Pediatric EM Morsels

JUNE 14, 2024

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g. 28,1 (2008): 105-20.

Plasma 141

Plasma ALS OR EMS 141

Core EM

JANUARY 25, 2024

In: rimer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, 9th ed, Bilezikian JP (Ed), Wiley-Blackwell, Hoboken, NJ 2018. Retrieved April 29, 2022, from [link] Vantour L, Goltzman D. Regulation of calcium homeostasis. Read More

Critical Care 246

Critical Care ED ALS OR 246

EMCrit Project

JUNE 18, 2024

Part I: SUP-ICU (2018) This was a large multicenter RCT […] EMCrit Project by Josh Farkas. I would view this as the triquel following SUP-ICU and PEPTIC. In order to understand REVISE in context, let's briefly review SUP-ICU and PEPTIC trials, before discussing REVISE.

ICU 119

ICU 119

ALiEM

MARCH 18, 2024

2018 Jun 27;40:1-2. No testing is indicated, but if sent will be normal including laboratory studies and arterial dopplers of the extremity. References Ahmed Z, Elmallah A, Elnagar M, Dowdall J, Barry M, Sheehan SJ. Painful Blue Finger-Achenbach’s Syndrome: Two Case Reports. EJVES Short Rep. doi: 10.1016/j.ejvssr.2018.05.008.

Emergency Department 306

Emergency Department ED OR 306

ALiEM

DECEMBER 8, 2023

2018 Apr;22(2):353-361. Epub 2018 Jan 27. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32310432. Zhou DJ, Carlson MA. Incidence, etiology, management, and outcomes of flank hernia: review of published data. doi: 10.1007/s10029-018-1740-1. PMID: 29380158.

Emergency Department 152

Emergency Department OR 152

The Skeptics' Guide to EM

OCTOBER 20, 2018

[display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Ann Emerg Med 2018 (CRD42017056195) Reference #2: Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. NEJM 2018 (ClinicalTrials.gov NCT01467466.) [display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al.

Coronary 168

Coronary Emergency Department ALS OR 168

ALiEM

NOVEMBER 27, 2023

Another case report from 2018 used ultrasonography to identify a thickened hepatic capsule in an 18-year-old female with RUQ pain, later confirming FHCS by CT without the need for laparotomy [3]. Yeungnam Univ J Med 35(1), 127-129 (2018). References Moon, Y.H., Theofanakis, C.P., Kyriakidis, A.V. Fitz-Hugh–Curtis syndrome.

OR 161

OR 161

Pediatric EM Morsels

JUNE 21, 2024

Palmieri 2002, Choi 2018, Raymond 2018] A systematic review with moderate quality evidence found no difference in the rate of wound healing or epithelialization with silver sulfadiazine compared to silver impregnated foam dressing. Irie 2018] Moral of the Morsel Burns are Bad! Get the Goop!

ALS 169

ALS OR EMS 169

The Skeptics' Guide to EM

DECEMBER 30, 2018

Date: December 30th, 2018 Happy New Years to all the SGEMers out there in the #FOAMed world. It is time to reflect upon 2018 and look forward to 2019. Date: December 30th, 2018 Happy New Years to all the SGEMers out there in the #FOAMed world. It is time to reflect upon 2018 and look forward to 2019.

Emergency Department 130

Emergency Department EMS OR 130

Pediatric EM Morsels

JUNE 9, 2023

Carneiro de Moura, 2018 ] Seen in 57% of cohort. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2018 Sep;67(3):371-376. Infections occurred in 30% of those with acute variceal bleeding. doi: 10.1097/MPG.0000000000002039.

OR 152

OR Critical Care EMS 152

ALiEM

DECEMBER 4, 2023

2018 May 9;13:158-163. doi: 10.1515/med-2018-0025. Yang TY, Wang TY, Chen M, Sun FJ, Chiu AW, Chen YH. Penile Calciphylaxis in a Patient with End-stage Renal Disease: A Case Report and Review of the Literature. Open Med (Wars). PMID: 29756051; PMCID: PMC5941707.

Emergency Department 152

Emergency Department OR 152

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). As a result — an ICD may need to be considered in selected cases.

Coronary 106

Coronary ACS ALS OR 106

Pediatric EM Morsels

SEPTEMBER 22, 2023

2018 Oct;14(2):47-54. Epub 2018 Oct 31. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] Ko HY. Revisit Spinal Shock: Pattern of Reflex Evolution during Spinal Shock. Korean J Neurotrauma. doi: 10.13004/kjnt.2018.14.2.47. 2018.14.2.47. PMID: 30402418; PMCID: PMC6218357.

