This Podcast Will Kill You

SEPTEMBER 3, 2024

” Applied and environmental microbiology 80.12 (2014): 3552-3561. Dolin, Raphael, et al. Al-Hello, H., Al-Hello, H., Dolin, Raphael, et al. “Is it gonna be poop or is it gonna be barf?” Often, the germ forcing this question upon us is none other than the dreaded norovirus. Campos, Carlos JA, and David N.

ALS 52

ALS OR 52

ALiEM

SEPTEMBER 27, 2023

Hoffman et al. Koppaka V, Thompson DC, Chen Y, et al. Disulfiram-like reaction with ethanol consumption Coprinus atramentarius or Ink Cap mushroom is well known to cause a disulfiram-like reaction when it is consumed prior to ethanol. This results in significant nausea and vomiting and can lead to tachycardia and hypotension.

ALS 169

ALS OR ED 169

The Skeptics' Guide to EM

JUNE 17, 2023

Date: June 15, 2023 Reference: Rees CA et al. Date: June 15, 2023 Reference: Rees CA et al. The National Heart, Lung, and Blood Institute (NHLBI) released an expert panel report in 2014 with evidence-based guidelines for management of sickle cell disease recommending timely administration of parenteral opioids for VOE. [7]

Emergency Department 181

Emergency Department ALS ED OR 181

REBEL EM

FEBRUARY 7, 2024

Take Home Points Infections are a leading cause of maternal mortality worldwide. Prompt recognition is critical in management. Most infectious processes will require admission and close observation for improvement or decompensation. References: Abbrescia, K. Sheridan (2003). “Complications of second and third trimester pregnancies.”

ED 104

ED ALS OR EMS 104

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) Another study looked at all MAEs in juvenile beagles given either low dose or high dose fluoroquinolone. Which is a risk of 1 event for 62.5

E-9-1-1 130

E-9-1-1 OR ACS ALS 130

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. MMWR Morb Mortal Wkly Rep. 2021;70(37):1300-1302. Published 2021 Sep 17.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

ALiEM

NOVEMBER 1, 2023

In: Nelson LS, Goldfrank LR et al (eds): Goldfrank’s Toxicologic Emergencies. Intensive Care Med 2014; 40(1):104. PMID As ferrioxamine is excreted, the patient’s urine becomes an orange or brown rusty hue, classically referred to as vin rosé urine [1,2]. For iron toxicity, what are the indications for deferoxamine?

E-9-1-1 161

E-9-1-1 ALS OR ED 161

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

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 80

Epinephrine Allergic Reaction Emergency Department Emergency Manager 80

Don't Forget the Bubbles

SEPTEMBER 2, 2024

Neonatal Bubble Wrap from Brian Dunn Seidler AL, Aberoumand M, Hunter KE, Barba A, Libesman S, Williams JG, Shrestha N, Aagerup J, Sotiropoulos JX, Montgomery AA, Gyte GM. Paediatric Trauma Protocols from Royal College of Radiologists 2014 – due for update any second now! 2024 Apr 1;14(4):e081426. British Journal of Surgery.

ALS 105

ALS EMS OR 105

ACEP Now

AUGUST 25, 2023

The National Heart, Lung, and Blood Institute released an expert panel report in 2014 with evidence-based guidelines for management of SCD recommending timely administration of parenteral opioids for VOE.2 Reference Rees CA et al. Children with SCD often present to the ED in pain due to VOE. Am J Hematol. Am J Hematol. Am J Hematol.

Emergency Department 97

Emergency Department ED ALS OR 97

EMDocs

JUNE 22, 2024

A) Amniotic fluid embolism B) Eclampsia C) Placental abruption D) Pulmonary embolism Answer: A Amniotic fluid embolism (AFE) is a rare but potentially fatal complication of pregnancy. AFE should be considered in a patient who experiences cardiorespiratory collapse during labor or shortly thereafter.

EMS 96

EMS Ambulance FFP ICU 96

ALiEM

MAY 13, 2024

Scan the entirety of the affected area in 2 planes. Be aware of the patient’s comfort throughout the examination. A water bath may be helpful to visualize lesions in extremities such as the hands or feet. The probe sits just below the water’s surface and does not need to contact the skin. It may also aid in identifying nearby vasculature.

