2021 - Paramedicine Now

Summer Penile Syndrome

Pediatric EM Morsels

SEPTEMBER 8, 2023

McGraw Hill; 2021. PMID: 24199728. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed September 06, 2023. link] Smith GA, Sharma V, Knapp JF, Shields BJ.

EMS

EMS ED OR

Pseudoparalysis of Parrot

Pediatric EM Morsels

JANUARY 19, 2024

In 2021 there were almost 177,000 cases of syphilis. CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. 2017.07.048 Sexually transmitted disease surveillance, 2021. July 22, 2021. [Kocher 1996, Pereira 2017] Syphilis is on the rise in the US. The Journal of Pediatrics. April 11, 2023.

Plasma

Plasma OR EMS ED

EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update

Emergency Medicine Cases

JANUARY 18, 2022

The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.

EMS

EMS Epinephrine

Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

AUGUST 4, 2023

England, 2021) The third portion of the duodenum courses between the SMA and the aorta, which can lead to external compression of the duodenum. England, 2021) In SMA syndrome the angle is decreased to < 22 o and the normal distance <8 mm. England, 2021) This condition is often attributed to rapid weight loss.

E-9-1-1

E-9-1-1 ED OR EMS

Ep 187 Crashing Anaphylaxis – AMAX4 Algorithm and The Max McKenzie Case

Emergency Medicine Cases

SEPTEMBER 26, 2023

The tragic death of his son Ben McKenzie at the age 15 from hypoxic respiratory arrest as a result of anaphylaxis and asthma in 2021 has led Dr. McKenzie on a mission to prevent deaths from anaphylaxis and asthma by educating emergency providers around the world using his AMAX4 algorithm as a framework.

EMS

High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

FEBRUARY 9, 2024

This is endorsed in the 2022 ACC pathway [1] and the 2021 AHA chest pain guidelines [7]. 2021 May 14;42(19):1908] [published correction appears in Eur Heart J. 2021 May 14;42(19):1925] [published correction appears in Eur Heart J. 2021 May 13;:]. 2021 Jun 22;143(25):e1118]. 2021 Nov 30;144(22):e455].

E-9-1-1

E-9-1-1 ED Coronary ALS

Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

JULY 19, 2024

2021 Aug;147:110807. Epub 2021 Jun 24. 2021 Aug;147:110802. Epub 2021 Jun 12. Resources Konanur A, McCoy JL, Shaffer A, Kitsko D, Maguire R, Padia R. Detecting coagulopathy in pediatric patients with post-tonsillectomy hemorrhage. Int J Pediatr Otorhinolaryngol. doi: 10.1016/j.ijporl.2021.110807. 2021.110807. 2021.110802.

E-9-1-1

E-9-1-1 Epinephrine Emergency Department OR

SAEM Clinical Images Series: A Rare Pediatric Scalp Rash

ALiEM

APRIL 10, 2023

Updated 2021 Jun 30]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2021 SAEM Annual Meeting | Copyrighted by SAEM 2021 – all rights reserved. References Diaz-Frias J, Badri T. doi: 10.1111/j.1087-0024.2004.00827.x.

OR

ECG Week 21st July 2021 Interpretation

EMergucate

JULY 21, 2021

A 52 year old female referred by their GP with abnormal biochemistry results. Below is the patients ECG: Describe and … Continue reading →

Stercoral Colitis

Core EM

JANUARY 25, 2024

StatPearls Publishing; 2021. Accessed August 17, 2021. Stercoral Colitis. In: StatPearls. link] Hudson J, Malik A. A fatal faecaloma stercoral colitis: a rare complication of chronic constipation. BMJ Case Reports. Published online September 3, 2015:bcr2015211732.