E-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

Pediatric EM Morsels

APRIL 5, 2024

Globally, ticks are the second most common vector to transmit illnesses after mosquitos (Parola 2018). 2018 Mar; 3(1): 8. Travel Medicine and Infectious Disease, 2018, 26, pp.1-2. There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans. John H, Jian J, RIchards AL.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

ALiEM

MAY 13, 2024

J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%) 2018 Jan;54(1):96-101. 2018 Nov;55(5):693-701. Epub 2018 Aug 28. Study N Methods POCUS Sensitivity (95% CI) POCUS Specificity (95% CI) Conclusions Gottleib et al., 97.4%) 85.4% (78.9-90.2%)

E-9-1-1 161

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

This Podcast Will Kill You

FEBRUARY 13, 2024

2018): 2482-2494. 2018): 14099. 2018): 14099. History Biology Foxcroft, Louise. Hot flushes, cold science: A history of the modern menopause. Granta Books, 2011. Monteleone, P., Mascagni, G., Giannini, A., Genazzani, A.R. and Simoncini, T., Symptoms of menopause—global prevalence, physiology and implications. Mattern, Susan.

ALS 98

ALS OR 98

The Skeptics' Guide to EM

JUNE 9, 2018

[display_podcast] Date: June 8th, 2018 Reference: April MD, et al. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. display_podcast] Date: June 8th, 2018 Reference: April MD, et al. Reference: April MD, et al.

Emergency Department 130

Emergency Department ALS OR 130

ALiEM

FEBRUARY 2, 2024

2018 Sep;40(9):631-641. Pilomatrixoma is rarely diagnosed at the bedside. References Jones CD, Ho W, Robertson BF, Gunn E, Morley S. Pilomatrixoma: A Comprehensive Review of the Literature. Am J Dermatopathol. doi: 10.1097/DAD.0000000000001118. 0000000000001118. PMID: 30119102.

Emergency Department 169

Emergency Department OR 169

The Skeptics' Guide to EM

DECEMBER 7, 2018

Date: December 6th , 2018 Reference: Perkins et al. Date: December 6th , 2018 Reference: Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Reference: Perkins et al.

Epinephrine 130

Epinephrine Life Support Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. display_podcast] Date: September 21st, 2018 Reference: Kawano et al.

BLS 130

BLS Defibrillator Critical Care CPR 130

Pediatric EM Morsels

AUGUST 18, 2023

Wirth 2018) One study including 4.4 Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! (Noel 2007) In a very robust, recent multicenter, randomized, double-blind controlled study Moxifloxacin was compared to a comparator drug (IV ertapenem followed by PO Augmentin) for complex intraabdominal infections.

E-9-1-1 130

E-9-1-1 OR ACS ALS 130

The Skeptics' Guide to EM

FEBRUARY 11, 2024

This study found that between 2003 and 2018, there were 1,299 cases of AAS in Ontario, the largest province in the country. The annual incidence rate of AD ranges between 2.9 per 100,000. [4-8] per hour in the first 48 hours. [20] 20] A retrospective observational study from Canadian researcher, Dr. Robert Ohle was published in CJEM in 2023.

ED 301

ED Emergency Department ALS OR 301

The Skeptics' Guide to EM

OCTOBER 31, 2018

[display_podcast] Date: October 30th , 2018 Reference: Raskob GE et al. NEJM 2018 Guest Skeptic: Dr. Anand Swaminathan is an assistant professor of Emergency Medicine at the St. display_podcast] Date: October 30th , 2018 Reference: Raskob GE et al. Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism.

ALS 130

ALS EMS OR 130

The Skeptics' Guide to EM

OCTOBER 13, 2018

[display_podcast] Date: October 10th , 2018 Reference: Karlow et al. AEM Oct 2018. display_podcast] Date: October 10th , 2018 Reference: Karlow et al. AEM Oct 2018. AEM Oct 2018. A Systematic Review And Meta-Analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department.

Emergency Department 130

Emergency Department ALS ED OR 130

ALiEM

FEBRUARY 28, 2024

This blog post provides an update to our 2018 blog articles to reflect these changes. We also must recognize the important contributions of media such as clinical photographs, radiology images, and ECGs. The American Medical Association (AMA) Manual of Style released its 11th edition in 2020. Video Publications Last Name First Initial.

