EMergucate

APRIL 8, 2020

Following is an ECG of a 25 years old man with a four day history of left sided chest pain and its 0400 hours in the morning. He’s in a mild discomfort but looks well from the end of the bed and hi…

130

130

Pediatric EM Morsels

NOVEMBER 3, 2023

2019; 17: 98. 2019; 47(2): 183–193. PMID: 27186577 Conroy AL, Opoka RO, Bangirana P, Idro R, Ssenkusu JM, Datta D, Hodges JS, Morgan C, John CC. Acute kidney injury is associated with impaired cognition and chronic kidney disease in a prospective cohort of children with severe malaria. Pediatr Clin N Am 69 (2022) 47–64. 8 Dec 2022.

ALS 278

ALS Critical Care EMS OR 278

Pediatric EM Morsels

JULY 21, 2023

cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! 2019 Jul;20(7):660-666. 2019 Sep;241:112-118. Epub 2019 Apr 22. 2019 Jul;20(7):682-683. 2019): 478–483. Fun fact for animal lovers!- Pediatr Crit Care Med. doi: 10.1097/PCC.0000000000001938.

Critical Care 246

Critical Care ALS OR Life Support 246

Core EM

JANUARY 25, 2024

It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ). 2019 Nov;47(11):1539-1548. 2019 Jun 27;380(26):2506-2517. Shehabi 2012 ) The multi-center cohort ED-SED study examined 324 mechanically ventilated patients. Crit Care Med.

Emergency Department 246

Emergency Department ICU Critical Care ALS 246

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.

Plasma 141

Plasma ALS OR EMS 141

Pediatric EM Morsels

OCTOBER 27, 2023

2019 Jan;22(1):147-156. x exp[0.02 x length or height (cm)] There is a great review article that lists many other weight estimation formulae. Accuracy of the Broselow Tape in South Sudan, “The Hungriest Place on Earth” Acad Emerg Med. 2016;23(1):21-28. doi:10.1111/acem.12854 Public Health Nutr. doi: 10.1017/S1368980018002549.

E-9-1-1 269

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

Pediatric EM Morsels

SEPTEMBER 22, 2023

McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. McGraw Hill Education; 2019:125-138 Ziu E, Mesfin FB. References Coleman-Satterfield, TT. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. In: Strange and Schafermeyer’s: Pediatric Emergency Medicine. 5 th Edition. Neurogenic Shock. Updated 2022 Feb 10]. 5 th Edition.

E-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

ALiEM

OCTOBER 21, 2024

2019 Aug;276(8):2199-2203. Epub 2019 May 11. Klug TE, Holm N, Greve T, Ovesen T. Perichondritis of the auricle: bacterial findings and clinical evaluation of different antibiotic regimens. Eur Arch Otorhinolaryngol. doi: 10.1007/s00405-019-05463-z. PMID: 31079204.

ED 169

ED OR 169

ALiEM

OCTOBER 4, 2023

2019 Aug;9(4):337-342. 2019 Oct;123(4):457-463. Epub 2019 Jun 24. Romano JA Jr, Newmark J. Harrison’s Principles of Internal Medicine, 21e. McGraw Hill. Therapy for acute nerve agent poisoning: An update. Neurol Clin Pract. doi: 10.1212/CPJ.0000000000000641. 0000000000000641. PMID: 31583189 ; PMCID: PMC6745742. Marsden JM.

Plasma 195

Plasma OR ED 195

Core EM

MARCH 1, 2024

Epub 2019 Apr 17. 2019 Jul;42(4):673-685. Epub 2019 Jan 28. McGraw-Hill Education; 2019. 2019 Oct;15(4):299-303. Epub 2019 Aug 6. PMID: 27293327; PMCID: PMC4888679. Transverse Myelitis. Essentials of Physical Medicine and Rehabilitation. 2020:952–9. doi: 10.1016/B978-0-323-54947-9.00162-0. PMCID: PMC7151963.

Emergency Department 162

Emergency Department ED OR ALS 162

ALiEM

FEBRUARY 20, 2024

2019 Oct;37(10):1989.e1-1989.e3. Epub 2019 Jul 21. Cardiovasc Toxicol. 2017 Jul;17(3):260-266. PMID: 27435408. Wilgenhof A, Michiels V, Cosyns B. An irregular, extremely broad QRS complex rhythm. Am J Emerg Med. doi: 10.1016/j.ajem.2019.158356. 2019.158356. PMID: 31362853. McCabe DJ, Walsh RD, Georgakakos PK, Radke JB, Wilson BZ.