E-9-1-1

E-9-1-1 OR

ECG of the Week – 12th May 2021

EMergucate

MAY 11, 2021

3 y/o boy admitted via ED for viral induced wheeze as he was requiring ongoing bronchodilator therapy and supplemental oxygen. … Continue reading →

ED

ECG of the Week 19th May 2021

EMergucate

MAY 16, 2021

A 58 year old male presents to ED complaining of a headache and weakness to his left side. The following … Continue reading →

ED

ECG of the Week- 23rd June 2021

EMergucate

JUNE 18, 2021

33 y/o female presented with 6 hours history of palpitations and dyspnea. She denied any chest pain. Her Blood … Continue reading →

ECG of the Week – 7th July 2021

EMergucate

JULY 6, 2021

You have been asked to review an ECG for a 57 year old lady who has presented with chest heaviness … Continue reading →

EMS

ECG of Week – 14th July 2021 – Interpretation

EMergucate

JULY 14, 2021

47 y/o male presented with upper abdominal pain. A routine ECG was performed. Describe and interpret the ECG? Interpretation: … Continue reading →

ECG of the Week 4th August 2021

EMergucate

AUGUST 4, 2021

A 60 year old male presents with an overdose. Below is the patients ECG: Describe and interpret the ECG What … Continue reading →

Overdose

ECG of the Week 18th August 2021

EMergucate

AUGUST 18, 2021

A 65 year old male presents with SOB over the last 2 days. The patient has a background of diabetes … Continue reading →

ECG of the Week 22nd September 2021

EMergucate

SEPTEMBER 22, 2021

A 50 year old male presents to ED after being found in a park. Below is the patients ECG: Describe … Continue reading →

ED

Travel-Related Illnesses in Children

Pediatric EM Morsels

FEBRUARY 2, 2024

Abdel-Haq 2021). Travel dates can help to exclude certain infections by their incubation periods (Abdel-Haq 2021) Physical examination can sometimes reveal concerning features including hepatomegaly , jaundice or a rash that may guide differential. A study of swiss tourists found they compromised 53.4%

E-9-1-1

E-9-1-1 ED OR Emergency Department

SAEM Clinical Images Series: Back Yard Football Injury

ALiEM

AUGUST 7, 2023

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2021 SAEM Annual Meeting | Copyrighted by SAEM 2021 – all rights reserved. Patients with a previous history of sternoclavicular dislocation are at higher risk of developing thoracic outlet syndrome.

Emergency Department

Emergency Department OR EMS ED

ECG of the Week – 12th May 2021 – Interpretation

EMergucate

MAY 15, 2021

3 y/o boy admitted via ED for viral induced wheeze as he was requiring ongoing bronchodilator therapy and supplemental oxygen. … Continue reading →

ED

ECG of the Week – 19th May 2021 Interpretation

EMergucate

MAY 18, 2021

A 58 year old male presents to ED complaining of a headache and weakness to his left side. The following … Continue reading →

ED

ECG of the Week – 2nd June 2021 -Answer

EMergucate

JUNE 3, 2021

56 y/o male with 2 hours history of chest pain. He has a past medical history of HTN and smoking. … Continue reading →

ECG of the Week 9th June 2021 Interpretation

EMergucate

JUNE 9, 2021

86 year old male with a background of CRF, PPM and AF presents to ED with SOB Answer Rate: Ventricular … Continue reading →

ED

ECG of the Week – 16th June 2021 – Interpretation

EMergucate

JUNE 16, 2021

You’re reviewing a 44 year old obese patient whose wife has noticed that he is breathing abnormally at night time. … Continue reading →

ECG of the Week – 23rd June 2021 – Interpretation

EMergucate

JUNE 23, 2021

33 y/o female presented with 6 hours history of palpitations and dyspnea. She denied any chest pain. Her Blood pressure … Continue reading →

ECG of the Week – 30th June 2021 – Interpretation

EMergucate

JUNE 30, 2021

A 70 year old male presents with SOB and neck pain. An ECG is done: Describe and Interpret the ECG … Continue reading →

