First 10 EM

SEPTEMBER 25, 2023

Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation.

EMS 138

EMS 138

Pediatric EM Morsels

AUGUST 18, 2023

Binz 2015) Remember, dogs grow 18 times as fast an infant in the first year of life. Binz 2015) More recent lamb studies have been performed, where the growth more closely approximates a human child. Binz 2015). Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. This myth is: BUSTED-ish.

E-9-1-1 130

E-9-1-1 ACS OR ALS 130

ALiEM

NOVEMBER 1, 2024

2015 Apr;20(2):131-8. References Athappan G, Sengodan P, Chacko P, Gandhi S. Comparative efficacy of different modalities for treatment of right heart thrombi in transit: a pooled analysis. doi: 10.1177/1358863X15569009. PMID: 25832601.

ED 161

ED OR 161

First 10 EM

JANUARY 29, 2024

Norii 2015, […] The post The UK-REBOA trial appeared first on First10EM. There have been some observational studies that suggested REBOA was associated with worse outcomes, but the outcomes were largely assumed to be the result of confounders.

EMS 89

EMS 89

The Skeptics' Guide to EM

MAY 20, 2023

However, we have not covered the Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest (OHCA) in Children or THAPCA-OH published in the New England Journal of Medicine in 2015. We’re adding on a second paper looking at the Bayesian interpretation of the original study. Original trial: Moler FW, Silverstein FS, Holubkov R, et al.

CPR 130

CPR ALS Emergency Department EMS 130

ALiEM

DECEMBER 4, 2023

2015 Jul;66(1):133-46. Epub 2015 May 7. [link] Nigwekar SU, Kroshinsky D, Nazarian RM, Goverman J, Malhotra R, Jackson VA, Kamdar MM, Steele DJ, Thadhani RI. Calciphylaxis: risk factors, diagnosis, and treatment. Am J Kidney Dis. doi: 10.1053/j.ajkd.2015.01.034. 2015.01.034. PMID: 25960299; PMCID: PMC4696752.

Emergency Department 152

Emergency Department OR 152

REBEL EM

AUGUST 30, 2023

Most common organism is Staph Aureus (36-67% of cases) ( Boody 2015 ). Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis 2015 Sept 15;61(6):859-63. Other pathogens include: E.

E-9-1-1 104

E-9-1-1 ALS ED OR 104

ALiEM

FEBRUARY 26, 2024

2015 Mar-Apr;60(2):211. Clinical and therapeutic approach to childhood acne: an update. Pediatr Dermatol. 2009 Jul-Aug;26(4):373-80. doi: 10.1111/j.1525-1470.2009.00932.x. 1525-1470.2009.00932.x. PMID: 19689511. Neonatal pustular dermatosis: an overview. Indian J Dermatol. doi: 10.4103/0019-5154.152558. PMID: 25814724; PMCID: PMC4372928.

195

195

ALiEM

MARCH 7, 2024

Emergency Physician Interpretation of Point-of-care Ultrasound for Identifying and Grading of Hydronephrosis in Renal Colic Compared With Consensus Interpretation by Emergency Radiologists, Acad Emerg Med , 2018 [10] Secondary analysis of images, obtained 2014-2015 from a large volume ED. 2015 Oct;33(10):1531-4. Epub 2015 Jun 23.

E-9-1-1 177

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

The Skeptics' Guide to EM

OCTOBER 21, 2023

In SGEM#181, we were unconvinced of the value of routine use of whole body CT in trauma patients, and right back in 2015 on SGEM#106 discussing the Canadian CT head rule and the New Orleans Criteria. However, we’ve not previously looked at the intersection of non-traumatic back pain and rational investigation.

Emergency Department 264

Emergency Department ALS ED OR 264

ALiEM

MAY 24, 2023

In: Fleisher and Ludwig’s Textbook of Pediatric Emergency Medicine, 7th ed, Shaw K, Bachur RG (Eds), Lippincott Williams & Wilkins, Philadelphia 2015. Genitourinary trauma.

ED 233

ED OR 233

REBEL EM

SEPTEMBER 23, 2024

Opponents of ketamine often point to the risks of spiking intracranial pressure but this concern has been widely debunked ( Cohen 2015 ). Ann Emerg Med 2015; 65(1): 43-51. Unlike etomidate, ketamine offers the advantage of having no effect on the adrenal glands. Intensive Care Med. 2011;37(6):901-910. PMID: 21373823 Cohen L et al.

ALS 75

ALS EMS ED OR 75

The Skeptics' Guide to EM

OCTOBER 28, 2023

Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.

ALS 221

ALS Emergency Department ED OR 221

Pediatric EM Morsels

JULY 21, 2023

2015 Feb;100(2):207-8. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Nayana Prabha PC, Nalini P, Tiroumourougane Serane V. Role of Glasgow Coma Scale in pediatric nontraumatic coma. Indian Pediatr. 2003 Jul;40(7):620-5. PMID: 12881617. Biradar, S. Pediatr Crit Care Med. doi: 10.1097/PCC.0000000000001957.