Life Support 183

Life Support Overdose ED 183

Pediatric EM Morsels

APRIL 5, 2024

Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Frean 2019) The classic triad described is fever, eschar and rash. Ricardi 2019) Tick-Borne Encephalitis has a biphasic pattern of symptoms. Ricardi 2019) Initial symptoms are nonspecific and include fever, malaise, headache, nausea, vomting and myalgias.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

Core EM

JANUARY 25, 2024

link] Published October 28, 2019. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg 1995; 221:558–563. Necrotizing fasciitis. Necrotizing Fasciitis. Accessed March 9, 2022. Diagnosis of necrotizing fasciitis with bedside ultrasound: The staff exam. The western journal of emergency medicine.

E-9-1-1 246

E-9-1-1 Emergency Department OR 246

ALiEM

APRIL 12, 2023

Egan, Pharmacology and Physiology for Anesthesia (Second Edition), Elsevier, 2019, Pages 390-411, ISBN 9780323481106. PMID: 35049577 ; PMCID: PMC8774352 Suzuko S, Peter G, Philipp L. 20 – Local Anesthetics, Ed(s): Hugh C. Hemmings, Talmage D. DOI: 10.1016/B978-0-323-48110-6.00020-X R.

Emergency Department 258

Emergency Department ALS ED 258

Pediatric EM Morsels

JULY 7, 2023

Horan, 2006 ] Anatomy of the PTF Joint [ Cunningham, 2019 ] The PTF joint is a synovial joint between the lateral condyle of the tibia and the head of the fibula. Cunningham, 2019 ] Treatment [ Horan, 2006 ] 1st option for Subluxation and Anterolateral Dislocation is Manual Reduction ( similar to reducing that Nursemaid’s Elbow ).

OR 141

OR EMS 141

The Skeptics' Guide to EM

NOVEMBER 23, 2019

Date: November 21st, 2019 Reference: Daley et al. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Date: November 21st, 2019 Reference: Daley et al. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Daley et al.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

DECEMBER 14, 2019

Date: December 13th, 2019 Reference: Belisle et al. AEM December 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: December 13th, 2019 Reference: Belisle et al. first appeared on The Skeptics Guide to Emergency Medicine. Reference: Belisle et al.

ALS 130

ALS Emergency Department OR 130

Emergency Medicine Cases

AUGUST 25, 2020

Barbara Tatham, EM colleague and educator, died of metastatic sarcoma at the age of 32 in October 2019. In August 2019 we met at my summer cottage to record this podcast. We explored the evidence that compassionate care improves patient outcomes and staves off physician burnout.

ICU 130

ICU EMS 130

Core EM

JANUARY 25, 2024

2007;33(11):2019-2024. McGraw-Hill Education, New York, 11th edition, 2019. Relative safety of hyperinsulinaemia/euglycaemia therapy in the management of calcium channel blocker overdose: a prospective observational study. Intensive Care Med. Page CB, Ryan NM, Isbister GK. Clinical Toxicology. 2018;56(6):389-396. 2017;45(3):e306-e315.

Overdose 246

Overdose ALS Epinephrine Critical Care 246

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Date: November 2nd, 2019 Reference: Lee and Yun. Date: November 2nd, 2019 Reference: Lee and Yun. Diagnostic Performance of Emergency Physician-Performed Point-of-Care Ultrasonography for Acute Appendicitis: A Meta-Analysis. He also hosts a great #FOAMed blog and podcast called TOTAL EM. Reference: Lee and Yun.

Emergency Department 130

Emergency Department EMS OR 130

ALiEM

JANUARY 5, 2024

2019 Dec 9;21(1):96-101. PMID 37436344 Jewell C, David T, Kraut A, Hess J, Westergaard M, Schnapp BH. Post-interview Thank-you Communications Influence Both Applicant and Residency Program Rank Lists in Emergency Medicine. West J Emerg Med. doi: 10.5811/westjem.2019.10.44031. 2019.10.44031. PMID: 31913827 ; PMCID: PMC6948692.

EMS 177

EMS ALS OR 177

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019.

Emergency Department 130

Emergency Department ALS ED EMS 130

The Skeptics' Guide to EM

DECEMBER 7, 2019

Date: October 2nd, 2019 Reference: Ramgopal et al. Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh. Date: October 2nd, 2019 Reference: Ramgopal et al. Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs).

CPR 130

CPR ALS OR 130

The Skeptics' Guide to EM

JANUARY 11, 2020

NEJM 2019 Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. NEJM 2019 Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Date: January 10th, 2020 Reference: Dodick DW et al. Ubrogepant for the Treatment of Migraine. Joseph’s Hospital in Paterson, NJ.

