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

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.

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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.

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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. However, recent studies have demonstrated the feasibility of ED-initiated medication for AUD, specifically naltrexone (Anderson ES et al.

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Emergency Department ALS ED OR 52

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.

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Naloxone Overdose ALS Epinephrine 169

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.

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Epinephrine Allergic Reaction Emergency Department Emergency Manager 80

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.

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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.

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Emergency Department ED ALS OR 97

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.

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Emergency Department EMR ICU ALS 100

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.

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Emergency Department ACS Critical Care Coronary 40

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.

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Emergency Department ALS EMS ED 100

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.

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Emergency Department ALS EMS OR 130

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.,

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

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

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.

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

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.

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Emergency Department ALS OR 100

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.

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Emergency Department ALS ED OR 84

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.

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Emergency Department ALS OR 130

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.

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Overdose ALS Naloxone Emergency Department 98

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Davidson L, Foley DA, Clifford P, Blyth CC, Bowen AC, Hazelton B, et al.

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Emergency Department E-9-1-1 ALS OR 142

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.

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Emergency Department ALS Life Support OR 68

REBEL EM

MARCH 23, 2023

Treatment options for alcohol withdrawal include benzodiazepines such as lorazepam, diazepam, or chlordiazepoxide, gabapentin, and phenobarbital (Buell et al.). Phenobarbital can be used as a monotherapy or in combination with benzodiazepines to treat alcohol withdrawal (Hawa et al.). Paper : Hawa F et al.

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ICU Emergency Department ALS OR 52

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.

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ALS Emergency Department OR 130

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 97

Critical Care E-9-1-1 Paramedicine Paramedicine 97

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.

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ALS Emergency Department OR 124

ACEP Now

OCTOBER 30, 2023

ESEM’s Founding The founding of ESEM was greeted with enthusiastic support from the emergency medicine community. Under the leadership of Dr. Saleh Fares Al-Ali, the first emergency physician from UAE to be certified by both the Canadian and American boards, the organization grew exponentially.

Emergency Department 52

Emergency Department ALS CPR Critical Care 52

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.

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ALS Emergency Department OR 100

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.

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STEMI Coronary ALS CAD 121

EMDocs

SEPTEMBER 7, 2023

Metabolism of DEG adapted from Bessenhofer, et al. 2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. References: Abubukar et al. “Diethylene Glycol” in Goldfrank’s Toxicologic Emergencies , 11e Eds.

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

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. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26. PMID: 25892724 Gouliouris T, et al. Simon’s Emergency Orthopedics.

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E-9-1-1 ALS ED OR 103

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.

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ALS Critical Care OR EMS 73

EMDocs

MARCH 25, 2024

2, 3 Biliary POCUS can help decrease patient length of stay in the Emergency Department. Ross M, Brown M, McLaughlin K, et al. Emergency physician-performed ultrasound to diagnose cholelithiasis: a systematic review. Acad Emerg Med. Dumbrava BD, Bass GA, Jumean A, et al. Lahham S, Becker BA, Gari A, et al.

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ALS Coronary Emergency Department ED 87

REBEL EM

AUGUST 18, 2022

Fletcher, MD, FACEP and Nicholas Slattery, MD Background: Diverticulitis is a common finding amongst Emergency Department patients, accounting for more than 360,000 visits in 2013 alone 1. If clinical worsening or poor symptomatic control was detected at any time, the patient was referred to the Emergency Department.

Emergency Department 52

Emergency Department ALS ED OR 52

EMDocs

SEPTEMBER 27, 2023

As emergency medicine physicians, we are acutely aware of how being unable to afford chronic medications leads to severe life-threatening complications and preventable visits to our Emergency Departments. Burleson (2014). References American Medical Association. ” from [link] Seidenwurm, D. link] Bond, A.

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Emergency Department ALS OR ED 63

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. 2,3 There are clinical decision tools available, but the American College of Emergency Physicians does not recommend the routine use of these tools in suspected cases of AoD. Acad Emerg Med. Eur Heart J.

ALS 52

ALS OR Emergency Department ED 52

REBEL EM

FEBRUARY 22, 2023

difficult to see due to corneal edema) Emergency Department Management All patients should get emergency ophthalmologic consultation Start with eye drops (see table below) and add systemic medications if severe or refractory symptoms/IOP. et al, Emergency Medicine Clinical Essentials ed 2. Cup to disc ratio >0.6

Emergency Department 52

Emergency Department ALS ED Coronary 52

EMDocs

OCTOBER 21, 2023

References: Gaillard F, Glick Y, Tatco V, et al. 61.4.496 Navi BB, Kamel H, Shah MP, et al. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department. link] Published January 2014. Epub 2014 Dec 4. link] Burns JD, Rindler RS, Carr C, et al. Arch Neurol.

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EMS ALS OR ACS 74