11.039 Fanous A, Morcrette G, Fabre M et al. 2017.12.003 Machado De Carvalho G, Silva de Lavor M et al.

ALS 124

ALS Emergency Department OR 124

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. Amsterdam et al. Circulation 2014 2. Alencar et al. Lupu et al. link] References 1.

STEMI 121

STEMI Coronary ALS CAD 121

Don't Forget the Bubbles

MAY 29, 2023

Emergency Medical Journal [Internet] 2022;39;52-56. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. BMJ Quality & Safety [Internet] 2014; 23:106-115. Fnais N, Soobiah C, Chen MH, et al. Acad Med [Internet] 2014; 89:5:817-827. Keller S, Yule S, Zagarese V, et al. PLoS ONE [Internet].

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. Take home points References Byington CL, Ampofo K, Stockmann C, et al.

Emergency Department 84

Emergency Department ALS ED OR 84