REBEL EM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). PMID 33392580.

Naloxone 98

Naloxone ED Overdose Emergency Department 98

EMDocs

AUGUST 22, 2024

have limited English proficiency according to the 2015 U.S. 6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. 6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits.

Emergency Department 82

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

The Skeptics' Guide to EM

MAY 20, 2023

She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary University in London where she teaches part of the Paediatric Emergency Medicine MSc. Upon arrival at the ED, your team promptly begins high quality CPR and manages to obtain return of spontaneous circulation. N Engl J Med. Reference: Harhay MO, et al.

CPR 130

CPR ALS Emergency Department EMS 130

EMDocs

JUNE 15, 2024

. #1: PREOXI RCT – Preoxygenation with Noninvasive Ventilation vs. Non-rebreather Mask Spoon Feed Noninvasive ventilation (NIV) was superior to a standard non-rebreather (NRB) oxygen mask for preoxygenation of critically ill ED or ICU patients requiring intubation, with a NNT of 11 to prevent 1 episode of hypoxemia <85%. Ann Emerg Med.

ICU 75

ICU Emergency Department ED OR 75

ALiEM

APRIL 12, 2023

20 – Local Anesthetics, Ed(s): Hugh C. emDOCs.net – Emergency Medicine Education. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM. Accessed April 5, 2023.

Emergency Department 258

Emergency Department ALS ED 258

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. of all ED visits resulting in 2.6

Emergency Department 130

Emergency Department ALS ED OR 130

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. 2015 Aug 21;64(32):865-70. The patient is a contact lens wearer. MMWR Morb Mortal Wkly Rep. doi: 10.15585/mmwr.mm6432a2.

Emergency Department 152

Emergency Department ED OR 152

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. Glasgow coma scale (GCS) is 12.

ED 85

ED E-9-1-1 ALS OR 85

EMDocs

JULY 9, 2024

What can we do about this in the pediatric ED? Social Emergency Medicine: Capitalizing on the Pediatric Emergency Department Visit to Screen and Connect Patients and Families to Community Resources. Community Resource Needs Assessment Among Families Presenting to a Pediatric Emergency Department. Pediatrics.

Emergency Department 71

Emergency Department Emergency Medical Services ED EMS 71

The Skeptics' Guide to EM

MARCH 12, 2022

She is an emergency physician at Mount Sinai Hospital and a Clinician Scientist and the Deputy Director of the Schwartz-Reisman Emergency Medicine Institute. Dr. Varner’s research interests are in concussion and pregnancy care in the ED. This classic paper was published in Lancet 2001 and reviewed on SGEM#106.

Emergency Department 100

Emergency Department ED ALS OR 100

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. In: Sherman SC eds.

E-9-1-1 103

E-9-1-1 ALS ED OR 103

Pediatric EM Morsels

OCTOBER 27, 2023

Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. 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% Int J Emerg Med. J Emerg Med.

E-9-1-1 268

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

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Kaushal Khambhati is also a fourth-year resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. She arrives in the emergency department (ED) with decreased level of consciousness and shock. She has a history of hypertension and non-insulin dependent diabetes mellitus.

EMR 130

EMR Coronary Defibrillator Life Support 130

ALiEM

AUGUST 9, 2023

Child with Cough and Fever: Case Introduction A 6-year-old boy presents to the emergency department complaining of cough for 3 days and fever for the last day. Pediatrics 2015 8 studies; 765 patients 96% 93% Evidence supports lung POCUS as an alternative for diagnosis of pneumonia in children. 2015 Apr;135(4):714-22.

E-9-1-1 246

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

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. J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%) Pediatr Emerg Care.

E-9-1-1 161

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

The Skeptics' Guide to EM

JUNE 5, 2021

JAMA 2021 Case: A 74-year-old woman presents to your emergency department with 1.5 The tipping point came with the publication of MR. CLEAN in 2015. hours of right-sided weakness, aphasia, and neglect. A non-contrast CT shows no evidence of intracranial hemorrhage.

ALS 130

ALS Emergency Department ED 130

ALiEM

APRIL 17, 2023

A 29 year-old-male with a past medical history of left eye enucleation secondary to a gunshot wound several years prior presents to the Emergency Department (ED) for blurry vision, redness, and concern for a deformity to his right eye. Published 2015 Dec 11. Corneeal Hydrops: A Complication of Keratoconus.

Emergency Department 130

Emergency Department OR ED 130

EMDocs

JUNE 8, 2024

A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. What is the diagnosis, and how do we manage it from the ED? A 32-year-old man presents to the emergency department with eye pain. 95% occupational injuries occur in males [1].

EMS 81

EMS Allergic Reaction Emergency Department ED 81

ALiEM

JULY 17, 2023

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). However, between 2015 and 2023, the number of available EM positions grew, with an annual addition of 149 PGY1 positions.

EMS 130

EMS ALS Emergency Department ED 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. Thus, if the patient has complete resolution of symptoms after appropriate treatment of anaphylaxis, there is no set time period for monitoring in the ED. 2015 May-Jun;3(3):408-16 Ellis A, Day J.

