ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. J Am Coll Emerg Physicians Open. 2020;(5):898-907.

Emergency Department 52

Emergency Department Emergency Response ED ALS 52

REBEL EM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.

Emergency Department 98

Emergency Department ED EMR OR 98

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023.

ED 303

ED Emergency Department ALS OR 303

EMergucate

OCTOBER 20, 2020

A 50 year old woman presents to the Emergency Department complaining of a two week history of progressive limb weakness, … Continue reading →

Emergency Department 130

Emergency Department 130

EMergucate

OCTOBER 21, 2020

A 50 year old woman presents to the Emergency Department complaining of a two week history of progressive limb weakness, … Continue reading →

Emergency Department 130

Emergency Department 130

ALiEM

FEBRUARY 9, 2024

Intermediate-risk patients may be further stratified based on recent stress testing or coronary angiogram findings plus a modified HEART or Emergency Department Assessment of Chest Pain (EDACS) score. Let’s apply the ESC 2020 0/1 hour pathway [2], with some modifications based on the 2022 ACC guidelines [1]: Figure 1.

E-9-1-1 276

E-9-1-1 ED Coronary ALS 276

Core EM

JANUARY 25, 2024

link] ) Laboratory Evaluation: Clinical presentation and laboratory findings can help suggest TTP in the emergency department. 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. J Emerg Med. 2017.08.010.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. The two “COVID seasons” of 2020-21 and 2021-22 were excluded from their comparisons.

Emergency Department 85

Emergency Department ED 85

The Skeptics' Guide to EM

AUGUST 22, 2020

Date: August 18th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Diagnosing COVID-19 in the Emergency Department: A Scoping Review of Clinical Exam, Labs, Imaging Accuracy and Biases. Reference: Carpenter et al.

ACPE 130

ACPE Emergency Department ALS OR 130

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. The impact of advanced practice provider staffing on emergency department care: productivity, flow, safety, and experience. AEM November 2020.

Emergency Department 130

Emergency Department ALS ED OR 130

ALiEM

MARCH 18, 2024

Shortly after that, the finger turned purple, so she came to the Emergency Department for evaluation. 2020 Apr;87(4):194. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

Emergency Department 306

Emergency Department ED OR 306

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. Interested in Other Tricks of the Trade? Reference Goralnick E.

E-9-1-1 246

E-9-1-1 Epinephrine Emergency Department 246

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. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

OCTOBER 14, 2023

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. Time to change the reference ranges of children’s physiological observations in emergency care? He has had three days of high fevers at home. A prospective study. J Paediatr Child Health.

Life Support 221

Life Support Advanced Life Support Emergency Department ALS 221

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. doi: 10.1136/bcr-2020-240532.

E-9-1-1 152

E-9-1-1 Plasma Emergency Department OR 152

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18. Published August 5, 2020. Emergency Medicine Australasia.

Emergency Department 52

Emergency Department ED OR ALS 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The patient was rushed to the nearest emergency department (non-PCI facility) for stabilization. On arrival in the emergency department, invasive blood pressure was 35/15mmHg and the patient was in profound cardiogenic shock with severe confusion secondary to brain hypoperfusion.

Coronary 125

Coronary ACS Emergency Department Defibrillator 125

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. Int J Emerg Med. Published 2020 Feb 12.

E-9-1-1 269

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

The Skeptics' Guide to EM

OCTOBER 1, 2022

Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. AEM September 2022. AEM September 2022.

Emergency Department 130

Emergency Department ALS ED OR 130

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. 2020:8;279. West J Emerg Med. Front Public Health.

Emergency Department 98

Emergency Department ALS ED OR 98

REBEL EM

SEPTEMBER 9, 2024

A newborn boy presents to the emergency department shortly after a home delivery. Accessed August 15, 2020. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine. The mother had routine prenatal care and reports that he was due in 2 days. His heart rate is 80 bpm. 100% 21% 30% 50% References Fernandes CJ.

Emergency Department 59

Emergency Department ED EMS 59

The Skeptics' Guide to EM

AUGUST 28, 2021

Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. Case: A forty-year-old woman presents to the emergency department […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?

ED 130

ED Emergency Department ALS OR 130

ALiEM

JANUARY 12, 2024

A 42-year old Bengali man with a history of hyperlipidemia presented to the Emergency Department with facial swelling, diffuse rash, renal insufficiency and proteinuria after receiving his COVID-19 vaccine (Moderna) booster dose. He was advised to go to the Emergency Department. 2020 Feb 11;38(7):1746-1752.

