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 130

Emergency Department ALS ED EMS 130

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 246

ALS Critical Care OR 246

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-9-1-1 269

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

EMDocs

NOVEMBER 13, 2024

Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. Aithal GP, Palaniyappan N, China L, et al. 2019 Jan 14;11:13-22. Angeli P, Bernardi M, Villanueva C, et al. Arvaniti V, D’Amico G, Fede G, et al. Chinnock B, Hendey GW, Minnigan H, et al. Hepatology. Long B, Koyfman A.

E-9-1-1 72

E-9-1-1 ALS OR ED 72

This Podcast Will Kill You

OCTOBER 1, 2024

Cabezas-Cruz, Alejandro, et al. Cabezas-Cruz, Alejandro, et al. ” Frontiers in immunology 10 (2019): 1210. Cabezas-Cruz, Alejandro, et al. de la Fuente, José, et al. ” Parasites & vectors 12 (2019): 1-5. Nunen, S.A.V., O’Connor, K.S., Clarke, L.R., Boyle, R.X. and Fernando, S.L.,

E-9-1-1 52

E-9-1-1 ALS OR 52

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 278

ALS Critical Care EMS OR 278

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-9-1-1 145

E-9-1-1 Plasma ALS OR 145

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 177

EMS ALS OR 177

Broome Docs

OCTOBER 6, 2024

Turgeon AF, Fergusson DA, Clayton L,et al. PMID: 38238065 Oral vs IV ABs… another negative trial Nielsen AB, Holm M, Lindhard MS, et al. 2019 Nov 5;322(17):1722. So follow along with the papers below and read to make up your own mind about the evidence presented. Too much ‘aint enough blood? N Engl J Med.

Critical Care 112

Critical Care ALS Emergency Department EMS 112

This Podcast Will Kill You

JANUARY 16, 2024

Hoelzer, Karin, et al. History Biology Allison, Andrew B., “Role of multiple hosts in the cross-species transmission and emergence of a pandemic parvovirus.” ” Journal of virology 86.2 2012): 865-872. Heegaard, E.D. and Brown, K.E., Human parvovirus B19. Clinical microbiology reviews , 15 (3), pp.485-505. 2013): 2342-2347.

E-9-1-1 95

E-9-1-1 ALS 95

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

This Podcast Will Kill You

JULY 23, 2024

2019): 100. Caio, Giacomo, et al. ” BMC medicine 17 (2019): 1-20. Cenit, María Carmen, et al. Al-Dulaimi, D., Gasbarrini, Giovanni, et al. Gasbarrini, Giovanni Battista, et al. Kerner, Gaspard, et al. Newberry, Carolyn, et al. Rostami, Kamran, et al. Rubin, J.E. Iversen, R.

E-9-1-1 98

E-9-1-1 ALS OR 98

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 169

ALS OR EMS 169

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 72

ALS Life Support Critical Care OR 72

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-9-1-1 177

E-9-1-1 Emergency Department ALS ED 177

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-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

EMDocs

AUGUST 22, 2024

Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. April 2019. Lim T, Campbell R, et al. Ngai K, Grudzen C, et al. Samuels-Kalow M, Stack A, et al.

Emergency Department 81

Emergency Department ALS E-9-1-1 ED 81

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 130

Emergency Department ALS ED OR 130

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 130

EMR Coronary Defibrillator Life Support 130

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 162

Emergency Department ED OR ALS 162

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 225

Life Support Emergency Department ALS 225

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 246

ALS ED OR 246

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 130

ALS Emergency Department OR 130

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 130

Emergency Department ALS ED OR 130

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 130

Frozen Plasma Plasma ALS EMS 130

ALiEM

MAY 17, 2023

References Marco CA, Courtney DM, Ling LJ, et al. The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. How Competitive Were Other Specialties in the 2023 Match? The Emergency Medicine Physician Workforce: Projections for 2030. Ann Emerg Med. 2021;78(6):726-737.

EMS 130

EMS ALS 130

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 130

ICU Critical Care ALS Emergency Department 130

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 130

Emergency Department ALS OR 130

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 130

Emergency Department ALS EMS OR 130

ALiEM

NOVEMBER 29, 2023

Notes from the Field: Xylazine Detection and Involvement in Drug Overdose Deaths – United States, 2019. PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. PMID: 36148197 Love JS, Levine M, Aldy K, et al. PMID: 37014353 Ball NS, Knable BM, Relich TA et al.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

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 130

Emergency Department ED ALS 130

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 130

Emergency Department ALS OR 130

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 130

Emergency Department ALS OR 130

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 130

ACS Emergency Department ALS OR 130

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 258

Emergency Department ALS ED 258

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 130

ALS Emergency Department OR 130

Core EM

JANUARY 24, 2024

2017.09.1085 Gómez-Outes A, Alcubilla P, Calvo-Rojas G, et al. Published 2019 Jun 6. doi:10.1186/s13054-019-2492-8 Baugh CW, Levine M, Cornutt D, et al. 2019.09.001 Gilbert BW, Morton L, Huffman JB, et al. 2019.10.013 Patel IJ, Rahim S, Davidson JC, et al. Background Around 6 million people in the U.S. J Emerg Med.

FFP 130

FFP Frozen Plasma Plasma ALS 130