ACEP Now

MAY 5, 2023

What is your role as the emergency physician? Introduction Law enforcement officers frequently accompany emergency department (ED) trauma patients or patients who are under arrest or require assistance. Law enforcement gathering in the emergency department: Legal and ethical background and practical approaches.

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Emergency Department ED Public Safety OR 52

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. J Am Coll Emerg Physicians Open. J Emerg Nurs.

Emergency Department 52

Emergency Department Emergency Response ED ALS 52

Pediatric EM Morsels

MARCH 15, 2024

We encounter seizures commonly in the Emergency Department. Nicotera, 2024 ] Can have associated autonomic features also: [ Bacus, 2023; Striano, 2017 ] Flushing Pupillary dilation Tachycardia Altered respirations Rare seizure type ~1% of all epilepsies Likely under-reported Ages: Typically seen in children ages 4 to 10 years.

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Emergency Department OR EMS 258

Pediatric EM Morsels

JUNE 2, 2023

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. 2017 Jun 27;10:197-207. You may not make the diagnosis, but detecting the clues is important for the family! J Asthma Allergy.

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Emergency Department ALS EMS OR 189

The Skeptics' Guide to EM

OCTOBER 28, 2023

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED.

ALS 221

ALS Emergency Department ED OR 221

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). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

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Emergency Department ALS Critical Care ED 52

The Skeptics' Guide to EM

OCTOBER 14, 2023

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. Time to change the reference ranges of children’s physiological observations in emergency care? He has had three days of high fevers at home. A prospective study. J Paediatr Child Health.

Life Support 221

Life Support Advanced Life Support Emergency Department ALS 221

The Skeptics' Guide to EM

MAY 14, 2022

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. His twitter handle is @PainFreeED.

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ALS Emergency Department ED OR 130

Core EM

JANUARY 25, 2024

SUMMARY: Upon initial evaluation of patients in the emergency department with clinical signs of soft tissue infections, consider using POCUS as a valuable tool to gather more information in patients with a high suspicion for the diagnosis and/or are too unstable to undergo CT imaging. Magalhães L, Martins SR, Nogué R. 2020;12(1).

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The Skeptics' Guide to EM

SEPTEMBER 3, 2017

[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. Reference: Caputo et al.

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Emergency Department Operating Room Critical Care ALS 130

ALiEM

APRIL 12, 2023

emDOCs.net – Emergency Medicine Education. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM. US Probe: Ultrasound Water Bath for Distal Extremity Evaluation.

Emergency Department 258

Emergency Department ALS ED 258

The Skeptics' Guide to EM

JULY 16, 2017

[display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. AEM July 2017. display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. AEM July 2017.

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Emergency Department ALS EMS 130

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

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Emergency Department ALS ED OR 89

The Skeptics' Guide to EM

AUGUST 28, 2021

Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. Case: A forty-year-old woman presents to the emergency department […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?

ED 130

ED Emergency Department ALS OR 130

Pediatric EM Morsels

OCTOBER 27, 2023

Shah 2017] In Turkey, it has a “reliable correlation.” Gültekingil-Keser 2017] Broselow out-performed age-based formulas (Theron, APLS, and Shann) in New Zealand, estimating within 10% of actual weight 73% of the time. Int J Emerg Med. Use of the Broselow tape in a Mexican emergency department. J Emerg Med.

E-9-1-1 269

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

ALiEM

JANUARY 12, 2024

A 42-year old Bengali man with a history of hyperlipidemia presented to the Emergency Department with facial swelling, diffuse rash, renal insufficiency and proteinuria after receiving his COVID-19 vaccine (Moderna) booster dose. He was advised to go to the Emergency Department. 2020 Feb 11;38(7):1746-1752. 2019.12.028.

Emergency Department 130

Emergency Department EMS ED 130

GEDC

JULY 1, 2024

The hospital holds Level 3 GEDA accreditation, and in 2017, it began implementing the EDC’s Elder Mistreatment Emergency Department Toolkit as part of the geriatric emergency department accreditation process. Access the Elder Mistreatment for Emergency Departments Toolkit

Emergency Department 52

Emergency Department EMS OR 52

The Skeptics' Guide to EM

NOVEMBER 18, 2017

[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017. display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al.

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ICU ED Emergency Department Critical Care 130

The Skeptics' Guide to EM

MAY 21, 2017

[display_podcast] Date: May 19th, 2017 Reference: Willman et al. Clinical Toxicology 2017. Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. display_podcast] Date: May 19th, 2017 Reference: Willman et al.

