Pediatric EM Morsels

APRIL 7, 2023

References: Al Kasab S, Lynn MJ, Turan TN, Derdeyn CP, Fiorella D, Lane BF, Janis LS, Chimowitz MI; SAMMPRIS Investigators. Increase the Adult Percent! No fibrinolytic here – transfusion to help increase the percentage of adult vs sickle cell hemoglobin is treatment of choice for ischemic infarcts!

ALS 130

ALS OR Critical Care EMS 130

The Skeptics' Guide to EM

JULY 8, 2023

Date: July 6, 2023 Reference: Hanula R et al. Date: July 6, 2023 Reference: Hanula R et al. There was a large unblinded RCT of over 3,000 patients published in the Lancet in 2020. Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed.

ALS 237

ALS Emergency Department EMS ED 237

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Reference: McLatchie et al and DAShED investigators. Reference: McLatchie et al and DAShED investigators. Four studies with methodologic limitations were included in an SRMA of the ADD-RS and published in AEM 2020. [27] EMJ Nov 2023. first appeared on The Skeptics Guide to Emergency Medicine.

ED 303

ED Emergency Department ALS OR 303

REBEL EM

MARCH 6, 2024

Melatonin Farahmand S, et al. Morgenthaler TI et al; Standards of Practice Committee of the American Academy of Sleep Medicine. Dietary Guidelines for Americans, 2020-2025. December 2020. Driving Sleepy Barger LK, Cade BE, Ayas NT, et al. Green W, Gao X, Li K, et al. Published 2020 Oct 27.

ALS 105

ALS OR EMS 105

The Skeptics' Guide to EM

OCTOBER 14, 2023

Reference: Brennan L et al. Reference: Brennan L et al. That episode reviewed the 2011 Fleming et al systematic review for the normal ranges of HR and RR in children from birth to 18 years of age. Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study.

Life Support 221

Life Support Advanced Life Support Emergency Department ALS 221

The Skeptics' Guide to EM

JULY 29, 2023

Date: July 21, 2023 Reference: McDonald et al. Date: July 21, 2023 Reference: McDonald et al. Clinical Question: How has the rate of pre-hospital spinal immobilization/spinal motion restriction changed from 2009 to 2020? Reference: McDonald et al.

Emergency Medical Services 193

Emergency Medical Services ALS EMS Emergency Department 193

The Skeptics' Guide to EM

OCTOBER 10, 2020

Date: October 9th, 2020 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Reference: Friedman et al. Reference: Friedman et al. million visits each year in the USA ( Friedman et al Spine 2010 ). His twitter handle is @PainFreeED.

Emergency Department 130

Emergency Department ALS ED OR 130

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. Background: We covered oseltamivir six years ago in SGEM#98.

ALS 145

ALS OR 145

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. 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. Reference: Daya et al.

CPR 130

CPR BLS ALS Paramedic 130

The Skeptics' Guide to EM

AUGUST 22, 2020

Date: August 18th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Carpenter et al. AEM August 2020 Case: You are working in the emergency department during the […] The post SGEM#299: Learning to Test for COVID19 first appeared on The Skeptics Guide to Emergency Medicine.

ACPE 130

ACPE Emergency Department ALS OR 130

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.

ALS 130

ALS ED Emergency Department OR 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. Scully, 2012) Citations: Balduini CL, et al. Paydary, Koosha, et al. Sawler D, Parker A, Britto J, et al. Ann Hematol. 2010 Jun;89(6):591-6. J Emerg Med.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Pines et al. AEM November 2020. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Pines et al. AEM November 2020.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

JULY 18, 2020

Date: July 13th, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com. Date: July 13th, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com.

ALS 130

ALS Emergency Department OR 130

REBEL EM

MAY 20, 2024

In: Tintinalli JE, Ma OJ, Yealy DM, et al., McGraw Hill; 2020(Ch) 244. In: Tintinalli JE, Ma OJ, Yealy DM, et al., McGraw Hill; 2020:(Ch) 239. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. link] Slattery DE, Pollack CV Jr. Thrombotics and antithrombotics.