E-9-1-1 161

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

The Skeptics' Guide to EM

OCTOBER 10, 2020

Reference: Friedman et al. Reference: Friedman et al. million visits each year in the USA ( Friedman et al Spine 2010 ). These include: acetaminophen ( Williams et al Lancet 2014), muscle relaxants ( Friedman et al JAMA 2015), NSAIDs ( Machado et al

Emergency Department 130

Emergency Department ALS ED OR 130

FOAMcast

SEPTEMBER 6, 2023

However, recent studies have demonstrated the feasibility of ED-initiated medication for AUD, specifically naltrexone (Anderson ES et al. Murphy et al. Jonas DE et al. 2014 May 14;311(18):1889-900. Example emergency department algorithm below, also see UCSF protocol Anderson ES et al. Ann Emerg Med. PMID: 34353648.

Emergency Department 52

Emergency Department ALS ED OR 52

FOAMfrat

MAY 19, 2024

The patient will thank you for it; we are only human. References 1. Ostergaard E, Moller LB, Kalkanoglu-Sivri HS, et al. 2014 Feb. After learning this, medical control is consulted for additional treatment recommendations. Think about the man who wrote the book, bound it, and sold it. Knowledge is power. Neuropediatrics.

E-9-1-1 98

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

Don't Forget the Bubbles

MAY 29, 2023

Explored in seminal research, incivility is described as “ behaviours or mistreatment which violate the workplace norms of mutual respect “ Incivility isn’t just about obvious aggression but can take the form of passive aggression, public beratement, intimidation or habitual interruption. link] Isn’t it just ‘part of the job?’

Critical Care 97

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

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

OCTOBER 25, 2023

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. It is often difficult to do this in an ED setting. How is IIH diagnosed?

ALS 124

ALS OR ED 124

EMDocs

JANUARY 29, 2024

The American Heart Association/American Stroke Association (AHA/ASA) recommends maintaining BP below 185/110 mmHg in eligible patients undergoing thrombolytic therapy or endovascular intervention [1]. Following thrombolysis or endovascular therapy, the recommended blood pressure goal is below 180/105 mmHg to prevent hemorrhagic complications [1].

ALS 73

ALS Critical Care OR EMS 73

EMDocs

FEBRUARY 7, 2024

The effects of GLP-1 agonists are associated with the dose. Higher doses of GLP-1 agonists are associated with weight loss. Take for example semaglutide. Ozempic is utilized for DM2 in doses of 0.5, 1, or 2 mg administered via the SQ route weekly. Wegovy is the one approved for weight loss, it’s administered in doses of 2.4 mg SQ every week.

Allergic Reaction 75

Allergic Reaction ALS CAD OR 75

Don't Forget the Bubbles

JULY 24, 2023

Kieu V, Palit S, Wilson G, Ditchfield M, Buttery J, Burgner D, et al. 2014 Jun;164. McNamara AL, Dickerson EC, Gomez-Hassan DM, Cinti SK, Srinivasan A. 2014 Mar;58. Modic MT, Feiglin DH, Piraino DW, Boumphrey F, Weinstein MA, Duchesneau PM, et al. A wide range of causative pathogens have been identified.

ALS 98

ALS OR 98

Dr. Smith's ECG Blog

APRIL 18, 2024

Amsterdam et al. 2014 AHA/ACC guideline for the management of patients with non-ST elevation acute coronary syndromes. Circulation 2014 2. Alencar et al. Lupu et al. Herman, Meyers, Smith et al. 1] European guidelines add "regardless of biomarkers". But only 6.4% link] References 1. Int J Cardiol 2024 3.

STEMI 121

STEMI Coronary ALS CAD 121

Don't Forget the Bubbles

NOVEMBER 20, 2023

References Al-Khateeb T, Al Zoubi F. 2006.11.039 Fanous A, Morcrette G, Fabre M et al. This waxing and waning course is normal, and families should be reassured and given red flag features that necessitate further assessment. Document the size, consistency and location in the notes to compare if they represent. Dermatopathology.

