Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) Ciprofloxacin was the first fluoroquinolone approved by the FDA in the 1980’s as a broad-spectrum antibiotic. Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs. 2016 138(5):e20162706.

E-9-1-1 130

E-9-1-1 OR ACS ALS 130

Pediatric EM Morsels

APRIL 5, 2024

Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). 2016 Apr 26;315(16):1767-77. Traveling Ticks are more than just ticking off a checklist before you get ready to travel! There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

Paramedics Unlimited

MAY 14, 2017

Wow, we’ve had a wild and fun winter event season. We’ve so enjoyed delivering top notch medical standby at a variety of events throughout the valley, and beyond our valley! This season has seen so many different kinds of events, from medical standby at rappeling to conference and dinner functions.

52

52

This Podcast Will Kill You

SEPTEMBER 3, 2024

2016): 421-433. 2016): e0143759. De Graaf, Miranda, Janko van Beek, and Marion PG Koopmans. “Human norovirus transmission and evolution in a changing world.” ” Nature Reviews Microbiology 14.7 De Graaf, M., van Beek, J. and Koopmans, M.P., Human norovirus transmission and evolution in a changing world. 2008): 54-62.

ALS 52

ALS OR 52

EMergucate

SEPTEMBER 21, 2021

Compass trial Design– double-blind trial involving placebo medication vs study medication, March 2013 to May 2016. Rivaroxaban (2.5mg bd) + … Continue reading →

100

100

The Skeptics' Guide to EM

OCTOBER 21, 2023

Population: Adults attending at continuously-staffed EDs in a health network covering 15 states, 2016-19. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023.

Emergency Department 265

Emergency Department ALS ED OR 265

Pediatric EM Morsels

APRIL 7, 2023

Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. Impact of the New American Heart Association/American Stroke Association Definition of Stroke on the Results of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Trial. J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. 2016.08.038.

ALS 130

ALS OR Critical Care EMS 130

ALiEM

MAY 13, 2024

Acad Emerg Med 2016 [7] 800 Systematic review of adult and pediatric (patients from birth – 21yrs) studies 97% (94-98%) 83% (75-88%) POCUS may assist physicians in distinguishing cellulitis versus abscess. 2016 Nov;23(11):1298-1306. Epub 2016 Nov 1. 2016 Feb;169:122-7.e1. Lam et al., 94.7%) 80% (70.0-87.4%)

E-9-1-1 161

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

Pediatric EM Morsels

MAY 12, 2023

However clinical judgement was more specific in this same group (54% vs 92%) [ Atabaki, 2016 ]. 2016 May;23(5):566-75. Epub 2016 Apr 20. When we discussed this topic previously , we concluded with “Clinical Guidelines are never perfect, but this one is pretty good”. Acad Emerg Med. doi: 10.1111/acem.12923. PMID: 26825755.

OR 130

OR EMS 130

FOAMcast

JANUARY 25, 2023

2016 May 1;202(1):182-7. 2016 Aug;33(8):569-72. Epub 2016 Feb 4. Hypocalcemia in trauma patients receiving massive transfusion. J Surg Res. doi: 10.1016/j.jss.2015.12.036. 2015.12.036. Epub 2015 Dec 30. PMID: 27083965. Webster S, Todd S, Redhead J, Wright C. Emerg Med J. doi: 10.1136/emermed-2015-205096. PMID: 26848163.

Emergency Department 52

Emergency Department OR 52

ALiEM

FEBRUARY 20, 2024

2016 Mar;12(1):121-9. Acute Card Care. 2013 Dec;15(4):90-2. doi: 10.3109/17482941.2013.841949. Epub 2013 Nov 7. PMID: 24200150. Bruccoleri RE, Burns MM. A Literature Review of the Use of Sodium Bicarbonate for the Treatment of QRS Widening. J Med Toxicol. doi: 10.1007/s13181-015-0483-y. PMID: 26159649 ; PMCID: PMC4781799.

Life Support 183

Life Support Overdose ED 183

Pulsara

JUNE 7, 2024

In 2016, they were early adopters of Pulsara , a streamlined, HIPAA-compliant app designed to help unite and inform inter-organizational care teams throughout major incidents and beyond. “They should be able to prepare and estimate how many patients they have [and] the severity.”

