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. Study N Sensitivity Specificity Comments Pereda et al., Balk et al., Tsou et al., PMID: 14722643 Pereda MA, Chavez MA, Hooper-Miele CC, et al.

E-9-1-1 246

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

The Skeptics' Guide to EM

OCTOBER 1, 2022

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

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. This is the last show for […] The post SGEM#414: The SQuID Protocol first appeared on The Skeptics Guide to Emergency Medicine.

ICU 196

ICU ED Critical Care ALS 196

The Skeptics' Guide to EM

APRIL 17, 2021

Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. Reference: Schuh et al. Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. Reference: Schuh et al.

Emergency Department 130

Emergency Department ALS ED 130

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

[display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. Case: You are working the afternoon shift in the paediatric emergency department. Your shift is almost over and the department finally seems to be under control.

Emergency Department 130

Emergency Department ALS OR 130

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

Pediatric EM Morsels

JULY 21, 2023

Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Acad Emerg Med. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. Holmes, James F et al. Academic emergency medicine 12.9

Critical Care 246

Critical Care ALS OR Life Support 246

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. 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.,

E-9-1-1 161

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

The Skeptics' Guide to EM

MAY 14, 2022

Date: May 13th, 2022 Reference: Abril et al. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants.

ALS 130

ALS Emergency Department ED OR 130

The Skeptics' Guide to EM

OCTOBER 7, 2017

[display_podcast] Date: October 5th, 2017 Reference: Brison et al. BMJ Nov 2016. He served with the Canadian Forces as a Medical […] The post SGEM#191: No Time for Physio – Roll With It first appeared on The Skeptics Guide to Emergency Medicine. display_podcast] Date: October 5th, 2017 Reference: Brison et al.

Emergency Department 100

Emergency Department ALS OR 100

The Skeptics' Guide to EM

FEBRUARY 22, 2020

Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine. Dr. Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Reference: Dorsett et al. Reference: Dorsett et al. Dorsett and her team.

Emergency Department 130

Emergency Department ALS EMS OR 130

The Skeptics' Guide to EM

JANUARY 19, 2019

Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al. He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. 1] Two-thirds of the all the drug overdoses in the US in 2016 (63,632) involved an opioid (42,249).

Naloxone 130

Naloxone Overdose Emergency Medical Services Emergency Department 130

The Skeptics' Guide to EM

NOVEMBER 24, 2018

Working in the emergency department we are on the edge of life and death and that can lead to burnout. 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).

EMR 130

EMR ALS Emergency Department OR 130

The Skeptics' Guide to EM

MAY 25, 2019

Date: May 23rd, 2019 Reference: Joseph et al. Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS PODCAST DO NOT […] The post SGEM#258: REBOA, Re-Re-Re-REBOA first appeared on The Skeptics Guide to Emergency Medicine. Reference: Joseph et al.

ACS 130

ACS Emergency Department ALS OR 130

The Skeptics' Guide to EM

OCTOBER 28, 2017

[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Reference: Harrison et al.

ALS 130

ALS Emergency Department OR ED 130

Pediatric EM Morsels

JULY 5, 2024

Baumann F, Ernstberger T, Neumann C, et al. Emerg Radiol. 2016; Published June 20, 2016. Leonard JC, Harding M, Cook LJ, et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study.

ALS 161

ALS OR ED Emergency Department 161

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. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. Reference: Legriel et al.

ALS 100

ALS ICU Emergency Department Paramedic 100

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. first appeared on The Skeptics Guide to Emergency Medicine. Reference: Daya et al.

CPR 130

CPR BLS ALS Paramedic 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

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. 2016 Feb;30(1):3-11.

E-9-1-1 183

E-9-1-1 Operating Room Emergency Department ALS 183

The Skeptics' Guide to EM

OCTOBER 3, 2020

Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the Emergency Department of the Erasmus University Medical Center in Rotterdam, the Netherlands. Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al.

Emergency Department 100

Emergency Department ALS OR 100

The Skeptics' Guide to EM

JULY 30, 2022

Date: July 28th, 2022 Reference: Brower et al. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: July 28th, 2022 Reference: Brower et al. Reference: Brower et al. She is also the creator of all those wonderful Paper in a Pictures.

