Pediatric EM Morsels

APRIL 7, 2023

References: Al Kasab S, Lynn MJ, Turan TN, Derdeyn CP, Fiorella D, Lane BF, Janis LS, Chimowitz MI; SAMMPRIS Investigators. Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. Increase the Adult Percent! J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.038. 2016.08.038. PMID: 27765556.

ALS 130

ALS OR Critical Care EMS 130

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

OCTOBER 27, 2023

Bowen 2016] Moral of the Morsel: Weight Matters! link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. doi:10.1111/1742-6723.12389 Zhu S, Zhu J, Zhou H, et al. [Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6%

E-9-1-1 268

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

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. Date: August 30, 2023 Reference: Griffey et al. 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 209

ICU ED Critical Care ALS 209

The Skeptics' Guide to EM

MAY 14, 2022

Date: May 13th, 2022 Reference: Abril et al. Date: May 13th, 2022 Reference: Abril et al. These include: acetaminophen ( Williams et al Lancet 2014), steroids ( Balakrishnamoorthy et al Emerg Med J 2014) and benzodiazepines ( Friedman et al Ann Emerg Med 2017). An Analysis of Data From Randomized Studies.

ALS 130

ALS Emergency Department ED OR 130

This Podcast Will Kill You

JULY 23, 2024

Caio, Giacomo, et al. Cenit, María Carmen, et al. Al-Dulaimi, D., Gasbarrini, Giovanni, et al. Gasbarrini, Giovanni Battista, et al. Kerner, Gaspard, et al. Newberry, Carolyn, et al. ” The Journal of pediatrics 175 (2016): 206-210. Rostami, Kamran, et al. 2019): 100. Rubin, J.E.

E-9-1-1 98

E-9-1-1 ALS OR 98

Don't Forget the Bubbles

JULY 3, 2024

Lastly, in this month’s issue of JAMA Pediatrics, Gemmill et al. Saranti A, et al. Barlabà A, et al. Nemetz ETA, et al. Kusumi K, et al. Crawford CM, et al. Fundora MP, et al. Roby PR, et al. Jenssen BP, et al. Auger N, et al. Brewster RCL, et al. Forster CS, et al.

ALS 105

ALS ED OR EMS 105

This Podcast Will Kill You

MAY 7, 2024

Djaoudene, Ouarda, et al. Herasimenka, Aliaksandr, et al. . “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., ” Scientific reports 13.1 2023): 15964.

ALS 98

ALS OR 98

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

The Skeptics' Guide to EM

AUGUST 28, 2021

Date: August 27th, 2021 Reference: Gagnon et al. Date: August 27th, 2021 Reference: Gagnon et al. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. first appeared on The Skeptics Guide to Emergency Medicine.

ED 130

ED Emergency Department ALS OR 130

The Skeptics' Guide to EM

APRIL 17, 2021

Reference: Schuh et al. Reference: Schuh et al. The PRAM was published in 2000 ( Chalut et al ) and validated in 2008 ( Ducharme et al ). Date: April 16th, 2021 Guest Skeptic: Dr. Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM.

Emergency Department 130

Emergency Department ALS ED 130

The Skeptics' Guide to EM

JUNE 11, 2017

[display_podcast] Date: June 5th, 2017 Reference: Baharoglu et al. Lancet 2016. display_podcast] Date: June 5th, 2017 Reference: Baharoglu et al. Lancet 2016. Background: In the US, daily or every other day aspirin use has been reported to be as high as 61% in adults aged 65 or older ( Ajani et al Am J Prev Med 2006 ).

ALS 130

ALS OR EMS 130

Core EM

JANUARY 25, 2024

Scully, 2012) Citations: Balduini CL, et al. doi:10.1182/blood-2016-10-709857. Paydary, Koosha, et al. Sawler D, Parker A, Britto J, et al. 2020.05.045. Scully M, Hunt BJ, Benjamin S, et al. Those with low residual ADAMTS-13 activity are at the highest risk of recurrence. Ann Hematol. 2010 Jun;89(6):591-6.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

The Skeptics' Guide to EM

JUNE 4, 2017

[display_podcast] Date: June 3rd, 2017 Reference: Sierink et al. Lancet August 2016. display_podcast] Date: June 3rd, 2017 Reference: Sierink et al. Lancet August 2016. Huber-Wagner et al ( Lancet 2009 ) showed a mortality reduction in a retrospective database study of patients who have had a pan scan.