ALS 124

ALS Emergency Department OR 124

This Podcast Will Kill You

MAY 7, 2024

US Food and Drug Administration, 2014. Djaoudene, Ouarda, et al. Herasimenka, Aliaksandr, et al. Does it seem like the supplement section of your grocery store gets bigger every time you go in? You’re not imagining things. “Industry invites regulation: the passage of the Pure Food and Drug Act of 1906.” 1985): 18-26.

ALS 98

ALS OR 98

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. A distinction between burnout and moral injury was made during the presentation.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

MAY 4, 2019

Date: April 29th, 2019 Reference: Kuppermann et al. Date: April 29th, 2019 Reference: Kuppermann et al. A study by Easter et al ( Ann Emerg Med 2014 ) concluded that PECARN seemed to be the best of the three tools. Reference: Kuppermann et al. She is a blog editor for RCEM Learning.

ALS 130

ALS Emergency Department OR 130

ACEP Now

JULY 7, 2023

References Friedman J, et al. Alexander RS, et al. Love JS, et al. Reyes JC, et al. Ruiz-Colón K, et al. Capraro AJ, et al. Rodríguez N, et al. Recently, Philadelphia has been reported as having the highest prevalence of xylazine, with xylazine present in 25.8 percent of all overdose deaths in 2020.

Overdose 98

Overdose ALS Naloxone Emergency Department 98

Don't Forget the Bubbles

AUGUST 9, 2023

References Cerbone M, Capalbo D, Wasniewska M, Mattace Raso G, Alfano S, Meli R, et al. 2014) Cardiovascular risk factors in children with long-standing untreated idiopathic subclinical hypothyroidism. We’ll use some cases to think about the different causes of subacute hypothyroidism, but first, let’s explore what it is. Endocrinol.

ALS 98

ALS OR 98

REBEL EM

AUGUST 30, 2023

REBEL Core Cast 107.0 – Vertebral Osteomyelitis Click here for Direct Download of the Podcast Definition Inflammation of the vertebrae due to a pyogenic, fungal or mycobacterial organism. Classified as either acute (days), subacute (weeks) or chronic (months) Spondylodiscitis: a term encompassing osteomyelitis, spondylitis and discitis.

E-9-1-1 103

E-9-1-1 ALS ED OR 103

The Skeptics' Guide to EM

SEPTEMBER 10, 2017

[display_podcast] Date: September 7th, 2017 Reference: Cohen et al. display_podcast] Date: September 7th, 2017 Reference: Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. million visits annually.

Emergency Department 130

Emergency Department ALS OR 130

Don't Forget the Bubbles

AUGUST 23, 2023

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. Oppressive quietness heavy with professionals’ suppressed emotions mixed with raw parental grief. Our bodies primed for the fight. 112 (9),pp.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

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

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Take home points References Byington CL, Ampofo K, Stockmann C, et al. What is the evidence for avoiding respiratory viral panels (RVP)? We cannot think about using RVPs without this quote from Archie Cochrane, “Before ordering a test, decide what you will do if it is positive or negative. If both answers are the same, don’t take the test.”

Emergency Department 84

Emergency Department ALS ED OR 84

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Date: September 10th, 2019 Reference: Fournier et al. Date: September 10th, 2019 Reference: Fournier et al. million emergency department visits in the US in 2014 [1], with the most significant proportion of visits occurring in the elderly ≥75 (1,682/100,000) [1]. Emergency Medicine Journal 2019. Emergency Medicine Journal 2019.

Emergency Department 130

Emergency Department ALS EMS OR 130

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. Take Home Points SVT >5cm or <3 cm from the SFJ should be treated with anti-coagulation.

ALS 52

ALS OR ED EMS 52

AAEM RSA

NOVEMBER 23, 2020

Shollen et al. 6 Jolly et al. Wahington, DC: 2014. link] Shollen SL, Bland CJ, Finstad DA, Taylor AL. In the past this discrepancy could be explained by a higher percentage of male medical and professional school graduates. hours more per week on domestic activities. of the time for male surgeons. Am J Health Syst Pharm.

OR 52

OR E-9-1-1 ALS 52