2019 and ALS - Paramedicine Now

Post-Intubation Sedation and Analgesia

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. Shehabi Y, Howe BD, Bellomo R, Arabi YM, et al: Early Sedation with Dexmedetomidine in Critically Ill Patients. 2019 Jun 27;380(26):2506-2517.

Emergency Department

Emergency Department ICU Critical Care ALS

Updates in High dose Insulin and Euglycemia Therapy (HIET) for the treatment of Beta-adrenergic Receptor and Calcium Channel Antagonists Overdose

Core EM

JANUARY 25, 2024

References: Yuan TH, Kerns WP, Tomaszewski CA, et al. von Lewinski D, Bruns S, Walther S, et al. Cole JB, Corcoran JN, Engebretsen KM, et al. Holger JS, Engebretsen KM, Fritzlar SJ, et al. Kerns W, Schroeder D, Williams C, et al. Kline JA, Tomaszewski CA, Schroeder JD, et al. 2007;33(11):2019-2024.

Overdose

Overdose ALS Epinephrine Critical Care

Glasgow Coma Scale in Children

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! Holmes, James F et al. 2019 Jul;20(7):660-666. 2019 Sep;241:112-118. Epub 2019 Apr 22. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Acad Emerg Med.

Critical Care

Critical Care ALS OR Life Support

Ultrasound Guided Lumbar Puncture

Core EM

JANUARY 25, 2024

A study by Duniec et al. Here are a handful of these studies and their conclusions: Nomura et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., times more attempts when adjusted for BMI Gottlieb et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., 3, 2018, pp.

ALS

ALS Critical Care OR

The Broselow-Luten System

Pediatric EM Morsels

OCTOBER 27, 2023

link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. doi:10.1111/1742-6723.12389 Zhu S, Zhu J, Zhou H, et al. 2019 Jan;22(1):147-156. x exp[0.02 and Seaver, M. Available at: [link] (Accessed: 27 October 2023). Rosenberg, M.S. 2010.06.187.

E-9-1-1

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

Imported Malaria

Pediatric EM Morsels

NOVEMBER 3, 2023

PMID: 34748988 Conroy AL, Hawkes M, Elphinstone RE, Morgan C, Hermann L, Barker KR, Namasopo S, Opoka RO, John CC, Liles WC, Kain KC. PMID: 27186577 Conroy AL, Opoka RO, Bangirana P, Idro R, Ssenkusu JM, Datta D, Hodges JS, Morgan C, John CC. 2019; 17: 98. 2019; 47(2): 183–193. Pediatr Clin N Am 69 (2022) 47–64.

ALS

ALS Critical Care EMS OR

Neurogenic Shock in Children

Pediatric EM Morsels

SEPTEMBER 22, 2023

Tenenbein M, Macias CG, Sharieff GQ, et al, eds. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. McGraw Hill Education; 2019:125-138 Ziu E, Mesfin FB. They may even need atropine and/or pacing for persistent bradycardia. References Coleman-Satterfield, TT.

E-9-1-1

E-9-1-1 Epinephrine ALS EMS

Pigtail catheter for pleural drainage: Tips to minimize complications

ALiEM

APRIL 12, 2024

If the catheter appears correctly positioned on AP chest x-ray but is malfunctioning, consider obtaining additional imaging to confirm placement [11]: Lateral view chest-xray, or Chest CT (can also help characterize the pleural effusion) References Gammie JS, Banks MC, Fuhrman CR, et al. doi: [link] Broder JS, Al-Jarani B, Lanan B, Brooks K.

E-9-1-1

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

Acute Transverse Myelitis in Children

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

Plasma ALS OR EMS

ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On

ALiEM

JUNE 15, 2023

Goldfrank’s Toxicologic Emergencies, 11e New York, NY: McGraw-Hill; 2019 Morimoto M, Tatsumi K, Yuui K, et al. PMID 29855084 De Silva HA, Fonseka MM, Pathmeswaran A et al. Nelson LS, Goldfrank LR. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. Vet Med Sci. 2021 Nov;7(6):2440-2444. J Clin Lab Anal.

ALS

ALS ED OR

Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique

ALiEM

APRIL 12, 2023

Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. Egan, Pharmacology and Physiology for Anesthesia (Second Edition), Elsevier, 2019, Pages 390-411, ISBN 9780323481106. Accessed April 5, 2023. Disinfectants and Cleaning Solutions for Ultrasound Systems and Transducers [PDF]. 2022 Jan 6;8(1):42. doi: 10.3390/gels8010042.

