This Podcast Will Kill You

FEBRUARY 11, 2025

” BioScience 66.11 (2016): 917-919. 2016): 724-733. Cook, Joseph A., “Transformational principles for NEON sampling of mammalian parasites and pathogens: a response to Springer and colleagues.” Chvez-Lpez, R., Rocha-Ramrez, A., and Wetzer, R., Crustaceana, pp.865-872. Dougherty, Eric R., Bakenhaster, M.D.,

E-9-1-1 97

E-9-1-1 ALS OR 97

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

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 276

ICU ED Critical Care ALS 276

Peter Canning

JANUARY 27, 2025

In 2016, the state of Connecticut unified all EMS services with statewide protocols , which adopted a format of each protocol starting at the EMT level and then moving up to paramedic. We carried Cardizem for rapid a-fib, fentanyl for pain, intranasal naloxone, and Haldol and midazolam for violent emotionally disturbed patients.

Allergic Reaction 90

Allergic Reaction Naloxone Paramedic STEMI 90

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 ACS OR ALS 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-9-1-1 271

E-9-1-1 Emergency Medical Services Life Support ALS 271

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

The Skeptics' Guide to EM

NOVEMBER 11, 2017

Ann Emerg Med 2016 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine provider who works at Harlem Hospital Center in New York and Children’s […] The post SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations first appeared on The Skeptics Guide to Emergency Medicine. Intervention Dexamethasone (DEX) 0.3

Emergency Department 130

Emergency Department ALS OR 130

EMergucate

MAY 30, 2016

ANZCOR Cardiac Arrest Flowchart Reviewed: 16 August, 2016

EMS 100

EMS 100

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

Core Ultrasound

APRIL 1, 2024

Pericardial effusion Old 5MS vid (2016) Pericardial Tamponade Courses The post 5 Min Sono – Pericardiocentesis (2024) first appeared on Core Ultrasound.

100

100

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

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

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 EMS Critical Care 130

The Skeptics' Guide to EM

DECEMBER 16, 2017

NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. [display_podcast] Date: November 27th, 2017 Reference: Legriel et al.

ALS 100

ALS ICU Emergency Department Paramedic 100

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

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

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

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

In 2016, the American Academy of Pediatrics (AAP) reaffirmed their clinical practice guidelines for the diagnosis and management of UTIs. This two-step process can decrease the rate of catheterization by over 30% without missing UTIs or increasing length of stay in the pediatric emergency department (Lavelle et al Pediatrics 2016 ).

Emergency Department 130

Emergency Department ALS OR 130

NVFC

NOVEMBER 5, 2024

CRSW, initiated by the Federal Highway Administration (FHWA) in 2016, is our opportunity to positively shift driver behavior, encourage adherence to Move Over laws, and to promote life-saving National Traffic Incident Management (TIM) Responder Training for all traffic incident responders.

EMS 59

EMS OR 59

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

ALiEM

SEPTEMBER 9, 2024

2016 Dec 28;7(Suppl 44):S1150-S1153. Bales J, Morton RP, Airhart N, Flum D, Avellino AM. Transanal presentation of a distal ventriculoperitoneal shunt catheter: Management of bowel perforation without laparotomy. Surg Neurol Int. doi: 10.4103/2152-7806.196930. PMID: 28194303; PMCID: PMC5299151.

Emergency Department 152

Emergency Department ED OR 152

Pediatric EM Morsels

JULY 5, 2024

2016; Published June 20, 2016. J Spinal Disord Tech. 2015;28(7). PMID: 26165728. Cui LW, Probst MA, Hoffman JR, Mower WR. Sensitivity of plain radiography for pediatric cervical spine injury. Emerg Radiol. doi:10.1007/s10140-016-1417-y. Easter JS, Barkin R, Rosen CL, Ban K.

ALS 164

ALS OR ED Emergency Department 164

ALiEM

MAY 19, 2023

Published May 4, 2016. Placement of a Blakemore Tube for Bleeding Varices. EM:RAP HD Videos. Accessed December 17, 2021. PulmCrit Wee: Ultrasound-guided blakemore tube placement. EMCrit Project. Accessed April 6, 2023. Roohollahi A, Suleiman Bilal Rana H, Hadique S. Blakemore Tube Insertion – BAVLS. American Thoracic Society.

E-9-1-1 245

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

EMDocs

DECEMBER 1, 2024

2016 Oct;29(5):433-9. State of the art of diagnosis of rickettsial diseases: the use of blood specimens for diagnosis of scrub typhus, spotted fever group rickettsiosis, and murine typhus. Curr Opin Infect Dis. Perera P, Mailhot T, Riley D, Mandavia D. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll.

EMS 104

EMS E-9-1-1 OR ED 104

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

The Skeptics' Guide to EM

AUGUST 28, 2021

They include: Cognitive Behavioural Therapy and mindfulness ( Cherkin et al JAMA 2016), chiropractic ( Paige et al JAMA 2017), physical therapy ( Paolucci et al J Pain Research 2018) and acupuncture (Colquhoun and Novella Anesthesia and Analgesia 2013 ). None of these other treatments has high-quality evidence supporting their use.

ED 130

ED Emergency Department ALS OR 130

The Skeptics' Guide to EM

JUNE 15, 2019

The Society of Obstetricians and Gynecologists of Canada ( SOGC ) published a guideline for the management of nausea and vomiting of pregnancy in 2016 ( Campbell et al 2016 ). Hyperemesis gravidarum is the most common reason for hospitalization in early pregnancy and impacts a small percentage of these pregnancies.

ALS 100

ALS OR 100

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

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

OCTOBER 28, 2017

Stevens and colleagues updated their review in 2016 and concluded “sucrose is effective for reducing procedural pain” and “no serious side effects or harms have been documented with this intervention”. 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.

ALS 130

ALS Emergency Department OR ED 130

The Skeptics' Guide to EM

FEBRUARY 23, 2019

The Surviving Sepsis Campaign makes a number of recommendations in their 2016 guideline. The bottom line from that episode pre-hospital antibiotics in the ambulance do not appear to have a mortality benefit in patients with varying degrees of sepsis in an optimized EMS system.

Paramedic 130

Paramedic ALS Ambulance EMS 130

The Skeptics' Guide to EM

APRIL 17, 2021

For children with severe asthma, IV magnesium has been shown to significantly decrease hospitalization rates though practically these children are rarely sent home after this IV treatment ( Cheuk et al 2005 , Griffith et al 2016 ,

Emergency Department 130