ALiEM

MAY 13, 2024

Study N Methods POCUS Sensitivity (95% CI) POCUS Specificity (95% CI) Conclusions Gottleib et al., Lam et al., of cases* Subramaniam et al., Lam et al., of cases* Subramaniam et al., Adams et al., Adams et al., Sivitz et al., Yen ZS, Wang HP, Ma HM, et al. 2016 Nov;23(11):1298-1306.

E-9-1-1 161

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

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 ACS OR ALS 130

This Podcast Will Kill You

SEPTEMBER 3, 2024

2016): 421-433. Dolin, Raphael, et al. Al-Hello, H., Dolin, Raphael, et al. Hellysaz, Arash, et al. 2016): e0143759. Lucero, Yalda, et al. De Graaf, Miranda, Janko van Beek, and Marion PG Koopmans. “Human norovirus transmission and evolution in a changing world.” De Graaf, M., van Beek, J.

ALS 52

ALS OR 52

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-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

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

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 201

ICU ED Critical Care ALS 201

Pediatric EM Morsels

JULY 21, 2023

2016 Aug;23(8):878-84. Epub 2016 Aug 1. Holmes, James F et al. Conzelmann M, Hoidis A, Bruckner T , et al. Ash, Kristian et al. Performance of the Pediatric Glasgow Coma Scale Score in the Evaluation of Children With Blunt Head Trauma. Acad Emerg Med. doi: 10.1111/acem.13014. PMID: 27197686. 2005): 814–819.

Critical Care 246

Critical Care ALS OR Life Support 246

The Skeptics' Guide to EM

OCTOBER 1, 2022

Date: September 28th, 2022 Reference: Hartford et al. Date: September 28th, 2022 Reference: Hartford et al. Brown et al , Selbst and Clark ). Reference: Hartford et al. Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. AEM September 2022.

Emergency Department 130

Emergency Department ALS ED OR 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

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 22, 2024

Compare this with the Panickar et al. The most recent meta-analysis , published in 2016 (comparing eleven studies from 1986 to 2009), struggled to reach a consensus because the trials were too heterogeneous to make robust conclusions. Fortunately, Lee et al. Lee B, Turner S, Borland M, Csonka P, Grigg J, Guilbert TW, et al.

E-9-1-1 105

E-9-1-1 ALS ACS ED 105

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

This Podcast Will Kill You

JANUARY 2, 2024

2016): 62-76. Devogelaer, Jean-Pierre, et al. ” Orthopedic research and reviews (2016): 41-55. . ” Orthopedic research and reviews (2016): 41-55. Tsimicalis, Argerie, et al. ” Quality of Life Research 25 (2016): 1877-1896. Radiology 1943 40:2, 145-154 Forlino, A. and Marini, J.C.,

E-9-1-1 52

E-9-1-1 ALS OR 52

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

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

EMDocs

NOVEMBER 13, 2024

Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. Aithal GP, Palaniyappan N, China L, et al. Angeli P, Bernardi M, Villanueva C, et al. Arvaniti V, D’Amico G, Fede G, et al. Chinnock B, Hendey GW, Minnigan H, et al. De Gottardi A, Thevenot T, Spahr L, et al. Hepatology.

E-9-1-1 72

E-9-1-1 ALS OR ED 72

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

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 1, 2021

Reference: Donaldson et al. Reference: Donaldson et al. Emerg Med Australas 2016. The Donaldson et al SRMA included 10,431 patients in 26 randomized trials comparing intravenous thrombolysis with placebo or standard care in acute ischemic stroke [1]. He is also one of the SGEM Hot Off the Press Faculty.

ALS 130

ALS OR 130

The Skeptics' Guide to EM

DECEMBER 16, 2017

[display_podcast] Date: November 27th, 2017 Reference: Legriel et al. 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. Reference: Legriel et al.

ALS 100

ALS ICU Emergency Department Paramedic 100

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 105

ALS Epinephrine Critical Care Emergency Department 105

REBEL EM

NOVEMBER 30, 2023

Studies without IRB approval Studies older than 2016 Intervention: Administration of <30 mL/kg IV crystalloid fluids within three hours of sepsis identification. Limitations: The investigators excluded studies published before 2016, non-English studies, and non-published studies, potentially missing valuable data.

E-9-1-1 122

E-9-1-1 ALS ACS ICU 122

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

The Skeptics' Guide to EM

NOVEMBER 11, 2017

[display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. Reference: Cronin JJ et al. Intervention Dexamethasone (DEX) 0.3 mg/kg (max.

Emergency Department 130

Emergency Department ALS OR 130

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

This Podcast Will Kill You

SEPTEMBER 24, 2024

Datz, Christian, et al. 2016): 86-101. . 2016): 86-101. Hodgskiss, Malcolm SW, et al. Moalem, Sharon, et al. Olejarz, Jason, et al. Wade, Jon, et al. .” The American journal of the medical sciences 301.1 1991): 28-31. Pietrangelo, A., Gastroenterology , 139 (2), pp.393-408. NIH, June 15,2023.

ALS 52

ALS ACS 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 154

ALS Emergency Department OR ED 154

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

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

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 118

STEMI Coronary ALS Emergency Department 118

ALiEM

MARCH 7, 2024

Transvere ultrasound views of the bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.) Sagittal view of bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.)

E-9-1-1 177

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

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

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

REBEL EM

NOVEMBER 6, 2024

2016 Jan 6;17:6-11. 2016 Jul;24(7):413-23. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. Multiple Concomitant Injuries in One Upper Extremity: A Case Report. Am J Case Rep. doi: 10.12659/ajcr.894984. PMID: 26732673 Akhondi H, Varacallo M.

E-9-1-1 59

E-9-1-1 ACS OR Emergency Department 59