ALS 59

ALS ED EMS 59

The Skeptics' Guide to EM

MAY 30, 2020

Date: May 29th, 2020 Reference: Erramouspe et al. AEM May 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Date: May 29th, 2020 Reference: Erramouspe et al. AEM May 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

ALS 130

ALS EMS OR 130

EMDocs

NOVEMBER 13, 2024

Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. 2020 Sep-Oct;19(5):451-457. Aithal GP, Palaniyappan N, China L, et al. 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. 2020 Apr 14;12:49-60.

E-9-1-1 72

E-9-1-1 ALS OR ED 72

The Skeptics' Guide to EM

APRIL 11, 2020

Date: April 9th, 2020 Reference: Kline et al. AEM April 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: It has been a hard shift. Date: April 9th, 2020 Reference: Kline et al. Reference: Kline et al.

Emergency Department 130

Emergency Department ALS OR 130

ALiEM

OCTOBER 11, 2024

2020 Jan 28;4(2):252. Provan D, Arnold DM, Bussel JB, et al. American Society of Hematology 2019 guidelines for immune thrombocytopenia. 2019 Dec 10;3(23):3829-3866. doi: 10.1182/bloodadvances.2019000966. 2019000966. Erratum in: Blood Adv. PMID: 31794604; PMCID: PMC6963252. 2019;3(22):3780-3817. doi:10.1182/bloodadvances.2019000812

OR 152

OR ALS 152

EMDocs

NOVEMBER 7, 2023

The DIABLO trial: Daniels L, Ünlü Ç, de Korte N, et al; Dutch Diverticular Disease (3D) Collaborative Study Group. Randomized van Dijk ST, Daniels L, Ünlü Ç, et al; Dutch Diverticular Disease (3D) Collaborative Study Group. The STAND trial: Jaung R, Nisbet S, Gosselink MP, et al. Antibiotics 2020 Mar 30:S1542-3565(20)30426-2.

ACPE 88

ACPE ALS OR ED 88

EMDocs

JUNE 12, 2024

Giancarelli et al found that 97% of patients who underwent massive transfusion protocols during trauma resuscitation were hypocalcemic (iCa < 1.1 Kyle et al demonstrated that transfusing a single unit of pRBCs can lead to significant decreases in Ca. Ditzel RM, Anderson JL, Eisenhart WJ, et al. J Trauma Acute Care Surg.

ALS 89

ALS FFP Plasma Emergency Department 89

The Skeptics' Guide to EM

OCTOBER 24, 2020

Date: October 21st, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician, creator of the excellent #FOAMed project called First10EM.com and a member of the #SGEMHOP team. Reference: Derkenne et al. AEM Oct 2020. Reference: Derkenne et al. AEM Oct 2020.

CPR 130

CPR Defibrillator Advanced Life Support Emergency Medical Services 130

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. 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?

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

ALiEM

MAY 13, 2024

Study N Methods POCUS Sensitivity (95% CI) POCUS Specificity (95% CI) Conclusions Gottleib et al., Ann Emerg Med 2020 [5] 2,656 Systematic review of adult and pediatric studies 94.6% (89.4-97.4%) Lam et al., of cases* Subramaniam et al., Lam et al., of cases* Subramaniam et al., Adams et al.,

E-9-1-1 161

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

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. PMID: 34748988 Conroy AL, Hawkes M, Elphinstone RE, Morgan C, Hermann L, Barker KR, Namasopo S, Opoka RO, John CC, Liles WC, Kain KC. vivax , P. vivax and P.

ALS 278

ALS Critical Care EMS OR 278

The Skeptics' Guide to EM

OCTOBER 3, 2020

Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the Emergency Department of the Erasmus University Medical Center in Rotterdam, the Netherlands. Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al. She is the creator of the HEART Score and an enthusiastic researcher.

