REBEL EM

AUGUST 30, 2023

Most common organism is Staph Aureus (36-67% of cases) ( Boody 2015 ). Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al. Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults.

E-9-1-1 94

E-9-1-1 ALS ED OR 94

EMDocs

AUGUST 22, 2024

have limited English proficiency according to the 2015 U.S. Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. Lim T, Campbell R, et al. Ngai K, Grudzen C, et al.

Emergency Department 82

Emergency Department ALS E-9-1-1 ED 82

REBEL EM

APRIL 29, 2024

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). A study by Lee et al ( 7) compared femoral CVC placement to IO and demonstrated a first-pass success pass rate with IO of 90.3%

ALS 102

ALS Epinephrine Critical Care Emergency Department 102

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% link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. in non-malnourished children.

E-9-1-1 268

E-9-1-1 Emergency Medical Services Life Support ALS 268

This Podcast Will Kill You

SEPTEMBER 3, 2024

Dolin, Raphael, et al. Al-Hello, H., Dolin, Raphael, et al. Hellysaz, Arash, et al. Lucero, Yalda, et al. History Biology Adler, Jonathan L., and Raymond Zickl. “Winter vomiting disease.” ” The Journal of infectious diseases 119.6 1969): 668-673. Robilotti, E., Deresinski, S. and Pinsky, B.A.,

ALS 52

ALS OR 52

ALiEM

SEPTEMBER 27, 2023

Hoffman et al. Koppaka V, Thompson DC, Chen Y, et al. Encyclopedia of Toxicology (Third Edition), Academic Press. doi: 10.1016/B978-0-12-386454-3.00754-5. Goldfrank L. In: Goldfrank’ s Toxicologic Emergencies. New York, NY. McGraw-Hill.

ALS 169

ALS OR ED 169

ALiEM

APRIL 12, 2023

Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. References Cleaning and Disinfecting FUJIFILM SonoSite Products User Guide [PDF]. Accessed April 5, 2023. Disinfectants and Cleaning Solutions for Ultrasound Systems and Transducers [PDF].

Emergency Department 258

Emergency Department ALS ED 258

This Podcast Will Kill You

JULY 23, 2024

Caio, Giacomo, et al. Cenit, María Carmen, et al. 2015): 6900-6923. Al-Dulaimi, D., Gasbarrini, Giovanni, et al. Gasbarrini, Giovanni Battista, et al. Kerner, Gaspard, et al. Newberry, Carolyn, et al. Rostami, Kamran, et al. .” The Lancet Gastroenterology & Hepatology 4.2

E-9-1-1 98

E-9-1-1 ALS OR 98

This Podcast Will Kill You

MAY 7, 2024

Djaoudene, Ouarda, et al. Herasimenka, Aliaksandr, et al. 2015): 478-485. . “Problems and prospects: public health regulation of dietary supplements.” ” Annual review of public health 39 (2018): 403-420. European Medicines Agency: Herbal Medicinal products. link] Broniatowski, David A., 2023): 15964.

ALS 98

ALS OR 98

The Skeptics' Guide to EM

APRIL 6, 2019

Date: April 5th, 2019 Reference: Connolly et al. Date: April 5th, 2019 Reference: Connolly et al. This changed in 2015 when the Food and Drug Administration (FDA) approved idarucizumab for the reversal of dabigatran. Full Study Report of Andexanet Alfa for Bleeding Associated with Factor Xa Inhibitors.

Frozen Plasma 130

Frozen Plasma Plasma ALS EMS 130

The Skeptics' Guide to EM

MARCH 20, 2021

Reference: Westafer et al. Reference: Westafer et al. Jeff Kline, was senior author on a paper that looked at treating VTE with outpatient management using a DOAC ( Bean et al AEM 2015 ). Literature from the USA reports that 90% of patients diagnosed with PE are admitted ( Singer et al 2016 ).

ALS 130

ALS ED 130

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 OR ACS ALS 130

This Podcast Will Kill You

JANUARY 16, 2024

Hoelzer, Karin, et al. ” Annual Review of Virology 2 (2015): 425-450. History Biology Allison, Andrew B., “Role of multiple hosts in the cross-species transmission and emergence of a pandemic parvovirus.” ” Journal of virology 86.2 2012): 865-872. Heegaard, E.D. and Brown, K.E., Human parvovirus B19. Young, N.S.

E-9-1-1 95

E-9-1-1 ALS 95

EMDocs

MAY 11, 2024

Rosh Review Website Link Further Reading: FOAMed: [link] [link] [link] [link] [link] [link] [link] References : Turi B, Smith D, Kusel K, et al. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. link] Sharma R, Gaillard F, Bell D, et al. 2015 Sep;66(3):322-333.e31.

EMS 89

EMS E-9-1-1 ALS OR 89

ALiEM

MAY 13, 2024

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., of cases* Subramaniam et al., Adams et al., Adams et al., Sivitz et al., Yen ZS, Wang HP, Ma HM, et al. Epub 2015 Nov 10.

E-9-1-1 161

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

Don't Forget the Bubbles

JANUARY 17, 2024

After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Image adapted from Mullens et al., After Darracq et al., 2015 But we all know that what happens in the lab does not always mirror what happens in real life. Zamora et al., Krisch et al.

E-9-1-1 111

E-9-1-1 ALS Emergency Department OR 111

ALiEM

AUGUST 9, 2023

Study N Sensitivity Specificity Comments Pereda et al., Pediatrics 2015 8 studies; 765 patients 96% 93% Evidence supports lung POCUS as an alternative for diagnosis of pneumonia in children. Balk et al., Tsou et al., PMID: 14722643 Pereda MA, Chavez MA, Hooper-Miele CC, et al. 2015 Apr;135(4):714-22.