Emergency Department

Emergency Department ALS ED

SGEM#264: Hooked On A Feeling? Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain

The Skeptics' Guide to EM

AUGUST 17, 2019

Date: August 9th, 2019 Reference: Daoust et al. AEM August 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Date: August 9th, 2019 Reference: Daoust et al. AEM August 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Volkow et al.

Emergency Department

Emergency Department ALS ED OR

SGEM#251: Nothing Compares to You…Because there was No Comparison Group

The Skeptics' Guide to EM

APRIL 6, 2019

Date: April 5th, 2019 Reference: Connolly et al. NEJM 2019 Guest Skeptic: Dr. Ryan Radecki is an Emergency Physician at Kaiser Permanente NW, co-host of the Annals of Emergency Medicine podcast and Journal Club section editor. Date: April 5th, 2019 Reference: Connolly et al.

Frozen Plasma

Frozen Plasma Plasma ALS EMS

EM Match Advice 42: Mid Interview Season Check-In

ALiEM

JANUARY 5, 2024

2019 Dec 9;21(1):96-101. Characteristics of Emergency Medicine Residency Programs With Unfilled Positions in the 2023 Match. Ann Emerg Med. 2023;82(5):598-607. doi:10.1016/j.annemergmed.2023.06.002. 2023.06.002. PMID 37436344 Jewell C, David T, Kraut A, Hess J, Westergaard M, Schnapp BH. West J Emerg Med. doi: 10.5811/westjem.2019.10.44031.

EMS

EMS ALS OR

Trauma Resuscitation Updates

REBEL EM

MAY 25, 2023

mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. Richards JE et al. NEJM 1994. [2]

E-9-1-1

E-9-1-1 Plasma ALS OR

SGEM#263: Please Stop, Prescribing – Antibiotics for Viral Acute Respiratory Infections

The Skeptics' Guide to EM

JULY 27, 2019

Date: July 22nd, 2019 Reference: Yadav et al. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. Date: July 22nd, 2019 Reference: Yadav et al. Reference: Yadav et al.

Emergency Department

Emergency Department ED ALS

SGEM#267: Afib of the Night – Chemical vs. Electrical First Cardioversion

The Skeptics' Guide to EM

SEPTEMBER 21, 2019

Date: September 18th, 2019 Reference: Scheuermeyer et al. AEM Sept 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. Date: September 18th, 2019 Reference: Scheuermeyer et al. Reference: Scheuermeyer et al.

Emergency Department

Emergency Department ALS OR

SGEM#268: Vitamin C Not Ready for Graduation to Routine Use

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

Date: September 11th, 2019 Reference: Putzu et al. Date: September 11th, 2019 Reference: Putzu et al. Reference: Putzu et al. The Effect of Vitamin C on Clinical Outcome in Critically Ill Patients: A Systematic Review with Meta-Analysis of Randomized Controlled Trials. Critical Care Medicine.

ICU

ICU Critical Care ALS Emergency Department

SGEM#276: FOCUS on PE in Patients with Abnormal Vital Signs

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.

Emergency Department

Emergency Department ALS ED OR

SGEM#278: Seen Your Video for Acute Otitis Media Discharge Instructions?

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. Reference: Belisle et al.

ALS

ALS Emergency Department OR

SGEM#279: Do You Really Want to Hurt Me and Use a Placebo Control for a Migraine Trial?

The Skeptics' Guide to EM

JANUARY 11, 2020

Date: January 10th, 2020 Reference: Dodick DW et al. 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. NEJM 2019 Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St.

Emergency Department

Emergency Department ALS EMS OR

SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

MAY 25, 2019

Date: May 23rd, 2019 Reference: Joseph et al. JAMA Surgery March 2019. Date: May 23rd, 2019 Reference: Joseph et al. JAMA Surgery March 2019. Reference: Joseph et al. JAMA Surgery March 2019. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma.

ACS

ACS Emergency Department ALS OR

SGEM#261: CriSTAL Ball to Assess Older Patients in the Emergency Department

The Skeptics' Guide to EM

JUNE 29, 2019

Date: June 28th, 2019 Reference: Cardona et al. AEM June 2019. Date: June 28th, 2019 Reference: Cardona et al. AEM June 2019. Reference: Cardona et al. AEM June 2019. Guest Skeptic:Dr. Unfortunately, available tools are only modestly accurate and have not been rigorously validated.1,2

Emergency Department

Emergency Department ALS OR

SGEM#272: Take the Money and Run without Getting a CT

The Skeptics' Guide to EM

OCTOBER 26, 2019

Date: October 22nd, 2019 Reference: Iyengar R et al. AEM October 2019. Date: October 22nd, 2019 Reference: Iyengar R et al. AEM October 2019. Reference: Iyengar R et al. AEM October 2019.

