Don't Forget the Bubbles

MAY 10, 2023

You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. Promoting hot debriefing in an emergency department. Andenæs, E.,

Emergency Department 91

Emergency Department ED OR CPR 91

The Skeptics' Guide to EM

AUGUST 24, 2024

Date: August 19, 2024 Reference: Partyka et al. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Reference: Partyka et al.

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Emergency Department ALS OR ED 127

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. References Morley, Claire, et al. PloS one 13.8

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Emergency Department ED ALS OR 52

Core EM

JANUARY 25, 2024

Patients in this trial were on relatively low doses of both dexmedetomidine and propofol and higher doses of fentanyl which may limit the ability to adequately compare the two agents well ( Hughes 2021 ). Propofol may often be preferable in the emergency department due to its rapid onset, ease of titration, and reliable capacity for sedation.

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Emergency Department ICU Critical Care ALS 246

The Skeptics' Guide to EM

AUGUST 28, 2021

Date: August 27th, 2021 Reference: Gagnon et al. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. first appeared on The Skeptics Guide to Emergency Medicine. Date: August 27th, 2021 Reference: Gagnon et al.

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ED Emergency Department ALS OR 130

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. Department of Health and Human Services.

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

Core EM

JANUARY 25, 2024

link] ) Laboratory Evaluation: Clinical presentation and laboratory findings can help suggest TTP in the emergency department. Joly, 2017; Sawler, 2020) Fresh frozen plasma (FFP) (contains ADMTS-13) may be used to supplement ADAMTS-13 if there is a delay in initiating TPE in the emergency department (i.e. Ann Hematol.

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Plasma Frozen Plasma Emergency Department FFP 246

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.

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Emergency Department ALS ACS ED 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. Case: A 25-day-old, full-term boy presents to the emergency department with fever.

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Emergency Department ALS OR ED 130

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. The PRAM was published in 2000 ( Chalut et al ) and validated in 2008 ( Ducharme et al ).

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Emergency Department ALS ED 130

The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department.

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Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. first appeared on The Skeptics Guide to Emergency Medicine. Date: September 8th, 2021 Reference: Desch et al.

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EMR Coronary Defibrillator Life Support 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

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. It’s Not Always Hammer Time first appeared on The Skeptics Guide to Emergency Medicine. Tricoci et al.

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Emergency Department ALS OR ED 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. However, recent studies have demonstrated the feasibility of ED-initiated medication for AUD, specifically naltrexone (Anderson ES et al.

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Emergency Department ALS ED OR 52

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona.

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Emergency Department EMR ICU ALS 100

The Skeptics' Guide to EM

JANUARY 8, 2022

Date: December 28th, 2021 Reference: Kulvatunyou et al. November 2021. Guest Skeptic: Dr. Chris Root is a second-year resident physician in the Department of Emergency Medicine at the University […] The post SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes first appeared on The Skeptics Guide to Emergency Medicine.

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ALS Emergency Department Paramedic OR 130

ALiEM

APRIL 12, 2023

Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. emDOCs.net – Emergency Medicine Education. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM.

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Emergency Department ALS ED 258

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. He is also the CME editor for Academic Emergency Medicine. Date: August 31st, 2021 Reference: McLean et al. Reference: McLean et al.

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Emergency Department ALS OR ED 100

Broome Docs

DECEMBER 9, 2023

Roussel M, Teissandier D, Yordanov Y, et al. Overnight Stay in the Emergency Department and Mortality in Older Patients. 2021 Jun 15;72(12):2095-2100. Risk of Radiation Exposure to Emergency Department Personnel From Portable Radiographs. J Emerg Med. Emerg Med Australas. JAMA Intern Med.

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Emergency Department ALS ED 120

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

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. first appeared on The Skeptics Guide to Emergency Medicine.

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Emergency Department ED ALS OR 100

The Skeptics' Guide to EM

DECEMBER 18, 2021

Date: December 13th, 2021 Reference: Lee et al. Addressing gender inequities: Creation of a multi-institutional consortium of women physicians in academic emergency medicine. Date: December 13th, 2021 Reference: Lee et al. Women are paid less than men, even after accounting for potential confounders [2, 8-10].