Emergency Department 100

Emergency Department ALS OR 100

ACEP Now

JULY 11, 2024

Deaths from drinking increased 25 percent from 2019 to 2020 and another 10 percent in 2021. The percentage of suicides while intoxicated with alcohol has increased, particularly among women, and traffic fatalities in 2020 were at their highest point in over a decade. Pilar MR, Eyler AA, Moreland-Russell S, et al. 2020:8;279.

Emergency Department 98

Emergency Department ALS ED OR 98

ALiEM

SEPTEMBER 27, 2023

Hoffman et al. Koppaka V, Thompson DC, Chen Y, et al. 2020 Feb 21;64(3): e02167-19. Encyclopedia of Toxicology (Third Edition), Academic Press. doi: 10.1016/B978-0-12-386454-3.00754-5. Goldfrank L. In: Goldfrank’ s Toxicologic Emergencies. New York, NY. McGraw-Hill. Mergenhagen KA, Wattengel BA, Skelly MK, Clark CM, Russo TA.

ALS 169

ALS OR ED 169

The Skeptics' Guide to EM

FEBRUARY 13, 2021

Reference: Mintegi S et al. Pediatrics 2020 Case: A 4-year-old immunized girl presents to the emergency department (ED) with a fever and rhinorrhea for the […] The post SGEM#319: Is it Aseptic Meningitis or More Than This? Reference: Mintegi S et al. Both patients missed were younger than 2 months old ( Nigrovic et al 2007 ).

OR 130

OR Emergency Department ALS ED 130

Don't Forget the Bubbles

NOVEMBER 6, 2024

Catassi G, et al. Marciano L, et al. Rao CK, et al. Hale L, et al. Vaičiūnas T, et al. Oberbaum M, et al. Tahir OE, et al. Jones H, et al. Vanhelst J, et al. Shadbegian R, et al. LeBlanc TT, et al. Gibbs AAM, et al. Synnes A, et al. Edwards EM, et al.

ALS 59

ALS ED OR EMS 59

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. Holmes, James F et al. Conzelmann M, Hoidis A, Bruckner T , et al. Acad Emerg Med.

Critical Care 246

Critical Care ALS OR Life Support 246

The Skeptics' Guide to EM

OCTOBER 1, 2022

Date: September 28th, 2022 Reference: Hartford et al. Date: September 28th, 2022 Reference: Hartford et al. Brown et al , Selbst and Clark ). Reference: Hartford et al. Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. AEM September 2022.

Emergency Department 130

Emergency Department ALS ED OR 130

ALiEM

JANUARY 29, 2024

Nedelmann, Matt et al. 2015;46:2322–2324 [link] Smith, Austin T et al. 39,1 (2020): 197-202. Ultraschall Med. 2012 Dec;33(7):E263-E267. doi: 10.1055/s-0032-1312925. Epub 2012 Sep 21. PMID: 23023446. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine vol. doi:10.1002/jum.15073

ALS 161

ALS ED OR 161

The Skeptics' Guide to EM

JUNE 27, 2020

Date: June 27th, 2020 I had the pleasure of presenting at the Northern Constellation Faculty Development Conference 2020 on May 8th. Date: June 27th, 2020 I had the pleasure of presenting at the Northern Constellation Faculty Development Conference 2020 on May 8th.

ALS 130

ALS OR 130

The Skeptics' Guide to EM

SEPTEMBER 12, 2020

Date: September 11th, 2020 This is an SGEM Xtra episode. Date: September 11th, 2020 This is an SGEM Xtra episode. in November of 2018, the sudden death of my “little” brother Scottie (The Moose) in February 2020 and the unexpected death our family dog Moxy (best dog every) this summer. Shanafelt et al.

Emergency Department 130

Emergency Department ALS OR 130

ALiEM

JUNE 5, 2023

Read More in the Series References Klein F, et al. Published 2020 May 12. 0000000000000446 Hendricks KA, Wright ME, Shadomy SV, et al. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. The post was peer reviewed on behalf of ACMT by Bryan Judge, Louise Kao, and Jeffrey Suchard. 2020;9(5):370.

ALS 256

ALS OR ED 256