ECG of the Week 28th July 2021 – Interpretation

EMergucate

JULY 27, 2021

You are reviewing the ECG of a 65 year old man who has presented with a one week history of chest tightness and shortness of breath. He has a background history of Type 2 Diabetes and had x2 corona…

ECG of the Week 11th August 2021 – Interpretation

EMergucate

AUGUST 11, 2021

You are reviewing a patient that has been woken from sleep by central chest pain, with associated shortness of breath … Continue reading →

ECG of the Week – 29th September 2021 – Interpretation

EMergucate

SEPTEMBER 29, 2021

The following ECG is from an 83 year old lady who has presented with new renal impairment following a fall (Na 134 K5.4 Cr 164 from a baseline of 110).

ECG of the Week 13th October 2021 – Answer

EMergucate

OCTOBER 13, 2021

A 60 year old female presents to ED after a heroin OD. The patient has a background of COPD and … Continue reading →

ED

ECG of the Week – 20th October 2021 – Interpretation

EMergucate

OCTOBER 19, 2021

The ECG below is from a 66 year old diabetic man who has presented with sepsis. Interpretation Rate: 72 Rhythm: … Continue reading →

ECG of the Week 29 December 2021 – Answer

EMergucate

DECEMBER 29, 2021

A 78 year old male presents to ED complaining of chest pain. He has a PPM and ICD in situ. Below are 2 ECG’s of the patient while he is in ED.

ED

ED EMS

SAEM Clinical Images Series: Pediatric Genitourinary Bleeding

ALiEM

NOVEMBER 17, 2023

link] Published 2021. link] Published 2021. Laufer M, Emans S. Overview of vulvovaginal conditions in the prepubertal child. Uptodate.com. Accessed January 5, 2022. Evaluation of vulvovaginal bleeding in children and adolescents. Uptodate.com. Accessed January 5, 2022.

Emergency Department

Emergency Department OR

SAEM Clinical Images Series: Below the Chin, Badness Lies Within

ALiEM

SEPTEMBER 20, 2024

2021 Oct;21(5):442-444. doi: 10.1136/practneurol-2021-002928. Epub 2021 May 7. A thorough investigation of associated symptoms is imperative as these may represent sequelae of septic emboli. References Foo EC, Tanti M, Cliffe H, Randall M. Lemierre’s syndrome. Pract Neurol. PMID: 33963085. J Clin Microbiol.

Emergency Department

Emergency Department OR

Typhoid Fever in Children

Pediatric EM Morsels

OCTOBER 6, 2023

The most common countries of acquisition were Bangladesh, India, Nepal, and Pakistan (Forster 2021) For travelers, the peak incidence occurs at age 10 and those who are visiting to their country of birth. Rauniyar 2021) Up to 10% of patients may present with constipation as opposed to diarrhea. Shah 2021).

OR

OR EMS ED

Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

APRIL 5, 2024

Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Frean 2019) The classic triad described is fever, eschar and rash. Silva-Ramos 2021) Fever and a characteristic eschar (tache noir) are seen 90% of the time.

E-9-1-1

E-9-1-1 ALS OR EMS

EM Journal Update: Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma

Core EM

JANUARY 25, 2024

2021 Background Prehospital trauma team activation criteria allow for prompt mobilization of personnel and resources. Read More PEMCAR iBook (Apple version) PEMCAR iBook (PDF) EMCAR – Prehospital Traumatic Narrow Pulse Pressure – J Surg Res 2021 Read More Prehospital hypotension is one of those criteria.

Operating Room

Operating Room EMS ED ICU

SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

The Skeptics' Guide to EM

APRIL 20, 2024

The evidence was not robust enough back in 2021 to confidently use this potential tool. An attempt was made to externally validate this tool in New Zealand by Murkerji et al 2021 [4]. Background: We have covered rib fractures once before on the Skeptics’ Guide to Emergency Medicine.

