The Skeptics' Guide to EM

AUGUST 24, 2024

Date: August 19, 2024 Reference: Partyka et al. Case: A 67-year-old male presents to your hospital emergency department (ED) after a fall from his bicycle. The evidence was not robust enough back in 2021 to confidently use this potential tool. Reference: Partyka et al. We have covered rib fractures twice on the SGEM.

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Emergency Department ALS OR ED 127

EMDocs

AUGUST 22, 2024

6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. 6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. One cohort study in a public ED found that 84.5%

Emergency Department 82

Emergency Department ALS E-9-1-1 ED 82

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP).

EMR 130

EMR Coronary Defibrillator Life Support 130

Core EM

JULY 23, 2024

2021, [link]. 2021, [link] Shen, J, et al. 2020, [link] Shen, J, et al. Sci Rep 11, 6162 (2021). MIT News | Massachusetts Institute of Technology, [link] Centers for Disease Control and Prevention, Centers for Disease Control and Prevention. Radiation Emergencies. Hryhorczuk D, Theobald JL. Radiation injuries.

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ALS OR Emergency Department ED 130

The Skeptics' Guide to EM

FEBRUARY 27, 2021

Date: February 18th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Brichko et al. Date: February 18th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. AEM Feb 2021.

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Emergency Department ALS ACS ED 130

The Skeptics' Guide to EM

JANUARY 23, 2021

Date: January 20th, 2021 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Reference: Pines et al. AEM January 2021 Case: A 50-year-old male presents to the Emergency Department (ED) with left lower quadrant abdominal pain.

ED 130

ED ALS Emergency Department OR 130

The Skeptics' Guide to EM

JANUARY 8, 2022

Date: December 28th, 2021 Reference: Kulvatunyou et al. November 2021. Date: December 28th, 2021 Reference: Kulvatunyou et al. November 2021. Case: A 43-year-old male presents to your emergency department (ED) the day after being involved in an all-terrain vehicle (ATV) accident. November 2021.

ALS 130

ALS Emergency Department Paramedic OR 130

The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. Date: March 31st, 2022 Reference: Butt et al. Lauren won the 2021 SAEM FOAMed Excellence in Education Award. Case: A 15-year-old male presents to the pediatric emergency department (ED) with right ankle pain sustained while twisting his ankle during dance practice.

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Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

AUGUST 21, 2021

Date: August 19th, 2021 Reference: Pantell et al. Pediatrics 2021 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Date: August 19th, 2021 Reference: Pantell et al. Evaluation and management of well-appearing febrile infants 8 to 60 days old.

Emergency Department 130

Emergency Department ALS OR ED 130

Broome Docs

DECEMBER 9, 2023

Is it a good idea to keep geriatric patients in the ED overnight? Are you being irradiated by the portable Xray machines in your ED? Roussel M, Teissandier D, Yordanov Y, et al. 2021 Jun 15;72(12):2095-2100. PMID: 36755492 Freeman JJ, Asfaw SH, Vatsaas CJ, et al. How good is my intuition about PE diagnosis?

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Emergency Department ALS ED 120

The Skeptics' Guide to EM

APRIL 17, 2021

Date: April 16th, 2021 Guest Skeptic: Dr. Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. Reference: Schuh et al. Reference: Schuh et al. Background: Asthma is a common presenting complaint for children in the ED.

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Emergency Department ALS ED 130

The Skeptics' Guide to EM

JUNE 26, 2021

Date: June 25th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Chinnock et al. Date: June 25th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary.

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Emergency Department ED ALS OR 100

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. JAMA Sept 2021. JAMA Sept 2021. He had been admitted the night before for a new diagnosis of rapid atrial fibrillation.

Epinephrine 100

Epinephrine Critical Care Emergency Department Life Support 100

FOAMcast

SEPTEMBER 6, 2023

Apple Podcasts , Spotify , Listen Here Alcohol-related emergency department (ED) visits are common – estimated to be comprise nearly 4% of all ED visits and up to 6% of hospitalizations. Historically, EDs have had little engagement in harm reduction around alcohol use disorder (AUD) and provision of medication for AUD.