ALS 130

ALS ED Emergency Department EMS 130

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergency […] The post SGEM#381: Put Your Hand on My Shoulder and Reduce It first appeared on The Skeptics Guide to Emergency Medicine.

ALS 118

ALS Emergency Department OR ED 118

NAEMSP

OCTOBER 9, 2024

In the emergency department, a lack of awareness about Addison’s disease led to delayed steroid administration. In the emergency department, the patient was evaluated and safely discharged. These cases highlight the impact of adrenal insufficiency on patients, especially during encounters with emergency care systems.

EMS 122

EMS Crisis Prevention Emergency Department BLS 122

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ Kapoor et al.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

REBEL EM

NOVEMBER 6, 2024

2016 Jan 6;17:6-11. 2016 Jul;24(7):413-23. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. Am J Case Rep. doi: 10.12659/ajcr.894984. 2023 Aug 4.

E-9-1-1 118

E-9-1-1 ACS OR Emergency Department 118

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% Labs can be drawn from an IO to help with rapid diagnosis in emergencies. References: 1 Astasio-Picado Á et al. World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4.

ALS 105

ALS Epinephrine Critical Care Emergency Department 105

REBEL EM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Paper: Mason JM, et al. Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med.

Emergency Department 52

Emergency Department ALS Critical Care ED 52

The Skeptics' Guide to EM

NOVEMBER 2, 2019

Date: October 29th, 2019 Reference: Pellatt et al. Annals of EM 2019 Guest Skeptic: Martha Roberts is a critical and emergency care, triple certified nurse practitioner, currently living and working in western Massachusetts. Date: October 29th, 2019 Reference: Pellatt et al. Reference: Pellatt et al.

ALS 100

ALS EMS Emergency Department OR 100

Dr. Smith's ECG Blog

MAY 27, 2024

Nikus et al. Kontos et al. 2022 ACC expert consensus decision pathway on the evaluation and disposition of acute chest pain in the emergency department: a report of the American College of Cardiology solution set oversight committee. Bischof et al. Am J Emerg Med 2016 5. Meyers et al.

STEMI 125

STEMI Coronary ALS Emergency Department 125

The Skeptics' Guide to EM

MAY 28, 2017

[display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. for Paediatric Appendicitis first appeared on The Skeptics Guide to Emergency Medicine. for Paediatric Appendicitis first appeared on The Skeptics Guide to Emergency Medicine. display_podcast] Date: May 24th, 2017 Reference: Georgiou et al.

ALS 100

ALS Emergency Department EMS OR 100

The Skeptics' Guide to EM

JULY 2, 2017

[display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al.

ALS 100

ALS Emergency Department OR 100

The Skeptics' Guide to EM

DECEMBER 2, 2017

[display_podcast] Date: November 24th, 2017 Reference: Andersen et al. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force. He is currently deployed, practicing emergency medicine in an undisclosed location. display_podcast] Date: November 24th, 2017 Reference: Andersen et al.

CPR 100

CPR Defibrillator ALS Emergency Response 100

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Gortney J, Raub J, Patel P, et al. 2016; 83(1): 67-79. Sullivan J, Sykora K, Schneiderman J, et al. Borgundvaag B, Bellolio F, Miles I, et al. Acad Emerg Med. Strayer RJ, Friedman BW, Haroz R, et al.

E-9-1-1 61

E-9-1-1 Emergency Department ICU ED 61

Don't Forget the Bubbles

JULY 17, 2023

Sethi SK, et al. Agostino H, et al. Rassekh SR, et al. Goulet K, et al. McClellan JM, et al. Arneitz C, et al. Van Rossem EJD, et al. Smyrnaios A, et al. Satir AN, et al. Cortés J, et al. Al Dhaheri FA, et al. Rivacoba MC, et al. Feldman PM, et al.

E-9-1-1 98

E-9-1-1 ALS Emergency Department Emergency Medical Services 98

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. Curious Ken is brought into your emergency department. Image adapted from Mullens et al., After Darracq et al., A recent literature review by Caré et al. Zamora et al.,

E-9-1-1 111

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

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? 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. August 2016.

Emergency Department 82

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