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Emergency Department ALS ED 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.

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Epinephrine Critical Care Emergency Department Life Support 100

Core EM

JULY 23, 2024

Management Emergency department treatment of radiation exposure is prioritized to treat traumatic injuries, burns, and unstable medical conditions, with simultaneous decontamination and sample collection. Radiation Emergencies. 2021, [link]. Emergency Medicine: Concepts and Clinical Practice. Radiation injuries.

ALS 130

ALS OR Emergency Department ED 130

The Skeptics' Guide to EM

DECEMBER 25, 2021

Date: December 21st, 2021 Guest Skeptic: Dr. Spencer Greaves is an Emergency Medicine resident at Florida Atlantic University. He and his wife live in Boynton Beach, FL […] The post SGEM#353: At the COCA, COCA for OCHA first appeared on The Skeptics Guide to Emergency Medicine. ” Reference: Vallentin et al.

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Epinephrine CPR ALS Emergency Department 130

The Skeptics' Guide to EM

FEBRUARY 19, 2022

Tim Graham is a Clinical Professor of emergency medicine at the University of Alberta, and Associate Chief Medical Information Officer, Edmonton Zone, of Alberta Health Services from Edmonton, Alberta. The title of the article was “Physician, heal thyself” and was in the humanities section of the October 2021 issue.

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Emergency Department ALS OR 130

The Skeptics' Guide to EM

APRIL 3, 2021

Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia.

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ALS Emergency Department OR 130

ALiEM

NOVEMBER 29, 2023

Published 2021 Sep 17. PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. Xylazine Intoxication in Humans and Its Importance as an Emerging Adulterant in Abused Drugs: A Comprehensive Review of the Literature. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. PMID: 36148197 Love JS, Levine M, Aldy K, et al.

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Naloxone Overdose ALS Epinephrine 169

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. first appeared on The Skeptics Guide to Emergency Medicine. Reference: Daya et al.

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CPR BLS ALS Paramedic 130

Dr. Smith's ECG Blog

MAY 27, 2024

Nikus et al. Curr Cardiol Red 2021 3. Kontos et al. 2022 ACC expert consensus decision pathway on the evaluation and disposition of acute chest pain in the emergency department: a report of the American College of Cardiology solution set oversight committee. Bischof et al. Am J Emerg Med 2016 5.

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STEMI Coronary ALS Emergency Department 123

REBEL EM

NOVEMBER 15, 2023

“The ED-AWARENESS study: A prospective, observational cohort study of awareness with paralysis in mechanically ventilated patients admitted from the emergency department.” ” Annals of emergency medicine 77.5 2021): 532-544. References Pappal, Ryan D.,

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Emergency Department ED EMS ALS 104

REBEL EM

FEBRUARY 12, 2024

There are greater than 2 million annual emergency department visits for suspected renal colic in the US, and Ct scanning is performed for more than 90% of patients who receive a diagnosis of kidney stone. Moore CL, Carpenter CR, Heilbrun ME, et al. Am J Emerg Med. 2021 Sep;47:70-73. Epub 2021 Mar 22.

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Emergency Department ALS ACS EMS 83

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. first appeared on The Skeptics Guide to Emergency Medicine. References: * Suzuki et al. JAMA 2021 * Zi et al.

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ALS Emergency Department ED 130

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. first appeared on The Skeptics Guide to Emergency Medicine. Reference: Varner et al. You tell her you believe she has a concussion.

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Emergency Department ED ALS OR 130

ACEP Now

MAY 10, 2024

Patients often seek care in the emergency department (ED) setting when flares of pain affect their ability to ambulate, climb stairs, or even stand up from sitting. Presentation of Knee Osteoarthritis in the Emergency Department: A Problem Worth Mentioning? 52, 196 (2021). J Emerg Med. Epub 2021 Jun 25.

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Emergency Department Ambulance ED OR 92

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. and Physicians first appeared on The Skeptics Guide to Emergency Medicine. Reference: Pines et al. Reference: Pines et al.

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ED ALS Emergency Department OR 130