Critical Care 246

Critical Care ALS OR Life Support 246

ALiEM

APRIL 12, 2023

Figure 1: Peripheral IV ultrasound using alcohol under transparent film dressing and topical saline flush – all without ultrasound gel Read other Tricks of the Trade articles. References Cleaning and Disinfecting FUJIFILM SonoSite Products User Guide [PDF]. Accessed April 5, 2023. Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al.

Emergency Department 258

Emergency Department ALS ED 258

The Skeptics' Guide to EM

APRIL 13, 2024

hours from onset of symptoms.

ALS 287

ALS Emergency Department OR EMS 287

This Podcast Will Kill You

OCTOBER 1, 2024

” Journal of Molecular Evolution 80 (2015): 1-9. 2015): 589-596. 2015): 3-16. . “Tick–human interactions: from allergic klendusity to the α-Gal syndrome.” ” Biochemical Journal 478.9 2021): 1783-1794. Steinke, J.W., Platts-Mills, T.A. and Commins, S.P., Commins, Scott P., and Thomas AE Platts-Mills.

E-9-1-1 52

E-9-1-1 ALS OR 52

ALiEM

FEBRUARY 20, 2024

2015 Oct;33(10):1542.e1-2. PMID: 26159649 ; PMCID: PMC4781799. Reynolds JC, Judge BS. Successful treatment of flecainide-induced cardiac arrest with extracorporeal membrane oxygenation in the ED. Am J Emerg Med. PMID: 26299692.

Life Support 183

Life Support Overdose ED 183

The Skeptics' Guide to EM

APRIL 6, 2019

This changed in 2015 when the Food and Drug Administration (FDA) approved idarucizumab for the reversal of dabigatran. We covered the interim analysis of 90 patients included in a prospective cohort study by Pollack et al NEJM 2015 on SGEM#139. Dabigatran is a direct thrombin inhibitor.

Frozen Plasma 130

Frozen Plasma Plasma ALS EMS 130

This Podcast Will Kill You

FEBRUARY 13, 2024

The slow moon climbs: The science, history, and meaning of menopause. Princeton University Press, 2019. Davis, S.R., Lambrinoudaki, I., Lumsden, M., Mishra, G.D., Santoro, N. and Simoncini, T., Menopause (Primer). Nature Reviews: Disease Primers , 1 (1). Gunter, Jennifer. The Menopause Manifesto: Own Your Health with Facts and Feminism. Harlow, S.D.,

ALS 98

ALS OR 98

FOAMcast

JANUARY 25, 2023

Epub 2015 Dec 30. doi: 10.1136/emermed-2015-205096. J Surg Res. 2016 May 1;202(1):182-7. doi: 10.1016/j.jss.2015.12.036. 2015.12.036. PMID: 27083965. Webster S, Todd S, Redhead J, Wright C. Ionised calcium levels in major trauma patients who received blood in the Emergency Department. Emerg Med J. 2016 Aug;33(8):569-72. PMID: 26848163.

Emergency Department 52

Emergency Department OR 52

Core EM

OCTOBER 23, 2024

2015 May 12;2(3):147-157. An Electrocardiogram Triad in Thyrotoxic Hypokalemic Periodic Paralysis. Circulation. 2007. [link] Idrose AM. Acute and emergency care for thyrotoxicosis and thyroid storm. Acute Med Surg. doi: 10.1002/ams2.104. PMID: 29123713; PMCID: PMC5667251. Thyrotoxic periodic paralysis: a diagnostic challenge.

Emergency Department 130

Emergency Department Critical Care ICU Ambulance 130

Pediatric EM Morsels

NOVEMBER 15, 2024

2015) Childhood epilepsy centrotemporal spikes (benign Rolandic Epilepsy) , Epilepsy Foundation. I have BECTS and… BECTS can be associated with other neurodevelopmental comorbidities, so they may benefit from enhancing screening and monitoring once diagnosed with BECTS. References : Hernandez, A., Holmes, G.L. and Fisher, R. Edited by E.

ALS 152

ALS OR EMS 152

REBEL EM

JULY 20, 2022

White 2003 ) The most common locations of SVT of the lower extremity are: ( Cosmi 2015 ) Long saphenous vein – 50-60% Short saphenous vein – 11-15% Tributaries of the long/short saphenous – 30-40% Pathophysiology, causes and risk factors: Vascular clots are caused by a combination of venous stasis, endothelial injury and hypercoagulability.

ALS 52

ALS OR ED EMS 52

EMDocs

JUNE 15, 2024

Source Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021. JAMA Netw Open. 2024 Apr 1;7(4):e247373. doi: 10.1001/jamanetworkopen.2024.7373. PMID: 38639937; PMCID: PMC11031686. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education.

