Pediatric EM Morsels

OCTOBER 27, 2023

DeBoer 2020] Now seen as industry standard in pediatric emergency care. K 2020] In Mexican children, the Broselow differed from actual weight by <10% in 46-64% of patients. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Published 2020 Feb 12. Came out in 1986.

E-9-1-1 269

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

Pediatric EM Morsels

NOVEMBER 3, 2023

falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. vivax , P. knowlesi and P.

ALS 278

ALS Critical Care EMS OR 278

Pediatric EM Morsels

JULY 19, 2024

2020 Sep;38(9):1943. Epub 2020 Jan 29. Epub 2022 Aug 6. PMID: 35988367. Nebulized tranexamic acid for post-tonsillectomy hemorrhage in children: a promising game changer. Am J Emerg Med. doi: 10.1016/j.ajem.2020.01.042. 2020.01.042. PMID: 32024591. Rohe E, Gresham M, Rohde R, Cass L, Brinkmeier JV, Childers A.

E-9-1-1 286

E-9-1-1 Epinephrine Emergency Department OR 286

ALiEM

MAY 29, 2023

Published Dec 9, 2020 Author information Mohamed Elhadi Abdelhameed, MD Emergency Medicine Physician Emergency Department Ibrahim Malik Teaching Hospital | The post Trick of Trade: Dual Foley catheter to control massive epistaxis appeared first on ALiEM. For our case, this dual catheter compression technique succeeded in halting the bleed.

E-9-1-1 246

E-9-1-1 Epinephrine Emergency Department 246

Pediatric EM Morsels

JUNE 9, 2023

Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2020 May;70(5):628-634.

OR 152

OR Critical Care EMS 152

ALiEM

MARCH 15, 2024

2020, March 18). References Cline, D., Meckler, G. Stapczynski, J. Thomas, S. Tintinalli, J. E., &amp; Yealy, D. In Tintinalli’s emergency medicine: A comprehensive study guide. essay, McGraw-Hill Education. Traumatic Hyphema.

ED 161

ED OR 161

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Four studies with methodologic limitations were included in an SRMA of the ADD-RS and published in AEM 2020. [27] Some CDTs have been devised and tested for diagnosing AAS. 25,26] The Aortic Dissection Detection Risk Score (ADD-RS) is one CDT that has been derived and tested.

ED 299

ED Emergency Department ALS OR 299

Pediatric EM Morsels

APRIL 5, 2024

This is true of hard ticks , which carry the majority of bacteria and viruses which can infect humans (Rochlin 2020) This is not true when the infectious agent is carried by a soft tick. Rochlin 2020) Shares many of the same symptoms as African tick-bite fever. In the US, outbreaks have been linked to rental cabins near national parks.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

The Skeptics' Guide to EM

DECEMBER 19, 2020

Date: December 16th, 2020 Reference: Butler et al. The Lancet 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. Date: December 16th, 2020 Reference: Butler et al.

ALS 145

ALS OR 145

The Skeptics' Guide to EM

DECEMBER 12, 2020

Date: December 10th, 2020 Reference: Ladde et al. AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Date: December 10th, 2020 Reference: Ladde et al. Reference: Ladde et al.

ALS 130

ALS ED Emergency Department OR 130

The Skeptics' Guide to EM

OCTOBER 12, 2024

June 2024 Population: Children aged 7-17 years and their caregivers who presented to ten Canadian pediatric EDs between 2018 and 2020 Excluded: Children who remained medically unstable during their ED stay, had altered levels of consciousness, were suspected of being abused, or had a caregiver who was not their legal guardian​.

Emergency Department 225

Emergency Department ED ALS OR 225

Core EM

JANUARY 25, 2024

2020 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 38th Annual Report. Beta-adrenergic receptor antagonists (Beta blockers, BB) and calcium channel antagonists (calcium channel blockers) are common drugs that can produce profound cardiac depression and shock when taken in overdose.

Overdose 246

Overdose ALS Epinephrine Critical Care 246

ALiEM

NOVEMBER 13, 2023

2020 Jul 7;95(1):e70-e78. Epub 2020 Jun 2. Different phenotypes in dermatomyositis associated with anti-MDA5 antibody: Study of 121 cases. doi: 10.1212/WNL.0000000000009727. 0000000000009727. PMID: 32487712; PMCID: PMC7371381. Nombel A, Fabien N, Coutant F.