OR 130

OR ALS CPR ICU 130

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. Date: August 12th, 2021 Reference: Daya et al. This was the ALPS randomized control trial published in NEJM 2016. This was a critical appraisal of an observational study published in Annals of EM ( Kawano et al 2018 ). Reference: Daya et al.

CPR 130

CPR BLS ALS Paramedic 130

REBEL EM

APRIL 29, 2024

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% References: 1 Astasio-Picado Á et al. Ong MEH, Chan YH, Oh JJ, et al. Iserson KV et al. PMID: 8913236 7 Lee PM et al. 9 Zhang W et al. 2023 PMID: 37502742 11 Schwalbach KT et al.

ALS 102

ALS Epinephrine Critical Care Emergency Department 102

The Skeptics' Guide to EM

JULY 30, 2022

Date: July 28th, 2022 Reference: Brower et al. Date: July 28th, 2022 Reference: Brower et al. Reference: Brower et al. Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure.

ALS 130

ALS ED Emergency Department EMS 130

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

The Skeptics' Guide to EM

MAY 5, 2018

[display_podcast] Date: March 6th, 2018 Reference: White et al. Child Development December 2016. display_podcast] Date: March 6th, 2018 Reference: White et al. Child Development December 2016. Reference: White et al. Child Development December 2016.

Emergency Department 130

Emergency Department ALS OR 130

EMDocs

SEPTEMBER 8, 2024

Paper: Brown CS, Oliveira J E Silva L, Mattson AE, et al. Anderson CS, Heeley E, Huang Y, et al; INTERACT2 Investigators. Qureshi AI, Palesch YY, Barsan WG, et al; ATACH-2 Trial Investigators and the Neurological Emergency Treatment Trials Network. 2016 Sep 15;375(11):1033-43. Neurocrit Care. 2022;37(2):435-446.

ALS 81

ALS OR 81

The Skeptics' Guide to EM

APRIL 3, 2021

Reference: Toyoda et al. Background: We have talked about stroke management a number of times recently including SGEM#297 on the reanalysis of ECASS-3 by Alper et al 2020. hours after the onset of stroke symptoms ( Extend NEJM 2019 and ECASS-4: Extend 2016 ). A SRMA was published by Mistry et al Stroke 2017.

ALS 130

ALS Emergency Department OR 130

This Podcast Will Kill You

SEPTEMBER 10, 2024

Longtin, Yves, et al. .” Breath Sounds: From Basic Science to Clinical Practice (2018): 15-31. Heart sounds recordings: Liu, C., Springer, D., Chorro, F.J., Castells, F., Johnson, A.E. and Syed, Z., An open access database for the evaluation of heart sound algorithms. Physiological measurement , 37 (12), p.2181. Amaral, L.A.,

E-9-1-1 52

E-9-1-1 ALS 52

The Skeptics' Guide to EM

NOVEMBER 24, 2018

The highest prevalence of burnout (70%) was reported by emergency physicians (Shanafelt et al 2015). 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.

EMR 130

EMR ALS Emergency Department OR 130

Dr. Smith's ECG Blog

MAY 27, 2024

Nikus et al. Kontos et al. Bischof et al. Am J Emerg Med 2016 5. Meyers et al. Meyers et al. Herman et al. Conduction disorders in the setting of acute STEMI. Curr Cardiol Red 2021 3. J Am Coll Cardiol 2022 4. J Am Heart Assoc 2021 6. Phibbs and Nelson. Ann Noninvasive Electrocardiol 2010 7.

STEMI 122

STEMI Coronary ALS Emergency Department 122

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., Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. After Darracq et al.,

E-9-1-1 111

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

Pediatric EM Morsels

JUNE 21, 2024

Available from: [link] Liu H, Li D, Yuan H, et al. 0b013e3181a2898f Grauberger JN, Joshi N, Joo A, Phelan AL, Lalikos JF. doi:10.1007/s00383-016-3895-0 Irie BGS, Asse KV, Kadiane NJ, et al. Acute and Chronic Thermal Burn Evaluation and Management. Updated 2023 May 29]. In: StatPearls [Internet]. Pediatric Emergency Care.