E-9-1-1 246

E-9-1-1 Emergency Department ALS OR 246

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). The TOMAHAWK Investigators. first appeared on The Skeptics Guide to Emergency Medicine.

EMR 130

EMR Coronary Defibrillator Life Support 130

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

This Podcast Will Kill You

FEBRUARY 13, 2024

Ellis, Samuel, et al. 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. Hachette UK, 2021. Harlow, S.D., Rebar, R.W.,

ALS 98

ALS OR 98

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

ALiEM

NOVEMBER 22, 2023

Published 2015 Oct 19. Tarvin RD, Borghese CM, Sachs W, et al. 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.

ALS 284

ALS ED OR 284

The Skeptics' Guide to EM

NOVEMBER 6, 2021

Date: November 1st, 2021 Reference: Katsanos et al. Date: November 1st, 2021 Reference: Katsanos et al. There were a few earlier studies on MT that failed to demonstrate superiority, but it was the study MR CLEAN published in NEJM 2015 that really changed practice. first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS OR 130

ALiEM

JULY 17, 2023

The Study In an Annals of Emergency Medicine paper , Preiksaitis et al. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., In fact, the average number of applicants between 2015-2020 and 2022-2023 were relatively similar, with the latter demonstrating 122 more applicants (2,801 vs 2,923).

EMS 130

EMS ALS Emergency Department ED 130

The Skeptics' Guide to EM

NOVEMBER 28, 2020

Reference: Bundgaard et al. Some very well known evidence-based medicine experts like Dr. Trisha Greenhalgh were advocating in favour of stricter mask regulations based on the precautionary principle ( Greenhalgh et al BMJ 2020 ). Joe grew up in Calgary and continues to live there with his wife and two daughters.

ALS 130

ALS OR 130

REBEL EM

JANUARY 24, 2024

Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al. PMID: 9519398 Kayser R et al. PMID: 16244194 Margetic P et al. PMID: 17598414 Garras DN et al.

ALS 95

ALS ED OR EMS 95

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

[display_podcast] Date: September 12th, 2017 Reference: Sinert et al. display_podcast] Date: September 12th, 2017 Reference: Sinert et al. A 2015 phase 2 study published in the NEJM (Bas et al) touted the role for icatibant in the treatment of these patients. Reference: Sinert et al.

Epinephrine 130

Epinephrine ALS Emergency Department EMS 130

The Skeptics' Guide to EM

SEPTEMBER 12, 2020

Shanafelt et al. Mayo Clin Proc 2015 * Shanafelt et al. There are also a number of references for further information on burnout. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014.

Emergency Department 130

Emergency Department ALS OR 130

This Podcast Will Kill You

NOVEMBER 7, 2023

2015): 83-92. Lee, Carrie, et al. and Al-Niami, F., History Biology Heckman, Carolyn J., and Sharon L. Manne, eds. Shedding light on indoor tanning. Springer Science & Business Media, 2011. Linares, M.A., Zakaria, A. and Nizran, P., Skin cancer. Primary care: Clinics in office practice, 42(4), pp.645-659. Armstrong, Bruce K.,

E-9-1-1 52

E-9-1-1 ALS ED OR 52

Broome Docs

JANUARY 30, 2023

Vedantham S, Goldhaber SZ, Julian JA, et al; ATTRACT Trial Investigators. 2015 Apr;72(4):668-73. Epub 2015 Jan 23. 2015 Dec;21(6):1244-6. Epub 2015 Dec 29. N Engl J Med. 2022 Nov 6. doi: 10.1056/NEJMoa2207304. Epub ahead of print. PMID: 3634215 You can read the full critical appraisal here. N Engl J Med.

E-9-1-1 52

E-9-1-1 Emergency Department Defibrillator ALS 52

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

Rituparna et al — as well as Chauhan and Brahma ( Int. 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 ). Smith’s ECG Blog ).

ICU 134

ICU OR ALS ED 134

The Skeptics' Guide to EM

MARCH 12, 2022

Date: March 3rd, 2022 Reference: Macnow et al. Date: March 3rd, 2022 Reference: Macnow et al. SGEM#112 reviewed a small study by Thomas et al published in Pediatrics 2015 asking if there was a benefit to recommending strict rest after a child has a concussion [2].

Emergency Department 100

Emergency Department ED ALS OR 100

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

[display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17. BMJ April 17.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

JUNE 5, 2021

References: * Suzuki et al. JAMA 2021 * Zi et al. The tipping point came with the publication of MR. CLEAN in 2015. At work Garreth imagines himself as a student of evidence-based medicine trying to provide the best care based on the best evidence.

ALS 130

ALS Emergency Department ED 130

The Skeptics' Guide to EM

JUNE 9, 2018

[display_podcast] Date: June 8th, 2018 Reference: April MD, et al. display_podcast] Date: June 8th, 2018 Reference: April MD, et al. A new Cochrane Review by Hines et al published in 2018 looked at aromatherapy for post-operative nausea and vomiting. Reference: April MD, et al.

Emergency Department 130

Emergency Department ALS OR 130

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. 6. Giribaldi G, Doria-Lamba L, Biancheri R, Severino M, Rossi A, Santorelli FM, et al. Parikh S, Goldstein A, Koenig MK, Scaglia F, Enns GM, Saneto R, et al. Al-Essa MA, Ozand PT.

E-9-1-1 97

E-9-1-1 ALS Emergency Department EMT 97

The Skeptics' Guide to EM

OCTOBER 28, 2017

[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. display_podcast] Date: October 24th, 2017 Reference: Harrison et al. That rant relied upon a Cochrane SRMA by Stevens B et al 2013 and a randomized clinical trail published in Pediatrics by Gray L et al 2015. Reference: Harrison et al.

ALS 130

ALS Emergency Department OR ED 130