OR 200

OR 200

Pediatric EM Morsels

APRIL 7, 2023

American Society of Hematology 2020 guidelines for sickle cell disease: prevention, diagnosis, and treatment of cerebrovascular disease in children and adults. 2020 Apr 28;4(8):1554-1588. DeBaun MR, Jordan LC, King AA, Schatz J, Vichinsky E, Fox CK, McKinstry RC, Telfer P, Kraut MA, Daraz L, Kirkham FJ, Murad MH. 2019001142.

ALS 130

ALS OR Critical Care EMS 130

Core EM

JANUARY 25, 2024

Paydary, 2020) Patients with a score of 5 or greater require ADAMTS-13 levels to be sent along with expert consultation and likely initiation of empiric therapy. Patients with a score < 5 are unlikely to have TTP, with a negative predictive value of 99%. if the patient is being transferred to another hospital).

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

ALiEM

JANUARY 26, 2024

Epub 2020 Dec 3. Gkoufa A, Sakellariou S, Katsoulas N, Georgakopoulou VE, Lazaris A, Cholongitas E. Henoch-Schönlein purpura associated with ciprofloxacin. Dermatol Ther. 2021 Jan;34(1):e14591. doi: 10.1111/dth.14591. PMID: 33244823.

EMS 183

EMS OR 183

Pediatric EM Morsels

AUGUST 11, 2023

2020 Oct 24;12(10):e11141. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! Can Fam Physician. 2022 Sep;68(9):661-663. doi: 10.46747/cfp.6809661.

EMS 130

EMS OR 130

ALiEM

FEBRUARY 28, 2024

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

OR 130

OR ED 130

The Skeptics' Guide to EM

JULY 8, 2023

There was a large unblinded RCT of over 3,000 patients published in the Lancet in 2020. It looked at patients presenting to their primary care physician with influenza. The results were those treated with oseltamivir recovered about one day earlier than the control group but experienced more nausea and vomiting.

ALS 233

ALS Emergency Department EMS ED 233

Pediatric EM Morsels

MAY 10, 2024

Pediatr Rev September 2020; 41 (9): 469–480. Diagnosis of pneumothorax by radiography and ultrasonography: a meta-analysis. 2011;140(4):859-866. doi:10.1378/chest.10-2946 10-2946 Gal Barbut, Joshua P. Needleman; Pediatric Chest Pain. link] Hanson MG, Chan B. Ultrasound J. 2021;13(1):2.

E-9-1-1 268

E-9-1-1 OR EMS 268

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? Date: January 5th, 2021 Reference: Grunau et al. Reference: Grunau et al.

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

The Skeptics' Guide to EM

AUGUST 14, 2021

Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. Date: August 12th, 2021 Reference: Daya et al. Missy is also now the director […] The post SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

CPR 130

CPR BLS ALS Paramedic 130

ALiEM

OCTOBER 25, 2024

2020 Jun 15;101(12):740-747. Tetanus vaccination status should be reviewed, and the vaccine (Tdap) and/or potentially tetanus immune globulin should be administered if indicated. References Rupert J, Honeycutt JD, Odom MR. Foreign Bodies in the Skin: Evaluation and Management. Am Fam Physician. PMID: 32538598. Open Orthop J. 2012;6:511-7.

ED 177

ED OR 177

Core EM

JANUARY 25, 2024

95% CI (1.46, 2.84)) and the need for an emergent intervention (aOR 1.38, 95% CI (1.15, 1.66)).

Operating Room 246

Operating Room EMS ED ICU 246

ALiEM

JUNE 5, 2023

Published 2020 May 12. Accessed on April 16, 2023. Savransky V, Ionin B, Reece J. Current Status and Trends in Prophylaxis and Management of Anthrax Disease. 2020;9(5):370. doi: 10.3390/pathogens9050370 Vietri, Nicholas J. Does anthrax antitoxin therapy have a role in the treatment of inhalational anthrax? DOI: 10.1097/QCO.0000000000000446

ALS 256

ALS OR ED 256

The Skeptics' Guide to EM

OCTOBER 14, 2023

March 2023 * Population: Children 0-16 years recruited consecutively from October 2017 to September 2020 from three emergency departments and one urgent care centre in England- serving populations with significant inequalities in health and life expectancty. A prospective study. J Paediatr Child Health.

