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. Arthropathy was seen in 13.7%

E-9-1-1 130

E-9-1-1 OR ACS ALS 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. first appeared on The Skeptics Guide to Emergency Medicine. A FAST examination is performed and is negative.

OR 130

OR ALS CPR ICU 130

Pediatric EM Morsels

APRIL 5, 2024

Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). 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

ALiEM

MAY 13, 2024

Scan the entirety of the affected area in 2 planes. Be aware of the patient’s comfort throughout the examination. A water bath may be helpful to visualize lesions in extremities such as the hands or feet. The probe sits just below the water’s surface and does not need to contact the skin. It may also aid in identifying nearby vasculature.

E-9-1-1 161

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

This Podcast Will Kill You

SEPTEMBER 3, 2024

2016): 421-433. 2016): e0143759. “Is it gonna be poop or is it gonna be barf?” It’s the question we all fear during a bout of food poisoning when time is of the essence and a decision has to be made before it’s made for us. Often, the germ forcing this question upon us is none other than the dreaded norovirus. De Graaf, M., and Paul W.

ALS 52

ALS OR 52

Pediatric EM Morsels

APRIL 7, 2023

Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. Observation, interaction with patient, as well as parent information is key to bring the whole picture together! J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.038. 2016.08.038. PMID: 27765556. J Chronic Dis. 1985;38(6):495-505. PMID: 4008590.

ALS 130

ALS OR Critical Care EMS 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. PECARN is highly sensitive for identifying those with clinically important TBI. Acad Emerg Med. doi: 10.1111/acem.12923. PMID: 26825755.

OR 130

OR EMS 130

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 271

Emergency Department ALS ED OR 271

NAEMSP

FEBRUARY 1, 2023

Article Summary by James Li, MD Sinclair, Julie E., “Characteristics, prehospital management, and outcomes in patients assessed for hypoglycemia: repeat access to prehospital or emergency care.” ” Prehospital Emergency Care 23.3 2019): 364-376. Background: Diabetes is a common chronic medical condition. of the US population).

OR 52

OR Emergency Department Emergency Medical Services Paramedic 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]. They reported that the type of intravenous fluids (0.45% NaCl or 0.9%

ICU 209

ICU ED Critical Care ALS 209

Pediatric EM Morsels

OCTOBER 27, 2023

Bowen 2016] Moral of the Morsel: Weight Matters! Reduces dosing errors during resus, up to 33.88%. Recommended by ATLS and PALS. Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. Krug 2007] What If the Child is Obese or Emaciated? Validation study done in Italy.

E-9-1-1 268

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

Pulsara

MAY 23, 2024

During major emergencies like earthquakes, floods, or mass shootings, health resources can quickly become overwhelmed, causing breakdowns in communication and coordination. Hospitals may reach capacity, leaving some patients stranded without adequate care and making it difficult for family or friends to locate them.

Emergency Medical Services 77

Emergency Medical Services Public Information EMS OR 77

FOAMcast

JANUARY 25, 2023

2016 May 1;202(1):182-7. 2016 Aug;33(8):569-72. Epub 2016 Feb 4. Apple Podcasts , Spotify , or Listen Here References: Wray JP, Bridwell RE, Schauer SG, Shackelford SA, Bebarta VS, Wright FL, Bynum J, Long B. The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med. 2021 Mar;41:104-109. doi: 10.1016/j.ajem.2020.12.065.

Emergency Department 52

Emergency Department OR 52

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. It is a diagnosis of exclusion that applies to infants under the age of 12 months. . * The name was not reassuring and the definition was vague.

CPR 130

CPR ALS OR 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

ALiEM

AUGUST 18, 2023

2016 May-Aug;9(2):80-6. The presentation of complete isolated CN III palsy generally involves ipsilateral ptosis (due to levator palpebrae paralysis) and “down and out” ocular deviation (due to preservation of superior oblique and lateral rectus function). Case Question: What are the most common etiologies of the diagnosis?

Emergency Department 130

Emergency Department OR 130

Core EM

JANUARY 25, 2024

Renal injury: isolated proteinuria or hematuria, moderate acute kidney injury with serum creatinine levels <2 mg/dL Skin: petechiae and purpura Despite severe thrombocytopenia, clinically significant bleeding is rare Figure 1.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

The Skeptics' Guide to EM

JUNE 11, 2017

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. You wonder if they would benefit from a platelet transfusion.

ALS 130

ALS OR EMS 130

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

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. Objective: ST-elevation myocardial infarction (STEMI) is a leading cause of mortality in Australia.

STEMI 52

STEMI Paramedic Ambulance OR 52

The Skeptics' Guide to EM

AUGUST 14, 2021

This was the ALPS randomized control trial published in NEJM 2016. Date: August 12th, 2021 Reference: Daya et al. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. first appeared on The Skeptics Guide to Emergency Medicine. Reference: Daya et al.