ICU 75

ICU Emergency Department ED OR 75

Don't Forget the Bubbles

AUGUST 19, 2024

2015 Apr;34(4):e92-e101. 2015 Sep;35(6):634-9. [link] Schweitzer A, Della Beffa C, Akmatov MK, Narchi H, Abaev YK, Sherry DD, Pessler F. Primary osteomyelitis of the sternum in the pediatric age group: report of a new case and comprehensive analysis of seventy-four cases. Pediatr Infect Dis J. doi: 10.1097/INF.0000000000000597.

Emergency Department 104

Emergency Department OR 104

This Podcast Will Kill You

OCTOBER 22, 2024

2015): 855-857. Baizabal-Carvallo, J.F. and Jankovic, J., Stiff-person syndrome: insights into a complex autoimmune disorder. Journal of Neurology, Neurosurgery & Psychiatry , 86 (8), pp.840-848. Gavin, Pamela. “The importance of natural histories for rare diseases.” ” Expert Opinion on Orphan Drugs 3.8 Caffrey, D.,

ALS 52

ALS OR 52

Pediatric EM Morsels

JUNE 30, 2023

Let’s take a moment to digest a morsel on this condition that may lead to recurrent pulmonary problems: Congenital Pulmonary Airway Malformation: Basics Developmental lesion of the lungs characterized by pseudocysts, lesions, and dilated airways (Dessole, 2019) Incidence is 1 in 11,000 to 1 in 35,000 (Dessole, 2019) Most often unilateral 85% (..)

E-9-1-1 281

E-9-1-1 ED EMS OR 281

Pediatric EM Morsels

MAY 12, 2023

2015 Nov;100(11):1032-7. Epub 2015 Aug 21. Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards RJ, Hyde P, Maconochie I, Parslow RC, Kemp AM. Head injury from falls in children younger than 6 years of age. Arch Dis Child. doi: 10.1136/archdischild-2014-307119. PMID: 26297697; PMCID: PMC4680174.

OR 130

OR EMS 130

ALiEM

SEPTEMBER 11, 2023

2015 Aug 21;64(32):865-70. References Cope JR, Collier SA, Rao MM, Chalmers R, Mitchell GL, Richdale K, Wagner H, Kinoshita BT, Lam DY, Sorbara L, Zimmerman A, Yoder JS, Beach MJ. Contact Lens Wearer Demographics and Risk Behaviors for Contact Lens-Related Eye Infections–United States, 2014. MMWR Morb Mortal Wkly Rep.

Emergency Department 152

Emergency Department ED OR 152

Pediatric EM Morsels

OCTOBER 27, 2023

Britnell 2015] Broselow tape performed better than APLS method in Chinese children. Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% [Gültekingil-Keser 2017] Broselow out-performed age-based formulas (Theron, APLS, and Shann) in New Zealand, estimating within 10% of actual weight 73% of the time.

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

ALiEM

SEPTEMBER 27, 2023

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

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

Sci 5[4] 268-270, 2015 ) both highlight a likely association between acute development of ischemic J waves — and high risk of developing malignant ventricular arrhythmias ( My Comment in the September 23, 2020 post ). Rituparna et al — as well as Chauhan and Brahma ( Int. Smith’s ECG Blog ).

ICU 132

ICU OR ALS ED 132

EMDocs

JULY 9, 2024

2015 Feb;135(2):e296-304. Epub 2015 Jan 5. Epub 2015 Jul 14. Garg A, Toy S, Tripodis Y, Silverstein M, Freeman E. Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics. doi: 10.1542/peds.2014-2888. PMID: 25560448; PMCID: PMC4306802. Acad Pediatr. 2016 Mar;16(2):168-74. doi: 10.1016/j.acap.2015.06.001.

Emergency Department 71

Emergency Department Emergency Medical Services ED EMS 71

ALiEM

NOVEMBER 22, 2023

Published 2015 Oct 19. Lago J, Rodríguez LP, Blanco L, Vieites JM, Cabado AG. Tetrodotoxin, an Extremely Potent Marine Neurotoxin: Distribution, Toxicity, Origin and Therapeutical Uses. 2015;13(10):6384-6406. PMID: 26492253 Pratap Chand. Marine Envenomations. In: Clinical Neurotoxicology. Pages 454-462. ISBN 9780323052603.

ALS 284

ALS ED OR 284

Chicago EMT Training

AUGUST 12, 2021

I came on in the spring of 2015. This was something he definitely didn't plan for but took it in stride. His first cohort had 17 students. Since then, the demand for the class has grown. I was a fresh paramedic with a passion to share my new found knowledge and skills. The EMS program even had an ambulance at one point.

EMT 130

EMT EMT BLS Ambulance 130

ALiEM

DECEMBER 22, 2023

2015 Nov 18;10:55. References Deleanu B, Prejbeanu R, Tsiridis E, Vermesan D, Crisan D, Haragus H, Predescu V, Birsasteanu F. Occult fractures of the proximal femur: imaging diagnosis and management of 82 cases in a regional trauma center. World J Emerg Surg. doi: 10.1186/s13017-015-0049-y. PMID: 26587053; PMCID: PMC4652353.

OR 161

OR 161