ALiEM

DECEMBER 4, 2023

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. 2015 Jul;66(1):133-46. Epub 2015 May 7. He then noticed the pain start and grow in intensity without radiating anywhere else except the glans. There is no crepitus or swelling. Laboratory Data K : 6.5

Emergency Department 152

Emergency Department OR 152

NAEMSP

FEBRUARY 1, 2023

“Characteristics, prehospital management, and outcomes in patients assessed for hypoglycemia: repeat access to prehospital or emergency care.” ” Prehospital Emergency Care 23.3 of all EMS activations per NEMSIS data in 2015. [2] Article Summary by James Li, MD Sinclair, Julie E., 2019): 364-376.

OR 52

OR Emergency Department Emergency Medical Services Paramedic 52

EMDocs

AUGUST 22, 2024

have limited English proficiency according to the 2015 U.S. 12 How do we address these disparities in the emergency department? 1 However, we recognize that many patients prefer to speak a language other than English regardless of their English proficiency, and this does not indicate a deficiency.

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. 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.

CPR 130

CPR ALS Emergency Department EMS 130

EMDocs

JUNE 15, 2024

Source Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: JAMA Netw Open. 2024 Apr 1;7(4):e247373.

ICU 75

ICU Emergency Department ED OR 75

Don't Forget the Bubbles

AUGUST 19, 2024

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. of child emergency department presentations. 2015 Apr;34(4):e92-e101. He points to his sternum when you ask him where the pain is. MRI is superior to CXR.

Emergency Department 101

Emergency Department OR 101

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. His fever was 103°F this morning and he received ibuprofen. He has also had abdominal and back pain. Warm gel helps with the child’s comfort. Use a linear high frequency probe.

E-9-1-1 246

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

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. Britnell 2015] Broselow tape performed better than APLS method in Chinese children. x exp[0.02

E-9-1-1 268

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

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. His twitter handle is @PainFreeED.

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. No foreign body on lid eversion. MMWR Morb Mortal Wkly Rep.

Emergency Department 152

Emergency Department ED OR 152

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. Differentiate abscess from other soft tissue pathologies such as cysts and lymph nodes. There has been no drainage from the lesion. Abscess with color Doppler flow Video 3.

E-9-1-1 161

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

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. In our emergency department, the RTs do not spend a lot of time going around measuring cuff pressures and usually save that until the patient reaches the ICU.

E-9-1-1 245

E-9-1-1 Emergency Department ICU OR 245

The Skeptics' Guide to EM

JUNE 9, 2018

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. We covered that paper on the SGEM in Episode #144.

Emergency Department 130

Emergency Department ALS OR 130

REBEL EM

AUGUST 30, 2023

Most common organism is Staph Aureus (36-67% of cases) ( Boody 2015 ). 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. Often used interchangeably with osteomyelitis. Other pathogens include: E.

E-9-1-1 103

E-9-1-1 ALS ED OR 103

FOAMcast

JANUARY 25, 2023

Am J Emerg Med. Epub 2015 Dec 30. Ionised calcium levels in major trauma patients who received blood in the Emergency Department. Emerg Med J. doi: 10.1136/emermed-2015-205096. The diamond of death: Hypocalcemia in trauma and resuscitation. 2021 Mar;41:104-109. doi: 10.1016/j.ajem.2020.12.065. 2020.12.065.

Emergency Department 52

Emergency Department OR 52

REBEL EM

APRIL 29, 2024

Over the years emergency and critical care physicians have tried many ways to establish IV access in emergencies including the “crash” or “dirty” central line. The IO can actually be your “GO-TO” emergency line or your second choice after failed PIV access.

ALS 104

ALS Epinephrine Critical Care Emergency Department 104

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. Case: An 18-year-old female presents to the emergency department (ED) after falling off a moving snowmobile and hitting her head on the ground.

Emergency Department 100

Emergency Department ED ALS OR 100

The Skeptics' Guide to EM

JUNE 15, 2018

Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018 Guest Skeptic: Dr. Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario.

Emergency Department 130

Emergency Department ALS OR EMS 130

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Karageorgos, S.; Hibberd, O.; Mullally, P.J.W.; Segura-Retana, R.;

Emergency Department 142

Emergency Department E-9-1-1 ALS OR 142

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. Date: September 20th, 2021 Reference: Litell et al. mg/dl or 107 umol/L).

