REBEL EM

NOVEMBER 21, 2024

A parent presents to the ED with their 6-week-old infant for evaluation of a fever. In: Tintinalli JE, Ma OJ, Yealy DM, et al., McGraw Hill; 2020:(Ch) 119. McGraw Hill; 2020:(Ch) 119. The infant was born full term and has no other symptoms. Evaluation and management of well-appearing febrile infants 8 to 60 days old.

ALS 59

ALS ED EMS 59

EMDocs

JUNE 16, 2023

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 52

EMDocs

SEPTEMBER 25, 2023

However, RSI has never been shown to reduce the risk of aspiration in the ED (13) or during emergent OR cases (14). While RSI should remain the gold standard in the vast majority of patients in the ED, FI presents an additional technique to mitigate anatomic or physiologic risk. To date, ketamine has been the agent of choice (12).

ED 65

ED Emergency Department ALS Paramedic 65

REBEL EM

JUNE 5, 2023

These statistics make the ED a crucial treatment initiation point to prevent further morbidity and mortality from opioid overdoses. The benefit of accessibility, availability, and safety of buprenorphine compared to methadone makes it a viable option for opioid use disorder treatment initiation in the ED. PMID 33392580.

Naloxone 98

Naloxone ED Overdose Emergency Department 98

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. Background: Pain is one of the most frequent reasons to attend an ED. of all ED visits resulting in 2.6

Emergency Department 130

Emergency Department ALS ED OR 130

REBEL EM

MAY 20, 2024

A 67-year-old woman with a history of atrial fibrillation on apixaban presents to the ED for epistaxis that began 30 minutes ago. Post TW, ed. 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. UpToDate Inc.

ALS 59

ALS ED EMS 59

The Skeptics' Guide to EM

MAY 2, 2020

Date: April 24th, 2020 Reference: Watanabe et al. This is Bob’s eleventh visit […] The post SGEM#291: Who’s Gonna Drive you to…the ED – with Lights & Sirens? This is Bob’s eleventh visit […] The post SGEM#291: Who’s Gonna Drive you to…the ED – with Lights & Sirens? Date: April 24th, 2020 Reference: Watanabe et al.

ED 100

ED Ambulance Medical Transportation EMS 100

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 8, 2023

Date: July 6, 2023 Reference: Hanula R et al. Date: July 6, 2023 Reference: Hanula R et al. Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. JAMA Int Med 2023. JAMA Int Med 2023.

ALS 237

ALS Emergency Department EMS ED 237

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

The Skeptics' Guide to EM

OCTOBER 1, 2022

Date: September 28th, 2022 Reference: Hartford et al. Date: September 28th, 2022 Reference: Hartford et al. Patients with migraines often present to the ED looking for pain relief. Brown et al , Selbst and Clark ). Reference: Hartford et al. AEM September 2022. AEM September 2022. AEM September 2022.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

OCTOBER 14, 2023

Reference: Brennan L et al. Reference: Brennan L et al. Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. 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. A prospective study.

Life Support 221

Life Support Advanced Life Support Emergency Department ALS 221

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. problem drinking has reached a steady state.

Emergency Department 98

Emergency Department ALS ED OR 98

The Skeptics' Guide to EM

JULY 29, 2023

Date: July 21, 2023 Reference: McDonald et al. Date: July 21, 2023 Reference: McDonald et al. Another core element of emergency department (ED) and pre-hospital care is the assessment for potential spinal injuries [1,2]. Reference: McDonald et al. We have also covered concussions ( SGEM#112 , SGEM#331 , and SGEM#362 ).

Emergency Medical Services 193

Emergency Medical Services ALS EMS Emergency Department 193

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

OCTOBER 27, 2023

DeBoer 2020] Now seen as industry standard in pediatric emergency care. Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. K 2020] In Mexican children, the Broselow differed from actual weight by <10% in 46-64% of patients. Came out in 1986. and Seaver, M.

E-9-1-1 269

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

EMDocs

JUNE 3, 2023

The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room.

ED 54

ED Operating Room ALS Frozen Plasma 54

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

The Skeptics' Guide to EM

JUNE 13, 2020

Date: June 9th, 2020 Guest Skeptic: Dr. Chris Bond is an Emergency Medicine Physician and Assistant Professor at the University of Calgary. Reference: Westafer et al. Date: June 9th, 2020 Guest Skeptic: Dr. Chris Bond is an Emergency Medicine Physician and Assistant Professor at the University of Calgary. AEM June 2020.

Emergency Department 130

Emergency Department ED ALS OR 130

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

NOVEMBER 20, 2021

Date: November 16th, 2021 Reference: Hammouda et al. Date: November 16th, 2021 Reference: Hammouda et al. You wonder if any emergency department (ED)-based interventions would help her and people like her be safe. Close to three million adults aged 65 and over visit American EDs annually after a fall [1].

ALS 130

ALS ED Emergency Department OR 130

The Skeptics' Guide to EM

JULY 30, 2022

Date: July 28th, 2022 Reference: Brower et al. Date: July 28th, 2022 Reference: Brower et al. Case: A 63-year-old woman presents to your emergency department (ED) with two-day history of nausea, vomiting and constipation. Reference: Brower et al. She is also the creator of all those wonderful Paper in a Pictures.