Firefighter 86

Firefighter First Responder Emergency Response Emergency Department 86

Emergency Medicine Education

MAY 9, 2023

NEJM study in 2016 showed no survival benefits or favorable neurological outcome regarding use of Amiodarone vs Lidocaine vs placebo in OHCA. NEJM study in 2016 Acad Emerg Med

OR 40

OR 40

EMDocs

JULY 9, 2024

2016 Nov 7;170(11):e162521. Epub 2016 Nov 7. 2016 Mar;16(2):168-74. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Effects of Social Needs Screening and In-Person Service Navigation on Child Health: A Randomized Clinical Trial. JAMA Pediatr. doi: 10.1001/jamapediatrics.2016.2521.

Emergency Department 71

Emergency Department Emergency Medical Services ED EMS 71

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

However, over the past 20 years, there is burgeoning evidence that fast-acting subcutaneous insulin analogs could be a potential treatment option for mild to moderate severity DKA including a 2016 Cochrane SRMA [4].

ICU 205

ICU ED Critical Care ALS 205

The Skeptics' Guide to EM

MAY 29, 2021

Date: May 20th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Reference: Jhunjhunwala et al. Reference: Jhunjhunwala et al. Journal of Trauma and Acute Care Surgery.

Emergency Medical Services 130

Emergency Medical Services ACS ALS Emergency Department 130

Pediatric EM Morsels

OCTOBER 27, 2023

Bowen 2016] Moral of the Morsel: Weight Matters! [Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% in malnourished children and by 16.6% in non-malnourished children. The authors recommended alternate methods to estimate weights and doses of medications in low to middle income countries. x exp[0.02 x exp[0.02

E-9-1-1 268

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

Pulsara

MAY 23, 2024

The state was divided into 22 regions (i.e., Trauma Service Areas, or TSAs) and Regional Advisory Councils (RACs, which are non-profit and tax-exempt) who develop regional EMS plans, provide related public information, provide a forum for EMS providers and hospitals to discuss TSA issues and network with other RACs, and track related data.

Emergency Medical Services 77

Emergency Medical Services Public Information EMS OR 77

The Skeptics' Guide to EM

MAY 5, 2018

Child Development December 2016. Child Development December 2016. Child Development December 2016. [display_podcast] Date: March 6th, 2018 Reference: White et al. The “Batman Effect”: Improving Perseverance in Young Children. Guest Skeptic: Dr. Casey Parker is a rural Generalist working in Broome, Australia.

Emergency Department 130

Emergency Department ALS OR 130

International Journal of Paramedicine

JULY 8, 2024

Methods: We conducted a retrospective analysis of records of 1902 STEMI cases attended by Queensland Ambulance Service paramedics during the 4-year interval from 2013 to 2016. We compared pain score, blood pressure, respiratory rate, and pulse rate between patients administered intravenous fentanyl and intravenous morphine.

STEMI 52

STEMI Paramedic Ambulance OR 52

This Podcast Will Kill You

JANUARY 30, 2024

” Molecular Immunology 69 (2016): 131-138. Immunological investigations , 39 (4-5), pp.303-355. Sepahi, Ali, and Irene Salinas. “The evolution of nasal immune systems in vertebrates.” Mörbe, U.M., Jørgensen, P.B., Fenton, T.M., von Burg, N., Spencer, J. and Agace, W.W., ” The Laryngoscope 112.S100 S100 (2002): 3-5.

OR 98

OR 98

ALiEM

AUGUST 18, 2023

2016 May-Aug;9(2):80-6. Semin Neurol. 2000;20(1):55-74. doi: 10.1055/s-2000-6833. PMID: 10874777. Singh A, Bahuguna C, Nagpal R, Kumar B. Surgical management of third nerve palsy. Oman J Ophthalmol. doi: 10.4103/0974-620X.184509. PMID: 27433033; PMCID: PMC4932800.

Emergency Department 130

Emergency Department OR 130

The Skeptics' Guide to EM

JUNE 11, 2017

Lancet 2016. Lancet 2016. Lancet 2016. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS OR EMS 130

The Skeptics' Guide to EM

JUNE 4, 2017

Lancet August 2016. Lancet August 2016. Lancet August 2016. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial.

OR 130

OR ALS CPR ICU 130

EMDocs

SEPTEMBER 6, 2023

2016 study published in American Journal of Emergency Medicine , “ Urinary obstruction is an important complicating factor in patients with septic shock due to urinary infection ” by Reyner et al. 2016 Apr;34(4):694-6. CT shows occlusive right ureteral stone, pyelonephritis. Arterial line started. Am J Emerg Med.