OR 130

OR ED 130

The Skeptics' Guide to EM

AUGUST 18, 2018

[display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. AEM Aug 2018. display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. AEM Aug 2018. AEM Aug 2018. Prospective Validation of Clinical Criteria to Identify Emergency Department Patients at High Risk for Adverse Drug Events.

Emergency Department 130

Emergency Department Overdose ED ALS 130

Pediatric EM Morsels

JULY 7, 2023

Cunningham, 2018 ] Account for less than 1% of all knee injuries. Epub 2018 Apr 19. The PTF joint is inherently stable with good ligamentous support, especially when the knee is in extension. Cunningham NJ, Farebrother N, Miles J. Review article: Isolated proximal tibiofibular joint dislocation. Emerg Med Australas. PMID: 29671944.

OR 141

OR EMS 141

The Skeptics' Guide to EM

JULY 17, 2018

[display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Emergency Department 130

Emergency Department ALS EMS 130

The Skeptics' Guide to EM

JUNE 24, 2018

[display_podcast] Date: June 15th, 2018 Reference: Silva et al. 2018 Guest Skeptics: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. display_podcast] Date: June 15th, 2018 Reference: Silva et al. Ann Emerg Med. Ann Emerg Med. Reference: Silva et al.

Emergency Department 130

Emergency Department ED ALS OR 130

Core EM

JANUARY 25, 2024

Supplement additional dextrose prn, if hypoglycemia occurs do not stop the insulin, increase the rate of the dextrose drip. Potassium Shifted intracellularly by insulin, total body potassium is normal Replete to goal 3-3.5

Overdose 246

Overdose ALS Epinephrine Critical Care 246

The Skeptics' Guide to EM

OCTOBER 6, 2018

[display_podcast] Date: October 5th , 2018 Reference: Stiell et al. Annals of EM Oct 2018 Guest Skeptic: Alison Armstrong is an Emergency Department Nurse, TNCC Course Director, Trauma Program Coordinator and Canadian C-Spine Rule Nurse Champion. display_podcast] Date: October 5th , 2018 Reference: Stiell et al.

Emergency Department 130

Emergency Department EMS ALS ED 130

The Skeptics' Guide to EM

DECEMBER 15, 2018

Date: December 13th , 2018 Reference: Murata et al. 2018 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Associate Professor for the University of Leicester’s SAPPHIRE group. Date: December 13th , 2018 Reference: Murata et al. Pediatrics. Pediatrics.

OR 130

OR Emergency Department ALS 130

The Skeptics' Guide to EM

MAY 19, 2018

[display_podcast] Date: May 16, 2018 Reference: Freund et al. JAMA February 2018. display_podcast] Date: May 16, 2018 Reference: Freund et al. JAMA February 2018. JAMA February 2018. PROPER stands for PERC Rule to Exclude Pulmonary Embolism in the Emergency Department.

Emergency Department 130

Emergency Department ALS Coronary OR 130

The Skeptics' Guide to EM

MAY 12, 2018

[display_podcast] Date: May 12th, 2018 Reference: Gonin P et al. AEM May 2018. display_podcast] Date: May 12th, 2018 Reference: Gonin P et al. AEM May 2018. AEM May 2018. Excited Delirium: A Systematic Review. Excited Delirium: A Systematic Review. Reference: Gonin P et al. Excited Delirium: A Systematic Review.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

MARCH 20, 2021

This includes the European Cardiology Society ( ECS 2019 ) and the British Thoracic Society ( Howard et al 2018 ). The American College of Emergency Physicians (ACEP) has a clinical policy that addresses this issue ( Wolf et al 2018 ). The ACEP policy give outpatient management of PE patients a Level C recommendation:

ALS 130

ALS ED 130

The Skeptics' Guide to EM

APRIL 21, 2018

[display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Emergency Department 130

Emergency Department ALS OR EMS 130

The Skeptics' Guide to EM

APRIL 1, 2018

[display_podcast] Date: March 30th, 2018 Reference: Bronzetti et al. February 2018. display_podcast] Date: March 30th, 2018 Reference: Bronzetti et al. February 2018. February 2018. Upside-down position for the out of hospital management of children with supraventricular tachycardia. Reference: Bronzetti et al.

Emergency Department 130

Emergency Department ALS OR 130