ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. She was discharged from the ED on levothyroxine 25 mcg daily with endocrinology outpatient follow-up. 2014 Dec;24(12):1670-751. The patient had no significant past medical history.

ACS 161

ACS Emergency Department ED OR 161

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. Managing editor of EM:RAP and Associate Editor at REBEL EM. It’s flu season and you’ve already seen 15 people with the same symptoms.

ALS 243

ALS Emergency Department EMS ED 243

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 96

ED ALS OR EMS 96

The Skeptics' Guide to EM

MAY 14, 2022

Case: A 45-year-old man without a significant past medical history presents to your emergency department (ED) with two days of severe lower back pain after shoveling some dirt. EDs annually (1). He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine.

ALS 130

ALS Emergency Department ED OR 130

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 78

Epinephrine Allergic Reaction Emergency Department Emergency Manager 78

ALiEM

APRIL 12, 2023

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. PMID: 35049577 ; PMCID: PMC8774352 Suzuko S, Peter G, Philipp L. Hemmings, Talmage D. DOI: 10.1016/B978-0-323-48110-6.00020-X R.

Emergency Department 258

Emergency Department ALS ED 258

The Skeptics' Guide to EM

JUNE 17, 2023

Case: A 14-year-old male with sickle cell disease (SCD) presents to your emergency department (ED) with a vaso-occlusive pain episode (VOE) of his bilateral legs and back. 1-6] Children with SCD presenting to the ED with VOE require timely and effective pain control. Opioids are the primary therapy.

Emergency Department 181

Emergency Department ALS ED OR 181

ALiEM

SEPTEMBER 11, 2023

A 29-year-old female with a past medical history of migraine headaches presented to the emergency department (ED) for several hours of bilateral eye pain, redness, and decreased visual acuity. Contact Lens Wearer Demographics and Risk Behaviors for Contact Lens-Related Eye Infections–United States, 2014.

Emergency Department 152

Emergency Department ED OR 152

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. She has a history of similar episodes. Am J Hematol.

Emergency Department 97

Emergency Department ED ALS OR 97

The Skeptics' Guide to EM

OCTOBER 14, 2023

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ). He has had three days of high fevers at home. It seems awfully high. Does he have sepsis?”

Life Support 228

Life Support Advanced Life Support Emergency Department ALS 228

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

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

ALiEM

SEPTEMBER 27, 2023

Read More in the Series References Peredy. 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. Hoffman et al. New York, NY. McGraw-Hill. Koppaka V, Thompson DC, Chen Y, et al.

ALS 169

ALS OR ED 169

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

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., Drug and chemical toxicology , 42 (3), pp.321-327.

E-9-1-1 52

E-9-1-1 ED ALS 52

The Skeptics' Guide to EM

OCTOBER 10, 2020

Case: A 41-year-old man without a significant past medical history presents to the emergency department (ED) with a chief complaint of lower back pain that started 48 hours prior to the ED visits after attempting to move a couch in his house. Background: Pain is one of the most frequent reasons to attend an ED.

Emergency Department 130

Emergency Department ALS ED OR 130

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

EMDocs

DECEMBER 20, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. In 2014 I was asked by 4 different plaintiff attorneys to review 4 separate cases of a missed SEA, all in Washington State. To opt in to the free subscriber list, click here.

ED 77

ED OR 77

This Podcast Will Kill You

NOVEMBER 27, 2023

2014): 5117. ” Infection, Genetics and Evolution 28 (2014): 33-43. History Biology Hoerauf, Achim, and Ramakrishna U. Wolbachia: a bug’s life in another bug. Karger Medical and Scientific Publishers, 2007. and Nutman, T.B., Immunology of lymphatic filariasis. Parasite immunology , 36 (8), pp.338-346. Addiss, D.

E-9-1-1 52

E-9-1-1 ALS ED 52

ALiEM

NOVEMBER 29, 2023

Published 2014 Mar 26. How do you treat xylazine toxicity? Treatment consists of supportive care, ranging from IV fluids to mechanical ventilation in patients with severe respiratory depression [10]. Xylazine Intoxication in Humans and Its Importance as an Emerging Adulterant in Abused Drugs: A Comprehensive Review of the Literature.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

EMDocs

DECEMBER 19, 2023

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. In: Marx JA, Hockenberger RS, Biros MH, et al.,

First Aid 92

First Aid ED OR ALS 92

The Skeptics' Guide to EM

DECEMBER 28, 2019

There was a trial published in 2014 comparing radiology department ultrasound, POCUS and CT for suspected nephrolithiasis (Smith-Bindman et al. NEJM 2014 ). We covered this on SGEM#97 with Dr. Tony Seupaul and Dr. Spencer Wright.

Emergency Department 100

Emergency Department ALS EMS ED 100

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. 2014 Sep;134(3):555-62. SpO2 is 88%. What do the guidelines say?

Emergency Department 84

Emergency Department ALS ED OR 84

REBEL EM

FEBRUARY 8, 2023

Herpes simplex keratitis: A treatment guideline – 2014. PMID: 7997324 Chan RV et al. Herpes simplex keratitis – Latin America. American Academy of Ophthalmology. Link White et al. Link Post Created By: Christina Chien, MD Post Peer Reviewed By: Salim R.

ALS 52

ALS OR EMS ED 52

Don't Forget the Bubbles

MARCH 19, 2024

This case underscores the struggles many children with complex disabilities encounter, often arriving at the paediatric ED in crisis when their families can no longer provide safe care at home. In 2014, 71% (397) of emergency removals of children by police occurred out-of-hours or at weekends. Caitlin, A. link] Davies, D., and Marsh L.

Mental Health Services 52

Mental Health Services ED OR Emergency Department 52

The Skeptics' Guide to EM

JANUARY 14, 2018

SGEM#71 : Like a Rolling Kidney Stone (A Systematic Review of Renal Colic) * Bottom Line: Tamsulosin is useless in most ED patients with ureteral colic unless their stone size exceeds at least 4mm. *

Emergency Department 130