Epinephrine 80

Epinephrine Allergic Reaction Emergency Department Emergency Manager 80

Broome Docs

JANUARY 30, 2023

Association of Chest Pain Protocol-Discordant Discharge With Outcomes Among Emergency Department Patients With Modest Elevations of High-Sensitivity Troponin. 2015 Apr;72(4):668-73. Epub 2015 Jan 23. Outcomes of patients discharged from the pediatric emergency department with abnormal vital signs.

E-9-1-1 52

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

REBEL EM

FEBRUARY 22, 2023

Bagheri 2015 ). 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.

Emergency Department 52

Emergency Department ALS ED Coronary 52

REBEL EM

MARCH 8, 2023

Bagheri 2015 ). Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. et al, Emergency Medicine Clinical Essentials ed 2. >10 floaters, (+) LR 8.1-36

Emergency Department 52

Emergency Department ALS ED OR 52

Don't Forget the Bubbles

JANUARY 8, 2024

For paediatric ED doctors who come from a paediatric training background, dealing with agitated adolescents can be stressful. In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task. As we are not used to sedating children in this way, choosing drugs and doses can be difficult.

Emergency Department 105

Emergency Department OR ED 105

EMDocs

MAY 11, 2024

A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Ann Emerg Med. 2015 Sep;66(3):322-333.e31. Erratum in: Ann Emerg Med. Nov 10 th , 2015.

EMS 89

EMS E-9-1-1 ALS OR 89

EMDocs

FEBRUARY 22, 2024

A 43-year-old male, with no significant medical history, presents to the ED for right eye pain. Eye Emergencies. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. In: Knoop KJ, Stack LB, Storrow AB, Thurman RJ, eds. Published June 11, 2015.

ALS 77

ALS ED EMS OR 77

The Skeptics' Guide to EM

OCTOBER 28, 2017

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. There are certain patient populations who are at risk for in adequate pain management. There is a RANThony on pediatric pain control and one of the interesting treatments was sucrose.

ALS 130

ALS Emergency Department OR ED 130

Don't Forget the Bubbles

MAY 24, 2023

A 5-year-old boy with a past medical history of Crouzon syndrome presents in the Pediatric ED. Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre. Intubation of the Critically Unwell Child in the Emergency Department. Anaesthesia. 14123 Currie V.

Emergency Department 98

Emergency Department ED ALS OR 98

ALiEM

MARCH 7, 2024

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). The pain is intermittent, sharp, severe, and associated with 2 episodes of nonbloody, nonbilious emesis. Chen et al.,

E-9-1-1 177

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

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. Becasue paediatric emergency departments are accessible out-of-hours they become the de facto place of safety with access to immediate support.

Mental Health Services 52

Mental Health Services ED OR Emergency Department 52

Don't Forget the Bubbles

JULY 3, 2023

This time we have our first group of colleagues from Birmingham Children’s Hospital Emergency Department. BCH ED is a busy paediatric major trauma centre tertiary ED in the West Midlands and the workplace of Vicki Currie, BW lead and editor. Discharge home from ED was the primary. Am J Hematol.

Emergency Department 105

Emergency Department ED OR ALS 105

EMDocs

MAY 25, 2023

This increases applicability or ED care. population at large Enrollment was terminated at an interim analysis due to predefined futility criteria that suggested that there was a 1% chance that carrying the trial to completion would demonstrate a most effect or least effective treatment. Study included children, as well as adults.

Emergency Department 64

Emergency Department ICU OR ALS 64

EMS 12-Lead

MAY 20, 2022

Below is the initial ED ECG. Smith comment : It is highly likely that it was open with flow at the time of the angiogram, given how much she was improved by the end of her ED stay. Manual of Cardiovascular Medicine (5th ed.). There is Sinus Brady with improved conduction as noted by the tighter QRS duration. References Naidu, S.

Coronary 130

Coronary STEMI Firefighter ED 130

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. ” ( Ed. 2015 But we all know that what happens in the lab does not always mirror what happens in real life. Pediatric Emergency Care , 31 (6), pp.416-418. Pediatric Emergency Care, 31 (8), pp.605-607. What are the risks of water beads? and Ly, B.T.,

E-9-1-1 111

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

EMDocs

SEPTEMBER 27, 2023

The MIPS system was established in 2015 as part of an effort to combat the perverse incentive to provide more care in a traditional fee-for-service model. It includes a number of expensive medications that patients in the ED are commonly prescribed such as Xarelto, Eliquis, and insulin.

Emergency Department 63

Emergency Department ALS OR ED 63

ACEP Now

NOVEMBER 7, 2023

The 2015 Edition Cures Act sought to promote “transparency, modern standards, and enhanced health IT capabilities by fostering innovation in the health care technology ecosystem to deliver better information to patients, clinicians, and other users.” The most frequently invoked exception in the ED is preventing harm.

ED 52

ED ALS OR Emergency Department 52

EMDocs

DECEMBER 4, 2023

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

ALS 71

ALS Emergency Department ED OR 71