Emergency Department

Emergency Department Overdose ALS ED

Vegan Diets in Children

Pediatric EM Morsels

MAY 5, 2023

Vegan Diets in Children: Basics Vegan Diets avoid/prohibit consumption of any animal products Exclusion of meat, eggs, honey, dairy products, etc This is often adopted due to heightened concern of animal maltreatment, but also for religious reasons or health benefits Roughly 2-5% of Western nation populations follow a vegan based diet (Sutter, 2021) (..)

E-9-1-1

E-9-1-1 OR EMS

Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

JUNE 2, 2023

2021 Nov 29;92(S7):e2021518. Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Update on Food protein-induced enterocolitis syndrome (FPIES). Acta Biomed. doi: 10.23750/abm.v92iS7.12394.

Emergency Department

Emergency Department ALS EMS OR

Ultrasound Diagnosis of Necrotizing Soft Tissue Infections

Core EM

JANUARY 25, 2024

Updated 2021 Jul 27]. Role of early and extensive surgery in the treatment of severe necrotizing soft tissue infection. Br J Surg 1993; 80:1190–1191. Wallace HA, Perera TB. Necrotizing Fasciitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.

E-9-1-1

E-9-1-1 Emergency Department OR

SGEM#351: How to Stop Geriatrics from Free Fallin’

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Date: November 16th, 2021 Reference: Hammouda et al. AEM November 2021 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: November 16th, 2021 Reference: Hammouda et al.

ALS

ALS ED Emergency Department OR

EM Cases Summit Video Streaming Package Now Available

Emergency Medicine Cases

FEBRUARY 8, 2023

All the main stage talks of both the 2023 and 2021 Summits are now available for video streaming, on your own time, for a limited time only thru emcasessummit.com. Plus you get the 2023 and 2021 eBooks summarizing the talks as a bonus. If you missed The EM Cases Summit '23, no worries, we've got you covered! New EM Cases swag too.

EMS

Summer Penile Syndrome

Pseudoparalysis of Parrot

Trending Sources

EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update

Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Ep 187 Crashing Anaphylaxis – AMAX4 Algorithm and The Max McKenzie Case

High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

Post-Tonsillectomy Hemorrhage: ReBaked Morsel

SAEM Clinical Images Series: A Rare Pediatric Scalp Rash

ECG Week 21st July 2021 Interpretation

Stercoral Colitis

ECG of the Week – 12th May 2021

ECG of the Week 19th May 2021

ECG of the Week- 23rd June 2021

ECG of the Week – 7th July 2021

ECG of Week – 14th July 2021 – Interpretation

ECG of the Week 4th August 2021

ECG of the Week 18th August 2021

ECG of the Week 22nd September 2021

Travel-Related Illnesses in Children

SAEM Clinical Images Series: Back Yard Football Injury

ECG of the Week – 12th May 2021 – Interpretation

ECG of the Week – 19th May 2021 Interpretation

ECG of the Week – 2nd June 2021 -Answer

ECG of the Week 9th June 2021 Interpretation

ECG of the Week – 16th June 2021 – Interpretation

ECG of the Week – 23rd June 2021 – Interpretation

ECG of the Week – 30th June 2021 – Interpretation

ECG of the Week 28th July 2021 – Interpretation

ECG of the Week 11th August 2021 – Interpretation

ECG of the Week – 29th September 2021 – Interpretation

ECG of the Week 13th October 2021 – Answer

ECG of the Week – 20th October 2021 – Interpretation

ECG of the Week 29 December 2021 – Answer

SAEM Clinical Images Series: Pediatric Genitourinary Bleeding

SAEM Clinical Images Series: Below the Chin, Badness Lies Within

Typhoid Fever in Children

Traveling Ticks: Tickborne Illnesses and International Travel

EM Journal Update: Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma

SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

Vegan Diets in Children

Food Protein Induced Enterocolitis Syndrome (FPIES)

Ultrasound Diagnosis of Necrotizing Soft Tissue Infections

SGEM#351: How to Stop Geriatrics from Free Fallin’

EM Cases Summit Video Streaming Package Now Available

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