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Emergency Department ALS ED OR 52

The Skeptics' Guide to EM

JUNE 5, 2021

Date: May 25th, 2021 Guest Skeptic: Dr. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine. References: * Suzuki et al. JAMA 2021 * Zi et al. He also works at an urgent care and a rural critical access hospital.

ALS 130

ALS Emergency Department ED 130

REBEL EM

NOVEMBER 15, 2023

However, data is limited in ED patients. The ED AWARENESS study found a 2.6% “The ED-AWARENESS study: A prospective, observational cohort study of awareness with paralysis in mechanically ventilated patients admitted from the emergency department.” 2021): 532-544. References Pappal, Ryan D.,

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Emergency Department ED EMS ALS 104

Don't Forget the Bubbles

JULY 3, 2024

Lastly, in this month’s issue of JAMA Pediatrics, Gemmill et al. Saranti A, et al. Barlabà A, et al. Nemetz ETA, et al. Kusumi K, et al. Crawford CM, et al. Fundora MP, et al. Roby PR, et al. Jenssen BP, et al. Auger N, et al. Brewster RCL, et al. Forster CS, et al.

ALS 105

ALS ED OR EMS 105

The Skeptics' Guide to EM

JUNE 12, 2021

Date: June 11th, 2021 Guest Skeptic: Dr. Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Reference: McLaren SH, et al. Date: June 11th, 2021 Guest Skeptic: Dr. Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC.

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Emergency Department ALS ED OR 100

ALiEM

APRIL 12, 2023

Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. 20 – Local Anesthetics, Ed(s): Hugh C. Disinfectants and Cleaning Solutions for Ultrasound Systems and Transducers [PDF]. Preparation and Evaluation of Polymer-Based Ultrasound Gel and Its Application in Ultrasonography. 2022 Jan 6;8(1):42. doi: 10.3390/gels8010042.

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Emergency Department ALS ED 258

EMDocs

DECEMBER 19, 2023

In: Marx JA, Hockenberger RS, Biros MH, et al., McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. In: Tintinalli JE, Ma O, Yealy DM, Meckler GD, Stapczynski J, Cline DM, Thomas SH. McGraw Hill; 2020.

First Aid 92

First Aid ED OR ALS 92

The Skeptics' Guide to EM

MARCH 12, 2022

Date: March 3rd, 2022 Reference: Macnow et al. JAMA Pediatrics 2021 Guest Skeptic: Dr. Catherine Varner is an Assistant Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. Date: March 3rd, 2022 Reference: Macnow et al.

Emergency Department 100

Emergency Department ED ALS OR 100

Core EM

MARCH 12, 2024

2021, [link]. 2021, [link] Shen, J, et al. 2020, [link] Shen, J, et al. Sci Rep 11, 6162 (2021). MIT News | Massachusetts Institute of Technology, [link] Centers for Disease Control and Prevention, Centers for Disease Control and Prevention. Radiation Emergencies. Hryhorczuk D, Theobald JL. Radiation injuries.

ALS 130

ALS OR Emergency Department ED 130

ALiEM

SEPTEMBER 27, 2023

Hoffman et al. Koppaka V, Thompson DC, Chen Y, et al. Updated 2021 Nov 1]. 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. Pharmacol Rev. 2012 Jul;64(3):520-39. PMID: 22544865. Disulfiram.

ALS 169

ALS OR ED 169

The Skeptics' Guide to EM

APRIL 16, 2022

Date: April 16th, 2022 Reference: Blom et al. BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Date: April 16th, 2022 Reference: Blom et al. Tricoci et al. Reference: Blom et al.

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Emergency Department ALS OR ED 100

ALiEM

NOVEMBER 29, 2023

Published 2021 Sep 17. PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. PMID: 36148197 Love JS, Levine M, Aldy K, et al. PMID: 37014353 Ball NS, Knable BM, Relich TA et al. How do you treat xylazine toxicity? MMWR Morb Mortal Wkly Rep. 2023;15(3):e36864.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

The Skeptics' Guide to EM

SEPTEMBER 4, 2021

Date: August 31st, 2021 Reference: McLean et al. AEM Sept 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Date: August 31st, 2021 Reference: McLean et al. AEM Sept 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: McLean et al.