ALS 130

ALS ED Emergency Department EMS 130

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. Additionally, BMS has missed a few cases of bacterial meningitis.

OR 130

OR Emergency Department ALS ED 130

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

EMDocs

NOVEMBER 7, 2023

For more on the ED evaluation of diverticulitis, please see Part 1. 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. 2020 Mar 30:S1542-3565(20)30426-2.

ACPE 88

ACPE ALS OR ED 88

REBEL EM

MARCH 11, 2024

In: Tintinalli JE, Ma OJ, Yealy DM, et al., McGraw-Hill; 2020:(Ch) 89. Acute tubular necrosis Membranoproliferative glomerulonephritis Renal papillary necrosis Renal vein thrombosis References Counselman FL. Rhabdomyolysis. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide.

Emergency Department 59

Emergency Department ED ALS EMS 59

ALiEM

JANUARY 29, 2024

Case Question: What treatments can you perform in the ED for this diagnosis and do they improve outcomes? Nedelmann, Matt et al. 2015;46:2322–2324 [link] Smith, Austin T et al. 39,1 (2020): 197-202. This has the potential to expedite consultations with specialty teams and treatment. Ultraschall Med. Epub 2012 Sep 21.

ALS 161

ALS ED OR 161

Core EM

JULY 23, 2024

2021, [link] Shen, J, et al. 2020, [link] Shen, J, et al. 2020, [link] Tsujiguchi, T., Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Elsevier; 2018:(Ch) 138. Ionizing Radiation Injuries and Illnesses: Ensuring Patient Safety and Self-Preservation.” 2017, [link] Lopez AM, Stephani JA. Sakamoto, M.

ALS 130

ALS OR Emergency Department ED 130

ALiEM

JUNE 5, 2023

ED providers are only exposed in these cases if they have direct contact with drainage from open wounds while not using PPE or there is concern for aerosolization of spores For inhalational anthrax exposure, AVA should be given in combination with antimicrobials (ciprofloxacin or doxycycline) for 60 days. Published 2020 May 12.

ALS 256

ALS OR ED 256

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

The Skeptics' Guide to EM

JUNE 6, 2020

Date: June 2nd, 2020 Reference: Permpikul et al. Date: June 2nd, 2020 Reference: Permpikul et al. Case: It’s another day in your emergency department (ED). The triage nurse places a 61 year-old-man with fever, hypotension, cough into the smallest room in the ED. Reference: Permpikul et al.

EMR 130

EMR ALS ICU Emergency Department 130

REBEL EM

JANUARY 23, 2023

Article: Abella BS et al. Ann Emerg Med 2020. Key Secondary Endpoints: 5 (3.9%) patients in the IV cetirizine group returned to any ED or clinic within 24 hours compared to 15 (11.1%) in the IV diphenhydramine group; P=0.04 The effectiveness of IV cetirizine was determined to be statistically non-inferior. PMID: 14767453.

Allergic Reaction 52

Allergic Reaction ED E-9-1-1 Emergency Department 52

The Skeptics' Guide to EM

APRIL 17, 2021

Reference: Schuh et al. Reference: Schuh et al. JAMA Nov 2020 Case: A four-year-old girl with a known history of asthma presents to your emergency department (ED) after a one-day history of runny nose and cough. Background: Asthma is a common presenting complaint for children in the ED.

Emergency Department 130

Emergency Department ALS ED 130

Don't Forget the Bubbles

JULY 19, 2023

Olivia, a previously well 13-year-old girl, is referred to the paediatric ED from the Ophthalmology ED. When they examined her and found that she had enlarged optic discs, they sent Olivia to the ophthalmology ED. This data was collected over a five-year period (2016-2020) had true papilloedema. 2023 and Kovarik et al.,

ALS 98

ALS Emergency Department ED OR 98

The Skeptics' Guide to EM

DECEMBER 5, 2020

Date: November 30th, 2020 Reference: Ohle R et al. AEM 2020 Guest Skeptic: Dr. Mary McLean is an Assistant Program Director at St. Date: November 30th, 2020 Reference: Ohle R et al. AEM 2020 Guest Skeptic: Dr. Mary McLean is an Assistant Program Director at St. Reference: Ohle R et al.

ALS 100

ALS Emergency Department ED OR 100

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Reference: Cashen K, Reeder RW, Ahmed T, et al. Reference: Cashen K, Reeder RW, Ahmed T, et al. Case: A 6-month-old boy presents to the emergency department (ED) with three days of worsening cough, cold symptoms, and fever. Background: We often manage patients in cardiac arrest in the ED or the intensive care unit (ICU).

CPR 130

CPR ICU Critical Care Defibrillator 130

ACEP Now

NOVEMBER 7, 2024

The emergency department (ED) was frequently overwhelmed by suicidal adolescents who needed inpatient psychiatric treatment but couldn’t be admitted, because the hospital had no free beds. Many sought help from EDs, which were not and are not set up to provide involved care for such problems.

ED 59

ED Emergency Department ALS OR 59