Emergency Department

Emergency Department ALS OR

SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?

The Skeptics' Guide to EM

JUNE 15, 2024

Reference: Jansen et al. The SGEM bottom line in 2019 was that REBOA is currently an intervention of uncertain benefit. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. vs. 18.9%, p=0.01).

Life Support

Life Support Emergency Department ALS

SGEM#393: You Down with APP, Yeah You Know Me

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019.

Emergency Department

Emergency Department ALS ED EMS

A Cross-Sectional Analysis of ALS/ BLS Care in Low Acuity 9-1-1 Response by Geography and Insurance Status Utilizing the 2019 NEMSIS Dataset

International Journal of Paramedicine

OCTOBER 8, 2024

Data were obtained from the National Emergency Services Information System (NEMSIS) database for 2019. EMS responses (n = 4,375,568) were analyzed comparing patient acuity and CMS Service level, Advanced Life Support (ALS) vs Basic Life Support (BLS), to assess for associations in acuity and CMS Service level using logistic regression.

BLS

BLS Advanced Life Support ALS Community Paramedicine

PEM POCUS Series: Pediatric Lung Ultrasound

ALiEM

AUGUST 9, 2023

Study N Sensitivity Specificity Comments Pereda et al., Balk et al., Tsou et al., Acad Emerg Med 2019 25 studies; 3353 patients 94% 92% Significant difference in accuracy between novice and advanced sonographers. PMID: 14722643 Pereda MA, Chavez MA, Hooper-Miele CC, et al. 2019 Sep;26(9):1074-1088.

E-9-1-1

E-9-1-1 Emergency Department ALS OR

PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

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

E-9-1-1 Emergency Department ALS ED

SGEM Xtra: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke

The Skeptics' Guide to EM

FEBRUARY 26, 2019

Date: February 4th, 2019 Guest Skeptic: Dr. Jerome Hoffman is a Professor Emeritus of Medicine and Emergency Medicine, University of California, Los Angeles. Date: February 4th, 2019 Guest Skeptic: Dr. Jerome Hoffman is a Professor Emeritus of Medicine and Emergency Medicine, University of California, Los Angeles.

ALS

ALS EMS OR

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). The TOMAHAWK Investigators. first appeared on The Skeptics Guide to Emergency Medicine.

EMR

EMR Coronary Defibrillator Life Support

Traveling Ticks: Tickborne Illnesses and International Travel

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

E-9-1-1 ALS OR EMS

SGEM#246: I Start the Line – But Will It Make a Difference?

The Skeptics' Guide to EM

FEBRUARY 23, 2019

Date: February 22nd, 2019 Reference: Lane et al. Date: February 22nd, 2019 Reference: Lane et al. The study by Alam et al took adult patients with a diagnosis of suspected infection and randomized them to ceftriaxone 2g IV started pre-hospital or usual care with a primary outcome of all-cause mortality at 28 days.

Paramedic

Paramedic ALS Ambulance EMS

SGEM#298: What’s the Signs and the Symptoms of Pneumonia?

The Skeptics' Guide to EM

JULY 18, 2020

Reference: Ebell et al. 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 ). Reference: Ebell et al.

ALS

ALS Emergency Department OR

SGEM#266: Old Man Take a Look at the Canadian CT Head Rule I’m a Lot Like You Were

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019. Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019. Adapting the Canadian CT head rule age criteria for mild traumatic brain injury.

Emergency Department

Emergency Department ALS EMS OR

SGEM#269: Pre-Hospital Nitroglycerin for Acute Stroke Patients?

The Skeptics' Guide to EM

OCTOBER 5, 2019

Date: September 25th, 2019 Reference: Bath PM et al. The Lancet March 2019. Date: September 25th, 2019 Reference: Bath PM et al. The Lancet March 2019. first appeared on The Skeptics Guide to Emergency Medicine.

Ambulance

Ambulance Paramedic EMS ALS

SGEM Xtra: Strange BRUE

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.

CPR

CPR ALS OR

SGEM#294: Blood Pressure – Do Better, Keep Rising with NorEpi

The Skeptics' Guide to EM

JUNE 6, 2020

Date: June 2nd, 2020 Reference: Permpikul et al. Respir Crit Care Med 2019. Date: June 2nd, 2020 Reference: Permpikul et al. Respir Crit Care Med 2019. Reference: Permpikul et al. Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial.

EMR

EMR ALS ICU Emergency Department

SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule

The Skeptics' Guide to EM

JANUARY 19, 2019

Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al. This teaching has been challenged by a systematic review by Willman et al 2017. We reviewed the Willman et al publication on SGEM#179 and generally agreed with the authors’ conclusions.