Emergency Department 100

Emergency Department ALS OR ED 100

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. Date: August 12th, 2021 Reference: Daya et al. This was a critical appraisal of an observational study published in Annals of EM ( Kawano et al 2018 ). Reference: Daya et al. first appeared on The Skeptics Guide to Emergency Medicine.

CPR 130

CPR BLS ALS Paramedic 130

The Skeptics' Guide to EM

DECEMBER 18, 2021

Date: December 13th, 2021 Reference: Lee et al. Date: December 13th, 2021 Reference: Lee et al. She has worked in five EDs so far, and a man has filled almost every leadership position. Addressing gender inequities: Creation of a multi-institutional consortium of women physicians in academic emergency medicine.

Emergency Department 100

Emergency Department ALS ED OR 100

The Skeptics' Guide to EM

MARCH 13, 2021

Date: March 11th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Ohio. Reference: Post et al. Lancet 2021 Case: You’re […] The post SGEM#322: TXA for SAH – Won’t Stop Me Now first appeared on The Skeptics Guide to Emergency Medicine. Reference: Post et al.

ALS 100

ALS Emergency Department ED OR 100

Dr. Smith's ECG Blog

DECEMBER 5, 2023

An ECG was perfomed on arrival to our ED: NSR with ST elevation II,III, aVF with reciprocal depression in aVL Would you refer this pediatric patient for emergent PCI? Pediatric cardiology performed a bedside echo in ED with EF estimation of 60%, no pericardial effusion, and no regional wall motion abnormalities. Epub 2021 Jul 7.

Coronary 116

Coronary CAD ACS ALS 116

Don't Forget the Bubbles

JANUARY 1, 2024

Data collected from 2002 to 2021 revealed a 72% decline in IPD incidence among children (<18 years), with continued reductions after the transition from PCV7 to PCV13. During the COVID-19 pandemic (2020-2021), the incidence of IPD reached its lowest level in 20 years. Musolino AM, et al. Chidini G, et al. 2023 Dec 22.

ALS 98

ALS OR ED 98

The Skeptics' Guide to EM

SEPTEMBER 17, 2022

Date: September 16th, 2022 Reference: Gerlier C, et al. AEM 2021 Guest Skeptic: Dr. Peter Johns has been practicing emergency medicine since 1985 and has been passionate about vertigo education for the last two […] The post SGEM#376: I Wonder Why She Ran Away from the HINTS Exam first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS Emergency Department OR ED 130

The Skeptics' Guide to EM

JANUARY 16, 2021

Date: January 5th, 2021 Reference: Shipman et al. Date: January 5th, 2021 Reference: Shipman et al. In the emergency department (ED), tetracaine drops are applied prior to slit lamp examination and the pain is completely resolved. He tried some over-the-counter red eye drops that did not seem to work.

ALS 130

ALS Emergency Department EMS ED 130

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. 2021 Nov 1;274(5):e435-e442.

ACPE 88

ACPE ALS OR ED 88

The Skeptics' Guide to EM

MAY 22, 2021

Date: May 21st, 2021 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Reference: Varner et al. AEM May 2021 Case: A 32-year-old female presents with headache after a low-speed motor vehicle collision as a restrained driver.

Emergency Department 130

Emergency Department ED ALS OR 130

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. Thus, the survey included data for about one-third of all patients seen in US ED’s in 2022. 1 Boarding time increases led to unprecedented ed walkaway rates.

Emergency Department 52

Emergency Department ED EMS ALS 52

This Podcast Will Kill You

NOVEMBER 27, 2023

Global programme to eliminate lymphatic filariasis: progress report, 2021– Weekly Epidemiological Record , 97 (41), pp.513-524. Brown, Amanda MV, et al. Ferri, Emanuele, et al. Gerth, Michael, et al. Kaur, Rupinder, et al. 2021): 879-893. Quek, Shannon, et al. 2021): 3-23. and Nutman, T.B.,

E-9-1-1 52

E-9-1-1 ALS ED 52