ACS 70

ACS ICU EMS ALS 70

Emergency Medicine Education

AUGUST 20, 2023

Recent JAMA article that enrolled 671 patients between 2016 and 2020 found DOACs are non inferior to LMWH for preventing recurrent VTE over 6-month follow-up. LMWH traditionally was recommended for venous thromboembolism (VTE) treatment in cancer patient. Link to article

40

40

ALiEM

JANUARY 8, 2024

2016 May;68(5):689-94. Anti-Melanoma Differentiation-Associated Gene 5 Is Associated With Rapidly Progressive Lung Disease and Poor Survival in US Patients With Amyopathic and Myopathic Dermatomyositis. Arthritis Care Res (Hoboken). doi: 10.1002/acr.22728. PMID: 26414240; PMCID: PMC4864500.

ED 152

ED OR 152

This Podcast Will Kill You

MAY 7, 2024

4 (2016): 271-282. Center for Countering Digital Hate. “The Anti-Vaxx Industry. How Big Tech powers and profits from vaccine misinformation.” ” (2020). Rautiainen, S., Manson, J.E., Lichtenstein, A.H. and Sesso, H.D., Dietary supplements and disease prevention—a global overview. Nature Reviews Endocrinology , 12 (7), pp.407-420.

ALS 98

ALS OR 98

The Skeptics' Guide to EM

DECEMBER 7, 2019

The change in name took place in 2016. The subcommittee on ALTEs in the AAP published a practice guideline renaming ALTEs to brief resolved unexplained events ( BRUEs ) in 2016. If even the folks who are really expert in the topic are not applying the definition consistently, then perhaps it’s time for a new definition.

CPR 130

CPR ALS OR 130

The Skeptics' Guide to EM

NOVEMBER 24, 2018

One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). West et al 2016 published a SRMA in the Lancet on interventions to prevent and reduce physician burnout. The highest prevalence of burnout (70%) was reported by emergency physicians (Shanafelt et al 2015).

EMR 130

EMR ALS Emergency Department OR 130

The Skeptics' Guide to EM

OCTOBER 7, 2017

BMJ Nov 2016. BMJ Nov 2016. BMJ Nov 2016. [display_podcast] Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. Guest Skeptic: Dr. Steve Joseph. display_podcast] Date: October 5th, 2017 Reference: Brison et al.

Emergency Department 100

Emergency Department ALS OR 100

First Responders Foundation

AUGUST 26, 2024

In 2003, she became the first Employee Resources Sergeant, a role she held until her retirement in 2016. Her experience managing employees with injuries or serious medical conditions led her to recognize the need for a liaison position within the Police Department.

First Responder 52

First Responder Public Safety Paramedic OR 52

The Skeptics' Guide to EM

JUNE 24, 2017

Circulation 2016. Circulation 2016. Circulation 2016. Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London.

CPR 100

CPR Epinephrine ALS Paramedic 100

This Podcast Will Kill You

SEPTEMBER 12, 2023

” Human color vision (2016): 317-354. Annual review of vision science , 5 , pp.177-200. Carvalho, Livia S., “The genetic and evolutionary drives behind primate color vision.” ” Frontiers in ecology and Evolution 5 (2017): 34. Simunovic, M.P., Acquired color vision deficiency. Survey of ophthalmology , 61 (2), pp.132-155.

ALS 52

ALS ED 52

The Skeptics' Guide to EM

MARCH 20, 2021

Literature from the USA reports that 90% of patients diagnosed with PE are admitted ( Singer et al 2016 ). This relatively small study (n=106) reported successfully treating 51% of DVT patients and 27% of PE patients with rivaroxaban ( SGEM#126 ).

ALS 130

ALS ED 130

EMergucate

APRIL 24, 2016

Answer will be posted on 27/04/2016. A 79 year old with bloody diarrhoea has the following abdominal x-ray. What can be noted?

EMS 100

EMS 100

Don't Forget the Bubbles

JULY 24, 2023

2016 Apr 9;17. It can reduce diagnostic delay and can identify adjacent inflammatory lesions requiring prolonged treatment +/- surgical intervention. It is also used to monitor improvement/resolution. Radiological resolution can take time. Adapted from Alghamdi, A., Discitis in children. Neurosciences Journal , 21 (3), pp.283-285.

ALS 98

ALS OR 98