Naloxone 130

Naloxone Overdose First Responder Emergency Department 130

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed.

ALS 237

ALS Emergency Department EMS ED 237

ALiEM

DECEMBER 18, 2023

A 19-year-old female with a past medical history of epilepsy presented to the emergency department for evaluation of rash and fever. 2017 Jun 9;18(6):1243. Two days prior to presentation she began to experience fevers with a Tmax of 103°F. The patient endorsed associated pruritus and cervical lymphadenopathy with the rash.

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Emergency Department OR 177

Don't Forget the Bubbles

AUGUST 19, 2024

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. of child emergency department presentations. 2017 Sep;49(3):223-226. Epub 2017 May 23. He points to his sternum when you ask him where the pain is.

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Emergency Department OR 104

The Skeptics' Guide to EM

JANUARY 7, 2018

[display_podcast] Date: December 19th, 2017 Reference: Perry J et al. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course.

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Emergency Department Critical Care ALS OR 100

The Skeptics' Guide to EM

DECEMBER 30, 2018

Last year we named 2017 the year of FeminEM and celebrated 15 amazing women in emergency medicine. This year I am going to highlight five of […] The post SGEM Xtra: Auld Lang Five first appeared on The Skeptics Guide to Emergency Medicine. It is time to reflect upon 2018 and look forward to 2019.

Emergency Department 130

Emergency Department EMS OR 130

The Skeptics' Guide to EM

NOVEMBER 11, 2017

[display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. mg/kg (max.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

OCTOBER 7, 2017

[display_podcast] Date: October 5th, 2017 Reference: Brison et al. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. display_podcast] Date: October 5th, 2017 Reference: Brison et al. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph. BMJ Nov 2016. Reference: Brison et al.

Emergency Department 100

Emergency Department ALS OR 100

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

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E-9-1-1 Emergency Department ED CPR 135

The Skeptics' Guide to EM

JANUARY 20, 2018

BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. In the US, adults accounted for 6.6

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Emergency Department ALS EMS ED 130

The Skeptics' Guide to EM

APRIL 28, 2018

December 2017. Case: A 72-year-old gentleman presents to your emergency department. December 2017. Case: A 72-year-old gentleman presents to your emergency department. December 2017. [display_podcast] Date: April 25th, 2018 Reference: Stern A et al, Corticosteroids for pneumonia (Review).

Emergency Department 100

Emergency Department ALS OR 100

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. Anthony is also the creator of SketchyEBM.

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ALS Emergency Department OR ED 130

ACEP Now

JULY 11, 2024

2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use. He returned to the emergency department, and you had the great privilege of saving his life.

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Emergency Department ALS ED OR 98

Broome Docs

NOVEMBER 17, 2024

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. 2017 Sep 26;12(9):e0185316. Lancet Child Adolesc Health. 2024 Jul;8(7):482-490. doi: 10.1016/S2352-4642(24)00104-4. Epub 2024 Jun 4. doi: 10.1371/journal.pone.0185316.

Epinephrine 62

Epinephrine Emergency Department Critical Care ICU 62

The Skeptics' Guide to EM

DECEMBER 17, 2022

Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. years ( 2 ).

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Frozen Plasma FFP Emergency Medical Services Plasma 130

The Skeptics' Guide to EM

NOVEMBER 25, 2017

[display_podcast] Date: November 24th, 2017 Reference: Roldan et al. AEM November 2017 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. display_podcast] Date: November 24th, 2017 Reference: Roldan et al. AEM November 2017.

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Emergency Department ALS EMS OR 100

The Skeptics' Guide to EM

OCTOBER 19, 2019

The Bougie and First-Pass Success in the Emergency Department. Clinical Question: Does using a bougie increase first pass intubation success? Reference: Driver et al.

Firefighter 130

Firefighter Emergency Department Paramedic ALS 130

ACEP Now

FEBRUARY 13, 2024

A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. 2017 Feb 16;376(7):663-673. The Contribution of the Emergency Department To Opioid Pain Reliever Misuse And Diversion: A Critical Review.

E-9-1-1 52

E-9-1-1 Emergency Department ED ALS 52

The Skeptics' Guide to EM

JANUARY 19, 2019

He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. Background: There have been close to 400,000 deaths from an overdose involving any opioid (prescription and illicit opioids) between 1999 and 2017. [1] Reference: Clemency et al.

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Naloxone Overdose Emergency Medical Services Emergency Department 130