Emergency Department 130

Emergency Department ALS EMS OR 130

ALiEM

OCTOBER 11, 2024

American Society of Hematology 2019 guidelines for immune thrombocytopenia. 2019 Dec 10;3(23):3829-3866. Neunert C, Terrell DR, Arnold DM, Buchanan G, Cines DB, Cooper N, Cuker A, Despotovic JM, George JN, Grace RF, Kühne T, Kuter DJ, Lim W, McCrae KR, Pruitt B, Shimanek H, Vesely SK. doi: 10.1182/bloodadvances.2019000966. 2019000966.

OR 152

OR ALS 152

The Skeptics' Guide to EM

JUNE 15, 2024

The SGEM bottom line in 2019 was that REBOA is currently an intervention of uncertain benefit. That was a review of a retrospective observational study of 593,818 trauma patients of which 140 received REBOA compared to 240 matched controls who did not receive this treatment. The overall mortality was worse with REBOA (35.7%

Life Support 220

Life Support Emergency Department ALS 220

First 10 EM

MAY 27, 2024

Connolly 2019) At that point, I concluded that andexanet alfa should clearly not be used (although our pharmacies didn’t listen and wasted a lot […] The post Andexanet alfa: expensive and harmful?

EMS 118

EMS 118

ALiEM

JUNE 15, 2023

Goldfrank’s Toxicologic Emergencies, 11e New York, NY: McGraw-Hill; 2019 Morimoto M, Tatsumi K, Yuui K, et al. Nelson LS, Goldfrank LR. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS.

ALS 246

ALS ED OR 246

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective. Lancet Infect Dis.

OR 161

OR EMS ED 161

Pediatric EM Morsels

JUNE 9, 2023

Specific Therapies for Variceal Hemorrhage : [ Luoto, 2020 ; Castillo, 2019; Garcia-Tsao, 2007 ] Antibiotic prophylaxis (usually for 7 days) Ceftriaxone is reasonable 1st choice. Castillo, 2019 ] Somatostatin (or its analogues, like Octreotide) Guidelines do recommend this… There is great variability in its administration, though.

OR 152

OR Critical Care EMS 152

Pediatric EM Morsels

JUNE 21, 2024

Chaganti 2019] Other studies have not shown a difference in infection rates between silver-containing creams and antimicrobial ointments.

ALS 169

ALS OR EMS 169

ALiEM

APRIL 12, 2024

The Cochrane database of systematic reviews, 2019(10), CD002312. Br J Radiol. 2000;73(871):786-790. doi: [link] Altmann, E. Crossingham, I., Wilson, S., & Davies, H. Intra-pleural fibrinolytic therapy versus placebo, or a different fibrinolytic agent, in the treatment of adult parapneumonic effusions and empyema.

E-9-1-1 183

E-9-1-1 ALS Critical Care Emergency Department 183

Pediatric EM Morsels

NOVEMBER 17, 2023

2019 Sep;74(9):1186-1190. Epub 2019 Jul 16. West J Emerg Med. 2023 Apr 28;24(3):579-587. doi: 10.5811/westjem.59560. PMID: 37278787; PMCID: PMC10284523. Shah A, Carlisle JB. Cuffed tracheal tubes: guilty now proven innocent. Anaesthesia. doi: 10.1111/anae.14787. PMID: 31313280. Shi F, Xiao Y, Xiong W, Zhou Q, Huang X.

E-9-1-1 183

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

ALiEM

AUGUST 26, 2024

Chapter 2: Ophthalmic Conditions. In The Atlas of Emergency Medicine (p. essay, McGraw-Hill Medical. Agarwal, D., Kumar Behera, A., Bhaskaran, K., & Sharma, N. Pathomechanism of iris sphincter tear. Medical hypotheses, 122, 147–149. link] doi.org/10.1016/j.mehy.2018.11.013

Emergency Department 177

Emergency Department OR 177

ALiEM

NOVEMBER 15, 2023

McGraw Hill; 2019. McGraw Hill; 2019. Goldfrank’s Toxicologic Emergencies, 11e. Accessed August 20, 2023. Nitrites (Amyl and Sodium) and Sodium Thiosulfate. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. Goldfrank’s Toxicologic Emergencies, 11e. Malashock H. 2017, July 10).

OR 169

OR ED 169

Paramedics World

JANUARY 25, 2024

The NHTSA reports that out of 5,114 motorcycles in 2019, 2,811 (or 55%) were involved in… The post 7 Surefire Tips to Prevent Motorcycle Accidents appeared first on Paramedics World. Are you worried about your safety while riding a motorcycle? Well, you’re not alone.

Paramedic 98

Paramedic OR 98

The Skeptics' Guide to EM

JULY 18, 2020

A prior meta-analysis demonstrated that the combination of normal vital signs and normal lung exam effectively rules out pneumonia ( Marchellow eat al JABFM 2019 ), and that a physician’s overall clinical impression is moderately accurate ( Dale et al BrJGP 2019 ).

ALS 130

ALS Emergency Department OR 130