CPR 130

CPR BLS ALS Paramedic 130

This Podcast Will Kill You

JANUARY 30, 2024

” Molecular Immunology 69 (2016): 131-138. Raise your hand if you or someone you know has had their tonsils removed. If your hand is sky-high, there’s a pretty good chance that you (or that person you know) are from the US and were born before 1980. Immunological investigations , 39 (4-5), pp.303-355. Sepahi, Ali, and Irene Salinas.

OR 98

OR 98

ALiEM

APRIL 17, 2023

August 3, 2016; Available from: [link] -acute-corneal-hydrops.htm Stack L, Sheedy C, Bales B. Over the past 3-4 days, he noticed an acute decline in his vision with what the patient describes as a “cloudy bump” appearing during that time. He also reports photophobia and mild eye pain. Head: No visible traumatic injuries. EyeRounds.org.

Emergency Department 130

Emergency Department OR ED 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. IV fluids administrated, IV vancomycin and piperacillin-tazobactam. Arterial line started. Am J Emerg Med.

ACS 71

ACS ICU EMS ALS 71

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

ALiEM

JANUARY 8, 2024

2016 May;68(5):689-94. References Huang K, Levy RD, Avina-Zubieta JA. 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. Does it seem like the supplement section of your grocery store gets bigger every time you go in? You’re not imagining things. 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.

ALS 98

ALS OR 98

The Skeptics' Guide to EM

MAY 14, 2022

They include: CBT 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 ). The pain is 10/10 in intensity, gets worse with bending, turning, and prolonged walking.

ALS 130

ALS Emergency Department ED OR 130

Pediatric EM Morsels

OCTOBER 6, 2023

Mogsale 2016, Shah 2021)Stool cultures are only positive in 30% of cases if collected in 2 nd -3 rd week of illness which makes them a poor choice for definitive diagnosis. 2016; 15: 32. This inspired me to write a series of morsels related to concerning presentations in patients who have recently travelled.

OR 161

OR EMS ED 161

The Skeptics' Guide to EM

NOVEMBER 1, 2022

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). Date: October 27th, 2022 Reference: Hayashi et al. Date: October 27th, 2022 Reference: Hayashi et al.

ALS 152

ALS Emergency Department OR ED 152

ALiEM

MAY 19, 2023

Published May 4, 2016. Another minor difference is that the gastric balloon in the Minnesota tube holds 450-500 ccs of air, while the SB gastric balloon holds 250 ccs of air [2]. If bleeding persists, you can go to a maximum of 45 mmHg. What is this “manometer” typically used for the esophageal balloon? EM:RAP HD Videos. EMCrit Project.

E-9-1-1 245

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

First Responders Foundation

AUGUST 26, 2024

In 2003, she became the first Employee Resources Sergeant, a role she held until her retirement in 2016. After years of serving in Uniform Patrol, including a specialized assignment in the Weed and Seed Unit focusing on gang and narcotics activity, Mary was promoted to Sergeant in 1998.

First Responder 52

First Responder Public Safety Paramedic OR 52

Pediatric EM Morsels

JUNE 21, 2024

The management of pediatric thermal burns always seems to be a hot topic , whether we are caring for a little future chef who splashed a scalding microwaved noodle cup on himself, or a toddling youngster who pulled a pot of boiling water on herself. Ointment has shorter half-life, so should be cleansed and changed every 12 hours.

ALS 169

ALS OR EMS 169

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

EMS 12-Lead

JUNE 1, 2022

Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. This occurred in a public place, so bystanders rushed to his aid and provided immediate assistance to protect against any associated fall or head strike. It’s reported that he regained consciousness after 30 seconds, approximately.

Coronary 130

Coronary ALS Firefighter OR 130

Don't Forget the Bubbles

JULY 24, 2023

2016 Apr 9;17. Neonates – septic/irritable 6 months – 6 years – non-specific limp, refusal to walk, back pain (often difficult to localise), low grade or no fever >6 years – back pain (more localised), fever, generally unwell The underlying pathology is usually infectious. A wide range of causative pathogens have been identified.

ALS 98

ALS OR 98

This Podcast Will Kill You

JULY 23, 2024

” The Journal of pediatrics 175 (2016): 206-210. CW: discussion of disordered eating, eating disorders Did the word gluten manifest in everyone’s consciousness one day in 2010? Suddenly, grocery stores were filled with gluten-free crackers, cookies, buns, you name it. Cenit, María Carmen, et al. ” Nutrients 7.8 2015): 6900-6923.

E-9-1-1 98

E-9-1-1 ALS OR 98