ALS 169

ALS OR EMS 169

The Skeptics' Guide to EM

DECEMBER 7, 2019

Date: October 2nd, 2019 Reference: Ramgopal et al. Date: October 2nd, 2019 Reference: Ramgopal et al. 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.

CPR 130

CPR ALS OR 130

The Skeptics' Guide to EM

OCTOBER 7, 2017

[display_podcast] Date: October 5th, 2017 Reference: Brison et al. BMJ Nov 2016. display_podcast] Date: October 5th, 2017 Reference: Brison et al. BMJ Nov 2016. Hupperets et al. BMJ 2009 * Janssen et al. Reference: Brison et al. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph.

Emergency Department 100

Emergency Department ALS OR 100

This Podcast Will Kill You

SEPTEMBER 12, 2023

Kawamura, Shoji, et al. ” Human color vision (2016): 317-354. The retinal basis of vertebrate color vision. 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.,

ALS 52

ALS ED 52

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Date: October 27th, 2022 Reference: Hayashi et al. Although minor adverse events, such as brief apnea or hypoxia, are common, significant adverse events are very rare, and the benefits are clear (Bellolio 2016).

ALS 152

ALS Emergency Department OR ED 152

EMDocs

AUGUST 22, 2024

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. August 2016. Samuels-Kalow M, Stack A, et al.

Emergency Department 82

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

The Skeptics' Guide to EM

JUNE 24, 2017

[display_podcast] Date: June 20th, 2017 Reference: Bernard et al. Circulation 2016. display_podcast] Date: June 20th, 2017 Reference: Bernard et al. Circulation 2016. Then came the Targeted Temperature Management (TTM) Trial ( Nielsen et al NEJM 2013 ). Reference: Bernard et al. Circulation 2016.

CPR 100

CPR Epinephrine ALS Paramedic 100

The Skeptics' Guide to EM

JULY 4, 2020

Reference: Alper et al. EMA 2016 * Response from Prof. I have also published a review on the topic of thrombolytics for stroke beyond three hours ( Carpenter et al JEM 2011 ). More recently, I published a pro/con debate on the subject with Dr. Eddy Lange looking at the evidence ( Milne et al CJEM 2020 ).

ALS 130

ALS Emergency Department EMS 130

Don't Forget the Bubbles

JULY 24, 2023

Kieu V, Palit S, Wilson G, Ditchfield M, Buttery J, Burgner D, et al. McNamara AL, Dickerson EC, Gomez-Hassan DM, Cinti SK, Srinivasan A. Modic MT, Feiglin DH, Piraino DW, Boumphrey F, Weinstein MA, Duchesneau PM, et al. 2016 Apr 9;17. It is also used to monitor improvement/resolution. Adapted from Alghamdi, A.,

ALS 98

ALS OR 98

The Skeptics' Guide to EM

FEBRUARY 8, 2020

Date: January 29th, 2020 Reference: Perry et al. Date: January 29th, 2020 Reference: Perry et al. We were surprised that in their background/introduction material they did not include the excellent SRMA on this topic by Carpenter et al. Reference: Perry et al. He also has this amazing #FOAMed blog called EM Nerd.

Emergency Department 130

Emergency Department Critical Care ALS EMS 130

Don't Forget the Bubbles

MARCH 18, 2024

Available from: [link] Byrne L, Douglas A, Launders N, Godbole G, Lynn R, Inward C, et al. 2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. 2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. Available from: [link] Wong CS, Mooney JC, Brandt JR, Staples AO, Jelacic S, Boster DR, et al. 2016 Jan;6(1):e009933. Oct 30 2019.

E-9-1-1 59

E-9-1-1 ALS OR 59

The Skeptics' Guide to EM

OCTOBER 3, 2020

Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al. SGEM#24 reviewed a randomized controlled trial (RCT) of aspirin vs. aspirin + clopidogrel in patients with recent symptomatic lacunar infarcts identified by MRI ( Benavente et al NEJM 2012 ). Reference:Claiborne Johnston S et al.

Emergency Department 100

Emergency Department ALS OR 100