Naloxone

Naloxone Overdose Emergency Medical Services Emergency Department

Topical Therapies for Pediatric Burns

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. Available from: [link] Liu H, Li D, Yuan H, et al. 0b013e3181a2898f Grauberger JN, Joshi N, Joo A, Phelan AL, Lalikos JF. doi:10.1007/s00383-016-3895-0 Irie BGS, Asse KV, Kadiane NJ, et al.

ALS

ALS OR EMS

Episode 194: Nitrous Oxide Toxicity

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. 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. PMCID: PMC7151963.

Emergency Department

Emergency Department ED OR ALS

Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

NOVEMBER 11, 2024

Kochanek et al. explored the evidence in a 2019 systematic review, which forms part of the Brain Trauma Foundation Guidelines, as did Utsumi et al. The guidelines by Kochanek et al. The most recent meta-analysis by Utsumi et al. 2022.01291 Kochanek PM, Tasker RC, Carney N, et al. 2019 Apr;20(4):404].

ALS

ALS Life Support Critical Care OR

SGEM#270: CRASH-3 TXA for Traumatic Head Bleeds?

The Skeptics' Guide to EM

OCTOBER 14, 2019

Date: October 14th, 2019 Reference: CRASH-3 Trial Collaborators. The Lancet October 2019 Guest Skeptic: Dr. Salim Rezaie currently works as a community emergency physician at Greater San Antonio Emergency Physicians […] The post SGEM#270: CRASH-3 TXA for Traumatic Head Bleeds? first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department

Emergency Department EMS ALS OR

SAEM Clinical Images Series: A Blistery Mystery

ALiEM

OCTOBER 11, 2024

American Society of Hematology 2019 guidelines for immune thrombocytopenia. 2019 Dec 10;3(23):3829-3866. Provan D, Arnold DM, Bussel JB, et al. 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.

OR

OR ALS

Post-Intubation Sedation and Analgesia

Updates in High dose Insulin and Euglycemia Therapy (HIET) for the treatment of Beta-adrenergic Receptor and Calcium Channel Antagonists Overdose

Trending Sources

Glasgow Coma Scale in Children

Ultrasound Guided Lumbar Puncture

The Broselow-Luten System

Imported Malaria

Neurogenic Shock in Children

Pigtail catheter for pleural drainage: Tips to minimize complications

Acute Transverse Myelitis in Children

ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On

Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique

SGEM#264: Hooked On A Feeling? Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain

SGEM#251: Nothing Compares to You…Because there was No Comparison Group

EM Match Advice 42: Mid Interview Season Check-In

Trauma Resuscitation Updates

SGEM#263: Please Stop, Prescribing – Antibiotics for Viral Acute Respiratory Infections

SGEM#267: Afib of the Night – Chemical vs. Electrical First Cardioversion

SGEM#268: Vitamin C Not Ready for Graduation to Routine Use

SGEM#276: FOCUS on PE in Patients with Abnormal Vital Signs

SGEM#278: Seen Your Video for Acute Otitis Media Discharge Instructions?

SGEM#279: Do You Really Want to Hurt Me and Use a Placebo Control for a Migraine Trial?

SGEM#258: REBOA, Re-Re-Re-REBOA

SGEM#261: CriSTAL Ball to Assess Older Patients in the Emergency Department

SGEM#272: Take the Money and Run without Getting a CT

SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?

SGEM#393: You Down with APP, Yeah You Know Me

A Cross-Sectional Analysis of ALS/ BLS Care in Low Acuity 9-1-1 Response by Geography and Insurance Status Utilizing the 2019 NEMSIS Dataset

PEM POCUS Series: Pediatric Lung Ultrasound

PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

SGEM Xtra: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

Traveling Ticks: Tickborne Illnesses and International Travel

SGEM#246: I Start the Line – But Will It Make a Difference?

SGEM#298: What’s the Signs and the Symptoms of Pneumonia?

SGEM#266: Old Man Take a Look at the Canadian CT Head Rule I’m a Lot Like You Were

SGEM#269: Pre-Hospital Nitroglycerin for Acute Stroke Patients?

SGEM Xtra: Strange BRUE

SGEM#294: Blood Pressure – Do Better, Keep Rising with NorEpi

SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule

Topical Therapies for Pediatric Burns

Episode 194: Nitrous Oxide Toxicity

Targeted Temperature Management in Paediatric Traumatic Brain Injury

SGEM#270: CRASH-3 TXA for Traumatic Head Bleeds?

SAEM Clinical Images Series: A Blistery Mystery

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