Emergency Department 130

Emergency Department EMS ED 130

Pediatric EM Morsels

JULY 19, 2024

If bleeding, the only lab that is needed in the Emergency Department is a type and cross. Am J Emerg Med. 2020 Sep;38(9):1943. Epub 2020 Jan 29. CBC, coagulation panels, von Willebrand factor etc are less useful. PMID: 35988367. doi: 10.1016/j.ajem.2020.01.042. 2020.01.042. PMID: 32024591.

E-9-1-1 286

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

Pulsara

JANUARY 25, 2024

Metropolitan Emergency Medical Services (MEMS) is a public, non-profit EMS entity serving Little Rock, Arkansas, and its surrounding counties. In 2020, MEMS adopted Pulsara to improve communication with area hospitals for time-sensitive emergencies such as stroke, STEMI, and trauma.

Emergency Medical Services 109

Emergency Medical Services EMS STEMI Emergency Department 109

ALiEM

MARCH 22, 2024

A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. 2020 May 22;133(1515):119-121. Korean J Neurotrauma. 2022 Oct 24;18(2):329-334. doi: 10.13004/kjnt.2022.18.e64. PMID: 36381451; PMCID: PMC9634317. Mahawish KM, Aravind A.

Emergency Department 169

Emergency Department OR 169

The Skeptics' Guide to EM

OCTOBER 31, 2020

Date: October 29th, 2020 Guest Skeptic: Martha Roberts is a critical and emergency care, triple-certified nurse practitioner currently living and working in Sacramento, California. She writes a blog […] The post SGEM#307: Buff up the lido for the local anesthetic first appeared on The Skeptics Guide to Emergency Medicine.

Epinephrine 130

Epinephrine Emergency Department EMS ALS 130

The Skeptics' Guide to EM

JANUARY 18, 2020

Date: January 16th, 2020 Reference: Troponin Testing and Coronary Syndrome in Geriatric Patients With Nonspecific Complaints: Are We Overtesting? AEM January 2020 Guest Skeptics: Dr. James VandenBerg: James has a master’s degree in clinical investigation from Washington University in St. Reference: Wang et al.

ACS 130

ACS Coronary Emergency Department OR 130

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. AEM […] The post SGEM#295: Teacher Teacher – Tell Me How to Do It (Diagnose a PE) first appeared on The Skeptics Guide to Emergency Medicine. AEM June 2020. Reference: Westafer et al.

Emergency Department 130

Emergency Department ED ALS OR 130

The Skeptics' Guide to EM

FEBRUARY 22, 2020

Date: January 27th, 2020 Guest Skeptics: Dr. Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine. Dr. Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. ” Where does emergency medicine fit into the RCA initiative?

Emergency Department 130

Emergency Department ALS EMS OR 130

REBEL EM

DECEMBER 5, 2023

While the evidence is not strong, those who have been undertreated, experienced delays in treatment, or required multiple injections of epinephrine are more prone to experience a recurrence of symptoms ( Ellis 2007 , Liu 2020 ). A naphylaxis – Emergency Medicine Updates 2. Read More: 1. Biphasic Anaphylactic Reactions.

Epinephrine 81

Epinephrine Allergic Reaction Emergency Department Emergency Management 81

Emergency Medicine Education

AUGUST 10, 2024

I will collect data regarding utility of Steroid in Allergic reaction in this post: Emergency Department Corticosteroid Use for Allergy or Anaphylaxis Is Not Associated With Decreased Relapses ASCIA Guidelines – Acute Management of Anaphylaxis Anaphylaxis—a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, (..)

Allergic Reaction 40

Allergic Reaction Emergency Department Emergency Manager Emergency Management 40

The Skeptics' Guide to EM

JULY 29, 2023

Another core element of emergency department (ED) and pre-hospital care is the assessment for potential spinal injuries [1,2]. Clinical Question: How has the rate of pre-hospital spinal immobilization/spinal motion restriction changed from 2009 to 2020? We have also covered concussions ( SGEM#112 , SGEM#331 , and SGEM#362 ).

Emergency Medical Services 193

Emergency Medical Services ALS EMS Emergency Department 193

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. NEJM July 2020 * Population: Patients 40 years and older who experience a mild-to-moderate acute nonc.

Emergency Department 100

Emergency Department ALS OR 100

The Skeptics' Guide to EM

JULY 8, 2023

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. There was a large unblinded RCT of over 3,000 patients published in the Lancet in 2020.

ALS 237

ALS Emergency Department EMS ED 237

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. She is also the […] The post SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza first appeared on The Skeptics Guide to Emergency Medicine. JAMA Pediatr. JAMA Pediatr. JAMA Pediatr.

ICU 101

ICU Emergency Department OR 101

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