Emergency Department 100

Emergency Department EMR ICU ALS 100

The Skeptics' Guide to EM

FEBRUARY 19, 2022

Tim Graham is a Clinical Professor of emergency medicine at the University of Alberta, and Associate Chief Medical Information Officer, Edmonton Zone, of Alberta Health Services from Edmonton, Alberta. Reference: Graham T. Physician heal thyself. Reference: Graham T. Physician heal thyself. This is an SGEM Xtra episode.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney […] The post SGEM#190: Wee are the Champions of Pediatric Urine Samples first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 130

Emergency Department ALS OR 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. He also reports photophobia and mild eye pain.

Emergency Department 130

Emergency Department OR ED 130

The Skeptics' Guide to EM

FEBRUARY 22, 2020

Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Bringing value, balance and humanity to the emergency department: The Right Care Top 10 for emergency medicine. Emerg Med J 2019 This is an SGEM Xtra based on a recent publication by Dr. Dorsett and her team.

Emergency Department 130

Emergency Department ALS EMS OR 130

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

She arrives in the emergency department (ED) with decreased level of consciousness and shock. Emergency coronary angiography is reasonable for select (eg, electrically or hemodynamically unstable) adult patients who are comatose after OHCA of suspected cardiac origin but without ST elevation on ECG (Class IIa, LOE B-NR).

EMR 130

EMR Coronary Defibrillator Life Support 130

ACEP Now

OCTOBER 15, 2023

1 The emergency department remains an important frontier for work in judicious prescribing, but opiate analgesia remains a valuable tool for the initial treatment of a variety of presentations. The treatment response for any six-week program is of limited relevance to the acute treatment provided in the emergency department.

Emergency Department 52

Emergency Department Naloxone ALS OR 52

The Skeptics' Guide to EM

JANUARY 12, 2019

He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. We haver reviewed papers on pain management in the emergency department for many years on the SGEM. However, these were not patients recruited from the emergency department.

Emergency Department 100

Emergency Department ALS OR 100

The Skeptics' Guide to EM

APRIL 21, 2018

AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM).

Emergency Department 130

Emergency Department ALS OR EMS 130

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. Many of these characteristics are immutable.

EMS 130

EMS ALS Emergency Department ED 130

The Skeptics' Guide to EM

SEPTEMBER 12, 2020

Mayo Clin Proc 2015 * Shanafelt et al. It was an opportunity to share my journey and give an important message about kindness. A distinction between burnout and moral injury was made during the presentation. There are also a number of references for further information on burnout. Shanafelt et al.

Emergency Department 130

Emergency Department ALS OR 130

Broome Docs

JANUARY 30, 2023

Am J Emerg Med. 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

EMDocs

JUNE 8, 2024

A 32-year-old man presents to the emergency department with eye pain. However, it would be expected to emerge with reduced visual acuity or other visual disturbances such as diplopia. Overview of Eye Injuries in the Emergency Department.” 95% occupational injuries occur in males [1]. UpToDate , 30 Oct.

EMS 81

EMS Allergic Reaction Emergency Department ED 81

REBEL EM

DECEMBER 5, 2023

A naphylaxis – Emergency Medicine Updates 2. Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Annals of Emergency Medicine 2014 Jun;63(6):736-44 Lee S, Bellolio F, Hess E, Erwin P, Murad M, Campbell R. His vital signs are normal.

Epinephrine 80

Epinephrine Allergic Reaction Emergency Department Emergency Management 80

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Recent studies have indicated a significant rise in mental health disorders among young people.

Emergency Department 105

Emergency Department OR ED 105

The Skeptics' Guide to EM

MAY 25, 2019

Robert Edmonds is an emergency physician in the US Air Force in Virginia. Population: All adult (over 18 years of age) patients in the ACS-TQIP database from 2015-2016. This is Bob’s tenth visit to the SGEM. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US AIR FORCE.

ACS 130

ACS Emergency Department ALS OR 130

EMDocs

MAY 11, 2024

A) Basilar artery stroke B) Cavernous sinus syndrome C) Lateral medullary infarction D) Multiple sclerosis Answer: C Vertigo , or the internal sensation of motion when no motion exists, is often classified as either peripheral or central depending on the origin of the pathology.

EMS 89

EMS E-9-1-1 ALS OR 89

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

Though they are relatively safe, upper airway angioedema is one of the life-threatening adverse effects that we see frequently in the Emergency Department. 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