Life Support 217

Life Support Advanced Life Support Emergency Department ALS 217

Core EM

MARCH 1, 2024

2020:952–9. 2020 May 15;412:116778. Epub 2020 Mar 19. Ann Indian Acad Neurol. 2016 Apr-Jun;19(2):183-7. doi: 10.4103/0972-2327.182303. PMID: 27293327; PMCID: PMC4888679. Transverse Myelitis. Essentials of Physical Medicine and Rehabilitation. doi: 10.1016/B978-0-323-54947-9.00162-0. Epub 2019 Apr 17. PMCID: PMC7151963.

Emergency Department 162

Emergency Department ED OR ALS 162

Pediatric EM Morsels

JULY 21, 2023

Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients. 2020 Dec 10;28(1):116. BMJ Open 2021; 11: e053619. Scand J Trauma Resusc Emerg Med.

Critical Care 246

Critical Care ALS OR Life Support 246

REBEL EM

MARCH 6, 2024

Dietary Guidelines for Americans, 2020-2025. December 2020. Published 2020 Oct 27. Department of Agriculture and U.S. Department of Health and Human Services. 9th Edition. Available at DietaryGuidelines.gov. Green W, Gao X, Li K, et al. West J Emerg Med. 2020;21(6):219-224. doi:10.5811/westjem.2020.8.47357

ALS 105

ALS OR EMS 105

Core EM

JANUARY 25, 2024

2020 Sep 15;11:2151459320955087. 2001; 357:771-2. Konda &al. Who Is the Geriatric Trauma Patient? An Analysis of Patient Characteristics, Hospital Quality Measures, and Inpatient Cost. Geriatr Orthop Surg Rehabil. Read More

ALS 246

ALS ED ICU OR 246

Paramedics World

JANUARY 12, 2024

That means an increase from 1 billion people in 2020 to about 1.4 Come 2030, about one in six people will have hit the 60+ threshold. That number will… The post The Impact of Family Communication on Elderly Patient Care appeared first on Paramedics World.

Paramedic 97

Paramedic 97

REBEL EM

APRIL 17, 2023

An extensive systematic review with more than 30,000 patients found no difference in the odds of treatment failure for patients with PTA managed with medical intervention alone or surgically (Forner 2020). 2020 Nov;163(5):915-922. Epub 2020 Jun 2. 2020, August 18). Otolaryngol Head Neck Surg. PMID: 32482146. Podcast Blog.

OR 129

OR ALS ED EMS 129

The Skeptics' Guide to EM

JULY 29, 2023

Clinical Question: How has the rate of pre-hospital spinal immobilization/spinal motion restriction changed from 2009 to 2020? In order for standards for acute management of spinal injuries to progress, we must optimize patient protection and limit harm [19]. Reference: McDonald et al.

Emergency Medical Services 188

Emergency Medical Services ALS EMS Emergency Department 188

Pediatric EM Morsels

JULY 26, 2024

2020 Feb;75:55-62. Anti-N-methyl-D-aspartate receptor encephalitis with accompanying ovarian teratoma in female patients from East China: Clinical features, treatment, and prognostic outcomes. doi: 10.1016/j.seizure.2019.12.016. 2019.12.016. Epub 2019 Dec 19. PMID: 31874360.

Plasma 269

Plasma OR ED Critical Care 269

The Skeptics' Guide to EM

JANUARY 7, 2021

I know 2020 has been a bit of a dumpster fire. I know 2020 has been a bit of a dumpster fire. Date: January 7th, 2021 Happy New Years to all the SGEMers. We have all faced challenges During the COVID19 global pandemic. I tried not to contribute to the large volume of information coming out on Sars-Cov2.

EMS 130

EMS 130

The Skeptics' Guide to EM

JANUARY 16, 2021

Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “Dr. Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “ Dr. Glaucomflecken ” on Twitter and TikTok.

ALS 130

ALS Emergency Department EMS ED 130

EMCrit Project

OCTOBER 13, 2023

Most of these guidelines are consistent with the 2020 World Brain Death Project, so […] EMCrit Project by Josh Farkas. Instead of a tweetorial, I'll jot my thoughts here, so they're accessible to everyone. Disclaimer: the following discussion applies only to adult medicine.

105

105